Health tourism trends in the United Kingdom: Are they net exporters of health services?

The study investigates the inbound and outbound health tourism in the United Kingdom (UK) to determine if the UK can be considered as a net exporter of health services. Although there is an increasing number of studies analysing the phenomenon of health tourism, little empirical data are available. This paper contributes to reducing this gap by providing reliable data on health tourism flows for the British case. Using microdata drawn from the International Passenger Survey (IPS) for the period 2000-2014, we estimate the flows, number of nights and expenditure of tourists looking for medical treatment who complete international visits of less than 12 months’ duration to and from the UK. In addition, we analyse the main destinations of UK residents (outbound health tourists), and country of origin of overseas residents (inbound health tourists). The results show the upward trend of inbound and outbound patients (163 and 364% during the period 2000-2014, respectively), the strong seasonality in outbound patients (lower during the summer), and the significant increase in the levels of expenditure of overseas residents since 2005. Poland, France, India and Hungry are the chosen countries by UK residents to be treated, whereas Irish Republic, Spain, United Arab Emirates and Greece are the main countries providing inbound health patients. Public policy considerations are given.

Health planning & health services research /

Description based on: Oct. 16, 1979.

Representativeness, legitimacy and power in public involvement in health-care management

Public participation in health-service management is an increasingly prominent policy internationally. Frequently, though, academic studies have found it marginalized by health professionals who, keen to retain control over decision-making, undermine the legitimacy of involved members of the public, in particular by questioning their representativeness. This paper examines this negotiation of representative legitimacy between staff and involved users by drawing on a qualitative study of service-user involvement in pilot cancer-genetics services recently introduced in England, using interviews, participant observation and documentary analysis. In contrast to the findings of much of the literature, health professionals identified some degree of representative legitimacy in the contributions made by users. However, the ways in which staff and users constructed representativeness diverged significantly. Where staff valued the identities of users as biomedical and lay subjects, users themselves described the legitimacy of their contribution in more expansive terms of knowledge and citizenship. My analysis seeks to show how disputes over representativeness relate not just to a struggle for power according to contrasting group interests, but also to a substantive divergence in understanding of the nature of representativeness in the context of state-orchestrated efforts to increase public participation. This divergence might suggest problems with the enactment of such aspirations in practice; alternatively, however, contestation of representative legitimacy might be understood as reflecting ambiguities in policy-level objectives for participation, which secure implementation by accommodating the divergent constructions of those charged with putting initiatives into practice.

first annual report state department of mental health columbia, south carolina july 11, 1963-june 30, 1964

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

2nd ANNUAL REPORT JULY 1, 1964 - JUNE 30, 1965 STATE DEPARTMENT of MENTAL HEALTH Columbia, South Carolina 1965

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1979-80

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1980-81

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1981-82

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1982-83

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1971-72

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1972-73

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1973-74

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1974-75

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1975-76

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.