Tomas Mainil

Transnational healthcare, cross-border perspectives.

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Diving into the contexts of in - between worlds: worldmaking in medical tourism

IP: 194.171.178.174 On: Wed, 18 Oct 2017 07:25:43 Article(s) and/or figure(s) cannot be used for resale. Please use proper citation format when citing this article including the DOI, publisher reference, volume number and page location. Tourism Analysis, Vol. 15, pp. 743–754 1083-5423/10

Health region development from the perspective of system theory – An empirical cross-regional case study

60.00 + .00 Printed in the USA. All rights reserved. DOI: 10.3727/108354210X12904412397860 Copyright  2010 Cognizant Comm. Corp. www.cognizantcommunication.com

Towards a Model of Sustainable Health Destination Management Based on Health Regions

Governments are increasingly establishing health regions to deal with current challenges of public health service. These regions are seen as instruments to balance public and private stakeholders, and offer health care to regional citizens as well as to medical/health tourists. However, it is still unclear how the development of such health regions as well as their governance may be conceptualized. We apply Luhmanns system theory approach in the context of a cross-regional case study that compares health region developments in the Autonomous Province of Bolzano-South Tyrol (Italy) with particular regard to the Eastern Dolomites and in the province of Zeeland (the Netherlands). We suggest that Luhmanns system theory provides a useful set of criteria to evaluate and judge health region development. Fully developed health regions can be understood as auto-poietic systems. By emphasizing programs, personnel, and communication channels, these case studies illustrate the suitability of the system theory toolset to analyze the governance and spatial embeddedness of health regions. Additionally, the study contributes to literature by indicating that health regions are closely related to identity issues and to decision making in regions.

Medical Sociology as a Heuristic Instrument for Medical Tourism and Cross-Border Healthcare: Comment on 'International Patients on Operation Vacation – Perspectives of Patients Travelling to Hungary for Orthopedic Treatments'

This chapter: Introduces the idea of a destination management framework for transnational health care. Considers the definitions and concepts that inform an analysis of transnational health care, governance and sustainability. Presents the building blocks of destination management, specifically stakeholder, ethical and branding theories. Demonstrates how the linkages between destination management and transnational health care are constructed. Demonstrates how regional development in relation to health and health care is an active practice in the EU.

Government and governance strategies in medical tourism

In this commentary, we establish a relationship between medical sociology and the study of medical tourism and cross-border healthcare by introducing Ronald Andersens behavioral model of healthcare use, and linking this model to the recent empirical study of Kovacs et al. on patients travelling to Hungary for orthopedic treatment. Finally, we plead for more measurement in the field of patient mobility.

Framing and measuring international patient management

This chapter provides an overview of current government and governance strategies relative to medical tourism development and management around the world. Most studies on medical tourism have privileged national governments as key actors in medical tourism regulation and, in some cases, even facilitation and provision. However, with the multiplication of supra- and sub-national regions, each with their own distinct responsibilities and levels of autonomy, it is important to consider the various nested and overlapping governance types and practices at play in medical tourism. This chapter, therefore, identifies how governments at various levels (e.g., national, sub-national, supra-national) in both source and host contexts play different, yet often overlapping, roles relative to medical tourism as facilitator, regulator and provider.

Editorial: Transnational healthcare, cross-border perspectives

PURPOSE Hospitals need to determine if an international patient department is a necessity to communicate with and manage international patients. DESIGN/METHODOLOGY/APPROACH A benchmarking instrument was created to assess the level of professionalism in managing international patients, including reviewing and validating processes by two university hospitals, professionals, and an expert panel. FINDINGS First, the differences between the hospitals depended on the will of the hospital to engage in such activities. Second, the differences depended on the embedding national context in which the hospital was situated. Further validation revealed the importance of other supportive services, such as cultural sensitivity and language. Finally, the microlevel phenomenon of international patient departments is placed within a macrolevel transnational health region development scheme. ORIGINALITY/VALUE This study focused on the supply of services with respect to international patient departments, which could be related to efficiency and sustainability on a public health and health systems level.

Special Issue: Transnational healthcare: Cross-border perspectives.

eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher’s website.

Magic Mountains and Multi-disciplines in International Medical Mobilities; Comment on “Patient Mobility in the Global Marketplace: A Multidisciplinary Perspective”

eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher’s website.