Risk communication and informed consent in the medical tourism industry: A thematic content analysis of canadian broker websites [Book Review]
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
BMC Medical Ethics 12 (1):17- (2011)
Background: Medical tourism, thought of as patients seeking non-emergency medical care outside of their home countries, is a growing industry worldwide. Canadians are amongst those engaging in medical tourism, and many are helped in the process of accessing care abroad by medical tourism brokers - agents who specialize in making international medical care arrangements for patients. As a key source of information for these patients, brokers are likely to play an important role in communicating the risks and benefits of undergoing surgery or other procedures abroad to their clientele. This raises important ethical concerns regarding processes such as informed consent and the liability of brokers in the event that complications arise from procedures. The purpose of this article is to examine the language, information, and online marketing of Canadian medical tourism brokers' websites in light of such ethical concerns. Methods: An exhaustive online search using multiple search engines and keywords was performed to compile a comprehensive directory of English-language Canadian medical tourism brokerage websites. These websites were examined using thematic content analysis, which included identifying informational themes, generating frequency counts of these themes, and comparing trends in these counts to the established literature. Results: Seventeen websites were identified for inclusion in this study. It was found that Canadian medical tourism broker websites varied widely in scope, content, professionalism and depth of information. Three themes emerged from the thematic content analysis: training and accreditation, risk communication, and business dimensions. Third party accreditation bodies of debatable regulatory value were regularly mentioned on the reviewed websites, and discussion of surgical risk was absent on 47% of the websites reviewed, with limited discussion of risk on the remaining ones. Terminology describing brokers' roles was somewhat inconsistent across the websites. Finally, brokers' roles in follow up care, their prices, and the speed of surgery were the most commonly included business dimensions on the reviewed websites. Conclusion: Canadian medical tourism brokers currently lack a common standard of care and accreditation, and are widely lacking in providing adequate risk communication for potential medical tourists. This has implications for the informed consent and consequent safety of Canadian medical tourists
|Keywords||Medical Tourism Informed Consent Risk Communication|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Jeremy Snyder, Valorie A. Crooks, Rory Johnston & Shafik Dharamsi (2013). “Do Your Homework…and Then Hope for the Best”: The Challenges That Medical Tourism Poses to Canadian Family Physicians' Support of Patients' Informed Decision-Making. [REVIEW] BMC Medical Ethics 14 (1):37.
Krystyna Adams, Jeremy Snyder, Valorie A. Crooks & Rory Johnston (2013). Promoting Social Responsibility Amongst Health Care Users: Medical Tourists' Perspectives on an Information Sheet Regarding Ethical Concerns in Medical Tourism. Philosophy, Ethics, and Humanities in Medicine 8 (1):19.
Similar books and articles
J. Snyder, V. A. Crooks, K. Adams, P. Kingsbury & R. Johnston (2011). The 'Patient's Physician One-Step Removed': The Evolving Roles of Medical Tourism Facilitators. Journal of Medical Ethics 37 (9):530-534.
J. Snyder, V. A. Crooks & R. Johnston (2012). Perceptions of the Ethics of Medical Tourism: Comparing Patient and Academic Perspectives. Public Health Ethics 5 (1):38-46.
Jeremy Snyder, Valorie Crooks, Rory Johnston & Paul Kingsbury (2013). Beyond Sun, Sand, and Stitches: Assigning Responsibility for the Harms of Medical Tourism. Bioethics 27 (5):233-242.
Jeremy Snyder, Valorie Crooks & Leigh Turner (2011). Issues and Challenges in Research on the Ethics of Medical Tourism: Reflections From a Conference. [REVIEW] Journal of Bioethical Inquiry 8 (1):3-6.
I. Glenn Cohen (2012). How to Regulate Medical Tourism (and Why It Matters for Bioethics). Developing World Bioethics 12 (1):9-20.
Dennis John Mazur (1998). Medical Risk and the Right to an Informed Consent in Clinical Care and Clinical Research. American College of Physician Executives.
Leigh Turner (2012). News Media Reports of Patient Deaths Following 'Medical Tourism' for Cosmetic Surgery and Bariatric Surgery. Developing World Bioethics 12 (1):21-34.
Christopher F. C. Jordens, Kathleen Montgomery & Rowena Forsyth (2013). Trouble in the Gap: A Bioethical and Sociological Analysis of Informed Consent for High-Risk Medical Procedures. [REVIEW] Journal of Bioethical Inquiry 10 (1):67-77.
Kristen Smith (2012). The Problematization of Medical Tourism: A Critique of Neoliberalism. Developing World Bioethics 12 (1):1-8.
Kyle Powys Whyte, Evan Selinger & Kevin Outterson (2011). Poverty Tourism and the Problem of Consent. Journal of Global Ethics 7 (3):337-348.
Jukka Varelius (2012). On Taylor's Justification of Medical Informed Consent. Bioethics 26 (4):207-214.
W. L. Adeyemo, B. O. Mofikoya, O. A. Akadiri, O. James & A. A. Fashina (2013). Acceptance and Perception of Nigerian Patients to Medical Photography. Developing World Bioethics 13 (3):105-110.
Added to index2011-10-12
Total downloads14 ( #239,771 of 1,790,069 )
Recent downloads (6 months)2 ( #318,432 of 1,790,069 )
How can I increase my downloads?