Abstract:
BACKGROUND:Medical tourism is a growing phenomenon. This review of the literature maps current knowledge and discusses findings with reference to the UK National Health Service (NHS). METHODS:Databases were systematically searched between September 2011 and March 2012 and 100 papers were selected for review. RESULTS:The literature shows specific types of tourism depending on treatment, eg, dentistry, cosmetic, or fertility. Patient motivation is complex and while further research is needed, factors beyond cost, including availability and distance, are clearly important. The provision of medical tourism varies. Volume of patient travel, economic cost and benefit were established for 13 countries. It highlights contributions not only to recipient countries' economies but also to a possible growth in health systems' inequities. Evidence suggests that UK patients travel abroad to receive treatment, complications arise and are treated by the NHS, indicating costs from medical travel for originating health systems. CONCLUSION:It demonstrates the importance of quality standards and holds lessons as the UK and other EU countries implement the EU Directive on cross-border care. Lifting the private-patient-cap for NHS hospitals increases potential for growth in inbound medical tourism; yet no research exists on this. Research is required on volume, cost, patient motivation, industry, and on long-term health outcomes in medical tourists.
journal_name
J Travel Medjournal_title
Journal of travel medicineauthors
Hanefeld J,Smith R,Horsfall D,Lunt Ndoi
10.1111/jtm.12147subject
Has Abstractpub_date
2014-11-01 00:00:00pages
410-7issue
6eissn
1195-1982issn
1708-8305journal_volume
21pub_type
杂志文章,评审abstract:OBJECTIVE:Scarce data are available on the occurrence of ailments and diseases in children during travel. We studied the characteristics and frequencies of ailments in children aged 0 to 18 years and their parents during traveling. METHODS:A prospective observational study on ailments reported by children and parents ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00551.x
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:To our knowledge, there is no data on the epidemiology of patients hospitalized in intensive care unit (ICU) after a stay in Madagascar or other low-income countries. It is possible that such data may improve transfer delays and care quality for these patients. METHODS:In a retrospective study, we reviewed ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taw023
更新日期:2016-05-04 00:00:00
abstract::Although delusional parasitosis is frequently diagnosed by travel medicine and infectious disease specialists, factitious illness/Munchausen syndrome is extremely rare. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2002.30179
更新日期:2002-11-01 00:00:00
abstract::Acute rheumatic fever presenting as fever in a returned traveler has not previously been described. We report one such case. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2005.12611
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:To assess the awareness of the mode of rabies transmission, travel-associated rabies risk, and adequate preventive measures among French travelers. METHODS:Three hundred travelers were administered a detailed questionnaire prior to pretravel advice, addressing their knowledge, attitudes, and practices (KAP) ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00283.x
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Travel-related shigellosis is not well documented in Canada although it is frequently acquired abroad and can cause severe disease. OBJECTIVES:To describe the epidemiology of travel-related cases of shigellosis for Quebec (Canada) and to identify high-risk groups of travelers. METHOD AND DATA SOURCES:We pe...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12130
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:A total of 3,132 immigrants from low- and middle-income countries were involved in a cross-sectional observational study to screen for infectious diseases among immigrants attending public primary health care (PHC) centers. The study was conducted to clarify the degree of demographic differences and risk pre...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12083
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:International travel can expose travellers to pathogens not commonly found in their countries of residence, like dengue virus. Travellers and the clinicians who advise and treat them have unique needs for understanding the geographic extent of risk for dengue. Specifically, they should assess the need for pr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taw062
更新日期:2016-09-13 00:00:00
abstract::Two Japanese travelers from Bali were diagnosed with murine typhus in Japan during the same period. Although one had only mild illness, the other experienced liver and kidney dysfunction. Murine typhus may be missed not only in endemic areas around the world, but also in travelers, especially those returning from mari...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00438.x
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Descriptions of the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) have seldom been produced in the Caribbean, which is a major tourism destination. MATERIALS AND METHODS:Using DNA microarrays and spa typing, we characterized 85 MRSA isolates from human skin and soft-tissue infections fr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12047
更新日期:2013-09-01 00:00:00
abstract::Hemophagocytic syndrome (HPS) can develop as a complication of dengue in rare cases, but its relationship with dengue is not well known. We report a case of dengue-associated HPS with liver involvement and coagulopathy. The patient, a Japanese female traveler who had recently returned from Thailand, had severe complic...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12158
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Due to their job nature, cross-border truck drivers working between Hong Kong and China are exposed to many health risks. The aim of this study was to find out the impact of their occupation on their psychological health and sexual dysfunction and to assess their sexual risk behaviors. METHODS:A cross-secti...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00085.x
更新日期:2007-01-01 00:00:00
abstract::A non-pregnant Canadian woman returning from India presented with a 1-week history of jaundice and malaise. Subsequently, she developed fulminant hepatic failure caused by hepatitis E virus (HEV). HEV can cause fulminant hepatic failure, most commonly in pregnant women and those with chronic liver disease; however, al...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taw021
更新日期:2016-04-11 00:00:00
abstract::Acute eosinophilic pneumonia (AEP) has been reported following chloroquine or mefloquine exposure, both structurally related to piperaquine. We report a case of AEP with typical CT scan patterns, hypereosinophilia in blood (9.8 109/l), and bronchoalveolar lavage (78% of 600 000 cells/ml), 10 days after artenimol-piper...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tax023
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Carriage of and infection with multidrug-resistant Gram-negative bacilli (MDR-GNB) are a potential cause of concern in travelers with no history of hospitalization abroad. METHODS:All consecutive returning travelers hospitalized in our department between February 2012 and January 2013 were prospectively scr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12211
更新日期:2015-09-01 00:00:00
abstract::Infectious mononucleosis (IM), resulting from Epstein-Barr virus (EBV) infection, and IM-like syndromes, mainly due to cytomegalovirus (CMV), Toxoplasma gondii, or human immunodeficiency virus (HIV), have been occasionally reported in travelers returning from the tropics. Our objective was to investigate the prevalenc...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00049.x
更新日期:2006-07-01 00:00:00
abstract::Shigella bacteremias are uncommon in immune-competent adults. We report two cases of Shigella flexneri bacteremia that occurred in healthy young travelers, who recovered. Self-medication with loperamide and ibuprofen without antibiotics (case 1) and concomitant falciparum malaria (case 2) were the only co-morbidities ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2012.00627.x
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Adventure travel necessarily places travelers at risk of environmental hazards. We assessed the burden of "environmental" hazards among a cohort of travelers and expatriates presenting to a large travel clinic in Nepal. METHODS:Data on travelers and expatriates seen at the Canadian International Water and E...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2007.00145.x
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Influenza is the most common vaccine-preventable disease in travelers. It circulates year-round in the tropics, November to March in the northern hemisphere (NH), and April to October in the southern hemisphere (SH). In 2005, approximately 8.5 million US adults aged 18 years and older traveled to the Caribbe...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00254.x
更新日期:2008-11-01 00:00:00
abstract::Zika and Ebola viruses can persist in semen and pose a risk for sexual transmission. To determine if dengue virus, another flavivirus, is similarly detectable in semen, we performed dengue PCR on semen in five patients with acute dengue virus infection. All five tested negative, suggesting that dengue does not pose a ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tay023
更新日期:2018-01-01 00:00:00
abstract::Canadians are increasingly travelling to areas that would necessitate a pre-travel consultation. Changes in professional regulations in Canada allow greater autonomy of nurses and pharmacists, resulting in shifts in provision of travel health services. We surveyed 824 Canadian travel clinics, 270 (33%) of whom respond...
journal_title:Journal of travel medicine
pub_type: 社论,评审
doi:10.1093/jtm/tay032
更新日期:2018-05-01 00:00:00
abstract::Travel medicine practitioners, perhaps more so than medical practitioners working in other areas of medicine, require a constant flow of information to stay up-to-date, and provide best practice information and care to their patients. Many travel medicine providers are unaware of the popularity and potential of the Tw...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taw002
更新日期:2016-03-16 00:00:00
abstract:BACKGROUND:Imported measles cases and outbreaks involving Japanese travelers have been reported from the United States and other countries. For the United States, Japan is the top country of origin. The aims of this study were to analyze measles exportation trends from Japan to the United States and to suggest recommen...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00183.x
更新日期:2008-03-01 00:00:00
abstract:Background:The novel oral antibiotic formulation Rifamycin SV-MMX®, with a targeted delivery to the distal small bowel and colon, was superior to placebo in treating travellers' diarrhea (TD) in a previous study. Thus, a study was designed to compare this poorly absorbed antibiotic with the systemic agent ciprofloxacin...
journal_title:Journal of travel medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/jtm/tay116
更新日期:2018-01-01 00:00:00
abstract::Background: Climate change is not only increasing ambient temperature but also accelerating the frequency, duration and intensity of extreme weather and climate events, such as heavy precipitation and droughts, and causing sea level rise, which can lead to population displacement. Climate change-related reductions in ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taz026
更新日期:2019-06-11 00:00:00
abstract::The objective of the study was to compare the efficacy and tolerability of seven drugs frequently used for the prevention of seasickness: the drugs were namely cinnarizine, cinnarizine with domperidone, cyclizine, dimenhydrinate with caffeine, ginger root, meclozine with caffeine, and scopolamine. The design was a ran...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1994.tb00596.x
更新日期:1994-12-01 00:00:00
abstract::Whether the result of cyclical atmospheric changes, anthropogenic activities, or combinations of both, authorities now agree that the earth is warming from a variety of climatic effects, including the cascading effects of greenhouse gas emissions to support human activities. To date, most reports of the public health ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1111/j.1708-8305.2006.00072.x
更新日期:2006-11-01 00:00:00
abstract::Our observation of histoplasmosis cases augments the current knowledge on transmission by bats. In the presented cases, the only contact happened in the proximity of a bat cave but not inside the cave. We wish to communicate and stress that even outside of caves, bats may disperse the organism. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00193.x
更新日期:2008-03-01 00:00:00
abstract::A 35-year-old healthy Dutch woman went on a trek (Lang Tang) in Nepal up to an approximate altitude of about 3800 meters. She had no prior history of any medical problems except attacks of generalized epilepsy when she was 19 years old, which had been controlled with antiepileptic medications. She had had no attacks a...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1998.tb00512.x
更新日期:1998-12-01 00:00:00
abstract::Primary herpes infections usually require intimate contact of mucous membranes by either oral or sexual means.1,2 Infrequently, other types of contact have been described.3-5 Such was the case with an outbreak of herpes gladiatorum at a high-school wrestling camp, or a dental student who became infected from a patient...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1997.tb00802.x
更新日期:1997-09-01 00:00:00