Crooks Valorie A, Whitmore Rebecca, Snyder Jeremy, Turner Leigh
Department of Geography, Simon Fraser University, Burnaby, Canada.
Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
BMC Public Health. 2017 May 22;17(1):487. doi: 10.1186/s12889-017-4442-1.
When seeking care at international hospitals and clinics, medical tourists are often accompanied by family members, friends, or other caregivers. Such caregiver-companions assume a variety of roles and responsibilities and typically offer physical assistance, provide emotional support, and aid in decision-making and record keeping as medical tourists navigate unfamiliar environments. While traveling abroad, medical tourists' caregiver-companions can find themselves confronted with challenging communication barriers, financial pressures, emotional strain, and unsafe environments.
To better understand what actions and activities medical tourists' informal caregivers can undertake to protect their health and safety, 20 interviews were conducted with Canadians who had experienced accompanying a medical tourist to an international health care facility for surgery. Interview transcripts were subsequently used to identify inductive and deductive themes central to the advice research participants offered to prospective caregiver-companions.
Advice offered to future caregiver-companions spanned the following actions and activities to protect health and safety: become an informed health care consumer; assess and avoid exposure to identifiable risks; anticipate the care needs of medical tourists and thereby attempt to guard against caregiver burden; become familiar with important logistics related to travel and anticipated recovery timelines; and take practical measures to protect one's own health.
Given that a key feature of public health is to use research findings to develop interventions and policies intended to promote health and reduce risks to individuals and populations, the paper draws upon major points of advice offered by study participants to take the first steps toward the development of an informational intervention designed specifically for the health and safety needs of medical tourists' caregiver companions. While additional research is required to finalize the content and form of such an intervention, this study provides insight into what practical advice former caregiver-companions state should be shared with individuals considering assuming these roles and responsibilities in the future. In addition, this research draws attention to the importance of ensuring that such an intervention is web-based and readily accessible by prospective caregiver-companions.
在国际医院和诊所寻求医疗服务时,医疗游客通常会有家人、朋友或其他护理人员陪同。这些护理陪伴者承担着各种角色和责任,通常会在医疗游客身处陌生环境时提供身体上的帮助、情感上的支持,并协助决策和记录保存。在国外旅行期间,医疗游客的护理陪伴者可能会面临具有挑战性的沟通障碍、经济压力、情感压力和不安全的环境。
为了更好地了解医疗游客的非正式护理人员可以采取哪些行动和活动来保护自己的健康和安全,对20名曾陪同医疗游客前往国际医疗机构进行手术的加拿大人进行了访谈。随后,访谈记录被用于确定研究参与者向前护理陪伴者提供的建议中核心的归纳和演绎主题。
向前护理陪伴者提供的建议涵盖了以下保护健康和安全的行动和活动:成为明智的医疗消费者;评估并避免暴露于可识别的风险中;预测医疗游客的护理需求,从而试图防止护理负担;熟悉与旅行和预期康复时间线相关的重要后勤事宜;并采取实际措施保护自己的健康。
鉴于公共卫生的一个关键特征是利用研究结果制定旨在促进健康并降低个人和人群风险的干预措施和政策,本文借鉴了研究参与者提供的主要建议要点,朝着开发专门针对医疗游客护理陪伴者的健康和安全需求的信息干预措施迈出了第一步。虽然需要进一步的研究来确定此类干预措施的内容和形式,但本研究深入了解了前护理陪伴者认为应与未来考虑承担这些角色和责任的个人分享的实用建议。此外,本研究还提请注意确保此类干预措施基于网络且可供潜在护理陪伴者轻松获取的重要性。