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Medical tourism: globalization of the healthcare marketplace. 医疗旅游:医疗市场的全球化。
MedGenMed : Medscape general medicine Pub Date : 2007-11-13
Michael D Horowitz, Jeffrey A Rosensweig, Christopher A Jones
{"title":"Medical tourism: globalization of the healthcare marketplace.","authors":"Michael D Horowitz,&nbsp;Jeffrey A Rosensweig,&nbsp;Christopher A Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The citizens of many countries have long traveled to the United States and to the developed countries of Europe to seek the expertise and advanced technology available in leading medical centers. In the recent past, a trend known as medical tourism has emerged wherein citizens of highly developed countries choose to bypass care offered in their own communities and travel to less developed areas of the world to receive a wide variety of medical services. Medical tourism is becoming increasingly popular, and it is projected that as many as 750,000 Americans will seek offshore medical care in 2007. This phenomenon is driven by marketplace forces and occurs outside of the view and control of the organized healthcare system. Medical tourism presents important concerns and challenges as well as potential opportunities. This trend will have increasing impact on the healthcare landscape in industrialized and developing countries around the world.</p>","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"2007-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antimicrobial use in hospitals: managing a medical treasure. 抗菌药物在医院的使用:管理医疗宝藏。
MedGenMed : Medscape general medicine Pub Date : 2007-11-12
Robert Gaynes
{"title":"Antimicrobial use in hospitals: managing a medical treasure.","authors":"Robert Gaynes","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2007-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enabling people with disabilities. 帮助残疾人。
MedGenMed : Medscape general medicine Pub Date : 2007-11-09
Harvey V Fineberg
{"title":"Enabling people with disabilities.","authors":"Harvey V Fineberg","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2007-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing healthcare systems: outcomes, ethical principles, and social values. 比较医疗保健系统：结果、伦理原则和社会价值观。
MedGenMed : Medscape general medicine Pub Date : 2007-11-07
Eike-Henner W Kluge
{"title":"Comparing healthcare systems: outcomes, ethical principles, and social values.","authors":"Eike-Henner W Kluge","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The question of how healthcare should be structured has been at the forefront of public debate for quite some time. In particular, debate has raged over the acceptability of socialized and rights-oriented approaches to healthcare as opposed to privatized and commodity-oriented approaches. The present discussion looks at the underlying logic of the debate and at the use of outcome measures as a primary determinant. It suggests that outcome measures are of limited use in deciding the issue because they ignore important variables and further suggests that outcome measures are inappropriate tools when comparing distinct healthcare systems because they ignore valuational components that are integral to deciding whether a healthcare system is consistent with a society's principles and values.</p>","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2007-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Science and sensibility: an interview with Professor Rolf M. Zinkernagel, Nobel Prize Winner for Medicine 1996. Interview by Hrishikesh Satish Kulkarni and Ajit H. Goenka. 科学与感性:专访1996年诺贝尔医学奖得主Rolf M. Zinkernagel教授。采访:Hrishikesh Satish Kulkarni和Ajit H. Goenka。
MedGenMed : Medscape general medicine Pub Date : 2007-11-06
Rolf M Zinkernagel
{"title":"Science and sensibility: an interview with Professor Rolf M. Zinkernagel, Nobel Prize Winner for Medicine 1996. Interview by Hrishikesh Satish Kulkarni and Ajit H. Goenka.","authors":"Rolf M Zinkernagel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2007-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reforms for rating media: disclosure, not censorship. 媒体评级改革：公开而非审查。
MedGenMed : Medscape general medicine Pub Date : 2007-11-05
Kimberly M Thompson
{"title":"Reforms for rating media: disclosure, not censorship.","authors":"Kimberly M Thompson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2007-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrative medicine: sorting fact from fiction. 综合医学:分清事实与虚构。
MedGenMed : Medscape general medicine Pub Date : 2007-11-02
Kenneth R Pelletier
{"title":"Integrative medicine: sorting fact from fiction.","authors":"Kenneth R Pelletier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2007-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should diabetes healthcare abandon its gold standard? 糖尿病医疗应该放弃黄金标准吗?
MedGenMed : Medscape general medicine Pub Date : 2007-11-01
George Treviño
{"title":"Should diabetes healthcare abandon its gold standard?","authors":"George Treviño","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dr. Barry Sample of Quest Diagnostics discusses with Medscape Editor Dr. George Lundberg trends of illicit drug use by American workers in 2007 as shown by workplace drug testing: cocaine use is down. Interview by George D. Lundberg. Quest Diagnostics的Barry Sample博士与Medscape编辑George Lundberg博士讨论了2007年美国工人使用非法药物的趋势，正如工作场所药物测试所显示的那样:可卡因的使用量下降了。George D. Lundberg采访。
MedGenMed : Medscape general medicine Pub Date : 2007-10-31
R H Barry Sample
{"title":"Dr. Barry Sample of Quest Diagnostics discusses with Medscape Editor Dr. George Lundberg trends of illicit drug use by American workers in 2007 as shown by workplace drug testing: cocaine use is down. Interview by George D. Lundberg.","authors":"R H Barry Sample","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The safety of oseltamivir in patients with influenza: analysis of healthcare claims data from six influenza seasons. 流感患者使用奥司他韦的安全性：对六个流感季节的医疗报销数据进行分析。
MedGenMed : Medscape general medicine Pub Date : 2007-10-30
William A Blumentals, Xue Song
{"title":"The safety of oseltamivir in patients with influenza: analysis of healthcare claims data from six influenza seasons.","authors":"William A Blumentals, Xue Song","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Context: </strong>Recently, neuropsychiatric events associated with oseltamivir treatment have been reported, mainly in pediatric patients in Japan.</p><p><strong>Objective: </strong>To explore the influence of oseltamivir treatment on central nervous system (CNS)-related and neuropsychiatric events in adults, children, and adolescents with influenza.</p><p><strong>Design: </strong>A retrospective cohort study using propensity-matched data for 6 influenza seasons (2000-2006).</p><p><strong>Setting: </strong>Claims data were obtained from the Thomson Healthcare MarketScan Research Database.</p><p><strong>Patients: </strong>Patients of all ages and in subgroups aged 12 years or younger, 13-17 years, and 18-49 years diagnosed with influenza.</p><p><strong>Main outcome measures: </strong>Claims for CNS and neuropsychiatric events within 14 and 30 days following influenza diagnosis were compared between patients prescribed oseltamivir and those not prescribed antiviral treatment.</p><p><strong>Results: </strong>Data for 40,704 patients prescribed oseltamivir (9599 aged 12 years or younger; 4615, 13-17 years; and 16,910, 18-49 years) and 40,704 matched controls (9599 aged 12 years or younger; 4621, 13-17 years; and 16,898, 18-49 years) were analyzed. None of the CNS-related and neuropsychiatric events was more likely to occur in patients prescribed oseltamivir. Overall, CNS-related or neuropsychiatric events (odds ratio [OR] 0.76; 95% confidence intervals [CI]: 0.68, 0.84), psychiatric events (OR 0.82; 95% CI: 0.70, 0.96), and disturbances of consciousness (OR 0.61; 95% CI: 0.48, 0.76) within 14 days after influenza diagnosis were all less likely in patients given oseltamivir. Findings were similar within the 30-day post-index time window and across all age groups.</p><p><strong>Conclusions: </strong>No increase in CNS-related and neuropsychiatric events was observed in adults, children, or adolescents with influenza who were prescribed oseltamivir in this study.</p>","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2007-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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