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让加拿大成为医疗旅游目的地:为何加拿大各省不应试图成为“北方的梅奥诊所”。

Making Canada a destination for medical tourists: why Canadian provinces should not try to become "Mayo Clinics of the North".

作者信息

Turner Leigh

机构信息

Associate Professor, Center for Bioethics, School of Public Health & College of Pharmacy, University of Minnesota, Minneapolis, MN, USA.

出版信息

Healthc Policy. 2012 May;7(4):18-25.

PMID:23634159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3359081/
Abstract

When Canadian researchers examine the subject of medical tourism, they typically focus on ethical, social, public health and health policy issues related to Canadians seeking health services in other countries. They emphasize study of Canada as a departure point for medical tourists rather than as a potential destination for international patients. Several influential voices have recently argued that provincial healthcare systems in Canada should market health services to international patients. Proponents of marketing Canada as a destination for medical tourists argue that attracting international patients will generate revenue for provincial healthcare systems. Responding to such proposals, I argue that there are at least seven reasons why provincial health systems in Canada should not dedicate institutional, financial and health human resources to promoting themselves as destinations for medical tourists.

摘要

当加拿大研究人员审视医疗旅游这一主题时,他们通常关注与在其他国家寻求医疗服务的加拿大人相关的伦理、社会、公共卫生和健康政策问题。他们强调将加拿大作为医疗游客出发地进行研究,而非作为国际患者的潜在目的地。最近,一些有影响力的人士主张,加拿大的省级医疗保健系统应向国际患者推销医疗服务。将加拿大作为医疗旅游目的地进行推销的支持者认为,吸引国际患者将为省级医疗保健系统带来收入。针对此类提议,我认为,加拿大省级医疗系统至少有七个理由不应投入机构、资金和医疗卫生人力资源来将自身宣传为医疗旅游目的地。

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本文引用的文献

1
Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites.医疗旅游行业的风险沟通和知情同意:对加拿大中介网站的主题内容分析。
BMC Med Ethics. 2011 Sep 26;12:17. doi: 10.1186/1472-6939-12-17.
2
Medical tourism: what Canadian family physicians need to know.医疗旅游:加拿大家庭医生需要了解的内容。
Can Fam Physician. 2011 May;57(5):527-9, e151-3.
3
The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators.“患者医生退一步”:医疗旅游中介的角色演变。
J Med Ethics. 2011 Sep;37(9):530-4. doi: 10.1136/jme.2011.042374. Epub 2011 Apr 8.
4
Impact of medical travel on imports and exports of medical services.医疗旅游对医疗服务进出口的影响。
Health Policy. 2010 Dec;98(2-3):171-7. doi: 10.1016/j.healthpol.2010.06.006.
5
Medical tourism in bariatric surgery.减肥手术的医疗旅游。
Am J Surg. 2010 May;199(5):604-8. doi: 10.1016/j.amjsurg.2010.01.002. Epub 2010 Mar 25.
6
Effective public-private partnership in healthcare: Apollo as a cautionary tale.
Indian J Med Ethics. 2010 Jan-Mar;7(1):2-4. doi: 10.20529/IJME.2010.001.
7
Cosmetic tourism and the burden on the NHS.美容旅游与英国国家医疗服务体系的负担。
J Plast Reconstr Aesthet Surg. 2008 Dec;61(12):1423-4. doi: 10.1016/j.bjps.2008.10.002.
8
Arthroplasty tourism.关节置换手术旅游
Med J Aust. 2007;187(11-12):666-7. doi: 10.5694/j.1326-5377.2007.tb01467.x.
9
Medical tourism: family medicine and international health-related travel.医疗旅游:家庭医学与国际健康相关旅行
Can Fam Physician. 2007 Oct;53(10):1639-41, 1646-8.
10
Pulmonary embolism after plastic surgery tourism.整形手术旅游后的肺栓塞
Clin Appl Thromb Hemost. 2007 Jul;13(3):340. doi: 10.1177/1076029607302580.