Promoting social responsibility amongst health care users: medical tourists’ perspectives on an information sheet regarding ethical concerns in medical tourism

Background

Medical tourists, persons that travel across international borders with the intention to access non-emergency medical care, may not be adequately informed of safety and ethical concerns related to the practice of medical tourism. Researchers indicate that the sources of information frequently used by medical tourists during their decision-making process may be biased and/or lack comprehensive information regarding individual safety and treatment outcomes, as well as potential impacts of the medical tourism industry on third parties. This paper explores the feedback from former Canadian medical tourists regarding the use of an information sheet to address this knowledge gap and raise awareness of the safety and ethical concerns related to medical tourism.

Results

According to feedback provided in interviews with former Canadian medical tourists, the majority of participants responded positively to the information sheet and indicated that this document prompted them to engage in further consideration of these issues. Participants indicated some frustration after reading the information sheet regarding a lack of know-how in terms of learning more about the concerns discussed in the document and changing their decision-making. This frustration was due to participants’ desperation for medical care, a topic which participants frequently discussed regarding ethical concerns related to health care provision.

Conclusions

The overall perceptions of former medical tourists indicate that an information sheet may promote further consideration of ethical concerns of medical tourism. However, given that these interviews were performed with former medical tourists, it remains unknown whether such a document might impact upon the decision-making of prospective medical tourists. Furthermore, participants indicated a need for an additional tool such as a website for continued discussion about these concerns. As such, along with dissemination of the information sheet, future research implications should include the development of a website for ongoing discussion that could contribute to a raised awareness of these concerns and potentially increase social responsibility in the medical tourism industry.

     

Demonstrating how unfamiliar faces become familiar using a face matching task

Two experiments examine a novel method of assessing face familiarity that does not require explicit identification of presented faces. Earlier research (Clutterbuck & Johnston, 2002; Young, Hay, McWeeny, Flude, & Ellis, 1985) has shown that different views of the same face can be matched more quickly for familiar than for unfamiliar faces. This study examines whether exposure to previously novel faces allows the speed with which they can be matched to be increased, thus allowing a means of assessing how faces become familiar. In Experiment 1, participants viewed two sets of unfamiliar faces presented for either many, short intervals or for few, long intervals. At test, previously familiar (famous) faces were matched more quickly than novel faces or learned faces. In addition, learned faces seen on many, brief occasions were matched more quickly than the novel faces or faces seen on fewer, longer occasions. However, this was only observed when participants performed “different” decision matches. In Experiment 2, the similarity between face pairs was controlled more strictly. Once again, matches were performed on familiar faces more quickly than on unfamiliar or learned items. However, matches made to learned faces were significantly faster than those made to completely novel faces. This was now observed for both same and different match decisions. The use of this matching task as a means of tracking how unfamiliar faces become familiar is discussed.     

Moods and Quality of Life

In modern society, flow and stress are well-known terms in the theoretical discussions of the good life, subjective well-being and quality of life. The purpose of this article is to present the results of a phenomenological analysis of flow and stress experiences in everyday life. The analysis yielded a distinction between different phenomenological dimensions identified as arising in different combinations within concrete experience of flow and stress. These different dimensions were characterised by different feelings, different experiences of time and different experiences of the world. The results are discussed and interpreted in the light of Martin Heidegger's, Otto Friedrich Bollnow's and F.C.J. Buytendijk's theories of moods and feelings. Flow and stress experiences are phenomenologically interpreted as moods and classified as a modern version of basic polarities of moods as described by Bollnow and Buytendijk. Lastly, the concept of mood is emphasised as a specific entrance to the subjective and experienced dimensions involved in the complex concepts of quality of life, the good life and happiness.     

Exploring the Boundaries of Sublexical Word Identification Units: The Use of Onsets and Rimes and Reading Ability

Four priming experiments investigating the functional use of onsets and rimes as identification units in normally and poorly reading children, matched on reading age level, are reported. Experiments 1 (onsets) and 2 (rimes) used monosyllabic words. High- and low-frequency bigram letter clusters were primed. Primes turned out to be more effective when they coincided with the rimes of target words then when they did not. For onsets this was not the case. The effect of priming was stronger in low-frequency letter clusters. For rime units there was a significant prime by rime coincidence interaction, consistent with data presented by Bowey (1990). A differential effect of rime priming was obtained for the ability groups in high-frequency letter clusters. Only in the normal reader control group were response latencies negatively affected by noncoinciding primes in high-frequency rime units. This finding suggests that these subjects probably had better access to letter information in the final part of words. In Experiments 3 (onsets) and 4 (rimes) bisyllabic compound nouns were used. Elements of the second syllable were used as primes. Main group effects were found in both experiments, but the effects obtained with monosyllabic words were not replicated. It is concluded that onset/rime mechanisms primarily operate within the boundaries of monosyllabic words and/or in stressed syllables.