Sunday, January 26, 2020

Choosing Appropriate Quantitative Research Design

Choosing Appropriate Quantitative Research Design Quantitative research is designed to provide quantitative (numerical) data that answers questions related to trends, attitudes, opinions, or the impact of treatment on a population. Before quantitative research begins, it is necessary to identify the purpose of the study, the population to be studied, the variables involved in the study, and the type of data that would be most useful as an end product. After identifying these components, researchers can next hone in on the design of the research, the design of the research collection tool, sampling procedures, the survey or measurement instrument, data collection methods, and data analyses methods (data organization, data interpretation, scaling, etc.) and issues (validity, reliability, threats to validity, etc.).The research is based on theory or hypotheses and is usually tests for the impact of an intervention on a population. The impact of an intervention or treatment may be measured using traditional experimental methods and proc esses or by survey methods. Survey methods include personal interviews, telephone interviews, mailed questionnaires, group administered questionnaires, or dropped-off household surveys (Trochim, 2006). Though the process is presented in simple terms in this paper, the actual design process is a very complex set of decisions related to the methodologies and procedures of quantitative research. This paper seeks to outline the strengths and limitations of the most widely used research design models to determine the appropriate research design for quantitatively researching the use of technology web 2.0 innovations to determine its effect on learning and test performance in the elementary classroom. The quantitative study of the social science is especially challenging because of the fact that the independent variables cannot be manipulated and that the research must often be performed in real time in a natural setting. The research is characterized by the manipulation of a variable but extreme care must be taken not to harm the study participants in any way throughout the study. Research is usually centered around the determination of a property-disposition relationship (attitude-focused) or a stimulus-response relationship (behaviorally-focused). Quantitative researchers must determine which type of relationship is best suited for their specific study. The following are critical factors in making this critical determination: Time Interval: the period of time between introduction of the independent variable and the response to the variable Degree of specificity: isolation of the independent variable to determine its effect Nature of comparison groups: comparison of before/after groups or experimental/control groups for statistical analysis Time sequence of events: determining the timeline for the relationship between cause and effect These elements of quantitative research drive the decisions regarding research methodologies and procedures related to choosing an appropriate research design. The following is a brief overview of the research designs used in social sciences. Quantitative Research Design Comparison Experimental Design Experimental design is usually associated with the life and physical sciences where independent variables are easily manipulated. Experimental design compares the results of an experimental group (that receives exposure to an independent variable) with a control group (that does not receive exposure to an independent variable). This design often uses a pretest and posttest measurement to analyze the differences between groups. The advantages of this type of research design for studying social science include the ability of the researchers to introduce and control extrinsic and intrinsic (independent) variables as well as the easy identification of causal inferences that strengthen the validity of the research. Disadvantages of experimental design for social science includes the inability to replicate the experiment in a real-life social setting resulting in weak external validity and the reliance on volunteers or self-selected participants who may not represent the actual population. As a result, generalizability is decreased due to the small sample of participants selected for the study. Cross-Sectional and Quasi-Experimental Designs Cross-sectional design is recognized by its utilization of surveys to determine study participants backgrounds, past experiences, and attitude to determine the relationship between research variables. This type of research is not conducive to experimental design because of the difficulties in manipulating the independent variable during the study. Cross-sectional design relies on statistical analysis to approximate the relationship between variables and may not produce accurate causal inferences. Internal validity is weak as a result. Quasi-experimental design is identified by random selection of study participants without the requirement of random selection of participants to a comparison group, study of more than one population sample, and studies conducted over time. It is difficult to disaggregate the data produced by this type of study since the population sample will consist of a mixture of subjects with various traits and characteristics. Causal inferences are difficult to determine with this design. Performing the study over time and the analysis of data by (similar) categoric or contrasted (different) groups are strategies used to increase the validity of this design for social science research. Planned variation design, panels, time-series designs, and control-series designs are alternative quasi-experimental social science research designs that attempt to increase internal and external validity by controlling stimuli introduction, research methods, cause-and-effect identification, and causal inference determination respectively. Combined designs employ two or more of the designs mentioned above in effort to assess the causal effects of variables using a multi-method, multi-design approach to studying social science. The advantages offered by these designs include increased internal and external validity as a result of the ability to perform research in real-life, natural settings with a representative population. Since there is no assignment of participants to treatment or comparison groups, researchers are able to perform studies that could be considered unethical or impossible using traditional experimental designs. The disadvantages associated with these designs include difficulty determining causal inferences (due to a wide variety of differences inherent in the study population) and the inability of researchers to manipulate the independent variable. Pre-Experimental Design Pre-experimental design is appropriate when no other design is able to study a population due to limitations in time, population, or a specified event. If there is a single event that occurs at a specified time for a specified group of people, there is only one opportunity to study the impact of a treatment. For this reason, pre-experimental design is considered to be the weakest type of research design with a high risk of causal inference error. There is usually not an assignment of subjects to an experimental or control group and this design usually does not include a comparison group. A one-shot case study is often used with this type of design and does not offer high validity due to the limited ability to generalize study results to a wider population. An advantage of this design includes allowing researchers the ability to scientifically show that more research is needed to explore a particular hypothesis. Weak internal and external validity and the inability to make causal infe rences are considered to be disadvantages for this research design. Determining Which Design is Most Appropriate My research problem studies the relationship between the use of web 2.0 innovative technologies (such as Skype, Second Life, etc.) and depth of research, test performance, and self- motivated learning for grade 3 through 8 students. Important factors that are necessary to consider are the identification of the independent variable, identification of dependent variables, availability of a control or contrast group, ethical implications of this study, and availability of the study (treatment) population. The independent variable in the study is the use of web 2.0 technologies for research. Dependent variables are research depth, test performance, and student self-motivation to learn. The grade 3 through 8 students for the control group and experimental group are available at my current place of employment. Since the treatment involves using technology to learn, there is no presumed risk or ethical issue since using technology is an ordinary part of the students day of learning. The tre atment of using technology for communication over the Internet is a manipulation of the use of technology in the classroom. Special care will be taken to ensure that students adhere to Internet safety rules during communication sessions. Experimental design is the most appropriate research design for this study for the following reasons: Availability and randomization of control and experimental groups Variables can be easily manipulated Pre-test and post-test measurements are possible Causal inferences will be easily identified Johnson and Christensen (2007) state that quantitative research is appropriate for describing what is seen and generating new hypotheses and theories. Since the measurements of the dependent variables reflect behavioral rather than cognitive outcomes, the tools used to measure the study outcomes will not include surveys but rather observational logs. This further supports the use of the experimental design for this study. Other Considerations Other research designs are not considered appropriate and are detailed for the following reasons. Cross-sectional design is not appropriate for this study because surveys are not necessary to determine the participants backgrounds, past experiences, or attitudes. Also, since the independent variable can be manipulated, statistical analysis will not be necessary to approximate causal inferences. Quasi-experimental design should not be employed since the assignment of participants to a control or comparison group is possible and there is no need for an extended period of time for this study. Also, there is no need to systematically introduce stimuli, use panels, or take measurements over a number of time periods. Data is not expected to change for individuals due to history, maturation, or test-retest effects. Furthermore, there are no ethical considerations present in the experimental design for the study. Lastly, the pre-experimental design is not appropriate for this study since thi s is not an event-based or time-sensitive study.

Saturday, January 18, 2020

Medical Tourism: Study Case of Ijn

Medical Tourism Sustainability through the Export Market Orientation Behaviours: The Case Study of Institut Jantung Negara (IJN) Ili-Salsabila Abd-Razak1 and Asmat Nizam Abdul Talib Universiti Utara Malaysia, Kedah, MALAYSIA The inclusion of tourism sector as one of the 12 recognized national key economic areas (NKEA) for the 10th Malaysia Plan represent the sector’s prospect in not only driving the nation’s economy, but also transforming the country into a high-income economy by 2020. With approximately 10 years left, many concerned groups are keen to know how this will be achieved.This paper aims at exposing the prospects of medical tourism as an essential subsector of tourism which would offer a number of proven benefits, and hence contribute to accomplishing the government aspiration of transforming the nation’s economy via the said sector. In discussing the subject, the case study method is employed involving Institut Jantung Negara (IJN) as an emerging medi cal tourism provider in the country. Findings of the case study are presented herein. Key words: medical tourism, economy, Institut Jantung NegaraIntroduction The promising prospect of tourism as an economic stimulator has enabled it to be included in the list of 12 National Key Economic Areas (NKEA), which has been specifically drafted to transform the Malaysian economy into high-income economy by year 2020. While there are tremendous numbers of tourism categories, ranging from environment, cultural, sports, and entertainment, to name a few, this paper intend to highlight on the prospects of medical tourism as a significant tourism-related economic contributor in this country. Connell (2006) defined medical tourism as health-related tourism involving specific medical intervention. Among the most popular medical tourism products are orthopaedic and cardiac surgery, which are very popular among Asian medical tourism providers, as well as executive health evaluations, cosmetic surgery , joint replacement, and similar complex medical, surgical and dental procedures (Horowitz and Rosensweig, 2007).Therefore this is a distinguished industry than that of the wider health tourism industry which involves tourists travelling to search for spas, yoga and meditation, or any other forms of health tourism (Connell, 2006; Garcia Altes, 2005). 1 Email: ili. [email  protected] com 169 In a relatively detailed account of medical tourism development which began in 1800s, Schroth and Khawaja (2007) proposed that the current phenomenon is different due to the unique combination of global demand and supply within the international medical market.As observed in the region, this proposition is regarded as well-founded. The present development of medical tourism in the international market is very unique, manifested by the escalating statistics of players, patients and revenues generated around the globe of late. How Malaysia is positioned within this backdrop, and how it would affe ct the development of this fast emerging economy, are among the focus of discussion of this paper. The Statistical Development of Medical Tourism Medical tourism has been a very significant industry over the years.By judging from its health travel umbrella, the sector is expected to generate some handsome revenue of RM240 billion (roughly USD73 billion) in 2010, with ASEAN contributing RM9. 6 billion (roughly USD3 billion) (PEMANDU, 2010). Specifically focusing on medical tourism industry, the anticipated revenue to be generated in Asia is RM14. 2 billion by 2012 (roughly USD4. 3 billion), with Malaysia is expected to bring in RM2. 1 billion (roughly USD64 million) from that amount (Ang, 2009).As a comparison, India, another top Asian medical tourism destination, expects to gain USD2 billion by the same year (Connell, 2006; Horowitz and Rosensweig, 2007). These statistics surely are translated by a growing number of medical tourists around the globe. The movement of medical tourists is another significant indicator of this trend. At the global stage, approximately 350 000 medical tourists moved from developed nations to less developed countries for treatment in 2003, while a year later 1. 18 million patients travelled to India alone and another 1. million to Thailand for the same reason (Horowitz and Rosensweig, 2007). Glancing at the local development, the Association of Private Hospitals of Malaysia (APHM) has been projecting for a stable 30% growth of takings from foreign patients until 2010. This is apparent from the steady increase of foreign patients to Malaysia which recorded a total of 39 114 patients in 1998 and 374 063 patients ten years later (APHM; Liow, 2009). In terms of revenue, RM14. 1 million was documented in 1998 before jumped to RM299. million in 2008 (APHM; Liow, 2009), and is expected to contribute to another RM540 million in 2010 (Leonard, 2009). The revenue per patient has almost tripled from RM360 in 1998 to RM800 in 2008 (Choy, 2010). In the latest development, medical tourism is expected to generate RM4294. 4 million of Gross National Income, together with 5295 jobs in 2020 (PEMANDU, 2010). This occurrence has readily attracted a number of giant MNCs with diversified structure such as General Electric (GE) to invest further in the industry (Panjanadan, 2010). The Revolution of Medical TourismThe presented statistics did not appear by chance. The numbers occurred out of plausible factors. The development of medical tourism industry is indeed different (Horowitz and Rosensweig, 2007). As mentioned earlier, Schroth and Khawaja attributed the uniqueness of the industry’s current development to the forces of market’s demand and supply, which is in resonance with Horowitz and Rosensweig (2007) who ascribed it to the movement of patients from industrialized nations to less developed countries. Connell (2006) argued that medical tourism is a niche which 170 xperienced rapid growth and has become an indust ry. The said paper also enlisted several factors promoting the development of medical tourism, such as the low costs factor, the long waiting list, the relatively affordable international air travel and favourable exchange rate, plus the aging of the baby boomers generation. These factors are also often cited in a number of studies regarding medical tourism such as Hansen (2008), Herrich (2007), Horowitz and Rosensweig (2007), Garcia Altes (2005), Marlowe and Sullivan (2007), and Schroth and Khawaja (2007), to name a few.Apart from these popular factors, other notable factors motivating the development of the industry spotted in the literature extent are the use of internet and mobility of technology, the unavailability of certain procedures in the local market, and the reduced trade barriers encouraging the mobility of workforce. Hansen (2008) argued that the revolution in medical tourism today is consumer-driven. This is in line with Horowitz and Rosensweig (2007) who argued that the industry is market driven with complex involvement of multitude medical, economic, social and political factors.While the progress of the industry seems to be very promising, the general overview of Malaysia’s involvement at the international level is not very charming. Even though medical tourism experienced an astounding per annum growth of 22% from 2004 to 2009, the global share is still considered as small with RM350 million in 2010 (PEMANDU, 2010). Furthermore, PEMANDU also reported that while the global healthcare travel is a multi-million dollar industry, Malaysia is yet to get a sizeable share.The said industry is expected to generate USD75 billion of revenue in 2010 at the global level, while Malaysia is expected to make about USD0. 1 billion. The statistics provide a brief sight on the development in the country weighted against the global development. Malaysia should therefore be proactive enough to catch up with the global progress to stay competitive in the i ndustry. To enable this, the players and responsible parties must quickly recognize potential constraints that can hamper the development and address the issues well.The Required Expertise and the Potential Economic Opportunities Based on previous arguments, medical tourism offers bountiful opportunities and chances. In order to remain competitive at the global stage, marketing strategies should be revised against the present circumstances. Marketing the medical expertise and offerings should be distinctively conducted. The primary concern of assessing an excellent marketing strategy is the effectiveness of the strategies implemented.StuartKregor (2005) argued that defining marketing excellence for medical-related industry is different with that of the commercial-based industry. As customer is the centre of marketing excellent in the industry, the paper suggested that the effectiveness of marketing strategies should then be done by measuring the customer’s satisfaction over t he service provided. Therefore, all other marketing excellence measured by considering the profit, return on investment or sales as in any other commercial industries should be changed to be more customer-oriented rather than organizationaloriented. Building he strategies can be done by â€Å"developing, communicating and delivering the right emotional benefits to the targeted customers† (Stuart-Kregor, 2005, pp. 117). The right emotional benefit here is viewed as brand by Stuart-Kregor (2005). This paper is in agreement with the argument, which is to develop the marketing strategies by focusing on the emotional benefits (brands), and assess the effectiveness of the strategies by measuring the satisfactions of the customer. Further discussion on this is available in the next section. 171 The science of excellent marketing strategies would be wasted without a good delivery system.The state of local expertise, technologies and facilities must be attended to in order to assess t he quality of the service offered against the global level. This is where the industry should strive to be as similar as other excellent providers. The commodification of medical tourism (Chee, 2007) is an evident of this occurrence. Dunn (2007) argued that patients are making choices on medical tourism destinations based on how similar is the service delivered, especially concerning patients from industrialized nations, and the service is expected to come with much lower price.Consequently, it is observed that patients are not looking for low cost products at the expense of the quality in the industry. Successful players realize this and capitalize on the factors well. This explains the rapid movement of workforce and technologies across the four corners of the world. India as an example has been successful in luring its medical doctors who have been trained and worked abroad to return with their internationally recognized expertise and work in the country.Thailand and United Arab Emirates have been successful in rearranging for international collaboration in the industry (Schroth and Khawaja, 2007). Through these strategies, the countries have been able to keep their expertise, technologies and facilities up with the global standard. Proposed Strategies of Reviving and Sustaining Medical Tourism: The Case of IJN With the national governments’ involvement recently (Chee, 2007; Noor Hazilah, Roslan Johari and Kadar, 2010; PEMANDU, 2010), the industry has been attracting the interest of many concerned parties.Since the medical tourism is fast becoming a commodity (Chee, 2007), its marketing strategies should be focusing more on brands and less on products to be distinctive than other providers. As in Malaysia, the country is capable of offering similar products with the rest of other players in the world. While Malaysia has been focusing on cost all this while, it is suggested then for the country to deliver a unique brand which is capable of attracting the interest of potential medical tourists, without desecrating the cost advantage.In order to do so, it is particularly important for the players to implement the export market orientation behaviours within their organization, which are generating, disseminating and responding to the export market intelligence (Cadogan, Diamantopoulos and de Mortanges, 1999). Consequently, Malaysia is expected to be able to woo medical tourism patients even more. Hazilah et al. (2010) reported that a medical tourist spends double than a regular tourist while they are in the country. This high buying power therefore is capable of generating more economic opportunities.The medical tourist needs are also offering a lot of opportunities for Malaysian. Apart from medical attention, they need to have accommodation for their accompanying family members. New jobs have been underway to better serve the medical tourists, such as the healthcare broker. A healthcare broker assists the patient to choose a medic al institute and arrange for the patient’s needs while in here, including visa, accommodation and holiday arrangement. Thanks to the internet, these can be arranged prior to the patient’s arrival in the country.To describe more of these strategies and opportunities, this paper choose to present the IJN as a case study merit the discussion. The National Heart Institute or Institut Jantung Negara (IJN) has been established in 1992. The privatization of the institute was done on many premises, especially concerning the potential it has to expand its expertise and to liberalize the 172 financial capabilities of the institute. IJN did not take long to materialize that. A year after its privatization the institute has been able to be financially liberalized and hence reduce the government intervention in its administration.By now, IJN has accomplished a great number of medical milestones recognized not only in the country and the region, but also internationally. To further advance ahead in medical industry, IJN is joining its local peer private institutions to take part in the global medical tourism industry. The previous mentioned factors of global medical tourism industry’s progressive development served as the basis for IJN to be a part of the industry. Besides, like Singapore, the medical tourism industry in Malaysia is receiving a lot of government’s assistants.Being a nationally structured industry, medical tourism therefore is regarded as a potential industry in which would be able to position IJN better. The Malaysian government has been playing an active role in developing the industry in Malaysia since 1998. The main driver of this is to revive the private medical industry after the 1997 Asian economic downturn which has affected the industry very badly. The success story of Thailand which managed to get the industry out of the crisis by focusing on delivering the service to foreign patients has prompt the government to encoura ge private players to do the same.Consequently, while Thailand has been restructuring the industry without much government involvement, Malaysia and Singapore has been leveraging the industry well with cooperation between the public and the private sectors. IJN has been viewing this very positively and has since become a significant player in the region. While being rapidly developing the industry, the players recognized several major constraints which are able to slow down the progress. Coordination is a key constraint. To increase coordination, the Association of Private Hospitals of Malaysia (APHM) was formed to increase coordination between the private players.The steadily increasing number of foreign patients and revenues generated since 1998 as shown in Table 1 is an evident of the successful strategies implemented. However the industry, weighted against the global development, was still considered as insignificant. Resulting from the government’s enthusiasm towards med ical tourism as a prospective economic driver industry, and the intensity and potentials portrayed by private sectors, the Malaysia Healthcare Travel Council (MHTC) was established in July 2009.The main purpose of the council is to coordinate promotional activities of medical and healthcare tourism industry in the country. As a part of the economic transformation program, the industry is expected to shift their attention to generate higher patients’ volume, expand the target market beyond Indonesia which is currently the main market of the industry, create alliance across border, and enhance customer experience in the first phase of the strategy. In the following phase, more attention is given on mproving the infrastructure and specialists capacity to attract the more profitable in-patient segment (PEMANDU, 2010). 173 Table 1. The Volume of Foreign Patients and Revenue Generated by Medical Tourism Industry in Malaysia Year 1998 2001 2002 2003 2004 2005 2006 2007 2008 Medical Tourists/Foreign Patients 39,114 75,210 84,585 102,946 174,189 232,161 296,687 341,288 374,063 Revenue (RM million) 14. 1 n/a 35. 9 58. 9 105. 0 150. 9 203. 66 253. 84 299. 1 Another strategy to improve the medical tourism performance is through focusing on specific players.There are approximately 223 private hospitals operating in the country in 2008 (Frost & Sullivan, 2009). Of this number, the government has decided to focus on 35 private hospitals to capitalize on the industry with several characteristics outlined. The characteristics include being a member of APHM, has obtained the Malaysian Society for Quality in Health (MSQH), ISO or other international accreditations, offers major specialties and/or some sub-specialties, provides for a minimum 50 beds, and has its own websites.IJN has been one of the selected 35. The commitment demonstrated by IJN towards the industry is paramount. In order to be internationally recognized, the institute has been striving hard to be in the s ame par with the other international organizations. IJN has been accredited by JCI in 2009, which is a recognition of the strong culture of safety and quality within the organization. The internationally recognized accreditation is expected to improve IJN’s international positioning in the future.IJN realizes that in order to make the most of the industry, it needs to build a customer-oriented system. Beginning in 2006, the institute has been conducting the Customer Focused Program. The program was aimed at transforming IJN into a global centre of excellence by ensuring customers’ satisfaction. In 2008, the institute launched what was designed as the second phase of the program, called Customer Focused Culture. While the CFP was initiated to increase awareness of ensuring customers’ satisfaction, the CFC aimed at internalizing the institute’s shared values across the rganization. IJN also comprehend its capacity constraint which is becoming the largest hi ndrance from going big in the global medical tourism industry. Apart from improving on its culture system, the institute has been adamant in enhancing its infrastructure capabilities. A major extension work has been carried out at IJN to expand its capacities from 270 beds to 432, eight wards to 13, 23 outpatient clinic rooms to 59, and an international patient centre, to improve its service for customers.This is in line with numerous governments’ incentives offered to the private hospitals embarking on medical tourism industry to expand their infrastructure capacities. In August 2009, IJN has its new wing officiated by the Malaysian Prime Minister, who acknowledged that the institute has undergone RM230 million expansion program since 2005. In the same ceremony, the Prime Minister has also announced the proposal for IJN to become a research and development institute, measuring itself against the international best heart institute such as the Cleveland Clinic Heart Centre in the US.These are all evidences of how IJN has been greatly employing the export market orientation behaviors within its organization. In commenting the current development of the industry, IJN has expressed its concern for the country to be more progressive towards promoting medical tourism. 174 The IJN Holdings Group Managing Director, Datuk Mohd. Radzif Mohd. Yunus mentioned that the failure for Malaysia to capitalize on its capabilities in the industry would result to the loss of human capital as they will migrate to other countries with better offers.This is also reiterated by Datuk Syed Hussien Al-Habshee, the Secretary General of National Chambers of Commerce and Industry Malaysia (NCCIM) who said that the country need to step up its marketing efforts of medical tourism if it wants to catch up with Thailand and Singapore. PEMANDU (2010) has confirmed the assertion by reporting on the stronger growth of the industry by neighboring Thailand and Singapore. The set up of MHTC and several other initiatives are therefore deemed as timely to help Malaysia to rise in the industry at the global stage.Conclusion and Recommendation As exemplified in the discussion, medical tourism offers a lot of economic opportunities and hence is indeed a potential contributor to economic growth. However, Malaysia, while has been enjoying the growth of the industry vehemently over the pass few years, has not been capitalizing the industry well compared to the other global players. Therefore, the Malaysian players need to revise their marketing strategies and delivery system, as represented by IJN.The cooperative efforts between the public (government) and the private sectors too must be further carried on, especially for the sake of protecting the interests of the local society and the survival of the medical tourism players. It is strongly suggested for medical tourism players in the country to leverage on their expertise by focusing the marketing strategies on brands rather tha n on products, as well as enhancing on their infrastructure and culture systems to be more export market-oriented. In doing so, however, the players must not disregard the country’s current edge, which is the competitive cost.In terms of theoretical development, this paper is believed to be able to expose the medical tourism niche and its economic opportunities, as well as the marketing strategies fitting the industry. Quite a number of studies involving Malaysian medical tourism industry have been conducted. Nonetheless, this paper presents the scenario from the view of a single case study. It is highly suggested for similar studies to be conducted with the presence of empirical data to see the quantifiable aspects of the industry in the future.With such studies, it is expected that further theoretical contributions can be made, and hence the progress of the industry can then be expedited even more. Reference Ang, Elaine. Malaysian Medical Tourism Growing. The Star, February 14, 2009. Cadogan, J. W. , Diamantopoulos, A. , & de Mortanges, C. P. (1999). A measure of export market orientation: Scale development and cross-cultural validation. Journal of International Business Studies, 30(4), 689-707. Chee, H. L. (2007, January). Medical tourism in Malaysia: International movement of healthcare consumers and the commodification of healthcare. ARI Working Paper, No. 3. Retrieved from www. ari. nus. edu. sg/pub/wps. htm Choy, L. B. (2010, April 13). Medical tourism good for Malaysia’s health. News Straits Times. Retrieved from http://findarticles. com/p/news-articles/newstraits-times/mi_8016/is_20100413/ medical-tourism-malaysias health/ai_n53130944/ 175 Connell, J. (2006). Medical Tourism: Sea, sun, sand and †¦ surgery. Tourism Management, 27. 1093-1100. Dunn, P. 2007. Medical Tourism Takes Flight. Hospitals and Health Networks, 81(11): 40-44. Frost & Sullivan (2009, October 28). Frost & Sullivan: Growing healthcare tourism in Malaysia. Retrieved from http://www. alaysiahealthcare. com/ Garcia-Altes, A. (2005). The development of health tourism services. Annals of Tourism Research, 32 (1): 262-266. Hansen, F. (2008). A revolution in healthcare. Review-Institute of Public Affairs, 59(4), 43-45. Health and medical tourism will boost growth: Datuk Liow Tiong Lai. The Star, November 08, 2008. Retrieved from http://www. wellnessvisit. com/liowhealth-and-medical-tourism-will-boost-growth. php Herrick, D. M. (2007, November). Medical tourism: Global competition in health care. NCPA Policy Report, No. 304. Retrieved from www. ncpa. org/pub/st/st304 Horowitz, M. D. Rosensweig, J. A. , & Jones, C. A. (2007). Medical tourism: Globalization of healthcare marketplace. Medscape General Medicine, 9(4), 33. Leonard, T. (2009, October 28). Medical tourists to bring in RM540mil by 2020. Retrieved from http://www. malaysiahealthcare. com/ Marlowe, J. , & Sullivan, P. (2007). Medical tourism: The ultimate outsourcing. HR. Human Resource Planni ng, 30(2), 8-10. Noor Hazilah Abd Manaf, Roslan Johari Dato’ Mohd Ghazali, & Kadar Marikar. (2010). â€Å"Positioning Malaysia in Medical Tourism†. Paper presented at the International Conference on Marketing (ICMAR), June 2010, in Kuala Lumpur.Panjanadan, S. (2009, August 9). GE looking into enhancing presence in tourism Retrieved from healthcare. http://bernama. com/bernama/v5/newsbusiness. php? id=519842 PEMANDU (2010, September 21). Healthcare-EPP Panels. Retrieved from http://www. pemandu. gov. my/index. php? option=com_content&view=article&i d=619&Itemid=139&lang=en Schroth, L. , & Khawaja, R. (2007). Globalization of healthcare. Frontiers of Health Services Management, 24(2), 19-30. Speech by YB Dato’ Sri Liow Tiong Lai, Minister of Health Malaysia, at the APHM International Healthcare Conference and Exhibition at KLCC,

Thursday, January 9, 2020

What You Dont Know About Diagnostic Essay Samples

What You Don't Know About Diagnostic Essay Samples Rumors, Deception and Diagnostic Essay Samples The very best outline which is appropriate for the diagnostic essay is a standard five-paragraph structure. If you're anxious about the approaching writing of your diagnostic essay, you can get in touch with our essay service for the in depth advice. Any excellent essay should end with a highly effective conclusion. Keep in mind you need to only proceed to writing your introduction whenever you have made sure that you comprehend the topic and already understand what you will write in the major body of your diagnostic essay. To put it differently, before writing your essay introduction, you have to understand just what you are introducing. Next, you've got to rephrase the thesis statement and complete the essay with a sentence that encourages the reader to find out more about your topic. A diagnostic paragraph example would consist of writing based on every one of the 3 reasons keeping your essay thesis for a focus. Without further ado, here is a good example of diagnostic essay, written as a response to the subject of the importance of education. Stressing out about the whole writing process isn't going to assist you in any manner. Simply take a while to find the most important idea and just then you can begin writing. Ultimately, make certain that you allot plenty of time for every one of the writing steps. If you aren't sure in your speed of writing, it is a good idea to practice time after time. What Diagnostic Essay Samples Is - and What it Is Not Students must compose diagnostic essays to be able to showcase the skills they already have. They are expected to time themselves and use proper prewriting skills. Sometimes, they don't know how to start writing. To decide on a college major, they should enroll in a variety of courses and speak with people who work in their potential fields of study. Seeking for a response to the question how to compose a diagnostic essay, it's essential to look at all aspects that will enable you to impress your teacher. Answering the incorrect question won't help you showcase your abilities and will cause you to look to be an inattentive student. The Master's thesis isn't a last assignment, so an interview won't be completed. Try to remember that good proofreading skills ought to be there too! For instance, you could discuss the mental effort you had to make to be able to finish the assignment. In order to earn an excellent first impression at a job interview, a candidate must be correctly prepared. As soon as you've read the prompt and answered the question, examine your answer and write down three explanations for why you believe your answer is accurate. In the majority of situations, you will be provided a particular prompt or question to write about. In fact, diagnostic essay isn't really functioning like a regular research paper. O nce you are aware of how to compose the paper, obviously, you are going to want a topic and thesis statement. The paper has to be typed, double-spaced. Note, which you aren't alone in writing diagnosis paper. In the 2nd major body paragraph of your essay, you speak about the 2nd hardest decision you had to make. After our example with the subject of hard decisions, the very first paragraph would chat about the hardest decision you had to make, in your opinion. The very first body paragraph ought to be the strongest one. To start off, it's a superb notion to paraphrase the topic which you were given to write about. The introductory part of your work ought to start with the reiteration of the subject or the response to the question that was given as your prompt. You will discover that lots of the topics can be adapted to suit almost any sort of writing assignment. Don't make the error of writing all of the info you know regarding a specific topic. Men and women who need to entice prospective dates want to establish an appealing on-line profile. New information can't be introduced. If you lose out on the important elements they wish to see, nobody will have interest to carry on reading your work. The Hidden Truth About Diagnostic Essay Samples An evaluation essay resembles a review because you have to examine both the beneficial and negative facets of something. Obviously, there's a specific sort of folks who start acting efficiently in the stressful circumstance. The principal issue is that I am too shy. Depression is the commonest mental illness on earth yet just a few can let you know what exactly it is. Diagnostic Essay Samples - Dead or Alive? If you're discussing a theory or research study make sure that you cite the origin of the info. Collect as much information as possible and make sure that the content is diverse. If your topic came in the shape of a prompt, then you need to just make sure you have answered it. Following that, you should introduce the subject.

Wednesday, January 1, 2020

Animal Testing No Harm, Only Benefits - 1710 Words

Korey Gonzales ENGWR 300 Ms. Perales April 5, 2016 Animal Tests: No Harm, Only Benefits As the years have passed the human race has come across and discovered many different diseases. Many of the diseases were lethal due to the fact that there was no cure to be found. But as years went on our technology began to â€Å"evolve†, we found cures for what many would think are incurable. The practice of using animals in biomedical research has led to significant advances in the treatment of various diseases. Animals would be injected with the disease and through series of tests they created a vaccine to fight off the disease. Many animals are related to humans and share the same emotional status as humans do. There are experiments where dogs are†¦show more content†¦Another fact about animal testing is that â€Å"The polio vaccine tested on animals, reduced the global occurrence of the disease from 350,000 cases in 1988 to 223 cases in 2012† (Curie). Research on animals granted scientists with major advances in the c omprehension and treatment of breast cancer, brain injury, childhood leukemia, malaria, and an immense amount of others, and involved in the creation of pacemakers, cardiac valve substitutes and anesthetics. Chris Abee, the director of M.D. Anderson Cancer Center animal research center explains, â€Å"We would not have a vaccine for Hepatitis B without chimpanzees...the use of chimpanzees is our best hope for finding a vaccine for Hepatitis C† (Education Research). If the vaccines created by humans were not tested on animals, millions of animals would have died from rabies, distemper, feline leukemia, infectious hepatitis virus, tetanus, anthrax, and canine parvovirus (Biomedical research). There are even treatments for animals that were developed using animal testing. Pacemakers for heart disease and remedies for glaucoma and hip dysplasia (Biomedical Research). Rachel Hajar, a Biologist, states â€Å"Animal testing has also been a great help in saving endangered species fr om extinction, including the black footed ferret and the Condor species. Even Koala bears are catching sexually transmitted chlamydia and now classified as endangered in some regions of Australia (Hajar).