R. Johnston’s research while affiliated with Simon Fraser University and other places

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Publications (10)


FIGURE 1-ONLINE ADVERTISEMENT FOR THE BARBADOS FERTILITY CENTRE (http://www.barbadosivf.com) 
FIGURE 4-BARBADOS FERTILITY CENTRE RECOVERY ROOM (CRED. AUTHORS)
FIGURE 5-SPARMAN CLINIC RECEPTION AREA (CRED. AUTHORS) 
FIGURE 8-ST. JOSEPH HOSPITAL EXTERIOR (CRED. AUTHORS) 
FIGURE 11-ST. JOSEPH HOSPITAL INTERIOR (CRED. AUTHORS) 
An Overview of Barbados’ Medical Tourism Industry – Version 2.0
  • Technical Report
  • Full-text available

April 2013

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2,441 Reads

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9 Citations

R. Johnston

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Medical Tourism in the Caribbean Region: A Call to Consider Environmental Health Equity

March 2013

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41 Reads

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19 Citations

West Indian Medical Journal

Medical tourism, which is the intentional travel by private-paying 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.





Perspectivas sobre el involucramiento de los canadienses en el turismo médico

September 2011

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103 Reads





Citations (5)


... Little is known about caregiver-companions in medical tourism and the roles they take on in this global health services practice. In our previous research, it was found that they are an important part of many Canadian medical tourists' experiences at home and abroad [13]. Despite this, no dedicated research attention has been given to this group. ...

Reference:

" You're dealing with an emotionally charged individual..." : An industry perspective on the challenges posed by medical tourists' informal caregiver-companions
Perspectives on Canadians’ Involvement in Medical Tourism – Final Research Report

... Expenses may also play a significant role in affecting patients' intention to visit a given destination. Crooks et al. [30] conducted a study in Canada and found that medical tourists seek information on cost, accommodation and accreditation, and they relied on word-of-mouth to help decide about their decision to visit the destination. Chaulagain and co-authors [31] employed a survey-based quantitative approach to investigate the influence of Cuba's country image, perceived cost and destination image on Americans' intention to visit the country for medical purposes. ...

Understanding the Health and Safety Risks for British Columbia’s Outbound Medical Tourists

... In 2002, a locally owned fertility centre that regularly attracts international patients from the United States (US), United Kingdom, Canada, and throughout the Caribbean was opened. In 2009, the national government began to accept bids to revitalize a derelict public hospital for private purposes, with the goal of developing a purposebuilt medical tourism hospital [11]. It awarded a 25-year lease to American World Clinics, a US-based firm with plans to open a 50-bed multi-specialty hospital primarily staffed by international physicians and aimed at treating international patients [11]. ...

An Overview of Barbados’ Medical Tourism Industry – Version 1.0

... 17 The growth of medical tourism in Barbados serving the Carribean, Mexican and the British patients have also been highlighted, although monetary benefits have not been mentioned. 18 These bidirectional flows of trade in health services deserve greater investigation to understand better the factors that allow SIDS to act as exporters of services. ...

An Overview of Barbados’ Medical Tourism Industry – Version 2.0

... Medical tourism involves mainly diagnosis, treatment and cure, whereas wellness tourism involves well-being, prevention, enhancement, relaxation and healing treatment (Snyder & Valorie, 2010). Health tourism involves travel across international borders, tourism, physical and mental well-being, pleasure, relaxation and value addition (Johnston & Crooks, 2013). The major factors that lead people to select a country for medical tourism are cost, quality, security, international relations, language, ease of travel and visa procedures. ...

Medical Tourism in the Caribbean Region: A Call to Consider Environmental Health Equity
  • Citing Article
  • March 2013

West Indian Medical Journal