{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T05:28:58Z","timestamp":1792214938727,"version":"4.4.0"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100011094","name":"Public Health Agency of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011094","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011015","name":"ISTM","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011015","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U50CK00189"],"award-info":[{"award-number":["U50CK00189"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>International travellers may seek care abroad to address health problems that arise during their trip or plan healthcare outside their country of residence as medical tourists.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data were collected on travellers evaluated at GeoSentinel Network sites who reported healthcare during travel. Both unplanned and planned healthcare were analysed, including the reason and nature of healthcare sought, characteristics of the treatment provided and outcomes. Travellers that presented for rabies post-exposure prophylaxis were described elsewhere and were excluded from detailed analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From May 2017 through June 2020, after excluding travellers obtaining rabies post-exposure prophylaxis (n=\u2009415), 1093 travellers reported care for a medical or dental issue that was an unanticipated part of the travellers\u2019 planned itinerary (unplanned healthcare). Travellers who sought unplanned healthcare abroad had frequent diagnoses of acute diarrhoea, dengue, falciparum malaria and unspecified viral syndrome, and obtained care in 131 countries. Thirty-four (3%) reported subsequent deterioration and 230 (21%) reported no change in condition; a third (n\u2009=\u2009405; 37%) had a pre-travel health encounter. Forty-one travellers had sufficient data on planned healthcare abroad for analysis. The most common destinations were the US, France, Dominican Republic, Belgium and Mexico. The top reasons for their planned healthcare abroad were unavailability of procedure at home (n\u2009=\u20099; 19%), expertise abroad (n\u2009=\u20099; 19%), lower cost (n\u2009=\u20098; 17%) and convenience (n\u2009=\u20097; 15%); a third (n\u2009=\u200913; 32%) reported cosmetic or surgical procedures. Early and late complications occurred in 14 (33%) and 4 (10%) travellers, respectively. Four travellers (10%) had a pre-travel health encounter.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>International travellers encounter health problems during travel that often could be prevented by pre-travel consultation. Travellers obtaining planned healthcare abroad can experience negative health consequences associated with treatments abroad, for which pre-travel consultations could provide advice and potentially help to prevent complications.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jtm\/taad002","type":"journal-article","created":{"date-parts":[[2023,1,14]],"date-time":"2023-01-14T01:33:50Z","timestamp":1673660030000},"source":"Crossref","is-referenced-by-count":20,"title":["Healthcare seeking during travel: an analysis by the GeoSentinel surveillance network of travel medicine providers"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2905-1034","authenticated-orcid":false,"given":"Watcharapong","family":"Piyaphanee","sequence":"first","affiliation":[{"name":"Mahidol University Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, , Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4538-1463","authenticated-orcid":false,"given":"Rhett J","family":"Stoney","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Division of Global Migration and Quarantine, , Atlanta, GA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3869-8021","authenticated-orcid":false,"given":"Hilmir","family":"Asgeirsson","sequence":"additional","affiliation":[{"name":"Karolinska University Hospital, Stockholm, Sweden; Unit of Infectious Diseases, Department of Medicine Huddinge Department of Infectious Diseases, , Stockhol m Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace D","family":"Appiah","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Division of Global Migration and Quarantine, , Atlanta, GA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9427-5237","authenticated-orcid":false,"given":"Marta","family":"D\u00edaz-Men\u00e9ndez","sequence":"additional","affiliation":[{"name":"Tropical and Travel Medicine Unit, RICET, Hospital La Paz-Carlos III , Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth D","family":"Barnett","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine Section of Pediatric Infectious Diseases, Boston Medical Center; Department of Pediatrics, , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Gautret","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille; IHU-M\u00e9diterran\u00e9e Infection , Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3416-6482","authenticated-orcid":false,"given":"Michael","family":"Libman","sequence":"additional","affiliation":[{"name":"McGill University J.D. MacLean Centre for Tropical Diseases, , Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Schlagenhauf","sequence":"additional","affiliation":[{"name":"University of Z\u00fcrich Centre for Travel Medicine, WHO Collaborating Centre for Travellers\u2019 Health , Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Leder","sequence":"additional","affiliation":[{"name":"Royal Melbourne Hospital at the Doherty Institute for Infection and Immunity School of Public Health and Preventive Medicine, Monash University; Victorian Infectious Disease Service, , Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Plewes","sequence":"additional","affiliation":[{"name":"University of British Columbia Department of Medicine, , Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin P","family":"Grobusch","sequence":"additional","affiliation":[{"name":"University of Amsterdam Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, location AMC, , Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Huits","sequence":"additional","affiliation":[{"name":"IRCCS Ospedale Sacro Cuore Don Calabria Department of Infectious Tropical diseases and Microbiology, , Negrar, Verona , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunjana","family":"Mavunda","sequence":"additional","affiliation":[{"name":"International Travel Clinic , Miami, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davidson H","family":"Hamer","sequence":"additional","affiliation":[{"name":"Boston University Department of Global Health, Boston University School of Public Health; Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine; Center for Emerging Infectious Diseases Research and Policy, , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin H","family":"Chen","sequence":"additional","affiliation":[{"name":"Mount Auburn Hospital, Cambridge; Harvard Medical School Division of Infectious Diseases and Travel Medicine, , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"2023051915583590500_ref1","volume-title":"World Tourism Barometer","author":"UNWTO","year":"2022"},{"key":"2023051915583590500_ref2","doi-asserted-by":"crossref","DOI":"10.1093\/jtm\/tax046","article-title":"What proportion of international travellers acquire a travel-related illness? 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