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Preparedness of general practitioners in providing health services to foreign tourists in Bali, Indonesia

Anak Agung Sagung Sawitri , Putu Cintya Denny Yuliyatni

Anak Agung Sagung Sawitri
Udayana University. Email: sawitri56@hotmail.com

Putu Cintya Denny Yuliyatni
Udayana University
Online First: July 01, 2017 | Cite this Article
Sawitri, A., Yuliyatni, P. 2017. Preparedness of general practitioners in providing health services to foreign tourists in Bali, Indonesia. Public Health and Preventive Medicine Archive 5(1): 54-60. DOI:10.15562/phpma.v5i1.44


Background and purpose: Bali was visited by more than 4.9 million foreign tourists in 2016. To some extent foreign tourists may need health services during their travel. This study aims to describe perception of preparedness of general practitioners (GPs) to provide health services for foreign tourists.

Methods: Surveys were conducted among foreign tourists who visited Bali in 2012 and among GPs in 2013. Self-administered questionnaires on the level of satisfaction were completed by 108 foreign tourists. Structured questionnaires exploring the travel medicine knowledge and English language proficiency were completed by 109 GPs. The experience of foreign patients was used to triangulate the response from GPs.

Result: Good satisfaction in terms of capacity of GPs to provide quality services reported by foreign tourists was varied between 76% and 85%. Assessment of level of knowledge among GPs regarding travel medicine showed that 33% GPs were having good knowledge, 55.1% fair and 11.9% poor. The proportion of correct answer of several items were low, which included recommended vaccine (11%), management of jetlag (13,8%), symptoms of barotrauma during diving (13,8%), sunburn and protection (31,2%), malaria prevention (21%), and diarrhea management (27,5%). Good satisfaction of English communication reported by foreign tourists was between 65% and 78%. Meanwhile, 60% GPs believed to have  good English communication with their foreign patients.

Conclusion: Preparedness of general practitioners to deliver health services and in English communication to foreign tourists was generally sufficient. Knowledge of GPs on several aspects of travel medicine was insufficient.

References

Bali Tourism Office. The number of foreign tourists arrival to Bali by month [Internet]. Bali; 2014. Available from: http://www.disparda. baliprov.go.id/en/Statistics2

Wedagama D. The Influence of Accident Related Factors on Road Fatalities Considering Bali Province in Indonesia as a Case Study. J East Asia Soc Transp Stud [Internet]. 2010;8:1905–17. Available from: http://www.easts.info/ publications/journal_ proceedings/journal2010/ pdf

Buhl M, Lindquist L. Japanese Encephalitis in Travelers: Review of Cases and Seasonal Risk. Int Soc Travel Med [Internet]. 2009;16(3):217–9. Available from: https://www.ncbi.nlm.nih.gov/ pubmed/19538584

Wittlinger F, Stefen R, Watanabe H, Handsxuh H. Risk of cholera among Western and Japanese travelers. J Travel Med [Internet]. 1995;2(3):154–8. Available from: https://www. ncbi.nlm.nih.gov/pubmed/9815376

Yoshikawa MJ, Kusriastuti R. Surge of dengue virus infection and chikungunya fever in Bali in 2010: the burden of mosquito-borne infectious diseases in a tourist destination. Trop Med Heal [Internet]. 2013;41:67–78. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3705185/pdf/tmh-41-67.pdf

FAO. Bali Serves as a Model for Control of Rabies [Internet]. 2012. Available from: http://www. fao.org/in-action/bali-serves-as-a-model-for-control-of-rabies/en/

Royal College of Nursing London. Competencies: An Integrated Career And Competency Framework For Nurses In Travel Health Medicine [Internet]. Jane Chiodini, Lorna Boyne, Sandra Grieve, Alexandra Jordan, editors. London: the Royal College of Nursing ; 2007. 1-28 p. Available from: http://www.wales.nhs.uk/ sitesplus/documents/861/

Cohen E. Medical Tourism in Thailand. gsbejournal [Internet]. :25–37. Available from: http://www.graduate.au.edu/gsbejournal/

Ricafort KMF. A study of influencing factors that lead medical tourists to choose Thailand hospitals as medical tourism destination [Internet]. Wbster University; 2011. Available from: http://docplayer.net/4446685-A-study-of-influencing-factors-that-lead-medical-tourists-to-choose-thailand-hospitals-as-medical-tourism-destination.html

Steffen R. Epidemiology of Traveler’s Diarrhea. Oxford Journals Med Clin Infect Dis [Internet]. 2005;41(s8):S536–40. Available from: http:// cid.oxfordjournals.org/content/41/

Priherdityo E. Waspada serangan Bali belly saat liburan di Pulau Dewata. CNN Indonesia [Internet]. Jakarta; 2017;0. Available from: https://www.cnnindonesia.com/gaya-hidup/ 20161231163918-255-183364/waspada-serangan-bali-belly-saat-liburan-di-pulau-dewata/

BIMC. Bali Belly [Internet]. Website. 2017 [cited 2017 Jul 23]. Available from: http:// bimcbali.com/medical-news/bali-belly.html

WHO. International travel and health. Geneva: WHO; 2012. 1-274 p.

Popbali. Keluhan Wisatawan dan Keluhan Warga di Bali (Complains of travellers and complains of resident in Bali). Denpasar; 2014 Nov 27; Available from: http://popbali.com/masalah kronis di Bali

Hill D, Ericsson C, Pearson R, Keystone J, Freedman D, Kozarsky P, et al. The Practice of Travel Medicine: Guidelines by the Infectious Diseases Society of America. Clin Infect Dis [Internet]. Philadelphia; 2006;1499–539. Available from: http://www.idsociety.org/ uploadedFiles/IDSA/Guidelines-Patient_Care/PDF_Library/TravelMedicine.pdf

Hill D, Rosselot G. Starting, Organization and marketing a Travel Clinic in Travel Medicine second edition. Travel Medicine. Elsevier Ltd. Philadelphia.; 2009. p. 13–27.

Levina P. Pelayanan Kedokteran Wisata Suatu Peluang: Cermin Dunia Kedokteran (Travel Health Services an Opportunity: Reflection of Medicine World). Jakarta; 2006;(152):6–8.

Hill D, Rosselot G. The Practice of Travel Medicine: Guidelines by the Infectious Diseases Society of America in IDSA [Internet]. 2011. Available from: cid.oxfordjournals.org


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