2008年4月10日 星期四

cowboy operator, franchise

整形醫療服務產業化的管制問題(英國)
分類:品質與社會
2007/06/18 15:47

現在報社的編譯可以從全世界的網站取材 問題是 他們所摘譯"的 說不定"遺漏些重要的資訊

讀這篇"整形業氾濫成災"的英文版 我學了英國俗語 cowboy 和 cowboy operator等

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整形業「麥當勞化」【聯合報╱編譯王麗娟/報導 2007.06.18 】

英國醫生警告說,由不具資格或不夠專業的醫生執行的整形手術數量激增,正導致整形業的「麥當勞化」。紐西蘭一家整形公司最近就被踢爆,醫生僅須在飯店接受兩天訓練即可取得該公司的加盟權。


紐西蘭的「外觀醫學」公司在英國曼徹斯特的萬豪飯店,以每人兩千英鎊(台幣十三萬元)的代價,提供全科醫生(家庭醫生)一個周末的兩天訓練。在全科醫生以飯店的自願員工作為施打肉毒桿菌的練習對象後,「外觀醫學」表示只要他們願意付三萬五千英鎊(台幣二百卅萬元),外加未來手術費讓該公司分紅百分之十,即可取得該公司提供的全套開業設備。

柴斯特斐市的全科醫生曼恩也到萬豪飯店接受訓練。他說因為到國外整形失敗向他們醫院求助的病患太多,「出於好奇」,他決定一探究竟。他說有十九名醫生與一名牙醫參與這項內容廣泛的課程。有些課程內容確實不錯,因此當「外觀醫學」說,只要付錢即可取得基本設備與加盟權時,他確實嚇了一跳。


他說:「這是一個不受管制的市場。其中並無不法,他們也如此做了廿多年。令人擔心的是,醫生只不過參加了這些課程,就做起了整形這行。」

英國獨立報十七日報導,「英國整形醫生協會」說,強力的銷售手段和不合格醫生充斥,導致肉毒桿菌、拉皮、雷射治療市場發展快速。這些醫生因技術欠佳,容易出現整型不成反而受傷的情況,嚴重時甚至可能死亡。

諾丁罕「梅波利公園診所」的史泰普頓說:「這是美容業的麥當勞連鎖。」




Doctors warn of 'McSurgery' in quick fix operations boom
By Andrew Johnson
Published: 17 June 2007

A huge increase in the number of cosmetic surgery treatments carried out by unqualified or insufficiently qualified people is leading to the "McDonaldisation" of the industry, doctors warned yesterday.

Surgeons spoke out in response to news that a New Zealand cosmetic surgery company is offering doctors a franchise after just two days' training at a hotel in Manchester.

The British Association of Aesthetic Plastic Surgeons (BAAPS) said that high-pressure sales techniques and cowboy operators were fuelling a booming market in Botox, face peels and laser treatment, some of which can result in poor treatments, injuries or, in extreme cases, death.

Paul Stapleton, of the Mapperley Park Clinic in Nottingham, said: "It's a McDonald's franchise approach to cosmetic surgery. It's a continuation of alarming developments in the field, which hasn't been helped by the Government's U-turn on plans to regulate cosmetic surgery."

The franchise deal was offered to ordinary GPs who had paid £2,000 a head to a New Zealand company called Appearance Medicine for the training weekend at the Marriott Hotel in Manchester. After practising Botox injections on volunteer hotel staff the GPs were offered equipment to start a practice in exchange for £35,000 and 10 per cent of future profits.

Dr Maurice Mann, a GP in Chesterfield, attended the course "out of curiosity" because he was inundated with patients wanting non-invasive procedures or help after procedures abroad had gone wrong.

"There were 19 doctors and one dentist on the course," he said. "It was a wide-ranging course. Some of it was very good. But what I found a little surprising was that they said for £35,000 they would give us basic kit and a franchise. It's an unregulated market.

"They're not doing anything wrong and have been doing it for 20-odd years. What is worrying is people going on these courses and just getting started.

"This is something there is terrific demand for. If people can't get it from a reputable source they will go to a disreputable one."

Appearance Medicine did not respond to requests for comment.

A quarter of all complaints to the Healthcare Commission are about "low-level" cosmetic surgery procedures such as Botox and face peels.

'I was filming a scene when my whole face froze from Botox'

Sarah Manners, the star of the BBC series 'Casualty', had Botox treatment four years ago. She had feared that her looks were not perfect enough - but the result nearly ruined her career. Her face froze while she was filming an airline drama in which she played a glamorous air hostess and an entire scene was lost. "It taught me a lesson. You can't afford to have Botox when you're an actor. It could lose you work."



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cowboy (DISHONEST PERSON)
noun [C] UK INFORMAL
someone who is not honest, careful or skilful in their trade or business, or someone who ignores rules that most people obey and is therefore not considered to be responsible:
Those builders are a bunch of cowboys - they made a terrible job of our extension.

(from Cambridge Advanced Learner's Dictionary)



More than half (56% [the same as 1999]) of those interviewed believed digital tachographs were being introduced by the EU to target cowboy operators and improve road safety (figure 4). However, approximately one quarter (24%) thought it was to increase bureaucracy and red tape for drivers.

(Analogue tachographs record the driver’s periods of duty on a waxed paper disc. However, these are vulnerable to tampering, and so are being replaced by digital tachographs which record data on smart cards.)


franchise 加盟事業;專營權,特約
franchise chain 加盟店【フランチャイズチェーン(FC)】;franchise fee 經銷費

不二家、週内に休業補償・総額8000―9000万円

 消費期限の切れた牛乳でシュークリームを製造・出荷していた問題で不二家は14日、全国約700のフランチャイズチェーン(FC)の洋菓子販売店に対し、1週間分の休業補償を週内に実施する方針を固めた。売り上げ実績や契約内容に応じ、売上高の20―30%相当額を支払う。総額は8000―9000万円になるとみられる。長期化すれば業績に深刻な影響を与えかねない。
 同日までに主要なFC店に 伝えた。原則、店の販売額から仕入れ原価などを引いた粗利益分を補償。具体額は平均的な売り上げ実績、運営する店舗数、契約内容などを総合的に勘案し算定 する。個人経営の店も多く、アルバイトらの賃金、家賃など営業休止中でも費用がかかる。販売再開の時期が不透明なため、当座の資金を提供することでFC店 の不安を軽減する。補償を継続するかどうかは未定。(07:00)
franchise
1. License granted by a company (the franchisor)to an individual or firm (the franchisee) to operate a retail, food,or drug outlet where the franchisee agrees to use the franchisor's name;products; services; promotions; selling, distribution, and display methods; and other company support. McDonald's, Midas, and Holiday Inn are all examples of franchise operations.
2. Right to market a company's goods or services in a specific territory, which right has been granted by the company to an individual, group of individuals, marketing group, retailer, or wholesaler.See also brand franchise.
3. Specific territory or outlet involved in such aright.
4. Right of an advertiser to exercise an option to sponsora television or radio show, as well as the granting of such a right by the broadcast medium (as "to exercise a franchise" or "to grant a franchise").
5. Right granted by a local or state government to a cable television operator to offer cable television service in a community.

So that the Minister knows where I shall be coming from, I should like to explore one topic in particular. I refer to what are known as cowboy operators. The worst preventable disaster this country has suffered in recent times was the Dunblane disaster. We all know

Parliament's response to it. Incidentally, there is no problem with the proposed legislation for a total ban on handguns.

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