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.

     

Information underpinning anticipation of goal-directed throwing

We identified the information used to anticipate throw direction in handball. In two experiments, we examined how anticipation performance is affected when the information from one of five body areas (right arm, shoulders, hips, trunk, or total throw side) was either neutralized or decoupled from the motion of other body segments. In the first experiment, performance was significantly reduced when information from the throwing arm was neutralized, irrespective of skill levels. Skilled participants were negatively affected when the shoulders, hips, and trunk were neutralized, whereas less-skilled participants showed trends toward improvement under identical conditions. In the second experiment, partially disrupting relative motion via decoupling was not enough to reduce the anticipation performance among skilled participants to chance levels, whereas less-skilled participants lost their ability to anticipate in three conditions. Our findings suggest that skilled and less-skilled participants employ different information extraction strategies, yet information from the throwing arm is critical to anticipation for both groups. The two experiments suggest that relative motion mediated by both the absolute displacement trajectories of individual marker locations and their relative timings are important in informing anticipation, irrespective of skill level.     

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.     

Facilitating the Academic Success of International Students

International seminarians seeking an education at academic institutions located in the United States often face a host of learning challenges. Seminary faculty that teach in these institutions are often confronted with a need to adjust their teaching methods to facilitate learning by international students. This essay outlines specific strategies to facilitate academic success of international seminarians by offering specific teaching methods for faculty and learning strategies for international students. Topics include training faculty in how to respond to diverse learning styles, expanding learning environments beyond the classroom, methods for enhancing student participation, and development of assignments. Strategies for student success include developing skills in how to improve note taking, critical reading, and writing.     

Promoting career information seeking behaviors in college students

This study was concerned with the effects of group reinforcement counseling on the frequency of career information-seeking behaviors for 94 theoretically grouped college freshmen and sophomore males. Holland's Vocational Preference Inventory (VPI) was used to identify consistent-inconsistent vocational patterns and Crites' Vocational Inventory (VDI) was used to identify vocational maturity-immaturity. Predictions about behavioral change were made for each theoretical conception. Three counseling sessions each 1.5 hr long were utilized. Pre-, post-, and post-post measures of cognitive and active information seeking behaviors outside of the treatment sessions were taken. Group reinforcement counseling and vocational consistency were significantly related to behavioral change over the 6 weeks of this investigation. Unanticipated results regarding the tested dimensions and behavior change are reported and discussed.     

Visual search under conditions of very rapid sequential Input rates

The purposes of the present experiment were to provide information on rate of information processing in visual perception and to determine the degree to which the “sequential blanking” effect found by Mayzner. Tresselt, and Cohen (1966) constituted a limitation on rapid sequential input rates. A 10-channel tachisto scope was employed that permitted controlled durations of each of the 10 channels and the 9 inter channel intervals. The S’s task was one of visual search or detection in which he searched for a target letter among noise letters. A temporal interval forced-choice procedure was used. In addition to varying the rate at which letters were sequentially presented, various irregular temporal spatial orders of presentation of the letter sequences were employed and the direction and orientation of the display in the visual field was varied as was also the spacing between adjacent stimuli. No evidence of “sequential blanking” was found either in terms of the detection criterion or in the Ss’ phenomenal reports. Detection performance was as good at a rate of 2 1/2 msec per letter as it was at a rate of 30 msec per letter.