South-South medical tourism and the quest for health in Southern Africa
South-South medical tourism and the quest for health in Southern Africa
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DOI：
10.1016/j.socscimed.2014.06.025
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发表时间：
2015-01-01
影响因子：
5.4
通讯作者：
Chikanda, Abel
中科院分区：
文献类型：
--
作者：
Crush, Jonathan;Chikanda, Abel
区域内的南南医疗旅游是一个研究不足的问题，尽管它在全球南方的许多地方的重要性。本文对南非纯粹作为来自全球北方的医疗游客的高端“外科医生和狩猎”目的地的传统观念提出了异议。它认为，从数量和经济上看，前往南非接受治疗的南南流动比南北流动要重要得多。南部非洲发展共同体国家普遍缺乏医疗诊断和治疗，导致越来越多的人临时跨越边界，到边境城镇和大城市的南非机构寻求帮助。这些运动在性质上既有正式的（机构），也有非正式的（个人）。在某些情况下，患者前往南非进行他们自己国家不提供的程序。在其他国家，病人由医生和医院转诊到南非的设施。但大多数运动的动机是缺乏获得基本医疗保健在家里。来自南非邻国的高需求和大量非正式患者流促使南非政府尝试通过国家间协议正式安排前往公立医院和诊所的医疗旅行，以收回治疗非居民的成本。对于那些不属于这些协议范围的“被剥夺权利”的医疗游客来说，危险在于南非的医疗仇外心理可能导致越来越多的排斥和拒绝治疗。该地区的医疗旅游和一般的南南医疗旅游是需要更多研究的领域。(C)2014由Elsevier Ltd.出版
Intra-regional South South medical tourism is a vastly understudied subject despite its significance in many parts of the Global South. This paper takes issue with the conventional notion of South Africa purely as a high-end "surgeon and safari" destination for medical tourists from the Global North. It argues that South South movement to South Africa for medical treatment is far more significant, numerically and financially, than North South movement. The general lack of access to medical diagnosis and treatment in SADC countries has led to a growing temporary movement of people across borders to seek help at South African institutions in border towns and in the major cities. These movements are both formal (institutional) and informal (individual) in nature. In some cases, patients go to South Africa for procedures that are not offered in their own countries. In others, patients are referred by doctors and hospitals to South African facilities. But the majority of the movement is motivated by lack of access to basic healthcare at home. The high demand and large informal flow of patients from countries neighbouring South Africa has prompted the South African government to try and formalise arrangements for medical travel to its public hospitals and clinics through inter-country agreements in order to recover the cost of treating non-residents. The danger, for 'disenfranchised' medical tourists who fall outside these agreements, is that medical xenophobia in South Africa may lead to increasing exclusion and denial of treatment. Medical tourism in this region and South South medical tourism in general are areas that require much additional research. (C) 2014 Published by Elsevier Ltd.