impaired esophageal motility
Considerable morbidity and complications (such as esophageal ulcerations, peptic strictures, and Barrett's esophagus)
Heartburn is the 5th most common gastrointestinal complaint
The 2nd leading outpatient/ 7th most common inpatient gastrointestinal diagnosis
The most costly gastrointestinal disease in 2000 (the largest component was drugs)
As a chroni
the next week, then tapered off over 5 weeks
Steroids may be of benefit in peritonitis, miliary disease, laryngeal TB, lymphadenitis and genitourinary disease
routine use of steroids cannot be recommended.
-> should be considered by the attending physician.
Thalidomide may be of benefit in TB meningitis and has been used in cases where patients have failed to respond to steroid treatment
‘drapetomania’
Classifying a state as a disease for social or ideological reasons
Normativism attempts but fails to account for the common view that there is more to the term ‘disease’ than just a statement of our values.
Boores’ approach
Choose the reference group
Stastically typical one is normal function
Disease is the impairment of normal
Health is the absence of disease
헬스케어 에코시스템에 해당하는 주요 이해관계자들이 동일한 목적을 가지고 혁신적인 Care 운영모델을 개발
미국은 헬스케어 시스템에 대한 냉철한 점검과 새로운 시각에서의 혁신 필요
헬스케어 디지털혁신은 제품개발/산업육성이 아닌 환자케어를 목적으로 모든 이해관계자가 참여와 역할이 필