Relevant bibliographies by topics / Administering health care resources

Academic literature on the topic 'Administering health care resources'

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Published: 4 June 2021
Last updated: 6 February 2022

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Journal articles on the topic "Administering health care resources"

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Oleksich, Zhanna, Jan Polcyn, and Oleg Shtogrin. "Adaptation of the best European practices in administering local health care institutions." Health Economics and Management Review 2, no. 2 (2021): 15–22. http://dx.doi.org/10.21272/hem.2021.2-02.

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This study aimed to justify the mechanisms for improving the administration system of local health care facilities based on the best European experience. This study determined the state of health care facilities in Ukraine based on assessing the quality of medical services, rational resources usage, personnel management, and technical and technological improvement. Systematization of scientific sources and approaches to solving investigated issues showed methodological underdevelopment and methodological lack of administration systems of Ukrainian health care facilities at the local level, considering the specifics of medical services. Thus, healthcare institutions need to adapt, develop, and implement the best international practices in administrative technologies. For gaining the research goal, the study was carried out in the following logical sequence: 1) analyzing the current models of health care development processes in the world; 2) determining the features of administration system od the health care institutions; 3) developing recommendations for improving the administration system of local health care facilities in Ukraine. The methodological tool of this research is the systematization of information based on the content analysis of official websites. The research object is the administration system of health care facilities in Ukraine. In the study, the authors present several approaches to organize state administration of health care at the national and regional levels. The authors determined the effective tools for administering health care institutions. The study substantiated the strategic format of developing health care facilities in modern conditions by providing high-quality services, rational resources usage, personnel management, and technical and technological improvement.
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Shyu, Guey-Shin, Shinn-Jou Lin, Wei-Ta Fang, and Bai-You Cheng. "How to Screen Suitable Service Improve Community Health Care Services by University Students in Taiwan." International Journal of Environmental Research and Public Health 17, no. 15 (July 27, 2020): 5402. http://dx.doi.org/10.3390/ijerph17155402.

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Engaging in social contributions to enhance social participation and attending community experiential service learning or internship courses have become an essential learning experience for university students. On the basis of postmodern education theories, this study adopted images and oral accounts involving personal experiences to construct a postmodern education research scheme by using the method of collaborative ethnography. This study selected and performed the following services: filming a community documentary, administering community health dance classes, and archiving community cultural artifacts in databases. Interviews were also administered to facilitate implementation of the actual services. Community health services commonly seen in Taiwan and abroad were compiled, and the resources required for each service were examined. Subsequently, factor analysis was performed to explore the characteristic of these services in order to recommend feasible services for university students to undertake. The results indicated that the eight resources required for the 59 common community health services were (1) a designated space or venue, (2) materials, (3) monetary resources, (4) human resources, (5) expertise, (6) professional equipment, (7) patience, and (8) empathy. The results revealed three principal components, namely labor services, high-resource services, and professional services, for a total explanatory power of 67.99%; the individual explanatory power of these components accounted for 25.04%, 21.81%, and 21.15%, respectively. Next, community health care services suitable for university students to perform were selected and implemented, and these services were well received. The study results indicated that community and environmental justice can be realized by identifying with the value of community health services and promoting postmodern education theories and social norms. The research results are suitable for implementation after the COVID-19 pandemic.
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Asadi-Lari, Mohsen, and David Gray. "Health needs assessment tools: Progress and potential." International Journal of Technology Assessment in Health Care 21, no. 3 (July 2005): 288–97. http://dx.doi.org/10.1017/s0266462305050385.

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Objectives:Health needs has attracted the interest of policy-makers, health economists, and health professionals as modern health services try to satisfy individual and population health needs to optimize resource utilization. Health needs can be assessed by administering various types of survey or interview-based instruments. If health needs are to be satisfied in changing health agendas in developed and developing countries, it is essential to employ valid and reliable tools. Despite the importance of needs assessment, no comprehensive review of tools is currently available. We carried out a literature search to define and categorize existing health needs assessment tools.Methods:We reviewed medical and social search engines for items containing specific health needs–related words to identify needs tools across a range of specialties. Papers were reviewed in terms of design, subject matter, psychometric features, and method of administration method.Results:Thirty-one employed in 52 studies including cancer, mental health, palliative care, multiple sclerosis, and cardiovascular disease tools were identified.Conclusions:This report summarizes available health needs instruments in a range of diseases to assist researchers in accessing health needs resources more easily and to encourage further research in this field.
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Jonas, Stephan Michael, Thomas Martin Deserno, Catalin Sorin Buhimschi, Jennifer Makin, Michael Andrew Choma, and Irina Alexandra Buhimschi. "Smartphone-based diagnostic for preeclampsia: an mHealth solution for administering the Congo Red Dot (CRD) test in settings with limited resources." Journal of the American Medical Informatics Association 23, no. 1 (May 29, 2015): 166–73. http://dx.doi.org/10.1093/jamia/ocv015.

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Abstract Objective Morbidity and mortality due to preeclampsia in settings with limited resources often results from delayed diagnosis. The Congo Red Dot (CRD) test, a simple modality to assess the presence of misfolded proteins in urine, shows promise as a diagnostic and prognostic tool for preeclampsia. We propose an innovative mobile health (mHealth) solution that enables the quantification of the CRD test as a batch laboratory test, with minimal cost and equipment. Methods A smartphone application that guides the user through seven easy steps, and that can be used successfully by non-specialized personnel, was developed. After image acquisition, a robust analysis runs on a smartphone, quantifying the CRD test response without the need for an internet connection or additional hardware. In the first stage, the basic image processing algorithms and supporting test standardizations were developed using urine samples from 218 patients. In the second stage, the standardized procedure was evaluated on 328 urine specimens from 273 women. In the third stage, the application was tested for robustness using four different operators and 94 altered samples. Results In the first stage, the image processing chain was set up with high correlation to manual analysis (z-test P < 0.001). In the second stage, a high agreement between manual and automated processing was calculated (Lin’s concordance coefficient ρ c = 0.968). In the last stage, sources of error were identified and remedies were developed accordingly. Altered samples resulted in an acceptable concordance with the manual gold-standard (Lin’s ρc = 0.914). Conclusion Combining smartphone-based image analysis with molecular-specific disease features represents a cost-effective application of mHealth that has the potential to fill gaps in access to health care solutions that are critical to reducing adverse events in resource-poor settings.
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Law, Elaine, Marie C. Scott, Yong S. K. Moon, Audrey J. Lee, Veronica T. Bandy, Andrew Haydon, Allen Shek, and S. Lena Kang-Birken. "Adapting pharmacy experiential education during COVID-19: Innovating remote preceptor resources, tools, and patient care delivery beyond virtual meetings." American Journal of Health-System Pharmacy 78, no. 18 (May 5, 2021): 1732–38. http://dx.doi.org/10.1093/ajhp/zxab192.

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Abstract Purpose To describe the innovative teaching practices, tools, and resources for remote learning developed by a school of pharmacy with a decentralized experiential program to empower and support preceptors in response to the coronavirus disease 2019 (COVID-19) pandemic. Summary As the pandemic has continued, there have been significant shifts in pharmacy workflow, staffing, and patient care delivery. Pharmacy students are slowly being reintegrated into these learning environments. Although preceptors are willing and eager to teach, many lack the resources, tools, and support to create remote learning experiences at their facilities. The University of the Pacific Thomas J. Long School of Pharmacy has a decentralized experiential education model in which faculty regional coordinators with clinical practices and diverse expertise are disseminated throughout California. This model allowed us to collaborate and understand preceptor needs from a local level. We created a preceptor COVID-19 guidance document, introduced innovative virtual playbooks to pivot up to 100% remote rotations, and promoted the layered learning model to integrate pharmacy residents into the remote teaching space. Communication and flexibility are key to ensure student and preceptor safety while maintaining high-quality advanced pharmacy practice experiences and preserving patient-student relationships in telehealth. Conclusion Overall, we successfully created innovative solutions and leveraged our decentralized experiential model to meet the teaching and learning demands during an unanticipated crisis. We continue to adapt and plan to assess the effectiveness of the tools by administering surveys of preceptors and pharmacy students.
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Coller, Barry S. "Expand the scorecard for health-care reform to achieve a better result and enhance clinical and translational science." Journal of Clinical and Translational Science 2, no. 5 (October 2018): 276–79. http://dx.doi.org/10.1017/cts.2018.333.

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Clinical and translational science is vitally dependent on the nation’s underlying health-care policies and programs. In a reciprocal fashion, data generated by clinical and translational research can inform both health policy and health-care delivery. It is important, therefore, to rate health reform proposals comprehensively on a set of criteria that reflect the broad goals of reform, including the potential impact on clinical and translational science and medical education. I propose that the criteria include achieving universal coverage, reducing administrative costs, retaining one’s chosen primary care physician, encouraging care coordination, empowering physicians, freeing industry from choosing and administering health plans, providing choice of specialists and hospitals, providing patient education, preventing patient overuse of services, rationalizing resource allocation, encouraging competition, limiting government’s role, supporting medical education, training, and research, and freeing industry to make personnel decisions based on business criteria rather than the impact on health-care costs to the company. I discuss the rationale for each element and offer a rating of current proposals relative to a proposal previously made.
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Mick, Stephen S. Farnsworth, and Patrick D. Shay. "Accountable Care Organizations and Transaction Cost Economics." Medical Care Research and Review 73, no. 6 (August 3, 2016): 649–59. http://dx.doi.org/10.1177/1077558716640411.

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Using a Transaction Cost Economics (TCE) approach, this paper explores which organizational forms Accountable Care Organizations (ACOs) may take. A critical question about form is the amount of vertical integration that an ACO may have, a topic central to TCE. We posit that contextual factors outside and inside an ACO will produce variable transaction costs (the non-production costs of care) such that the decision to integrate vertically will derive from a comparison of these external versus internal costs, assuming reasonably rational management abilities. External costs include those arising from environmental uncertainty and complexity, small numbers bargaining, asset specificity, frequency of exchanges, and information “impactedness.” Internal costs include those arising from human resource activities including hiring and staffing, training, evaluating (i.e., disciplining, appraising, or promoting), and otherwise administering programs. At the extreme, these different costs may produce either total vertical integration or little to no vertical integration with most ACOs falling in between. This essay demonstrates how TCE can be applied to the ACO organization form issue, explains TCE, considers ACO activity from the TCE perspective, and reflects on research directions that may inform TCE and facilitate ACO development.
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Foster, Lynelle, and Anne McMurray. "Community Parenteral Therapy Project: A pilot study." Australian Health Review 21, no. 1 (1998): 98. http://dx.doi.org/10.1071/ah980098.

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The pilot study reported in this paper was devised to develop and compare servicedelivery models that would achieve the provision of high quality parenteral therapycare to patients in the Gold Coast District Health Service community. All data werecollected on 113 patients for a 12-month period, January to December 1996. Thestudy compared the provision of outreach nursing services and contracted nursingservices on measures of satisfaction and cost.The study showed that patient and carers indicated a preference for community care,medical officers advocated the benefits of administering parenteral therapies in thecommunity, general practitioners were interested in managing future communityparenteral therapies, and contracted (nurse) service providers endorsed the developmentof a parenteral therapy resource centre. The findings also revealed considerablepotential cost savings in community-based care.
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Patel, K., C. Crowley, and R. H. M. Lim. "A service evaluation of subcutaneous insulin administration at a large hospital." International Journal of Pharmacy Practice 29, Supplement_1 (March 26, 2021): i29—i30. http://dx.doi.org/10.1093/ijpp/riab015.035.

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Abstract Introduction One in six adult patients in hospitals have diabetes1. According to the National Diabetes Inpatient Audit (NaDIA)1, around 40% of these patients are treated with insulin, a high-risk drug used to regulate blood glucose levels. Worryingly, 40% of patients treated with insulin experience an insulin error whilst in hospital1. Although the annual NaDIA shows consistent improvement in patient care since 2011, insulin error rates have not reduced significantly. Local data from a large NHS Trust mirrors the national picture2 and this study was part of the Trust’s 2018 NaDIA Quality Improvement Collaborative work to improve patient care specific to subcutaneous (SC) insulin administration. Preliminary work involved the development of a process map of the use of SC insulin with multidisciplinary teams from two wards at the Trust, reflecting how teams think SC insulin is used (work-as-imagined, WAI). Aims 1) To observe and describe the task of administering SC insulin (work-as-done, WAD), 2) To compare WAI and WAD relating to the task of administering SC insulin. Methods Non-participant observation of SC insulin administration took place over a 2-week period (Nov-Dec 2018), during lunch and dinner times, in the same two wards at the Trust where preliminary work took place. A ward pharmacist identified up to 16 opportunities for observations. Data were collected using a piloted observation template. Data from each observation was coded to identify tasks performed, using MS Word. Tasks were further analysed to develop a Hierarchical Task Analysis (HTA). This HTA was compared with the previously developed process map to identify similarities and differences in tasks. Results A total of 13 observations were made. The HTA top-level goal was to administer SC insulin, from which there were four sub-goals: 1) time to give insulin, 2) collect equipment, 3) enter ward and 4) administer insulin. More than 50 sub-tasks were represented in the HTA, highlighting the complexity of the overall task of administering SC insulin. There were variations in the way nurses prepared and gave insulin such as the use of workarounds and omissions of tasks. The comparison of the HTA (WAD) and process map (WAI) identified broadly similar tasks in sub-goal “administer insulin”. Differences in the boundaries of analysis in the process map and HTA made further comparisons of tasks difficult. For example, when describing the task of administering SC insulin, teams focused primarily on the final stage of insulin administration and not tasks that took place prior to it. Conclusion The administration of SC insulin was a complex process. The observations of SC insulin administration (WAD) largely matched those described by healthcare staff (WAI). Nurses were observed to adapt their work to provide essential patient centred care, The study was limited by the number of observations and differences in the boundary of analysis in the HTA and process map. Future work could investigate and understand the nature and implications of adaptations in SC insulin administration, as a key potential to develop a resilient work system. References 1. NHS Digital (2018) National Diabetes Inpatient Audit England and Wales, 2017. https://files.digital.nhs.uk/pdf/s/7/nadia-17-rep.pdf Accessed 17/10/2020 2. NHS Digital (2018) National Diabetes Inpatient Audit (NaDIA) – 2017. https://digital.nhs.uk/data-and-information/publications/statistical/national-diabetes-inpatient-audit/national-diabetes-inpatient-audit-nadia-2017#resources Accessed 18/10/2020
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Bintang, Sanusi, Mujibussalim Mujibussalim, and Fikri Fikri. "Decentralization of Indonesia social health insurance." International Journal of Law and Management 61, no. 2 (April 4, 2019): 310–27. http://dx.doi.org/10.1108/ijlma-07-2018-0143.

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Purpose The purpose of this study is to explain the need for the implementation of decentralization of Indonesia social health insurance (INA-Medicare), with particular emphasis for Aceh Province. First, it discusses the inconsistency of Act on National Social Security System (ANSSS) to the 1945 Constitution, because certain rules in ANSSS are contrary to the 1945 Constitution. This weakens the practice of broader regional autonomy, lessens the importance of public service quality in health care and ignores specific cultural and religious values of the regional people. Then, it explains provisions on central and regional government authority in the 1945 Constitution, Act on Regional Autonomy and Act on Governing of Aceh. Later, it explores current law and practice of INA-Medicare under the national social security system and the centralized administering body. Finally, it provides reasons for decentralization of INA-Medicare, as the solution. Design/methodology/approach This study uses doctrinal legal research. It relies on both primary and secondary legal authorities. In additions, it also uses sociolegal research by relying on non-legal materials, including empirical data from books, journals and newspapers. Analysis of legal authorities is by legal reasoning process, whereas analysis of non-legal materials is by qualitative approach. Findings This study argues that the decentralization of INA-Medicare is more suitable for Aceh Province because of several reasons, including implementing broader regional autonomy, improving public service quality in health care and implementing the principle of sharia social health insurance. Originality/value The study is original because it focuses on a specific regional area of Aceh Province, Indonesia. It concentrates on specific legal issues and provides unique reasons for argumentation. Therefore, it provides important specific information for journal readers.
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Dissertations / Theses on the topic "Administering health care resources"

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McCabe, Helen, and res cand@acu edu au. "The Ethical Implications of Incorporating Managed Care into the Australian Health Care Context." Australian Catholic University. School of Philosophy, 2004. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp48.29082005.

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AIMS Managed care is a market model of health care distribution, aspects of which are being incorporated into the Australian health care environment. Justifications for adopting managed care lie in purported claims to higher levels of efficiency and greater ‘consumer’ choice. The purpose of this research, then, is to determine the ethical implications of adapting this particular administrative model to Australia’s health care system. In general, it is intended to provide ethical guidance for health care administrators and policy-makers, health care practitioners, patients and the wider community. SCOPE Managed care emerges as a product of the contemporary, neo-liberal market with which it is inextricably linked. In order to understand the nature of this concept, then, this research necessarily includes a limited account of the nature of the market in which managed care is situated and disseminated. While a more detailed examination of the neo-liberal market is worthy of a thesis in itself, this project attends, less ambitiously, to two general concerns. Firstly, against a background of various histories of health care distribution, it assesses the market’s propensity for upholding the moral requirements of health care distributive decision-making. This aspect of the analysis is informed by a framework for health care morality the construction of which accompanies an inquiry into the moral nature of health care, including a deliberation about rights-claims to health care and the proper means of its distribution. Secondly, by way of offering a precautionary tale, it examines the organisational structures and regulations by which its expansionary ambitions are promoted and realised. CONCLUSIONS As a market solution to the problem of administering health care resources, the pursuit of cost-control, if not actual profit, becomes the primary objective of health care activity under managed care. Hence, the moral purposes of health care provision, as pursued within the therapeutic relationship and expressed through the social provision of health care, are displaced by the economic purposes of the ‘free’ market. Accordingly, the integrity of both health care practitioners and communities is corrupted. At the same time, it is demonstrated that the claims of managed care proponents to higher levels of efficiency are largely unfounded; indeed, under managed care, health care costs have continued to rise. At the same time, levels of access to health care have deteriorated. These adverse outcomes of managed care are borne, most particularly, by poorer members of communities. Further, contrary to the claims of its proponents, choice as to the availability and kinds of health care services is diminished. Moreover, the competitive market in which managed care is situated has given rise to a plethora of bankruptcies, mergers and alliances in the United States where the market is now characterised by oligopoly and monopoly providers. In this way, a viable market in health care is largely disproved. Nonetheless, when protected within a non-market context and subject to the requirements of justice, a limited number of managed care techniques can assist Australia’s efforts to conserve the resources of health care. However, any more robust adoption of this concept would be ethically indefensible.
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Campos, Marta Sofia Branquinho de. "Health care needs and resources distribution: how to allocate financial resources in primary care trust?" Master's thesis, NSBE - UNL, 2011. http://hdl.handle.net/10362/10059.

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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and Economics
Making a good allocation of the resources available is crucial to ensure a good operation of the system. In Portugal the allocation of resources in Primary Care Trust was made, mainly by historical values. In the last year, the Central Administration of the Health System proposed a new way of allocating the financial resources in Primary Care Trust. The goal of this study is to find different possibilities for allocating the financial resources in Primary Care in Portugal. We use data from the Central Administration of the Health System. The Proposal uses linear and quantile regressions, having the per capita costs as a dependent variable. Finally, it was decided on what rule would be better, looking at an economical and statistical criterion.
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Beecham, Jennifer Kate. "Community mental health services : resources and costs." Thesis, University of Kent, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.319222.

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Sundquist, Kristina. "Individual health, neighborhood characteristics, and allocation of primary health care resources /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-595-6/.

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Gore, Alexis D. "Management of Athletes’ Medications." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1250529602.

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Plews, Caroline Margaret Coatsworth. "Clients' reports of the work of health visitors in the child health clinic and during home visits." Thesis, University of Hull, 2001. http://hydra.hull.ac.uk/resources/hull:4626.

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This study examines clients' reports of aspects of a single child health clinic visit and of a home visit by the health visitor. There are two foci of the thesis. First: recall; value and use of the advice/information selected by the client as the most important; second, an exploration of the meaning of support identified by some clients.Seven health visitors participated in the research, which incorporated two studies. In the first study, the researcher observed the content of discussions between 100 clients and the health visitor in child health clinics. These clients were then interviewed at home and asked questions about the advice/information received from the health visitor during theirprevious visit to the child health clinic.For the second study, information was recorded by the health visitor describing the content of 149 home visits. Clients were interviewed at home and asked similar questions regarding advice/information received from the health visitor. In addition, those clients who described receiving support were asked to describe the meaning to them of this aspectof the visit.Data analysis for both studies included descriptive and inferential statistics and content analysis.Findings from both studies indicate that recall of advice/information is related to the amount of advice/information given to the client. This may have implications for the amount of advice/information that health visitors are encouraged to provide.Advice/information received from the health visitor was generally valued and used by the mothers in both studies. Clients appeared most likely to be dissatisfied when topics had been raised which they had no interest in discussing. It is suggested that that there may be correspondence between some clients' descriptions of support, and taxonomies of social support found in social support literature. An exploration of health visiting work employing the concepts of social support is recommended.
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Kiracho, Elizabeth Ekirapa. "Equity in the allocation of primary health care resources in Uganda." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/8915.

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Alanko, Eira. "Delivery care in Quang Ninh province, Northern Vietnam : resources and access to safe care." Thesis, Högskolan Dalarna, Omvårdnad, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:du-3681.

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Every mother and child has the right to survive childbirth which requires skilled birth attendants together with referral and available emergency obstetric care (EmOC). The objective of the study was to describe delivery care routines at different levels in the health care system in Quang Ninh province, Northern Vietnam. The design was cross sectional using a structured questionnaire. Two districts in Quang Ninh province with 40 Community Health Centres (CHC), three district hospitals and one region hospital was included in the study, in total 138 (CHC n=105 and hospitals n=33) health care providers participated. In our study 20% (CHC) of the health care providers assisting deliveries at CHC were midwives and health care provider’s in our study further report to have assisted at less then 10 deliveries/year (81% of respondents at CHC). Findings show that the health care provider’s routines and care for women during labour and delivery vary and that there is a need for re-training and that women in labour should be cared for by health care providers with adequate training like midwifery. In our study CHC had poor resources to provide basic or comprehensive EmOC. Our findings indicate that there is a need for re-training in delivery care among health care providers and since the number of deliveries at CHC is few they should be handled by someone who is a skilled birth attendant. Our findings also show a variation in care routines during labour and delivery among health care providers at CHC and hospital levels and this also show the need for re-training and support from proper authorities in order to improve maternal and newborn health.
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Glover, Gloria. "Relationships Between Nursing Resources, Uncompensated Care, Hospital Profitability, and Quality of Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7142.

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The value-based purchase requirement of the Patient Protection and Affordable Care Act puts pressure on hospital leaders to control cost while improving quality of care. The resource dependency theory was the theoretical framework for this correlational study. Archival data from the Centers for Medicare and Medicaid Services collected from 166 acute care urban hospitals for the Fiscal Year 2016. Multiple linear regression analysis was used to determine the relationship between nursing salaries per patient day, cost of uncompensated care as a percentage of net patient revenue, percentage of net income from patient services, and overall patient satisfaction for quality of care received. The multiple regression analysis results indicated the model as a whole to significantly predict overall patient satisfaction for quality of care for the Fiscal Year 2016, F (3,162) = 13.788, p = .000, and R2 = .203. In the final model, all 3 independent variables significantly predicted overall patient satisfaction for quality of care. Nursing salaries per patient day and percentage of net income from patient services were significant positive predictors of overall patient satisfaction for quality of care. Nursing salaries per patient day (� = .366, t = 5.120, p = .000) accounted for a higher contribution to the model than percentage of net income from patient services (� = .169, t = 2.374, p = .019). The cost of uncompensated care as a percentage of net patient revenue displayed a significant negative relationship with overall patient satisfaction for quality of care (� = .176, t = €2.458, p = .015). The implications of this study for positive social change include the potential to enhance the quality of care for patients while maintaining local hospitals' financial viability.
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Vega-Romero, Roman Rafael. "Health care and social justice evaluation : a critical and pluralist approach." Thesis, University of Hull, 1999. http://hydra.hull.ac.uk/resources/hull:7955.

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This thesis proposes a critical, systemic and pluralist approach to evaluating health programs. It examines ways in which efforts to promote equality and plurality are undermined by the application of foundationalist and universal conceptions of social justice and evaluation. This approach is developed within the current debate taking place in the field of Critical Systems Thinking, particularly in the area of the evaluation of social and health programs. It is argued that the potential for equality and plurality in Western societies goes beyond the questions of economic exploitation, military, cultural and political oppression and encompasses the relation between power and knowledge which is inherent in rationalities governing the formulation, the implementation and the operation of health programs. The thesis offers an alternative view of social justice that conciliates equality with plurality, and promotes these values through an evaluative procedure. Using Foucault's philosophy, it is proposed that a nonfoundationalist conception of social justice should be understood in terms of the interactions between three areas of human activity, namely knowledge, morality, and techniques and technologies of government. As regards the possibilities for developing a non-foundational and non-universal evaluative judgement, the thesis assumes a decentered conception of truth in the analysis of society and morality, and acknowledges the role of power as factor of generalisation or diversification of truth. Thus complexes of power-knowledge-morality are at the centre of our evaluative judgements of social justice. In order to encourage equality and plurality, this thesis proposes a rationale for evaluation that includes three main methodological guidelines: a decentered conception of critique regarding the problems and negative effects of a health program (unfolding in reverse); the promotion of subjectivity (autonomy, diversity, solidarity) through self-knowledge and self-regulation of desires (folding); and participation in the reordering of society through an ethical and political process of decision-making (ethical and political unfolding of the situated truths of the subjects). The processes are designed to interrelate and iterate in a complex way. They should include the exploration, choice and combination of methods and/or their parts, and of the strategic positions in scientific and ethical discursivities by thinking critically and acting in a situated and participative way.
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Books on the topic "Administering health care resources"

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Health, Ontario Ministry of. Managing health care resources. Toronto, Ont: Ministry of Health = Ministère de la santé, 1994.

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Health, Ontario Ministry of. Managing health care resources. Toronto: Ministry of Health, 1993.

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Humber, James M., and Robert F. Almeder, eds. Allocating Health Care Resources. Totowa, NJ: Humana Press, 1995. http://dx.doi.org/10.1007/978-1-59259-447-4.

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Managing health care information resources. Rockville, Md: Aspen Publishers, 1987.

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Charlesworth, M. J. Distributing health care resources: Ethical assumptions. [Canberra: Australian Health Ethics Committee, 1992.

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Health care manager's human resources handbook. 2nd ed. Burlington, Mass: Jones & Bartlett Learning, 2014.

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Sandra, Wood M., ed. Health care resources on the internet: A guide for librarians and health care consumers. New York: Haworth Information Press, 2000.

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Bevan, Gwyn. Equity in the use of health care resources. Geneva: Division of Strengthening of Health Services, World Health Organization, 1991.

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Trust, Health Research and Educational. Resources for improving community health. Chicago: Health Research and Educational Trust, 1999.

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Gann, Robert. The health information handbook: Resources for self care. Aldershot, Hants, England: Gower Pub., 1986.

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Book chapters on the topic "Administering health care resources"

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Krasner, Michael S. "Teaching Health Care Professionals." In Resources for Teaching Mindfulness, 391–407. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-30100-6_21.

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Callahan, Charles D. "Rehabilitating the health care organization: Administering psychology's opportunity." In Handbook of rehabilitation psychology., 459–66. Washington: American Psychological Association, 2010. http://dx.doi.org/10.1037/15972-033.

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Sessums, Laura L., and Patricia F. Harris. "Tools and Resources to Build Advocacy Skills." In Health Care Advocacy, 23–34. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-6914-9_3.

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Brody, Baruch A. "The Macro-Allocation of Health Care Resources." In Health Care Systems, 213–36. Dordrecht: Springer Netherlands, 1988. http://dx.doi.org/10.1007/978-94-015-7807-3_12.

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Newton, Lisa. "Allocation of Health Care Resources." In The American Experience in Bioethics, 55–81. Heidelberg: Springer International Publishing, 2013. http://dx.doi.org/10.1007/978-3-319-00363-4_3.

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Verheijde, L. Joseph. "HEALTH CARE COSTS AND SCARCITY OF HEALTH CARE RESOURCES." In Issues in Business Ethics, 1–30. Dordrecht: Springer Netherlands, 2006. http://dx.doi.org/10.1007/1-4020-4185-3_01.

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Mayston, David. "Managing Capital Resources in the NHS." In Competition in Health Care, 138–77. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-21052-7_6.

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Hersh, William R. "Terms, Models, and Resources." In Information Retrieval: A Health Care Perspective, 3–12. New York, NY: Springer New York, 1996. http://dx.doi.org/10.1007/978-1-4757-2529-2_1.

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Lindberg, Kajsa, Alexander Styhre, and Lars Walter. "Engaging Material Resources: Nursing Work in Leukaemia Care." In Assembling Health Care Organizations, 134–49. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137024640_7.

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Brandeau, Margaret L. "Allocating Resources to Control Infectious Diseases." In Operations Research and Health Care, 443–64. Boston, MA: Springer US, 2005. http://dx.doi.org/10.1007/1-4020-8066-2_17.

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Conference papers on the topic "Administering health care resources"

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Metcalfe, Douglas, Pui Wai Yuen, Dave McCauley, Sheila Brooks, Joan Miller, and Michael Stephens. "Implementation and Ongoing Development of a Comprehensive Program to Deal With Canada’s Nuclear Legacy Liabilities." In ASME 2009 12th International Conference on Environmental Remediation and Radioactive Waste Management. ASMEDC, 2009. http://dx.doi.org/10.1115/icem2009-16039.

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Nuclear legacy liabilities have resulted from 60 years of nuclear research and development carried out on behalf of Canada by the National Research Council (1944 to 1952) and Atomic Energy of Canada Limited (AECL, 1952 to present). These liabilities are located at AECL research and prototype reactor sites, and consist of shutdown reactors, research facilities and associated infrastructure, a wide variety of buried and stored waste, and contaminated lands. In 2006, the Government of Canada adopted a new long-term strategy to deal with the nuclear legacy liabilities and initiated a five-year, $520 million (Canadian dollars) start-up phase, thereby creating the Nuclear Legacy Liabilities Program (NLLP). The objective of the long-term strategy is to safely and cost-effectively reduce risks and liabilities based on sound waste management and environmental principles in the best interests of Canadians. The five-year plan is directed at addressing health, safety and environmental priorities, accelerating the decontamination and demolition of shutdown buildings, and laying the groundwork for future phases of the strategy. It also includes public consultation to inform the further development of the strategy and provides for continued care and maintenance activities at the sites. The NLLP is being implemented through a Memorandum of Understanding between Natural Resources Canada (NRCan) and AECL whereby NRCan is responsible for policy direction and oversight, including control of funding, and AECL is responsible for carrying out the work and holding and administering all licences, facilities and lands. The paper summarizes achievements during the first three years of program implementation in the areas of decommissioning and dismantling; waste recovery and environmental restoration; the construction of enabling facilities to analyze, handle and store the legacy waste; and, planning for the long-term management of the radioactive waste.
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Cassano-Piché, Andrea, Mark Fan, and Anthony C. Easty. "Mitigating Risks Associated With Administering Multiple Intravenous Infusions: Methods for Organizing and Analyzing Proactive Risk Data." In 2012 Symposium on Human Factors and Ergonomics in Health Care. Human Factors and Ergonomics Society, 2012. http://dx.doi.org/10.1518/hcs-2012.945289401.006.

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Okala, Chinwe, and Sunday Okegbemiro. "Private Sector Health Investment, Leveraging Resources for Sustainable Health Care." In International Conference on Health, Safety and Environment in Oil and Gas Exploration and Production. Society of Petroleum Engineers, 2012. http://dx.doi.org/10.2118/156737-ms.

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Puustjärvi, Juha, and Leena Puustjärvi. "Transactional allocation of clinical resources for health care processes." In the 11th International Conference. New York, New York, USA: ACM Press, 2009. http://dx.doi.org/10.1145/1806338.1806437.

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Ellringer, P., and L. Whitcomb. "233. Indoor Air Quality Surveys: How to be Effective and Efficient with Limited Resources." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764900.

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Scott, Andrea K. "Allocation of resources within a general scheme of product development." In Health Care Technology Policy II: The Role of Technology in the Cost of Health Care: Providing the Solutions, edited by Warren S. Grundfest. SPIE, 1995. http://dx.doi.org/10.1117/12.225348.

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Vargas Centanaro, Gianna, Juan Rigual Bobillo, Fernando Pelaez Catro, Mariara Calderon, Juan Luis Rodríguez Hermosilla, Jose luis Álvarez-Sala, and Myriam Calle Rubio. "Use of health care resources in admissions of COPD exacerbations." In ERS International Congress 2017 abstracts. European Respiratory Society, 2017. http://dx.doi.org/10.1183/1393003.congress-2017.pa3650.

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Japarova, Damira. "Allocation and Use of Financial Resources in Health Care in Kyrgyzstan." In International Conference on Eurasian Economies. Eurasian Economists Association, 2017. http://dx.doi.org/10.36880/c08.01830.

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TThe distribution of the limited financial resources in the state hospitals in Kyrgyzstan is uneven. The problems associated with the current method of distribution of resources: the poor quality of services at the level of polyclinics and high hospitalization rates that require an evaluation of the budget allocation of healthcare organizations operating in the Single Payer system. In order to improve the efficiency of resource use it is suggested to review the principles of allocation of resources to the primary level of patient care.
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Herselman, M., E. Niehaus, N. Ruxwana, P. D'Souza-Niehaus, N. Heyne, M. Platz, and R. Wagner. "GIS Tailored Questionnaires for Assisting Health Care Management in Distributing Resources." In Modelling and Simulation. Calgary,AB,Canada: ACTAPRESS, 2010. http://dx.doi.org/10.2316/p.2010.687-003.

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Kharin, A. "Condition Of Human Resources Of Health Care System In Karaganda Region." In RPTSS 2018 - International Conference on Research Paradigms Transformation in Social Sciences. Cognitive-Crcs, 2018. http://dx.doi.org/10.15405/epsbs.2018.12.65.

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Reports on the topic "Administering health care resources"

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Jigjidsuren, Altantuya, Bayar Oyun, and Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, January 2021. http://dx.doi.org/10.22617/wps210020-2.

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ince the early 1990s, the Asian Development Bank (ADB) has broadly supported health sector reforms in Mongolia. This paper describes primary health care (PHC) in Mongolia and ADB support in its reform. It highlights results achieved and the lessons drawn that could be useful for future programs in Mongolia and other countries. PHC reform in Mongolia aimed at facilitating a shift from hospital-based curative services toward preventive approaches. It included introducing new management models based on public–private partnerships, increasing the range of services, applying more effective financing methods, building human resources, and creating better infrastructure. The paper outlines remaining challenges and future directions for ADB support to PHC reform in the country.
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Dy, Sydney M., Julie M. Waldfogel, Danetta H. Sloan, Valerie Cotter, Susan Hannum, JaAlah-Ai Heughan, Linda Chyr, et al. Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), February 2020. http://dx.doi.org/10.23970/ahrqepccer237.

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Objectives. To evaluate availability, effectiveness, and implementation of interventions for integrating palliative care into ambulatory care for U.S.-based adults with serious life-threatening chronic illness or conditions other than cancer and their caregivers We evaluated interventions addressing identification of patients, patient and caregiver education, shared decision-making tools, clinician education, and models of care. Data sources. We searched key U.S. national websites (March 2020) and PubMed®, CINAHL®, and the Cochrane Central Register of Controlled Trials (through May 2020). We also engaged Key Informants. Review methods. We completed a mixed-methods review; we sought, synthesized, and integrated Web resources; quantitative, qualitative and mixed-methods studies; and input from patient/caregiver and clinician/stakeholder Key Informants. Two reviewers screened websites and search results, abstracted data, assessed risk of bias or study quality, and graded strength of evidence (SOE) for key outcomes: health-related quality of life, patient overall symptom burden, patient depressive symptom scores, patient and caregiver satisfaction, and advance directive documentation. We performed meta-analyses when appropriate. Results. We included 46 Web resources, 20 quantitative effectiveness studies, and 16 qualitative implementation studies across primary care and specialty populations. Various prediction models, tools, and triggers to identify patients are available, but none were evaluated for effectiveness or implementation. Numerous patient and caregiver education tools are available, but none were evaluated for effectiveness or implementation. All of the shared decision-making tools addressed advance care planning; these tools may increase patient satisfaction and advance directive documentation compared with usual care (SOE: low). Patients and caregivers prefer advance care planning discussions grounded in patient and caregiver experiences with individualized timing. Although numerous education and training resources for nonpalliative care clinicians are available, we were unable to draw conclusions about implementation, and none have been evaluated for effectiveness. The models evaluated for integrating palliative care were not more effective than usual care for improving health-related quality of life or patient depressive symptom scores (SOE: moderate) and may have little to no effect on increasing patient satisfaction or decreasing overall symptom burden (SOE: low), but models for integrating palliative care were effective for increasing advance directive documentation (SOE: moderate). Multimodal interventions may have little to no effect on increasing advance directive documentation (SOE: low) and other graded outcomes were not assessed. For utilization, models for integrating palliative care were not found to be more effective than usual care for decreasing hospitalizations; we were unable to draw conclusions about most other aspects of utilization or cost and resource use. We were unable to draw conclusions about caregiver satisfaction or specific characteristics of models for integrating palliative care. Patient preferences for appropriate timing of palliative care varied; costs, additional visits, and travel were seen as barriers to implementation. Conclusions. For integrating palliative care into ambulatory care for serious illness and conditions other than cancer, advance care planning shared decision-making tools and palliative care models were the most widely evaluated interventions and may be effective for improving only a few outcomes. More research is needed, particularly on identification of patients for these interventions; education for patients, caregivers, and clinicians; shared decision-making tools beyond advance care planning and advance directive completion; and specific components, characteristics, and implementation factors in models for integrating palliative care into ambulatory care.
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Gindi, Renee. Health, United States, 2019. Centers for Disease Control and Prevention (U.S.), 2021. http://dx.doi.org/10.15620/cdc:100685.

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Health, United States, 2019 is the 43rd report on the health status of the nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC). The Health, United States series presents an annual overview of national trends in key health indicators. The 2019 report presents trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health care expenditures in a 20-figure chartbook. The Health, United States, 2019 Chartbook is supplemented by several other products including Trend Tables, an At-a-Glance table, and Appendixes available for download on the Health, United States website at: https://www.cdc.gov/nchs/hus/ index.htm. The Health, United States, 2019 Chartbook contains 20 figures and 20 tables on health and health care in the United States. Examining trends in health informs the development, implementation, and evaluation of health policies and programs. The first section (Figures 1–13) focuses on health status and determinants: life expectancy, infant mortality, selected causes of death, overdose deaths, suicide, maternal mortality, teen births, preterm births, use of tobacco products, asthma, hypertension, heart disease and cancer, and functional limitations. The second section (Figures 14–15) presents trends in health care utilization: use of mammography and colorectal tests and unmet medical needs. The third section (Figures 16–17) focuses on health care resources: availability of physicians and dentists. The fourth section (Figures 18–20) describes trends in personal health care expenditures, health insurance coverage, and supplemental insurance coverage among Medicare beneficiaries. The Highlights section summarizes major findings from the Chartbook. Suggested citation: National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021.
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Choi, Yoojin, Nathan M. Stall, Antonina Maltsev, Chaim M. Bell, Isaac I. Bogoch, Tal Brosh, Gerald A. Evans, et al. Lessons Learned from Israel’s Vaccine Rollout. Ontario COVID-19 Science Advisory Table, February 2021. http://dx.doi.org/10.47326/ocsat.2021.02.09.1.0.

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As Ontario expands access to the COVID-19 vaccine beyond the Phase 1 priority populations, strategic planning and execution of mass vaccine rollout will have a significant impact on the health and safety of Ontario’s 14.5 million residents. There are six key elements of Israel’s successful COVID-19 vaccine campaign that can be readily applied to Ontario to expedite and expand the province’s vaccine rollout strategy: a simple vaccine prioritization process; modification to the transport, storage, and distribution of the vaccines; effective communication to promote vaccine confidence; decentralization of vaccination sites; centralized organization through Health Maintenance Organizations (HMOs) using a fully integrated information technology (IT) system in a universal health care system; and the engagement of community-based personnel, infrastructure, and resources.
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Cedergren, Elin, Diana Huynh, Michael Kull, John Moodie, Hjördís Rut Sigurjónsdóttir, and Mari Wøien Meijer. Public service delivery in the Nordic Region: An exercise in collaborative governance. Nordregio, February 2021. http://dx.doi.org/10.6027/r2021:4.1403-2503.

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Nordic welfare states are world renowned for providing high quality public services. Nordic municipal and regional authorities, in particular, play a central role in the delivery of key public services in areas, such as, health, education, and social care. However, in recent years, public authorities have faced several challenges which have reduced capacity and resources, including long periods of austerity following the 2008 financial crash, rapid demographic changes caused by an ageing population, and the COVID-19 health crisis. In response to these challenges many public authorities have looked to inter-regional, inter-municipal and cross-border collaborations to improve the quality and effectiveness of public service delivery (OECD 2017; ESPON 2019). Indeed, collaborative public service delivery is becoming increasingly prominent in the Nordic Region due to a highly decentralized systems of governance (Nordregio 20015; Eythorsson 2018).
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Candrilli, Sean D., and Samantha Kurosky. The Response to and Cost of Meningococcal Disease Outbreaks in University Campus Settings: A Case Study in Oregon, United States. RTI Press, October 2019. http://dx.doi.org/10.3768/rtipress.2019.rr.0034.1910.

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Invasive meningococcal disease (IMD) is a contagious bacterial infection that can occur sporadically in healthy individuals. Symptoms are typically similar to other common diseases, which can result in delayed diagnosis and treatment until patients are critically ill. In the United States, IMD outbreaks are rare and unpredictable. During an outbreak, rapidly marshalling the personnel and monetary resources to respond is paramount to controlling disease spread. If a community lacks necessary resources for a quick and efficient outbreak response, the resulting economic cost can be overwhelming. We developed a conceptual framework of activities implemented by universities, health departments, and community partners when responding to university-based IMD outbreaks. Next, cost data collected from public sources and interviews were applied to the conceptual framework to estimate the economic cost, both direct and indirect, of a university-based IMD outbreak. We used data from two recent university outbreaks in Oregon as case studies. Findings indicate a university-based IMD outbreak response relies on coordination between health care providers/insurers, university staff, media, government, and volunteers, along with many other community members. The estimated economic cost was $12.3 million, inclusive of the cost of vaccines ($7.35 million). Much of the total cost was attributable to wrongful death and indirect costs (e.g., productivity loss resulting from death). Understanding the breadth of activities and the economic cost of such a response may inform budgeting for future outbreak preparedness and development of alternative strategies to prevent and/or control IMD.
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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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Digital Health Implementation Guide for the Pacific. Asian Development Bank, June 2021. http://dx.doi.org/10.22617/tim210178-2.

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Planning and investing in digital health information systems can lead to improvements in decision-making, patient services, and quality of care. With increased internet connectivity, Pacific island countries have more opportunities to move away from paper-based information systems and connect remote health facilities for greater information exchange. This guide provides resources for those working in health information planning, design, and implementation, including in public health, and includes examples from across the Pacific. The guide makes recommendations on how to achieve a comprehensive and sustainable digital health information system that improves decision-making and, ultimately, improves patient experiences.
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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2010. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, April 2011. http://dx.doi.org/10.32747/2011.7291310.aphis.

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As the research arm of Wildlife Services, a program within the U.S. Department of Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS), NWRC develops methods and information to address human-wildlife conflicts related to agriculture, human health and safety, property damage, invasive species, and threatened and endangered species. The NWRC is the only Federal research facility in the United States devoted entirely to the development of methods for effective wildlife damage management, and it’s research authority comes from the Animal Damage Control Act of 1931. The NWRC’s research priorities are based on nationwide research needs assessments, congressional directives, APHIS Wildlife Services program needs, and stakeholder input. The Center is committed to helping resolve the ever-expanding and changing issues associated with human-wildlife conflict management and remains well positioned to address new issues through proactive efforts and strategic planning activities. NWRC research falls under four principal areas that reflect APHIS’ commitment to “protecting agricultural and natural resources from agricultural animal and plant health threats, zoonotic diseases, invasive species, and wildlife conflicts and diseases”. In addition to the four main research areas, the NWRC maintains support functions related to animal care, administration, information transfer, archives, quality assurance, facility development, and legislative and public affairs.
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