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• W73124626 abstract "Delays for medical interventions such as hip and knee replacements, spinal surgery, and ophthalmologic procedures are a serious problem in Canada. Federal and provincial governments are struggling to shorten waiting lists and provide timely care. Patients often wait months to obtain appointments with specialists, undergo diagnostic tests, and receive treatment. Lack of access to family physicians can make obtaining care particularly difficult. Recognizing that many Canadians are unable to obtain prompt treatment, medical tourism companies promote travel to medical facilities in other countries.1 Customers of these companies can purchase anything from cosmetic procedures and diagnostic examinations to kidney transplants, in vitro fertilization, cancer therapies, and orthopedic procedures. The cost of medical tourism packages varies greatly. Prices depend on the procedures clients select, where they travel, how long they intend to stay, and whether they choose postoperative accommodations in budget hotels or luxury resorts. At least 15 medical tourism companies operate in Canada. One such company is located in Alberta, 1 is located in Manitoba, 7 are located in British Columbia, 3 in Ontario, and 3 in Quebec. This list does not include more traditional travel agencies advertising medical tourism packages: a Vancouver-based travel agency arranges trips to Bumrungrad International Hospital in Bangkok, Thailand; a Quebec travel agency markets travel to hospitals and clinics in India. Canadian medical tourism companies send their clients to such countries as Argentina, Brazil, China, Costa Rica, Cuba, France, Germany, India, Malaysia, Mexico, Pakistan, Poland, Russia, Singapore, South Africa, Sri Lanka, Thailand, Tunisia, Turkey, the United Arab Emirates, and the United States. Some companies send their clients to a single medical facility in a particular country, while others advertise a choice of destinations. The health care travel packages typically include air and ground transportation, travel visas, hotel accommodations, assistance from a local company representative in the destination country, transfer of medical records to treating physicians, and negotiated rates for whatever medical procedures clients decide to purchase. Wealthy Canadians have always had the option of traveling outside Canada for treatment.2-4 Medical tourism companies “democratize” the international health care option. Recent news media coverage tracked the journeys of a chaplain who sought cancer treatment in the state of New York, a high school biology teacher who traveled to India for treatment, and a cab driver who visited Belgrade for surgery.5-7 With some treatments unavailable in Canada and other medical interventions available only after long delays, medical tourism companies use problems with Canada’s provincial health care systems to promote out-of-country health care. Though few Canadians can afford the high price of care at US medical centres, the international facilities offer less expensive access to private health care. The number of medical tourism companies in Canada is growing. At present, however, these businesses are relatively small, have few employees, and appear to have a limited client base. As these companies become better known, standardize their operations, and benefit from considerable media coverage, it is possible that more Canadians will travel to other countries for treatment. Interest in the medical tourism option will likely decline if Canadians gain improved local access to elective surgical procedures, such as hip and knee replacements. If waiting lists persist or lengthen, however, medical tourism companies might succeed in “outsourcing” treatment for more Canadians seeking immediate care." @default.
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• W73124626 date "2007-01-01" @default.
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• W73124626 title "Family medicine and international health-related travel" @default.
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