Dissertations / Theses on the topic 'Aged healthcare'
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Schaffer, Lisa. "The Lived Experience of Transgender College-Aged Students Receiving Healthcare." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/318.
Full textBrooker, Jennifer Anne, and n/a. "The Influence of the Constructs of Ageing on Gerontic Nursing Practice and Education: Reviewing the Past and Suggesting the Future." Griffith University. School of Nursing, 2005. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20050906.140153.
Full textLeinaar, Edward, Leigh Johnson, Ruby Yadav, Abir Rahman, and Arshmam Alamian. "Healthcare Access, Pregnancy Intention, and Contraceptive Practices Among Reproductive-Aged Women Receiving Opioid Agonist Therapy in Northeast Tennessee." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8153.
Full textKent, Seamus. "Healthcare use and costs in relation to body mass index in over one million middle-aged and older women in England." Thesis, University of Oxford, 2017. http://ora.ox.ac.uk/objects/uuid:ffee946d-46ce-4c15-8261-bc4a2e663a66.
Full textBoström, Anne-Marie. "Evidence-based care of older people - utopia or reality? : healthcare personnel's perceptions of using research in their daily practice /." Stockholm : Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-385-6/.
Full textBull, Alister William. "The insights gained from a portfolio of spiritual assessment tools used with hospitalised school-aged children to facilitate the delivery of spiritual care offered by the healthcare chaplain." Thesis, University of Glasgow, 2013. http://theses.gla.ac.uk/4529/.
Full textChalashika, Paphani. "Nutritional outcomes of Botswana infants and young children aged 6-24 months : a focus on birthweight, HIV-exposure, feeding practices and the role of caregivers, older family figures and healthcare workers." Thesis, University of Nottingham, 2018. http://eprints.nottingham.ac.uk/50081/.
Full textBall, Stephen. "Investigating telemonitoring technologies for the detection of activities and the application of BLE in smart homes for elderly independent living." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/123510/1/Stephen%20Ball%20Thesis.pdf.
Full textOwens, Myra G. "Factorial Validity of the Team Skills Scale as used for Geriatric Interdisciplinary Team Training (GITT)." VCU Scholars Compass, 2006. http://hdl.handle.net/10156/1568.
Full textReynaldo, Rizalyn. "Healthcare Leaders Under the Age of 40 - Successful Strategies and Practices for Leading Healthcare Organizations." Thesis, Pepperdine University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10622948.
Full textAs millennials and young adults under the age of 40 become the growing majority, it is critical to understand their leadership profile, the workplace challenges they face, and their strategies for overcoming obstacles as young leaders. Specifically, in healthcare, the rapidly changing industry presents internal and external environmental challenges that must be handled in the most professional and proficient manner to be an effective leader. As such, the purpose of this study is to gather best strategies and practices that healthcare leaders under the age of 40 can adopt for their respective organizations. There are 4 research questions that address the research study’s purpose: (a) strategies and practices employed by healthcare leaders under 40, (b) challenges faced by healthcare leaders under 40, (c) definition and measurement of leadership success and organizational performance, and (d) recommendations for young aspiring leaders. 15 healthcare leaders under the age of 40 participated in the research study and responded to 12 questions in a semi-structured interview format. The results of the phenomenological qualitative study yielded 62 themes. In particular, the following emerged as top themes with regard to strategies and practices: servant leadership, authentic leadership, transformational leadership, emotional intelligence. Challenges faced by healthcare leaders included regulatory changes, healthcare reform, competing priorities, managing financial and human capital, and managing change. In terms of managing resistance to change, a four-part framework was developed through the following themes: educate people on the change, engage people in the process, listen and empathize, build a guiding coalition. As for obstacles experienced by young leaders, themes included proving credibility, perceptions of youth, lack of experience or knowledge. 60% stated that their definition of leadership success would be based on team development and success, followed by organizational success, personal achievement, and reduced staff turnover. A high performing organization focused on quality, engaging the workforce, patient experience, cost savings, financial growth and stability, and community outreach. To measure and track organizational performance, key performance indicators, dashboards, and balance scorecards were mentioned. The research study wrapped up with advice for young aspiring leaders with emotional intelligence emerging as a top theme.
Chapnkem, Wenceslaw Chap. "Perceptions of Access to Healthcare in Cameroon by Women of Childbearing Age." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6981.
Full textde, Lavaine Scarlette. "The age of consent: digital photography and privacy in general healthcare practice." Thesis, de Lavaine, Scarlette (2016) The age of consent: digital photography and privacy in general healthcare practice. Honours thesis, Murdoch University, 2016. https://researchrepository.murdoch.edu.au/id/eprint/35142/.
Full textOnatolu, Busayo, Shimin Zheng, Hemang Panchal, and Edward Leinaar. "Association of Age, Gender and Race in Chronic Kidney Disease Patients with and without Dialysis." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/23.
Full textAnderson, Sarah, and Loyd Lee Glenn. "Intentional Learning Orientation According To Gender, Age, Rurality, and Program Type." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/66.
Full textWilliams, Faustine, and Emmanuel Thompson. "Disparities in Breast Cancer Stage at Diagnosis: Importance of Race, Poverty, and Age." Digital Scholarship@UNLV, 2018. https://digitalscholarship.unlv.edu/jhdrp/vol10/iss3/4.
Full textXu, Guo Dong. "Thoughts on Design Ethics Applied to Kitchen Management System in the Information and Digitization Age." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1523633653648084.
Full textMaphalala, Gugu Petunia. "Epidemiology of rotatirus diarrhoea in children under five years years of age from selected healthcare facilities in Swaziland." Thesis, University of Limpopo (Medunsa Campus), 2013. http://hdl.handle.net/10386/1154.
Full textBackground: It has been established that rotaviruses are the main cause of acute gastroenteritis in children worldwide, resulting in more than 453 000 deaths, with a high mortality still occurring in African countries and Asia. In Swaziland, diarrheal diseases are a common cause of morbidity and mortality among children <5 years of age. Approximately 10% of hospitalised Swazi children die due to diarrhoea every year. Through financial assistance from the World Health Organization (WHO), many African countries have conducted a lot of rotavirus disease studies. In Swaziland, the epidemiology of rotavirus infection is unknown due to lack of data. Thus, the study’s aim was to examine the epidemiology and characterize rotavirus strains in children <5 years of age, hospitalised and attending the outpatient departments of public and private healthcare facilities in Swaziland. Materials and methods: A total of 745 diarrheal stool specimens were collected from children <5 years of age from April 2009 to December 2010. Group A rotavirus antigen was detected using a commercially available enzyme immunoassay (EIA) kit (ProSpectTM, Oxoid Ltd, UK). Polyacrylamide gel electrophoresis (PAGE) was used to determine the electrophoretic pattern of rotavirus strains. The P and G genotypes were established by reverse transcription polymerase chain reaction (RT-PCR) and multiplex hemi-nested PCR amplification of the VP4 and VP7 genes respectively, using type-specific primers. Sequencing was performed on 35 specimens to confirm the circulating genotypes. The phylogenetic tree and similarity distances between genotypes were constructed using the neighbour joining method and the Kimura two-parameter model package in the MEGA version 5.05 software program. Results: Group A rotavirus was detected at 13.3% in 2009 (based on samples collected from April to December) and 23.4% in 2010 (based on one year collection) from children <5 years of age hospitalized and attending outpatient departments. The rotavirus infection was more frequently detected in the age group 0-11 months (22.2%). Gender did not play a major role in rotavirus infection, because both male (20.8%) and female (18.8%) children were equally affected. Of the children that were admitted in the hospital, 33.3% were affected by rotavirus infection compared to those attending the outpatient departments (13.5%). The rotavirus infection was observed during the cooler, drier months of the year. The three most predominant G and P genotypes detected were G2P[4] (30.4%), followed by G1P[8] (15.5%) and G9P[8] (8.8%). A significant number of uncommon rotavirus strains (32.4%), mixed infections (8.8%) and nontypeables (4.1%) were also detected. The circulating genotypes detected were classified into lineages and sub-lineages defined by phylogenetic analysis of nucleotide sequences. The Swaziland strains were found clustering with known African and global strains from the GenBank. Conclusion: The findings of this study reveal that group A rotaviruses are the etiological agents of severe diarrhoea in children under 5 years in Swaziland. The diversity of rotavirus strains that were detected highlights the importance of introducing the rotavirus vaccine in the country. The currently licensed vaccines may confer protection against the circulating strains detected in this study. Data on the burden of rotavirus disease in Swaziland will be used to convince the Ministry of Health and policy makers in the country to advocate for the introduction of the rotavirus vaccine. This is the first data on the epidemiology and characterization of rotavirus strains in Swaziland; therefore there is a need for continuing with the surveillance of rotavirus in the existing sentinel sites to determine the impact of rotavirus infection over time. It is also essential to continuously monitor the rotavirus strains circulating among Swazi children.
Newman, Nicole Rae. "Cognitively impaired elderly individuals and durable powers of attorney for healthcare." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1795.
Full textLocke, Tiffany. "Methicillin-resistant Staphylococcus Aureus in Canadian Hospitals from 1995 to 2007: A Comparison of Adult and Pediatric Inpatients." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/26110.
Full textQueen, Courtney M. "Health Status and Access Disparities Among the Uninsured Working-Age Population in a Safety-Net Healthcare Network in Tarrant County, Texas." Thesis, University of North Texas, 2009. https://digital.library.unt.edu/ark:/67531/metadc12187/.
Full textOliveira, Aline Azevedo de [UNIFESP]. "Conhecer para intervir: educação em saúde para cuidadores informais de idosos no Programa de Atenção à Saúde do Idoso – Envelhe-Ser – na cidade de Varginha/MG." Universidade Federal de São Paulo (UNIFESP), 2009. http://repositorio.unifesp.br/handle/11600/9247.
Full textO presente estudo justifica-se diante da rápida mudança do perfil demográfico brasileiro, com o aumento do número de idosos e, conseqüentemente de seus cuidadores, expondo o despreparo do setor público a esta nova realidade, sendo necessária a adoção de medidas que possam combater iniqüidades e desenvolver ações sob um olhar multidimensional. Além disso, a literatura aponta a importância de capacitação de recursos humanos para a assistência dessa população, tanto no âmbito profissional como no domiciliar, e a carência de um consenso sobre a educação de cuidadores e pouca produção sobre os programas na área de saúde do idoso. Nesse sentido, este trabalho procura investigar o processo de educação em saúde para cuidadores de idosos no Programa de Atenção à Saúde do Idoso – ENVELHE-SER - em Varginha - MG, apresentando assim a importância de se conhecer as reais necessidades dos cuidadores e os desafios enfrentados pela equipe multiprofissional central, visando a proposta de diretrizes para elaboração e implantação de grupos de atenção e apoio para cuidadores de idosos informais.. Neste contexto, a pesquisa tratou-se de um estudo quantitativo/qualitativo com foco no processo de educação em saúde para cuidadores de idosos, sob a ótica da equipe multiprofissional central e dos cuidadores de idosos inseridos no Programa de Atenção à Saúde do Idoso – ENVELHE-SER – na cidade de Varginha - MG. Para tanto, optou-se pela aplicação da entrevista semi-estruturada aos cuidadores informais de idosos compreendendo questões que possibilitaram conhecer o perfil dos idosos dependentes e cuidadores, a provisão de cuidados e a educação em saúde desenvolvida pelo programa. Posteriormente, utilizou-se a técnica de grupo focal com os profissionais da equipe do programa, conhecendo sob a visão deles a educação em saúde para cuidadores de idosos. Após a análise de dados, foi possível propor diretrizes para os grupos de atenção e apoio aos cuidadores de idosos a partir de 3 diretrizes referentes aos próprios cuidadores de idosos, aos profissionais de saúde envolvidos e as estruturas do setor público para tanto.
The study justifies itself due to the rapid change of the brazilian demographic profile caused by the increase of the elder’s population and additionally its caretakers, exposing the public sector’s lack of skills to tackle this new reality, being necessary the assumption of measures which can fight unfairness and develop actions under a multidimensional viewpoint. Moreover, the literature points out the importance of human resources qualification to look after that population either in the workplace or in their homes, the lack of agreement about the caretakers education and the low production of programs of elder’s health care. In this regard, this assignment investigates the education for elder caretakers of the Elder’s Health Care Program – ENVELHE-SER – in Varginha/MG, presenting the importance of knowing the actual caretakers’ needs and the challenges faced by the multi professional central crew aiming the proposal of policies for creation and implantation of attention groups and support for the informal elder’s caretakers. In this context, the research consists of a quantitative/qualitative study focusing on the process of the health education for elder’s caretakers under the point of view of the multi professional central crew and the elder’s caretakers of the Elder’s Health Care Program – ENVELHE-SER – of the city of Varginha/MG. To achieve it, a semi structured interview was applied to the informal elder’s caretakers which consists of questions that allowed to disclose the profile of the dependent elders and caretakers, the care provision and the process of health education of the program. Furthermore, the focal group technique was applied by the program crew professionals which allowed knowing their outlook on health education for elder’s caretakers. After data analysis it was possible to draw policies for the attention groups and give support for the elder’s caretakers from 3 proposals referred to the elder’s caretakers themselves, to the healthcare professionals in question and to the public sector structures required.
TEDE
BV UNIFESP: Teses e dissertações
Williams, Faustine, and Emmanuel Thompson. "Disparities in Breast Cancer Stage at Diagnosis: Importance of Race, Poverty, and Age." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/5342.
Full textQueen, Courtney M. Yoder Kevin Allan. "Health status and access disparities among the uninsured working-age population in a safety-net healthcare network in Tarrant County, Texas." [Denton, Tex.] : University of North Texas, 2009. http://digital.library.unt.edu/ark:/67531/metadc12187.
Full textThompson, Zirka. "Comparison of Risk Factors for Clostridium Difficile Infection Among Community Associated Cases and Healthcare Facility Associated Cases, September 2009- April 2011." Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/iph_theses/217.
Full textTeshome, Alexandra, and Elin Turborn. "Vårdpersonals attityder till smärtskattning av äldre : -en litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-294563.
Full textMany people over the age of 65 are living with pain. It’s a part of the nurse profession to assess and evaluate pain. Purpose: The purpose of this literature review was by existing research explore nurses knowledge and attitudes towards pain assessment and pain measurement in the care of elderly patients. Methods: In this literature review the databases Cinahl and Pubmed were used. Results: The results in this study are based on 10 articles. 7 quantitative, 2 qualitative and 1 were both methods was used. Factors that influenced how the patients’ pain was assessed by the health care givers was experience and education, attitudes and different obstacles that made adequate assessments difficult, such as patients having cognitive impairment and lack of time to perform assessment. In general, the caregivers had a positive attitude towards education about pain assessment and a great intention to assess pain correctly. However, it could be shown that negative attitudes and prejudices against pain in the older patient and how it should manifest affected how the pain assessment was performed. Conclusions: Negative attitudes regarding aging that is still exists in our society is affecting the health care of the individual. The authors believe, in support of the reviewed literature, that education is an important way to improve and develop the pain assessment performance.
Roberts, Erin. "Exploring the guidance and attitudes regarding infant feeding options provided by Healthcare workers (HCWs) to HIV positive mothers of infants 0 – 12 months of age in South Africa." University of the Western Cape, 2021. http://hdl.handle.net/11394/8014.
Full textSouth Africa’s Infant and Young Child Feeding (IYCF) policy guidelines of 2013 and its 2017 amendments recommend that mothers, including those living with HIV, exclusively breastfeed their infants until 24 months of age, followed by their gradual weaning. The 2013 changed policy guidelines occurred to align with global WHO recommendations of six-month exclusive breastfeeding for all HIV positive mothers, and consequently no longer recommended free formula feed as an option for HIV-positive mothers attending public sector services, except in limited circumstances. Despite these policy guidelines, less than a third of South African mothers exclusively breastfeed their infants. The other two thirds of mothers either formula feed or mixed feed their infants. Mixed feeding or exclusive breastfeeding by HIV positive mothers who have either not been on antiretroviral therapy (ART) long enough or are insufficiently adherent to ART to suppress their viral loads, can potentially lead to increased risk of Mother to Child Transmission (MTCT) of the Human Immunodeficiency Virus (HIV). Since healthcare workers (HCWs) play a key role in promoting the IYCF policy guidelines and encouraging its practice among HIV-positive mothers, it is crucial to determine the extent to which HCWs understand and subscribe to this important policy. Using purposeful sampling and in-depth qualitative interview techniques, this qualitative study explored the attitudes of HCWs towards different infant feeding options, especially for HIV positive mothers, against the background of their understanding of the changes in IYCF policy guidelines between 2013 and 2017. The participants in this study included ten HCWs selected from three primary health care facilities in Khayelitsha (Western Cape, South Africa), and two programme coordinators based at the Western Cape’s Department of Health Khayelitsha substructure office. By interviewing this diverse sample of HCW cadre, the study aimed to explore their perceptions related to the factors which facilitate IYCF policy implementation versus those that hinder the implementation of this policy. The findings revealed that HCWs interviewed had good overall familiarity with the IYCF policy guidelines. However, their depth of understanding and acceptability of the policy varied, especially in the context of high HIV MTCT risk. Suboptimal implementation of the policy occurred due to inadequate policy dissemination, diverse views on the limitations of the policy, such as the promotion of only exclusive breastfeeding as an option and an unclear rationale for recent policy changes. Additionally, HCWs high workload and insufficient training on the changed 2017 guidelines were identified as barriers to effectively implementing the new infant feeding policy guidelines. HCW further perceived that personal, socio-cultural and health system factors influenced new mothers’ decisions and/or ability to breastfeed. These findings highlight that improved policy dissemination strategies and training should be used to increase HCWs knowledge regarding infant feeding counselling content, including HIV MTCT risk. Western Cape Department of Health alignment and implementation of relevant National Department of Health HIV policies should occur to decrease MTCT risk while breastfeeding. Peer support groups could provide maternal support for continued postnatal ART adherence and for sustained safer feeding practices. Finally, while exclusive breastfeeding is the optimal feeding choice generally for mothers, future revision of the 2017 IYCF policy should consider allowing HCW to act more flexibly in the maternal guidance they provide on infant feeding options. This could allow greater discretion for HCW in infant feeding counselling of mothers, particularly for those women who are HIV positive. This would promote improved patient-centred counselling that takes into account both maternal socio-cultural context and the right to make individualised decisions regarding infant feeding.
Kowalczyk, Nina K. "The Impact Of Voluntariness, Gender, And Age On Subjective Norm And Intention To Use Digital Imaging Technology In A Healthcare Environment:Testing A Theoretical Model." The Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1226605857.
Full textOre, Robert. "A POPULATION-BASED ANALYSIS OF PATIENT AGE AND OTHER DISPARITIES IN THE TREATMENT OF OVARIAN CANCER IN CENTRAL APPALACHIA AND KENTUCKY." UKnowledge, 2019. https://uknowledge.uky.edu/crd_etds/4.
Full textKowalczyk, Nina K. "The impact of voluntariness, gender, and age on subjective norm and intention to use digital imaging technology in a healthcare environment testing a theoretical model /." Columbus, Ohio : Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1226605857.
Full textColwell, Kelly L. "Disseminating the Cost of the Empty Chair: Improving Healthcare Access and No-Show Rates Through Age and Disease-Specific Education in the Pediatric Asthma Patient Populations." Youngstown State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1495470628183933.
Full textAdhiambo, Oreje Joy Susan. "Assessment of prescribing patterns and availability of anti-malarial drugs to children under five years of age in a rural district in Kenya." University of Western Cape, 2013. http://hdl.handle.net/11394/3927.
Full textAim: The aim of this study was to assess the prescribing practices and availability of antimalarial drugs to children under five years of age in primary health care facilities in Bondo district.
McDonald, Ewan W. "Spatial-temporal analysis of endocrine disruptor pollution, neighbourhood stress, maternal age and related factors as potential determinants of birth sex ratio in Scotland." Thesis, University of Stirling, 2013. http://hdl.handle.net/1893/16044.
Full textVan, Soelen Nelda. "An evaluation of the cost-effectiveness of the introduction of an isoniazid prophylaxis treatment (IPT) register for tuberculosis contact management in children less than five years of age in a high-burden community healthcare clinic (CHC) setting in the Western Cape, South Africa." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/97286.
Full textENGLISH ABSTRACT: Childhood tuberculosis is an infectious disease that can cause serious illness and mortality in especially young children. Following contact with an infectious adult tuberculosis case, the disease is easily preventable through preventive isoniazid treatment, yet very few exposed and at-risk children currently access this healthcare service in most high-burden settings. Previous research pointed out the multifactorial and complex nature of the barriers to accessing preventive care. Specifically, the lack of a formalised recording and reporting tool, such as the universally used tuberculosis treatment registers, possibly contribute to the operational barriers of preventive care delivery to these children. The purpose of this research was to evaluate the cost-effectiveness of an isoniazid preventive treatment register tool used at community level. The study utilised previously reported data from the study population and other high-burden settings to construct a decision analysis model that included varying probabilities of isoniazid preventive treatment across three high risk age groups (<1 year of age, 1 – 2 years of age, 3 – 5 years of age), coupled with disease probabilities and associated treatment costs. The scenarios simulated included 1) the routine isoniazid preventive treatment service (3% started on treatment, 17% identified as eligible); and 2) an isoniazid preventive treatment service supported by a recording register (15% (adherent to six months of treatment) and 38% (started on IPT treatment)). In addition, two hypothetical simulations were included for 76% and 100% isoniazid preventive treatment uptake; these hypothetical simulations required additional community based healthcare worker resources in addition to the register tool. The observations from the literature indicated that more children were identified (24(17%) vs. 54(38%)) and started (4(3%, base case) vs. 54) on isoniazid preventive treatment following the implementation of the register. As expected, the mean number of tuberculosis cases prevented, increased as the proportion of eligible children that received isoniazid preventive treatment, improved; the change in the number of cases prevented per simulation showed incremental improvements which were all significantly better (p<0.01) than the base case.. The incremental cost-effectiveness ratios incurred savings for each of the scenarios simulated since the mean costs for each of the simulations were significantly less (p<0.01) than the costs associated with the base case. The current evidence suggests that the proposed isoniazid preventive treatment register tool is a cost-effective alternative to the current standard of care in place at community level for at-risk children exposed to tuberculosis. It is therefore recommended that the tool be used incrementally on a bigger scale, until such time that sufficient evidence has been generated to support widespread implementation.
Nguyen, Hoa L. "Age and Sex Differences in Duration of Pre-Hospital Delay, Hospital Treatment Practices, and Short-Term Outcomes in Patients Hospitalized with an Acute Coronary Syndrome/Acute Myocardial Infarction: A Dissertation." eScholarship@UMMS, 2010. https://escholarship.umassmed.edu/gsbs_diss/471.
Full textAmini, Reza. "Health-related Quality of Life and Social Engagement in Assisted Living Facilities." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804930/.
Full textOcampo, Mascaró Javier, Salazar Vera Jimena Silva, and Costa Bullón Abilio da. "Correlación entre conocimientos sobre consecuencias de la obesidad y grado de actividad física en universitarios." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2015. http://hdl.handle.net/10757/621624.
Full textYu-Pei, Chen, and 陳毓珮. "Pain and Healthcare Utilization in Middle-aged and Elder patients with Depression." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/fxq974.
Full text亞洲大學
健康產業管理學系長期照護組
100
Objective: The elderly people with depression and pain have attracted an increasing attention. Rare study explored physical and mental illness related to pain for depression patients and middle-aged groups who are getting old in Taiwan. Therefore, this study aimed to explore physical pain on middle-aged and elderly patients with depression, and further detected the factors related to physical illness such as pain, as well as the medical utilization and expenses imposed on patients with depression. Method: This study employed the claim dataset of National Health Insurance from National Health Research Institutes. Patients had the first diagnosis of depressive disorder(ICD-9-CM code 296.2、296.3、300.4、311)and taking anti-depressant in 2003 as the study subjects. After determining study subjects, this study explored physical pain, physical illness and mental illness the patients suffering from, and analyzes medical utilization treatment and expenses in a year. Results: The number of study subjects in this study is 136,051 in which 84.4% middle-aged and aged depression patients suffer from physical pain. The average number of pains suffered by depression patients is 2.97, and common pains occur on head(53.2%), gastric ulcer and gastritis(50.1%) and joint(45.3%). Depression patients with one year history of mental illness positively correlative to pain such as physical illness(OR=6.0), newly diagnosed depression(OR=1.1), CVD(OR=1.8), COPD (OR=1.8)and high cholesterol(OR=1.6) have higher probability of physical pain. It showed that middle-aged and elderly patients with depression had physical pain once sought medical service at non-psychiatric outpatient and emergency for about 23 times more than patients with no physical pain, with also 17,564 points higher for their total medical expenses in non-psychiatric emergency department, slightly 0.18 times higher for hospitalization, but related 58,185 points lower in terms of the expense of hospitalization. Conclusions: This study revealed that patients with depression had concurrent mental illness positively correlative to physical illness and pain have higher ratio of chief complaint of physical pain, and use more medical resources related to non-psychiatry. It is suggested for medical service providers to pay more attention to depression mentioned above, take the possibility of physical pains into consideration and provide appropriate treatment.
Chuang, Wen-Chi, and 莊文綺. "A Study of the Middle-aged and Elderly Patients Switching Intention Towards Cloud Healthcare." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/96228913173360649170.
Full text國立中興大學
科技管理研究所
100
Due to the formation of ageing society, the demand of electronic healthcare is rising. “Cloud healthcare” is a system which combines healthcare with cloud computing, it enables older people with chronic illnesses to live independently and have easy access to healthcare services. For middle-aged and elderly people, they are not familiar with most of new technologies because of their acceptance of new technology is low. To investigate their switching intention has assumed a new importance in recent year, this study uses push pull mooring (PPM) model to analyze middle-aged and elderly patients’ switching intention. This PPM model consists of 6 variables: “Inconvenience”, “Low privacy and security”, “Habit”, “Uncertainty”, “Ubiquitous care” and “Responsiveness”. According to these variables, the author develops questionnaires and the respondents are asked to have used telehealthcare. The results show that push effect, mooring effect and pull effect have a significant direct effect on patients’ switching intention. Also, the mooring effect has a significant direct effect on the relationship between push effect and switching intentions. On the other hand, the mooring effect does not have significant direct influence on the relationship between pull effect and switching intentions. It will be convenient for patients, especially in remote areas, to use cloud healthcare. Cloud healthcare can improve medical efficiency and quality, so that the author hopes to find the factors that affect these patients’ switching intention. These findings will serve as a reference for healthcare industry.
Yeh, Yu-Tso, and 葉昱佐. "Health Behaviors Clustering, Self-rated Health and Healthcare Services Utilization among Emerging Adulthood Aged 18~25 in Taiwan." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/06406700162715928325.
Full text國立臺灣師範大學
健康促進與衛生教育學系
102
Objective To examine the relationship between the health behavior clustering, self-rated health and health utilization including emergency, inpatient and outpatient services among emerging adulthood aged 18-25 in Taiwan. Data Sources The 2009 National Health Interview Survey was used in this study. After deleting the cases with missing value in four different subjects, the sample sizes are 2,679, 2,636, and 2,633 in the first three subjects respectively. In the fourth subject, the sample size are 2,633 and 2,631 for analyzing the relationships between the groups of clustering and emergency services and inpatient care utilizations and 2,631 for analyzing the relationships between the groups of clustering and outpatient care. Methods This study used the Two-step Cluster Analysis to identify groups of emerging adulthood with similar behavior patterns among emerging adulthood. Logistic regression was used to analyze the association between sociodemographic factors and groups of clustering. We used the ordered probit regression model to analyze the relationships between groups of clustering and self-rated health. As for healthcare utilization, logistic regression was used to analyze the relationships between groups of clustering and the probability of using emergcy services, outpatient services or inpatient care. Zero-inflated negative binomial regression model were used to investigate the association between groups of clustering and the number of visits of emergency services, outpatient healthcare services, as well as inpatient care. Results Three clusters were identified including the “smoking-alcohol” (n=637, 23.78%), “unbalance diet”(n=947, 35.35%), and “healthy lifestyle”(n=1,095, 40.87%) groups. When compared to the "healthy lifestyle” group, the "cigarette-alcohol” group and the " unbalance diet" group are more likely to report having worse health. Those who were classified in the “unbalance diet” group were more likely to use emergency services (OR=1.59; 95% CI=1.14-2.21) and those who were classified in the “unbalance diet” group were more likely to use more emergency services when compared to those in the “healthy lifestyle” group (IRR=1.49; 95% CI=1.08-2.05). This study found no relationships between groups of clustering and outpatient healthcare services, no matter whether in terms of usage or not, or in terms of the number of visits. Conclusions The groups of clustering can be generated based on smoking-alcohol and diet habit among the emerging adulthood. Those who were in the “smoking-acohol” and “unbalance diet” groups were more likely to self-report worse health. In addition, unhealth behavior clusters were found to be associated with a higher risk of using emergency care and more visits of emergency services. As the generation we discussed belongs to the the healthier group, and although we have found the relationships been groups of clustering and emergency services, we cannot know the main reason why these people used emergency service due to lack of detailed data. In addition, this cross-sectional study could not analyze the effects of clustering groups on outpatient or inpatient medical care utilizations. All in all, emerging adulthood is at a critical turning point from life-course perspective, therefore, it is an important task to develop a healthy lifestyle. Our study suggests that whether or not in college, university, or the workplace, health promotion programs could adopt an integrated approaches and tailor-made programs, when taking into account the common determinants across different types of health behaviors.
Lin, Jia-Lin, and 林嘉琳. "The prevalence of the chronic diseases, survival, and healthcare utilization in the middle-aged and senior adult with vision impairment." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/6348g3.
Full text國立陽明大學
衛生福利研究所
107
Background: Previous studies had found that the prevalence of chronic diseases, mortality, and healthcare utilization in people with vision disability were higher than those without vision disability. However, there are few relevant studies in Taiwan. Objective: To investigate the prevalence of chronic diseases, mortality, and healthcare utilization in the middle-aged and senior adult with vision disability. Methods: Cross-sectional study design was used to evaluate the prevalence of chronic diseases, while retrospective cohort study design was used to evaluate mortality and healthcare utilization. Study population consisted of adults 35 years of age and older on April 1st, 2014 using the National Health Insurance Claims Data. Those presented in the Disabled Population Profile were classified as the case group. Reference group was composed of rest of the general population matched for age and sex in a 1:4 ratio. Chi-square was used to compare the prevalence of chronic diseases (including Diabetes Mellitus, Hypertension, Stroke, Heart failure, Coronary artery disease, Depression) between the two groups. Cox Proportional Hazard Model was used to analyze survival. Multivariable logistic regression was used to analyze difference in healthcare utilization (including outpatient clinic, emergency visit, hospitalization) between the two groups. Results: Those with vision disability had higher prevalence for Diabetes Mellitus, Hypertension, Stroke, Heart failure, Coronary artery disease, Depression than those without vision disability, and this difference was higher in the middle-aged adult group as compared to the senior adult group. In the middle-aged adult group, crude prevalence rate for Diabetes Mellitus was 3.67 times higher in those with vision disability than those without, while this was only 1.40 times in the senior adult group. As for the other chronic diseases, it was 2.13 times versus 1.10 times for Hypertension, 4.86 times versus 1.65 times for Stroke, 5.59 times versus 1.77 times for Heart failure, 2.34 times versus 1.15 times for Coronary artery disease, 2.20 times versus 1.40 times for Depression. Among the middle-aged adult group, those with vision disability had 4.91 times higher crude mortality rate than those without vision disability, and this was higher than that in the senior adult group. After matching and adjusting for potential confounding factors, those with vision disability had higher risk for Diabetes Mellitus, Hypertension, Stroke, Heart failure, Coronary artery disease, Depression than those without vision disability. The adjusted odds ratios (AORs) were higher for middle-aged adult group when compared to the senior adult group, with AOR=3.08 vs 1.66 for Diabetes Mellitus, AOR=1.73 vs 1.10 for Hypertension, AOR=3.01 vs 1.50 for Stroke, AOR=3.39 vs 1.36 for Heart failure, AOR=1.56 vs 1.09 for Coronary artery disease, and AOR=1.96 vs 1.50 for Depression. Those with vision disability also showed higher risk of death than those without vision disability. The AHRs was higher among middle-aged adult groups than senior adult groups, with AHR=1.59 and AHR=1.31, respectively. As for healthcare utilization, those with vision disability had higher utilization than those without vision disability. The middle-aged group showed a larger difference than the senior adult group; the average outpatient clinic expenditure (2.60 times versus 1.37 times), the average emergency visit frequency (2.17 times versus 1.33 times), the average emergency expenditure (2.80 times versus 1.44 times), the average hospitalization (2.06 times versus 1.28 times), the average hospitalization frequency (2.39 times versus 1.35 times), the average hospitalization duration (3.24 times versus 1.53 times), the average hospitalization expenditure (2.64 times versus 1.39 times). Conclusion: Significant difference was found in health status, mortality and healthcare utilization between those with vision disability and those without. Policies on chronic disease prevention should be reinforced, especially among the middle-aged population with vision disability, to minimize disease occurrence and allow early prevention. Psychological health support should be provided to lessen feelings of loneliness and depressed mood. Healthcare providers should emphasize on health education and disease management in order to control severity of diseases and avoid overuse of healthcare utilization. Those with vision disability should also have better self-management and health literacy in order to prevent or delay occurrence of chronic diseases.
Huang, Wei-Ling, and 黃韋綾. "Medication adherence of Statins and Healthcare Utilization among the Middle-aged and Elderly with Coronary Heart Disease:A Cohort study in Taiwan." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/3gxqu5.
Full text國立中山大學
企業管理學系醫務管理碩士班
103
Objective: The purpose of this study is to explore the relationship of patients’ medication adherence with the statins therapy and inpatient visit the in Taiwan. Methods: A corhort study was implemented to use the National Health Insurance Research Database(NHIRD)between January 2001 and December 2007, to analysis the patient who had taken the medicine of statins at the first time and never had diagnosis of coronary heart disease(CHD). The patient were followed until occurred first inpatient visit with coronary heart disease or end of study period(Dec. 31 2007). The medication adherence was calculated as medication possession ratio(MPR)which was sum of days of supply of the statins medications divided by follow-up duration. Result: In the analyzed of 19371 patients who use statins therapy, 11642 patients(59.17%)had high medication adherence(MPR≧80%)and the rest patients(40.83%)had been included in low medication adherence(MPR<80%). There were significantly higher adherence for patients were male, elderly, CCI=1, in medical center and in rural area. The hospitalized risk increased with MPR<80 %, male, elderly, and more comorbidities. The hospitalization costs showed comorbidities with MPR<80 %, male, elderly, more comorbidities, patient in medical center, teaching-hoapital and suburban. Conclution: Lipid-lowering therapy, statins medication is well known to reduce cardiovascular risk across a wide range of patients. It is very important to follow-up and compliance with statins therapy. This study finded that good adherence to statin treatment was associated with lower risk of occurred CHD.
"Spatial variation in the utilization of public healthcare services among the Hong Kong elderly in the last three years of life in relation to the service provision and their health outcome." 2010. http://library.cuhk.edu.hk/record=b5894480.
Full text"August 2010."
Thesis (M.Phil.)--Chinese University of Hong Kong, 2010.
Includes bibliographical references (leaves 158-172).
Abstracts in English and Chinese.
Chapter Chapter One: --- Introduction --- p.1
Chapter 1.1 --- Background --- p.1
Chapter 1.2 --- Research objectives --- p.5
Chapter 1.3 --- Research hypothesis --- p.7
Chapter 1.4 --- Research questions --- p.7
Chapter 1.5 --- Research structure --- p.9
Chapter Chapter Two: --- Literature Review --- p.10
Chapter 2.1 --- "Health geography: knowledge of population, people, places and health" --- p.10
Chapter 2.2 --- Understanding geographies of diseases: mapping and modeling diseases and health --- p.17
Chapter 2.3 --- Healthcare services provision and utilization --- p.22
Chapter 2.4 --- Hong Kong: facts and context --- p.31
Chapter 2.4.1 --- Demographics --- p.32
Chapter 2.4.2 --- Key challenges arising from population ageing --- p.37
Chapter 2.4.2.1 --- Implications to medico-social agenda --- p.38
Chapter 2.4.2.2 --- Implications to health status --- p.38
Chapter 2.4.2.3 --- Implications to disease pattern --- p.39
Chapter 2.4.3 --- Healthcare service delivery system in Hong Kong --- p.41
Chapter 2.4.3.1 --- Financing and expenditure --- p.42
Chapter 2.4.3.2 --- Organizational framework and healthcare policy --- p.44
Chapter 2.4.3.3 --- Healthcare resources --- p.49
Chapter 2.4.3.4 --- Utilization and provision of public healthcare services --- p.50
Chapter Chapter Three: --- Material & Methods --- p.55
Chapter 3.1 --- Background of main source of data --- p.55
Chapter 3.2 --- Sources of data --- p.57
Chapter 3.2.1 --- Hospital services utilization data --- p.57
Chapter 3.2.2 --- Healthcare resources data --- p.61
Chapter 3.2.3 --- Population data --- p.62
Chapter 3.3 --- Spatial scale of analysis --- p.62
Chapter 3.4 --- Statistical analyses --- p.63
Chapter 3.4.1 --- Service utilization ratios --- p.63
Chapter 3.4.2 --- Provision of healthcare resources to population --- p.65
Chapter 3.4.3 --- Adequacy of healthcare services provision --- p.65
Chapter 3.4.4 --- Mortality analysis --- p.67
Chapter 3.4.5 --- Multi-level analysis --- p.69
Chapter 3.4.6 --- Mapping of health services utilization ratio and mortality ratio --- p.70
Chapter 3.5 --- Statistical packages used --- p.73
Chapter 3.6 --- Cautions on interpretation --- p.74
Chapter 3.6.1 --- Confounding and ecological fallacy --- p.74
Chapter 3.6.2 --- Problem with the use of Standardized Mortality Ratio --- p.75
Chapter 3.6.3 --- Problem with mapping and visualization --- p.76
Chapter Chapter Four: --- Results --- p.78
Chapter 4.1 --- Socio-spatial variation in mortality --- p.78
Chapter 4.2 --- Statistical analysis and mapping of health services utilization ratio --- p.80
Chapter 4.3 --- Statistical and cartographic analysis in Standardized Mortality Ratio --- p.88
Chapter 4.4 --- Provision of healthcare resources to population --- p.91
Chapter 4.5 --- "Multi-level analysis of hospital services utilization, provision and mortality" --- p.92
Chapter 4.6 --- Further analysis --- p.95
Chapter Chapter Five: --- Discussion --- p.100
Chapter 5.1 --- Geographic variations in health services utilization ratios --- p.101
Chapter 5.2 --- Geographic variation in Standardized Mortality Ratio --- p.107
Chapter 5.3 --- "Multi-level models on health services utilization, provision and mortality" --- p.121
Chapter 5.3.1 --- Socio-demographic characteristics of health services utilization --- p.121
Chapter 5.3.1.1 --- Age --- p.121
Chapter 5.3.1.2 --- Gender --- p.124
Chapter 5.3.2 --- Health services utilization in relation to services provision --- p.129
Chapter 5.3.3 --- Health services utilization in relation to mortality --- p.132
Chapter 5.3.4 --- Adequacy of healthcare services provision --- p.134
Chapter 5.3.4.1 --- Adequacy of hospital care provision --- p.134
Chapter 5.3.4.2 --- Adequacy of primary care provision --- p.139
Chapter 5.4 --- Implications --- p.143
Chapter 5.5 --- Strengths of study --- p.146
Chapter 5.6 --- Limitations of study --- p.148
Chapter 5.7 --- Recommendations for future research --- p.151
Chapter Chapter Six: --- Conclusion --- p.154
References --- p.158
McIntosh, Bryan, G. Cookson, and S. Jones. "Cancelled surgeries and payment by results in the English National Health Service." 2012. http://hdl.handle.net/10454/6502.
Full textTurnbull, Margaret. "Assessing the Regularity and Predictability of the Age-Trajectories of Healthcare Utilization." 2012. http://hdl.handle.net/10222/15441.
Full textQiao, Nan. "Three Healthcare Topics: Adult Children's Informal Care to Aging Parents, Working Age Population's Marijuana Use, and Indigenous Adolescents' Suicidal Behaviors." Diss., 2019. http://hdl.handle.net/1805/18483.
Full textThis dissertation examines three vulnerable groups’ health and healthcare access. The first research uses the 2002–2011 Health and Retirement Study data to estimate the effects of adult children’s employment on their caregiving to aging parents. State monthly unemployment rates are used as an instrument for employment. Results show that being employed affects neither male nor female adult children’s caregiving to aging parents significantly. The findings imply that the total amount of informal care provided by adult children might not be affected by changes in labor market participation trends of the two genders. The second research studies the labor impact of Colorado and Washington’s passage of recreational marijuana laws in December 2012. The difference-in-differences method is applied on the 2010–2013 National Survey on Drug Use and Health state estimates and the 2008–2013 Survey of Income and Program Participation data to estimate legalization’s effects on employment. The results show that legalizing recreational marijuana increases marijuana use and reduces the number of weeks employed in a given month by 0.090 among those aged 21 to 25. The laws’ labor effects are not significant on those aged 26 and above. To reduce legalization’s negative effects on employment, states may consider raising the minimum legal age for recreational marijuana use. The third research examines disparities in suicidal behaviors between indigenous and non-indigenous adolescents. The study analyzes the 2001–2013 Youth Risk Behavior Survey data. Oaxaca decomposition is applied to detect sources of disparities in suicide consideration, planning, and attempts. The study finds that the disparities in suicidal behaviors can be explained by differences in suicidal factors’ prevalence and effect sizes between the two groups. Suicidal behavior disparities might be reduced by protecting male indigenous adolescents from sexual abuse and depression, reducing female indigenous adolescents’ substance use, as well as involving male indigenous adolescents in sports teams.
Kao, Mei Hua, and 高美華. "The Effects of Self-Management Intervention on Symptoms and Physical Function of Knee, Healthcare Outcomes and Quality of Life Among Middle-Age Adults With Knee Osteoarthritis." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/gb3u7d.
Full text"Effects of health insurance benefit plan design on healthcare resource utilization, medication possession for oral antidiabetic medication, and receipt of appropriate process of care in adult working age patients with type 2 diabetes mellitus." Tulane University, 2010.
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