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Dissertations / Theses on the topic 'AI health care planning'

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Published: 29 June 2021
Last updated: 10 February 2022

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1

Berggren, Andreas, Martin Gunnarsson, and Johannes Wallin. "Artificial intelligence as a decision support system in property development and facility management." Thesis, Högskolan i Borås, Akademin för textil, teknik och ekonomi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-25535.

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The construction industry has been hesitant for a long time to apply new technologies. In property development, the industry relies heavily on employees bringing experience from one project to another. These employees learn to manage risks in connection with the acquisition of land, but when these people retire, the knowledge disappears. An AI-based decision-support system that takes the risks and the market into account when acquiring land can learn from each project and bring this knowledge into future projects. In facility management, artificial intelligence could increase the efficiency of the allocation of staff in the ongoing operations. The purpose of the study is to analyse how companies in the real estate industry can improve their decision-making with the help of AI in property development and property management. In this study, two case studies of two different players in the real estate industry have been performed. One player, Bygg-Fast, represents property development and the other player, VGR, represents facility management. The study is based on interviews, discussions, and collected data. By mapping and then quantifying the risks and market indicators that are input data in the process, a basis can be created. The data can be used for a model that lays the foundation for an AI-based decision support system that will help the property developer to make calculated decisions in the land acquisition process. By mapping what a flow through a property looks like, measuring points can be set out to analyse how long the activities take in the specific business. These measured values provide a collection of data that makes it easier to plan the activities conducted in the property. A more efficient flow can be achieved by visualizing the entire process so staff can be allocated to the right part of the flow. By being flexible and being able to re-plan the business quickly if planning is disrupted, a high level of efficiency can be achieved. This could be done by an AI-based decision support system that simulates alternative day plans.
Byggbranschen har länge varit tveksamt till att applicera nya tekniker. Inom fastighetsutveckling bygger branschen mycket på att anställda tar med sig erfarenheter från ett projekt till ett annat. Dessa anställda lär sig hantera risker i samband med förvärv av mark men när dessa personer slutar eller går i pension försvinner kunskapen. Ett AI baserat beslutssystem som tar risk och marknad i beaktning vid förvärv av mark kan lära sig av varje projekt och ta med dessa kunskaper till framtida projekt. Inom fastighetsförvaltning skulle artificiell intelligens kunna effektivisera allokerandet av personal i den pågående verksamheten. Syftet med studien är att analysera hur företag i fastighetsbranschen kan förbättra sitt beslutstagande med hjälp av AI i utveckling av fastigheter samt fastighetsförvaltning. I denna studien har två fallstudier av två olika aktörer i fastighetsbranschen utförts. Ena aktören, Bygg-Fast, representerar fastighetsutveckling och den andra aktören, VGR, representerar fastighetsförvaltning. Studien bygger på intervjuer, diskussioner och insamlade data. Genom att kartlägga och sedan kvantifiera de risker samt marknadsindikatorer som är indata i processen kan ett underlag skapas. Underlaget kan användas för en modell som lägger grunden för ett AI baserat beslutsstödsystem som ska hjälpa fastighetsutvecklaren med att ta kalkylerade beslut i mark förvärvsprocessen. Genom att kartlägga hur ett flöde genom en fastighet ser ut kan mätpunkter sättas ut för att analysera hur lång tid aktiviteterna tar i den specifika verksamheten. Dessa mätvärden ger en samlad data som gör det lättare att planera verksamheten som bedrivs i fastigheten. Ett effektivare flöde kan uppnås genom att visualisera hela processen så personal kan allokeras till rätt del av flödet. Genom att vara flexibel och kunna planera om verksamheten snabbt ifall planering störs kan en hög effektivitet nås. Detta skulle kunna göras av ett AI baserat beslutsstödsystem som simulerar alternativa dagsplaneringar.
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2

Bennett, Ashlea R. "Home health care logistics planning." Diss., Georgia Institute of Technology, 2009. http://hdl.handle.net/1853/33989.

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This thesis develops quantitative methods which incorporate transportation modeling for tactical and operational home health logistics planning problems. We define home health nurse routing and scheduling (HHNRS) problems, which are dynamic periodic routing and scheduling problems with fixed appointment times, where a set of patients must be visited by a home health nurse according to a prescribed weekly frequency for a prescribed number of consecutive weeks during a planning horizon, and each patient visit must be assigned an appointment time belonging to an allowable menu of equally-spaced times. Patient requests are revealed incrementally, and appointment time selections must be made without knowledge of future requests. First, a static problem variant is studied to understand the impact of fixed appointment times on routing and scheduling decisions, independent of other complicating factors in the HHNRS problem. The costs of offering fixed appointment times are quantified, and purely distance-based heuristics are shown to have potential limitations for appointment time problems unless proposed arc cost transformations are used. Building on this result, a new rolling horizon capacity-based heuristic is developed for HHNRS problems. The heuristic considers interactions between travel times, service times, and the fixed appointment time menu when inserting appointments for currently revealed patient requests into partial nurse schedules. The heuristic is shown to outperform a distance-based heuristic on metrics which emphasize meeting as much patient demand as possible. The home health nurse districting (HHND) problem is a tactical planning problem which influences HHNRS problem solution quality. A set of geographic zones must be partitioned into districts to be served by home health nurses, such that workload is balanced across districts and nurse travel is minimized. A set partitioning model for HHND is formulated and a column generation heuristic is developed which integrates ideas from optimization and local search. Methods for estimating district travel and workload are developed and implemented within the heuristic, which outperforms local search on test instances.
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Schiele, Julian [Verfasser], and Jens O. [Akademischer Betreuer] Brunner. "AI-Enabled Decision Support in Health Care / Julian Schiele ; Betreuer: Jens O. Brunner." Augsburg : Universität Augsburg, 2020. http://d-nb.info/1217194029/34.

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4

Nayfeh, Ayah. "Advance Care Planning for Mechanical Ventilation: Health Care Providers' Perspectives on Cross-Cultural Care." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31837.

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Background: Advance care planning (ACP) is a method used for patients to express in advance their preferences, beliefs and values for life-sustaining treatments at the end-of-life. With growing ethnocultural diversity in Canada, health care providers are managing an increasing number of diverse beliefs/values that are commonly associated with preferences for mechanical ventilation (MV) at the end-of-life. The aim of this project is to explore methods used by health care providers to set care plans for MV with ethnocultural populations. Methods: Qualitative analysis of semi-structured interviews with open-ended questions and two clinical vignette components was conducted with eight (8) health care providers who engage in ACP. Participants were recruited using a snowball-sampling approach from five acute-care hospitals within the Ottawa region. Results: Three major themes emerged from collected dataset: 1) Goals of care across illness trajectories, 2) Respecting beliefs, values, and wishes for care, and 3) Cross-cultural support in ACP. Using a value-based approach in ACP was described as an effective method for managing and interpreting diverse beliefs/values that impact decisions for MV. However, organizational, systemic, and personnel barriers that exist continue to hinder the provision of cross-cultural ACP across health settings. Contexte: La planification préalable des soins (PPS) est une méthode utilisée par les patients et les familles pour exprimer à l'avance leurs préférences liées aux traitements de prolongation de vie. En raison de la diversité ethnoculturelle croissante au Canada, les professionnels de la santé sont confrontés à des croyances et valeurs différentes, souvent associées à une préférence pour l’initiation et le maintien de la ventilation mécanique (VM) en fin de vie. L'objectif de ce projet consiste à explorer les stratégies utilisées par les professionnels de la santé lors des discussions associées à la VM auprès d'une clientèle multiculturelle. Méthodes: Huit (8) participants (médecins et infirmières) impliqués dans la PPS ont accepté de participer à une entrevue semi-structurée avec des questions ouvertes et deux scénarios cliniques. Les participants ont été recrutés à l'aide de la méthode d’échantillonnage par réseau (« boule de neige ») de cinq hôpitaux de la région d'Ottawa. Résultats: Trois grands thèmes ont émergé des entrevues: 1) les objectifs de soins à travers les trajectoires de la maladie, 2) le respect des croyances, valeurs et souhaits pour les soins, et 3) le soutien dans la PPS en contexte interculturel. Lors de la PPS, utiliser une approche basée sur les valeurs a été décrite comme une méthode efficace pour interpréter et prendre en compte les diverses croyances et valeurs qui ont une influence sur les décisions liées à la VM. Cependant, les barrières systémiques, organisationnelles et personnelles continuent d'entraver les services associés à la PPS en contexte interculturel dans les établissements de santé.
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Bertsch, Kylie M. "Day-of-Discharge Planning at Acute Care Hospitals." Wright State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=wright1405077734.

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Westman, Göran. "Planning primary health care provision : assessment of development work at a health centre." Doctoral thesis, Umeå universitet, Socialmedicin, 1986. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100557.

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At the Primary Health Care Centre in Vännäs (VPHCC), northern Sweden, a development work was implemented in 1976-1980. The overall purpose was to enhance primary health care planning. In trying to improve health care delivery cooperation with community members was initiated and some organizational changes like a new appointment system, a new medical record and local care programs for some common diseases were introduced. Official statistics were also used for comparative purposes. The aims of the work were postulated (increased accessibility, higher continuity, more equitable distribution and enhanced cooperation) and suitable methods were designed. From postal surveys, chartreviews and administrative data (from hospitals, out-patient clinics and health centres) figures and information were collected. Accessibility was studied by waiting room time which was reduced and continuity, analyzed with a new concept - visit based provider continuity - was improved. The question of equitable distribution was studied by the consultation rates at different out-patient clinics. It seemed as if the local development work changed the patterns of utilization but some important issues were not decisively answered. Repeated postal surveys reflected the question of equitable distribution and the cooperation between the VPHCC and the community members. Positive responses were recorded in aspects like telephone accessibility and health care information. In a tracer study of diabetes the quality of care was studied. The local care program was actually implemented in the daily practice but the question of care quality needs further penetration. Within the frames of the development work new methods in the health care planning were introduced. Our work started from the prerequisits of the VPHCC and other health centres might find other ways of planning for care provision. On a general level, however, the structure of our work - defining aims, means and evaluation methods - can be used by others.

Diss. (sammanfattning) Umeå : Umeå universitet, 1986, härtill 6 uppsatser.


digitalisering@umu
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Prater, Laura C. prater. "Advance Care Planning: Implications for Health Care Quality at the End of Life." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1534344349446923.

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Buys, Lüet Schraader. "Bridging the divide between primary health care and community." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/22998.

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South African cities have a complex social and physical post-Apartheid layering. The historical legacy, referring here specifically to the inadequate roll-out of public facilities in areas and uprooting as well as separating of communities, have resulted in under serviced environments that can lack social cohesion and often struggle with poverty. Public institutions play a catalytic role within a community. To this end, health care portrays the government in a legible 'provider' role and is, in some ways, an obvious way to make citizens feel valued in comparison with other public institutions. Health care institutions impact the community in a unique way due to the combination of specificity of service and the emotive way it is experienced by the individual. This dissertation aims to research, define (and ultimately) test a strategy that aims to stitch together the fissure between community and institutions, by rethinking the urban interface of generic primary health care facilities. This research is structured around themes of theory, policy, the continuum of care and physical environments; each in order to better understand what and how the 'gap' between health care institution and community is constructed. Programmatic and/or spatial ideas that inform the architectural design. This dissertation asserts that providing 'traditional' generic institutions sustains rather than improves the life of the community. The research suggests that existing health care facilities can be more effective as public spaces by introducing new programmes, disaggregating the formal interface, redefining and activating a new urban threshold and providing meaningful open space. The design ultimately aims to act as a new skin or threshold through which institutions relate to the community.
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Thompson, Helen V. STRATEGY HEALTH CARE FACILITIES REQUIREMENTS DEPARTMENT OF DEFENSE INFORMATION SYSTEMS HEALTH DEPTH PLANNING EXECUTIVES WARTIME STANDARDS MILITARY MEDICINE MEDICINE THESES NAVAL PERSONNEL PEACETIME AUTOMATION. "Navy Health Care Strategic Planning Process : a draft functional description /." Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1993. http://handle.dtic.mil/100.2/ADA273190.

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Thesis (M.S. in Information Technology Management) Naval Postgraduate School, September 1993.
Thesis advisor(s): William J. Haga ; Magdi Kamel. "September 1993." Bibliography: p. 90. Also available online.
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Thompson, Helen V., and HEALTH CARE FACILITIES REQUIREMENTS DEPARTMENT OF DEFENSE INFORMATION SYSTEMS HEALTH DEPTH PLANNING EXECUTIVES WARTIME STANDARDS MILITARY MEDICINE MEDICINE THESES NAVAL PERSONNEL PEACETIME AUTOMATION STRATEGY. "Navy Health Care Strategic Planning Process: a draft functional description." Thesis, Monterey, California. Naval Postgraduate School, 1993. http://hdl.handle.net/10945/26648.

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This thesis explores the Navy Health Care Strategic Planning Process (NHCSPP) and attempts to apply the Department of Defense Automated Information Systems (AIS) Documentation Standard (DOD-STD-7935A) to develop a draft a functional description for the automation of the NHCSPP as module of the Navy Medical Executive Information System. The thesis begins with a discussion of Wartime and Peacetime Health Care Planning. This is followed by an in depth evaluation of the Navy Health Care Strategic Planning Process. The Navy Medical Executive Information System is then discussed, followed by the Functional Description Overview. The research indicates that Navy Health Care Strategic Planning is an extremely complex and intricate process and as such, traditional methodologies that emphasize capturing and representing users requirements upfront, i.e. DOD-STD-7935A, are not appropriate for automating the planning process. Additionally, the health care planning process needs to be standardized across all branches of the armed services. It is further ended that Navy Medicine create a workgroup of end-users and functional experts to develop a more detail functional description
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Ho, Chi-wan Nelson. "Factors affecting one's health care choice /." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B20897583.

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Ostreicher, Linda. "A patient-oriented review of health care under cost containment." Thesis, Massachusetts Institute of Technology, 1985. http://hdl.handle.net/1721.1/76393.

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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1985.
MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH.
Bibliography: leaves 141-149.
by Linda Ostreicher.
M.C.P.
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Foley, Ronan. "The application of Geographical Information Systems (GIS) to health care planning." Thesis, University of Brighton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324396.

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Shortt, Niamh Maura Kelly. "Defining regions for locality health care planning : a multidimensional geographic approach." Thesis, University of Ulster, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.232848.

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Garcia, Alvarez Angel. "Interstitial space in health care facilities : planning for change & evolution." Thesis, Massachusetts Institute of Technology, 1989. http://hdl.handle.net/1721.1/73765.

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Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Architecture, 1989.
Includes bibliographical references (v. 2, leaves 287-299).
Hospitals are most useful material for architectural research for they exhibit all the problems encountered in other building types in an acute and easily measurable form. Health Care Facilities house the greatest range of functions within their operations and are subject to continuous changes through their life spans, requiring specific design strategies aimed at flexibility. These functions include offices, training schools, factories, warehouses, residential buildings, restaurants, etc. as well as many specifically clinical departments like operating theatres and pathology laboratories. The range of functions demand first, a wide variety and highly sophisticated services, which amounts to more than 40% of the building volume; and second, a high degree of interdependence and uncertainty in future uses. In this context, there are three overriding requirements in hospitals: fast design, provision for change & growth, and lifecycle economy. Interstitial Space is considered as a solution to these demands and found to be an appropriate design response. The Systems Approach is used as the methodology to analyze and organize the design and construction process within the general frame of systems thinking. Sources of information include all major reports and studies on the concept of Interstitial Space published in US, Canada, and UK; and inputs from professionals of health care planning firms in New York and the Boston area on the general issue of flexibility, and on the Interstitial Space concept in particular. This thesis is organized in three parts, each with three sections. Part one provides a reference to the General Systems Theory, a description of the Systems Approach and the performance concept in buildings. Part two addresses the problem of hospital design: first, it presents the general process of hospital planning; second, it discusses the problem of changes occurring in Health Care Facilities during their life spans; and third, a summary of design strategies for flexibility follows. Within this frame of analysis, part three discusses the Interstitial Space concept. First, the basic arguments leadings to its application; second, the design considerations in light of the different subsystems building up the system; and third, life-cycle cost implications.
by Angel Garcia Alvarez.
M.S.
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Bigger, Sharon, and Lisa Haddad. "Advance Care Planning in Home Health: A Review of the Literature." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8513.

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The purpose of this article is to synthesize the evidence on advance care planning (ACP), determine what is applicable to the home health (HH) setting, and find where gaps in knowledge may exist. An integrative review methodology was chosen. Although there is ample literature on the topic of ACP, most research has been conducted in the acute care, outpatient, and general community settings. There is limited literature regarding ACP with patients living with chronic cardiovascular and pulmonary illnesses, who comprise the majority of the HH population. Some literature has been published regarding the interprofessional team's role in ACP in the HH setting. A gap in knowledge exists regarding ACP in HH, and recommendations for future research are provided.
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Milane, Russell Edward. "Alternative Augmentative Care Planning in Patients with a Cognitive Decline." Thesis, Grand Canyon University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10976265.

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Nurse dissatisfaction occurs when the quality in communication of persons affected by a cognitive decline is impacted during the transmission process. It is necessary to understand the nurse’s perception of this situation and how alternative augmentative communication (AAC) patient-centered care intervention (PCCI) care planning provides the most advantageous strategy. The purpose of this Direct Practice Improvement (DPI) project is to understand how ten nurses perceived their level of dissatisfaction while communicating with patients with a cognitive decline before and after implementation of an AAC PCCI care plan intervention at a Long Term Care Home (LTCH) in Southeast Iowa. This project demonstrated the importance of implementing AAC PCCI care planning as a means to decrease nurse dissatisfaction when caring for individuals with cognitive decline. Their perception was measured prior and following implementation of the care plan. The project utilized Watson’s theory of human caring to support the perceptual and qualitative nature of this project. A case study framework using qualitative open-ended questions solicited the nurse’s personal perceptual view and experiences in answering the clinical questions. The data results of (N=10) nurse’s narratives were analyzed. A confidence interval of 95% provided statistical significance supporting AAC PCCI care planning implementation as a means to improve nurse satisfaction. The measurable practice outcome of this project’s AAC PCCI care planning implementation is effective in decreasing nurse dissatisfaction. A future recommendation is to provide a quantitative approach as a means to provide additional reliability.

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Mendes, David, M. J. Lopes, Artur Romão, and Irene Pimenta Rodrigues. "Healthcare Computer Reasoning Addressing Chronically Ill Societies Using IoT: Deep Learning AI to the Rescue of Home-Based Healthcare." Bachelor's thesis, IGI Global, 2016. http://hdl.handle.net/10174/19286.

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The authors present a proposal to develop intelligent assisted living environments for home based healthcare. These environments unite the chronical patient clinical history sematic representation with the ability of monitoring the living conditions and events recurring to a fully managed Semantic Web of Things (SWoT). Several levels of acquired knowledge and the case based reasoning that is possible by knowledge representation of the health-disease history and acquisition of the scientific evidence will deliver, through various voice based natural interfaces, the adequate support systems for disease auto management but prominently by activating the less differentiated caregiver for any specific need. With these capabilities at hand, home based healthcare providing becomes a viable possibility reducing the institutionalization needs. The resulting integrated healthcare framework will provide significant savings while improving the generality of health and satisfaction indicators.
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Szalai, Leah C. "Predicting Young Adults’ Engagement in Advance Care Planning." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1448056006.

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Chilvers, R. "Planning framework for human resources for health for maternal and newborn care." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2014. http://researchonline.lshtm.ac.uk/2124342/.

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With approximately 1.3 billion births estimated to be taking place globally over a decade up to 2020, the demand for maternal and newborn health (MNH) workforce continues to be a key aspect of public health service delivery. Human resources for health (HRH) projection models can contribute the quantitative evidence required for policy design for education commissioning and distribution of skilled personnel. To date, HRH supply and requirement projection models have not been developed specifically for system-based subnational planning within maternal and newborn care. In addition, current methodologies are often limited to national level and have a professional silo approach to considering the workforce, with informing policy and planning as a secondary consideration. The aim of this thesis was to fill the gap through improved understanding of the role of HRH projections for policy and development of a new model for projecting the future MNH clinical teams with spatial equity and system perspective at the centre of the planning framework. The specific objectives were to • review the literature for strengths and limitations for current HRH planning and outline the main components of an evidence-informed MNH-HRH planning framework with relevance to subnational contexts and MNH systems • translate the main components into a working prototype as a spreadsheet-based model to estimate and MNH-HRH requirements and supply for each occupation • apply the MNH-HRH planning model in three countries from low to high income contexts and critique the implications for future research and development in this field. Following the construction of a new planning framework, a working prototype called the ‘MNH.HRH Planning App’ was developed. The spreadsheet-based model was applied using secondary data sources to England, Bangladesh, and Ethiopia which have varied health systems, levels of spatial disaggregation and HRH structures for MNH care. The thesis concludes by highlighting the implications of the new planning framework for the future development of a web-based MNH.HRH Planning App, potential for engaging policy-makers for evidence-informed planning and contributes to the wider discourse on the use of quantitative projection models for planning the future human resources for healthcare.
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Sörensen, Silvia, Jameson K. Hirsch, and Jeffrey M. Lyness. "Optimism and Planning for Future Care Needs Among Older Adults." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/692.

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Aging is associated with an increase in need for assistance. Preparation for future care (PFC) is related to improved coping ability as well as better mental and physical health outcomes among older adults. We examined the association of optimism with components of PFC among older adults. We also explored race differences in the relationship between optimism and PFC. In Study 1, multiple regression showed that optimism was positively related to concrete planning. In Study 2, optimism was related to gathering information. An exploratory analysis combining the samples yielded a race interaction: For Whites higher optimism, but for Blacks lower optimism was associated with more planning. High optimism may be a barrier to future planning in certain social and cultural contexts.
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Alexander, Kathy. "Promoting health at the local level : a management and planning model for primary health care services /." Title page, contents and introduction only, 1994. http://web4.library.adelaide.edu.au/theses/09PH/09pha376.pdf.

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Eilbert, Kay Wylie. "A Community Health Partnership Model: Using Organizational Theory to Strengthen Collaborative Public Health Practice." Diss., Health Services Management and Leadership, George Washington University, 2003. http://hdl.handle.net/1961/123.

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Degree awarded (2003): DPhPH, Health Services Management and Leadership, George Washington University
Abstract Community partnerships are an increasingly popular strategy for improving community health. This popularity is based less on evidence than on rhetoric. This research developed and tested a systems model of partnership to improve the practice of collaboration in public health. Basing the need for partnerships on the multi-sectoral nature of health, the model used open systems theory to set out requirements for partnership. Institutional theory suggested that problems faced by partnerships may result from partners meeting requirements for legitimacy. Change is, therefore, required, both in organizations and in their institutional environment. Using exploratory case studies, the study design involved site visits to two community health partnerships (West Virginia Community Voices and Healthy New Orleans). Mixed qualitative methods included semi-structured interviews, focus groups, and document review. Analysis involved interpreting informants responses in terms of evidence representing the model and for new elements. Evidence from practice suggested several revisions to the model. One involved applying a typology of organizational affiliation, with partnership toward one end of the continuum. Use of this typology permitted an extension of the model to understand the form of affiliation practiced by Community Voices and of Healthy New Orleans. Multiple opportunities to network and build coalitions in Community Voices led to increased chances of success in achieving health improvement goals. Networking opportunities for individual volunteers led to an informal Healthy New Orleans organization. Results of this research led to an analytic fit between the two sites and the community health partnership model. Recommendations are offered for practice, research, and for funding agencies. With further research, the model can be used to develop practical tools to guide and assess partnerships as a strategy to improve health, as well as to identify environmental barriers to partnership and strategies for change.
Advisory Committee: Kathleen Maloy JD PhD (Chair), Vincent Lafronza ScD, Chris Johnson EdD
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Timmons, Stephen. "Resistance to computerised care planning systems by nurses in the NHS." Thesis, Anglia Ruskin University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368274.

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Miller, E. F. Ruth. "Targeted discharge planning of hospitalised elderly patients." Thesis, Queen's University Belfast, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.314100.

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Salman, Abdul-Jalil M. "Fertility and family planning patterns in Qatar." Thesis, City University London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.307877.

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Berlin, Johan. "Beställarstyrning av hälso- och sjukvård /." Göteborg : Förvaltningshögskolan, Göteborgs universitet, 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=015054632&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.

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Thesis (doctoral)--Göteborgs universitet, 2006.
Subtitle on cover: Om människor, marginaler och miljoner. Extra t.p. with thesis statement and English abstract inserted. Includes bibliographical references (p. 361-379).
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Sixma, Herman Johan Marinus. "New land, new town, new health care system primary care based health care planning in a modern, industrialized society; a case-study evaluating the health care demonstration project in the new Dutch town of Almere /." [Utrecht] : Maastricht : NIVEL ; University Library, Maastricht University [Host], 1997. http://arno.unimaas.nl/show.cgi?fid=5930.

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Blecher, Mark Stephen. "A planning approach to inform funding for public health care services in South Africa." Doctoral thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/9324.

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Includes bibliographical references (p. 269-299)
This thesis examines the "supply" and "demand" for health care expenditure in South Africa's public sector health care services. In this context supply refers to the availability of funding and demand to the requirement for funding. The literature review focuses on the health sector planning and its application to inform sector funding. A quantitative health sector planning model is developed and applied to inform the requirement for funding public sector health services. Uses of the model include simulation, forecasting and scenario planning.
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Yalcindag, Semih. "Human resource planning models for home health care services : assignment and routing problems." Thesis, Châtenay-Malabry, Ecole centrale de Paris, 2014. http://www.theses.fr/2014ECAP0041.

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L'affectation des patients aux soignants et le séquencement des visites à effectuer par les soignants sont deux problématiques intéressantes observées dans les établissements de soins décentralisés tels que les établissements d'HAD (Hospitalisation à Domicile), de SSIAD (Soins et services infirmiers à Domicile) ou de MAD (Maintien à Domicile). Le premier problème consiste en effet à décider quels soignants fourniront quels services (visites) à quels patients, tandis que le second vise à déterminer la séquence de visites de chaque soignant. Du point de vue de la modélisation, ces deux problèmes peuvent être résolus par une approche séquentielle qui comprend deux étapes ou une approche simultanée. Bien que les résultats de l'approche simultanée soient plus précis en raison de la résolution des problèmes d'affectation et de routage en même temps, son application semble être peu adaptée à des situations réelles, souvent de grande échelle. Dans cette thèse, nous nous concentrons sur l'approche en deux étapes qui considère successivement le problème d'affectation (assignment) et de séquencement (routing) afin de comparer ses performances à celles obtenues par l'approche simultanée. Ainsi, plusieurs variantes de modèles mathématiques sont développées en tenant compte de : (1) la compatibilité de compétences entre les patients et les opérateurs, (2) périodes de planification uniques ou multiples, (3) contraintes au niveau des capacités disponibles des soignants. Le verrou scientifique au niveau de l'approche en deux étapes concerne essentiellement l'estimation de la durée des déplacements des soignants, estimations qui sont nécessaires pour résoudre le problème d'affectation. A cette fin, nous proposons une méthode utilisant des données empiriques basée sur la technique de régression de Kernel (Kernel Regression Technique) permettant d'estimer les durées de déplacement. Cette méthode utilise des données historiques sur les durées de déplacement qui intègrent plusieurs facteurs réalistes concernant les conditions cliniques des patients et les conditions géographiques, ou encore les préférences personnelles des soignants afin d'estimer la durée nécessaire pour visiter un ensemble de patients situés dans la zone de service donnée. Des études numériques basées sur des données réelles en provenance d'un établissement d'HAD italien sont réalisées pour analyser les performances de la méthode d'estimation proposée. Les résultats obtenus montrent que cette nouvelle méthode d'estimation ainsi que l'approche en deux étapes sont des approches prometteuses pour traiter des problématiques de planification de ressources humaines dans les établissements d' HAD, SSIAD ou MAD
The care givers' assignment and routing problems are relevant issues for Home Health Care (HHC) service providers. The first problem consists of deciding which care givers will provide services to which patients, whereas the second aims at determining the visiting sequences of care givers. From a modelling perspective, these problems can be solved with either a two-stage approach or a simultaneous approach. Although the currently most known simultaneous approach yields more accurate results by solving the assignment and routing problems at the same time, its resolution remains computationally difficult and not viable for large scale applications. In this thesis, we focus on the two-stage approach that sequentially solves an assignment and a routing problem in order to compare its performances to those of the simultaneous approach. Hence, several variants of mathematical models are developed by taking into account: (1) the skill compatibilities between patients and operators; (2) single or multiple planning periods; (3) imposed or released operator capacity restrictions. An important point regarding the two stage approach concerns the estimation of care givers' travel times that are required to solve the assignment problem. For this purpose, we propose an empirical data-driven method that is based on the Kernel Regression technique to estimate travel times. Such a method uses care givers' historical travel times that integrate several realistic factors such as cared patients' clinical conditions and locations or care givers' personal preferences to estimate the time necessary for visiting a set of patients located in the HHC service area. Numerical studies based on realistic problem instances are used to analyze the performances of the proposed data-driven travel time estimation method and the two-stage approach. Results obtained show that both the newly developed travel time estimation method and the two-stage models are promising approaches for the HHC human resource planning process
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Peiravi, Mozhgan. "Staff Education Intervention to Enhance Care Planning for Older Adults." Thesis, Walden University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13813206.

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Abstract The increased prevalence of cognitive deterioration has increased the challenges of caring for older adults. This study?s project site offers a psychiatric program for older adults with customized care for complex geriatric mental health patients. Clinical assessment and care management are often overlooked in geriatric mental health patients diagnosed with behavioral and psychological symptoms of dementia (BPSD). The purpose of this project was to deliver an education program developed from the Staff Training in Assisted Living Residences-Veterans Administration, P.I.E.C.E.S ? model and the Castle framework to 42 nursing and allied health staff of the project site. The project question explored whether an education program on care of patients with BPSD increased staff members? perceived knowledge and competence in providing care to these patients. This education program focused on comprehensive assessment, individualized care planning, and individualized nonpharmacological interventions to manage older adults with dementia. Descriptive statistics were used to analyze performance outcomes data before and after staff education. In addition, care plans of patients were reviewed. Results included a 100% increase in recognition of core concepts of the education program; a 48% to 86% increase in staff willingness to use interdisciplinary care plans; and a 6.6% to 95% increase in documentation of key interventions in care plans for 6 behaviors of dementia. The results of this project might bring about social change by improving the skills and competence of nursing staff in managing the patients with dementia, thus positively impacting the quality of life of patients with BPSD by benefiting from nonpharmacological interventions.

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Zakeri, Hosseinabadi Maryam. "A Simulation Approach for Capacity Planning in an Open Community Care Network." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35924.

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One of the impacts of rising demand for community health services is on long term capacity planning. Demand for community services arises directly from the community-mainly seniors- as well as from those discharged from the hospital. This thesis is focused on developing a simulation model based on patient flow in a set of community care facilities in order to help reduce the back log of patients remaining in acute care due to a lack of capacity in these facilities. Our model will provide the user with policy recommendations that address capacity allocation in different post-acute care alternatives over a multi-year time-horizon. In the model, patients differentiated by age and gender flow through the system with stochastic lengths of stay at each node (representing a facility type). We used historical data to classify patients. Proposed factors that influence the arrival and LOS parameters such as age and gender are tested on available data. We used Excel, Minitab and ARENA Input Analyzer to estimate the distribution of LOS, the arrival pattern and the age and gender distribution of new patients. We used Arena software for the simulation. The objective is to minimize patients waiting in the system subject to a constraint on the rate of expansion of facilities. Scenarios are informed by a previous queuing network model that provides the ideal capacity plan. The proposed method seeks to provide a means of determining the potential impact of various rates of expansion and changes in demand in order to more adequately plan future development.
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Clouser, Heidi, and Heidi Clouser. "Arizona Community Health Center Providers Practices, Knowledge and Attitudes Related to Advance Care Planning." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/622986.

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Background: Numerous studies demonstrate benefits of using advance care planning (ACP) in the general practice setting. Despite this, providers do not regularly initiate ACP and only one third of Americans have completed an advance directive (AD). This number is even lower among ethnic and minority groups. Community health center (CHC) providers have the opportunity to improve the quality of end-of-life (EOL) care and reduce healthcare disparities affecting medically underserved populations, yet no research has been conducted to identify CHC providers' practices, knowledge and attitudes towards ACP. Addressing this query may assist researchers in identifying optimal strategies for improving ACP delivery in this setting, ultimately leading to improved quality of EOL care for the populations served. Purpose: The study purpose was to assess Arizona CHC providers' practices, knowledge and attitudes towards ACP. Setting: The study setting was federally qualified community health centers located in urban and rural sites throughout Arizona. Participants: Study participants (N = 38) were predominantly middle-aged females practicing for an average of 13 years. 60% of providers were Master's or Doctor of Nursing Practice (DNP) prepared providers while 40% were Doctor of Medicine (MD) or Doctor of Osteopathy (MD). Methods: This study used a descriptive correlational quantitative research design. The "EOL Decision Making Survey" instrument was adapted into an electronic survey and distributed to 514 physician and non-physician CHC providers. Data analysis was performed using PASS and SPSS statistical software. Results: This sample of Arizona CHC providers was reasonably knowledgeable about Arizona state law and clinical application of ACP. Physician providers had greater knowledge and greater confidence in their answers related to Arizona state law compared to non-physician providers. Participants were largely comfortable with counseling patients in ACP and exhibited mostly positive attitudes toward ACP. Older respondents with greater years' experience tended to have greater knowledge of the clinical application of ACP as well as greater positive attitudes towards ACP. Providers with greater years' experience tended to have greater comfort in counseling patients in ACP. Despite these positive findings, routine initiation of ACP in this setting was low (44%). Conclusions: Though Arizona CHC providers have reasonable knowledge related to ACP, are comfortable with counseling patients in ACP and have positive attitudes towards ACP, less than half routinely initiate ACP conversations with their patients. Though more research is needed to validate these findings, targeted educational interventions and process changes may help improve ACP delivery rates in this setting.
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Baldeh, Yero H. J. "Information support for district health care planning and decision making in The Gambia : a holistic approach." Thesis, University of Central Lancashire, 1997. http://clok.uclan.ac.uk/21604/.

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This research builds upon a body of previous research on health informatics in developing countries. Early research on this area was motivated by a desire to understand the role of different health informatics applications for an effective and efficient health care delivery in developing countries. These applications range from the use of medical expert systems for clinical diagnosis to epidemiological systems at the central level. None of these looked at health information systems at the district level, especially in relation to the information needs of district health staff. Therefore, this research differs from earlier studies in three aspects. First, it looks at the planning and decision-making processes at the district level and how information support could play a crucial role in these processes. Second, it provides a critical evaluation of the existing vertical reporting systems, and through action-research demonstrates the use of an integrated health information system at the district level. Third, it applies multiple perspectives to analyse the research findings in relation to information support for district health care planning and decision making. These three perspectives are the functional perspective, organisational perspective, and the political perspective. To achieve this, the research: • uses a systemic approach to examine the health care system in The Gambia; • uses action-research to design, develop and implement an integrated district health information system in The Gambia; • uses an interpretive evaluation framework to evaluate the impact of the system development efforts in this research; • uses the theory of contextualism to reflect on the research findings over the three year period. Various themes emerged during the research. These themes would be introduced here as the contributions to knowledge arising from the completion of this research project. These include: • a demonstration of the suitability of using a systemic approach for the design, development and implementation of an integrated information system for district health care planning and decision making; • the development of a conceptual implementation framework suitable for the unique characteristics of developing countries; • a manifestation of the implications of an integrated information system for management development, decentralisation, intersectoral coordination and community participation at the district level; • suggestions for further work especially on the need to evaluate the socio-political impact of this research on the existing political and cultural structures in The Gambia.
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Hawthorn, Rachael Leigh. "Finding A Role: Health Care Professionals’ Perspectives On and Responses to Role Uncertainty in End-of-Life Care Planning." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1232898295.

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36

Greenhalgh-Stanley, Nadia. "Three empirical papers on Medicaid, Medicare, and long-term care insurance." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2009. http://wwwlib.umi.com/cr/syr/main.

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37

Kamke, Kerstin. "Planning hospital and health care services in Britain and the Federal Republic of Germany." Thesis, Open University, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.280570.

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38

Bigger, Sharon. "Advance Care Planning Protocols and Hospitalization, Rehospitalization, and Emergency Department Use in Home Health." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/etd/3858.

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Aim. The aim of this study was to examine the relationship of advance care planning protocols with hospitalization, rehospitalization, and emergency department use rates in U. S. home health agencies (HHA). Background. Since 2003, CMS has required HHAs to report on quality outcomes such as hospitalization, rehospitalization, and emergency department use rates, made publicly available online. Advance care planning (ACP) is a conversation about beliefs, goals, values, future treatment choices, and designation of a surrogate decision-maker, that someone has in advance of a health crisis. Most existing studies on ACP have taken place outside of HHAs among populations with serious illnesses such as HIV/AIDS, cancer, dementia, and end stage renal disease. Meanwhile, the U.S. home health population is living longer with chronic conditions such as pulmonary and cardiovascular illnesses. Effective January 1, 2016, the Center for Medicare and Medicaid Innovation implemented the Home Health Value-Based Purchasing (HHVBP) Model among home health agencies (HHAs) in nine states representing each geographic region in the United States. Agencies in these states began competing on value in the HHVBP model, and reimbursement rates began to be tied to quality performance (innovation.cms.gov). As part of HHVBP, CMS implemented an additional process-level mandate requiring them to report on ACP, though this data is not publicly available. It is currently unknown how ACP protocols in HHAs may affect agencies’ overall rates of acute care services use. Methods. Electronic surveys about ACP protocols were distributed to HHAs. Existing data about demographics, diagnoses, hospitalization, rehospitalization, and ED use were accessed online via CMS websites. Descriptive and regression analyses were conducted using the electronic survey results and the existing data. Results. Associations between the variables were observed and compared to the hypotheses. Statistical significance was found in the relationship between ACP protocols and hospitalization, where one increased the other increased. Several trends were found: Agencies with increased total percentage of cardiac and pulmonary diagnoses tended to have increased hospitalization rates; agencies with increased average age of patients tended to have increased ACPP scores; and agencies with increased proportion of Black patients tended to have higher hospitalization rates.
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Jeppsson, Anders. "Decentralization and national health policy implementation in Uganda - a problematic process /." Malmö : Lund University, 2004. http://www.loc.gov/catdir/toc/fy0613/2006401986.html.

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Candlin, D. B. "The reality of planning : A study of £Tchild health services planning£T in Kettering Health District 1980-1986." Thesis, De Montfort University, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.377549.

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Harper, Paul Robert. "Operational modelling for the planning and management of healthcare resources." Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249668.

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Murray, Scott A. "A critical assessment of the use of rapid participatory appraisal to assess health needs in a small neighbourhood." Thesis, University of Aberdeen, 1995. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=128347.

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This study by an expanded primary health care team suggests that as a method of needs assessment rapid appraisal has a number of benefits and constraints. Major benefits include that it brings a community orientation to primary care; it is community participative; it is multi-sectoral and promotes networking; it promotes equity; as an action research method it facilitates change and that it can be satisfying to carry out. Major constraints include the possibility of researcher bias; that training is necessary for interviewing and understanding the method; that the results are not generalisable; that little health service data is produced; that only "proportionate accuracy" is obtained and that it can only be applied to a "community" in some sense of that word. The other methods highlighted shortcomings of using rapid appraisal as a sole means of health needs assessment. Each method yielded particular insights into both health and health care needs. A method mix is likely to give the most comprehensive picture. Rapid appraisal offers a practical way of involving local people in decision making about their health services and as an action research method facilitates change. As a training process it promotes the attitudes and skills which professionals need to work effectively in the community. Its value will depend on whether the data it generates is seen to be of use for purposes of resource allocation and community participation. At worst it has the potential to be a misused tool to collect poor information for supporting poor decisions. At best, it has the potential to give substance to the rhetoric of community participation by providing tools, techniques and data useful to planners and the public to be co-producers of health.
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Mallow, Peter J. "Access to Health Care Services and the Effect on Health Outcomes in a Region: A Spatial Perspective." University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368013861.

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44

Beck, Esther-Ruth. "Advance care planning for people with dementia in long term care settings : an explanatory mixed methods study of health care professionals' and families' perspectives." Thesis, Ulster University, 2017. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.714496.

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Advance care planning is advocated for people with dementia, yet discussions with this group are rare, particularly in long-term care settings. The role of health care professionals & family are pivotal, therefore further understanding of their perspective is needed. Aim: To examine the understanding and experience of family caregivers of people with dementia, general practitioners and registered nursing home staff, regarding the process of advance care planning, underpinned by the Theory of Planned Behaviour. Methods: A sequential explanatory mixed methods design incorporating three phases was adopted. • A cross-sectional survey to nursing home managers (n=116). • Interviews and focus groups with key health care professionals (n=49). • Interviews with family caregivers (n=16). Quantitative data was analysed using SPSS, whilst qualitative data was analysed using thematic analysis, utilising Miles and Huberman’s framework. Results: All three groups had poor knowledge of the process of advance care planning, particularly the legal aspects. Whilst health care professionals and families considered there were benefits, there were challenges to implementation in this setting. These included: concerns regarding the ability of the person with dementia to engage, the increased role of the family, a lack of context specific guidance, and a knowledge deficit regarding dementia and advance care planning. There was widespread variations in perspectives, including when it should be implemented, who should be responsible and what it should focus on. The GP played a key role, whilst nursing staff remained on the periphery. Families were central in the decision making process, yet their ability was influenced by a limited awareness of dementia, decisional burden due to guilt and anticipatory grief, and a limited ability to reflect the wishes of the person with dementia. Conclusions: Advance care planning for people with dementia is a complex process within nursing homes, influenced by multiple factors related to the setting, the perspectives of those involved and the context of dementia itself.
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Chapman, Hilary S. "Overcoming barriers to participation in training : lessons from the home health care workers of 1199/SEIU, New York's Health and Human Services Union." Thesis, Massachusetts Institute of Technology, 2002. http://hdl.handle.net/1721.1/50128.

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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2002.
Includes bibliographical references (leaves 69-72).
This thesis explores the barriers to participation in the 1199 Home Care Industry Bill Michelson Education Fund (Home Care Education Fund). The Home Care Education Fund is structured as a Taft-Hartley, joint labor-management training fund to provide skills upgrading opportunities to unionized home care workers. It is the only such fun in the United States devoted exclusively to home care workers. Home care is a growing sector of the health care industry, and home attendants and home health aides are projected to be among the fastest-growing occupations in the following decade, according to the Bureau of Labor Statistics. Home care workers are also some of the most economically disadvantaged workers in the health care sector, earning poverty-level wages and, with the exception of 1199/SEIU members, lacking health insurance and pension benefits. Three sets of stakeholder groups were interviewed for this thesis: home care workers, who participated in a series of focus group meetings and personal interviews; home care agency employers; and Home Care Education Fund and ETJSP staff members. A written survey instrument was implemented to home care agency employers regarding their staffing levels and training benefits to supplement personal interviews. Each group articulated a coherent set of barriers facing home care workers, with unique challenges facing the agency employers and Education Fund staff in meeting the workers' needs. It is argued that shared interests bind these groups together and that a considerable overlap exists between the provision of quality medical care, welfare and job training policies. Further, there is an urgent need to support a frontline, marginalized workforce that is caring for thousands of disabled and elderly clients on a daily basis. The ultimate goal of this thesis is to identify those key barriers that prevent participation in the Home Care Education Fund so that staff and trustees may work together to tailor their services to meet their unique needs. It concludes with supporting recommendations for workforce development policy.
by Hilary Sharpless Chapman.
M.C.P.
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46

Rodman, Todd. "The evolving role of the corporate real estate development in the United States health care industry." Thesis, Massachusetts Institute of Technology, 1994. http://hdl.handle.net/1721.1/69732.

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Abah, Theresa L. "Health Reform Implementation Analysis: A Guide to Policy Development for Geriatric Care Planning, Integration and Evaluation." Thesis, University of North Texas, 2020. https://digital.library.unt.edu/ark:/67531/metadc1707305/.

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In the context of health care delivery for senior citizens, this research utilizes three studies that examine the development and implementation of health policy and the factors that can directly or indirectly impact the effective delivery of health services to senior citizens. It utilizes three essays employing mixed methods (qualitative and quantitative) methods including semi structured interviews, multiple regression and partial least squares structural equation modelling to examine the extent to which the implementation of health services delivered attributes of primary and integrated care to seniors. The two essays identified methods, approaches and strategies of integrated care relevant to the development of policy that can be successfully implemented when the contextual issues that older people consider to be important in maintaining their functional capabilities and their motivation to improve health as perceived by them are addressed. Consequent upon the results from these studies, the third essay examines the methodological issues on integrated geriatric care implementation when guidelines for effective policy development identified were not followed. By highlighting the relationship between effective policy and patient satisfaction, these three essays' recommended approach enhances the theory of health design that confirms that theoretical models of primary care must incorporate the system, process and service delivery levels of care to optimize seniors health.
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Cavanagh, Susan Deborah. "Primary care buildings : government policy, implementation and community involvement in facility planning and design." Thesis, London Metropolitan University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.323381.

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Roberts, Julia Denise. "Senior student nurses data acquisition and care-planning skills : an exploratory study using simulation." Thesis, King's College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300316.

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50

Martin, Richard Joseph. "Planning for Decisional Incapacity: Resistance to Cognitive Bias in Older Adults." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1562347931852291.

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