Dissertationen: „Modern Health Care Programmes“

1

Kundu, Suvendu. „Health care practices among the hill kharia of district Purulia and Bankura West Bengal“. Thesis, University of North Bengal, 2018. http://ir.nbu.ac.in/handle/123456789/2822.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

2

Kundu, Suvendu. „Health care practices among the hill kharia of district Purulia and Bankura, West Bengal“. Thesis, University of North Bengal, 2018. http://ir.nbu.ac.in/handle/123456789/3609.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

3

Didi, Fathimath Moosa. „Policy implementation in three primary health care programmes in the Maldives“. Thesis, University of Manchester, 2006. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.668729.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

4

Donaldson, Audley St Claire. „Modern health care it's implications for the Caribbean church /“. Theological Research Exchange Network (TREN), 1985. http://www.tren.com.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

5

Suksiriserekul, Somchai. „The cost-utility analysis of some Thai public health programmes“. Thesis, University of York, 1994. http://etheses.whiterose.ac.uk/9822/.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

6

Moreno, Serra Rodrigo Antonio. „Econometric evaluation of health care programmes and policiesin developing and transition countries“. Thesis, University of York, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507941.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

7

Kemp, Linzi J. „Organisational team : modern and postmodern perspectives of primary health care“. Thesis, Manchester Metropolitan University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271244.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

8

Morgan, Philip Arnold. „Pictures of change : distance learning as an innovation in health sciences“. Thesis, University of Southampton, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.341607.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

9

Ellis, Beverley Suzanne. „Managing governance programmes in primary care : lessons from case studies of the implementation of clinical governance in two primary care trusts“. Thesis, University of Central Lancashire, 2008. http://clok.uclan.ac.uk/19290/.

Der volle Inhalt der Quelle

Annotation:

This thesis applies a conceptual framework to determine the key insights that complex adaptive system theories provide to the novel challenges facing the introduction of clinical governance in two English Primary Care Trusts (PCTs). It presents empirical research on governance through qualitative case studies of the implementation of clinical governance arrangements within two North West PCTs, during a time of flux and change. The study is located within the English National Health Service (NHS) between 1999 and 2005. The Department of Health (DH) describes clinical governance as an evolving organisational structure and process that: "Provides NHS service organisations and individual health professionals with a framework within which to build a single, coherent local programme for quality improvement." (Department of Health, 1998a p.33). The thesis reviews the literature on governance models, quality improvement frameworks and complexity-based approaches to establish an appropriate theoretical base to the study. The literature relates to the nature of PCTs as a networked structure with autonomous parts. This approach contextualises the origins of clinical governance and related quality concepts. The study encompasses the introduction of the most recent contractual arrangements for primary care in 2004 (NHS, 2004). The research question posed is: "How can governance of quality improvement programmes be managed in a way that is appropriate to the characteristics of English PCTs?" Detailed evidence demonstrates the nature of local clinical governance programmes and the implementation within two North West PCTs, from the perspective of those involved. The results of the analysis show that multiple perspectives were taken into account in the decisions made about the content and delivery of clinical governance programmes. It is suggested that the application of a complex adaptive system conceptual framework helped to provide insight and interpretation of the accounts of those involved in the two case studies. The variation in clinical governance approaches across the two PCTs is explained in part by the strategic and policy orientation of each PCT. The results are consistent with the argument that the characteristics of quality improvement programmes in two PCTs go beyond linear based concepts, and can be thought of as real-world exemplars of the emergent properties of complex adaptive systems. In practice, the lessons learned provide opportunities to inform future management approaches to quality improvement programmes in PCTs.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

10

McCoy, David Christopher Ariam. „The organisational determinants and challenges of integrated, coordinated and decentralised primary health care programmes“. Thesis, London School of Hygiene and Tropical Medicine (University of London), 2004. http://researchonline.lshtm.ac.uk/4646518/.

Der volle Inhalt der Quelle

Annotation:

This thesis covers the organisational factors affecting the integration and implementation of primary health care programmes of a provincial public sector health department in South Africa. It responds to the problems of district-level management structures and front-line health care providers being inundated and undermined by the implementation of uncoordinated and fragmented PHC programme activities and strategies. The organisational factors assessed included structural factors such as the interaction between line authority and staff authority, the relationship between divisions located at the centre and periphery of the department and the complementarity between positions and their ranks; management style and leadership; the variables inherent within different PHC programme areas that should influence organisational design; and relevant contextual factors. The thesis is a single case study. Data is mostly qualitative in nature, based mainly on participant observation, interview and document review. The thesis discusses the methodological and epistemological challenges to conducting in-depth research into the functioning of health departments, and illustrates the potential of such research for the strengthening of public health systems in developing countries. One of the main conclusions of the research was that the structural design of a health department can be very significant to its functioning. Some of the structural design faults identified by this research were the inadequate definition of the roles, functions and inter-relationships of several positions with the department; and the lack of congruence between the distribution of rank and the structural configuration of the department. The thesis suggests certain generalisable lessons that could be applied to the design of a developing country public health sector organogram. The study also confirmed that the contribution of management leadership to effective organisational cohesion and inter-divisional coordination is very important in the context of PHC programme coordination. Of particular note was the importance of providing a clear and appropriate strategic framework for planning, which would include the use of planning as a strategy to enhance organisational cohesion and coordination. Finally, the thesis describes the fundamental importance of adequately skilled human personnel within health departments to the effective integration and implementation of PHC programmes.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

11

Rasoal, Chato. „Ethnocultural empathy measurement, psychometric properties, and differences between students in health care education programmes /“. Doctoral thesis, Linköping : Department of Behavioural Sciences and Learning, Linköping University, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-51944.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

12

Brocklehurst, Neil John. „An evaluation study of clinical supervision programmes in six NHS trusts“. Thesis, University of Birmingham, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322382.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

13

Pijnenburg, Martien Pijnenburg M. A. M. „Sources of care : Catholic healthcare in modern culture : an ethical study /“. [S.l. : s.n.], 2010. http://dare.ubn.kun.nl/dspace/handle/2066/74928.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

14

Xaba, Anna Nnoi. „Perceptions of registered nurses on the factors influencing service delivery regarding expansion programmes in a primary health care setting“. Diss., Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-02172009-150243/.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

15

Lotz, Joshua. „A discussion of the role of Chinese Medicine in the modern health care system“. Columbus, Ohio : Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1222089481.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

16

Dalton, Jarrod E. „A Modern Statistical Approach to Quality Improvement in Health Care using Quantile Regression“. Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1348167637.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

17

Fryk, Pontus. „Modern perspectives on the digital economy : with insights from the health care sector /“. Uppsala : Företagsekonomiska institutionen, Uppsala universitet, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-108218.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

18

Forman, D. „Shared learning : monitoring the attitudinal changes of staff and students on undergraduate health care professional programmes“. Thesis, Sheffield Hallam University, 2000. http://shura.shu.ac.uk/19656/.

Der volle Inhalt der Quelle

Annotation:

The aim of this investigation was to monitor attitudinal changes of staff and students participating in undergraduate professional programmes to the implementation of shared learning over a four-year period. The programmes being studied were the BSc. Occupational Therapy, BSc. Diagnostic Radiography and BSc. Therapeutic Radiography Honours degrees. Each validated programme contained some syllabus areas that were taught together i.e. were shared across the professions. Initially, after a review of the existing literature on this issue, a questionnaire was designed as a research tool to enable both qualitative and quantitative data to be collected and analysed. The quantitative sections of the questionnaire were checked for reliability throughout the four years and achieved positive Cronbach Alpha results ranging from .7083 to .8984 in the four main concepts under investigation, namely the Pitfalls, Benefits, Curriculum Aspects and Social Aspects of the shared programmes. Over the four year period a total of 418 student questionnaires were collected and analysed. In addition to the quantitative data collected, qualitative data were also collected from the questionnaire from extracts of the minutes of Course Committee and Examination Board meetings and from videos of tutorials and seminars. All of these were analysed. The results showed fluctuations in the attitudes of both staff and students to shared learning over the four year period, but all those who participated showed a net favourable change in attitude by the end of the research investigation.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

19

Rickard, Colin John. „A study of the community reprovision programmes of the psychiatric institutions in England 1993-1995“. Thesis, University College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.267763.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

20

Wennhall, Inger. „The Rosengård study : outcome of an oral health programme for preschool children in a low socio-economic multicultural area in the city of Malmö, Sweden /“. Malmö, Sweden : Department of Paediatric Dentistry, Faculty of Odontology, Malmö University, 2008. http://dspace.mah.se/handle/2043/6099?mode=full&submit_simple=Show+full+item+record.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

21

Bramstedt, Katrina Andrea 1966. „Formulating a philosophy of just care for the geriatric population amid the opportunities of modern medicine“. Monash University, Dept. of Community Medicine and General Practice, 2002. http://arrow.monash.edu.au/hdl/1959.1/8500.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

22

Sixma, Herman Johan Marinus. „New land, new town, new health care system primary care based health care planning in a modern, industrialized society; a case-study evaluating the health care demonstration project in the new Dutch town of Almere /“. [Utrecht] : Maastricht : NIVEL ; University Library, Maastricht University [Host], 1997. http://arno.unimaas.nl/show.cgi?fid=5930.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

23

Nathenson, Pamela. „Health care reform and the modern medical model: an alternative interpretation of the tensions within the American health sector“. Thesis, Boston University, 1997. https://hdl.handle.net/2144/27729.

Der volle Inhalt der Quelle

Annotation:

Boston University. University Professors Program Senior theses.
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
2031-01-02

APA, Harvard, Vancouver, ISO und andere Zitierweisen

24

Begley, A. M. „The 'Aretaic turn' : an exploration of the role of virtue in modern health care ethics“. Thesis, Queen's University Belfast, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438096.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

25

Денисова, Людмила Анатоліївна, Людмила Анатольевна Денисова, Liudmyla Anatoliivna Denysova, D. Svyrydenko und V. Yurchenko. „Modern medical technology“. Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/45307.

Der volle Inhalt der Quelle

Annotation:

Scientific and technological advances are rapidly changing conditions of human existence. There is a need for the creation and implementation of new medical technologies that meet the needs of the time. Modern information technology is increasingly used in the health care industry , which is very convenient, but sometimes it is necessary. This medicine, including alternative , becomes today a completely new features. Many medical studies simply can not do without a computer and special software to it. This process is accompanied by significant changes in medical theory and practice related to making adjustments to the training of health professionals. Over the past 20 years the use of computers in medicine has increased enormously. Practical medicine is becoming more and more automated.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

26

Kabadi, G. S. „Towards a new method for evaluating large-scale maternal health programmes : measuring implementation strength of focused antenatal care and emergency obstetric care in Tanzania“. Thesis, London School of Hygiene and Tropical Medicine (University of London), 2015. http://researchonline.lshtm.ac.uk/2124344/.

Der volle Inhalt der Quelle

Annotation:

Measuring the strength of public health programmes may reveal whether and how some programmes have an impact on target populations and others do not. Programme implementation strength (also known as programme intensity) refers to quantitative measure reflecting programme inputs, processes, and their duration. Measuring programme strength requires an understanding of how programmes work and involves defining measurable concepts, identifying sources of programme data and close programme follow-up. There are no standardized methods for measuring programme strength. This thesis developed and tested an approach for estimating programme strength for use in evaluating large-scale maternal health programmes in low- and middle-income countries. It used focused antenatal care (FANC) and emergency obstetric care (EmOC) as tracer programmes, with WHO’s health-system-building blocks as programme components. The thesis used mixed methods including: developing a weighting scheme through opinions from maternal health experts, collecting FANC and EmOC data from 23 districts on programme strength, programme coverage, and programme contextual factors, using government official statistics, and using routine data from a central database. The thesis also tested the content and face validity of the approach. Results from experts showed that, even though all six WHO blocks were required in programme implementation, human resources was given relatively higher weights than the other programme components. While the overall programme strength in districts scored an average of 41% (FANC) and 40% (EmOC), the overall programme coverage scored an average of 80% (FANC) and 64% (EmOC). Contextual factors significantly associated with the programmes included: total fertility rate, female literacy, water, sanitation, and famine. The content and face validity were both rated “very good”. This work aims to contribute towards an efficient way of evaluating large-scale maternal health programmes in low- and middle-income countries. The approach could also be of interest especially to district health management authorities for improving health programmes.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

27

Mills, Anne Jane. „The application of cost-effectiveness analysis to disease control programmes in developing countries, with special reference to malaria control in Nepal“. Thesis, London School of Hygiene and Tropical Medicine (University of London), 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.284197.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

28

Kgaphola, Kholofelo Lebogang. „The effectiveness of home community based care programmes in Victor Khanye sub-district in Nkangala district, Mpumalanga“. Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/3909.

Der volle Inhalt der Quelle

Annotation:

The Home and Community Based Care (HCBC) and Support programme has been established as a cost effective response for communities to tackle HIV and AIDS and many other chronic conditions and vulnerabilities which are faced by individuals, families and communities. In terms of the Framework for Home and Community Based Care and Support Programme (2012: 4) HCBCs create an enabling platform for “individuals, families and communities to have access to holistic and comprehensive services nearest to home, which encourages participations by people, responds to the needs of the people, encourages traditional community life and strengthens mutual support opportunity and social responsibility”. Victor Khanye Local Municipality, IDP (2010-2011: 116) states that VKLM is faced with: a high incidence of HIV and AIDS due to poverty, ignorance and a lack of proper entertainment facilities; shortage of clinics and professional staff members, which makes it difficult for patients to access treatment and maximum care and support; and an increase in the number of OVCs which results in a lack of parental care and guidance, poverty, illiteracy, lack of access to medical care, school drop-outs and ultimately an increase in criminal activity and the further spread of HIV and AIDS. The research will assess the effectiveness of Home Community Based Care programmes (HCBCs) on orphaned and vulnerable children with specific reference to the Victor Khanye sub-district in Nkangala District, Mpumalanga Province. The research was conducted in Delmas and its surrounding farming areas. Victor Khanye sub-District has nine wards, most of which are predominantly farming rural areas. The field research took place during June and August 2013 and represents observations recorded at the field interviews, the local AIDS committee and one-on-one interviews with beneficiaries The study is concluded with conclusions drawn from the field study and recommendations.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

29

Baidoo, Rhodaline. „Toward a Comprehensive Healthcare System in Ghana“. Ohio University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1237304137.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

30

Wood, Jamie. „Telehealth in Cystic Fibrosis: Does the Integration of Modern Technology with Traditional Care Improve Health Related Outcomes?“ Thesis, Curtin University, 2020. http://hdl.handle.net/20.500.11937/82066.

Der volle Inhalt der Quelle

Annotation:

The research conducted within this thesis investigated the integration of modern technology with traditional care in adults with cystic fibrosis (CF), and measured the impact on health outcomes. Specifically, videoconferencing was used to provide CF clinics to adults with CF living in rural and remote Western Australia (WA), and a smartphone application was developed to facilitate the detection of exacerbations in those living in both the metropolitan and rural and remote areas of WA.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

31

Maimela, Eric. „Evaluation of tuberculosis treatment outcomes and the determinants of treatment failures in the Eastern Cape Province, 2003-2005“. Diss., Pretoria: [s.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-11262009-001135/.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

32

Peet, R. A. M. van der. „The meaning of nursing : a comparative analysis of the conceptual history of modern nursing in the United States“. Thesis, University of Manchester, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.233420.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

33

Zembe, Yanga. „Community participation in the recruitment of community health workers :a case study of the three community health worker programmes in South Africa“. Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7266_1299058637.

Der volle Inhalt der Quelle

Annotation:

This research investigates the nature and extent of community participation and involvement in the recruitment and selection processes for Community Health Workers (CHWs), primarily through detailed case studies of three CHW programmes, one in the Western Cape, another in KwaZulu-Natal, and a third which operates in the Western Cape and KwaZulu-Natal. The first utilizes CHWs in health education and home-based care in Khayelitsha and Nyanga. The second specializes in the training, management and supervision of home-based care CHWs in the rural areas of KwaZulu-Natal. The third utilizes CHWs in addressing maternal and child health issues in targeted peri-urban and rural areas in the three provinces. The mini-thesis is organized into five chapters: the first chapter provides the introduction and background as well as the methodological design of the mini-thesis
the second chapter focuses on providing a detailed literature review of relevant materials that cover the subject matter
the third chapter provides the descriptive background of the history of CHWs, CHW policies and community participation in South Africa, as well as a description of the three case study organizations
the fourth chapter describes and discusses the findings and the last and fifth chapter provides a summary of the findings as well as recommendations and conclusions.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

34

Palència, Fernàndez Laia. „Socioeconomic inequalities in the use of health care services in Europe : the role of public coverage and population-based cancer screening programmes“. Doctoral thesis, Universitat Pompeu Fabra, 2012. http://hdl.handle.net/10803/104154.

Der volle Inhalt der Quelle

Annotation:

The aim of this thesis was to describe inequalities in the use of different health care services according to socioeconomic position (SEP) in Catalonia, Spain and Europe. In addition, we intended to assess whether the public coverage of the services, in particular dental health care, has an influence on the magnitude of inequalities in the use of such services. Finally, we aimed to determine the influence of population-based female cancer screening programmes on the prevalence of screening and on the extent of inequality. To accomplish these objectives four studies were carried out. The sources of information of the four studies were, respectively: several editions of the Catalan Health general practitioner (GP) services are equitable or manual classes use them to a greater extent. However, there are marked SEP inequalities in the use of outpatient specialist services, especially in dental care. Socioeconomic inequalities in use of dental care services exist throughout Europe, but they are larger in countries in which dental care is not covered at all by the public health care system than in countries in which dental care is partially covered. In Europe, socioeconomic inequalities in breast and cervical cancer screening are not found in countries with population-based screening programmes but they are found in those countries with only regional or pilot programmes and in those countries with opportunistic screening.
L'objectiu d'aquesta tesi era descriure les desigualtats en l'ús de diferents serveis sanitaris segons la posició socioeconòmica a Catalunya, Espanya i a Europa. A més a més, es volia avaluar si la cobertura pública dels serveis, en particular la dels serveis dentals, infuencia la magnitud de les desigualtats socioeconòmiques en l'ús d'aquests serveis. Finalment, es va voler determinar la influència dels programes poblacionals de cribratge dels càncers de mama i cèrvix en la prevalença de cribratge i en la magnitud de les desigualtats. Per tal d'assolir aquests objectius es van dur a terme 4 estudis. Les fonts d'informació d'aquests estudis van ser, respectivament: diferents edicions de l'Enquesta de Salut de Catalunya (ESCA), diferents edicions de l'Enquesta Nacional de Salut d'Espanya (ENS), l'Enquesta de Salut, Envelliment i Jubilació a Europa (SHARE) 2006 i dades dels països europeus que van participar a l'Enquesta Mundial de la Salut de l'OMS l'any 2002. Els dos primers estudis eren estudis de tendències mentre que els dos últims van ser transversals. En tots els estudis les desigualtats socioeconòmiques es van mesurar mitjançant índexos relatius (RII) i absoluts (SII) de desigualtat. Els resultats d'aquests estudis mostren que a Catalunya i a Espanya els serveis d'atenció primària són equitatius o fins i tot les persones de classes manuals en presenten una major proporció d'ús. Tanmateix, hi ha marcades desigualtats en visites a l'especialista, en especial en les visites al dentista. Les desigualtats socioeconòmiques en la utilització dels serveis dentals existeixen a tota Europa, però són més grans en aquells països on l'atenció dental no està coberta pel sistema públic de salut que en aquells països on aquesta està parcialment coberta. A Europa, no es troben desigualtats socioeconòmiques en el cribratge dels càncers de mama i cèrvix en aquells països amb programes poblacionals de cribratge, però sí que es troben en aquells països amb programes pilot o regionals o amb només cribratge oportunista.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

35

Ramano, Enos Morankoana. „A comparison of two occupational therapy group programmes on the task-oriented functioning of mental health care users with major depressive disorders“. Thesis, University of Pretoria, 2017. http://hdl.handle.net/2263/65848.

Der volle Inhalt der Quelle

Annotation:

Background: Occupational therapists, as part of the multi-disciplinary psychiatric team, frequently include activity and or discussion groups in an attempt to reduce the symptoms of the MHCUs with MDD and to improve their functional ability. The evidence to support occupational therapy group interventions seems to be limited. Aim: To compare a Standard Care Plus (SCO) occupational therapy group programme, which included tangible activities in each of nine sessions with a Standard Care (SCN) group programme, which included tangible activities in only five of nine group sessions and to explore the participants’ experiences of either the SCO or the SCN group programmes. Research design: A concurrent embedded mixed methods intervention research design was employed. A qualitative strand was embedded in a comparison pre-test post-test study. Methods: One hundred participants, 50 from each programme, were pre- and post-treatment tested in order to compare the interventions in respect of cognitive, performance and affective functioning, social interaction and severity of MDD symptoms. Their experiences of the intervention were established. The study took place at the psychiatric wards of two private general hospitals in South Africa. Results: The SCO significantly improved the total outcome (p<0.005) in comparison to the SCN on the MDD symptom reduction (PHQ-9) and social interaction (Client Response by Situation) (p<0.004). Five themes emerged, viz. happiness, social interaction, self-esteem, learned coping skills and being part of the solution. Conclusion: The results suggest that the SCO, which included tangible activities in each group session , was superior to the SCN.
Thesis (PhD)--University of Pretoria, 2017.
Occupational Therapy
PhD
Unrestricted

APA, Harvard, Vancouver, ISO und andere Zitierweisen

36

Karlsson, Linus, und Emil Mårtensson. „Modern verksamhetsstyrning inom hälso- och sjukvård : En studie om processorientering“. Thesis, Linnéuniversitetet, Institutionen för ekonomistyrning och logistik (ELO), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-45666.

Der volle Inhalt der Quelle

Annotation:

Hälso- och sjukvårdvården har kritiserats och ifrågasatts där patienter hamnar mellan stolarna och kostnaderna stiger. Vården präglas av en byråkratisk funktionsstyrd organisation med en stark profession. Flera försök har gjorts för att effektivisera vården där den senaste trenden är processorientering. Det har påvisats stora utmaningar med att arbeta med processer i vården och det är i studiens syfte att undersöka hur vården arbetat med att utveckla och införa det processorienterade synsättet. Studien ämnar bidra med kunskap genom att konkretisera vilka hinder och möjligheter processorientering och modern verksamhetsstyrning innebär för hälso- och sjukvården. Den första delen med studien blir att kartlägga hur olika landsting och regioner arbetat med att utveckla och införa processorientering inom hälso- och sjukvårdsorganisationer. Vidare kommer den andra delen av studien att analysera hur styr- och förbättringsverktyg tillämpas för att stödja det processorienterade arbetssättet. En kvalitativ flerfallsstudie tillämpades som metod där tre regioner valts ut som studieobjekt utifrån ett kriterieurval, där kvalitativa intervjuer tillämpats som huvudsaklig datainsamlingsmetod. Studien påvisar relationen gällande de processorienterade aspekterna men däremot skillnader när det gäller arbetsmetoder, styrning och uppföljning. Studien ger en tydlig bild av vad som idag saknas inom hälso- och sjukvården gällande processorientering, nämligen den ekonomiska uppföljningen utifrån en mer horisontell dimension.
Context Health care have been criticized and questioned with increasing costs and where patients are being mismanaged. The health care is characterized by a bureaucratic functional organization with a strong profession. Several attempts have been made to streamline the health care where the latest trend is business process orientation. It has demonstrated great challenges of working with processes in health care and it is in the study's purpose to investigate how the health care worked to develop and implement the business process oriented approach. Purpose The study intends to contribute knowledge by concretize obstacles and opportunities of business process orientation for health care. The first part of the study will be to identify how different counties and regions worked to develop and implement business process orientation in health care organizations. The second part of the study is to analyze how the management control systems are used to support the business process oriented approach. Method A qualitative multiple-case design was applied as a method where three regions were selected as study objects from a standard choice. Qualitative interviews were applied as the primary data collection method. Conclusion The study demonstrates the relationship of existing business process oriented aspects, but on the other hand differences in working methods, management and monitoring. The study provides a clear picture of what is lacking today in health care current business process orientation, especially the financial monitoring from a more horizontal dimension.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

37

Al-Sheikh, E. M. „An analysis of the difficulties involved in introducing western programmes for the training of health care professionals into the Kingdom of Saudi Arabia“. Thesis, Swansea University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.635727.

Der volle Inhalt der Quelle

Annotation:

This study arose as a result of the author's experiences as Director of Training at the Military Hospital in Riyadh, Saudi Arabia when, as a consequence of the hospital's Saudization policies, the emphasis shifted from 'out-of-Kingdom' training on the small scale, to 'in-Kingdom training' on the large scale. This expansion included the inauguration of a wide range of diploma and degree programmes accredited by British and North American universities and professional bodies. The author noted that, during the early stages of their training, the carefully selected Saudi High School graduates experienced unexpected learning difficulties that did not seem to be directly related to any limitations of their spoken or written English. During the first phase of the study, observations, cases studies, and structured interviews led the author to formulate the hypothesis that specific limitations of the trainees' High School education limited their initial progress. It was suggested that these limitations include little, or no prior art or practical training, a concentration on rote learning, poorly developed study skills, and a dependence on theoretical, teacher-centred learning. The hypothesis predicted that significant differences existed between the High School backgrounds of Saudi and North American trainees. The second phase of the study tested this prediction by means of a self-administered questionnaire which sampled the views of a large number of Saudi and North American based trainees and trainers. Statistical analysis of the collected date confirmed that highly significant differences existed between the two trainee samples.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

38

Tang, Pui-yee, und 鄧珮頤. „Understanding informal caregiving in Hong Kong : a public health perspective on the negotiation between traditional values and modern living“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206947.

Der volle Inhalt der Quelle

Annotation:

Introduction Having a caring family is an important resource to any older person, not only does it provide a great source of care and support when they require others’ help and assistance in performing daily activities, it also serves to alleviate the burden of welfare system and balances health care expenditure. The traditional paradigm reinforced the idea that healthcare is and should be provided by doctors, nurses and health professionals within the healthcare settings (e.g. clinics and hospitals), although family members for centuries had provided care, support and assistance to each other in time of illness. The role of informal care provided by family members was often overlooked. Hong Kong, like many other advanced economies in the world, is facing this care challenge at all levels, including not limited to family, community and institutions as population ages rapidly. The proportion of the population aged 65 or older is estimated to reach a whopping 28% in 2034 from the current 13%, as a result of increased longevity, low fertility rate and the ageing of baby‐boomers. This extends the parent‐child relationship and thus would significantly prolong the extent of care to be provided by adult children. In addition, the majority of older persons in Hong Kong prefer to live and age at home than being institutionalized, implying that a large proportion of long‐term care burden of older persons, of which 74% of them live with multiple chronic diseases, would fall upon informal caregivers within family. Objectives This qualitative study was convened against this background and the purpose of this qualitative study was to develop a better understanding and more comprehensive description of the complicated, fluid, and multidimensional caregiving experience among Chinese caregiving adult children, especially daughters, who assume most responsibilities in caregiving tasks and work a greater number of hours in delivering care as compared to male caregivers by addressing the following three objectives: (1) Capturing more accurately the interaction among different factors that influence their caregiving identity, experiences and subsequent practices; (2) Highlighting the needs and gaps in support services that would allow caregivers to continue caring, working and managing other aspects of their lives; and (3) Adding to the range of perspective towards informal caregiving by conducting a case study of male caregivers. It was hoped that these efforts would enable us to understand the commonalities or essences of the subject matter being investigated and deeper insights could be developed to inform and orientate policies and services, and to make informal caregiving more gender equitable. Findings Nineteen women and two men were interviewed during the study. Their stories highlighted the diverse, wide‐ranging and dynamic nature of informal caregiving experiences. Regarding the study objectives, nine predominant themes were invoked from the participants’ narratives, including: (1) Self-identification with the identity of being an informal caregiver being gradually and socially constructed process through recognizing and acknowledging the roles constituting informal caregiving; (2) Positive and negative feelings occur simultaneously but positive ones are important motivator that keep informal caregivers in their role; (3) Support services remained largely unavailable and inaccessible to informal caregivers; (4) Team approach to caregiving as the flexible solution to family care; (5) Psychosocial support and taking occasional breaks from caregiving duties to get recharged; (6) Influences of family values, living arrangements, time resources, and social expectations towards informal care provided by adult family members; (7) Men focused more on tasks and facts instead of emotions; (8) Men are more assertive when expressing themselves to the care‐recipients and authority figures; and (9) Men were more reserved and less likely to open up and talk about feelings and emotions. Recommendations These themes reflected efforts for understanding informal caregiving in Hong Kong in terms of the forming of identity, the positive and negative experiences of being caregivers and the communication among different values in driving filial behavior among family members in Hong Kong. These had marked the beginning of the long journey to recognizing, supporting, and protecting these unsung heroes and heroines through policies and practices. Three potential directions for future development in regards to adult‐child‐parent caregiving were also discussed, which included: (1) framing informal caregiving as a public health issue; (2) understanding, promoting and celebrating male caregiving; and (3) stocktaking, need‐matching and review of support services.
published_or_final_version
Public Health
Master
Master of Public Health

APA, Harvard, Vancouver, ISO und andere Zitierweisen

39

Virk, Amrit Kaur. „Expanding health care services for poor populations in developing countries : exploring India's RSBY national health insurance programme for low-income groups“. Thesis, University of Oxford, 2013. http://ora.ox.ac.uk/objects/uuid:3e65305c-ba60-408a-8c0a-8957767f6596.

Der volle Inhalt der Quelle

Annotation:

Health is deemed central to a nation’s development. Accordingly, health care reform and expansion are key policy priorities in developing countries. Many such nations are now testing various methods of funding and delivering health care to local disadvantaged populations. Similarly, India launched the Rashtriya Swasthya Bima Yojana (RSBY) national health insurance programme for low-income groups in 2008. The RSBY intends preventing catastrophic health-related expenditure by improving recipients’ access to hospital-based care. This thesis is an in-depth qualitative evaluation of the RSBY in Delhi state. It examines the RSBY’s effectiveness in fulfilling its goals and meeting local health care needs. Walt and Gilson’s (1994) actors-content-process-context model informs the research design and an actor-centred “responsive” (Stake 1975) or “constructivist” approach guides data analysis. Three research questions are examined: (i). Why was a health insurance programme launched and why now? Why was this model favoured over alternate methods of service expansion? (ii). Is the RSBY delivered as intended? If not, why? (iii) How does the RSBY affect patients’ access to services? The findings are based on documentary sources, observation of implementation sites and activities and 164 semi-structured interviews with RSBY policymakers, insurers, NGOs, doctors, and patients. The results show improved access to curative and surgical care for RSBY patients. However, RSBY’s focus on hospitalisation and omission of primary and outpatient services had undesired negative effects. The lack of ambulatory facilities led RSBY patients to self-medicate or use dubious quality informal providers. By only allowing inpatient care, the RSBY also seemingly encouraged the substitution of outpatient care with costlier hospitalisations. In effect, the RSBY’s design contributed to cost increases and poor patient outcomes. While more funds and human resources were needed to improve RSBY implementation, the performance of frontline agencies could potentially improve through more stable, longer-term contracts. Similarly, modifying RSBY’s monetary incentives for doctors may lead to better service delivery by them. By evaluating the RSBY’s strong points and shortcomings, this thesis provides key lessons on strengthening policy design and health service delivery in developing countries. Thereby, it makes a broader contribution to understanding the determinants of successful policymaking.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

40

Mkuyamba, Veronica. „An investigation of the knowledge and skills of health care providers on early infant diagnosis of HIV in Mzuzu, Malawi“. University of the Western Cape, 2016. http://hdl.handle.net/11394/5248.

Der volle Inhalt der Quelle

Annotation:

Magister Curationis - MCur
Early infant diagnosis (EID) programmes offer diagnosis of HIV, which facilitates provision of life-saving care to infants infected with HIV. Implementing programmes for EID and treatment has proved challenging in Malawi. Many infants access EID late or not at all. Previous studies have shown that lack of knowledge among health care providers (HCPs) is a challenge to effective EID. Little is known on the knowledge and skills of health care providers in Malawi. Aim: The aim of the study was to investigate the knowledge and skills of HCPs on EID of HIV in Mzuzu, Malawi. Objectives: (i) to examine the knowledge of HCPs on EID of HIV; and (ii) to determine the skills of HCPs on EID of HIV. Methods: A descriptive cross-sectional survey design with a quantitative approach was used. The study was conducted in three hospitals in Mzuzu, Malawi. The population was HCPs (doctors, nurses/midwives, clinical officers and medical assistants) working in maternity, paediatric wards and under-five clinics. A total of 68 HCPs participated in the study. A closed-ended self-administered questionnaire was used to collect data. Data were analysed using the Statistical Package for Social Science version 23. Descriptive statistics were used to present the frequency tables of observations. Ethical approval was sought from the University of the Western Cape Senate Research Committee and Malawi National Health Research Council. Results: The results on the knowledge of HCPs demonstrate that 38% of them had a score of <69% (poor), 25% scored within 70–79% (fair), and 37% scored >80% (good). Results on the skills showed that 69% of the HCPs scored <69% (poor), 15% scored within 70–79% (fair), and 16% scored >80% (good). The results also showed a correlation between the knowledge of HCPs and their level of education achievement (certificate, diploma and degree) as well as the skills of HCPs and their department of work. Conclusion: The study found that more than one-third of the HCPs lacked knowledge and skills on EID of HIV. These findings reflect the need to address the practical challenges of EID service delivery. Recommendations: There is a need to increase the efforts that are being put in place to train HCPs on EID of HIV in order to scale up EID. Training should assess the needs of HCPs regarding the knowledge and skills required in the delivery of EID services.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

41

Nilsen, Per. „Opening the Black Box of Community-Based Injury Prevention Programmes : Towards Improved Understanding of Factors that Influence Programme Effectiveness“. Doctoral thesis, Linköping : Univ, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7001.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

42

Radzevičius, Gintaras. „Skatinamųjų pirminės sveikatos priežiūros paslaugų organizavimas, vykdant profilaktines sveikatos programas“. Master's thesis, Lithuanian Academic Libraries Network (LABT), 2011. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2011~D_20110628_155928-15553.

Der volle Inhalt der Quelle

Annotation:

Darbo tikslas - įvertinti Kauno miesto ir Kauno rajono šeimos gydytojų nuomonę apie skatinamųjų paslaugų teikimo tvarką, vykdant profilaktines programas, sistemines bei įstaigų, teikiančių šias paslaugas, organizavimo problemas. Darbo uždaviniai: 1. Įvertinti Kauno miesto ir Kauno rajono pirminės asmens sveikatos priežiūros įstaigose dirbančių šeimos gydytojų nuomonę apie skatinamųjų paslaugų teikimo tvarką ir organizavimą jų įstaigoje. 2. Nustatyti, kaip motyvuojami Kauno miesto ir Kauno rajono šeimos gydytojai teikti skatinamąsias paslaugas. 3. Palyginti skirtingos priklausomybės Kauno miesto ir Kauno rajono pirminės asmens sveikatos priežiūros įstaigose skatinamųjų paslaugų organizavimo tvarką ir jų skatinimą. Tyrimo metodika. Anoniminės anketos pagalba 2010m. spalio – 2011m. kovo mėn. buvo apklausti skirtingos priklausomybės (privati ar priklausanti savivaldybei) Kauno miesto ir Kauno rajono pirminės asmens sveikatos sveikatos priežiūros įstaigų šeimos gydytojai (n=130). Duomenų analizė atlikta „MS Excel“ ir „SPSS Windows 14,0“ versijos kompiuterinėmis programomis. Rezultatai. Visi respondentai pažymėjo, kad jų PASP įstaigose yra vykdomos profilaktinės programos ir teikiamos kitos skatinamosios paslaugos. Pacientai dažniausiai kviečiami dalyvauti programose spontaniškai. Atsakomybė už pacientų kvietimą tenka šeimos gydytojams (74,1proc.). Informavimo paslaugų iš viso neregistruoja 31,8 proc. visų tyrime dalyvavusių PASP įstaigų darbuotojų. Tyrimo metu buvo nustatyta... [toliau žr. visą tekstą]
Aim of study – to evaluate the opinion of family physicians practicing in Kaunas city and district about organizating and providing the promotive health care services in prevention programmes as well as system-specific and setting-specific problems related with promotive services. Objectives: 1) to evaluate the opinion of family physicians practicing in Kaunas city and district about organization and provision of promotive health care services in prevention programmes at their health care settings; 2) to evaluate the motivation ways for family physicians to provide the promotive services at Kaunas city and district; 3) to compare the organization and motivation of promotive services between primary health care settings of different subordination at Kaunas city and district. Material and methods. From October 2010 to March 2011 anonymous questonnaire survey was conducted aimed at family physicians (n=130) working at public and private primary health care settings at Kaunas city and district. Data analyses were done using „MS Excel“ software and „SPSS Windows 14.0“ statistical package. Results. All study participants stated that at their health care setting the prevention programmes are running together with promotive services. Patients are asked to participate in programmes spontaneously. Main responsibility for patients invitation to participate is regarded for family physicians (74.1%). Of all study participants, 31.8% do not have a practice of registering the informative... [to full text]

APA, Harvard, Vancouver, ISO und andere Zitierweisen

43

Grundlingh, Heila. „Evaluation of the implementation of the nutritional supplementation programmes for pregnant women within the Cape Town Metropolitan Area“. Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71851.

Der volle Inhalt der Quelle

Annotation:

Thesis (MNutrition )ITE))--Stellenbosch University, 2012.
ENGLISH ABSTRACT: Introduction: The primary objective was to determine whether pregnant women visiting primary health care clinics (PHCs) were aware of the nutritional supplementation programmes: Nutrition Supplementation Programme (NSP) food, folate-, iron- and vitamin A supplementation. The secondary objective was to determine whether pregnant women qualified for the NSP food-, folate- and iron supplementation. The third objective was to determine whether those who qualified received the prescribed NSP food-, folate-, and iron supplementation and whether they were compliant with these interventions. Design: A cross-sectional descriptive study was conducted at all PHCs hosting basic antenatal clinics in the Cape Town Metropolitan Area of the Western Cape Province, South Africa. Method: One hundred and fourteen pregnant women who met the inclusion criteria were included in the study using a non-random quota sampling strategy. Pregnant women were interviewed using a validated questionnaire. The mid upper arm circumference (MUAC) was measured and the symphysis-fundus (SF) measurement was obtained from the medical files to determine whether participants met the entry criteria for the NSP. Written informed consent was obtained from participants. Results: Fifty per cent of participants were between 12 and 24 weeks of gestation. Most of them (68%) had an MUAC of between 24,7 cm and 34,4 cm. Fifty (44%) of the participants had a sufficient SF measurement. Twenty-one (18%) of the participants indicated that they were aware of the vitamin A Programme, 56 (49%) were aware of the NSP food-supplementation and 79 (70%) knew about the folicand iron supplementation that pregnant women should receive from the clinic. Six (5%) participants qualified for the NSP with an MUAC of below 23 cm. Only one (17%) participant was registered with the NSP and received the food-supplementation. Seventy (61%) of the participants indicated that they received and used the iron- and folic supplements, of which 30 (43%) did not know why they needed to take these supplements. Conclusion: Folate- and iron supplementation appears to be reasonably successfully implemented in the Cape Town Metropolitan Area among pregnant women visiting PHCs. The NSP food-supplementation, however, appears to be unsuccessfully implemented and needs further attention. Resources could be appointed to inform pregnant women about the reasons for and importance of taking these supplements.
AFRIKAANSE OPSOMMING: Inleiding: Die hoofdoelstelling was om te bepaal of swanger vroue wat primêre gesondheidsorgklinieke (PGK’s) bywoon, bewus was van die voeding supplementasie programme: Voedsel Supplementasie Program (VSP) – voedselaanvulling, folaat-, yster- en vitamien A supplementasie. Die tweede doelstelling was om te bepaal of hierdie swanger vroue in aanmerking kom vir die VSP– voedselaanvulling, folaat- en yster supplementasie. Die derde doelstelling was om te bepaal of hierdie swanger vroue die voorgeskrewe VSP – voedselaanvulling, folaat- en yster supplementasie ontvang het en hierdie intervensies nagevolg het. Ontwerp: ŉ Deursnit beskrywende studie is gedoen en data is ingesamel van al die PGK’s wat voorgeboortelike klinieke huisves in die Kaapstadse metropolitaanse gebied, in die Wes-Kaapprovinsie, Suid-Afrika. Metode: Honderd en veertien swanger vroue wat aan die insluitingskriteria voldoen het, is volgens ŉ nie-ewekansige kwotastrategie uitgesoek om aan die studie deel te neem. Onderhoude is volgens ŉ bevestigde vraelys met swanger vroue gevoer. Die omtrek van die middelboarm is geneem en die symphysis-fundus-meting is van die mediese lêers verkry om te bepaal of deelnemers aan die insluitingskriteria vir die VSP voldoen. Deelnemers het ŉ vrywaringsvorm geteken voordat hulle aan die studie begin deelneem het. Resultate: Vyftig persent van die swanger vroue het ŉ gestasie-ouderdom van tussen 12 en 24 weke gehad. Die omtrek van die meeste vroue (68%) se middelboarm was tussen 24,7 cm en 34,4 cm. Vyftig (44%) van die vroue se symphysis-fundusmeting was voldoende. Een en twintig (18%) van die deelnemers het aangedui dat hulle van die Vitamien A-program bewus was, 56 (49%) was van die VSPvoedselaanvulling bewus en 79 (70%) van die deelnemers was bewus van die folaat- en yster supplementasie wat swanger vroue van die kliniek behoort te ontvang. Ses (5%) deelnemers, met ŉ middelboarm-omtrek van minder as 23 cm, het vir die VSP in aanmerking gekom. Slegs een (17%) deelnemer was geregistreer en het die voedselaanvulling ontvang. Sewentig (61%) van die deelnemers het aangedui dat hul wel yster- en folaat supplementasie ontvang en gebruik, waarvan 30 (43%) nie geweet het waarom hulle dié supplemente neem nie. Gevolgtrekking: Dit wil voorkom asof folaat- en yster supplementasie vir swanger vroue wat PGK’s in die Kaapstadse metropolitaanse gebied besoek, redelik suksesvol toegepas word. Daarteenoor word die VSP – voedselaanvulling onsuksesvol uitgevoer en behoort dit verdere aandag te geniet. Hulpbronne kan aangewys word om swanger vroue beter in te lig oor die doel en belangrikheid daarvan om hierdie supplemente te neem.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

44

Dickey, Nathaniel. „More than "Modern Day Slavery": Stakeholder Perspectives and Policy on Human Trafficking in Florida“. Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3072.

Der volle Inhalt der Quelle

Annotation:

In recent years, Florida has acquired a reputation as fertile ground for human trafficking. On the heels of state and federal anti-human trafficking legislation, a host of organizations have risen to provide a range of services. In this thesis, I discuss findings from 26 interviews conducted with law enforcement, service providers, legal representatives and trafficked persons to contextualize the variability in the way anti-trafficking work is conceptualized by stakeholders across the state. Additionally, I explore how conflicting organizational policies on the local, state, and federal levels impact stakeholder collaboration and complicate trafficked persons' attempts to navigate already complex processes of social/health services and documentation. Lastly, I provide policy recommendations that attempt to address the major issues associated with anti-trafficking work identified through the analysis of participant interviews.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

45

Yeung, Kin-wai, und 楊健偉. „A comparative study of the relative strengths and weaknesses of the self-help and Lap Shun Training Programmes of the Society for the Aidand Rehabilitation of Drug Abusers“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1986. http://hub.hku.hk/bib/B31247751.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

46

Chowdhury, Md Hafizur Rahman. „Neonatal deaths in a rural area of Bangladesh: an assessment of causes, predictors and health care seeking using verbal autopsy“. Thesis, Curtin University, 2008. http://hdl.handle.net/20.500.11937/1526.

Der volle Inhalt der Quelle

Annotation:

Poor neonatal health is a major contributor to mortality in under-five children in developing countries, accounting for more than two thirds of all deaths in the first year of life, and for about half of all deaths in children under-five. A major constraint to effective neonatal survival programmes in developing countries, such as Bangladesh, has been the lack of accurate epidemiological data on neonatal deaths. The current study aimed to (1) describe the causes of neonatal death in a rural subdistrict of Bangladesh; (2) describe associated birth and obstetric characteristics of neonatal deaths; (3) describe the patterns of care-seeking practices during the fatal neonatal illness episode; (4) compare deaths and care-seeking patterns between the Maternal and Child Health and Family Planning (MCH-FP) service area of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) and the adjoining government service area; (5) identify the predictors of neonatal deaths; and (6) assess the accuracy in assigning causes of death from verbal autopsy data by comparing physician review with medical assistant review and computer-based algorithm.This study was carried out during 2003 and 2004 in a demographic surveillance area in the Matlab rural sub-district of eastern Bangladesh. The surveillance system covers a population of ~220,000 and is maintained by ICDDR,B. Community health workers (CHRW) visit each household monthly to record vital demographic, morbidity and health care seeking data. Half of the surveillance population receives MCH-FP services from ICDRR,B (ICDDR,B service area) and the remaining half receives standard government services (government service area).Verbal autopsies, consisting of retrospective interviews with caregivers of recently deceased neonates about the circumstances leading to their death, were carried out by the staff trained in verbal autopsy. The interviews were held with the mothers of all deceased neonates (n=365) who had died during 2003 and 2004. The verbal autopsy data were then independently reviewed by three physicians and a medical assistant to assign a direct cause of death and an originating cause of death. A computer algorithm using evidence-based clinical signs and/or symptoms was also used for assigning cause of death. Agreement of at least two of the three physicians was used to determine direct causes of death. Diagnostic accuracy and reliability of medical assistant and algorithm in assigning direct cause of death were evaluated by comparing with the diagnoses provided by the physicians. Linked epidemiological data on all live births in the Matlab area during 2003 and 2004 were also analysed.There were 365 deaths among the 11,291 live births recorded during 2003 and 2004, yielding a neonatal mortality rate (NMR) of 32.3 per 1000 live births. The NMR was lower in the ICDDR,B area compared to the government area. Of all neonatal deaths, 37% occurred within 24 hours, 76% within three days, 84% within seven days, and the remaining 16% between eight and 28 days of birth.Five causes accounted for 85% of the deaths: birth asphyxia (45%), prematurity/low birth weight (LBW) (15%), sepsis/meningitis (12%), respiratory distress syndrome (7%), and pneumonia (6%). The majority of neonatal death cases were low birth weight (56%) and singleton births (82%). There were some differences in the distribution of causes of death between the ICDDR,B and government areas, the most notable being prematurity/LBW which was twice as common in the ICDDR,B area than in government area.Strikingly, more than a third (37%) of the deceased neonates had not been taken to any source of health care for the fatal illness episode, and another quarter (25%) sought care from traditional healers or from unqualified practitioners. Only 37% sought modern biomedical care from a doctor or paramedic.Among the 365 neonatal deaths, a much higher proportion (48.5%) of the deliveries occurred at a health facility in the ICDDR,B area, compared to 15.3% in the government area. Vaginal delivery was the commonest mode of delivery in both areas, with a higher proportion of caesarean sections in the ICDDR,B area (9.3%) compared with the comparison government area (1.6%).The verbal autopsy method appears to be highly effective in that agreement on a direct cause of death was reached by at least two physicians in 339 (93%) cases. Using the physician review as the gold standard, the medical assistant review of causes of death demonstrated a sensitivity ranging from 47.7% to 83.5% depending on the cause of death, a specificity ranging from 93.0% to 97.5%, and kappa values ranging from 0.51 to 0.77. Similarly, depending on the cause of death, algorithm demonstrated a sensitivity ranging from 35.6% to 77.4%, specificity ranging from 86.8% to 95.9%, and kappa values ranging from 0.24 to 0.69.Independent predictors of neonatal mortality included lack of maternal education, single parity, and lack of antenatal care (ANC) during the last trimester. Male sex of the neonate, multiple births, and facility-based delivery were also significantly associated with excess neonatal mortality.In conclusion, the study highlighted the central role of birth asphyxia, prematurity/LBW, and sepsis/meningitis in neonatal deaths, indicating that the core of interventional packages to prevent neonatal deaths in rural Bangladesh should incorporate these causes. Community awareness about early care seeking, skilled attendance at delivery, and training and integration into mainstream services of traditional/unqualified care practitioners are some of the approaches needed to reduce neonatal mortality further. Improving access to female education and antenatal care would also have beneficial effects on neonatal survival.This study revealed the value of both review by medical assistant and computerbasedalgorithm to reliably assign major causes of neonatal deaths from verbalautopsy data. Further research could be undertaken to develop optimal combinationsof the medical assistant and hierarchical algorithm for assigning major causes ofdeath in low-resource settings such as Matlab.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

47

Pathak, Amit. „Forecasting Models to Predict EQ-5D Model Indicators for Population Health Improvement“. Ohio University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1480959312370497.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

48

Murphy, Mary Denise. „Living with asthma in Australia : an anthropological perspective on life with a chronic illness“. University of Western Australia. School of Anatomy and Human Biology, 2005. http://theses.library.uwa.edu.au/adt-WU2005.0070.

Der volle Inhalt der Quelle

Annotation:

[Truncated abstract] In Australia, asthma is a common chronic illness, which often requires complex treatment regimens. This study used an anthropological perspective to explore the experience of people living with asthma, with the specific aim of contributing to the health care programs offered to people living with asthma. The study was conducted in an Australian city (Perth, Western Australia). The foci of the study were Australian lay people, from the general community, living with asthma, and a small number of non- English speaking Vietnamese-Australian migrants. Some spouses of the Australians and biomedical practitioners were also included. Questionnaires, and particularly indepth interviews, were used to explore the explanatory models of asthma for doctors and lay people with the condition. The explanatory models of the doctors focused primarily on assessing and treating the physiological dimension of asthma, and educating patients. The explanatory models for lay people with asthma reflected their everyday reality: in addition to its impact on their physical health, asthma affected their daily life, social roles and participation, and their personal identity. Placing the experience of asthma in this wider perspective showed that the Australians used practical reasoning to make a trade-off between using medication, such that they felt safe from `attacks? and could `do all they wanted to do?, and minimising their `dependence? on potentially harmful medications. Responding to acute episodes involved a risk assessment in which people weighing the health risk of waiting against the social risk of seeking help unnecessarily. For the Vietnamese- Australians, caring for asthma was strongly shaped by their social position as non- English speaking migrants. They lacked access to information about asthma and to specialist care. They had sufficient medication, but were ill-informed about how to use their medicines effectively and safely: in general, the Vietnamese people were overmedicated but under-serviced in the care of their asthma. Beyond explanatory models, the Australian participants (lay people and doctors) shared a cultural model of asthma as a chronic illness. This Australian cultural model shaped the experience and care of asthma. It included concepts such as framing the past as an adjustment process, and the present as `living normally? with asthma. Taking care of asthma was expressed as `taking control? of asthma, so a person could minimise the illness and still be healthy. The Vietnamese-Australians did not share this cultural model of asthma as a chronic illness, as reflected in their expression of the hardship asthma created in limiting their ability to work hard for their family, and how they expected a cure for their condition from biomedicine. The Australians also shared a cultural model of health that was derived, in part, from the health promotion messages that are targeted at lay people. These promotional messages were the basis of a morality in health: people shared an implicit understanding that a person deserved health, and assistance when ill, when he/she displayed the required self-discipline in performing health behaviours.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

49

Barker, David. „Persecutory delusions and the internalising attributional bias for positive events : a systematic review and meta-analysis ; and, Training forensic mental health nurses in Cognitive Analytic Therapy (CAT) principles : a qualitative exploration of the impact on complex case conceptualisation and implications for practice“. Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33170.

Der volle Inhalt der Quelle

Annotation:

Purpose: A systematic review and meta-analysis tested the 'paranoia as a defence' model's original prediction that those experiencing persecutory delusions would take excessive credit for positive events as part of an attributional style that protects them from low self-esteem. The empirical project explored forensic mental health nurses' experiences of a Cognitive Analytic Therapy (CAT) training programme with an emphasis on complex case conceptualisation and implications for clinical practice. Methods: In relation to the systematic review and meta-analysis, those experiencing persecutory delusions were compared to those with non-paranoid psychosis, depression, and healthy controls, in terms of the magnitude of internalising attributional bias (IAB) for positive events. Correlation analysis also examined the association between magnitude of IAB and paranoia severity. In the empirical study, 10 forensic mental health nurses took part in semi-structured interviews to qualitatively explore their experiences and applications of CAT training. Results: Consistent with the model, an internalising attributional bias was present for those experiencing paranoid delusions when compared to individuals with depression. Contrary to the model, there were no differences between the other control groups and there was no significant correlation between IAB and paranoia severity. Internal attributions for positive events appear to be associated with depression, rather than paranoia. Analysis of the empirical data provided a rich account of nurses' experiences of the CAT training and how this helped them to conceptualise complex patients and promoted more positive ways of working. Conclusions: The findings from the systematic review and meta-analysis do not support the original model, but are consistent with the modified 'paranoia as a defence' model of persecutory delusions. Other cognitive models also help explain paranoia suggesting that refining the existing models further could be useful. The empirical findings suggest that CAT could be a valuable model of psychologically informed practice for nurses working in a forensic setting. Specifically, training appeared to help nurses develop a better understanding of their patients, greater self-reflection skills, and improved clinical care approaches.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

50

Yeung, Kin-wai. „A comparative study of the relative strengths and weaknesses of the self-help and Lap Shun Training Programmes of the Society for the Aid and Rehabilitation of Drug Abusers /“. [Hong Kong : University of Hong Kong], 1986. http://sunzi.lib.hku.hk/hkuto/record.jsp?B1232596X.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

Dissertationen zum Thema „Modern Health Care Programmes“

Geben Sie eine Quelle nach APA, MLA, Chicago, Harvard und anderen Zitierweisen an