Posts Tagged ‘prescription drugs’

China: New Healthcare Frontier, or Just Following In Our Footsteps?

Wednesday, April 15th, 2009 by Laura Hilton

As we read recently in the Wall Street Journal Health Blog, the U.S. is not the only country grappling with healthcare reform.

CB050932China is dealing with healthcare challenges that come with the reality of having a billion citizens. It will be fascinating to watch as China continues to move beyond the history of peasant farmers playing the role of Barefoot Doctor to try to provide healthcare to the hundreds of millions of Chinese living in its ginormous rural territory. 

International health insurers are jockeying for position in China focusing on the upper echelon of the market – wealthy urban Chinese.  Our sources indicate that the Chinese are hoping to leverage deals with international insurance giants to facilitate healthcare delivery to the rural population. 

China’s cities offer better healthcare operations; there are hospitals operated by the Ministry of Health as well as a growing number of private facilities, many of which are operated as joint ventures between Western and Asian companies.  The best of these facilities offer care at an international standard, with a substantial price tag to match.  Although the history of these joint ventures only goes back about 15 years, there are numerous indications that they are susceptible to the twin evils that plague the U.S. healthcare system (which we discussed recently) – overutilization and overcharging. These trends also extend to the Ministry of Health hospitals, where physicians are encouraged to prescribe high-tech diagnostics and the new prescription drugs through a bonus system. 

It looks like the U.S. is not the only country struggling to find the right mix of incentives to provide the best care at the best price.

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ADHD (and other mental health conditions) around the Globe

Thursday, April 2nd, 2009 by Carol Foley

rxpad6College years bring opportunities to explore the world. Young adults are adept at traveling light, but today many carry the weight of living with a mental health condition. They may be traveling with Attention Deficit Hyperactivity Disorder (ADHD) or a more serious condition, or, as often happens, a new condition might emerge when an adolescent leaves home for the first time (for reasons Vikram Tarugu cites  in The Real World: Recognizing Illness in Young Adults).

Early diagnosis and treatment of mental health conditions is crucial, so it’s important for students abroad or hoping to go abroad to discuss any suspected symptoms with a mental health professional.  Fortunately, the latest medications and therapies enable diagnosed young people to go pretty much wherever they want without fear and with the blessing of school officials. Coming forward to seek treatment won’t disqualify students from a study abroad program, but it will help ensure that steps are taken to arrange proper treatment and support in the host country.

Finding the right practitioner can be a challenge; in many cultures, physicians are not accustomed to prescribing medications for mental health conditions. Even in a western European country such as Germany, a search may need to be undertaken to find a doctor that will provide care consistent with a treatment plan prescribed in the U.S.

And there are other hurdles as well. Psychiatric medications are typically controlled substances and bringing them across an international border may be illegal. For example, the common ADHD drug Adderall is banned in China, Argentina, the United Arab Emirates and the countries of Western Europe.

Even when legal, medications often vary by brand name and dosage, so getting a prescription filled or refilled can be problematic.  There are tools to help travelers figure these things out, but it’s obviously better to know about them before setting off on your journey. For example, at HTH Worldwide, we have an online and mobile translation tool that finds generic and brand equivalents for over 350 commonly prescribed medications.

Careful preparation may not always be enough because symptoms may first arise upon reaching the destination and may be misinterpreted as culture shock, stress or anxiety. We’ll talk more about that in future postings but in the meantime, remember the importance of self-awareness.   If these conditions persist, they may be symptoms of a larger problem that could be diagnosed and treated by qualified professionals nearby before the situation gets severe.

Certainly, increased understanding and advanced treatment methods have made world travel easier for students. But barriers remain. We have still miles to go to raise awareness of what it takes to keep students healthy while traveling.

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