Spatio-Temporal Dynamics of the Global Medical Tourism

2018 ◽  
Vol 9 (2) ◽  
pp. 267
Author(s):  
Anatoliy I. CHISTOBAEV ◽  
Zoya A. SEMENOVA

The study focuses on the emergence and development of medical tourism at the global and country levels. Article provides a definition of a medical tourism, reveals the stages of its formation – from the origin at ancient cultures to modern high technologies of biomedicine. The country ranking results held on the basis of an integrated index, featuring the assessment of the level of equipment at the medical infrastructure, the maintenance of hospitals, the availability of qualified specialists is discussed. The best practices of medical tourism are analyzed. It is shown that due to lower prices and higher service quality, the geographic vector of those wishing to receive treatment abroad is shifting to Asian countries. The need to strengthen the attention of government agencies to the development of medical tourism in the public and private health sectors is noted.

Resonance ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. 298-327
Author(s):  
Shuhei Hosokawa

Drawing on Karin Bijsterveld’s triple definition of noise as ownership, political responsibility, and causal responsibility, this article traces how modern Japan problematized noise, and how noise represented both the aspirational discourse of Western civilization and the experiential nuisance accompanying rapid changes in living conditions in 1920s Japan. Primarily based on newspaper archives, the analysis will approach the problematic of noise as it was manifested in different ways in the public and private realms. In the public realm, the mid-1920s marked a turning point due to the reconstruction work after the Great Kantô Earthquake (1923) and the spread of the use of radios, phonographs, and loudspeakers. Within a few years, public opinion against noise had been formed by a coalition of journalists, police, the judiciary, engineers, academics, and municipal officials. This section will also address the legal regulation of noise and its failure; because public opinion was “owned” by middle-class (sub)urbanites, factory noises in downtown areas were hardly included in noise abatement discourse. Around 1930, the sounds of radios became a social problem, but the police and the courts hesitated to intervene in a “private” conflict, partly because they valued radio as a tool for encouraging nationalist mobilization and transmitting announcements from above. In sum, this article investigates the diverse contexts in which noise was perceived and interpreted as such, as noise became an integral part of modern life in early 20th-century Japan.


2013 ◽  
Vol 41 (1) ◽  
pp. 254-268 ◽  
Author(s):  
Zubin Master ◽  
Amy Zarzeczny ◽  
Christen Rachul ◽  
Timothy Caulfield

Stem cell tourism is a form of medical tourism in which patients travel to receive unproven or untested stem cell-based interventions for many different diseases and conditions. A few studies indicate that patients and the public have several reasons for seeking these treatments for themselves or for their loved ones. Among these are the feeling of not having any other clinical options left, distrust of or frustration with their home country’s health care system, and a perception that their home country has a burdensome or sluggish regulatory system for the approval of novel stem cell therapies. These last two viewpoints may contribute to a certain sense of distrust of regulatory agencies governing the conduct of clinical research, and perhaps the perception of a health care system that seems unresponsive to the needs of patients suffering from severe conditions.


2021 ◽  
Vol 9 (06) ◽  
pp. 287-293
Author(s):  
Abduraimova Nigora Radjabovna ◽  

The paper reveals the essence of the system of public financial management (PFM), defines its key elements of the PFM system, and articulates goals and objectives in enhancing employment. The authors definition of PFM is given. A comparative analysis of managerial financial cycles in the public and private sectors of the economy is carried out. The historical aspect of the PFM reforms is also analyzed, and various approaches to financial management (income and expenditure) in the public sector are studied and suggested better ways to improve the busyness of the population. Factors influencing the effectiveness of the PFM reforms are revealed. The challenges faced by financial managers in implementing public finance reforms are analyzed, and the opportunities that can be used to achieve the objectives of the PFM system, some of which are simultaneously challenges are analyzed.


IDEA JOURNAL ◽  
2017 ◽  
pp. 88-101
Author(s):  
Menna Agha ◽  
Els DeVos

In 1964, indigenous Nubians were displaced from their original land – the land between what is now Egypt and that of Sudan – to modernised settlements built by the Egyptian state. The Nubians dissatisfaction with the novel built environment translated into transgressive public spaces. One of the most common transgressions was the addition of an external bench called Mastaba. Since power relations between men and women have changed, the built environment now acts as a catalyst in the exclusion of women from formal public spaces such as conventional coffee shops and squares. Mastabas function as liminal spaces, spaces which blur the boundaries between public and private spheres. As these spaces do not suit the formal understanding of public spaces, we investigate these liminal spaces in order to reveal the spatial tactics of the marginal. We argue that the existence of these spaces raises issues of spatial justice and spatial resistance.    The behaviour of liminal public spaces varies; they have the ability to transform adjacent spaces. This research investigates the role of the Mastaba in opening up the public space for women, thereby giving them the ability to contribute to the writing of their social contract. We base our analysis on extensive fieldwork, consisting of auto-ethnographic observations and participation, informed by a feminist epistemology. We use tools of spatial analysis to explore an alternative public space offered by liminality. To question the binary notions of private and public space, we ask ourselves: where does that space start? As spatial professionals, we also wonder: can we contest the hegemonic definition of public space and contribute to spatial resistance? Drawing lessons from the case of the Mastaba, we propose contingencies for designing the liminal that serve the marginal.


2019 ◽  
Vol 49 (8) ◽  
pp. 708-713 ◽  
Author(s):  
Nobuyasu Awano ◽  
Takeshi Takamoto ◽  
Junko Kawakami ◽  
Atsuko Genda ◽  
Akiko Ninomiya ◽  
...  

Abstract Background Medical tourism has grown globally, especially in oncology field, but it may cause serious problems. We aimed to elucidate concerns generated by medical tourism at a Japanese hospital and recommend solutions. Methods We evaluated 72 consecutive patients with cancer who had traveled from abroad to receive second opinions, clinical examinations or treatments at our hospital between January 2015 and December 2016. Data were retrospectively collected to include the purpose of patients’ visits, presence and content of referral documents, details of treatments provided at our hospital, concordance between treatments received and patients’ expectations, troublesome hospital incidents, risks of travel and problems with payment. Results The purpose of the visit was actual cancer treatment in the majority of the cases. Thirteen patients could speak neither Japanese nor English. Inadequate content in patient referral documents and discordance between information from the referring physician and findings at first examination were the main issues observed in the pre-treatment phase; 33 patients decided to receive treatment at our hospital. Language differences caused problems in patients’ understanding of instructions and explanations during treatment. Additional problems included inaccurate self-evaluation of disease status, differences in cultural habits and requests for inappropriate and/or unavailable therapies. No major issues that could lead to injury in patients or medical staff were observed. Risks involved with returning home and transfer of treatment to local physicians were the main post-treatment issues. Conclusion Medical tourism raises various issues. Institutional and medical staff should be adequately prepared by developing working systems.


2020 ◽  
Vol 8 (8) ◽  
pp. 585
Author(s):  
Emilie Tew-Kai ◽  
Victor Quilfen ◽  
Marie Cachera ◽  
Martial Boutet

In the context of maritime spatial planning and the implementation of spatialized Good Environmental Status indicators in the Marine Strategy Framework Directive (MSFD), the definition of a mosaic composed of coherent and standardised spatial units is necessary. We propose here a characterization of seascapes in time and space within the specific framework of the MSFD in the English Channel and the Bay of Biscay areas. A spatio-temporal classification of coastal-shelf water masses is carried out using twelve essential oceanographic and derived variables from operational coastal oceanography using the HYCOM model. Partitioning is computed using a multivariate hybrid two-step clustering process defining a time series of categorical maps representing hydrographical patch classes. Main patch occurrence is analyzed to understand their spatio-temporal dynamics and their oceanographic characteristics. Finally, patch classes are combined with MSFD marine sub-region delimitations to build seascapes, including ecosystem approach management and marine policy considerations.


2005 ◽  
Vol 53 (1) ◽  
pp. 222-239 ◽  
Author(s):  
Oskar Kurer

Discussion of the definition of corruption has progressed little since Heidenheimer's groundbreaking distinction between definitions centred on public opinion, public office and public interest. All these definitions have been severely criticised. I suggest that underneath these traditional concepts of corruption lurks a much older one based on distributive justice – namely the ‘impartiality principle’, whereby a state ought to treat equally those who deserve equally. This principle provides a much more plausible reason for why the public condemns corruption than alternative approaches, and, moreover, it is recognised fairly universally: the implicit distinction between ‘public’ and ‘private’ is certainly neither as ‘modern’ nor as ‘Western’ as many have claimed. The universality of the principle of impartiality does not imply universality of its content: who deserves equally, or, alternatively, on which grounds discrimination is ruled out, will be answered differently at different periods in time and will vary from society to society. The impartiality principle provides a starting point for the discussion of both corruption in ‘traditional’ societies and contemporary political corruption – corruption involving violations of specific non-discrimination norms governing the access to the political process and the allocation of rights and resources. The impartiality principle calls for rule-bound administration and thus underpins the public office definition of corruption. A central element of the analysis of corruption is the study of specific non-discrimination norms and their comparison across time and place. This approach leads to a significant enrichment of the concept of corruption.


2021 ◽  
Vol 117 (4) ◽  
pp. 120-131
Author(s):  
VESELOV Mykola ◽  
YEPRYNTSEV Pylyp

Background. The choice of the topic of the article is dictated by the presence of significant theoretical problems and the need to improve the understanding and legal definition of the principle and rules of ethical behaviorin the activities of public service entities in Ukraine. The aim of the article is to obtain new scientific results in the form of substantiated conclusions and proposals for solving current theoretical, applied and legal problems of determining the principle and rules of ethical behaviorin the activities of public service entities in Ukraine. Materials and methods. The empirical basis of the study were legal acts of legislation of Ukraine and some other countries, scientific works of other scholars in the field of administrative law. Thanks to a combination of general scientific and special methods of cognition it was possible to process the specified empirical material and to receive own scientific conclusions. Results. It is noted that there is no clear definition and common understanding of the concept of the principle of ethical conduct of public service entities in the Ukrainian legislation. It is stated that the normative consolidation of ethical norms for different categories of public service entities in Ukraine takes place mainly at the by-law level and has a sectoral nature. It is established that the terms «principle of ethical conduct» and «rules of ethical conduct» are interdependent concepts, but not identical. Conclusion. According to the results of the research, the author’s vision is given to the concepts of «principle of ethical behavior» and «rules of ethical behavior». It is emphasized that the provisions of the Codes of Ethics or the Code of Ethics should also include requirements that would regulate the conduct of the public service entity in the off-hours. The necessity of unification of basic principles of public service in profile laws is substantiated, which should be reflected in general provisions of branch Rules and Codes of ethics together with special norms which will embody specificity of this or that public activity. Keywords: public service, the subject of public service, principles of activity, ethical behavior, rules, norms.


Author(s):  
Tannaz Zargarian

Access to the Internet in 1998 created a unique sphere encompassing both public and private characteristics while offering a new form of communication, identity, and political participation (Rheingold 2000). As a result, access to the Internet provided women with an alternative way of defying the traditional masculine culture through "connection and communication" and "identity transformation" (Nouraei-Simon 2005). The Internet ameliorated Iranian women's ability to contribute to the accelerating development of an online culture that offers a significant change to the definition of empowerment as it shifts the boundaries of the public and private realms, allowing Iranian women to seek self-determination despite Islamic ideology (Jones, 1997). This work shows how the weblog has become one of the key tools to challenge social barriers in the quest for Iranian women's rights (Sreberny & Khiabany, 2010). This paper will critically examine the use of weblogs by some Iranian women to break the gender oriented restrictive rules imposed upon them by the patriarchal elements in higher education by exploring how and in what ways women advocate for their own and others' rights and equality? This paper incorporates a critical textual analysis of primary and secondary academic sources. It integrates a critical feminist approach and have collected data from the work of female scholars, activists, bloggers, and filmmakers and have brought forth the unheard experiences of some Iranian women in higher education.


2017 ◽  
pp. 11
Author(s):  
Mari Carmen Pérez R. ◽  
Carmen Teresa García

Resumen El trabajo que presentamos, es parte de una investigación más amplia sobre la Sociología venezolana ayer y hoy1. En esta oportunidad, vamos a hacer referencia al análisis de algunos resultados parciales de la investigación: En primer lugar, a un análisis cualitativo de la definición del egresado/a a partir del perfil académico plasmado en documentos como los planes de estudio de las Escuelas de Sociología de universidades venezolanas, la publicación referida a oportunidades de estudios en las Instituciones de Educación Superior en Venezuela del Consejo Nacional de Universidades (CNU), el Manual Descriptivo de Clasificación de Cargos de la Oficina Central de Personal, y la Ley de Colegiación. En segundo lugar, se presentarán diez (10) estudios de caso de sociólogos/as que se han destacado en el desarrollo de esta disciplina como profesionales en las universidades (docentes e investigadores/as) y en la administración pública y privada. Estos profesionales opinaron sobre el Objeto de Estudio de la Sociología; Relación de las Escuelas de Sociología, el Mercado de Trabajo y el Perfil de Egreso; su vinculación con otras disciplinas y los desafíos de la Sociología como disciplina y profesión. En tercer lugar, un análisis cuanti-cualitativo de los datos obtenidos de una encuesta aplicada a 62 sociólogos/as egresados(as) en la década de los 90, referida a la caracterización del profesional de Sociología y su quehacer como sociólogo/a (datos demográficos, estudios realizados,situación laboral), y finalmente, algunas conclusiones que se desprenden de esta investigación como la existencia de un desencuentro entre el perfil académico y el profesional, una invisibilización de la disciplina y la profesión en el mercado de trabajo en tiempos de globalización, y queremos dejar abierta la discusión del desafío que tiene la Sociología como disciplina y profesión ante la transdisciplinariedad que la invisibiliza y/o la desaparece como tal.Palabras clave: Perfil de egreso, Mercado de Trabajo, Sociología, Venezuela.AbstractThis paper is part of a broader research on the Venezuelan sociology in previous times and today. In this chance, we will make reference to the analysis of some partial results of the research: In the first place, we refer to a qualitative analysis of the definition of the graduate starting from the academic profile stated in documents such as the curricula of the Sociology Schools in Venezuelan Universities, the publication referred to the studies opportunities in the Universities in Venezuela emitted by the National Universities Bureau (CNU for its name in Spanish), from the Descriptive Manual of Jobs Classification from the Main Personnel Office and the Collegiate Law. -In the second place, we refer to the results of ten (10) case studies of Sociologists that have highlighted the development of this discipline as professionals in colleges (researches and faculties) and in the public and private administration. These professionals gave their opinions on the object of study of Sociology, relationship among the sociology schools, job offers in the market and the graduate profile; the links of sociology to other disciplines and the challenges of Sociology as a discipline and as a profession. In the third place, a qualitative-quantitative analysis of some data obtained from a survey to 62 sociologists graduated in the 90s, referred to the characterization of the sociology professional and his or her job as a sociologist (demographic information, academic information, working situation), and finally some conclusions from this research such as the existence of a mismatching between the academic profile and the professional one, a disappearance of the discipline and the profession from the job offers in the market in these globalization times and we want to open a discussion on the challenges of the Sociology as discipline and as a profession in front of the multidisciplinary environment that is making it disappear as such.Key words: Graduate profile, Job offers, Sociology, Venezuela.


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