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Balneotherapy and Hydrotherapy
Published in Mehwish Iqbal, Complementary and Alternative Medicinal Approaches for Enhancing Immunity, 2023
Uncertainty continues to exist regarding balneotherapy and hydrotherapy. The former utilises thermal natural mineral water, gases and peloids (muds), while the latter utilises only water. Therapies in spas use several modalities for management, including balneotherapy and hydrotherapy, and make a distinctive relaxing and healing environment of their own by means of the change in lifestyle and atmosphere (Bender et al., 2005).
Strategic Medical Tourism Design: A Case Of Switzerland, Hospitality Bridging Healthcare (H2H©)
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
Frederick J. DeMicco, Peter P. Tschirky, Martin Jeffrey, Mengyu Li, Mardelle M. Shepley
The design of the physical building (e.g., medical resort) should not disrupt the key reasons for each guest or patient staying there. The design must be universally accepted by each group, and allow for each to function independently of one another in a seamless environment, yet share many of the same resort/medical resort services. For example, the spa can be used for pleasure for the medical resorts’ leisure guests, and simultaneously for rehabilitation guests (following medical treatment for the Patient/Guest or the “Mediguest”). Through the innovative design elements used at the Grand Resort Bad Ragaz, surrounded by the snowcapped mountains in picturesque Bad Ragaz, Switzerland, each group will be independent of one another, and not know the main reason that other groups of guests are there (e.g., either for leisure/pleasure vs. for medical reasons or both as in medical tourism (MT)) (Figure 19.1).
Evaluating the Effectiveness of Healthcare Services by Using the Method of Data Envelopment Analysis
Published in Abdel-Badeeh M. Salem, Innovative Smart Healthcare and Bio-Medical Systems, 2020
When studying this material, participants will become familiar with the types of healthcare costs – direct and indirect. The direct costs include the costs of providing medical care: outpatient, inpatient, spa treatment, research work, training, along with social insurance benefits for temporary disabled, disability pension, etc. Indirect economic losses include losses due to a decrease in labor productivity, morbidity, or underproduced products and a decrease in national income at the national level, as a result of temporary or permanent disability or death of a person of working age. Moreover, indirect economic losses are many times higher than direct economic damage due to morbidity. According to researchers, direct economic losses account for about 10% of the total economic damage due to illnesses, and around 90% are indirect losses.
Comparison of physical activity levels among different sub-types of axial spondyloarthritis patients and healthy controls
Published in Modern Rheumatology, 2021
Tugce Yuksel Karsli, Deniz Bayraktar, Derya Ozer Kaya, Hande Ece Oz, Sercan Gucenmez, Onay Gercik, Dilek Solmaz, Servet Akar
Physical activity is one of the major components of disease management in SpA. However, patients with SpA were reported to have a lower level of physical activity compared to healthy controls, especially in high-intensity physical activities [4–6]. Moreover, higher disease activity might be related to lower physical activity participation [7]. Besides, cardiovascular risk factors and related morbidity and mortality are increased in patients with SpA, and lower levels of physical activity might contribute to this increase. In this regard determining the physical activity level with valid and reliable tools is important. Objective and subjective methods are available for measuring the physical activity levels, however, subjective methods such as questionnaires were not found accurate for determining the physical activity levels of patients with axSpA in a recent report [8]. Therefore, objective measurement methods such as acccelerometers may be more suitable for determining physical activity levels especially for research purposes. However, according to our knowledge, no data was presented related to levels of objective physical activity levels in the sub-types of axSpA which might be affected by radiographic status. Therefore, comparing the objective physical activity levels among radiographic and non-radiographic axSpA patients, and healthy controls was the primary aim of the present study. Additionally, investigating the possible relationships between physical activity level and clinical features were aimed secondarily.
Outbound medical tourists from China: An update on motivations, deterrents, and needs
Published in International Journal of Healthcare Management, 2018
Xiaoqing Pan, J. Paulo Moreira
Quality of care: The quality of care can be the perceived result of the attitude of the professionals, the unique characteristics of treatment, and the procedures to obtain the services. Wellness tourists might be attracted by the quality of an overseas tour even if it shares a similar content with the domestic one. They might tend to think that the overseas service is better than what is rendered in the domestic market. ‘I have been there, they provide SPA with local characteristics, I would try again next time I go there. The environment is good, two persons in a room, we all fell asleep. There is music, food, and the massage is relaxing, not comparable to service at home. They are very professional’ (A). Some gray literature also indicates the quality of care is also one of the reasons why the disease-curing tourists turn to seek overseas service. Concerning the quality of care, it might be more likely to exclude or lower the chances of misdiagnosis and better take care of patients. ‘One of the reasons for Chinese elites to go for overseas medical service might be the trust they put in overseas medical technology and the professional ethic of medical practitioners’ (H).
From clinical remission to residual disease activity in spondyloarthritis and its potential treatment implications
Published in Expert Review of Clinical Immunology, 2018
Fabio Massimo Perrotta, Antonia De Socio, Silvia Scriffignano, Ennio Lubrano
Biologic treatments that target key cytokines represent the present and the future for the management of inflammatory diseases such as SpA. The progress in understanding of the pathogenesis of SpA will take to a rapid increase in the number of available treatments, with the possibility, for the patients, to achieve a status of remission. Furthermore, switching to a different anti-TNF or swapping to other biologics in case of lack or loss of response is an effective strategy as stated in the recent GRAPPA treatment recommendation [64,65]. In the next years, however, clinical remission of symptoms and signs could not be enough. With the development of sensitive imaging techniques that allow detecting the active inflammation in different sites, the concept of remission will be extended to a ‘real’ remission, next to histopathological absence of inflammation in the involved sites.