Medical Tourism in Developing Countries

Medical Tourism in Developing Countries Medical Tourism in Developing Countries

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Index ● 239Mmacroeconomic policy 169–85public health concerns and 10–11redistributive functions of 7Maddison, Angus 18Malaysia 2agricultural sector in 15cost of services in 76diagnostic methods in 52ease of doing business in 128economic growth in 126economies of scale in 76exchange rate in 98foreign investment in 85foreign patients in 3health indicators in 171tinfrastructure in 113medical tourism marketingstrategies 62medical tourism revenue in 3medical tourism tie-ins and 92Muslim patients and 57pharmaceutical standards in 146price of services in 50public sector in 72R&D in 110telemedicine in 78, 178–79tourist appeal of 134website of 61malpractice insurance, of foreigndoctors 156man power, medical tourism impacton 166–67Manuel, Trevor 67manufacturing sector 25Maradona, Diego 52market economics 125–31characteristics of 125–26, 126tliberalization and 127–31market structures 75–77dual 176–77Mayo Clinic, hospital branches of 84McLaren, Deborah 177Medicaid, budget for 164medical care. See health caremedical devices, USDA researchregulations and 144medical diagnostics, outsourcing of 144medical errors, reporting 149, 214n32Medical Savings Accounts 161medical sector, economic importanceof 18–19, 19tmedical services, demand for 42–45medical tourismaffiliated services 78barriers to entry 13countries lacking capacity for 137defined 1–2demand for. See demanddependency issues and 9See also dependency;dependency theoriesdestination country expenseand 165, 218n101dissemination of informationon 60–64economic growth and. See economicgrowtheconomic impacts of 2for financing public health 179–80historic examples of 4–5implications for source-countrymedicine 160–68incentives for 135–37increased demand for, reasons 3–4international dimension of 83–91international environment as enablerof 22–27lifestyle 44, 53–55, 131Medicare and 150–51moral issues in 164motivations for 2multiplier effect and 32–33niches in 98obstacles to 139–68entry requirements/transportation 158–60insurance 151–56

240 ● Indexmedical tourism (continued )international regulations 140–44international standardsand accreditation/credentialing 145–51legal recourse/patientprotection 156–58problems associated with 169–70promoting. See promotionrevenue generated by 3for state employees 153state’s role in 70–74supply of. See source countries;supplytie-ins with 91–93See also destination countries;developing countriesmedical touristscharacteristics of 45–49countries of origin 54incidental 46–48by income 48, 48tseeking medical tourism 48–49medical visas 159medical workerseducation and training of 102–4Indian, in U.S., 104See also health care providersMedicare/Medicaid 151claims for out-of-country servicesand 150–51medicinehigh-tech, with traditionalhealing 95, 131–34international trade in 28–30luxury versus border 48–49, 48tmedicines. See pharmaceuticalsMedicity 76Medigap 152Mexicoborder medicine in 49, 58brain drain from 106insurance coverage in 153licensure in 150, 214n33Middle East, Internet health careinformation on 61money and banking system,developed 118–19, 118tMore Developed Countrieseconomic relations with LDCs 33structural transformations in 26See also source countriesmotivations 42examples of 2multiplier effect 32–33NNarasimha Rao, P. V., 130national health planspressures on 51waiting periods in 2, 52Native American traditionalhealing 132NGOs. See NongovernmentalorganizationsNielsen, Jerri 4nongovernmental organizations,health-related 88–89nurses, demand for, medical tourismimpact on 166–67Oorgans, international trade in 90, 122outsourcingof medical diagnostics 144of services 5PPacific Bridge Medical 82Pagdanganan, Roberto 132patent law 141– 44, 212n6territorial limitations on 142Patient Safety and QualityImprovement Act of 2005, 149patientsfrom diaspora 56–57inadequate protection of 156–58origins and motives of 41

Index ● 239Mmacroeconomic policy 169–85public health concerns and 10–11redistributive functions of 7Maddison, Angus 18Malaysia 2agricultural sector <strong>in</strong> 15cost of services <strong>in</strong> 76diagnostic methods <strong>in</strong> 52ease of do<strong>in</strong>g bus<strong>in</strong>ess <strong>in</strong> 128economic growth <strong>in</strong> 126economies of scale <strong>in</strong> 76exchange rate <strong>in</strong> 98foreign <strong>in</strong>vestment <strong>in</strong> 85foreign patients <strong>in</strong> 3health <strong>in</strong>dicators <strong>in</strong> 171t<strong>in</strong>frastructure <strong>in</strong> 113medical tourism market<strong>in</strong>gstrategies 62medical tourism revenue <strong>in</strong> 3medical tourism tie-<strong>in</strong>s and 92Muslim patients and 57pharmaceutical standards <strong>in</strong> 146price of services <strong>in</strong> 50public sector <strong>in</strong> 72R&D <strong>in</strong> 110telemedic<strong>in</strong>e <strong>in</strong> 78, 178–79tourist appeal of 134website of 61malpractice <strong>in</strong>surance, of foreigndoctors 156man power, medical tourism impacton 166–67Manuel, Trevor 67manufactur<strong>in</strong>g sector 25Maradona, Diego 52market economics 125–31characteristics of 125–26, 126tliberalization and 127–31market structures 75–77dual 176–77Mayo Cl<strong>in</strong>ic, hospital branches of 84McLaren, Deborah 177Medicaid, budget for 164medical care. See health caremedical devices, USDA researchregulations and 144medical diagnostics, outsourc<strong>in</strong>g of 144medical errors, report<strong>in</strong>g 149, 214n32<strong>Medical</strong> Sav<strong>in</strong>gs Accounts 161medical sector, economic importanceof 18–19, 19tmedical services, demand for 42–45medical tourismaffiliated services 78barriers to entry 13countries lack<strong>in</strong>g capacity for 137def<strong>in</strong>ed 1–2demand for. See demanddependency issues and 9See also dependency;dependency theoriesdest<strong>in</strong>ation country expenseand 165, 218n101dissem<strong>in</strong>ation of <strong>in</strong>formationon 60–64economic growth and. See economicgrowtheconomic impacts of 2for f<strong>in</strong>anc<strong>in</strong>g public health 179–80historic examples of 4–5implications for source-countrymedic<strong>in</strong>e 160–68<strong>in</strong>centives for 135–37<strong>in</strong>creased demand for, reasons 3–4<strong>in</strong>ternational dimension of 83–91<strong>in</strong>ternational environment as enablerof 22–27lifestyle 44, 53–55, 131Medicare and 150–51moral issues <strong>in</strong> 164motivations for 2multiplier effect and 32–33niches <strong>in</strong> 98obstacles to 139–68entry requirements/transportation 158–60<strong>in</strong>surance 151–56

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