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Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Correspondence

Australian news media framing of medical tourism in low- and middle-income countries: a content review

Authors: Michelle Imison, Stephen Schweinsberg

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

Medical tourism – travel across international borders for health care – appears to be growing globally, with patients from high-income nations increasingly visiting low- and middle-income countries to access such services. This paper analyses Australian television and newspaper news and current affairs coverage to examine how medical tourism and these destinations for the practice are represented to media audiences.

Methods

Electronic copies of Australian television (n = 66) and newspaper (n = 65) items from 2005–2011 about medical care overseas were coded for patterns of reporting (year, format and type) and story characteristics (geographic and medical foci in the coverage, news actors featured and appeals, credibility and risks of the practice mentioned).

Results

Australian media coverage of medical tourism was largely focused on Asia, featuring cosmetic surgery procedures and therapies unavailable domestically. Experts were the most frequently-appearing news actors, followed by patients. Common among the types of appeals mentioned were access to services and low cost. Factors lending credibility included personal testimony, while uncertainty and ethical dilemmas featured strongly among potential risks mentioned from medical tourism.

Conclusions

The Australian media coverage of medical tourism was characterised by a narrow range of medical, geographic and ethical concerns, a focus on individual Australian patients and on content presented as being personally relevant for domestic audiences. Medical tourism was portrayed as an exercise of economically-rational consumer choice, but with no attention given to its consequences for the commodification of health or broader political, medical and ethical implications. In this picture, LMICs were no longer passive recipients of aid but providers of a beneficial service to Australian patients.
Literature
1.
go back to reference Brodie M, Hamel EC, Altman DE, Blendon RJ, Benson JM: Health news and the American public, 1996–2002. J Health Polit Polic. 2003, 28: 927-950. 10.1215/03616878-28-5-927.CrossRef Brodie M, Hamel EC, Altman DE, Blendon RJ, Benson JM: Health news and the American public, 1996–2002. J Health Polit Polic. 2003, 28: 927-950. 10.1215/03616878-28-5-927.CrossRef
2.
go back to reference Padania S, Coleman S, Georgiou M: Reflecting the real world 2: How we connect with the wider world. 2007, London: Commonwealth Broadcasting Association, Concern Worldwide, International Broadcasting Trust and One World Broadcasting Trust Padania S, Coleman S, Georgiou M: Reflecting the real world 2: How we connect with the wider world. 2007, London: Commonwealth Broadcasting Association, Concern Worldwide, International Broadcasting Trust and One World Broadcasting Trust
3.
go back to reference Seale C: Health and media: An overview. Sociol Health Ill. 2003, 25: 513-531. 10.1111/1467-9566.t01-1-00356.CrossRef Seale C: Health and media: An overview. Sociol Health Ill. 2003, 25: 513-531. 10.1111/1467-9566.t01-1-00356.CrossRef
4.
go back to reference Bacon W, Nash C: How the Australian media cover humanitarian issues. Australian J Rev. 2003, 25: 5-30. Bacon W, Nash C: How the Australian media cover humanitarian issues. Australian J Rev. 2003, 25: 5-30.
5.
go back to reference Wu HD: Systemic determinants of international news coverage: A comparison of 38 countries. J Commun. 2000, 50: 110-130. 10.1111/j.1460-2466.2000.tb02844.x.CrossRef Wu HD: Systemic determinants of international news coverage: A comparison of 38 countries. J Commun. 2000, 50: 110-130. 10.1111/j.1460-2466.2000.tb02844.x.CrossRef
6.
go back to reference Adams WC: Whose lives count? TV coverage of natural disasters. J Commun. 1986, 36: 113-122. 10.1111/j.1460-2466.1986.tb01429.x.CrossRef Adams WC: Whose lives count? TV coverage of natural disasters. J Commun. 1986, 36: 113-122. 10.1111/j.1460-2466.1986.tb01429.x.CrossRef
7.
go back to reference Hanusch F: Valuing those close to us: A comparison of German and Australian quality newspapers’ reporting of death in foreign news. J Stud. 2008, 9: 341-356. Hanusch F: Valuing those close to us: A comparison of German and Australian quality newspapers’ reporting of death in foreign news. J Stud. 2008, 9: 341-356.
8.
go back to reference Imison M, Chapman S: ‘Disease, disaster and despair’? The presentation of health in low- and middle-income countries on Australian television. PLoS ONE. 2010, 5: e14106-10.1371/journal.pone.0014106.CrossRefPubMedPubMedCentral Imison M, Chapman S: ‘Disease, disaster and despair’? The presentation of health in low- and middle-income countries on Australian television. PLoS ONE. 2010, 5: e14106-10.1371/journal.pone.0014106.CrossRefPubMedPubMedCentral
9.
go back to reference Imison M, Chapman S: Australian journalists’ reflections on local coverage of a health-related story from the developing world. Australian J Rev. 2012, 34: 93-107. Imison M, Chapman S: Australian journalists’ reflections on local coverage of a health-related story from the developing world. Australian J Rev. 2012, 34: 93-107.
10.
go back to reference Johnston R, Crooks VA, Snyder J, Kingsbury P: What is known about the effects of medical tourism in destination and departure countries? A scoping review. Int J Equity in Health. 2010, 9: 24-10.1186/1475-9276-9-24.CrossRef Johnston R, Crooks VA, Snyder J, Kingsbury P: What is known about the effects of medical tourism in destination and departure countries? A scoping review. Int J Equity in Health. 2010, 9: 24-10.1186/1475-9276-9-24.CrossRef
11.
go back to reference ESCAP: Medical travel in Asia and the Pacific: Challenges and opportunities. 2009, Bangkok: United Nations Economic and Social Commission for Asia and the Pacific ESCAP: Medical travel in Asia and the Pacific: Challenges and opportunities. 2009, Bangkok: United Nations Economic and Social Commission for Asia and the Pacific
12.
go back to reference Hall CM: Health and medical tourism: A kill or cure for global public health?. Tourism Rev. 2011, 66: 4-15.CrossRef Hall CM: Health and medical tourism: A kill or cure for global public health?. Tourism Rev. 2011, 66: 4-15.CrossRef
13.
go back to reference Bookman MZ, Bookman KR: Medical tourism in developing countries. 2007, New York and Hampshire: Palgrave MacmillanCrossRef Bookman MZ, Bookman KR: Medical tourism in developing countries. 2007, New York and Hampshire: Palgrave MacmillanCrossRef
14.
go back to reference Connell J: Medical tourism. 2011, Wallingford and Cambridge: CAB InternationalCrossRef Connell J: Medical tourism. 2011, Wallingford and Cambridge: CAB InternationalCrossRef
15.
go back to reference Johnston R, Crooks VA, Snyder J: “I didn’t even know what I was looking for…”: A qualitative study of the decision-making processes of Canadian medical tourists. Global Health. 2012, 8: 23-10.1186/1744-8603-8-23.CrossRefPubMedPubMedCentral Johnston R, Crooks VA, Snyder J: “I didn’t even know what I was looking for…”: A qualitative study of the decision-making processes of Canadian medical tourists. Global Health. 2012, 8: 23-10.1186/1744-8603-8-23.CrossRefPubMedPubMedCentral
16.
go back to reference Turner L: ‘First world health care at third world prices’: Globalization, bioethics and medical tourism. BioSocieties. 2007, 2: 303-325. 10.1017/S1745855207005765.CrossRef Turner L: ‘First world health care at third world prices’: Globalization, bioethics and medical tourism. BioSocieties. 2007, 2: 303-325. 10.1017/S1745855207005765.CrossRef
17.
go back to reference Birch J, Caulfield R, Ramakrishnan V: The complications of ‘cosmetic tourism’ - an avoidable burden on the NHS. J Plast Reconstr Aesthet Surg. 2007, 60: 1075-1077. 10.1016/j.bjps.2007.03.030.CrossRefPubMed Birch J, Caulfield R, Ramakrishnan V: The complications of ‘cosmetic tourism’ - an avoidable burden on the NHS. J Plast Reconstr Aesthet Surg. 2007, 60: 1075-1077. 10.1016/j.bjps.2007.03.030.CrossRefPubMed
18.
go back to reference Canales MT, Kasiske BL, Rosenberg ME: Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas. Transplantation. 2006, 82: 1658-1661. 10.1097/01.tp.0000250763.52186.df.CrossRefPubMed Canales MT, Kasiske BL, Rosenberg ME: Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas. Transplantation. 2006, 82: 1658-1661. 10.1097/01.tp.0000250763.52186.df.CrossRefPubMed
19.
go back to reference Horowitz MD, Rosenweig JA, Jones CA: Medical tourism: Globalization of the healthcare marketplace. Medscape Gen Med. 2007, 9: 33-10.1002/jgm.994.CrossRef Horowitz MD, Rosenweig JA, Jones CA: Medical tourism: Globalization of the healthcare marketplace. Medscape Gen Med. 2007, 9: 33-10.1002/jgm.994.CrossRef
20.
go back to reference Connell J: Medical tourism: Sea, sun, sand and… surgery. Tourism Manage. 2006, 27: 1093-1100. 10.1016/j.tourman.2005.11.005.CrossRef Connell J: Medical tourism: Sea, sun, sand and… surgery. Tourism Manage. 2006, 27: 1093-1100. 10.1016/j.tourman.2005.11.005.CrossRef
21.
go back to reference Connell J: Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Manage. 2013, 34: 1-13.CrossRef Connell J: Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Manage. 2013, 34: 1-13.CrossRef
22.
go back to reference Ehrbeck T, Guevara C, Mango PD: Mapping the market for medical travel. McKinsey Quart. May 2008, 1-11. Ehrbeck T, Guevara C, Mango PD: Mapping the market for medical travel. McKinsey Quart. May 2008, 1-11.
23.
go back to reference de Ramírez Arellano AB: Patients without borders: The emergence of medical tourism. Int J Health Serv. 2007, 37: 193-198. 10.2190/4857-468G-2325-47UU.CrossRef de Ramírez Arellano AB: Patients without borders: The emergence of medical tourism. Int J Health Serv. 2007, 37: 193-198. 10.2190/4857-468G-2325-47UU.CrossRef
24.
go back to reference Whittaker A: Pleasure and pain: Medical travel in Asia. Glob Public Health. 2008, 3: 271-290. 10.1080/17441690701463936.CrossRef Whittaker A: Pleasure and pain: Medical travel in Asia. Glob Public Health. 2008, 3: 271-290. 10.1080/17441690701463936.CrossRef
25.
go back to reference Hall CM, James M: Medical tourism: Emerging biosecurity and nosocomial issues. Tourism Rev. 2011, 66: 118-126. 10.1108/16605371111127288.CrossRef Hall CM, James M: Medical tourism: Emerging biosecurity and nosocomial issues. Tourism Rev. 2011, 66: 118-126. 10.1108/16605371111127288.CrossRef
26.
go back to reference Connell J: A new inequality? Privatisation, urban bias, migration and medical tourism. Asia Pac Viewp. 2011, 52: 260-271. 10.1111/j.1467-8373.2011.01454.x.CrossRefPubMed Connell J: A new inequality? Privatisation, urban bias, migration and medical tourism. Asia Pac Viewp. 2011, 52: 260-271. 10.1111/j.1467-8373.2011.01454.x.CrossRefPubMed
27.
go back to reference Shaw G, Williams AM: Critical issues in tourism: A geographical perspective. 2002, Oxford: Blackwell, 2 Shaw G, Williams AM: Critical issues in tourism: A geographical perspective. 2002, Oxford: Blackwell, 2
28.
go back to reference Mainil T, Platenkamp V, Meulemans H: The discourse of medical tourism in the media. Tourism Rev. 2011, 66: 31-44. 10.1108/16605371111127215.CrossRef Mainil T, Platenkamp V, Meulemans H: The discourse of medical tourism in the media. Tourism Rev. 2011, 66: 31-44. 10.1108/16605371111127215.CrossRef
29.
go back to reference Milstein A, Smith MJ: America’s new refugees - seeking affordable surgery offshore. N Engl J Med. 2006, 355: 1637-1640. 10.1056/NEJMp068190.CrossRefPubMed Milstein A, Smith MJ: America’s new refugees - seeking affordable surgery offshore. N Engl J Med. 2006, 355: 1637-1640. 10.1056/NEJMp068190.CrossRefPubMed
30.
go back to reference Chapman S, Holding SJ, Ellerm J, Heenan RC, Fogarty AS, Imison M, MacKenzie R, McGeechan K: The content and structure of Australian television reportage on health and medicine, 2005–2009: Parameters to guide health workers. Med J Australia. 2009, 191: 620-624.PubMed Chapman S, Holding SJ, Ellerm J, Heenan RC, Fogarty AS, Imison M, MacKenzie R, McGeechan K: The content and structure of Australian television reportage on health and medicine, 2005–2009: Parameters to guide health workers. Med J Australia. 2009, 191: 620-624.PubMed
31.
32.
go back to reference Participants in the International Summit on Transplant Tourism and Organ Trafficking: The Declaration of Istanbul on organ trafficking and transplant tourism. Transplantation. 2008, 86: 1013-1018.CrossRef Participants in the International Summit on Transplant Tourism and Organ Trafficking: The Declaration of Istanbul on organ trafficking and transplant tourism. Transplantation. 2008, 86: 1013-1018.CrossRef
33.
go back to reference Paterson CA: News agency dominance in international news on the internet. Converging media, diverging politics: A political economy of news media in the United States and Canada. Edited by: Skinner D, Compton JR, Gasher M. 2005, Lanham: Lexington Books, 145-163. Paterson CA: News agency dominance in international news on the internet. Converging media, diverging politics: A political economy of news media in the United States and Canada. Edited by: Skinner D, Compton JR, Gasher M. 2005, Lanham: Lexington Books, 145-163.
34.
go back to reference Lowe P, Lee E, Yardley L: Under the influence? The construction of Foetal Alcohol Syndrome in UK newspapers. Sociol Res Online. 2010, 15 (4): 10.5153/sro.2225. Lowe P, Lee E, Yardley L: Under the influence? The construction of Foetal Alcohol Syndrome in UK newspapers. Sociol Res Online. 2010, 15 (4): 10.5153/sro.2225.
35.
go back to reference Mason A, Wright KB: Framing medical tourism: An examination of appeal, risk, convalescence, accreditation and interactivity in medical tourism web sites. J Health Commun. 2011, 16: 163-177.CrossRefPubMed Mason A, Wright KB: Framing medical tourism: An examination of appeal, risk, convalescence, accreditation and interactivity in medical tourism web sites. J Health Commun. 2011, 16: 163-177.CrossRefPubMed
36.
go back to reference Ormond M: ‘First world treatments at third world prices’: The real cost of medical tourism. Medical tourism: A growth industry. Edited by: Anand R, Gupta S. 2008, Hyderabad: Icfai University Press, 69-77. Ormond M: ‘First world treatments at third world prices’: The real cost of medical tourism. Medical tourism: A growth industry. Edited by: Anand R, Gupta S. 2008, Hyderabad: Icfai University Press, 69-77.
37.
go back to reference Snyder J, Crooks VA, Johnston R: Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives. Public Health Ethics. 2012, 5: 38-46. 10.1093/phe/phr034.CrossRef Snyder J, Crooks VA, Johnston R: Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives. Public Health Ethics. 2012, 5: 38-46. 10.1093/phe/phr034.CrossRef
38.
go back to reference Conley D: The daily miracle: An introduction to journalism. 2002, Oxford and Melbourne: Oxford University Press, 2 Conley D: The daily miracle: An introduction to journalism. 2002, Oxford and Melbourne: Oxford University Press, 2
39.
go back to reference Johnston R, Crooks VA, Adams K, Snyder J, Kingsbury P: An industry perspective on Canadian patients’ involvement in medical tourism: Implications for public health. BMC Publ Health. 2011, 11: 416-10.1186/1471-2458-11-416.CrossRef Johnston R, Crooks VA, Adams K, Snyder J, Kingsbury P: An industry perspective on Canadian patients’ involvement in medical tourism: Implications for public health. BMC Publ Health. 2011, 11: 416-10.1186/1471-2458-11-416.CrossRef
40.
go back to reference Penney K, Snyder J, Crooks VA, Johnston R: Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites. BMC Med Ethics. 2011, 12: 17-10.1186/1472-6939-12-17.CrossRefPubMedPubMedCentral Penney K, Snyder J, Crooks VA, Johnston R: Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites. BMC Med Ethics. 2011, 12: 17-10.1186/1472-6939-12-17.CrossRefPubMedPubMedCentral
41.
go back to reference Boykoff MT, Boykoff JM: Balance as bias: Global warming and the US prestige press. Global Environ Chang. 2004, 14: 125-136. 10.1016/j.gloenvcha.2003.10.001.CrossRef Boykoff MT, Boykoff JM: Balance as bias: Global warming and the US prestige press. Global Environ Chang. 2004, 14: 125-136. 10.1016/j.gloenvcha.2003.10.001.CrossRef
42.
go back to reference Allern S: Journalistic and commercial news values: News organizations as patrons of an institution and market actors. Nordicom Rev. 2002, 1–2: 137-152. Allern S: Journalistic and commercial news values: News organizations as patrons of an institution and market actors. Nordicom Rev. 2002, 1–2: 137-152.
43.
go back to reference Helble M: The movement of patients across borders: Challenges and opportunities for public health. B World Health Organ. 2011, 89: 68-72. 10.2471/BLT.10.076612.CrossRef Helble M: The movement of patients across borders: Challenges and opportunities for public health. B World Health Organ. 2011, 89: 68-72. 10.2471/BLT.10.076612.CrossRef
44.
go back to reference Hopkins L, Labonté R, Runnels V, Packer C: Medical tourism today: What is the state of existing knowledge?. J Public Health Pol. 2010, 31: 185-198. 10.1057/jphp.2010.10.CrossRef Hopkins L, Labonté R, Runnels V, Packer C: Medical tourism today: What is the state of existing knowledge?. J Public Health Pol. 2010, 31: 185-198. 10.1057/jphp.2010.10.CrossRef
46.
go back to reference Shetty P: Medical tourism booms in India, but at what cost?. Lancet. 2010, 376: 671-672. 10.1016/S0140-6736(10)61320-7.CrossRefPubMed Shetty P: Medical tourism booms in India, but at what cost?. Lancet. 2010, 376: 671-672. 10.1016/S0140-6736(10)61320-7.CrossRefPubMed
47.
go back to reference Jones M: Skintight: An anatomy of cosmetic surgery. 2008, Oxford and New York: Berg Jones M: Skintight: An anatomy of cosmetic surgery. 2008, Oxford and New York: Berg
48.
go back to reference Deloitte Access Economics: Medical tourism in Australia: A scoping study. 2011, Canberra: Deloitte Access Economics Deloitte Access Economics: Medical tourism in Australia: A scoping study. 2011, Canberra: Deloitte Access Economics
49.
go back to reference WHO: World health statistics 2011. 2011, Geneva: World Health Organization WHO: World health statistics 2011. 2011, Geneva: World Health Organization
Metadata
Title
Australian news media framing of medical tourism in low- and middle-income countries: a content review
Authors
Michelle Imison
Stephen Schweinsberg
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-109

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