BACKGROUND Medical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism. METHODS The methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists' decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists. RESULTS The final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service.

中文翻译：

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开发用于道德参与医疗旅游的信息工具。

背景技术医疗旅游是有意跨境旅行以获得医疗服务的人们的做法，引起了研究人员的越来越多的关注，特别是关于这种做法的潜在道德问题。研究人员对可能对个人安全，医疗游客和目的地国家的两个原籍国的公共卫生以及全球卫生公平性产生潜在负面影响表示关注。但是，在通常提供给医疗游客的信息源中未讨论这些道德问题，因此，医疗游客在从事医疗旅游时可能不会意识到这些问题。本文介绍了用于开发信息表的方法，该信息表旨在分发给加拿大的医疗游客，以鼓励人们思考和进一步公开讨论医疗旅游中的道德问题。方法编制信息表的方法是通过反复进行的过程来考虑利益相关者对信息表内容和使用的反馈，因为它可能会影响潜在的医疗游客的决策。这种方法包括文献综述以及与加拿大公共卫生专业人员和前医疗游客的形成性研究。结果根据医疗旅游利益相关者的反馈，最终信息表在整个形成性研究过程中进行了多次修订。这些修订主要着眼于使信息表简明扼要，以鼓励考虑进行医疗旅游的个人在目的地国，旅行中以及返回加拿大后就其安全性进行进一步的研究，以及他们的旅行对加拿大的潜在影响。第三方。可以复制此方法，以用于开发信息表，以向特定服务的提供者或消费者传达对其他实践的道德关注。