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“Best care on home ground” versus “elitist healthcare”: concerns and competing expectations for medical tourism development in Barbados

Overview of attention for article published in International Journal for Equity in Health, February 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (89th percentile)
  • High Attention Score compared to outputs of the same age and source (86th percentile)

Mentioned by

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1 news outlet
twitter
2 X users
facebook
1 Facebook page

Citations

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11 Dimensions

Readers on

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116 Mendeley
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Title
“Best care on home ground” versus “elitist healthcare”: concerns and competing expectations for medical tourism development in Barbados
Published in
International Journal for Equity in Health, February 2015
DOI 10.1186/s12939-015-0147-1
Pubmed ID
Authors

Rory Johnston, Krystyna Adams, Lisa Bishop, Valorie A Crooks, Jeremy Snyder

Abstract

IntroductionMany countries have demonstrated interest in expanding their medical tourism sectors because of its potential economic and health system benefits. However, medical tourism poses challenges to the equitable distribution of health resources between international and local patients and private and public medical facilities. Currently, very little is known about how medical tourism is perceived among front line workers and users of health systems in medical tourism `destinations¿. Barbados is one such country currently seeking to expand its medical tourism sector. Barbadian nurses and health care users were consulted about the challenges and benefits posed by ongoing medical tourism development there.MethodsFocus groups were held with two stakeholder groups in May, 2013. Nine (n¿=¿9) citizens who use the public health system participated in the first focus group and seven (n¿=¿7) nurses participated in the second. Each focus group ran for 1.5 hours and was digitally recorded. Following transcription, thematic analysis of the digitally coded focus group data was conducted to identify cross-cutting themes and issues.ResultsThree core concerns regarding medical tourism¿s health equity impacts were raised; its potential to 1) incentivize migration of health workers from public to private facilities, 2) burden Barbados¿ lone tertiary health care centre, and 3) produce different tiers of quality of care within the same health system. These concerns were informed and tempered by the existing a) health system structure that incorporates both universal public healthcare and a significant private medical sector, b) international mobility among patients and health workers, and c) Barbados¿ large recreational tourism sector, which served as the main reference in discussions about medical tourism¿s impacts. Incorporating these concerns and contextual influences, participants¿ shared their expectations of how medical tourism should locally develop and operate.ConclusionsBy engaging with local health workers and users, we begin to unpack how potential health equity impacts of medical tourism in an emerging destination are understood by local stakeholders who are not directing sector development. This further outlines how these groups employ knowledge from their home context to ground and reconcile their hopes and concerns for the impacts posed by medical tourism.

X Demographics

X Demographics

The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 116 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
New Zealand 1 <1%
Unknown 115 99%

Demographic breakdown

Readers by professional status Count As %
Lecturer 23 20%
Student > Ph. D. Student 14 12%
Researcher 12 10%
Student > Master 10 9%
Student > Doctoral Student 7 6%
Other 16 14%
Unknown 34 29%
Readers by discipline Count As %
Nursing and Health Professions 29 25%
Medicine and Dentistry 12 10%
Business, Management and Accounting 11 9%
Social Sciences 10 9%
Psychology 3 3%
Other 11 9%
Unknown 40 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 June 2018.
All research outputs
#2,562,415
of 22,787,797 outputs
Outputs from International Journal for Equity in Health
#453
of 1,896 outputs
Outputs of similar age
#38,484
of 352,350 outputs
Outputs of similar age from International Journal for Equity in Health
#3
of 23 outputs
Altmetric has tracked 22,787,797 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,896 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.2. This one has done well, scoring higher than 75% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 352,350 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 89% of its contemporaries.
We're also able to compare this research output to 23 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.