Academic literature on the topic 'Health system'

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Journal articles on the topic "Health system"

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Shelowi, Haila AL. "Health Policy and Planning in Health Management System." Journal of Medical Science And clinical Research 11, no. 11 (November 30, 2023): 89–93. http://dx.doi.org/10.18535/jmscr/v11i11.12.

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Health policy and planning play pivotal roles in the effective management of healthcare systems. These aspects encompass the formulation, implementation, and evaluation of strategies and regulations to optimize healthcare delivery. Robust health policies ensure equitable access, quality care, and cost-effectiveness, while planning entails resource allocation, infrastructure development, and workforce distribution. Successful health management systems hinge on evidence-based policies, stakeholder engagement, and adaptability to evolving health challenges. This abstract highlights the critical interplay between policy formulation and strategic planning, emphasizing their indispensable contributions to achieving efficient, accessible, and sustainable healthcare services.
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Sharma, Nandani, and Rohan Pathak. "Smart Health Disease Prediction System." International Journal of Research Publication and Reviews 5, no. 5 (May 17, 2024): 9523–28. http://dx.doi.org/10.55248/gengpi.5.0524.1359.

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Akimoto, Kaho, Ailing Hu, Takuji Yamaguchi, and Hiroyuki Kobayashi. "Effect of 528 Hz Music on the Endocrine System and Autonomic Nervous System." Health 10, no. 09 (2018): 1159–70. http://dx.doi.org/10.4236/health.2018.109088.

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Mircea-NSPPAS, NIȚĂ Aurel. "Improving the Health System in Romania." Indian Journal of Applied Research 4, no. 2 (October 1, 2011): 4–2. http://dx.doi.org/10.15373/2249555x/feb2014/165.

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Zodage, Kalyani Shahaji, Puja Sarage, Trupti Sudrik, and Rashmi Sonawane. "Health Prediction System Using Data Mining." Journal of Advances and Scholarly Researches in Allied Education 15, no. 2 (April 1, 2018): 696–99. http://dx.doi.org/10.29070/15/56997.

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Sood, Meenakshi, and Preethi Pradhan. "Evolution of Responsiveness of Health System." Journal of Multidisciplinary Research in Healthcare 3, no. 1 (October 3, 2016): 27–36. http://dx.doi.org/10.15415/jmrh.2016.31004.

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Pandey, Gungan. "E-Health Management System Using Java." International Journal of Science and Research (IJSR) 12, no. 5 (May 5, 2023): 2571–77. http://dx.doi.org/10.21275/sr23524232504.

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Hata, Y., S. Kobashi, and H. Nakajima. "Human Health Care System of Systems." IEEE Systems Journal 3, no. 2 (June 2009): 231–38. http://dx.doi.org/10.1109/jsyst.2009.2017389.

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Booltink, Lucas, Marieke van Genugten, and Christiaan Lako. "Vulnerable Consumers in the Deregulated Dutch Health System." Health 07, no. 09 (2015): 1061–68. http://dx.doi.org/10.4236/health.2015.79120.

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Q.H., Hasan, Ali A. Yassin, and Oğuz ATA. "Electronic Health Records System Using Blockchain Technology." Webology 18, SI05 (October 30, 2021): 580–93. http://dx.doi.org/10.14704/web/v18si05/web18248.

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Blockchain technology is one of the most important and disruptive technologies in the world. Nowadays the healthcare center needs to share patient databases over all departments of the healthcare centers. Although, electronic healthcare records overcome several problems compared with manual records, but still suffer from many issues such as security, the privacy of patient data overall as we should transfer over a database from a central database to a decentralized database. In this paper, we proposed a good security system to manage the data of patients based on blockchain technology and a decentralized database. Depending on decentralized database and blockchain. Our proposed system provides the secure exchange of patient data, reliability, and high efficiency in sharing data during transaction data network equivalence checking to perform this validation of patient information in the blockchain and healthcare centers.
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Dissertations / Theses on the topic "Health system"

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Gopal, Thania. "Health systems in the news: The influence of media representations on health system functioning in the Western Cape health system." Master's thesis, Faculty of Health Sciences, 2018. http://hdl.handle.net/11427/30152.

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Health systems are complex systems characterised by constant change and a web of interwoven relationships, connections, and interactions. Health Policy and Systems Research has called for multidisciplinary approaches to understanding health systems. Like health systems, the media has also been described as an important social institution in modern society that is deeply embedded within the sociocultural and political context. The role of the media as societal watchdog; as a mechanism to improve accountability; as a platform for debate; and as a facilitator of community engagement has been recognised. Within public health, the role of mass media as a tool in health promotion and health communication campaigns is well-established. Media representation research involves the analysis of discourses in media and has been used to study a range of public health issues. However, there is a major gap in representation studies of health systems, in high-, middle- and low income countries. This mixed methods study aimed to describe representations of the South African Western Cape provincial health system by analysing dominant discourses emerging from the English-language mainstream print and online news media (1994-2018). A media content analysis was first conducted to highlight the main themes, followed by a discourse analysis to provide a deeper interrogation of underlying issues. This study suggests that the way a health system is represented in the media potentially influences health system functioning in a variety of ways – for example, how ‘people’ in the system make meaning of discourses, which in turn influences decision-making. ‘Negative’ representations (for example, of a weak or stressed health system), may contribute to a lack of both health worker and patient trust in the health system with a host of undesirable repercussions, such as low health worker morale, health workers failing to speak up for patients, or poor quality of care. The study recommends capacity building of a diversity of people (such as citizens, communities, health workers, civil society) at different levels of the health system to enable them to engage with the media, and mitigate the less desirable repercussions. Further research is needed to, a) consider the effects of media on health systems more carefully, more frequently, and in more contexts; b) find more effective ways to think of media as part of the health system, rather than an instrumental tool, or an external influence; c) to understand how media architecture (the social, political and economic environment in which media are situated) may influence emerging discourses; and d) to understand how media can influence people’s agency and community participation, particularly in the context of responsive and people-centred health systems.
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Cano, Olmos Luis Mohamed, and Rojas Luis Isaias Jesus Cabrera. "Health Records in the Mexican Health System." Thesis, Internationella Handelshögskolan, Högskolan i Jönköping, IHH, Företagsekonomi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-45285.

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This thesis address one of the most important topics for the human being; health. Specifically, the research is about the deficiencies of the health system in Mexico. This paper shows the importance, how the system works and its current situation in the country. The purpose of this research is, based on the Pareto principle (20% vs 80%), to find how to solve most problems with the least possible investment.   It was found that the common denominator in the problems was the process and flow of information of the patients; specifically, the health records. The researchers address the issue at first explaining in a deep way the health records to highlight their importance in the health care system. In order to corroborate this finding in the literature; The researchers designed an interview, which was applied to physicians from the two main health institutions in Mexico in order to collect the necessary information to develop the thesis.   Since the design of the research is qualitative; the necessary social context is given to be able to understand the analysis and the results; likewise, the authors explain in detail the methodology used.   In spite of other important factors that were found such as the lack of results despite the investment and deficiencies in the infrastructure; It was concluded that, in fact, most of the problems were derived from the problems of health records. These results are important because it gives a parameter of what must be corrected first in order to have the expected results and a better health system.
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Tomar, Shivanjali. "PROLOGUE : Health Information System." Thesis, Umeå universitet, Institutionen Designhögskolan, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-79315.

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Prologue is a health information system developed for underserved communities in Bihar, India. It is aimed at helping people living in poverty and with low literacy to take the right steps to manage their and their family’s health. Bihar suffers from one of the worst healthcare records in the country. This is as much due to the lack of access to the right information as it is due to the economic condition of the region. The inaccessibility of information is aggravated by the complex social set up in these communities, for e.g. women aren’t allowed to leave their homes and community has the strongest influence on an individual’s decision making. To make sure that right information permeates even to the most inaccessible user groups, especially women and to uplift community’s awareness as a whole, two different communication channels were designed-an interactive radio show and a public installation.
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Rosen, Ceruolo Melissa Beth. "Data driven health system." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/79531.

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Thesis (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, 2013.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 106-110).
Effective use of data is believed to be the key to address systemic inefficiencies in health innovation and delivery, and to significantly enhance value creation for patients and all stakeholders. However, there is no definition for health data. Rather, data in health is an assortment of observations and reports varying from science to clinical notes and reimbursement claims that emerge from practice rather than design. What is health data? In this thesis we try to answer that question by looking at the system of health almost exclusively as a system that generates, transforms, and interprets data. We overview the different meanings data has throughout the health system, we analyze systematically the inefficiencies and trends as they emerge from data, and propose a new architecture for the system of health in which data is not present by accident. The result of this thesis is a new architecture for the system of health that is consistent with its present state but also consistent with a future learning system and a redefinition of value in health care that is patient and information centric.
by Melissa Beth Rosen Ceruolo.
S.M.
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Ling, Meng-Chun. "Senior health care system." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2785.

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Senior Health Care System (SHCS) is created for users to enter participants' conditions and store information in a central database. When users are ready for quarterly assessments the system generates a simple summary that can be reviewed, modified, and saved as part of the summary assessments, which are required by Federal and California law.
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zhu, chenguang. "Data mining system in E-health system." Thesis, Mittuniversitetet, Avdelningen för informations- och kommunikationssystem, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-21127.

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Chen, Chen. "Health economic analysis of China's health insurance system." Thesis, University of York, 2016. http://etheses.whiterose.ac.uk/17451/.

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This thesis consists of 3 chapters plus an introductory chapter and a concluding chapter. They are on three different topics, but they are all related to China’s health insurance system from 2000 to 2011. Chapter 1 is the introduction to the thesis, providing background to the Chinese insurance system, the theoretical underpinning of the three chapters, a description of the datasets used in the thesis, and an overview of the thesis. Chapter 2 investigates whether there is adverse or advantageous selection in China’s private health insurance market before 2003. We found evidence in favour of adverse selection in a pure private insurance market. For the public insurance group where people already got covered by a public insurance but face the choice of buying a supplementary private insurance, we found advantageous selection. Chapter 3 examines whether implementing nearly universal coverage in 2009 led to a decrease in individual preventive behaviour prior to illness, termed ex-ante moral hazard. We exploit the longitudinal dimension of data from 2006 and 2009 and use Coarsened Exact Matching methods. The results do not provide strong evidence for ex-ante moral hazard. Chapter 4 aims at evaluating whether there is ex-post moral hazard after the introduction of universal coverage. We measured ex-post moral hazard as the impact of co-payment rate on treatment cost, to assess the variation of total medical expenditure to patients due to the decrease of price. We conclude that there is ex-post moral hazard in outpatient services after the reform of universal coverage in China. Chapter 5 is the concluding chapter, including a summary of the findings, policy implications, strength and limitations of the thesis, and challenges for future research.
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Henriksson, Dorcus Kiwanuka. "Health systems bottlenecks and evidence-based district health planning : Experiences from the district health system in Uganda." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-329082.

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In low-income countries where maternal and child mortality remains high, there is limited use of context-specific evidence for decision making and prioritization of interventions in the planning process at the sub-national level, such as the district level. Knowledge on the utility of tools and interventions to promote use of district-specific evidence in the planning process is limited, yet it could contribute to the prioritization of high-impact interventions for women and children. This thesis aims to investigate, in the planning process, the use of district-specific evidence to identify gaps in service delivery in the district health system in Uganda in order to contribute to improving health services for women and children. Study I evaluated the use of the modified Tanahashi model to identify bottlenecks for service delivery of maternal and newborn interventions. Study II and III used qualitative methods to document the experiences of district managers in adopting tools to facilitate the utilization of district-specific evidence, and the barriers and enablers to the use of these tools in the planning process. Study IV used qualitative methods, and analysis of district annual health work plans and reports. District managers were able to adopt tools for the utilization of district-specific evidence in the planning process. Governance and leadership were a major influence on the use of district-specific evidence. Limited decision space and fiscal space, and limited financial resources, and inadequate routine health information systems were also barriers to the utilization of district-specific evidence. Use of district-specific evidence in the planning process is not an end in itself but part of a process to improve the prioritization of interventions for women and children. In order to prioritize high impact interventions at the district level, a multifaceted approach needs to be taken that not only focuses on use of evidence, but also focuses on broader health system aspects like governance and leadership, the decision and fiscal space available to the district managers, limited resources, and inadequate routine health information systems.
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Portman, Emily. "Making The Healthy Choice: Exploring Health Communication In The Food System." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/614.

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The Academy of Nutrition and Dietetics and the Cooperative Extension System are organizations that serve the public and agricultural communities, respectively. Within these broad organizations are two groups of food systems professionals, registered dietitian nutritionists (RDNs) and Extension agents, who are utilizing communication as a critical point of access for health-related issues. Both groups of professionals negotiate organizational structure in order to construct their own health knowledge and, subsequently, communicate accurate information to their constituents. Understanding the ways that these professionals navigate their roles as health communicators are important for contributing to public discourse about how health knowledge is created and disseminated. Specifically, for the first article, I conducted semi-structured interviews with RDNs to analyze the ways in which they navigate both commercial and health messaging from industry groups at their largest organizational meeting. Industry affiliations have historically been a controversial aspect of Academy operations, yet little research has explored RDNs unique experiences with industry. Findings revealed RDNs have varied interpretations of industry messages and are utilizing strategies to negotiate interactions with industry. The spectrum of RDN interpretation suggests that formal dietetic training should address media literacy strategies in order to help RDNs navigate a complex message landscape. For the second article, through national focus groups with Extension professionals, I sought to understand how Extension is responding to healthcare reform changes and how this has translated into programming for their constituents. Extension participants reported a lack of available resources to improve their own health insurance knowledge, which has impacted their abilities to serve their constituents effectively. Findings emphasized a need for both collaborations both within Extension and across other agencies in order to improve health insurance access for agricultural communities. By researching these two organizations, I hope to contribute to new understandings about how professionals navigate and communicate knowledge related to public health. Both articles have practical implications for each group, and they also offer examples of opportunities to utilize leverage points for structural change within the food system.
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Mak, Yuen-yung, and 麥菀容. "Hong Kong's health financing system." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B50255745.

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Despite attempts to contain health care cost, healthcare expenditure has been surging worldwide. Healthcare financing remains high on the political agenda and nations are struggling hard to balance cost containment with service quality, accessibility, efficiency, etc (Froetschel 2011). Hong Kong, of no exception, faces increasing pressure to raise public expenditure on health and is seeking new ways to finance healthcare. This paper attempts to provide an overview of Hong Kong’s existing health financing system and identify possible reform options.
published_or_final_version
Politics and Public Administration
Master
Master of Public Administration
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Books on the topic "Health system"

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Johnson, Stephen B., Thomas J. Gormley, Seth S. Kessler, Charles D. Mott, Ann Patterson-Hine, Karl M. Reichard, and Philip A. Scandura, eds. System Health Management. Chichester, UK: John Wiley & Sons, Ltd, 2011. http://dx.doi.org/10.1002/9781119994053.

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Sturmberg, Joachim P. Health System Redesign. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-64605-3.

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Yeung, Wing Yan. Health care system. Oxford: Oxford Brookes University, 2001.

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K, Umashankar P., and Misra Girish Kumar 1941-, eds. Urban health system. New Delhi: Reliance Pub. House and Indian Institute of Public Administration (Centre for Urban Studies), 1993.

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Canada, Canada Health. Canada's health care system. Ottawa: Health Canada, 1999.

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Bank, World, ed. Poland: Health system reform. Washington, D.C: World Bank, 1992.

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Sobrino, Angela. Health system in Spain. Falmer: Community Studies, University of Brighton, 1995.

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Canada, Canada Health, ed. Canada's health care system. [Ottawa]: Health Canada, 2005.

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Greenblatt, Alan. The Public Health System. 2455 Teller Road, Thousand Oaks California 91320 United States: CQ Press, 2020. http://dx.doi.org/10.4135/cqresrre20201120.

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Canada, Canada Health, and Canada. Health System and Policy Division., eds. Canada's health care system. Ottawa, ON: Health Canada = Santé Canada, 1999.

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Book chapters on the topic "Health system"

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Homlok, Dániel T. "Health System." In The Palgrave Encyclopedia of Global Security Studies, 1–4. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-74336-3_540-1.

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Homlok, Dániel T. "Health System." In The Palgrave Encyclopedia of Global Security Studies, 704–7. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-319-74319-6_540.

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Kumar, Satish, Abha Mangal, and Daya Krishan Mangal. "Health Policy and Health System." In Healthcare System Management, 19–45. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3076-8_2.

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Sturmberg, Joachim P. "Health System Redesign: Applying Complex Adaptive Systems Approaches." In Health System Redesign, 193–211. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-64605-3_10.

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Mahima, D. "Providing Efficient Healthcare System: Web-Based Telemedicine System." In TELe-Health, 149–66. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-99457-0_9.

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Berner, Eta S. "Testing System Accuracy." In Health Informatics, 61–74. New York, NY: Springer New York, 1999. http://dx.doi.org/10.1007/978-1-4757-3903-9_3.

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Carr, John, Shih-Ping Chen, Joseph F. Connor, Roy Kirkwood, and Joaquim Segalés. "Immune System Disorders." In Pig Health, 255–75. Boca Raton : CRC Press, [2018]: CRC Press, 2018. http://dx.doi.org/10.1201/9781315157061-8.

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Orbell, Sheina, Havah Schneider, Sabrina Esbitt, Jeffrey S. Gonzalez, Jeffrey S. Gonzalez, Erica Shreck, Abigail Batchelder, et al. "Health Care System." In Encyclopedia of Behavioral Medicine, 908–9. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_886.

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Wendt, Claus. "Health System Typologies." In Health Services Evaluation, 927–37. New York, NY: Springer US, 2019. http://dx.doi.org/10.1007/978-1-4939-8715-3_21.

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Wendt, Claus. "Health System Typologies." In Health Services Research, 1–11. Boston, MA: Springer US, 2018. http://dx.doi.org/10.1007/978-1-4614-6419-8_21-1.

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Conference papers on the topic "Health system"

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Kiong, Yip Chi, Sellappan Palaniappan, and Nor Adnan Yahaya. "Health ontology system." In 2011 7th International Conference on IT in Asia (CITA). IEEE, 2011. http://dx.doi.org/10.1109/cita.2011.5999506.

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Madera, Angelo, and Simonetta Sandri. "Health Management System." In SPE International Health, Safety & Environment Conference. Society of Petroleum Engineers, 2006. http://dx.doi.org/10.2118/98922-ms.

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Lamoureux, Benjamin, Nazih Mechbal, and Jean-Remi Masse. "Selection and validation of health indicators in prognostics and health management system design." In 2013 Conference on Control and Fault-Tolerant Systems (SysTol). IEEE, 2013. http://dx.doi.org/10.1109/systol.2013.6693847.

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G, Jayanthi, Brindha S, Umamaheswari B, Gayathri R, and Vishalakshi M. "Smart Heart Health Monitoring System Using IoT." In 2022 International Conference on Communication, Computing and Internet of Things (IC3IoT). IEEE, 2022. http://dx.doi.org/10.1109/ic3iot53935.2022.9767940.

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Lu, Ssu-Hsuan, Kuan-Chou Lai, Don-Lin Yang, Ming-Hsin Tsai, Kuan-Ching Li, and Yeh-Ching Chung. "Pervasive health service system: insights on the development of a grid-based personal health service system." In 2010 12th IEEE International Conference on e-Health Networking, Applications and Services (Healthcom 2010). IEEE, 2010. http://dx.doi.org/10.1109/health.2010.5556532.

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Popescu, Mihail, George Chronis, Rohan Ohol, Marjorie Skubic, and Marilyn Rantz. "An eldercare electronic health record system for predictive health assessment." In 2011 IEEE 13th International Conference on e-Health Networking, Applications and Services (Healthcom 2011). IEEE, 2011. http://dx.doi.org/10.1109/health.2011.6026742.

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Morrell, Thomas G., and Larry Kerschberg. "Personal Health Explorer: A Semantic Health Recommendation System." In 2012 IEEE International Conference on Data Engineering Workshops (ICDEW). IEEE, 2012. http://dx.doi.org/10.1109/icdew.2012.64.

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Xia Yu, Shuoyu Wang, and Xianchao Zhao. "A health-check system for health-care robot." In 2005 IEEE International Conference on Robotics and Biomimetics - ROBIO. IEEE, 2005. http://dx.doi.org/10.1109/robio.2005.246355.

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Akhavein, Delaram, and Seye Abimbola. "3 How health securitisation shapes health system priorities." In UCL’s Qualitative Health Research Network Conference Abstracts 2024. British Medical Journal Publishing Group, 2024. http://dx.doi.org/10.1136/bmjopen-2024-ucl-qhrn2024.3.

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Androuchko, V., and C. Kelly. "Intelligent medical diagnostic system." In HEALTHCOM 2006 8th International Conference on e-Health Networking, Applications and Services. IEEE, 2006. http://dx.doi.org/10.1109/health.2006.246448.

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Reports on the topic "Health system"

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Kynor, David B., and William E. Audette. Diver Health Monitoring System. Fort Belvoir, VA: Defense Technical Information Center, September 2011. http://dx.doi.org/10.21236/ada550401.

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Mahapatra, Prasanta, Sonalini Khetrapal, and Shyama Nagarajan. An Assessment of the Maharashtra State Health System. Asian Development Bank, March 2022. http://dx.doi.org/10.22617/wps220063-2.

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This study provides useful information and insights on strengthening the public health infrastructure of Maharashtra, the largest state economy, second most populous, and third most urbanized state in India. The COVID-19 pandemic has highlighted the importance of strong and resilient health systems for sustainable development. The national health system in India is the conglomeration of state health systems operates within the country’s federal structure. Although focusing on Maharashtra, this study presents a state health system assessment and sources of information that may also be useful to other states in India.
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Alonzo, Chester, Michael Jourdain, Michael Besco, Regina McNeil, Theresa Inman, and Clive Sugama. System Engineering Health and Visualization. Fort Belvoir, VA: Defense Technical Information Center, December 2014. http://dx.doi.org/10.21236/ada628340.

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Berry, P., P. Enright, L. Varangu, S. Singh, C. Campagna, P. Gosselin, D. Demers-Bouffard, D. Thomson, J. Ribesse, and S. Elliott. Adaptation and health system resilience. Natural Resources Canada/CMSS/Information Management, 2022. http://dx.doi.org/10.4095/329536.

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Beyeler, Walter E., Patrick D. Finley, William Arndt, Alex Christian Walser, and Michael David Mitchell. Biosecurity through Public Health System Design. Office of Scientific and Technical Information (OSTI), November 2016. http://dx.doi.org/10.2172/1333488.

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Johnson, David E. A Consolidated Military Health Care System. Fort Belvoir, VA: Defense Technical Information Center, May 1991. http://dx.doi.org/10.21236/ada250917.

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Howard, Brian. Business Case analysis: NMCSD Health System. Fort Belvoir, VA: Defense Technical Information Center, November 2009. http://dx.doi.org/10.21236/ada516638.

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8

Gahm, Gregory A. Expert System Utilization for Behavioral Health. Fort Belvoir, VA: Defense Technical Information Center, June 2003. http://dx.doi.org/10.21236/ada421142.

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9

Kynor, David B., and William E. Audette. Diver Health Monitoring System: User Manual. Fort Belvoir, VA: Defense Technical Information Center, August 2011. http://dx.doi.org/10.21236/ada550477.

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10

Perez-Cuevas, Ricardo, Jonathan Cali, Suzanne Sheetz, Thomas Bossert, Diana M. Pinto, and Nathan Blanchet. Comparative Review of Health System Integration in Selected Countries in Latin America. Inter-American Development Bank, January 2014. http://dx.doi.org/10.18235/0009151.

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Abstract:
This technical note presents a comparative analysis of Latin America's fragmented health systems. It provides a detailed account of health system fragmentation along six dimensions (organizations, risk pooling, eligibility, benefits, premium/contributions, payments) and the effects of historical reforms in Costa Rica, Colombia, Ecuador, Brazil, Mexico, and Chile, as well as examples of successful integration in Spain and Turkey. Additionally, it offers a set of policy options for promoting the integration of health systems and a series of practical steps for implementing health system reforms. It concludes that analyzing the fragmentation of various dimensions of health systems can be useful for developing policy, but further research is needed to determine the effect of fragmentation on health system performance.
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