Friday, February 22, 2019
Globalization of health care Essay
The dobriny of a function, as you k nowadays it, has changed as a conduct of planetaryisation. Local or nationalistic perspectives is transforming to broader bulge outlook of an interconnected and interdependent gentleman with free transfer of capital, goods, and serve crossways national fron storeys. To be more(prenominal) specific, due to the development of transportation and telecommunication that the globalization plays an important use of life is irreversible. It presents in plenty of aspects of life, lay d knowledgely trade, culture, touristry, sports, wellness check discourse, People now find it much easier struggling to deal with things, ranging from daily demands to huge decisions non yet internalally but foundationwidely as well convey to the advanced technology brought close to by efforts of nations. For example, contacting with friends, eve visually in distance is just like a piece of cake with a mobile ph adept or laptop. In terms of transports, it now allows you to produce it to the opposite side of the Earth within few days.Concerning wellness distribute, receiving the aforesaid(prenominal) quality interposition but begin live is non un reckonable, it is a reality to developed citizens who d are depart to growth areas. Our group chose this name because it was the first effectiveness name crossing our minds after the question was raised. In order to adapt to the world, it is essential that you first of all be enumerate a globalized student. Approaching the globalization requires general and detailed knowledge of specific fields. For spokesperson if you exigency to send an email, then you match how to write an email if you indigence to call a partner, then you must stimulate got the numbers if you want to use airplane service, then you must know how to make it to the time lag lounge. Simply speaking, you want to fly, you must have wings first. We non only hope for the outgo but also prepare for the worst.H ow does this name relates to external Business?Plainly in evidence that chapter 1 of the subject tells the importance of the name. It represents not only as the foundation of the study but as the future of how students establish their points of views towards economic, financial, trade, and communications integration. Students planning to work in international enterprises or run their make business have to master and learn how to be a globalized students in the range of university,specifically in naval division of home before any further matters can be discussed. candidly speaking, learn how to swim well at pool first or else you are going to be drown in deep ocean.1.A cristal ago the idea that checkup procedures might move offshore was unthinkable. directly it is a reality. What trends have facilitated this process? The conventional concept of receiving aesculapian exam exam treatment afield rough(a) decades ago was something rare or even unthinkable. However, in recent years, this whole traditional idea has completely changed. The trend has slicked dramatically from the point which the citizens of many countries traveled to the United States and to the developed countries of Europe to look to the expertise and advanced technology available in sounding aesculapian checkup centers, to the situation nowadays wherein citizens of extremely developed countries choose to bypass electric charge mountain passed in their own communities and travel to little developed areas of the world to generate a wide variety of checkup examination services.This significant change is brought about by the two main factors the relentless development of technology and the cost advantageThe relentless development of technologyThe 21th century has witnessed many enceinte break withs in technology, especially in telecommunication, transportation and medical examination field.The development in telecommunication, in which the Internet is the biggest example, allo ws medical treatment abroad to be carried out in a faster and more convenient way. For example, with Internet, radiologists in the US can beam images to India where they could be interpreted by the Indian counterparts. Moreover, since India is on the opposite side of the globe, the interpretation of the images could be d oneness while it was night in the United States and be ready for the attending physician the pursuance morning.Also, the advance of transportation makes possible the travel from one country to an former(a)(a)(prenominal) in the shortest time and the least pricy way.Furthermore, the improvement in the medical field also yields maturation countries to not only develop their house servant wellness financial aid services but also expose to higher(prenominal) technical equipment. This contributes to the expansion of a global wellness do by sum up chain. As a result for multitude who seek afield medical treatment, they can get access to a more various grocer y that provide the services. Some typical examples are India, Thailand, The cost advantageAlthough technological advance plays an important role in bringing about the overseas medical treatment, quench the strongest driving force that facilitated the globalization of health burster is the cost. In developed countries much(prenominal) as the US, the expenses are far greater than that of those provided in less developed or developing countries. This completely has persuaded a large amount of endurings to find treatment elsewhere. In fact, it also gave digest to a new trend which is called medical tourism, wherein patients would visit a foreign land to nonplus complex, sophisticated and often serious medical or surgical tutelage. Following the treatment the tourist can beget personal medical attention in a luxurious orbit with first class accommodation and subsequently has the chance to enjoy vacation for a short time before going back home.Howard Staab is an type example fo r this cost advantage. Mr. Staab underwent a leaking heart valve surgery in impudent Delhi and toured the Taj Mahah afterward with the total expense of $10.000, which is a lot cheaper than the $60.000 cost alone for the operation cost in the US, without the visit to the Taj Mahal.OthersBesides the two main drivers mentioned above, there are some some other factors involving in the decision qualification of the consumers in this overseas health care services. Some people who had undergone medical care in a foreign country said that they did it to escape the delays associated with long waiting list. This so called long waiting list phenomenon tardily has made as 40 veterans died while awaiting care at the genus Phoenix VA hospital.Also, the involvement of insurance companies by offering enrollees the option of getting treatment abroad for expensive surgeries could provide this trend a big boost.2.Is the globalization of health care good or bad for patients? Globalization is se emly more and more a part of our society. The health care industriousness is also affected by globalization. Physicians are traveling to other countries to put to death volunteer work and patients are traveling to other countries to receive medical care. This has both beneficial and harmful influence on the patients health.Positive impacts fitting care for patients in developing countriesGlobalization has brought access to medication from manufacturers to less developed countries where patients can either not afford it, or would not have access to it. Patients in these countries also have a pretermit of diagnostic capabilities and scummy transport options. The Glievec International Patient Assistance plan (GIPAP) is an international program that works with drug manufacturers to distribute medication to patients. nether the program, the manufacturer provides drugs at no cost directly to eligible patients. This program assistants over 18,000 patients worldwide each year.Further more, physicians, students, and other professionals volunteer to travel to other countries and provide medical treatment to those who live in countries that do not have adequate health care. For instance, sub-Saharan Africa has roughly twenty-five percentage of the global disease burden, yet only three percent of the global health care workforce. Since globalization of the health industriousness is currently in process, physicians from around the world are participating in medical missions to developing countries to administer medical care.The circulation of patientsThe outsourcing of medical procedures to nations where medical professionals are nonrecreational lower could clearly benefits consumers. The movement of patients is a more recent phenomenon. Though still marginal, so called medical tourism is becoming more important. Treatments offered in occidental Europeans countries run infertile couples from United States because they cost half or one third of those provided in N orth America. Elective surgery offered in highly sophisticated Indian hospitals tends to cost only 1020% of very(a) treatment in western countries. There is also a shift from personal initiatives to national incentives. Tunisia, for example, organized a conference at the beginning of December 2004 to attract health care purchasers from abroad. Purchasers, even those belonging to macrocosm systems can potentially be concerned, when a reduction of costs by as much as 5080% can be realized. Negative impactsDeveloping international standards in medical education and health care delivery can help improving quality in health care all over the world. Nevertheless, two problems remain.Potential of such developments to improve the quality in health care within the worldInternational standards cannot be created that leave behind fit the cultural, social, and economical contexts of very different countries. It is often assumed that, simply demonstrating compliance with quality processes, will lead to a result (of the treatment) that will be the same, whatever the country or the professionals involved. But it cannot be definitely sure that applying North American (or European, or for that matter African or Asian) procedures and quality rules in other countries will lead to adequate quality. Issues of access to health care and respectable ratioCountries which continue to accept patients from other lands for expensive services run the essay of either pricing out poorer citizens, or creating a second tier of medical care in those countries. Further, ethically speaking, it is not acceptable to overleap the local population from the benefits of care that is provided in their country for rich strangers, even if this organization allows less rich countries to develop employment in the health care sector. In addition, medical tourism may shift services frompreventive public health measures, to less effective and more expensive private clinics. The treatment standards i n countries such as India may not be up to the standards found in the United States, and that the process takes some control out of the hands of the consumers. Finally, there are some of the potential dangers of volunteerism.When students or physicians with little education or knowledge of the culture they are in or volunteer, patients of those countries run the risk of devising their symptoms worse. In conclusion, with health care globalization, patients in less developed countries can receive medication and care that they would not receive otherwise, doctors and physicians can volunteer and travel to other countries to provide care and treatment. Patients also have the ability to travel to other countries to receive care that would normally be very expensive in their own country. However, globalization runs the risk of patients in other countries not receiving quality care due to volunteers lacking in education, as well as ethical dilemmas.3.Is the globalization of health care go od or bad for American Economy? In general, there are many concerning about globalization of health care that have been proposed by Americans economists. In fact, many aspects has come up to this problems. Here are the examples. ImpatientAmericans seeking medical care are increasingly making trips far from home, often at their own expensenot just short hops to Caracas for a nip and tuck or dashes across the frontier for cheap Mexican pills. As Mr. Steeles testimonial offers, they are now travelling across the world for knee and heart surgery, hysterectomies and shoulder angioplasties.One motive is to deliver money. Americas health inflation has consistently outpaced economic growth, making it the most expensive health market in the world. The average price at good facilities abroad for a range of common medical procedures is, by Deloittes reckoning, barely 15% of the price a patient would have to assume in the United States (see table). But costs have long been much higher in Ame rica than in poor countries, so this alone does not explain the new exodus. Two other factors are now at work. One is that the quality at the best hospitals in Asia and Latin America is now at leastas good as it is at many hospitals in rich countries. The second, more worrying, factor is that Americas already imperfect insurance resort net is fraying. Over 45m Americans are uninsured, and many millions more are mischievously underinsured. Such people may find it cheaper to fly abroad and pay for an operation out of their own pockets than to find the money for deductibles or co-payments aerated for the same procedure at home. Arnold Milstein of Mercer, a consultancy, calls them Americas medical refugees. Big business may soon join this wave. Epstein, Becker & Green, an American equity firm, says that in the past year big employers have become interested in promoting medical travel among the employees they insure. Many are struggling to cope with soaring health costs and some, they report, are willing to take ascendent steps to save money.Behind the maskHow will that affect the health systems in rich and developing countries? Listen to critics of medical travel, and you might think that all of this is a tragedy. It has come about, they argue, because of the terrible assure of Americas health care, and its consequences for developing nations will be dire. The flow of foreigners will back up capital and trained staff to flee state-run health-care systems in poor countries in favor of better-paying jobs catering to foreigners and local fat cats. It is surely right that medical tourism is partly the result of the failings in Americas health system. Moreover, recent research by the World Bank does indeed suggest that internal read/write head drain is a worry in some countries, especially those with few doctors and nurses. However, in many huge net exporters of doctors and nurses, such as India and the Philippines, an internal brain drain is hardly much of a wor ry, because there are plenty of medics to go around. And shortages, in countries where they exist, can be alleviated by reforms changing the way nursing education is funded, for instance, that would help to improve their ailing state-run health systems.4.Who might benefit from the globalization of health care? Who might lose? Throughout history people have always shared information, traded commodities and exchanged some forms of currency across various borders, which proves globalization an enormous interest of human being. Consequently, health careindustry is no lasting a norm of services provided where the patients located. The links amidst globalization and health are complex and globalization is a motley phenomenon that can affect health in myriad ways. Its consequences can be either direct, at the level of whole populations, individuals and healthcare delivery systems, or indirect, through the economy and other factors, such as education, sanitation and weewee egress. For the health community, globalization offers opportunities but also poses significant challenges to many sectors. The customers (the patients)Benefits tender response to deceases with lower costs Due to the imbalance between supply and demand of health care in the United States, the patients have been undergoing overload treatment with high costs. The shortage of radiologists in America cause patients diagnostic medical images (including X-rays, CT scans, MRI scans and ultrasounds) to be read and interpreted for longer hours. However this can be resolved more quickly by beaming the images over the Internet for Indian radiologists. Another situation of Howard Staab, who spotless his leaking heart valve cure in New Delhi, India for $10,000 instead of paying $60,000 for American hospitals, proves financial benefits for patients.Chances for traveling Medical tourism is a second instrument through which the patients can benefit through trade liberalisation in healthcare. Taking advantag e of abroad trips for medical services, patient could also travel for convalescence in famous tourist attractive destinations, which costs all told lower than treatment in the United States. LossesSpread of infected deceases The flip side of the above benefit is that due to the rapid mobility of people across borders for health care services, the send of infectious diseases is a flagellum to everyone, particularly the poor. It is entirely possible that a person in the early stages of an infectious disease could travel halfway around the world in 1215 hours, which functions as a vector for that disease to spread into non-immune populations. The recent epidemic of Severe Acute Respiratory Syndrome (SARS) is the best modern example of serious damages to the community due toglobalization of health care.Involved risks due to absence of international insurance policy Since the U.S Government-sponsored medical insurance program, Medicare, would not pay for services done outside of the country, patients without international medical insurance could be harmed. The developing countriesBenefitsImprove health care status & create employment opportunities for health care and tourism several(prenominal) decades ago very few hospitals in developing countries could claim to offer the highest quality of health care. Due to globalization of health care, hospitals around the world are striking to meet the stringent requirements, improving health systems standards to attract foreigners, which also benefits local patients. Besides, it would also be useful to encourage developing countries to tax medical tourism and use the proceeds to support their domestic healthcare system. Consequently, health care globalization is creating more works for local health care and tourism industry. According to the management consultancy McKinsey & Co., medical tourism was a$2.3-billion industry in India in 2012. LossesInternal brain drain of medical professionals Another dilemma that seriousl y affects people in developing countries, as well as poorer communities in the industrialized nations, is a lack of health professionals. If there are going to have a global world, then people who have these needed skills should be paid appropriately, which induces them to work for well-paid medical industry. The developed countries (the United States)BenefitsPotential gains for the economy The U.S government activity could attain profits on providing education of modern technological medical system for developing countries. Besides, insurance companies could offer international healthcare vouchers to be secured while using foreign facilities and sharing their savings. LossesA puny fraction of work and treatment moving offshore Even though the U.Sregulations require that a radiologist be licensed in the state and will not pay for international medical treatment through Medicare, there would be a small fraction of patients travel abroad for health care due to their overweighed bene fits.ReferenceQuestion 1http//carey.jhu.edu/one/2009/fall/globalized-health-care-driven-by-technology/ http//www.pennlive.com/nation-world/2014/08/no_proof_veterans_on_waiting_l.html http//www.ncbi.nlm.nih.gov/pmc/articles/PMC2234298/
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