The debut, progression and maintenance of skin disease are related to stress(acne, alopecia areata, atopic dermatitis, lichen planus, psoriasis, urticaria, vitiligo, herpes, hyperhidrosis, pemphigus, rosacea or seborr...The debut, progression and maintenance of skin disease are related to stress(acne, alopecia areata, atopic dermatitis, lichen planus, psoriasis, urticaria, vitiligo, herpes, hyperhidrosis, pemphigus, rosacea or seborrheic dermatitis). Environmental, socio-professional, life events are representing external factors. Personality, previous experiences, traits of anxiety are individual factors influencing the state of stress. Perceived stress could be more harmful especially in "high reactors" to stress. Coping abilities to stress could be increased in social programs. There was a recent interest in measuring the quality of life in the last years. There are dermatology and disease specific questionnaires that could help. Out-patients have less time to wait for very sophisticated procedures. They expect faster results. For simple, acute diseases it is important to have a good communication and good understanding of the instructions to get results as soon as possible. For chronic diseases a strong long-term alliance is needed, so the patients should revisit for his benefit and not for giving up. Small questions regarding potential stressful events, impact on the quality of life, stigmatization, the level of symptoms(pruritus), psychiatric comorbidities(anxiety, depression), short questionnaires for quality of life give us a better picture, personalize the doctorpatient relationship and could influence the choice of treatment. Many skin disorders could be seen from a psychosomatic point of view and the final goal, especially for the chronic diseases, is to improve through our treatments the impact on the quality of patient's life.展开更多
The Coronavirus 2019 (COVID-19) pandemic has widespread implications for clinical practice of otolaryngologists in clinics and hospitals. With various reports of otolaryngology practitioners catching infection, a prof...The Coronavirus 2019 (COVID-19) pandemic has widespread implications for clinical practice of otolaryngologists in clinics and hospitals. With various reports of otolaryngology practitioners catching infection, a profound structural reorganization of ENT services in the clinic is mandatory for protecting both patients and healthcare workers. The present study focused on quantifying the cost involved in reorganizing the otolaryngology out-patient services in a third world country during the ongoing Covid-19 pandemic. Though the pandemic has increased the cost of running of an otolaryngology practice world over, the impact is huge in India as penetration of health insurance/social security is minimal. As out of pocket expenditure forms a significant proportion of healthcare spending by majority in India, any transfer of additional cost incurred because of Covid-19 pandemic to the patient will burn a bigger hole in their pocket.展开更多
This paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities.The study's focus is an out-patient trip to a health care facility,and the source of ...This paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities.The study's focus is an out-patient trip to a health care facility,and the source of data is the China Health and Retirement Longitudinal Study(CHARLS)for 2011.2013 and 2015.Based on a random utility framework,the study finds that making a rip to ureat an ilness or for a check-up increases the likelihood of an out-patient trip by 52 and 31 probability points,respectively.Out-patient visits for which in-surance is not relevant,When the individual pays most of the out:of-pocket costs and when the facility is a public facility are also important factors.Diagnosed and other per-sonal health factors have some but much more modest effects on one's trip choice.The analysis also identifies differential modal impacts of health indicators.A series of robustness tests generally confirm the results and identify areas for further research.Including a no-trip option,the biannual sunvey and infrequent out-patient trip-making mitigate endogeneity concerns.The analysis has broad health policy and transportation implications for an ageing population whose share is increasing.展开更多
文摘The debut, progression and maintenance of skin disease are related to stress(acne, alopecia areata, atopic dermatitis, lichen planus, psoriasis, urticaria, vitiligo, herpes, hyperhidrosis, pemphigus, rosacea or seborrheic dermatitis). Environmental, socio-professional, life events are representing external factors. Personality, previous experiences, traits of anxiety are individual factors influencing the state of stress. Perceived stress could be more harmful especially in "high reactors" to stress. Coping abilities to stress could be increased in social programs. There was a recent interest in measuring the quality of life in the last years. There are dermatology and disease specific questionnaires that could help. Out-patients have less time to wait for very sophisticated procedures. They expect faster results. For simple, acute diseases it is important to have a good communication and good understanding of the instructions to get results as soon as possible. For chronic diseases a strong long-term alliance is needed, so the patients should revisit for his benefit and not for giving up. Small questions regarding potential stressful events, impact on the quality of life, stigmatization, the level of symptoms(pruritus), psychiatric comorbidities(anxiety, depression), short questionnaires for quality of life give us a better picture, personalize the doctorpatient relationship and could influence the choice of treatment. Many skin disorders could be seen from a psychosomatic point of view and the final goal, especially for the chronic diseases, is to improve through our treatments the impact on the quality of patient's life.
文摘The Coronavirus 2019 (COVID-19) pandemic has widespread implications for clinical practice of otolaryngologists in clinics and hospitals. With various reports of otolaryngology practitioners catching infection, a profound structural reorganization of ENT services in the clinic is mandatory for protecting both patients and healthcare workers. The present study focused on quantifying the cost involved in reorganizing the otolaryngology out-patient services in a third world country during the ongoing Covid-19 pandemic. Though the pandemic has increased the cost of running of an otolaryngology practice world over, the impact is huge in India as penetration of health insurance/social security is minimal. As out of pocket expenditure forms a significant proportion of healthcare spending by majority in India, any transfer of additional cost incurred because of Covid-19 pandemic to the patient will burn a bigger hole in their pocket.
文摘This paper analyzes the impact of health indicators on an individual's trip and mode choices to out-patient care facilities.The study's focus is an out-patient trip to a health care facility,and the source of data is the China Health and Retirement Longitudinal Study(CHARLS)for 2011.2013 and 2015.Based on a random utility framework,the study finds that making a rip to ureat an ilness or for a check-up increases the likelihood of an out-patient trip by 52 and 31 probability points,respectively.Out-patient visits for which in-surance is not relevant,When the individual pays most of the out:of-pocket costs and when the facility is a public facility are also important factors.Diagnosed and other per-sonal health factors have some but much more modest effects on one's trip choice.The analysis also identifies differential modal impacts of health indicators.A series of robustness tests generally confirm the results and identify areas for further research.Including a no-trip option,the biannual sunvey and infrequent out-patient trip-making mitigate endogeneity concerns.The analysis has broad health policy and transportation implications for an ageing population whose share is increasing.
