Banding in Bangkok, CABG in Calcutta: The United States physician and the growing field of medical tourism

Surgery ◽  
2010 ◽  
Vol 148 (3) ◽  
pp. 597-601 ◽  
Author(s):  
Elliott Mark Weiss ◽  
Peter F. Spataro ◽  
Ira J. Kodner ◽  
Jason D. Keune
2020 ◽  
Vol 26 (10) ◽  
pp. 1125-1130
Author(s):  
Khawla F. Ali ◽  
Alexandra Mikhael ◽  
Christine Zayouna ◽  
Omar A. Barakat ◽  
James Bena ◽  
...  

Objective: Medical tourism, a form of patient mobility across international borders to seek medical services, has gained significant momentum. We aimed to assess the outcomes of medical tourism consultations on chronic diseases, more specifically diabetes mellitus, amongst a cohort of international patients, originating from different healthcare systems, and referred to the United States for medical care. Methods: We identified international adults with established diabetes mellitus, referred globally from 6 countries to the United States between 2010 and 2016 for medical care, and were seen at the Cleveland Clinic Foundation (CCF). Group 1 included adults seen by an endocrinology provider during their CCF medical stay, whilst group 2 included those not seen by an endocrinology provider. To assess the impact of our consultations, changes in hemoglobin A1c (HbA1c) were assessed between visit(s). Results: Our study included 1,108 subjects (771 in group 1, 337 in group 2), with a mean age (± SD) of 61.3 ± 12.7 years, 62% male, and a median medical stay of 136 days (interquartile range: 57, 660). Compared to group 2, group 1 had a higher baseline mean HbA1c (8.0 ± 1.8% [63.9 mmol/mol] vs. 7.1 ± 1.4% [54.1 mmol/mol]; P<.001). After 1 visit with endocrinology, there was a significant decrease in mean HbA1c from 8.44 ± 1.98% (68.3 mmol/mol) to 7.51 ± 1.57% (58.5 mmol/mol) ( P<.001). Greatest reductions in mean HbA1c were −1.47% (95% CI: −2.21, −0.74) and −1.27% (95% CI: −1.89, −0.66) after 3 and 4 visits, respectively ( P<.001). Conclusion: Short-term diabetes mellitus consultations, in the context of medical tourism, are effective. Abbreviations: CCF = Cleveland Clinic Foundation; GCC = Gulf Cooperation Council; HbA1c = hemoglobin A1c; IQR = interquartile range; U.S. = United States


2015 ◽  
Vol 21 ◽  
pp. 136-137
Author(s):  
Andrew Hinsono ◽  
Sam Hohmann ◽  
Donald Bodenner ◽  
Brendan Stack

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Latania K. Logan ◽  
Robert A. Bonomo

Abstract Metallo-β-lactamases (MBLs) are emerging as the most notable resistance determinants in Enterobacteriaceae. In many cases, the genes encoding MBLs are part of complex, mobile genetic elements that carry other resistance determinants. In the United States, there are increasing reports of MBL-producing Enterobacteriaceae, with New Delhi MBLs (NDMs) accounting for the majority of transmissible MBL infections. Many infections caused by NDM-producing bacteria are associated with international travel and medical tourism. However, little recognition of the introduction of MBL-producing Enterobacteriaceae into the pediatric community has followed. Reports suggest that this occurred as early as 2002. Here, we reflect on the unwelcome emergence of MBL-producing Enterobacteriaceae in US children and the available clinical and molecular data associated with spread. Since 2002, there have been disturbing reports that include the most readily transmissible MBLs, blaIMP, blaVIM, and blaNDM types. In the majority of children with available data, a history of foreign travel is absent.


2010 ◽  
Vol 26 (5) ◽  
pp. 492-497 ◽  
Author(s):  
Brandon W. Alleman ◽  
Tana Luger ◽  
Heather Schacht Reisinger ◽  
Rene Martin ◽  
Michael D. Horowitz ◽  
...  

2013 ◽  
pp. 57-81 ◽  
Author(s):  
Erynn Masi De Casanova ◽  
Barbara Sutton

Cosmetic surgery tourism (CST) is part of the growing trend known as medical tourism. As people in the global North travel to less affluent countries to modify their bodies through cosmetic surgery, their transnational body projects are influenced by both economic "materialities" and traveling cultural "imaginaries." This article presents a content analysis of media representations of cosmetic surgery tourism in a major country sending patient-tourists (the United States) and a popular receiving country (Argentina). The power relations of globalization appear to be played out in the media. U.S. sources assert U.S. hegemony through a discourse emphasizing the risks of CST in the global South, in contrast with medical excellence in the U.S. Argentine sources portray Argentina as a country struggling to gain a foothold in the global economy, but staking a claim on modernity through cultural and professional resources. The analyzed articles also offer a glimpse of how patient-tourists fuel sectors of the global economy by placing their bodies at the forefront, seeking to merge medical procedures and touristic pleasures. There is a gender dimension to these portrayals, as women are especially likely to engage in CST. Their transnational body projects are tainted by negative media portrayals, which represent them as ignorant, uninformed, and driven mainly by the low price of surgery overseas. Our comparative approach sheds light on converging and diverging perspectives on both ends of the cosmetic surgery tourism chain, showing that patterns in CST portrayals differ according to the position of a country in the world-system.


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