Medical tourism and health worker migration in developing countries

2015 ◽  
Vol 46 ◽  
pp. 391-396 ◽  
Author(s):  
Hamid Beladi ◽  
Chi-Chur Chao ◽  
Mong Shan Ee ◽  
Daniel Hollas
Author(s):  
Ronald Labonté ◽  
Arne Ruckert

Health systems rely upon two groups of people: health workers and patients. In recent decades both groups have been on the move globally, with the creation of internationalized labour market opportunities (the hunt for skilled labour in the case of health workers) and private investments in high-end health care on lower-cost developing countries (one of the key incentives for patients seeking care outside of their own country, for uninsured or under-insured services). Both flows raise a number of health equity concerns. Health worker migration can pose undue hardships on low-resource, high-disease burden countries who lose their workers to richer nations, creating a ‘perverse subsidy’ of poor to rich. With medical tourism, private, fee-paying foreign patients in poorer countries could ‘crowd out’ access to care for domestic patients in those countries, while potentially returning with drug resistant infections or complications burdening their home country’s health systems.


2015 ◽  
Vol 8 (1) ◽  
pp. 27348 ◽  
Author(s):  
Jeremy Snyder ◽  
Valorie A. Crooks ◽  
Rory Johnston ◽  
Krystyna Adams ◽  
Rebecca Whitmore

2001 ◽  
Vol 41 (2) ◽  
pp. 115
Author(s):  
Moersintowarti B. Narendra ◽  
Hardjono Soeparto ◽  
Yustina Rosanti ◽  
Agus Salim

The convention of children’s rights (1989) has acknowledged and recommended a statement that minimalstandard for the child welfare with the range of primary right to keep an outstanding life for the children’s development to theirmaximum potential, protecting from disturbances e.g. neglect and physical abuse.But, it is difficult to classify cases whetherrelated to the problem of neglect or abuse, especially in developing countries where discrepancies in health services isremain exist.Objective : To present two cases which have been overlooked to the possibilities of abuse and neglect.Discription of the cases :Case 1. A malnourished 2 years old boy who was admitted with diarrhea in Dr.Soetomo HospitalSurabaya (September 6 ,1998) with :Clinical criteria of Marasmic Kwashiorkor available.Ignorance of health worker aboutnutritional status and inadequate referral system. 3. Factors related to the malnutrition are: a. Early weaning and inadequateweaning food. b. Poverty and low education. c. Lack of integrated health care (GOBI FFF practice). Case 2. An epileptic 11years old girl was admitted in Dr.Soetomo Hospital Surabaya (July,12, 1999). Problems list were : Respiratory problem whichcould not be explained pathophysiologically. Single parent, and inconsistency of adequate childrearing , Factors related to thefailure in compliance of epileptic treatment, and Isolation and restricted movement.Discussion of the difficulty in classificationof the cases, and the possibility of solving the problem in Surabaya related to the limited action of the Committee on ChildProtection, need to have positive suggestions sharing experience from the Congress members.


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