Ethical issues associated with medical tourism in Africa

Global disparities in medical technologies, laws, economic inequities, and social–cultural differences drive medical tourism (MT), the practice of travelling to consume healthcare that is either too delayed, unavailable, unaffordable or legally proscribed at home. Africa is simultaneously a source a...

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Main Authors: John J. O. Mogaka, Lucia Mupara, Joyce M Tsoka-Gwegweni
Format: Article
Language:English
Published: MDPI AG 2017-01-01
Series:Journal of Market Access & Health Policy
Subjects:
Online Access:http://dx.doi.org/10.1080/20016689.2017.1309770
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author John J. O. Mogaka
Lucia Mupara
Joyce M Tsoka-Gwegweni
author_facet John J. O. Mogaka
Lucia Mupara
Joyce M Tsoka-Gwegweni
author_sort John J. O. Mogaka
collection DOAJ
description Global disparities in medical technologies, laws, economic inequities, and social–cultural differences drive medical tourism (MT), the practice of travelling to consume healthcare that is either too delayed, unavailable, unaffordable or legally proscribed at home. Africa is simultaneously a source and destination for MT. MT however, presents a new and challenging health ethics frontier, being largely unregulated and characterized by policy contradictions, minority discrimination and conflict of interest among role-players. This article assesses the level of knowledge of MT and its associated ethical issues in Africa; it also identifies critical research gaps on the subject in the region. Exploratory design guided by Arksey and O’Malley’s (2005) framework was used. Key search terms and prior determined exclusion/inclusion criteria were used to identify relevant literature sources. Fifty-seven articles met the inclusion criteria. Distributive justice, healthcare resource allocation, experimental treatments and organ transplant were the most common ethical issues of medical tourism in Africa. The dearth of robust engagement of MT and healthcare ethics, as identified through this review, calls for more rigorous research on this subject. Although the bulk of the medical tourism industry is driven by global legal disparities based on ethical considerations, little attention has been given to this subject.
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spelling doaj-art-92b2b634e6a54d31a4e377bb0283d6362025-08-20T03:20:37ZengMDPI AGJournal of Market Access & Health Policy2001-66892017-01-015110.1080/20016689.2017.13097701309770Ethical issues associated with medical tourism in AfricaJohn J. O. Mogaka0Lucia Mupara1Joyce M Tsoka-Gwegweni2University of KwaZulu NatalUniversity of KwaZulu NatalUniversity of KwaZulu NatalGlobal disparities in medical technologies, laws, economic inequities, and social–cultural differences drive medical tourism (MT), the practice of travelling to consume healthcare that is either too delayed, unavailable, unaffordable or legally proscribed at home. Africa is simultaneously a source and destination for MT. MT however, presents a new and challenging health ethics frontier, being largely unregulated and characterized by policy contradictions, minority discrimination and conflict of interest among role-players. This article assesses the level of knowledge of MT and its associated ethical issues in Africa; it also identifies critical research gaps on the subject in the region. Exploratory design guided by Arksey and O’Malley’s (2005) framework was used. Key search terms and prior determined exclusion/inclusion criteria were used to identify relevant literature sources. Fifty-seven articles met the inclusion criteria. Distributive justice, healthcare resource allocation, experimental treatments and organ transplant were the most common ethical issues of medical tourism in Africa. The dearth of robust engagement of MT and healthcare ethics, as identified through this review, calls for more rigorous research on this subject. Although the bulk of the medical tourism industry is driven by global legal disparities based on ethical considerations, little attention has been given to this subject.http://dx.doi.org/10.1080/20016689.2017.1309770Health ethicsAfricamedical tourismhealthcare delivery
spellingShingle John J. O. Mogaka
Lucia Mupara
Joyce M Tsoka-Gwegweni
Ethical issues associated with medical tourism in Africa
Journal of Market Access & Health Policy
Health ethics
Africa
medical tourism
healthcare delivery
title Ethical issues associated with medical tourism in Africa
title_full Ethical issues associated with medical tourism in Africa
title_fullStr Ethical issues associated with medical tourism in Africa
title_full_unstemmed Ethical issues associated with medical tourism in Africa
title_short Ethical issues associated with medical tourism in Africa
title_sort ethical issues associated with medical tourism in africa
topic Health ethics
Africa
medical tourism
healthcare delivery
url http://dx.doi.org/10.1080/20016689.2017.1309770
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AT luciamupara ethicalissuesassociatedwithmedicaltourisminafrica
AT joycemtsokagwegweni ethicalissuesassociatedwithmedicaltourisminafrica