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An Overview of Barbados' Medical Tourism Industry – Version

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An Overview of Barbados' Medical Tourism Industry – Version An Overview of Barbados’ Medical Tourism Industry Version 2.0 April Rory Johnston, Valorie A. Crooks, Jeremy Snyder, Henry Fraser, 2013 Ronald Labonté, Krystyna Adams An Overview of Barbados’ Medical Tourism Industry V E R S I O N 2 .0 RESEARCH TEAM Mr. Rory Johnston, PhD Student, Department of Geography, Simon Fraser University Dr. Valorie Crooks, Associate Professor, Department of Geography, Simon Fraser University Dr. Jeremy Snyder, Assistant Professor, Faculty of Health Sciences, Simon Fraser University Dr. Henry Fraser, Professor Emeritus, Faculty of Medical Sciences, University of the West Indies (Cave Hill) Dr. Ronald Labonté, Canada Research Chair in Globalization and Health Equity, Institute of Population Health, University of Ottawa Ms. Krystyna Adams, MPH Student, Faculty of Health Sciences, Simon Fraser University FUNDING SUPPORT PROVIDED BY Canadian Institutes for Health Research CONTACT INFORMATION Please direct any inquiries about the content of this report to: Rory Johnston Department of Geography Simon Fraser University 8888 University Drive Burnaby, BC V5A 1S6 Canada Email: [email protected] Phone: 1 (778) 782-8917 Further information can be found at the research group’s website: http://www.sfu.ca/medicaltourism/ © SFU Medical Tourism Research Group (British Columbia, Canada), 2013 i | Page TABLE OF CONTENTS RESEARCH TEAM .................................................................................................................. I FUNDING SUPPORT PROVIDED BY ...................................................................................... I CONTACT INFORMATION .................................................................................................... I TABLE OF CONTENTS .......................................................................................................... II TABLE OF FIGURES ............................................................................................................. IV INTRODUCTION ................................................................................................................... V 1. AN OVERVIEW OF BARBADOS ....................................................................................... 6 1.1 Economy ................................................................................................................................................. 6 1.2 Health Equity Indicators ...................................................................................................................... 7 2. UNDERSTANDING BARBADOS’ HEALTH SYSTEM ........................................................... 9 2.1 Health Human Resources .................................................................................................................. 10 2.1.2 Health and Human Resources Training ...................................................................................... 11 2.2 Barbados’ Public Health Care Facilities ....................................................................................... 12 2.2.1 Queen Elizabeth Hospital ............................................................................................................ 12 2.2.2 Primary Care Polyclinics ............................................................................................................... 13 2.3 Key Public Health System Challenges ........................................................................................... 13 2.4 Barbados’ Private Health Care Facilities ..................................................................................... 13 2.4.1 Bayview Hospital ........................................................................................................................... 14 2.4.2 Private Primary Care Clinics ....................................................................................................... 14 2.4.3 Private Cardiology Care ............................................................................................................. 15 2.5 Regulation and Monitoring of Health Workers and Facilities .................................................. 15 3. THE EMERGENCE OF MEDICAL TOURISM IN BARBADOS ............................................. 16 3.1 Historical Regional Cross-Border Care Patient Referrals ......................................................... 16 3.2 2002-2008 - Early Examples of Medical Tourism Initiatives ................................................... 16 3.2.1 The Barbados Fertility Centre ..................................................................................................... 16 3.2.2 Institute for Regenerative Medicine ........................................................................................... 17 3.2.3 The Sparman Clinic ........................................................................................................................ 18 3.2.4 Edward Healey’s Proposed Hospital ......................................................................................... 18 3.3 2008-2010 - A Concerted Push for Health and Wellness Tourism ........................................ 19 3.3.1 April 2008 Regional Health and Wellness Tourism Conference .......................................... 19 3.3.2 2009 - Creation of the Health and Wellness Task Force...................................................... 29 3.3.3 2010 - Barbados Health and Wellness Tourism Conference ............................................... 24 4. EXISTING MEDICAL TOURISM SITES IN BARBADOS...................................................... 25 4.1 Barbados Fertility Centre ................................................................................................................ 25 4.2. Sparman Clinic .................................................................................................................................. 27 4.3. Island Dialysis ................................................................................................................................... 29 5. FUTURE MEDICAL TOURISM PLANS .............................................................................. 30 5.1 St. Joseph Hospital Lease ................................................................................................................ 30 5.2 The Queen Elizabeth Hospital ........................................................................................................ 32 6. CONCLUSION ............................................................................................................. 32 7. REFERENCES ............................................................................................................... 33 | Page APPENDIX 1 – CONTENT ANALYSIS OF MEDIA COVERAGE OF MEDICAL TOURISM IN BARBADOS ........................................................................................................................................... 37 Impacts on Health Human Resources ..................................................................................................... 38 Government Involvement in Medical Tourism ...................................................................................... 39 Foreign Investment .................................................................................................................................... 40 Impacts on Private Health Care ............................................................................................................ 42 Impacts on Public Health Care ............................................................................................................... 42 Other Issues ............................................................................................................................................... 43 Key Points .................................................................................................................................................. 43 References ................................................................................................................................................. 44 APPENDIX 2 – NARRATIVE SYNTHESIS OF POLICY DOCUMENTS REGARDING MEDICAL TOURISM IN BARBADOS ........................................................................................................................ 45 Impacts on Health Human Resources ..................................................................................................... 45 Government Involvement in Medical Tourism ...................................................................................... 46 Foreign Investment .................................................................................................................................... 48 Impacts on Private Health Care ............................................................................................................ 48 Impacts on Public Health Care ............................................................................................................... 48 Key Points .................................................................................................................................................. 49 References ................................................................................................................................................. 50 APPENDIX 3 – SUMMARY OF KEY AGENCIES AND ACTORS INVOLVED IN MEDICAL TOURISM DEVELOPMENT IN BARBADOS .......................................................................................... 51 Medical Tourism Providers
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