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Impact of Globalization: Worse than expected

In Health, Healthcare, Medicine, Uncategorized on May 21, 2012 at 5:09 pm

Globalization refers to the increasingly global relationships of culture, people, and economic activity. It is generally used to refer to economic globalization: the global distribution of the production of goods and services, through reduction of barriers to international trade such as tariffs, export fees, and import quotas. Globalization contributes to economic growth in developed and developing countries through increased specialization and the principle of comparative advantage.

An international movement toward “free trade” and globalization shaped the latter half of the 20th century. Most nations have built-in significant protections and regulatory frameworks to keep globalizing forces in line. Americans cannot rely on having a comparative technological advantage, because this nation is actually behind in many fundamental technologies. Americans cannot rely on high labor efficiency, because the low costs overseas far outweigh any inherent bump provided by our highly skilled and educated workforce.

Positive of globalization in the US

Increased Competition
One of the most visible positive effects of globalization is the improved quality of products due to global competition. Customer service and the ‘customer is the king’ approaches to production have led to improved quality of products and services. As the domestic companies have to fight out foreign competition, they are compelled to raise their standards and customer satisfaction levels in order to survive in the market. Besides, when a global brand enters a new country, it comes in riding on some goodwill, which it has to live up to. This creates competition in the market and a ‘survival of the fittest’ situation.

Generates more wealth and prosperity

Utilization of capital with the cropping up of new markets and new opportunities is definitely the most vital impact of globalization on the richer countries. This in turn generates more wealth and prosperity.

Bigger profits

      U.S. companies make bigger profits by sending jobs overseas.

Merging Politics

Gradually there a world power is being created instead of compartmentalization of power sectors. Politics is merging and decisions that are being taken which are actually beneficial to people all over the world.

Communications

Most people see speedy travel, mass communications and quick dissemination of information through the Internet as benefits of globalization.

Promotes Progressive Thinking
Globalization is not merely limited to exchanging food, recipes, and the likes, but runs deeper in the way of bringing about a change in the attitudes and thoughts of people. It makes people tolerant of varied views from different parts of the world and thereby promotes progressive thinking and to bring about social reforms in society. It also helps in the political field by making different governments aware of the varied ways in which governments are run.

Better Products

Countries move to market sectors that they are better at. This simply      means that the labor in a country is going to do what it’s best at. There is no need for Americans to do manufacturing when someone in China can do it better. Our labor is better served doing something beneficial.

Negative of globalization in the US

 Unemployment

In the new global system, multinational corporations can shop for labor almost anywhere they want.  So why should they give American workers good wages and good benefits when they can legally pay large numbers of workers on the other side of the globe slave labor wages and get away with it? This is having a devastating impact on manufacturing in the United States.  In 1959, manufacturing represented 28 percent of all U.S. economic output.  In 2008, it represented only 11.5 percent and it continues to fall.

Increased Competition

Globalism has allowed foreign countries to dominate a whole host of industries that used to be dominated by the United States. U.S. companies are having an incredibly difficult time competing against the low labor costs and the much less stringent business regulations found on the other side of the globe. In May, the United States spent 50 billion dollars more on goods and services from the rest of the globe than they spent on goods and services from us.

Child labor and slavery

There are various schools of thought which argue that globalization has led to an increase in activities such as child labor and slavery. In countries with little or no accountability, corporations employing children can work smoothly by bribing the officials, which may result in an increase in illegal activities. Critics opine that globalization has resulted in a fiercely-competitive global market, and unethical practices in business is a by-product of this.

Moving Infrastructure

Corporations are building up units in other countries that equally well equipped, thus transferring the quality to other countries.

Diseases

Globalization is also leading to the incursion of communicable diseases. Deadly diseases like HIV/AIDS are being spread by travelers to the remotest corners of the globe.

Affects Local Markets
When foreign goods flood the market and people begin to buy them, it is done at the cost of the local goods, especially in developing countries. For example small time businessmen who do not have the resources to export their goods and only depend on the locals to buy them, go through varied degrees of losses because their goods are not sold. So if you ask a small time businessman whether globalization is good or bad for developing countries, he’ll probably answer in the negative.

Loss of Power

This undoubtedly superior United States doesn’t exist anymore. As a center of power, it is still more powerful than others, but for some years now that energy has been flowing in the opposite direction. Today, Asian, Latin American and European nations are also playing a role in the United States’s productive core. The world’s greatest exporter became its greatest importer. The most important creditor became the most important debtor.

My opinion

     US economy has seen a significant drop over last decade because of the effects of globalization.  With businesses moving overseas and loss of jobs, I did not see any significant improvement in the US economy in the coming future.   I do believe that if US tries to cut down on the spending, there could be some improvement. As far as the globalization goes, situation is only going to get worse for US.   For overall world, globalization has been proving effective in   improving   for him for e for quality in different nations of the world. Taking into consideration both positive and negative aspects of globalization, the world is coming closer.  overall I feel it is beneficial for the world,  but not necessarily for US .

The strong point that the critics of globalization and supporters of anti-globalization movement want to make is that this phenomenon will result in implications in terms of economics, culture, health and employment, and most of the countries are not ready to take on these disadvantages head-on. Taking their seriousness into consideration, it is not at all possible to turn a blind eye towards these negative effects of globalization. The need of the hour, therefore, is to evaluate various pros and cons of the for the globalization find out which of the two have an edge over the other.


Healthcare in US: When is it going to be Cost Effective?

In Health, Healthcare, Medicine on May 20, 2012 at 11:04 pm

It is important as a healthcare consumer to understand the history of the healthcare delivery system, how it operates today, who participates in the system, what legal and ethical issues arise as a result of the system, and what problems continue to plague the healthcare system.  We are all consumers of healthcare.  Yet, in many instances, we are ignorant of what we are actually purchasing.  If we were going to spend $1000 on an appliance or flat screen television, many of us would research the product to determine if what we are purchasing is the best product for us.  The same state should be applied to purchasing healthcare services.

As the United States resumes debate over options for achieving universal health coverage, policymakers are once again examining insurance systems in other industrialized countries. More recent attention has focused on countries that combine universal coverage with private insurance and regulated market competition.

A Basic Screenshot of what US healthcare is Comprised of

Medicare: Medicare is a social insurance program for the elderly, some of the disabled under age 65, and those with end-stage renal disease. Administered by the federal government, the program is financed through a combination of payroll taxes, premiums, and federal general revenues.

Medicaid: Medicaid is a joint federal-state health insurance program covering certain groups of the poor. Medicaid is administered by the states, which operate within broad federal guidelines. States receive matching funds from the federal government, varying among states from 50 percent to 76 percent of their Medicaid expenditures.

Private insurance: More than 1,200 not-for-profit and for-profit health insurance companies provide private insurance. They are regulated by state insurance commissioners. Private health insurance can be purchased by individuals, or it can be funded by voluntary premium contributions shared by employers and employees on an employer-specific basis, sometimes varying by type of employee. Employer coverage is the predominant form of health insurance coverage. Some individuals are covered by both public and private insurance.

Out-of-pocket spending: Out-of-pocket payments, including both cost-sharing insurance arrangements and expenditure paid directly by private households, accounted for 12 percent of total national health expenditures in 2007, which amounted to US$890 per capita.

Based on the fragmented development of US health care, the system is based on individualism and self-determination and focusing on the individual rather than collectivistic needs of the population. For example, there are over 20 million citizens who have type 2 diabetes, a chronic and serious disease that impacts how your body breaks down food to obtain energy. This chronic disease has severe complications if not treated appropriately. Unless something is done to prevent this insidious disease, there will be 35 million heart attacks, 13 million strokes, 8 million instances of blindness, 2 million amputations, and 62 million deaths over the next 30 years.

Both private and public participants in the US health delivery system need to increase their collaboration to reduce these disease rates. Leaders need to continue to assess our healthcare system using the Iron Triangle to ensure there is a balance between access, cost, and quality.

Although the Health Care Reform intends to take away the flaws the current system is infested with, the journey is going to be long and tough. But it will  definitely lead to a better outcome as compared to current situation.

CHAKRA HEALING

In Health, Healthcare, Medicine on May 20, 2012 at 10:45 pm

HEALING IS WITHIN….JUST LOOK FOR IT

Patient Centered Medical Home: Patients equally responsible as Providers

In Health, Healthcare, Medicine on May 19, 2012 at 8:15 pm

 WHAT EXACTLY IS A PATIENT CENTERED MEDICAL HOME?

The patient‐centered medical home is a model for care provided by physician practices that seeks to strengthen the physician‐patient relationship by replacing episodic care based on illnesses and patient complaints with coordinated care and a long‐term healing relationship. Each patient has an ongoing relationship with a personal physician who leads a team that takes collective responsibility for patient care. The physician‐led care team is responsible for providing all the patient’s health care needs and, when needed, arranges for appropriate care with other qualified physicians. A medical home also emphasizes enhanced care through open scheduling, expanded hours and communication between patients, physicians and staff.

Based on emerging research, the medical home model has the potential to improve health outcomes and reduce overall costs. One way to fix the problem of spiraling health care costs is to try to change the health care system. It isn’t easy. It means completely changing the way everyone does business. But we can’t keep doing what we’re doing because things will just keep getting worse.

The problem is the way the health care system pays for care. It’s called a fee-for-service business model, and it hasn’t changed much since the start of modern health care. Under this model, doctors, hospitals, and other providers are paid for every service they provide – every visit, every test, and procedure they do – whether or not these things improve our health. It’s based on quantity instead of quality.

It can lead to unneeded tests, screenings, and other expensive care that adds to health care costs each year, without making people healthier and, in some cases, making them even less healthy. And it often results in doctors not having enough time to give the care they want to give. According to a recent study, a primary care provider (PCP) would need more than 22 hours a day to finish all of the work expected of them, whether giving care or doing paperwork.

To try to fix this system, insurers, hospitals, doctors, the government, and professional and trade groups are working together to change the way health care works. The major part of that effort is moving from the fee-for-service model to a new patient-centered medical home model. It’s kind of a weird name, but if you think about what it’s trying to do, it makes sense.

A patient-centered medical home, or PCMH, is not a physical building. It’s a way to care for patients so that you feel “at home” with your care. PCMH changes the emphasis from quantity to quality, helping everyone be healthier and reduce the need for costly care.

It’s been proven that when people have a long history with their PCP, they are healthier and have lower health care costs. Kind of makes sense, right? The better your doctor knows you and is aware of factors that might affect your health, such as stress, the more likely it is that diseases can be prevented or caught early, when treating them costs less and before they cause big problems. And as a bonus, when you have a good relationship with your doctor, you’re usually better informed about your health and lead a healthier lifestyle. It’s easier for a doctor who knows you well to effectively nag you!

A key goal of PCMH is to improve the relationship between you and your doctor. A big part of that is giving doctors the time they need to give that familiar level of care. So PCMH helps PCPs change their practices. They are put in charge of teams of providers customized to meet your unique health needs – so if you have a chronic condition, health care “extenders” with expertise in treating your condition could be on your team. The team may also include staff members and health and wellness organizations that offer education, screenings, and other support.

The PCMH system supports these teams with information and a new way to pay for care. Using the latest technology, like electronic health records, makes the team more efficient and improves communication. New detailed reports of patient histories help the team identify patients who need screenings, follow-up visits, and immunizations. That means your doctor and your whole team will have more information to better help you. It will also increase the coordination between different providers on your team. And instead of getting paid for every service they provide, providers are rewarded for making sure you get the right care you need when you need it. It’s about paying for quality.

HMSA members who have a primary care provider and a patient-centered medical home get recommended health screenings and immunizations at a higher rate than those without a PCP and PCMH.

But it’s not all up to the team. As the name implies, PCMH puts you at the center of your care, encouraging you to take an active role in improving and maintaining your health. After all, a team of doctors can only make recommendations. You are the only one who can make yourself exercise, eat right, get your recommended screenings and tests, take your medications as prescribed, and do what you need to do to manage any chronic conditions you have.

Mobile Communications: A Blessing to Healthcare

In Uncategorized on May 19, 2012 at 4:46 pm

Why should healthcare facilities invest in this Mobile Communications?

  • Worker accessibility is critical in the hospital environment. Nurses, doctors, technicians, maintenance and transport staff must be able to instantly reach and be reached by colleagues.
  • Outdated paging systems and multiple communication devices cause misunderstanding and reduce productivity in hospitals.
  • Hospitals have emergencies everyday, and being prepared for emergency situations is of the upmost importance. Having a mobile communication device that alarms staff members of an emergency allows them to prepare in advance. Being prepared in advance increases productivity by improving response time and eliminating wasted time on false alarms.
  • Having the capability to search, create, and manage information in your hand helps physicians drastically improve decision-making.

It is clear that the potential for mobile communication to transform healthcare and clinical intervention in the community is tremendous. Several previous studies have evaluated the use of mobile phones to support healthcare and public health interventions, notably in the

1. Collection and collation of data for healthcare research

2. Support of medical and healthcare education and clinical practice in the community

3. Support telemedicine and remote healthcare in developing nations, with examples including their use in off-site medical diagnosis and as information support in the treatment of HIV care in difficult to reach rural areas.

4. The use of short message service (SMS) text in the management of behavior change.

5. In sexual health education.

6. Improve patients’ adherence to antiretroviral treatment

7. Controlled drug trials.

8. GPS (Global Positioning System) and location-enabled smartphones offer many additional application opportunities that can further assist the independent living of persons with disabilities and/or multiple chronic conditions, as well as in epidemiology/public health surveillance and community data collection.

Use of this new technology impact existing workflows

a. Increase productivity and efficiency in the healthcare environment

b. Help ensure that mobile workers are instantly available and accessible when needed

c. Increase available time for direct patient care

d. Enables immediate decisions at point of care

e. Enhances patient care.

Obstacles involved with using this technology in healthcare?

Cell phones are not a viable solution to the hospital communication challenge, as their usage is prohibited in certain areas of the hospital. Additionally, construction materials used in parts of the building can reduce or block coverage altogether. As a result, hospitals have typically relied on overhead paging to reach mobile employees and disseminate urgent messages. However, overhead paging can disrupt the healthcare environment — often disturbing patients as they try to sleep, rest or relax. And the public nature of overhead paging does not provide the level of discretion required by law for some messages, causing the recipient to take additional steps to learn the pertinent and sensitive details.

Communication inefficiencies can have a profound impact in the healthcare environment. For doctors, nurses and technicians, additional time spent on administrative tasks and tracking down colleagues directly translates into less time available to care for patients. According to a recent study, the average nurse spends only about 31 percent of his or her time in direct patient care.1 And with the current nursing shortage across the U.S., inefficiencies in working processes can further stress the system and erode quality of care.

  • Misinformation regarding mobile wireless systems, electromagnetic interference and management procedures has led to a broad range of inconsistent policies among healthcare organizations.
  • Overly-restrictive policies may act as obstacles to beneficial technology and may not address the growing need for personal communication of patients, visitors and the workforce. At the other extreme, unmanaged use of mobile communications can place patients at risk.
  • It may not be feasible for healthcare organizations to manage every mobile wireless handset that is randomly brought into their facility without certain restrictive limits.
  • Security: Transmission of sensible data over the air, Cryptography, Virtual Private Networks

Wireless devices increase adoption of electronic health records (EHR)

Ease of accessing patient records, security and privacy controls for electronic information, and the ability to share patient information across geographies and affiliations or a 360-degree view of the patient are some of the key factors that increase adoption of wireless devices for HER.. Electronic transfer of information can enable physician offices, laboratories, radiology practices, and hospitals to securely access and transfer patient information. Adopting these new systems and integrating them into practice workflows can improve patient safety and efficiency of care, reduce duplicate tests, enhance quality of care and health promotion, and save thousands of lives.

 


Social Media In Healthcare

In Health, Healthcare, Medicine on May 19, 2012 at 4:38 pm

Social media in healthcare gives a substantial promise, including the construction of valuable information sprung from collaboration, patient-to-patient social supports, and more sustained and collaborative patient-provider relationships across the continuum of care. The benefits of integrating social media into healthcare marketing efforts are priceless – from improving patient care to gaining media coverage to attracting new patients and staff. If your healthcare organization hasn’t already taken advantage of social networking channels, now is the time.

The rise of social media has been phenomenal.

Use of social networking sites has grown from 5% of all adults in 2005, to half of all adults (50%) in 2011.For example, Facebook, which began with 5 million users in 2005, today has 845 million participants, more than the entire population of Europe. Twitter has also shown tremendous growth, reporting 460,000 new accounts created on average per day. More than 1,200 hospitals participate in 4,200 social networking sites.

 Current Obstacles

  • Privacy and security are top consumer concerns when sharing their health information through social media. Consumers are most concerned with personal health information being shared in public and information on social media being hacked or leaked . The main stumbling block is the lack of a set of accepted best practices that would enable organizations to become less risk-averse.
  • Ethical questions are a major concern. Are we violating patients’ privacy by listening in or soliciting comments online? Are we ignoring the people who don’t participate in social media?
  •  Return-on-investment questions present another barrier. Should we devote scarce resources to explore this unmapped territory? What risks do we face if we embrace social media, and what if we don’t? Will social media really help us reach the people we want to reach?
  •  Healthcare organizations are also concerned about practical questions. How ready are we to use social media? How should we use it most productively for our own goals, and what is the best way to start? What policies do we need to support this work and what level of the organization should approve them?
  • Negative effect on workplace productivity.
  •  the risks of exposing the hospital’s networks to viruses and malware,
  • HIPAA concerns and
  • Consuming the hospital’s bandwidth.Image

Despite the issues,Social media is here to stay in health care. It will evolve quickly. Patient engagement will continue to characterize this change. Organizations will use social media tactically within their overall marketing and communications efforts — videos and mobile technology will likely dominate these approaches.  Online patient communities will expand and will become a rich source of information for others. Physicians and other health care providers will discover social media, which will have the potential of progressing medical research.

Heal Naturally

In Health, Healthcare, Medicine on May 19, 2012 at 4:25 pm

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Healing Meditation

In Health, Healthcare, Uncategorized on May 19, 2012 at 4:18 pm

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EHR Ownership: Doc Vs patient…A WAR waiting to start

In Health, Healthcare, Medicine on May 19, 2012 at 3:40 pm

The stage two meaningful use places a much greater emphasis on patient engagement and set high standards for making data electronically available to patients. Physicians should think about these requirements as they work to implement a new EHR system. The new rules state that a professional must make electronic records available to 50 percent of their patients. Furthermore, 10 percent of a physician’s patients must actually view and download these records.

Multiple state statutes, regulations, and cases govern the ownership of health information and the information contained in medical records. The classic statement of the rule concerning ownership of medical records is that the provider owns the medical records maintained by the provider, subject to the patient’s rights in the information contained in the record.

But,under the federal Health Insurance Portability and Accountability Act (HIPAA), every person “has a right of access to inspect and obtain a copy of protected health information.” The Meaningful Use regulations require that outpatient providers give patients clinical summaries within three business days for at least half of all office visits, if requested. Hospitals have to provide an electronic copy of discharge instructions upon request.

EHR ownership has been a hard pill to swallow for Health care providers and patients. It is hard to point out which one should be the owner when the contribution is the same. Patients’ health events and their information is what make the medical record. Healthcare providers on the other hand manage and form the formatted record to help patient and other providers get the right information when needed. Personally, I feel that ownership should be divided into both. Although, being a health care provider and knowing the risk of certain information disclosures which I do not want the patient to see, I feel that EHR should have a system in place to put in that confidential information to help other providers provide the best care under legal framework.

This way, we eliminate the risk of patient frustration of not being able to see what goes in their medical record. I also feel that this will help patients make better and wiser decisions for them when they can see what different healthcare providers think about their care. It will also reduce the medication error risk which is a major current issue in US Healthcare. It will make the care transparent which will ultimately lead to better healthcare status in country.

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