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Full-Text Articles in Social and Behavioral Sciences

“Medical Tourism Will…Obligate Physicians To Elevate Their Level So That They Can Compete”: A Qualitative Exploration Of The Anticipated Impacts Of Inbound Medical Tourism On Health Human Resources In Guatemala, Valorie A. Crooks, Ronald Labonté, Alejandro Cerón, Rory Johnston, Jeremy Snyder, Marcie Snyder Jul 2019

“Medical Tourism Will…Obligate Physicians To Elevate Their Level So That They Can Compete”: A Qualitative Exploration Of The Anticipated Impacts Of Inbound Medical Tourism On Health Human Resources In Guatemala, Valorie A. Crooks, Ronald Labonté, Alejandro Cerón, Rory Johnston, Jeremy Snyder, Marcie Snyder

Anthropology: Faculty Scholarship

Background: Medical tourism, which involves cross-border travel to access private, non-emergency medical interventions, is growing in many Latin American Caribbean countries. The commodification and export of private health services is often promoted due to perceived economic benefits. Research indicates growing concern for health inequities caused by medical tourism, which includes its impact on health human resources, yet little research addresses the impacts of medical tourism on health human resources in destination countries and the subsequent impacts for health equity. To address this gap, we use a case study approach to identify anticipated impacts of medical tourism sector development on health ...


Neocolonial Epidemiology: Public Health Practice And The Right To Health In Guatemala, Alejandro Cerón Apr 2019

Neocolonial Epidemiology: Public Health Practice And The Right To Health In Guatemala, Alejandro Cerón

Anthropology: Faculty Scholarship

The relationship between public health practice and the fulfilment of the right to health is often assumed to be synergistic. With the goal of understanding how exactly this relationship happens, I studied the everyday practice of epidemiology in Guatemala, seeking to understand how it shapes and is shaped by the notion of health as a human right. Here I present findings from my ethnographic investigation of the Guatemalan Centro Nacional de Epidemiología (National Epidemiology Center), created in 2004 with the explicit mission of contributing to fulfilling the right to health for the inhabitants of Guatemala. While the relationship between epidemiological ...


Government Roles In Regulating Medical Tourism: Evidence From Guatemala, Ronald Labonté, Valorie A. Crooks, Alejandro Cerón, Vivien Runnels, Jeremy Snyder Sep 2018

Government Roles In Regulating Medical Tourism: Evidence From Guatemala, Ronald Labonté, Valorie A. Crooks, Alejandro Cerón, Vivien Runnels, Jeremy Snyder

Anthropology: Faculty Scholarship

Background: Regulation of the medical tourism and public health sectors overlap in many instances, raising questions of how patient safety, economic growth, and health equity can be protected. The case of Guatemala is used to explore how the regulatory challenges posed by medical tourism should be dealt with in countries seeking to grow this sector.

Methods: We conducted a qualitative case study of the medical tourism sector in Guatemala, through reviews and analyses of policy documents and media reports, key informant interviews (n = 50), and facility site-visits.

Results: Key informants were critical of the absence of effective public regulation of ...


Idrf Book Exchange: Mosquito Trails, Alex Nading, Chris Gratien, Aman Luthra, Alejandro Cerón Apr 2018

Idrf Book Exchange: Mosquito Trails, Alex Nading, Chris Gratien, Aman Luthra, Alejandro Cerón

Anthropology: Faculty Scholarship

IDRF fellows discuss Alex Nading’s book Mosquito Trails: Ecology, Health, and the Politics of Entanglement, based on his International Dissertation Research Fellowship research on waste management and disease ecologies in urban Nicaragua.


Factors Associated To Acceptable Treatment Adherence Among Children With Chronic Kidney Disease In Guatemala, Brooke Ramay, Alejandro Cerón, Luis Pablo Méndez-Alburez, Randall Lou-Meda Jan 2017

Factors Associated To Acceptable Treatment Adherence Among Children With Chronic Kidney Disease In Guatemala, Brooke Ramay, Alejandro Cerón, Luis Pablo Méndez-Alburez, Randall Lou-Meda

Anthropology: Faculty Scholarship

Pediatric patients with Chronic Kidney Disease face several barriers to medication adherence that, if addressed, may improve clinical care outcomes. A cross sectional questionnaire was administered in the Foundation for Children with Kidney Disease (FUNDANIER, Guatemala City) from September of 2015 to April of 2016 to identify the predisposing factors, enabling factors and need factors related to medication adherence. Sample size was calculated using simple random sampling with a confidence level of 95%, confidence interval of 0.05 and a proportion of 87%. A total of 103 participants responded to the questionnaire (calculated sample size was 96). Independent variables were ...


“That’S Enough Patients For Everyone!”: Local Stakeholders’ Views On Attracting Patients Into Barbados And Guatemala’S Emerging Medical Tourism Sectors, Jeremy Snyder, Valorie A. Crooks, Rory Johnston, Alejandro Cerón, Ronald Labonte Oct 2016

“That’S Enough Patients For Everyone!”: Local Stakeholders’ Views On Attracting Patients Into Barbados And Guatemala’S Emerging Medical Tourism Sectors, Jeremy Snyder, Valorie A. Crooks, Rory Johnston, Alejandro Cerón, Ronald Labonte

Anthropology: Faculty Scholarship

Background

Medical tourism has attracted considerable interest within the Latin American and Caribbean (LAC) region. Governments in the region tout the economic potential of treating foreign patients while several new private hospitals primarily target international patients. This analysis explores the perspectives of a range of medical tourism sector stakeholders in two LAC countries, Guatemala and Barbados, which are beginning to develop their medical tourism sectors. These perspectives provide insights into how beliefs about international patients are shaping the expanding regional interest in medical tourism.

Methods

Structured around the comparative case study methodology, semi-structured interviews were conducted with 50 medical tourism ...


Propiedad Intelectual Y Acceso A Medicamentos: El Caso De Lopinavir/Ritonavir En Guatemala, Luis Pablo Méndez-Alburez, Alejandro Cerón Jan 2016

Propiedad Intelectual Y Acceso A Medicamentos: El Caso De Lopinavir/Ritonavir En Guatemala, Luis Pablo Méndez-Alburez, Alejandro Cerón

Anthropology: Faculty Scholarship

No abstract provided.


Providers’ Perspectives On Inbound Medical Tourism In Central America And The Caribbean: Factors Driving And Inhibiting Sector Development And Their Health Equity Implications, Rory Johnston, Valorie A. Crooks, Alejandro Cerón, Ronald Labonté, Jeremy Snyder, Emanuel O. Núñez, Walter G. Flores Jan 2016

Providers’ Perspectives On Inbound Medical Tourism In Central America And The Caribbean: Factors Driving And Inhibiting Sector Development And Their Health Equity Implications, Rory Johnston, Valorie A. Crooks, Alejandro Cerón, Ronald Labonté, Jeremy Snyder, Emanuel O. Núñez, Walter G. Flores

Anthropology: Faculty Scholarship

Background

Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector.

Objective

To identify common social, economic, and health system factors shaping the development of medical tourism in three Central American and Caribbean countries and their health equity implications.

Design

In-depth, semi-structured interviews were conducted in Mexico, Guatemala, and Barbados with 150 health system stakeholders. Participants were recruited from private and public sectors working in various fields: trade ...


Abuse And Discrimination Towards Indigenous People In Public Health Care Facilities: Experiences From Rural Guatemala, Alejandro Cerón, Ana Lorena Ruano, Silvia Sánchez, Aiken S. Chew, Diego Díaz, Alison Hernández, Walter G. Flores Jan 2016

Abuse And Discrimination Towards Indigenous People In Public Health Care Facilities: Experiences From Rural Guatemala, Alejandro Cerón, Ana Lorena Ruano, Silvia Sánchez, Aiken S. Chew, Diego Díaz, Alison Hernández, Walter G. Flores

Anthropology: Faculty Scholarship

Background

Health inequalities disproportionally affect indigenous people in Guatemala. Previous studies have noted that the disadvantageous situation of indigenous people is the result of complex and structural elements such as social exclusion, racism and discrimination. These elements need to be addressed in order to tackle the social determinants of health. This research was part of a larger participatory collaboration between Centro de Estudios para la Equidad y Gobernanza en los Servicios de Salud (CEGSS) and community based organizations aiming to implement social accountability in rural indigenous municipalities of Guatemala. Discrimination while seeking health care services in public facilities was ranked ...


Local Disease Concepts Relevant To The Design Of A Community-Based Surveillance Program For Influenza In Rural Guatemala, Alejandro Cerón, Maria Renee Ortiz, Danilo Álvarez, Guy H. Palmer, Celia Cordón-Rosales Jan 2016

Local Disease Concepts Relevant To The Design Of A Community-Based Surveillance Program For Influenza In Rural Guatemala, Alejandro Cerón, Maria Renee Ortiz, Danilo Álvarez, Guy H. Palmer, Celia Cordón-Rosales

Anthropology: Faculty Scholarship

Background

Early detection of emergent influenza strains is a global health priority. However, maintaining active surveillance is economically and logistically challenging. While community-based surveillance is an attractive alternative, design and operation of an effective epidemiological surveillance program requires community engagement that can be linked to public health reporting and response. We report the results of a study in rural Guatemalan communities aimed at identifying opportunities for and barriers to community engagement in disease surveillance.

Methods

Using an ethnographic approach followed by a descriptive cross-sectional survey, we documented local terms and ideas about animal illnesses, including the possibility of animal-human transmission ...


Comparing Antibiotic Self-Medication In Two Socio-Economic Groups In Guatemala City: A Descriptive Cross-Sectional Study, Brooke M. Ramay, Paola Lambour, Alejandro Cerón Jan 2015

Comparing Antibiotic Self-Medication In Two Socio-Economic Groups In Guatemala City: A Descriptive Cross-Sectional Study, Brooke M. Ramay, Paola Lambour, Alejandro Cerón

Anthropology: Faculty Scholarship

Background

Self-medication with antibiotics may result in antimicrobial resistance and its high prevalence is of particular concern in Low to Middle Income Countries (LMIC) like Guatemala. A better understanding of self-medication with antibiotics may represent an opportunity to develop interventions guiding the rational use of antibiotics. We aimed to compare the magnitude of antibiotic self-medication and the characteristics of those who self-medicate in two pharmacies serving disparate socio-economic communities in Guatemala City.

Methods

We conducted a descriptive, cross-sectional study in one Suburban pharmacy and one City Center pharmacy in Guatemala City. We used a questionnaire to gather information about frequency ...


Los Caminos Del Enfermo En Una Comunidad K’Iche’ De Guatemala: Una Contribución Del Análisis De Redes Al Estudio De Los Comportamientos De Búsqueda De Atención En Salud, Alejandro Cerón Jan 2010

Los Caminos Del Enfermo En Una Comunidad K’Iche’ De Guatemala: Una Contribución Del Análisis De Redes Al Estudio De Los Comportamientos De Búsqueda De Atención En Salud, Alejandro Cerón

Anthropology: Faculty Scholarship

Introducción: El objetivo de este estudio fue ampliar la comprensión sobre los comportamientos de búsqueda de atención a través del análisis de las transiciones que las personas hacen entre distintas alternativas terapéuticas. Metodología: Una encuesta de prevalencia de enfermedad en 229 unidades domésticas de la comunidad, detectó 92 personas con algún padecimiento agudo, a quienes se entrevistó para establecer las acciones que tomaron respecto a la enfermedad. Las acciones correspondieron a una de las siguientes categorías: esperar, remedios caseros, compra de medicinas, o uso de profesionales (tradicionales, biomedicina o sanación divina). Estas categorías terapéuticas se tabularon en una matriz idéntica ...