title: Promoting social responsibility amongst health care users: medical tourists' perspectives on an information sheet regarding ethical concerns in medical tourism.
abstract: BACKGROUND
  Medical tourists, persons that travel across international borders with the intention to access non-emergency medical care, may not be adequately informed of safety and ethical concerns related to the practice of medical tourism. Researchers indicate that the sources of information frequently used by medical tourists during their decision-making process may be biased and/or lack comprehensive information regarding individual safety and treatment outcomes, as well as potential impacts of the medical tourism industry on third parties. This paper explores the feedback from former Canadian medical tourists regarding the use of an information sheet to address this knowledge gap and raise awareness of the safety and ethical concerns related to medical tourism.
  
  
  RESULTS
  According to feedback provided in interviews with former Canadian medical tourists, the majority of participants responded positively to the information sheet and indicated that this document prompted them to engage in further consideration of these issues. Participants indicated some frustration after reading the information sheet regarding a lack of know-how in terms of learning more about the concerns discussed in the document and changing their decision-making. This frustration was due to participants' desperation for medical care, a topic which participants frequently discussed regarding ethical concerns related to health care provision.
  
  
  CONCLUSIONS
  The overall perceptions of former medical tourists indicate that an information sheet may promote further consideration of ethical concerns of medical tourism. However, given that these interviews were performed with former medical tourists, it remains unknown whether such a document might impact upon the decision-making of prospective medical tourists. Furthermore, participants indicated a need for an additional tool such as a website for continued discussion about these concerns. As such, along with dissemination of the information sheet, future research implications should include the development of a website for ongoing discussion that could contribute to a raised awareness of these concerns and potentially increase social responsibility in the medical tourism industry.
authors: Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, British Columbia, Canada. kaa4@sfu.ca.
authors: Krystyna
authors: K
authors: Adams
authors: Jeremy
authors: J
authors: Snyder
authors: Valorie A
authors: VA
authors: Crooks
authors: Rory
authors: R
authors: Johnston
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008297:Male; D057193:Medical Tourism / Q000941:ethics*; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D036301:Qualitative Research; D012941:Social Responsibility; D055815:Young Adult