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Book part
Publication date: 15 September 2016

Elaine Y.T. Chew and Stephanie Onggo

The aim of this chapter is to understand the nature of business collaboration between healthcare service providers and tourism agencies in Malaysia. Interviews with 17…

Abstract

The aim of this chapter is to understand the nature of business collaboration between healthcare service providers and tourism agencies in Malaysia. Interviews with 17 healthcare service providers in Malaysia reveal that most of the collaboration between healthcare service providers and tourism agencies in Malaysia is informal or loose, despite their intention to leverage on medical tourism for business expansion. Close and tight collaborations are rare. The findings point towards the main reasons behind the rare collaboration which are the high customer orientation of healthcare service providers, the strategic move of business and support for government agenda.

Details

Tourism and Hospitality Management
Type: Book
ISBN: 978-1-78635-714-4

Keywords

Article
Publication date: 30 November 2022

Vinaytosh Mishra and Sudhir Rana

The purpose of the study is to identify the important barriers to the development of medical tourism in the United Arab Emirates (UAE). Further, it aims to establish a…

Abstract

Purpose

The purpose of the study is to identify the important barriers to the development of medical tourism in the United Arab Emirates (UAE). Further, it aims to establish a relationship among these barriers and propose a framework to overcome them.

Design/methodology/approach

The study uses a narrative review of the literature to identify barriers to medical tourism development (MDT) in the UAE. Using a graph theory-based Total Interpretive Structural Modelling (TISM) approach to explaining the hierarchy of the identified barriers and interpret the relationship links. The study further uses Cross-impact matrix multiplication applied to classification (MICMAC) analysis to validate the finding of the study and derive conclusions.

Findings

The study identifies barriers related to MDT as (1) Policies and Regulations (2) Government support (3) Healthcare costs (4) Healthcare Capacity (5) Healthcare Quality (6) Medical Insurance (7) Facilitator and Marketing (8) International Relations (9) Ease of Travel, and (10) Religion, Culture, and Language. The study concludes that Healthcare Cost, Healthcare Quality, and the inapplicability of international medical insurance are the most important barriers. More than fifty percent of barriers fall under the linkage quadrant in MICMAC analysis which reflects that overcoming one barrier helps in overcoming other barriers as well.

Originality/value

This study is one of the most comprehensive accounts of the barriers to MDT in the UAE and strategies to overcome these barriers. To the best of our knowledge, we were not able to find a similar study.

Details

Worldwide Hospitality and Tourism Themes, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1755-4217

Keywords

Article
Publication date: 18 November 2022

Ediansyah, Mts Arief, Mohammad Hamsal and Sri Bramantoro Abdinagoro

This article aims to know the direction of current research based on the previous research in the last ten years (2012–2021).

Abstract

Purpose

This article aims to know the direction of current research based on the previous research in the last ten years (2012–2021).

Design/methodology/approach

Text mining was integrated with a network and content analysis as part of the mix methodological approach. The scientific articles, on the other hand, were assembled on Litmaps through web scraping. This process selected 86 articles about medical tourism published between 2012 and 2021. This study employed AntConc, RStudio and Gephi tools for data analysis and visualization.

Findings

A total of 138 articles were identified through Litmaps using web scraping and 86 studies met the criteria. The trend of medical tourism research is a positive sign for tourism and health industries; this is the beginning to recognize the importance of elaborating on these two topics. Several researchers have frequently studied issues of destination, hospital, development, quality, stakeholders, surgery, service, economics and policy. Policymakers must establish a medical tourism ecosystem to accommodate all stakeholders in this industry. This study also recommends focusing on supply and institution for medical tourism future research.

Research limitations/implications

This literature review presents research trends on medical tourism in 2012–2021 based solely on articles available on the Litmaps search engine. If the time span is extended and the sources of articles are expanded there will be more literature available for analysis. The articles obtained are also only articles published in English due to the language limitations of the author.

Practical implications

Policymakers must establish a medical tourism ecosystem to accommodate all stakeholders in this industry. Stakeholders must work together to provide medical tourism package therefore people can get their health services while visiting available tourist areas.

Originality/value

The literary study of medical tourism over 10 years is considered the most recent systematic literature review.

Details

Journal of Hospitality and Tourism Insights, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2514-9792

Keywords

Article
Publication date: 6 December 2022

Ahmad A. Okasha, Farooq Haq, Anita Medhekar and Naveed Yasin

This paper explores medical tourism development challenges in the United Arab Emirates (UAE) pre- and during Covid-19. Medical tourism is becoming a dynamic, rapid growth…

Abstract

Purpose

This paper explores medical tourism development challenges in the United Arab Emirates (UAE) pre- and during Covid-19. Medical tourism is becoming a dynamic, rapid growth area and an engine of economic development.

Design/methodology/approach

In-depth interviews were conducted with medical tourism professionals. Fourteen medical tourism stakeholders were interviewed from 1 January to 31 January 2020. Qualitative thematic analysis was applied on medical tourism challenges before and during the pandemic.

Findings

The major themes indicated concerns for medical tourism in the UAE and they included higher medical services costs and a shortage of highly qualified medical expertise. The emerging themes related to the challenges of coping with Covid-19 and strategies to attract medical tourists.

Originality/value

This study contributes towards (1) the theory of medical tourism, (2) the related limited prior published work on this topic relating to the UAE and (3) the importance of medical tourism in today’s tourism industry. Additionally, there are theoretical and practical implications for medical tourism stakeholders in terms of attracting inbound medical tourists to the UAE from other countries during the Covid-19 crisis and in the post-pandemic situation.

Details

Worldwide Hospitality and Tourism Themes, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1755-4217

Keywords

Article
Publication date: 25 November 2022

Farzad Salmanizadeh, Arefeh Ameri, Leila Ahmadian, Mahboubeh Mirmohammadi and Reza Khajouei

Despite the presence of electronic medical records systems, traditional paper-based methods are often used in many countries to document data and eliminate medical record…

Abstract

Purpose

Despite the presence of electronic medical records systems, traditional paper-based methods are often used in many countries to document data and eliminate medical record deficiencies. These methods waste patient and hospital resources. The purpose of this study is to evaluate the traditional deficiency management system and determine the requirements of an electronic deficiency management system in settings that currently use paper records alongside electronic hospital information systems.

Design/methodology/approach

This mixed-method study was performed in three phases. First, the traditional process of medical records deficiency management was qualitatively evaluated. Second, the accuracy of identifying deficiencies by the traditional and redesigned checklists was compared. Third, the requirements for an electronic deficiency management system were discussed in focus group sessions.

Findings

Problems in the traditional system include inadequate guidelines, incomplete procedures for evaluating sheets and subsequent delays in activities. Problems also included the omission of some vital data elements and a lack of feedback about the documentation deficiencies of each documenter. There was a significant difference between the mean number of deficiencies identified by traditional and redesigned checklists (p < 0.0001). The authors proposed an electronic deficiency management system based on redesigned checklists with improved functionalities such as discriminating deficiencies based on the documenter’s role, providing systematic feedback and generating automatic reports.

Originality/value

Previous studies only examined the positive effect of audit and feedback methods to enhance the documentation of data elements in electronic and paper medical records. The authors propose an electronic deficiency management system for medical records to solve those problems. Health-care policymakers, hospital managers and health information systems developers can use the proposed system to manage deficiencies and improve medical records documentation.

Details

Records Management Journal, vol. 32 no. 3
Type: Research Article
ISSN: 0956-5698

Keywords

Article
Publication date: 20 September 2022

Jillian Cavanagh, Timothy Bartram, Matthew Walker, Patricia Pariona-Cabrera and Beni Halvorsen

The purpose of this study is to examine the rostering practices and work experiences of medical scientists at four health services in the Australian public healthcare…

Abstract

Purpose

The purpose of this study is to examine the rostering practices and work experiences of medical scientists at four health services in the Australian public healthcare sector. There are over 16,000 medical scientists (AIHW, 2019) in Australia responsible for carrying out pathology testing to help save the lives of thousands of patients every day. However, there are systemic shortages of medical scientists largely due to erratic rostering practices and workload issues. The purpose of this paper is to integrate evidence-based human resource management (EBHRM), the LAMP model and HR analytics to enhance line manager decision-making on rostering to support the wellbeing of medical scientists.

Design/methodology/approach

Using a qualitative methodological approach, the authors conducted 21 semi-structured interviews with managers/directors and nine focus groups with 53 medical scientists, making a total 74 participants from four large public hospitals in Australia.

Findings

Across four health services, manual systems of rostering and management decisions do not meet the requirements of the enterprise agreement (EA) and impact negatively on the wellbeing of medical scientists in pathology services. The authors found no evidence of the systematic approach of the organisations and line managers to implement the LAMP model to understand the root causes of rostering challenges and negative impact on employees. Moreover, there was no evidence of sophisticated use of HR analytics or EBHRM to support line managers' decision-making regarding mitigation of rostering related challenges such as absenteeism and employee turnover.

Originality/value

The authors contribute to HRM theory by integrating EBHRM, the LAMP model (Boudreau and Ramstad, 2007) and HR analytics to inform line management decision-making. The authors advance understandings of how EBHRM incorporating the LAMP model and HR analytics can provide a systematic and robust process for line managers to make informed decisions underpinned by data.

Details

Personnel Review, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0048-3486

Keywords

Open Access
Article
Publication date: 20 September 2022

Joo Hun Yoo, Hyejun Jeong, Jaehyeok Lee and Tai-Myoung Chung

This study aims to summarize the critical issues in medical federated learning and applicable solutions. Also, detailed explanations of how federated learning techniques…

Abstract

Purpose

This study aims to summarize the critical issues in medical federated learning and applicable solutions. Also, detailed explanations of how federated learning techniques can be applied to the medical field are presented. About 80 reference studies described in the field were reviewed, and the federated learning framework currently being developed by the research team is provided. This paper will help researchers to build an actual medical federated learning environment.

Design/methodology/approach

Since machine learning techniques emerged, more efficient analysis was possible with a large amount of data. However, data regulations have been tightened worldwide, and the usage of centralized machine learning methods has become almost infeasible. Federated learning techniques have been introduced as a solution. Even with its powerful structural advantages, there still exist unsolved challenges in federated learning in a real medical data environment. This paper aims to summarize those by category and presents possible solutions.

Findings

This paper provides four critical categorized issues to be aware of when applying the federated learning technique to the actual medical data environment, then provides general guidelines for building a federated learning environment as a solution.

Originality/value

Existing studies have dealt with issues such as heterogeneity problems in the federated learning environment itself, but those were lacking on how these issues incur problems in actual working tasks. Therefore, this paper helps researchers understand the federated learning issues through examples of actual medical machine learning environments.

Details

International Journal of Web Information Systems, vol. 18 no. 2/3
Type: Research Article
ISSN: 1744-0084

Keywords

Open Access
Article
Publication date: 5 October 2022

Daniel William Mackenzie Wright and Santa Zascerinska

Is humanity heading to immortal living? If so, what areas of society are playing an active role in achieving this? In order to understand this, the study explores the…

Abstract

Purpose

Is humanity heading to immortal living? If so, what areas of society are playing an active role in achieving this? In order to understand this, the study explores the relationship between immortality and the wellness and medical tourism industry to seek potential relationships between them and ultimately, asks difficult questions about the growth of these tourism sectors and the potential need for greater regulation of them.

Design/methodology/approach

Taking a pragmatic philosophical approach and through the examination of refined information from secondary sources and published material and reports, the study presents original theoretical knowledge and a model exploring tourism and human immortality.

Findings

This paper argues that continued growth in the wellness and medical markets today could lead to a world where transhumanists and cyborgs are present in our world, even taking over from Homo sapiens. The study presents a model highlighting the potential role of wellness and medical tourism markets, illustrating the potential for future consumer services that could further fuel the search for immortality. Thus, how such markets and consumer desires are (in)directly supporting humanities desire for (non-human) immortal existence.

Originality/value

Today, individuals are driven by wellness practices and medical and cosmetic desires and are willing to travel the globe in search of companies who are either capable of carrying out the desired procedures or seeking prices more affordable to them. This research offers novel insights into these complex relationships and maps the affiliation between wellness and medical practices and the concept of immortality.

Details

Journal of Tourism Futures, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2055-5911

Keywords

Article
Publication date: 16 April 2018

Gerard Lambe, Niall Linnane, Ian Callanan and Marcus W. Butler

Ireland’s physicians have a legal and an ethical duty to protect confidential patient information. Most healthcare records in Ireland remain paper based, so the purpose of…

Abstract

Purpose

Ireland’s physicians have a legal and an ethical duty to protect confidential patient information. Most healthcare records in Ireland remain paper based, so the purpose of this paper is to: assess the protection afforded to paper records; log highest risk records; note the variations that occurred during the working week; and observe the varying protection that occurred when staff, students and public members were present.

Design/methodology/approach

A customised audit tool was created using Sphinx software. Data were collected for three months. All wards included in the study were visited once during four discrete time periods across the working week. The medical records trolley’s location was noted and total unattended medical records, total unattended nursing records, total unattended patient lists and when nursing personnel, medical students, public and a ward secretary were visibly present were recorded.

Findings

During 84 occasions when the authors visited wards, unattended medical records were identified on 33 per cent of occasions, 49 per cent were found during weekend visiting hours and just 4 per cent were found during morning rounds. The unattended medical records belonged to patients admitted to a medical specialty in 73 per cent of cases and a surgical specialty in 27 per cent. Medical records were found unattended in the nurses’ station with much greater frequency when the ward secretary was off duty. Unattended nursing records were identified on 67 per cent of occasions the authors visited the ward and were most commonly found unattended in groups of six or more.

Practical implications

This study is a timely reminder that confidential patient information is at risk from inappropriate disclosure in the hospital. There are few context-specific standards for data protection to guide healthcare professionals, particularly paper records. Nursing records are left unattended with twice the frequency of medical records and are found unattended in greater numbers than medical records. Protection is strongest when ward secretaries are on duty. Over-reliance on vigilant ward secretaries could represent a threat to confidential patient information.

Originality/value

While other studies identified data protection as an issue, this study assesses how data security varies inside and outside conventional working hours. It provides a rationale and an impetus for specific changes across the whole working week. By identifying the on-duty ward secretary’s favourable effect on medical record security, it highlights the need for alternative arrangements when the ward secretary is off duty. Data were collected prospectively in real time, giving a more accurate healthcare record security snapshot in each data collection point.

Details

International Journal of Health Care Quality Assurance, vol. 31 no. 3
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 December 2004

Wen‐Chen Tsai, Pei‐Tseng Kung and Yi‐Ju Chiang

The purpose of this paper was to examine the relationship between medical malpractice claims and medical care quality in Taiwan. The Delphi technique with an expert panel…

1751

Abstract

The purpose of this paper was to examine the relationship between medical malpractice claims and medical care quality in Taiwan. The Delphi technique with an expert panel was used to determine the relationship between malpractice and medical quality. A total of 371 medical malpractice claims were analyzed. Main measures included the rate and strength of malpractice cases associated with quality and the identification of the quality factors influencing the occurrence of malpractice. Results showed that malpractice claims were associated with internal medicine cases, surgery cases, pediatric cases, obstetric and gynecological cases, physicians' professional competence, non‐acceptable outcomes, complications, and poor communication. Concludes that medical malpractice cases could be avoided by increasing physicians' professional knowledge, practical skills, and communication.

Details

International Journal of Health Care Quality Assurance, vol. 17 no. 7
Type: Research Article
ISSN: 0952-6862

Keywords

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