Jumping the queue? How a focus on health tourism as benefit fraud misses much of the medical tourism story

Author(s):  
Daniel Horsfall ◽  
Ricardo Pagan

This chapter analyses ‘health tourism’ as a specific form of alleged benefit fraud. Medical tourism takes place when individuals opt to travel overseas with the primary intention of receiving medical treatment. As such, it can be thought of as a type of patient or ‘consumer’ mobility in which individuals travel outside their country of residence for the consumption of health care services. More recently, media coverage of medical tourism has adopted the narrative of benefit fraud or exploitation, with tourists either purposely or unwittingly accessing care they are not entitled to or not paying for that which they are required to pay. This issue has proven particularly incendiary, prompting formal responses from the government. In the lead up to and aftermath of the UK's EU referendum, the issue played a central role in wider discussions around migration and the free movement of individuals across Europe.

2021 ◽  
pp. 097206342110115
Author(s):  
Feryad A. Hussain

Integrative models of health care have garnered increasing attention over the years and are currently being employed within acute and secondary health care services to support medical treatments in a range of specialities. Clinical hypnosis has a history of working in partnership with medical treatments quite apart from its psychiatric associations. It aims to mobilise the mind–body connection in order to identify and overcome obstacles to managing symptoms of ill health, resulting in overall improved emotional and physical well-being. This article aims to encourage the use of hypnotherapy in physical health care by highlighting the effectiveness of hypnosis as an adjunct to medical treatment and identifying barriers preventing further integrative treatments.


2020 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Yoko Murphy ◽  
Howard Sapers

The majority of incarcerated individuals in Canada, and especially in Ontario provincial correctional institutions, are released into the community after a short duration in custody. Adult correctional populations have generally poor health, including a heightened prevalence of mental health and substance use disorders. There are legal and ethical obligations to address health care needs of incarcerated individuals, and also public health benefits from ensuring adequate, appropriate, and accessible health services to individuals in custody. The Independent Review of Ontario Corrections recommended the transformation of health care in Ontario provincial corrections in 2017, including transferring health service responsibilities to the Ministry of Health and Long-Term Care. The Correctional Services and Reintegration Act, 2018, would affirm the provincial government’s obligation to provide patient-centred, equitable health care services for individuals in custody. We encourage the Government of Ontario to proclaim the Act and continue the momentum of recent reform efforts in Ontario.


Author(s):  
Walisa Romsaiyud ◽  
Wichian Premchaiswadi

Addressing efforts towards the improvement of maternal and child health management can often prove to be problematic in context to successfully obtaining healthcare and medical treatment information from health care professionals. In this regard, the authors propose an adaptive multi-service system that contains fully integrated health care services, medical treatment services, and maternal and child health management. The system utilized both web-based and mobile technology for implementing the application. A practical framework for generating individual maternal and child health care is also presented from data repositories and fully integrated functional health care services to support an improved quality of life for both mother and children. The application, namely AM-Care, consists of the three main components, i.e., Control Centre Component, Web-based Components, and Mobile Components. Also, AM-Care has the important add-on features such as emergency services and warning services.


Author(s):  
Setiawan E ◽  
Poedjibudojo J K ◽  
Tondok Ms

Objective: The unmet health-care needs among older persons population should be identified and anticipated due to hideous potential impacts. Ironically, no published study regarding this phenomenon was found in Indonesia. Derived from the Indonesian population and civil data, this study was conducted to identify the health-care needs of urban older people living on Java Island, the most populated island in Indonesia.Methods: A qualitative study was conducted in 3 subdistricts in Surabaya, the capital city of East Java, namely, Rungkut, Kenjeran, and Tenggilis. There were 9 focus group discussions (FGDs) conducted during March-August 2015. Participants in this study were recruited purposively, i.e., person in charge of “Karang Werda,” and the discussion explored thematically various topics in the area of unmet health needs phenomena related to: (1) Availability, (2) accessibility, and (3) acceptability. A FGD guide was developed to ensure in-depth discussion.Results: There were 90 older persons serving as volunteers who participated in this study. The unmet health-care needs addressed by participants in this study were (1) Integrated and specialized health-care services for older persons and (2) skillful yet age-friendly health-care personnel were needed by participants. Our findings pointed out that the unmet health-care needs in Indonesian urban settings were classified as primarily availability, accessibility, and acceptability issues.Conclusion: The government needs to take actions to solve the challenges related to the fulfillment of health-care needs among older persons in Indonesia. Further study of the health care personnel’s beliefs and attitudes in providing care among older persons needs to be conducted to provide a more holistic picture of the phenomena before making any strategy for the future Indonesia’s health-care system.


Author(s):  
Richa Verma ◽  
Tejbir Singh ◽  
Mohan Lal ◽  
Jasleen Kaur ◽  
Sanjeev Mahajan ◽  
...  

Background: Low level of education of the slum dwellers along-with poor socio- economic status and pathetic environmental conditions lead to their poor health indicators. Since the National Urban Health Mission (NUHM) was launched in 2013, the health services are still in their initial stages. Assessment of the availability as well as the utilization of health care services of the urban slums is the need of the hour.Methods: The cross-sectional study was conducted in randomly selected slum in Amritsar city. All the houses were enumerated and visited by the interviewer herself. The eldest adult member of the family was selected as key respondent and written, informed consent was obtained. Predesigned questionnaire was used to collect the data which was then compiled and analyzed using statistical tests.Results: Out of the total respondents, one third respondents had knowledge about the government health center nearby (statistically significant) while out of these, only one third utilized the services at the center (statistically non-significant). Almost half of the respondents had knowledge about the medical camps and out of these, two-thirds utilized the services at medical camps.Conclusions: Overall utilization of services is poor. More respondents were aware of the medical camps than the static government health facility and utilization of medical camps was also more. So the static health services under NUHM need to be further strengthened.


2019 ◽  
Vol 7 (1) ◽  
pp. 78
Author(s):  
Tamara Avilla

Background: Adolescent health services is one of the government programs aimed at teenagers in Indonesia with the intention that teenagers have a comfortable place to grip or help deal with all sorts of teenage problems that are being faced. This PKPR is implemented in every Health Care. Purpose: the aims of this study was seen implementation  PKPR in Dupak Health Care, Surabaya. Methods: This study was conducted at Dupak Health Care, Surabaya using qualitative descriptive research with observation method and in-depth interview at Head of Dupak Health Care Surabaya, holder of UKBM program (The Effort of Health Community Based Services) in Health Care, PKPR program holder, and some teenagers working area of Health Care. Results: The results and discussion in this journal that describes the implementation of health care services adolescents at Puskesmas Dupak Surabaya Health Center by adjusting the reference of National Standard PKPR 2014 and in line with previous similar research. Conclusion: There is a mismatch between the implementation of PKPR and the national standard of health care for adolescents that is influenced by various factors.


Author(s):  
Shagirunisha Rizvana A. M. ◽  
Karthikeyan K. ◽  
Thenmozhi . ◽  
Rock Britto ◽  
Neethu George ◽  
...  

Transgender is a term defined as individuals with gender identity is different compared with those who are born with male and female anatomies. There are facing shame, disgrace, exclusion from society, so they are more prone for HIV infection and neglected from society. Even though the government made a various schemes and bills for transgender rights to make them socially equal in the community, but they are neglected by society because of less awareness about the transgender.


SOEPRA ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Chori Diah Astuti ◽  
Suherman Suherman ◽  
Arrisman Arrisman

Health is a primary right of every individual and must be guaranteed by the state; therefore, the state has regulated the health of its citizens as stipulated in the 1945 Constitution Article 28 Section 3 which is further regulated in law No. 40 Year 2004 concerning the national social security system. One of the concerns of the government is that many Indonesians who have reached the age of 50-60 years who experience vision problems due to cloudy eye lense or cataract. The government concern is can be seen from their attention on health problems by passing Minister of Health Regulation No. 29 Year 2016. Concerning with eye Health Care Services at the Health Care Amanities and the Director of Health Service Security on Health (SSAH) passed a regulationNo. 2 Year 2018 concering with cataract service security service.The Method Used in this study is a normative juridical method, using secondary data consisting of primary, secondary and tertiary legal materials. The end purpose of this study is to get clarity about the legal protection of patients against health services by the Health amenities and SSAH or BPJS with the existence of restrictions on cataract surgery and to find out the claim procedures concerning with this restriction.Keywords: Legal Protection, BPJS or SSAH, Cataract Surger.


2020 ◽  
Vol 10 ◽  
pp. 63-79
Author(s):  
Kapil Babu Dahal

People in different locality interact, perceive, and experience the government and governance through the government’s various service delivery mechanisms mainly, which affect them in their locale. Governance in the health sector can serve as an essential and critical window through which we can glance at the situation of governance in a given society. Multiple voices from the actors involved in delivering health care services and health service users portray the current emerging situation of health governance, especially, during the initial years of implementation of federal system in Nepal. In portraying the current health governance scenario in the study areas, this article shows how people’s experience of forms of governance affects their uptake of health care services. It uses micro-level ethnographic information to look at the broader issue of health governance.


2017 ◽  
pp. 32-51
Author(s):  
Eunhee Sung ◽  
Wilson Ozuem

The combination of medical treatment and tourism seems to be a promising and relatively new type of niche tourism. The globalization of health care has given rise to a new form of tourism that is commonly known as health tourism. Within the health tourism arena, medical tourism is among the fastest growing sectors. It enables patients to quickly and conveniently travel to receive medical services at lower prices and of better quality than they could in their native countries. Yet analyses of medical tourism in developing, emerging markets are under developed, particularly in South Korea. As a response, this chapter examines the customer-perceived value of medical tourism, which deriving explicit factors that influence choice in relation to medical tourism.


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