The past thirty years have witnessed the spread of rankings, ratings and league tables as governance technologies which aim to regulate the provision of public goods by means of market pressures. This paper examines the process of company analysis underlying the production of a ranking known as the Access to Medicine Index. The Index, which ranks the world’s largest pharmaceutical companies with regards to their access to medicine policies and practices, aspires to help address the problem of access to medicine through stakeholder consultation, transparency and competition. Politics in contemporary southern kingsbury pdf study unbundles the epistemic work underlying the performance measurement process leading to the creation of the Index.
We trace how the goal of stakeholder consensus, the need to project objectivity and the aspiration to govern through competition shape analysts’ epistemic work. We reflect on the challenges posed by these analysis processes for the regulatory aspirations of the ranking. Check if you have access through your login credentials or your institution. An overview is given of the short history and rapid rise of medical tourism, its documentation, and current knowledge and analysis of the industry. Definitions of medical tourism are limited hence who medical tourists are and how many exist are both indeterminate and inflated.
Definitions often conflate medical tourism, health tourism and medical travel, and are further complicated by the variable significance of motivation, procedures and tourism. While media coverage suggests long-distance travel for surgical procedures, and the dominance of middle class European patients, much medical tourism is across nearby borders and from diasporas, and of limited medical gravity, conflicting with popular assumptions. Numbers are usually substantially less than industry and media estimates. Data must remain subject to critical scrutiny.
Much medical tourism is short distance and diasporic, despite being part of an increasingly global medical industry, linked to and parallel with the tourism industry. Opportunities are diffused by word of mouth with the internet of secondary value. Quality and availability of care are key influences on medical tourism behaviour, alongside economic and cultural factors. Medical tourism is now seen as relatively short distance, cross border and diasporic. Medical tourism is of limited gravity despite cosmetic surgery dominating media discussions. Medical tourism companies integrated into the wider tourism industry.
Culture, quality and availability of care influence medical tourism behaviour. Professor of Geography, School of Geosciences, University of Sydney. Yankton County, and which had an estimated population of 22,702 as of July 1, 2015. Missouri River and the importance that the river played in the city’s settlement and development. Yankton has also earned the nickname, “Mother City of the Dakotas”, due to the early important role it played in the creation and development of the Dakota Territory, which later became the 39th and 40th U. North and South Dakota, respectively.
A view of Yankton, South Dakota from the Meridian Pedestrian Bridge, showing the Missouri River, Discovery Bridge and the steeple of the Bishop Martin Marty Chapel. South Dakota on the state’s border with Nebraska. Yankton, and Ponca State Park in Nebraska, has been designated by the U. The city is located approximately six miles west of the point where the James River flows into the Missouri. The city is also intersected by the Marne Creek, which also flows into the Missouri River. 2010, there were 14,454 people, 5,909 households, and 3,348 families residing in the city.
There were 6,365 housing units at an average density of 775. The racial makeup of the city was 92. There were 5,909 households of which 27. 18 living with them, 43. 65 years of age or older.