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Clinical ethics: medical tourism in children
Decisions to seek treatment abroad are made privately by parents and usually uncontested by National Health Service (NHS) staff, despite some high-profile court cases. Treatment abroad often lacks continuity of care, with variable (or absent) sharing of medical information between countries if there...
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Published in: | Archives of disease in childhood 2021-12, Vol.106 (12), p.1143-1144 |
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description | Decisions to seek treatment abroad are made privately by parents and usually uncontested by National Health Service (NHS) staff, despite some high-profile court cases. Treatment abroad often lacks continuity of care, with variable (or absent) sharing of medical information between countries if there are problems. Because medical treatment is expensive, crowdfunding websites have become a popular method of raising funds. The emphasis on public sympathy means that crowdfunding does not distribute resources equitably, and minority groups may raise less funds through crowdfunding than their non-minority peers.3 Crowdfunding publicises the private health information of a child with potentially lifelong impacts. Depending on what went wrong, it could be difficult to get problems treated on the NHS.5 Furthermore, even where treatment commenced overseas is successful it may not be funded on the child/young person’s return to the UK (although the best interests of the child will be the deciding factor in these cases). |
doi_str_mv | 10.1136/archdischild-2021-322778 |
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Treatment abroad often lacks continuity of care, with variable (or absent) sharing of medical information between countries if there are problems. Because medical treatment is expensive, crowdfunding websites have become a popular method of raising funds. The emphasis on public sympathy means that crowdfunding does not distribute resources equitably, and minority groups may raise less funds through crowdfunding than their non-minority peers.3 Crowdfunding publicises the private health information of a child with potentially lifelong impacts. Depending on what went wrong, it could be difficult to get problems treated on the NHS.5 Furthermore, even where treatment commenced overseas is successful it may not be funded on the child/young person’s return to the UK (although the best interests of the child will be the deciding factor in these cases).</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2021-322778</identifier><identifier>PMID: 34551899</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adults ; Autism ; Child ; Children & youth ; Continuity of care ; Courts ; Crowdfunding ; Decision making ; Editorial ; Ethics ; Ethics, Medical ; Evidence ; Funds ; Global health ; Health care ; Health services ; Humans ; Intensive care ; Medical ethics ; Medical Services ; Medical tourism ; Medical Tourism - ethics ; Medical treatment ; Minority & ethnic groups ; Minority Groups ; Negligence ; Ostomy ; Parents ; Parents & parenting ; Parents - psychology ; Patients ; Pediatrics ; Physicians ; Planning ; Professional ethics ; Tourism ; Tracheotomy</subject><ispartof>Archives of disease in childhood, 2021-12, Vol.106 (12), p.1143-1144</ispartof><rights>Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.</rights><rights>2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b438t-47e593862876cf0d50d56ea38f54ce1098c7111a837248bec89dcdfb6be64c1c3</cites><orcidid>0000-0001-8393-5060 ; 0000-0002-2973-2163 ; 0000-0003-3958-8633</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2599460613/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2599460613?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,21378,21394,27924,27925,33611,33612,33877,33878,43733,43880,74093,74269</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34551899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Birchley, Giles</creatorcontrib><creatorcontrib>Linney, Mike</creatorcontrib><creatorcontrib>Turner, Stephen W</creatorcontrib><creatorcontrib>Wilkinson, Dominic</creatorcontrib><title>Clinical ethics: medical tourism in children</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><addtitle>Arch Dis Child</addtitle><description>Decisions to seek treatment abroad are made privately by parents and usually uncontested by National Health Service (NHS) staff, despite some high-profile court cases. Treatment abroad often lacks continuity of care, with variable (or absent) sharing of medical information between countries if there are problems. Because medical treatment is expensive, crowdfunding websites have become a popular method of raising funds. The emphasis on public sympathy means that crowdfunding does not distribute resources equitably, and minority groups may raise less funds through crowdfunding than their non-minority peers.3 Crowdfunding publicises the private health information of a child with potentially lifelong impacts. Depending on what went wrong, it could be difficult to get problems treated on the NHS.5 Furthermore, even where treatment commenced overseas is successful it may not be funded on the child/young person’s return to the UK (although the best interests of the child will be the deciding factor in these cases).</description><subject>Adults</subject><subject>Autism</subject><subject>Child</subject><subject>Children & youth</subject><subject>Continuity of care</subject><subject>Courts</subject><subject>Crowdfunding</subject><subject>Decision making</subject><subject>Editorial</subject><subject>Ethics</subject><subject>Ethics, Medical</subject><subject>Evidence</subject><subject>Funds</subject><subject>Global health</subject><subject>Health care</subject><subject>Health services</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Medical ethics</subject><subject>Medical Services</subject><subject>Medical tourism</subject><subject>Medical Tourism - ethics</subject><subject>Medical treatment</subject><subject>Minority & ethnic groups</subject><subject>Minority Groups</subject><subject>Negligence</subject><subject>Ostomy</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Parents - psychology</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Physicians</subject><subject>Planning</subject><subject>Professional ethics</subject><subject>Tourism</subject><subject>Tracheotomy</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>M0P</sourceid><recordid>eNqFkU1LAzEQhoMotlb_gix48eBqsslmJx4EKX5BwYueQzabtSn7UZNdwX9v2q21ejEEwiTPvDOTF6GI4EtCKL9STs8L6_XcVkWc4ITENEmyDPbQmDAO4YqxfTTGGNNYAMAIHXm_wJgkAPQQjShLUwJCjNHFtLKN1aqKTDe32l9HtSnWcdf2zvo6sk20ruNMc4wOSlV5c7I5J-j1_u5l-hjPnh-eprezOGcUuphlJhUUeAIZ1yUu0rC5URTKlGlDsACdEUIU0CxhkBsNotBFmfPccKaJphN0M-gu-zy0o03TOVXJpbO1cp-yVVb-fmnsXL61HxJ4WIIFgfONgGvfe-M7WYffMlWlGtP2XiZplgKlkNGAnv1BF2HwJowXKCEYx5ysKBgo7VrvnSm3zRAsV5bIXUvkyhI5WBJST3eH2SZ-exAANgB5vfgp_q_uF0CNnAc</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Birchley, Giles</creator><creator>Linney, Mike</creator><creator>Turner, Stephen W</creator><creator>Wilkinson, Dominic</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8393-5060</orcidid><orcidid>https://orcid.org/0000-0002-2973-2163</orcidid><orcidid>https://orcid.org/0000-0003-3958-8633</orcidid></search><sort><creationdate>20211201</creationdate><title>Clinical ethics: medical tourism in children</title><author>Birchley, Giles ; Linney, Mike ; Turner, Stephen W ; Wilkinson, Dominic</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b438t-47e593862876cf0d50d56ea38f54ce1098c7111a837248bec89dcdfb6be64c1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adults</topic><topic>Autism</topic><topic>Child</topic><topic>Children & youth</topic><topic>Continuity of care</topic><topic>Courts</topic><topic>Crowdfunding</topic><topic>Decision making</topic><topic>Editorial</topic><topic>Ethics</topic><topic>Ethics, Medical</topic><topic>Evidence</topic><topic>Funds</topic><topic>Global health</topic><topic>Health care</topic><topic>Health services</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Medical ethics</topic><topic>Medical Services</topic><topic>Medical tourism</topic><topic>Medical Tourism - ethics</topic><topic>Medical treatment</topic><topic>Minority & ethnic groups</topic><topic>Minority Groups</topic><topic>Negligence</topic><topic>Ostomy</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>Parents - psychology</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Physicians</topic><topic>Planning</topic><topic>Professional ethics</topic><topic>Tourism</topic><topic>Tracheotomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Birchley, Giles</creatorcontrib><creatorcontrib>Linney, Mike</creatorcontrib><creatorcontrib>Turner, Stephen W</creatorcontrib><creatorcontrib>Wilkinson, Dominic</creatorcontrib><collection>British Medical Journal Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Education Database (ProQuest)</collection><collection>Family Health Database (Proquest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Science Database (ProQuest)</collection><collection>Biological Science Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Birchley, Giles</au><au>Linney, Mike</au><au>Turner, Stephen W</au><au>Wilkinson, Dominic</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical ethics: medical tourism in children</atitle><jtitle>Archives of disease in childhood</jtitle><stitle>Arch Dis Child</stitle><addtitle>Arch Dis Child</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>106</volume><issue>12</issue><spage>1143</spage><epage>1144</epage><pages>1143-1144</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><abstract>Decisions to seek treatment abroad are made privately by parents and usually uncontested by National Health Service (NHS) staff, despite some high-profile court cases. Treatment abroad often lacks continuity of care, with variable (or absent) sharing of medical information between countries if there are problems. Because medical treatment is expensive, crowdfunding websites have become a popular method of raising funds. The emphasis on public sympathy means that crowdfunding does not distribute resources equitably, and minority groups may raise less funds through crowdfunding than their non-minority peers.3 Crowdfunding publicises the private health information of a child with potentially lifelong impacts. Depending on what went wrong, it could be difficult to get problems treated on the NHS.5 Furthermore, even where treatment commenced overseas is successful it may not be funded on the child/young person’s return to the UK (although the best interests of the child will be the deciding factor in these cases).</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>34551899</pmid><doi>10.1136/archdischild-2021-322778</doi><tpages>2</tpages><orcidid>https://orcid.org/0000-0001-8393-5060</orcidid><orcidid>https://orcid.org/0000-0002-2973-2163</orcidid><orcidid>https://orcid.org/0000-0003-3958-8633</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adults Autism Child Children & youth Continuity of care Courts Crowdfunding Decision making Editorial Ethics Ethics, Medical Evidence Funds Global health Health care Health services Humans Intensive care Medical ethics Medical Services Medical tourism Medical Tourism - ethics Medical treatment Minority & ethnic groups Minority Groups Negligence Ostomy Parents Parents & parenting Parents - psychology Patients Pediatrics Physicians Planning Professional ethics Tourism Tracheotomy |
title | Clinical ethics: medical tourism in children |
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