“Medical tourism” and the global marketpla… [Int J Health Serv. 2010] – PubMed – NCBI

Int J Health Serv. 2010;40(3):443-67.

“Medical tourism” and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care.

Turner L.

Source

Center for Bioethics, University of Minnesota, Minneapolis, MN 55455, USA. turne462@umn.edu

Abstract

Health services are now advertised in a global marketplace. Hip and knee replacements, ophthalmologic procedures, cosmetic surgery, cardiac care, organ transplants, and stem cell injections are all available for purchase in the global health services marketplace. “Medical tourism” companies market “sun and surgery” packages and arrange care at international hospitals in Costa Rica, India, Mexico, Singapore, Thailand, and other destination nations. Just as automobile manufacturing and textile production moved outside the United States, American patients are “offshoring” themselves to facilities that use low labor costs to gain competitive advantage in the marketplace. Proponents of medical tourism argue that a global market in health services will promote consumer choice, foster competition among hospitals, and enable customers to purchase high-quality care at medical facilities around the world. Skeptics raise concerns about quality of care and patient safety, information disclosure to patients, legal redress when patients are harmed while receiving care at international hospitals, and harms to public health care systems in destination nations. The emergence of a global market in health services will have profound consequences for health insurance, delivery of health services, patient-physician relationships, publicly funded health care, and the spread of medical consumerism.

via “Medical tourism” and the global marketpla… [Int J Health Serv. 2010] – PubMed – NCBI.

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The other side of the Chinese economic mir… [Int J Health Serv. 2012] – PubMed – NCBI

Int J Health Serv. 2012;42(1):9-27.

The other side of the Chinese economic miracle.

Zhang W.

Source

Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, USA. wzhang@jhsph.edu

Abstract

Despite the financial crisis still sinking the world economy, China’s GDP growth rate in 2010 reached 10 percent, continuing the great momentum maintained since the 1980s. This is often referred to as the Chinese economic miracle. While many marvel at and try to mystify the miracle, the other side of the miracle is less than miraculous. Compared with the period of its planned economy between the 1950s and 1970s, in the ensuing three decades, China has undergone slower progress in major health indicators, and this has been accompanied by an ailing health care system. This report presents a portrait of China’s underdevelopment of health and its health care system, with up-to-date statistics. Such information is important for a fuller, more balanced, and more accurate view of the Chinese economic miracle.

via The other side of the Chinese economic mir… [Int J Health Serv. 2012] – PubMed – NCBI.

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An unexpected mortality increase in the Un… [Int J Health Serv. 2012] – PubMed – NCBI

An unexpected mortality increase in the United States follows arrival of the radioactive plume from Fukushima: is there a correlation?

via An unexpected mortality increase in the Un… [Int J Health Serv. 2012] – PubMed – NCBI.

Posted in epigenetics, Events, Fifth Avenue Concierge Medicine, Forensic Neuropsychiatry, Health, keto, News | Tagged , , |

Now Open for Registration: Psychiatric Comorbidities of Migraine Headache Webinar, National Headache Foundation, Tuesday, Nov. 13

Slide show of Webinar

On Tuesday, Nov 13, 630PM US CST, I will be doing a NHF webinar on the psychiatric comorbidities of migraine headache, focusing on recent panic disorder research, epigenetics of early childhood adversity, PTSD and migraine, traumatic brain injury and migraine, the endogenous opioid system, affective neuroscience and other pertinent topics. Feel free to register and forward to anyone interested in the topic etc.

Psychiatric Comorbidities Of Migraine Headache

via Psychiatric Comorbidities.


Tuesday, November 13, 2012 6:30 PM – 7:30 PM CST

Click Here For Webinar Registration

Maurice Preter, MD (www.psychiatryneurology.net) is one of a handful of dually board certified specialists in both neurology and psychiatry worldwide, and practices as a neurologist, psychodynamic psychiatrist and psychopharmacologist in New York City. He also has an active international clinical consulting practice with affiliate offices in Beijing and Shanghai, PRChina, and Paris, and recently founded GlobalMedicalAdvisors (www.GlobalMedicalAdvisors.net), a specialist referral and health consulting firm.

Educated at the Universities of Munich, Germany and of Paris, France, he received his postgraduate specialty training in neurology and psychiatry at the Albert Einstein College of Medicine in New York. He has researched and written about a wide range of neuropsychiatric topics, including headache, stroke, sleep disorders, epilepsy, panic disorder, psychological trauma, and the history of neurology in China. He recently co-authored the chapter on complementary and alternative medicine approaches to headache in the forthcoming, The Neuropsychiatry of Headache, edited by Mark Green MD and Philip Muskin MD   (Cambridge University Press 2013, https://psychiatryneurology.net/events/the-neuropsychiatry-of-headache-academic-and-professional-books-cambridge-university-press/). Dr. Preter is a member of the psychiatry faculty of Columbia University’s College of Physicians and Surgeons, and an associate professor of neurology at Downstate Medical Center. His particular interest is in the diagnosis and integrated treatment of conditions that overlap between neurology, psychological health and general medicine (e.g., chronic pain, dementia, traumatic brain injury). Dr. Preter holds physician licenses in New York, Paris, Shanghai, Beijing, and Germany, and is fluent in English, French, and German.

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Posted in Affective Neuroscience, epigenetics, Events, Fifth Avenue Concierge Medicine, Forensic Neuropsychiatry, Health, keto, News, Psychiatry/Neurology | Tagged , , , , , , , , , |

Fatal accidents following changes in daylight savi… [Sleep Med. 2001] – PubMed – NCBI

Higher incidence of fatal accidents following changes in daylight savings time: the American experience.

via Fatal accidents following changes in daylight savi… [Sleep Med. 2001] – PubMed – NCBI.

Abstract

Objective: This study examines specific hypotheses that both sleep loss and behavioral changes occurring with the time shifts for Daylight Savings Time (DST) significantly effect the number of fatal traffic accidents in the United States of America.Background: It has been reported that there is a significant increase in the number of automobile accidents in the spring shift to DST due to the loss of 1 h of sleep. But the extra hour gained at night with the shift from DST in the fall has been variably reported to be associated with increases and decreases in the number of automobile accidents which may reflect either behavioral anticipation with an extended late night prior to the change or the benefit of extra sleep after the change.Methods: Data from 21 years of United States’ fatal automobile accidents were gathered. The mean number of accidents on the days at the time of the shifts (Saturday, Sunday and Monday) was compared to the average of the corresponding mean number of accidents on the matching day of the weeks preceding and following the shift. This was repeated for each DST shift. The number of accidents for a particular shift was also correlated with the year of the accidents.Results: There was a significant increase in accidents for the Monday immediately following the spring shift to DST (t=1.92, P=0.034). There was also a significant increase in number of accidents on the Sunday of the fall shift from DST (P<0.002). No significant changes were observed for the other days. A significant negative correlation with the year was found between the number of accidents on the Saturdays and Sundays but not Mondays.Conclusions: The sleep deprivation on the Monday following shift to DST in the spring results in a small increase in fatal accidents. The behavioral adaptation anticipating the longer day on Sunday of the shift from DST in the fall leads to an increased number of accidents suggesting an increase in late night (early Sunday morning) driving when traffic related fatalities are high possibly related to alcohol consumption and driving while sleepy. Public health educators should probably consider issuing warnings both about the effects of sleep loss in the spring shift and possible behaviors such as staying out later, particularly when consuming alcohol in the fall shift. Sleep clinicians should be aware that health consequences from forced changes in the circadian patterns resulting from DST come not only from physiological adjustments but also from behavioral responses to forced circadian changes.

PMID:
11152980
[PubMed – as supplied by publisher]


Posted in Fifth Avenue Concierge Medicine, Forensic Neuropsychiatry, Health, keto, Psychiatry/Neurology | Tagged , |