Global trading in health services: potential trade and system-based challenges for traders
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Abstract
Many countries with excess capacities for health services leverage them to increase their GDPs by engaging in cross-border trading (CBT) of health services. CBT of health services may be limited due to trade challenges arising from the General Agreement on Trade in Services (GATS (Modes 1-4) and Non-GATS agreements) and system-based (e.g. health or legal system) challenges. The objective of this study was to learn whether trade or system-based challenges to CBT of health services exist, and if they do, do they challenge CBT of health services. The authors (researchers) employed an Arksey and O’Malley scoping review methodology to identify peer-reviewed and gray literature discussing trade and system-based challenges to CBT of health services. Electronic searches utilized a browser (Google ChromeTMor Mozilla Firefox R ) and an internet web search engine (GoogleTM(e.g. Web, Scholar and News plus News Archives) or Microsoft Bing R : Attempts = 0) or a metasearch engine (DuckDuckGo c : Attempts = 0) to query databases (Public = Google, Google Scholar, EBSCO and Medline) and Private = Lexis Advance R ). Results and analysis of retrieved articles identified trade challenges in GATS Modes 1-4 (e.g. resource reallocation and costs) and Non-GATS (e.g. protectionist trade policies) and system-based barriers (e.g. medical and regulatory liability, health privacy regulation and business regulation). Trading in Modes 2 (medical and health tourism) and 4 (medical manpower exchange) enjoyed the greatest share of these markets, although Mode 3 trades (foreign commercial presence) may be a growing market. In conclusion, countries, including Thailand and its ASEAN partners, may face trade- and system-based challenges to expansion of their CBTs in health services. More studies are necessary to learn the true impact on CBTs in health services.
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L. O. Gostin, A. L. Taylor, Global health law: a definition and grand challenges, Pub. Health Ethics 1 (2008) 53–63.
L. O. Gostin, E. A. Mok, Grand challenges in global health governance, Br. Med. Bull 60 (2009) 7–18.
D. B. Fidler, et al., Managing the pursuit of health and wealth:the key challenges, Lancet 373 (2009) 325–331.
D. Chor, M. Kalina, Off the cliff and back? Credit conditions and international trade during the global financial crisis, J. Int. Econ. 87 (2012) 117–133.
A. Szyszka, Behavioral anatomy of a financial crisis, JCC. 3(2010) 121–135.
D. K. Upadhyay, Indian Council on World Affairs: migrant crisis in Europe: causes, responses and complexities [Internet], 2016, [cited 24 February 2019]; Available from: https://icwa.in/pdfs/guestcolumn/2014/MigrantCrisisinEurope26042016.pdf
P. Martin, The global challenge of managing migration, Popul.Bull. 68 (2013) 1–20.
The Office High Comm. Human Rts. West Africa Regional Office:a human rights perspective into the Ebola out-break [Internet], 2014, [cited 24 February 2019]. Available from: http://www.globalhealth.org/wpcontent/uploads/A-human-rights-perspective-into-the-Ebolaoutbreak.pdf
M. McKee, et al., Towards a comprehensive global approachto prevention and control of NCDs, Global. Health. 10 (2014)1–7.
R. S. Magnusson, D. Patterson, The role of law governancere form in the global response to non-communicable diseases,Global. Health. 10 (2014) 1–18.
M. Higo, H. T. A. Khan, Global population aging: unequal distribution of risks in later life between developed and developing countries, Global Soc. Pol. 15 (2014) 146–166.
D. E. Bloom, et al., Geneva: World Economic Forum:the global economic burden of noncommunicable diseases[Internet], 2011, [cited 24 February 2019]. Available from: http://www3.weforum.org/docs/WEFHarvardHEGlobalEconomicBurdenNonCommunicableDiseases2011.pdf
D. Bell, et al., Transnational healthcare: cross-border perspectives, Soc. Sci. Med. 124 (2015) 284–289.
Thailand Board of Investment, Thailand poised to be Asia’s medical hub, Thailand Invest. Rev. 26 (2016) 3–4.
J. Gunawan, Thailand medical tourism and ASEAN Mutual Recognition Arrangements (MRAs): treat or promise?, Int. J. Innovat. Med. Edu. Res. 2 (2016) 9–12.
R. Aung, The GATS negotiations: Implications for health and social services, Inter. Econ. 38 (2003) 147–155.
L. Davis, F. Erixon, The health of nations: conceptualizing approaches to trade in health care, ECIPE. No. 04/20080 (2008)1–14.
A. A. Alexander, American diagnostic radiology moves off shore: is this field riding the “internet wave” into a regulatoryabyss? J. L. & Health 20 (2006–2007) 199–251.
D. Levac, H. Colquhoun, K. O’Brien, Scoping studies: Advancing the methodology, IS. 5 (2010) 1–9.
A. M. Abou Setta, et al., Methods for developing evidence reviews in short periods of time: a scoping review, PLOS One.12 (2017) 1–16.
S. Lester, Expanding trade in medical care through telemedicine, Cato I. Policy Analysis. 769 (2015) 1–12.
N. S. Pocock, K. H. Phua, Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia,Global. Health. 7 (2011) 1–12.
R. S. S. Mary, Medical tourism in Asia an overview, IR-MJCR. 2 (2014) 133–34.
R. abonte, T. Schecker, Globalization and social determinants of health: the role of the global market place (Part 2 of 3),Global. Health. 3 (2007) 1–17.
R. D. Smith, et al., Trade in health related services, Lancet 373 (2009) 593–601.
R. D. Smith, et al., Medical tourism: a review of the literature and analysis of a role for bilateral trade, Health Policy 103(2011) 276–282.
C. M. Hall, Health and medical tourism: a kill or cure for global public health?, Tourism Rev. 66 (2011) 4–15.
J. A. Unti, Medical and surgical tourism: the new world of health care globalization and what it means for the practicing surgeon, BACS. 94 (2009) 18–25.
N. Cortez, Medical malpractice model for developing countries, Drexel L. R. 4 (2011) 218–241.
S. Hambali, S. Khodapanahandeh, A review of medical malpractice issues in Malaysia under tort litigation system, Glob. J.Health Sci. 6 (2014) 76–83.
A. Jha, et al., The global burden of unsafe medical care: analytical modeling of observational modeling, BJM Saf. Qual. 22(2013) 809–814.
M. Izadi, et al., Medical travel: the ethical and legal challenges, IJTMGH. 1 (2014) 23–28.
J. J. Gurrieri, K. M. Karban, The good, bad, and reality of offshore coding: some turn to distant shores to fill US coding demands, J. AHIMA. 84 (2013) 44–48.
G. Segal, Enabling globalization of health care in the information era: telemedicine and the medical World Wide Web, Va. J.L. & Tech. 17 (2012) 1–34.
R. Chanda, Trade in health services, Bull. World Health Organ. 80 (2002) 158–163.[36] G. Greenleaf, The influence of European data privacy standards outside Europe: implications for globalization of convention, IDPL. 108 (2012) 68–92.
P. M. Schwartz, The E.U.-U.S. privacy collision: a turn to institutions and procedures, Harv. L. R. 126 (2013) 1966–2009.
M. Davino, Assessing privacy risks in outsourcing, J.AHIMA. 75 (2005) 42–46.
R. Lowes, Special report: overseas transcription: is it safe?, Med. Econ. 81 (2004) 1–2.
A. L. D. Pereira, Patient safety in e-health and telemedicine, Lex Medicinae. (2014) 95–106.
E. M. Fish, et al., State licensure regulations evolve to meet demands of modern medical practice, SciTech Lawyer (ABA).10 (2014) 1–11.
R. S. Wienstein, et al., Telemedicine, telehealth, and mobilehealth applications that work: opportunities and barriers, Am.J. Med. 127 (2014) 183–187.
Oxford Business Group, Thailand Business News: Thailand has healthy prospects for medical tourism [Internet],2015, [cited 24 February 2019], Available from: http://www.medicaltourismmagazine.com/medical-malpractice-in-the-realm-of-medical-tourism/
A. A. Alexander, U.S. medical malpractice: State-based no-fault compensation schemes, Thammasat L. J. 45 (2559).
M. E. Susila, Criminal prosecution of doctors in Indonesia:issues and problems, IIUMLJ. 23 (2015) 439–458.
H. Li, et al., Claims, liabilities, injuries, and compensation payments of medical malpractice litigation cases in China from 1998–2011, BMC Health Serv. Res. 14 (2014) 1–9.
R. B. Leflar, The regulation of medical malpractice in Japan,Clin. Orthop. Relat. Res. 467 (2009) 443–449.
S. Wang, J. Z. Jackson, For the Defense: the handling ofmalpractice in South Korea as a stimulus for American tortreform action [Internet]. 2014 [cited 3 March 2019] Available:http://www.mdmclaw.com/tasks/sites/mdmc/assets/Image/FTD-WangJackson%20Aug%202014.pdf
D. Yaelao et al., A review of patient safety in Thailand and Malaysia, IJBS. 9 (2014) 53–70.
R. Bennie, Medical tourism: a look at how medical outsourcing can reshape health care, Texas Int’l L. J. 49 (2014) 583–600.
C. D. Steklof, Medical tourism and the legal impediments torecovery in cases of medical malpractice, Wash. U. Global Stud. L. Rev. 9 (2010) 721–742.
A. Mitchell, et al., Medical malpractice, DFDL: UPDATEMagazine. (2014) 21–22.
P. Jagyasi, Med. Tourism Mag.: medical malpractice in the realm of medical tourism [Internet], 2011, [cited 24 February 2019], Available from: http://www.medicalTourismmagazine.com/medical-malpractice-in-the-realm-omedicaltourism/
P. Merrer-Singer, Medical practice overseas: the legal uncertainty surrounding medical tourism, Duke L. Rev. 702 (2011)211–232.
E. Whitman, IBT: China South Korea relations:plasticsurgery complaints could hurt diplomacy amid rising tide of botched operations [Internet], 2015, [cited 24 February2019]; Available from http://www.ibtimes.com/china-south-korearelations-plastice-surgerycomplaints-could-hurt-diplomacy-amid-2130742
R. D. Smith, Foreign direct investment and trade in health ser-vices: a review of the literature, Soc. Sci. & Med. 59 (2004)2313–2223.
M. Koehler, A malady in search of a cure the increase in FCPA enforcement actions against health care companies, UMLR. 38(2008) 261–301.
N. M. Lacktman, R. J. Ferris, Health Care Law Today:do you really know your China telemedicine partners?China anti-corruption effort focuses on major medical institutions [Internet], 2015, [24 February 2019], Available from: http://www.healthcarelawtoday.com/2015/02/24/do-you-really-knowyour-china-telemedicine-partners-chi-na-anti-corruption-effort-focuses-on-major-medical-institutions/
N. R. Rao, A little more than kin, and less than kind: USimmigration policy on international medical graduates, AMAJ. Ethics. 4 (2012) 329–37.
A. Scheuer, Healthcare IT News: e-health in India: advancingon all levels [Internet], 2010, [cited 24 February 2019], Available from: http://www.healthcareitnews.com/news/ehealth-india-advancing-all-levels
Accenture, Accenture:connected health in Singapore[Internet], 2012, [cited 24 February 2019], Available from: http://www.accentUre.com/SiteCollectionDocuments/PDF/Accenture-US-Connected-Health-In-Singapore-Onthethreshold.pdf
C. E. Brolan, et al., Borderline health: complexities of the Torres Strait Treaty, Med. J. Aust. 195 (2011) 503–505.[63] J. Campbell, et al., The Global Code: increasing relevance and effectiveness. Hum. Resour. Health. 14 (2016) 1–3.