Résumé
With the development of social economy and the increase of leisure time for human beings, human beings are paying more and more attention to the health. The health tourism industry for the purpose of health preservation has also been brought out. In the health tourism industry, traditional medicine plays an important role in this. It is promoting mutual learning among human civilizations. It plays an important role in maintaining the physical and mental health of the people. China has abundant traditional medicine resources and a huge health tourism market. How to effectively integrate traditional medicine and health tourism industries, promote the long-term development of both is of research. This article takes the traditional medicine of the Zhuang nationality in Guangxi as the research object. We analyze the status quo of its integration with the health tourism industry, point out that the integration has not been done, such as the relatively backward infrastructure of traditional medicine and health tourism, urgent need to enrich experience products, lack of product structure, and lack of professional talents. We will deal with these problems to proposes a path to improve the effective integration. It is expected to provide theoretical guidance and practical reference for the integrated development of traditional medicine and health tourism.
Résumé
Introducción. Los indicadores económicos y las perspectivas comerciales han promovido al turismo de salud sin considerar las perspectivas de desarrollo, mejora e internacionalización del sistema de salud por los médicos-empresarios de Bucaramanga. Objetivo. Identificar las perspectivas médico-empresariales de las instituciones hospitalarias de Bucaramanga que promueven el turismo de salud y bienestar como segmento de desarrollo empresarial y crecimiento socioeconómico. Método. Interpretación deductiva de los textos seleccionados a partir de la técnica de contraste documental, presentando un estado general del turismo de salud hasta precisar la experiencia en turismo médico de Bucaramanga. Temas tratados. En las perspectivas sectoriales se identifican las principales tipologías turísticas asociadas con la salud; en las perspectivas médicas se reafirman las tendencias históricas de atención en salud en las zonas francas de Bucaramanga. Conclusiones. El turismo de salud y bienestar antes que un producto estratégico de clase mundial es una alternativa de desarrollo para los profesionales de la salud, internacionalización de sus centros hospitalarios, adopción de estándares y protocolos estrictos para atender pacientes extranjeros y, oferta de innovaciones o servicios para el mejoramiento del sistema de salud pública de Colombia. Cómo citar: Pérez-Pinzón LR. Emprendimiento médico y turismo de salud en Bucaramanga (Colombia). MedUNAB. 2020;23(2): 307-315. doi: 10.29375/01237047.3499
Introduction: Economic indicators and commercial perspectives have promoted health tourism without considering the local health care system's development, improvement and internationalization perspectives of Bucaramanga's doctor-entrepreneurs. Objective: To identify the medical-entrepreneurial perspectives of Bucaramanga's hospitals that promote well-being and health tourism as a business development and socioeconomic growth segment. Methodology: This is a deductive interpretation of the selected texts based on the documentary comparison technique, showing the general state of health tourism until Bucaramanga's medical tourism experience is specified. Topics Discussed: The main types of tourism associated with health are identified in sectorial perspectives. The historical health care trends in Bucaramanga's free trade zones are reaffirmed through medical perspectives. Conclusions: Well-being and health tourism, apart from being a world-class strategic product, it is an alternative for health care professionals' development, their hospitals' internationalization, adopting strict standards and protocols to attend foreign patients and offering innovations or services to improve Colombia's public health care system. Cómo citar: Pérez-Pinzón LR. Emprendimiento médico y turismo de salud en Bucaramanga (Colombia). MedUNAB. 2020;23(2): 307-315. doi: 10.29375/01237047.3499
Introdução. Os indicadores econômicos e as perspectivas comerciais promoveram o turismo de saúde sem considerar as perspectivas de desenvolvimento, melhoria e internacionalização do sistema de saúde pelos médicos-empresários de Bucaramanga. Objetivo. Identificar as perspectivas da medicina empresarial nas instituições hospitalares de Bucaramanga que promovem o turismo de saúde e bem-estar como um segmento de desenvolvimento empresarial e crescimento socioeconômico. Métodos. Interpretação dedutiva dos textos selecionados a partir da técnica de análise documental, apresentando um estado geral de turismo de saúde até explicitar a experiência em turismo de saúde de Bucaramanga. Tópicos discutidos. Nas perspectivas setoriais foram identificadas as principais tipologias turísticas associadas à saúde; nas perspectivas da medicina foram reafirmadas as tendências históricas de atenção em saúde nas áreas francas de Bucaramanga. Conclusão. O turismo de saúde e bem-estar, além de ser um produto estratégico de classe mundial, é uma alternativa de desenvolvimento para os profissionais de saúde, para a internacionalização de seus centros hospitalares, a adopção de padrões e protocolos rígidos de atendimento a pacientes estrangeiros e para a oferta de inovações ou serviços para o melhoramento do sistema de saúde pública da Colômbia. Cómo citar: Pérez-Pinzón LR. Emprendimiento médico y turismo de salud en Bucaramanga (Colombia). MedUNAB. 2020;23(2): 307-315. doi: 10.29375/01237047.3499
Sujets)
Tourisme médical , Secteur privé , ColombieRésumé
Objetivo: evaluar si se cumplió la meta del Gobierno de Colombia para el 2014 de que el 20 % de los graduandos de programas de enfermería de las instituciones colombianas de educación superior se clasifiquen en nivel intermedio o superior en inglés. Metodología: se emplearon los resultados del módulo de inglés de la base de datos de las pruebas Saber Pro del Instituto Colombiano para la Evaluación de la Educación (2011-2016). Los niveles de calificación de este módulo son adaptados del Marco Común Europeo de Referencia. Para inferir respecto al logro de la meta de la política se realizaron pruebas de proporciones paramétricas y no paramétricas. Adicionalmente, se hicieron ajustes sobre el valor p. Resultados: ningún programa cumplió estadísticamente con la meta. Sin embargo, cuando solo se realizó la prueba de comparación de proporciones paramétrica y no paramétrica (sin corrección por hacer múltiples comparaciones), el programa de la Universidad del Valle, sede Cali, sí la cumplió. Conclusión: la meta propuesta por el Programa de Fortalecimiento al Desarrollo de Competencias en Lenguas Extranjeras para el 2014 no se cumplió en el caso de los estudiantes de enfermería evaluados; solo el 2,36 % alcanzó el nivel B+ ese año. Además, se encuentran rezagados respecto a los programas de medicina, economía y administración de empresas
Objective: To determine if universities' nursing programs reached the goal established in 2014 by the Colombian government of having 20% of higher education graduates reaching an intermediate or superior level in English. Methods: The research used a descriptive and statistical approach (parametric and non-parametric tests) using the data of nursing students in Higher Education Institutions who took Saber Pro test (2011 -2016). The grades of this module are adapted to the Common European Framework of Reference for Languages. In order to make inferences in respect to the achievement of the government's goal, parametric and non-parametric proportionality tests were carried out. Additionally, adjustments were made to the p-value to avoid the bias that results from generating a joint conclusion from joining results of an individual test. Results: No nursery program met the statis-tical goal. However, Universidad del Valle's nursing program met the goal if only the parametric and non-parametric proportion comparison tests (without correction for multiple comparisons) are considered. Conclusion: Overall, the goal of the Program for the Strengthening of the Development of Competency in Foreign Languages by 2014 was not met by nursing students: just 2.36% of them achieved an intermediate or higher level of English in 2014. In addition, nursing students fall behind student in medicine, economics and business administration programs
Sujets)
Élève infirmier , Universités , Santé , Éducation , Tourisme médicalRésumé
Background: Health tourism today is one of the most growing sections of tourism industry in the world that due to low cost of providing treatment services in Iran is considered among the best aspects of economic development and is an opportunity for providing medical services for tourists and also creating satisfaction in foreign patients referring to the country for treatment for promoting the state validity and economy. Also, health tourism is a national strategy for increasing national income and also an arm of national safety. Methods: the present study is an applied study which was conducted with descriptive-analytical method and cross-sectional in 2017. The study population included a number of governmental hospitals of Shiraz city. Data collecting was performed using checklists and in field method and by method of observing interview with personnel and available documents. For data description, tables, average and standard deviation and for data analysis single-sample t-test was used. Results: : results obtained from this study in investigating tested hypotheses show that factors of hospital costs and medical equipment and personnel skill and after that relations of medical personnel and hospital structure and finally pursuing affairs of treatment in attracting health attraction is effective in governmental hospitals of Shiraz city. Conclusion: regarding the obtained results in this study, it seems that there are more factors relating to health tourists attraction and findings of this study could be an avenue for better recognition of these intervening factors.
Résumé
New ways to attend patients and pathologies are developing due to scientific results and evolution of installations, techniques, aparatology at water treatment centers. We present a way to understand changes in mentality and patients needs. Our model proposes a combination of water centers, spa, balneary and thalassotherapy. The first center is a Spa with medical wellness clinic in the city of Marbella. A favorite holiday destination in Spain. Objective of clients is having a holidays plus some spa programs, mostly, relaxing with psychological concerns. Slimming programs to lose weight are indicated along with individualized diet and a complete special physical exercise program based on aquagym and some attractive sports. Beauty programs are demanded by the female public that can be completed with small non invasive aesthetical procedures. Bioenergy medicine and natural treatments based in bioelectricity, electromagnetic fields and oriental techniques. Programs recommended at Carratraca Balneary: The balneotherapy center is located in the mountains of Malaga. Climatological conditions are special and the thermal waters rich in sulfur, bicarbonate, calcium, magnesium and radon. Traditional programs as rheumatological treatments, rehabilitation, respiratory, dermatological and digestive by hydropinic cure, but there is a new concept: The medical offer can be extended and divided in several units: - Fertility and women unity. Due to the excellent results as antinflamatory and endocrine stimulation. - Cardiovascular unit: most of the patients present some risk factors as high blood pressure, diabetes, obesity, tabaquism, cholesterol…that have indication for a deeper approach. - Healthy Aging and preventive medicine by the antioxidant properties of water and also because the genetic unit can provide early detection of potential genetic variants and information about the oncotest, cardiogenetic test, and nutritional genetic test. - The traditional slimming programs can also be implemented by new devices for physical activity; this allows the specialists to control the type of exercise and results, not only at the stay but by distance through several on line and video applications. This way responsible specialists have a complete control of the patient over the time, fidelization, coming back to our centers for periodical controls. - Detoxification programs. The third option is the thalasso therapy center, due to the benefits of sea water and climatology of the coast are ideal for several programs: - Dermatological problems - Osteoarticular pathologies, with physiotherapy and osteopathy specialists. - Psychological and psychosomatic problems. - Retreat treatments where not only physical and psychological helps are provided by spiritual approach by the specialist and group techniques and individual coaching. - Oncological diseases, as useful to help syntomathology and quality of life. Finally all the compounds of sea water are part of thalassotherapy such as micro and macroorganisms. Assisted therapy with sea lions and dolphins (otaridotherapy and dolphintherapy) could be part of the programs. A complete team of professionals with psychologist, physiotherapist, special educators, doctors, nurses and animal trainers are necessary. Pathologies such as hyperactivity, autism, Down’s Syndrome for children can be treated. Families can participate not forgetting pathologies such as rheumatic fibromyalgia, Parkinson’s disease, multiple sclerosis and so on with scientific results published in the last years.
Résumé
New ways to attend patients and pathologies are developing due to scientific results and evolution of installations, techniques, aparatology at water treatment centers.<BR> We present a way to understand changes in mentality and patients needs. Our model proposes a combination of water centers, spa, balneary and thalassotherapy.<BR> The first center is a Spa with medical wellness clinic in the city of Marbella. A favorite holiday destination in Spain. Objective of clients is having a holidays plus some spa programs, mostly, relaxing with psychological concerns. Slimming programs to lose weight are indicated along with individualized diet and a complete special physical exercise program based on aquagym and some attractive sports. Beauty programs are demanded by the female public that can be completed with small non invasive aesthetical procedures. Bioenergy medicine and natural treatments based in bioelectricity, electromagnetic fields and oriental techniques.<BR> Programs recommended at Carratraca Balneary:<BR> The balneotherapy center is located in the mountains of Malaga. Climatological conditions are special and the thermal waters rich in sulfur, bicarbonate, calcium, magnesium and radon.<BR> Traditional programs as rheumatological treatments, rehabilitation, respiratory, dermatological and digestive by hydropinic cure, but there is a new concept: The medical offer can be extended and divided in several units:<BR>- Fertility and women unity. Due to the excellent results as antinflamatory and endocrine stimulation.<BR>- Cardiovascular unit: most of the patients present some risk factors as high blood pressure, diabetes, obesity, tabaquism, cholesterol…that have indication for a deeper approach.<BR>- Healthy Aging and preventive medicine by the antioxidant properties of water and also because the genetic unit can provide early detection of potential genetic variants and information about the oncotest, cardiogenetic test, and nutritional genetic test.<BR>- The traditional slimming programs can also be implemented by new devices for physical activity; this allows the specialists to control the type of exercise and results, not only at the stay but by distance through several on line and video applications. This way responsible specialists have a complete control of the patient over the time, fidelization, coming back to our centers for periodical controls.<BR>- Detoxification programs.<BR> The third option is the thalasso therapy center, due to the benefits of sea water and climatology of the coast are ideal for several programs:<BR>- Dermatological problems<BR>- Osteoarticular pathologies, with physiotherapy and osteopathy specialists.<BR>- Psychological and psychosomatic problems.<BR>- Retreat treatments where not only physical and psychological helps are provided by spiritual approach by the specialist and group techniques and individual coaching.<BR>- Oncological diseases, as useful to help syntomathology and quality of life.<BR> Finally all the compounds of sea water are part of thalassotherapy such as micro and macroorganisms. Assisted therapy with sea lions and dolphins (otaridotherapy and dolphintherapy) could be part of the programs. A complete team of professionals with psychologist, physiotherapist, special educators, doctors, nurses and animal trainers are necessary.<BR> Pathologies such as hyperactivity, autism, Down’s Syndrome for children can be treated. Families can participate not forgetting pathologies such as rheumatic fibromyalgia, Parkinson’s disease, multiple sclerosis and so on with scientific results published in the last years.
Résumé
Medical tourism, which is the intentional travel by privatepaying patients across international borders for medical treatment, is a sector that has been targeted for growth in many Caribbean countries. The international development of this industry has raised a core set of proposed health equity benefits and drawbacks for host countries. These benefits centre on the potential investment in health infrastructure and opportunities for health labour force development while drawbacks focus on the potential for reduced access to healthcare for locals and inefficient use of limited public resources to support the growth of the medical tourism industry. The development of the medical tourism sector in Caribbean countries raises additional health equity questions that have received little attention in existing international debates, specifically in regard to environmental health equity. In this viewpoint, we introduce questions of environmental health equity that clearly emerge in relation to the developing Caribbean medical tourism sector. These questions acknowledge that the growth of this sector will have impacts on the social and physical environments, resources, and waste management infrastructure in countries. We contend that in addition to addressing the wider health equity concerns that have been consistently raised in existing debates surrounding the growth of medical tourism, planning for growth in this sector in the Caribbean must take environmental health equity into account in order to ensure that local populations, environments, and ecosystems are not harmed by facilities catering to international patients.
El turismo médico - el viaje intencional pagado por pacientes privados para atravesar las fronteras internacionales en busca de tratamiento médico - es un sector escogido como objeto de crecimiento en muchos países del Caribe. El desarrollo internacional de esta industria ha planteado a los países anfitriones, un conjunto básico de ventajas y desventajas con respecto a propuestas para la equidad en la salud. Estos beneficios se centran en la inversión potencial en infraestructura de salud y las oportunidades de desarrollo de fuerza laboral en el área de la salud, mientras que las desventajas giran en torno a una potencial reducción de acceso a los cuidados de salud para la población local, así como en torno al uso ineficiente de los limitados recursos públicos para apoyar el crecimiento de la industria del turismo médico. El desarrollo del sector del turismo médico en los países del Caribe, plantea problemas adicionales en materia de equidad de la salud, que han recibido poca atención en los debates internacionales existentes, específicamente con respecto a la equidad en salud ambiental. Desde este punto de vista, introducimos cuestiones de equidad en salud ambiental que se suscitan claramente tan pronto se trata de desarrollar el sector del Turismo Médico en el Caribe. Estas cuestiones reconocen que el crecimiento de este sector tendrá impactos en los entornos físicos y sociales, recursos, y la infraestructura de la gestión de residuos en los países. Sostenemos que - además de abordar las amplias preocupaciones en torno a la equidad de salud, que se han venido planteado constantemente como parte de los debates en torno al crecimiento del turismo médico - la planificación del crecimiento de este sector en el Caribe debe considerar la equidad en salud ambiental, con el fin de asegurar que los ecosistemas, el medio ambiente, y las poblaciones locales no sufran daño por parte de las instalaciones creadas para ofrecer servicios a los pacientes internacionales.
Sujets)
Humains , Disparités d'accès aux soins , Tourisme médical , Établissements de santé/ressources et distribution , Accessibilité des services de santé , Caraïbe , Main-d'oeuvre en santéRésumé
1) The Department of Tourism Medicine was established at Wakayama Medical University in 2006. "Health tourism," a project of the department combining sightseeing with health care, has involved patients with a variety of diseases.<br>2) As a part of training to promote the compassionate care of patients, students participated in an overnight tour for patients with Parkinson's disease and kept the patients company all the time with various types of assistance.<br>3) The students could understand the daily condition of patients with Parkinson's disease, which they could not do in the hospital, and had favorable relations with the patients' families. This experiential practice was an effective means for promoting the compassionate care of patients.