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We study changes in age-specific diabetes-related mortality and annual health care utilization. We find that half of the estimated 16% increase of diabetic mortality falls within employable age groups. We estimate that disease combination-specific increase in case fatality has resulted in premature diabetic mortality costing $3.2 billion annually. The estimated annual direct cost of treating high-risk diabetics reaches $36 billion, of which Medicare and Other Federal Programs compensate 54%. Respiratory conditions among diabetics comprise the same proportion of high-risk diabetics as do the disease combinations including coronary heart diseases. Treating of general diabetic conditions has become more efficient as indicated by the estimated declines in per unit health care costs.

Informatics work introduces information professionals to taxonomies and other classification systems outside the boundaries of traditional bibliographic systems. This paper aims to provide an overview of the International Statistical Classification of Diseases and Related Health Problems (ICD) for informaticians and information professionals who may not have worked with the system previously.

In this paper, the author reviews the purpose, history, current use and future trends of the ICD classification system.

ICD is used globally as a standard vocabulary for medical diagnoses and, in the USA, for medical procedures in hospitals. Understanding the classification system is vital to working with clinical medical data.

The ICD classification system is not commonly used by information professionals. This paper provides a brief overview that will familiarize the information professional with the standard and its uses related to medical practice.

This study examines the economic crisis caused by coronavirus on the global tourism industry in general and the Indian tourism industry in particular. This paper highlights the strategies that tourism companies should implement in times of crisis to reduce the negative impact. It also discovers the business opportunities which can be offered amid this deadly pandemic.

The study is based on a systematic literature review. The literature has been explored by utilizing the keywords “economic crises,” “coronavirus,” “Indian tourism industry,” “Global tourism industry” on the three most popular databases namely Scopus, Web of Science and Google Scholar. In this study, statistics, current events, published research papers and a synthesis of news transmitted by various media sources were used to assess the economic crisis caused by coronavirus.

The obtained findings demonstrate that coronavirus severely affected the economy of the world and India. The pandemic has hit the economies that are dependent on tourism the worst. These countries are expected to bear the brunt of the crisis's consequences for longer than other economies. This coronavirus outbreak indicates that the tourism industry was unprepared to deal with such a pandemic, which affected and crippled the economy.

This study demonstrates economic crisis, management strategies and business opportunities during any crisis, chaos and disaster, in addition to its academic contribution to the existing body of the literature. Policymakers and industry practitioners might be offered suggestions based on the findings of current study to design futuristic strategies for better economic crisis management. The data given in this study is timely because taking an exact idea of tourism losses through the data is difficult, as the data changes as quickly as the virus spreads.

This paper forms its originality by concentrating on the aspects of economic crisis, strategies to mitigate the negative impact of coronavirus on the tourism economy and detailing the business opportunities which these crises can offer. This paper provides an evaluation of the current status of the tourism economy of the world and India as well.

The formation and spreading of market‐, management‐ and individual‐rights discourses into society, as well as the movement of consumerism, have paved the way for a transformation of the linguistic usage. The transformation suggests that the view of the care seeker has shifted from a waiting patient, via a consumer to a customer creating value. Another example of the process is that the former medical meeting between patient/doctor now is described as a service meeting. With this background, the purpose of this paper is to explore the transformation of linguistic usage and to analyse the performativity of the service management discourse in health care.

The concept of performativity (Butler) supported with discursive formation and subjectivization (Foucualt) is used as theoretical framework. The performativity of the discourse is understood as a vehicle within the discourse, which influences people on an ontological level that names and makes them active subjects in line with what the discourse is saying.

When the service management discourse travels into the world of health care, discursive tensions between medical‐, care‐ and management discourses follow. These become apparent in the distinction between the different discursive constructions of patient – related to passivity, and customer – related to the performative image of active participation in value creating health. Even if the customer in service management discourse is imagined as an agent for himself with power and individual responsibility it is doubtful if people view themselves as customers. The dialectics between the use of the customer concept in commercial service meetings and the patient – doctor meeting, which is illustrated, point to unexpressed and implicit presumptions of an ontological kind in the ways service management researchers describe service meetings. Recent health care research can be interpreted as if a majority of patients have a desire to be part of their value creating processes. Since the responsibilities and tasks of the professions in health care however are regulated by law and institutionalised, the process of delegating tasks to patients seems not to be a matter of course.

It seems to be problematic to replace the patient concept with the customer concept in general. This concept gives hardly much room for the vulnerability that characterises a sick person. A reasonable approach would of course be to use the customer concept in a nuanced way.

The paper demonstrates that the performativity of service management theories, through the use of discursive analysis, is valuable in order to understand shifts in linguistic usage.

This paper has two purposes: one is to analyse how the policy of freedom of choice emerged and was formed in the Swedish health care discourse; the second is related to how free choice influences the discourse in health care and how subjects are formed within the field, i.e. what the language of choice in health care does.

The research strategy is inspired by a combined theoretical framework borrowed from Michel Foucault's concepts of “discursive formation” and “subjectivization” completed with Judith Butler's concept of performativity.

The language of “freedom of choice” calls to mind the rhetoric of promises, i.e. that the patient should be free and responsible, in his or her relation to health care. Since patients seem to be insufficiently informed and supported about the actual benefits of possibilities and limitations associated with the severely restricted reform of free choice, the statements concerning opportunities to make personal health decisions will lose their significance. The advocacy of discourses of freedom of choice seems therefore mostly like empty words, as they are producing weak patients instead of free and empowered people.

As the reform was initiated in the beginning of 2000 it is rather fresh.

The paper produces insights into the rhetoric of political promises and the limitations of the reform dealing with freedom of choice in health care.