Medical Tourism in Developing Countries

Medical Tourism in Developing Countries Medical Tourism in Developing Countries

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Index ● 241rich versus poor 176rural versus urban 177See also medical touristspharmaceuticalsCanadian and Mexican sources of 58criteria for 79patenting of 141standards for 146for tropical disease 169, 203n76pharmacogenomics 142–43Philippine Health TourismProgram 73Philippinesalternative medicine in 132brain drain from 106–7economic ranking of 14education and training in 102electricity consumption in 117health indicators in 171tinternational standards and 148JCI accredited institutions in 149tmedical tourism marketingstrategies 62nurses from 6out-migration from 101pharmaceutical standards in 146public sector in 71, 72telemedicine in 78Thai investment in 86tourist appeal of 134transportation systems in 117–18U.S. nurses from 106water access in 115plastic surgery 43in Thailand 59police corruption 124, 124tpolitical institutionsdeveloped 119–21role of 10Potter, Maureen 148poverty, and susceptibility todisease 170pregnancy tourism 42Preston, Samuel 172Prestowitz, Clyde 4, 18preventive medicinepatient income and 53See also alternative therapies;traditional healingpricecompetitive 96–99demand for medical tourismand 38effects of medical tourism on 162–63as pull and push 49–53price-cutting 97–98private health insurance, in sourcecountries 152private insurance model of healthcare 151private sector 74–79cooperation with public sector 79–82government regulations and 81growth of medical technologyand 77–78medical tourism market structuresin 75–77pharmaceuticals and 78physical capital for medical tourismand 77productioncosts of 95shifting sites of 160–61profits, repatriation of 35promotionadvantages in 95–137. Seealso destination countries,advantages ofobstacles to 139–68. See alsomedical tourism, obstacles toproperty rights, protection of 122, 123tPsacharopoulos, George 174public funding, for private hospitalprocedures 161public healthin China 67–68crowding in of 177–79crowding out of 175–77

242 ● Indexpublic health (continued )financing 179–84medical tourism and 10, 27–28,175–79public health insurance 182–83in source countries 152public sectorcooperation with private sector79–82in health and tourism sectors 67–70role of 10–11, 66–74public spendingCosta Rican 69Cuban 68–69perceptions of 67, 68tpublic welfare model of health care 151public/private partnership 202n65defined 80Purchasing Power Parity 15RRajadhyaksha, Neelesh 112Reddy, Narsinha 3, 5Reddy, Sangita 79regulations, international, as obstacle tomedical tourism 140–44regulatory agencies 89–91Reid, Donald 24, 26, 115Rennhoff, Christina 38research and development 95in Cuba 2, 110–11, 126, 211n1in destination countries 109–112indicators of 111tretinitis pigmentosa, Cuban treatmentfor 59revenue, generation of, by country 3Ricardo’s theory of comparativeadvantage 29Richter, Judith 80, 202n65Ross, Kim 132SSachs, Jeffrey 171, 174safety, patient 124–25, 124tin U.S., 149, 214n31Sanitary and PhytosanitaryMeasures 90Santiago Salud 82Saudi Arabia, accredited hospitalsin 148science tourism 42, 194n3Seers, Dudley 33, 36Seror, Ann 116servicesdirect foreign investment in 30–31globalization and 23increasing importance of 24–26international trade in 26–27outsourcing of 5by western hospitals/doctors 164Singapore, prices in 99Singh, Manmohan 131Slater, Peter 100Smith, Gordon 160Smith, Richard 85, 180smoking, decreased rates of 53, 55social insurance model of healthcare 151Solow’s neoclassical growth model 31source countriesinsurance portability impactson 154–55medical tourism coverage and 151price of medical care in 51–52South Africa 2air transport in 118currency fluctuation in 98diagnostic methods in 52foreign patients in 3health indicators in 171, 171tinfrastructure in 113international standards and 148medical tourism tie-ins and 91price of services in 50telemedicine in 179tourist appeal of 134Soviet bloc 2specializations, and choice ofdestination 59–60SPS 90

Index ● 241rich versus poor 176rural versus urban 177See also medical touristspharmaceuticalsCanadian and Mexican sources of 58criteria for 79patent<strong>in</strong>g of 141standards for 146for tropical disease 169, 203n76pharmacogenomics 142–43Philipp<strong>in</strong>e Health <strong>Tourism</strong>Program 73Philipp<strong>in</strong>esalternative medic<strong>in</strong>e <strong>in</strong> 132bra<strong>in</strong> dra<strong>in</strong> from 106–7economic rank<strong>in</strong>g of 14education and tra<strong>in</strong><strong>in</strong>g <strong>in</strong> 102electricity consumption <strong>in</strong> 117health <strong>in</strong>dicators <strong>in</strong> 171t<strong>in</strong>ternational standards and 148JCI accredited <strong>in</strong>stitutions <strong>in</strong> 149tmedical tourism market<strong>in</strong>gstrategies 62nurses from 6out-migration from 101pharmaceutical standards <strong>in</strong> 146public sector <strong>in</strong> 71, 72telemedic<strong>in</strong>e <strong>in</strong> 78Thai <strong>in</strong>vestment <strong>in</strong> 86tourist appeal of 134transportation systems <strong>in</strong> 117–18U.S. nurses from 106water access <strong>in</strong> 115plastic surgery 43<strong>in</strong> Thailand 59police corruption 124, 124tpolitical <strong>in</strong>stitutionsdeveloped 119–21role of 10Potter, Maureen 148poverty, and susceptibility todisease 170pregnancy tourism 42Preston, Samuel 172Prestowitz, Clyde 4, 18preventive medic<strong>in</strong>epatient <strong>in</strong>come and 53See also alternative therapies;traditional heal<strong>in</strong>gpricecompetitive 96–99demand for medical tourismand 38effects of medical tourism on 162–63as pull and push 49–53price-cutt<strong>in</strong>g 97–98private health <strong>in</strong>surance, <strong>in</strong> sourcecountries 152private <strong>in</strong>surance model of healthcare 151private sector 74–79cooperation with public sector 79–82government regulations and 81growth of medical technologyand 77–78medical tourism market structures<strong>in</strong> 75–77pharmaceuticals and 78physical capital for medical tourismand 77productioncosts of 95shift<strong>in</strong>g sites of 160–61profits, repatriation of 35promotionadvantages <strong>in</strong> 95–137. Seealso dest<strong>in</strong>ation countries,advantages ofobstacles to 139–68. See alsomedical tourism, obstacles toproperty rights, protection of 122, 123tPsacharopoulos, George 174public fund<strong>in</strong>g, for private hospitalprocedures 161public health<strong>in</strong> Ch<strong>in</strong>a 67–68crowd<strong>in</strong>g <strong>in</strong> of 177–79crowd<strong>in</strong>g out of 175–77

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