Dissertationen zum Thema „Health and Healthcare“

Diabetes is best described as a disease which affects blood levels and the body cannot regulate or produce enough insulin on its own causing sugar build up in the blood. Diabetes is the seventh leading cause of the death in the United States. Diabetes affects over 29 million Americans, with about 25% of them living with it undiagnosed. Another 86 million people living with pre-diabetes comprise 90% of the population is unaware they are pre-diabetic. Our business, DiaBeaThis Healthcare Clinic, provides health care services to adults 18 years or older who suffer from diabetes or are pre-diabetic. The diabetic services provided for these adults residing in Oceanside, North San Diego County, California. The clinic will provide testing for diabetes, health monitoring, and dietary counseling and will be a source for diabetics to obtain the required medication, supplies, and education needed.

The disparities in healthcare and the challenges of healthcare leaders in achieving positive health outcomes are a priority in America. Much discourse and policy is currently evolving in the legislative and executive branches of government. The United States has the highest health expenditures in the world and is classified as one of the unhealthiest countries. Many factors contribute to the disparities. These factors include socioeconomic, cultural competency, social determinants, policy, and health leadership. The challenge for health leaders is to identify strategies to improve the trends and e the status of health quality and well-being for all Americans. This study employed qualitative research using a phenomenological approach; surveying healthcare leaders in the United States. Data collection employed in-depth interviews of healthcare leaders with at least two years of experience in their current role. This qualitative study identified challenges of leaders in health care, best practices of successful healthcare leaders to improve patient access, narrow the gap of health-related disparities, and evaluated techniques and methods to improve health outcomes across racial and ethnic groups.

Healthcare utilization is a factor that directs quality and cost of health services. The cost of healthcare, income level, and demographics affect the frequency and circumstances, in which patients seek medical attention. One of the main goals of public assistance programs in this study is to facilitate the access to medical services for vulnerable groups of children. This study analyzes the impact of enrollment in various different public assistance programs and the access patterns to healthcare services. The study found that children who are enrolled in public assistance programs are more likely to visit an emergency room but less likely to visit a doctor at least 7 times a year (high utilization) compared to children who are also eligible for public programs but are not enrolled. This difference in patterns has a significant impact on cost of health services for public assistance programs' beneficiaries. A causal multifactorial link is observed, and therefore further research is needed.

The purpose of this study was to collaborate with one of the New England VA Healthcare Systems to conduct research to evaluate the current leadership competencies at the Department of Veterans Affairs (VA) to identified competencies essential for leadership by the VA. The researcher also assessed how VA front-line staff, first-line supervisors, mid-level managers, and senior/executive leadership rate their performance and that of their supervisors. Lastly, the researcher evaluated how these leaders are trained to assume their important roles at the VA and how much of a role are executive coaching and mentoring play in this training process. The research is a quantitative research study, and the competencies and specific behavior indicators were assessed using a web-based survey via a self-administered competency instrument designated to determine employee’s perceptions. The data collected comprised data from four different surveys/questionnaires for each position level within the organization including the demographic data. A total of 143 VA employees participated in the research study and completed surveys to measure the frequency of behaviors on a 10-point scale to answer the research questions. The results answered the key research questions asked in this study to measure leaders and emerging leader competence.

Given the ever increasing population of elderly in U.S, home healthcare agencies (HHA) serve as a model of continuous quality and affordable care. HHA hold a promise to boost economy and reduce healthcare expenditures to a significant level. This business plan examines the business potential of a home healthcare startup in downtown LA. Chapter 1 deals with market analysis, providing detailed information on the company, its organization, services, market definition, customer analysis, target population, and service demand. Chapter 2 deals with feasibility analysis and strategic planning, including SWOT, to sell our services. In chapter 3, we have discussed the legal issues and regulations, and defined policies to abide by state and federal rules and regulations. Finally, chapter 4 is about financial analysis, providing detailed pricing structure, other expenditures and revenues and the overall potential of the business to strive profitability and survive market competition. In conclusion, the Health Elixir Home Healthcare business has shown potential for success in the market.

The healthcare industry is ever-changing, with the significant advancement of technology compare to 30 years ago. Access to information has become quicker and paper chart has been reduced to the implementation and the creation of an EMR/EHR system. With patients obtaining a healthcare smartcard and acts as a portable EHR, this can help clinicians communicate better with other clinicians and be able to educate their patients on drug therapies, avoid administering duplicate testing, and thus, reduce cost for both the insurance and patients side. H.O.P.E.S. is making its way in the healthcare industry to alleviate burden for patients carrying papers and lab results, when it can be store using the smartcard system. This allows clinicians to access patients’ latest results if patients are seeing multiple clinicians (specialists) for their medical conditions. The smartcard allows physicians to educate their patients, getting them more involve and advocate for a healthier lifestyle.

Context-aware systems are a component of a ubiquitous computing or pervasive computing environment. Three important aspects of context include the following: where you are, who you are with, and what resources are nearby. Although location is a primary capability, location-aware does not necessarily capture information of interest that are mobile or changing. Context-aware, in contrast, is used more generally to include nearby people, devices, lighting, noise level, network availability, and even a social situation, such as whether someone is with a family member or a friend from school.

The purpose of this project is to introduce a healthcare application named ‘Care Taker’ that facilitates a longitudinal study in which data is gathered from a user’s smartphone over a period of time using a context aware application. This data is then analyzed to give a user actionable health related recommendations.

Healthcare today is constantly transforming as hospital systems are challenged to maximize productivity and value. Factors such as occupational stress, difficult working conditions, unresolved conflict, lack of leadership, and increased complexity of healthcare foster disruptive and uncivil behavior and directly impact work performance, patient safety, and the physical well-being of those providing or supporting the care given to patients. The objectives of this study were to: 1. assess the prevalence of incivility within a large metropolitan healthcare organization, 2. determine differences in the frequency of incivility within select occupational groups, and 3. examine the relation between incivility and productivity, organizational commitment, job satisfaction, and workplace stress. The study was a cross-sectional, correlation design, using survey methodology. Data were collected from employees working in one organization consisting of an acute care facility, outpatient centers, and ambulatory locations. The study population included direct and non-direct patient care job categories and physicians.

Healthcare as an industry included over 14 million workers in the United States and accounted for more than 15 percent of total Gross Domestic Product in 2008. Healthcare, particularly hospitals, played a significant role in shaping the culture, economy and quality of life throughout the United States beginning in the late nineteenth century and continuing to the present. For this reason, it was important to understand the nature of hospitals as healthcare organizations and the nature of leadership within these organizations. Metaphors were identified as a viable way to capture the structure and functioning of hospitals through their evolution as organizations over the past century and were used to evaluate the effectiveness of hospital leadership in responding to environmental, financial and societal changes. Based on this assessment, the role of metaphors as a leadership tool was examined and as well as the potential role of metaphors in promoting organizations development.

A survey of Certified Professionals in Healthcare Quality (CPHQ) in the Northeastern United States was used to assess the prevalence of the two most common metaphors cited in the literature for healthcare organizations, mechanistic and complex adaptive system. A unique aspect of this survey was the use of paired statements reflecting characteristics of the two most common metaphors to evaluate their use in healthcare organizations. Surprisingly, the metaphors frequently cited in the literature were identified infrequently and no metaphors were identified consistently across hospitals in the region.

Employee burnout has been a toxic concern in today’s American workforce. The prevalence of stress in the healthcare workplace is costing America billions of dollars and leading to medical errors, absenteeism, and turnover. Research indicates that human-animal bond provides physical, physiological, and psychological health benefits for professionals. This project will present the benefit of human-animal interactions (HAI) therapy in promoting the well-being in healthcare professionals. It will address services which will deliver to healthcare employees in the convenience of their workplace as well as educate the reader about the role animals play in humans’ lives. A combined minimal overhead cost and scientifically-proven health benefits of HAI, overall enhanced feelings of employee well-being and decreased animal abandonment are the strengths to this project. Finally, a discussion outlining the market, feasibility, legal and regulatory considerations and the proposal of financial analysis to deliver the project’s value with specific services from the human-animal interactions program.

Considering the expanding populace of elderly in the United States of America, there has been a significant growth in demand for home healthcare organizations which serve to deliver continuous quality care. Home healthcare organizations guarantee to support our economy and decrease healthcare costs to a huge level. This marketable business plan inspects the business capability of a home healthcare services startup located in San Diego Downtown.

This business plan has been broken down into several compartments where chapter 1 accounts on the market analysis of our business providing marketing strategies and intricate details of our company and its analysis, services provided, services in demand, customer and competitor analysis, marketing potential and demand. Chapter 2 deals with feasibility and SWOT analysis, to evaluate pros and cons, and to get a better idea of the organizational structure of the business plan. In Chapter 3, we talk about the legal aspects concerning State and Federal laws. Chapter 4 explains about the financial assumptions and analysis, annual expenditures as well as monthly expenses with the overall potential of home healthcare services to survive market competition.

We conclude that WeCare home healthcare services plan showed great potential to withstand the competitive market and drive towards success.