Health Medical Tourism: The Present and the Future

  • Mikhail A. OSADCHUK The First Sechenov Moscow State Medical University under the Ministry of Health of the Russian Federation, Russian Federation
  • Alexey M. OSADCHUK Samara State Medical University under the Ministry of Health of the Russian Federation Russia Federation
  • Karina S. SOLODENKOVA The First Sechenov Moscow State Medical University under the Ministry of Health of the Russian Federation, Russian Federation
  • Maxim V. TRUSHIN Kazan Federal University, Russia Federation

Abstract

Development of intergovernmental policy on health tourism is cross-industrial, with medical services acting as a promoting factor. Health tourism ideology is based on interconnection between the natural environment, transport availability, healthcare system and people. During health tourism travels people get in close contact with the environment in order to feel physical and psychological comfort without direct medical treatment. Health tourism is supposed to become the basis for alternative therapy and remain progressive. Meanwhile, dominating cultural aspects must provide competitive advantages related to non-clinical factors. Satisfactory health tourism can be achieved only with the help of a team of specialists having certain experience in both clinical and non-clinical healthcare.

References

[1] Alizadeh, S. and Chavan, M. 2015. Cultural competence dimensions and outcomes: a systematic review of the literature. Health Soc Care Community, 24(6): 117–130.
[2] Allison, R, Bird, E.L., McClean, S. 2017. Is Team Sport the Key to Getting Everybody Active, Every Day? A Systematic Review of Physical Activity Interventions Aimed at Increasing Girls' Participation in Team Sport. AIMS Public Health, 4(2): 202 - 220. DOI: https://doi.org/10.3934/publichealth.2017.2.202
[3] Amato, F., Mazzeo, A, Moscato, V. and Picariello, A. 2014. Exploiting cloud technologies and context information for recommending touristic paths, In: Intelligent distributed computing VII, Springer International Publishing, pp 281–287
[4] Azami, M. and Araghinejad, S. 2012. Development of k-nearest neighbor regression method in forecasting river stream flow. Water And Wastewater, Volume 23 , Number 2 (82): 107 - 118. https://www.sid.ir/en/journal/ViewPaper.aspx?id=262536
[5] Berglund, E., Lytsy P. and Westerling, R. 2016. Active Traveling and Its Associations with Self-Rated Health, BMI and Physical Activity: A Comparative Study in the Adult Swedish Population. International Journal of Environmental Research and Public Health, 13(5): 455. DOI: https://doi.org/10.3390/ijerph13050455
[6] Boguszewicz-Kreft, M. et al. 2020. The Theory of Planned Behaviour in Medical Tourism: International Comparison in the Young Consumer Segment. Int J Environ Res Public Health, 17(5). pii: E1626. DOI:https://doi.org/10.3390/ijerph17051626
[7] Buckley, R.C. 2018. To Analyze Thrill, Define Extreme Sports. Front Psychol., 9:1216. DOI:https://doi.org/10.3389/fpsyg.2018.01216
[8] Burtscher, M. and Ponchia, A. 2010. The risk of cardiovascular events during leisure time activities at altitude. Prog. Cardiovasc. Dis., 52: 507–511. DOI: https://doi.org/10.1016/j.pcad.2010.02.008
[9] Burtscher, M., et al. 2001. Cardiopulmonary and metabolic responses in healthy elderly humans during a 1-week hiking programme at high altitude. Eur. J. Appl. Physiol., 84: 379–386. DOI:https://doi.org/10.1007/s004210100393
[10] Burtscher, M., Pachinger, O., Schocke, M.F.H. and Ulmer, H. 2007. Risk factor profile for sudden cardiac death during mountain hiking. Int. J. Sports Med., 28: 621 – 624. DOI: https://doi.org/10.1055/s-2007-964850
[11] Bustamante, A.V. 2014. Globalization and medical tourism: The North American experience Comment on "Patient mobility in the global marketplace: a multidisciplinary perspective". Int J Health Policy Manag. 3(1): 47-9. DOI: https://doi.org/10.15171/ijhpm.2014.57
[12] Campinha-Bacote, J. 2002. The process of cultural competence in the delivery of healthcare services: A model of care. J Transcult Nurs, 13: 181–184.
[13] Chen, C. 2018. Study on the development strategy of state health tourism: Based on the perspectives of government, tourists, and residents. J. Huaihai Inst. Technol.,16: 99–102.
[14] Connell, J. 2013. Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Management, 34: 1–13.
[15] Dantas C, van Stalduineen, W., Jegundo, A.L. and Ganzarain, J. 2018. Joint Statement on Smart Healthy Age-Friendly Environments. Available at: https://www.caritascoimbra.pt/en/wp-content/uploads/sites/40/2018/11/Joint-Statement_20181023.pdf
[16] de LFM R, et al. 2014. Sedentary behavior and health outcomes: an overview of systematic reviews. PloS One, 9(8): e105620. DOI: https://doi.org/10.1371/journal.pone.0105620
[17] Ding, D. et al. 2016. Lancet Physical Activity Series Executive Committee The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet, 388(10051): 1311–1324. DOI:https://doi.org/10.1016/S0140-6736(16)30383-X
[18] Egnew, TR. 2009. Suffering, meaning, and healing: challenges of contemporary medicine. Ann Fam Med, 7: 170–175.
[19] Faulhaber, M., et al. 2007. Prevalence of cardiovascular diseases among alpine skiers and hikers in the Austrian Alps. High Alt. Med. Biol., 8: 245–252.
[20] Faulhaber, M., et al. 2020 Characteristics of Victims of Fall-Related Accidents during Mountain Hiking. Int J Environ Res Public Health, 17(3). pii: E1115. DOI: https://doi.org/10.3390/ijerph17031115
[21] Faulhaber, M., Ruedl, G. and Burtscher, M. 2012. Unfälle beim Bergwandern, auf Hochtouren und beim Klettern. FTR., 4: 171–175. (in German)
[22] Fetscherin, M. and Stephano, R.M. 2016. The medical tourism index: Scale develoment and validation. Tour. Manag., 52: 539–556. DOI: https://doi.org/10.1016/j.tourman.2015.08.010
[23] Freeman, E.E., Muñoz, B., Rubin, G., and West, S.K. 2007. Visual field loss increases the risk of falls in older adults: The Salisbury eye evaluation. Invest. Ophthalmol. Vis. Sci., 48: 4445–4450. DOI:https://doi.org/10.1167/iovs.07-0326
[24] Gasser, B. 2019. Half of Emergency Calls in Hikers are Injuries from Falls in 50–70 Year-Olds. Dtsch. Z. Sportmed., 70: 209–214. DOI: https://doi.org/10.5960/dzsm.2019.393
[25] Gatterer, H., et al. 2015. Effect of weekly hiking on cardiovascular risk factors in the elderly. Z. Gerontol. Geriatr., 48: 150–153. DOI: https://doi.org/10.1007/s00391-014-0622-0
[26] Geva, I. 2018. Building international brand. Medical Korea, from challenge to chance in global healthcare. The 9th global healthcare & medical tourism conference, Seoul, South Korea pp. 76 – 94.
[27] Illario, M. et al. 2019. Health tourism: an opportunity for sustainable development. Transl Med UniSa, 19: 109-115.
[28] Karamuz, M. and Araghinejad, S. 2014. Advanced hydrology (Vol.): Amir Kabir University.
[29] Kohl, H.W., et al. 2012. The pandemic of physical inactivity: global action for public health. The Lancet, 380: 294–305.
[30] Lee, C.W. and Li, C. 2019. The Process of Constructing a Health Tourism Destination Index. Int J Environ Res Public Health, 16(22). pii: E4579. DOI: https://doi.org/10.3390/ijerph16224579
[31] Lee, I-M., et al. 2012. Lancet Physical Activity Series Working Group Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet, 380(9838): 219–229. DOI: https://doi.org/10.1016/S0140-6736(12)61031-9
[32] Lee, YT. 2006. Medical tourism and methods to boost medical tourism, Seminar presentations and materials on the statistics on international patients visiting Korean medical institutions. Korea Health Industry Development institute: 123–25.
[33] Lin, S.P., Yang, C.L., Pi, H.C. and Ho, T.M. 2016. Tourism guide cloud service quality: What actually delights customers? Springerplus, 5(1):1712. eCollection 2016.
[34] Mainil, T., et al. 2017. European Parliament. Policy Department for Structural and Cohesion Policies; Brussels: 2017. Research for TRAN Committee - Health tourism in the EU: a general investigation
[35] Marczak, M. and Zarębski, P. 2013. Tourist Potential in Poland Baltic Spas. Zesz. Nauk. Uniw. Szczecińskiego Nr 784, Ekon. Probl. Tur., 23: 225–238. (in Poland)
[36] Martin, D., de Ipiña, D.L., Lamsfus, C. and Alzua, A. 2012. Involving tourism domain experts in the development of context-aware mobile services. E-rev Tour Res 10(3)
[37] Nahid, E.B. and Akbar, A.N.D. 2016. The effects of the mental image of Isfahan tourists on the development of tourism. J Tourism Manag Stud., 31: 109–125.
[38] Nilashi M., et al. 2019. Factors influencing medical tourism adoption in Malaysia: A dematel-fuzzy topsis approach. Comput. Ind. Eng., 137:106005. DOI: https://doi.org/10.1016/j.cie.2019.106005
[39] Nobuyuki, K. 2012. Introduction to Kurort. Shoshi Sai; Tokyo, Japan.
[40] Ormond, M. 2008. First world treatments at third world prices’: The real cost of medical tourism. Medical tourism: A growth industry, 69: 77.
[41] Ormond, M. 2011. 8 Medical tourism, medical exile. Real Tourism: Practice, Care, and Politics in Contemporary Travel Culture, 26 : 143
[42] Paez, K.A. et al. 2009. Physician cultural competence and patient ratings of the patient-physician relationship. J Gen Intern Med, 24: 495–498.
[43] Powell, K.E., Paluch, A.E. and Blair, E.N. 2011. Physical activity for health: What kind? How much? How intense? On top of what? Annu. Rev. Public Health, 32: 349–365. DOI: https://doi.org/10.1146/annurev-publhealth-031210-101151
[44] Rechel, B, et al. 2013. Ageing in the European Union. Lancet, 381(9874): 1312–22. DOI:https://doi.org/10.1016/S0140-6736(12)62087-X
[45] Rohrmann, S., et al. 2016. Plasma Concentrations of Trimethylamine-N-oxide Are Directly Associated with Dairy Food Consumption and Low-Grade Inflammation in a German Adult Population. J. Nutr., 146: 283–289. DOI: https://doi.org/10.3945/jn.115.220103
[46] Salleh, M., Omar, K., Yaakop, A.Y., and Mahmmod, A.R. 2013. Tourist satisfaction in Malaysia. Int J Bus Soc Sci., 4(5): 221–226.
[47] Schlemmer, P., Blank, C. and Schnitzer, M. 2019. Does physical activity during alpine vacations increase tourists’ well-being? Int. J. Environ. Res. Public Health, 16: 1707. DOI:https://doi.org/10.3390/ijerph16101707
[48] Schobersberger, W., Leichtfried, V., Mueck-Weymann, M. and Humpeler, E. 2010. Austrian Moderate Altitude Study (AMAS): Benefits of exposure to moderate altitudes (1500–2500 m) Sleep Breath, 14: 201–207. DOI: https://doi.org/10.1007/s11325-009-0286-y
[49] Seo, B.R. 2012. A Plan to Establish a Medical Tourism Brand Through Local Cultural Contents-Suggesting a model to establish a local medical tourism brand in Korea- [Ph.D thesis]. Konkuk University, Korea: 1
[50] Speranza, P. et al. 2015. Giornate Internazionali di Studio “Abitare il Futuro”. 3 ed. Napoli: Università di Napoli Federico II, Dipartimento di Architettura. A collaborative network to support internationalization for Age Friendly Environment: CoSMiCNet; pp. 293–302. Proceedings.
[51] Taghavi, M. and Soleimani, A.G. 2017. The factors influencing the growth of the tourism industry. Econ Res., 3: 157.
[52] Takayama, N. et al. 2014. Emotional, restorative and vitalizing effects of forest and urban environments at four sites in Japan. Int. J. Environ. Res. Public Health, 11: 7207–7230.
[53] Tapak, L., Abbasi, H. and Mirhashemi, H. 2019. Assessment of factors affecting tourism satisfaction using K-nearest neighborhood and random forest models. BMC Res Notes, 12(1): 749. DOI:https://doi.org/10.1186/s13104-019-4799-6
[54] Thom, D.H. and Tirado, M.D. 2006. Development and validation of a patient-reported measure of physician cultural competency. Med Care Res Rev, 63: 636–655.
[55] Waxman, A. 2004. WHO global strategy on diet, physical activity and health. Food Nutr Bull.; 25(3): 292–302. DOI: https://doi.org/10.1177/156482650402500310
[56] Weech-Maldonado, R., et al. 2012. Moving towards culturally competent health systems: organizational and market factors. Soc Sci Med, 75: 815–822.
[57] Wientzek, A., et al. 2014. Cross-sectional associations of objectively measured physical activity, cardiorespiratory fitness and anthropometry in European adults. Obesity, 22: E127–E134. DOI:https://doi.org/10.1002/oby.20530
[58] Yong, Z. 2017. To create a national sports and health city and promote national fitness. Sport, 18:3.
[59] You Lim, Z., Flaherty, G. 2020. Fiery eruptions: travel health risks of volcano tourism. J Travel Med. pii: taaa019. DOI: https://doi.org/10.1093/jtm/taaa019
[60] Zarei, A. and Maleki, F. 2019. Asian medical marketing, a review of factors affecting Asian medical tourism development. J. Qual. Assur. Hosp. Tour, 20: 1–15. DOI: https://doi.org/10.1080/1528008X.2018.1438959
[61] Zhang, L., Li, N. and Liu, M. 2012. On the basic concept of smarter tourism and its theoretical system. Tour Trib.;27: 66–73.
[62] Zhang, N., Tang, Z. and Zhu, D.P. 2017. Research on the innovation and development of health tourism in Heilongjiang Province. Foreign Econ. Relat. Trade, 1: 58–60.
[63] Asian Medical Tourism Market Forecast to 2015. 2013. RNCOS. Available at: https://www.rncos.com/Market-Analysis-Reports/Asian-Medical-Tourism-Market-Forecast-to-2015-IM499.htm
[64] Committee PAGA Physical activity guidelines advisory committee report, 2008. Wash, DC: US Dep Health and Hum Serv. 2008; 2008:A1–H14.
[65] Department of Health and Department of Transport, Tourism and Sport. Get Ireland Active. The National Physical Activity Plan for Ireland. Dublin: Department of Health and Department of Transport, Tourism and Sport; 2016.
[66] Environmental Protection Administration Executive Yuan the Definition of Air Pollution Indicators. Available at: https://taqm.epa.gov.tw/taqm/en/b0201.aspx
[67] European Commission. Europe, the first tourist destination in the world: a new political framework for tourism in Europe. Available at: https://eur-lex.europa.eu/legal-content/IT/TXT/HTML/?uri=LEGISSUM:et0004&from=EN
[68] European Commission. Growing the Silver Economy Background paper. Available at: https://ec.europa.eu/digital-single-market/en/news/growing-silver-economy-background-paper
[69] European Commission. Growing the Silver Economy Background paper. Available at: https://ec.europa.eu/digital-single-market/en/news/growing-silver-economy-background-paper
[70] Government of Denmark. Healthy throughout Life – the Targets and Strategies for Public Health Policy of the Government of Denmark, 2002–2010. Copenhagen: Ministry of the Interior and Health; 2002.
[71] Index M.T. Medical Tourism Index 2016–2017. Available at: https://www.medicaltourismindex.com/2016-medical-tourism-industry-valuation
[72] Japanese Institute of Tourism Research. Handbook of Health Tourism. Japanese Institute of Tourism Research; Tokay, Japanese: 2010.
[73] Korea Tourism Organization. 2013. Korea Medical Tourism Overview. Korea Tourism Organization, p.: 21.
[74] Ministry of Health and Social Services. National Multisectoral Strategic Plan for Prevention and Control of Non-Communicable Diseases in Namibia 2017/18–2021/22. Windhoek: Ministry of Health and Social Services; 2017.
[75] MTA Medical Tourism Survey (2013). Medical Tourism Association. Available at: http://www.medicaltourismassociation.com/en/2013-mta-survey-reporthtml
[76] Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. Washington DC: Department of Health and Human Services; 2018.
[77] Public Health England. Everybody Active, Every Day: An Evidence-Based Approach to Physical Activity. London: Public Health England; 2014.
[78] Research T.M. Global Medical Tourism Market to Reach US$32.5 bn in 2019, Availability of Cost-Effective Treatments in Emerging Nations Encourages Medical Tourism. 2016 Available at: Http://www.Transparencymarketresearch.Com/pressrelease/global-medical-tourism.Htm
[79] The State Council Healthy China 2030 Action (2019–2030). Available at: http://english.www.gov.cn/news/topnews/201908/09/content_WS5d4cc9e7c6d0c6695ff7e705.html
[80] WHO. The Dublin Declaration on age-friendly cities and communities in Europe 2013. Available at: http://agefriendlyworld.org/en/the-dublin-declaration-on-agefriendly-cities-and-communities-in-europe-2013
[81] World Health Organization. Global Action Plan on Physical Activity 2018–2030: More Active People for a Healthier World. Geneva: World Health Organization; 2018.
Published
2020-06-30
How to Cite
OSADCHUK, Mikhail A. et al. Health Medical Tourism: The Present and the Future. Journal of Environmental Management and Tourism, [S.l.], v. 11, n. 4, p. 809-818, june 2020. ISSN 2068-7729. Available at: <https://journals.aserspublishing.eu/jemt/article/view/5199>. Date accessed: 27 dec. 2024. doi: https://doi.org/10.14505//jemt.v11.4(44).04.