Dissertations / Theses: 'Human health care'

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Muthuraman, Rajendran. "A study of human error in health care." Thesis, University of Ottawa (Canada), 2003. http://hdl.handle.net/10393/26534.

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This study presents an analytical approach to study human error in health cane systems. A literature review was conducted on 350 publications on human error in health care system collected from journals, conference proceedings, newspapers, etc. Five mathematical models were developed to analyze human error in health care systems. The Markov method was used to perform analysis of these models. Specific expressions are obtained for human error probabilities, mean tune to human death (MTHD), and mean tune to health care professional's error (MTTHPE). A number of useful methods and techniques for performing human error analysis in health care are identified.

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Cooper, Andrew James. "The Human Right to Health Care: A Distributive cliché." Thesis, University of Canterbury. Philosophy and Religious Studies, 2007. http://hdl.handle.net/10092/979.

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The universal human right to health care is a cliché that is frequently invoked by politicians and various activist groups to express the idea that inequalities in the distribution of medical resources are unjust. These disgruntled social reformers are largely uninformed about the true nature of human rights, claiming that any society in which some citizens go without comprehensive medical services is institutionalising immorality by violating Article 25 of the 1948 Universal Declaration of Human Rights. Such uninformed and exaggerated claims only serve to distort the public conception of human rights, obscure the legitimate demands of social justice, and impose unrealistic expectations on health care systems of limited resources. In this paper, I intend to uncover the true meaning of the universal right to health care, ultimately rejecting the commonly held notion that inequality in the distribution of medical resources necessarily entails a violation of human rights. In Chapters One and Two, I dissect the notion of human rights in order to further define Article 25, discussing any moral and practical implications the acceptance of this right has for both the individual and society. Chapters Three and Four concern the just allocation of health care resources within society, in accordance with the right to health care, and will assess appropriate distributive principles for the health care institution.

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Neer, Charles A. "Dog interaction with geriatric care residents and human health." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1260637201.

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Thoresen, Stian Ho Yong. "Health care challenges and human resources for health in Thailand : migrations, social and political tensions, and human rights implications." Thesis, Curtin University, 2008. http://hdl.handle.net/20.500.11937/1693.

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The global shortage of human resources for health and the brain drain of health care professionals exacerbate health care challenges in many small and medium sized economies, including efforts to curb the HIV/AIDS pandemic. This research investigated attitudes, perceptions, and dynamics among health care students and professionals in Thailand related to human resources for health, migration, inequitable distribution between rural and urban areas as well as between the public and private sector, and influences on migration ambitions. This included contemporary social and political parameters. Perceptions and attitudes among health care students and professionals were explored through a questionnaire survey and semi-structured interviews with health care professionals. Additional interviews with key-informants encapsulated contemporary events, dynamics, adversities, and challenges specific to the Thai context. It is argued that both the right to health care and health care professionals’ right to free movement must be protected and upheld. This research adds to the knowledge and insight into the specific health care challenges in Thailand and reflections upon the sustainability of the health care system; both in light of these health care challenges and the principles of sustainability as proposed by The World Commission on Environment and Development, the Brundtland Report (1990). It will enhance the scope from which health care, manpower expansion, and reform is pursued. Any approach to stem the exodus of health care professionals must recognise the rights of all stakeholders, including health care professionals and health care consumers, and all stakeholders must be engaged in the pursuit of sustainable health care through the principles of sustainable development and global sustainability.

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Thoresen, Stian Ho Yong. "Health care challenges and human resources for health in Thailand : migrations, social and political tensions, and human rights implications." Curtin University of Technology, School of Social Work and Social Policy, 2008. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=118405.

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The global shortage of human resources for health and the brain drain of health care professionals exacerbate health care challenges in many small and medium sized economies, including efforts to curb the HIV/AIDS pandemic. This research investigated attitudes, perceptions, and dynamics among health care students and professionals in Thailand related to human resources for health, migration, inequitable distribution between rural and urban areas as well as between the public and private sector, and influences on migration ambitions. This included contemporary social and political parameters. Perceptions and attitudes among health care students and professionals were explored through a questionnaire survey and semi-structured interviews with health care professionals. Additional interviews with key-informants encapsulated contemporary events, dynamics, adversities, and challenges specific to the Thai context. It is argued that both the right to health care and health care professionals’ right to free movement must be protected and upheld. This research adds to the knowledge and insight into the specific health care challenges in Thailand and reflections upon the sustainability of the health care system; both in light of these health care challenges and the principles of sustainability as proposed by The World Commission on Environment and Development, the Brundtland Report (1990). It will enhance the scope from which health care, manpower expansion, and reform is pursued. Any approach to stem the exodus of health care professionals must recognise the rights of all stakeholders, including health care professionals and health care consumers, and all stakeholders must be engaged in the pursuit of sustainable health care through the principles of sustainable development and global sustainability.

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Edgeworth, Ross. "Self-care for health in rural Bangladesh." Thesis, Northumbria University, 2011. http://nrl.northumbria.ac.uk/1006/.

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An interest in human coping applicable to endemic disease environments such as Bangladesh now includes disease mitigation and management through self-care. Although a frequently utilised treatment, research into the reasons behind self-care preference, types of self-care practised and the implications this has for individuals and communities in developing countries such as Bangladesh is lacking. This research therefore examines the adoption of self-care in Bangladesh and seeks to understand if it is an effective disease management strategy. A mixed methods approach was employed, targeting a representative sample of different gender, age and socioeconomic status across three locations. 630 questionnaires, 47 semi-structured interviews, 15 focus group discussions, 20 key informant interviews and a series of participatory research tools were applied to explore how and why people use self-care. Data were also used to identify behaviours indicative of appropriate and inappropriate self-care that are beneficial or detrimental to the individual. A detailed and complex picture of self-care emerged. It is widely used to prevent and respond to illness through traditional, herbal and modern pharmaceutical actions. Common illnesses and endemic diseases such as fever and diarrhoeal diseases were most frequently treated through self-care. A declining natural resource base, a hazardous flood environment and communication breakdown between doctors and patients can restrict self-care adoption. However, economic savings on healthcare expenditure, reduced opportunity costs and the means to preserve dignity represented positive aspects of self-care amongst participants. Examination of these factors demonstrated the failings of current health service provision as well as the potential for better self-care integration into existing healthcare approaches. Wider lessons for disease management were therefore derived from self-care including the importance of low cost manifold strategies and the value of local knowledge and ownership. It is concluded that although self-care is not a panacea for the burden of ill health there is evidence to suggest it can play a crucial role in coping with the insurmountable disease risks people face in Bangladesh. In doing so the research contributes to understanding self-care in developing countries as an integrated and integral component of the primary health care system and infectious disease risk reduction more widely.

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Сміянова, Ольга Іванівна, Ольга Ивановна Смиянова, Olha Ivanivna Smiianova, J. M. Usaiyd, and F. H. Ayman. "Health care situation and the human coats of war in Iraq." Thesis, Сумський державний університет, 2013. http://essuir.sumdu.edu.ua/handle/123456789/32146.

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Prior to the Gulf War, Iraq’s public health system was one of the most advanced in the Middle East region. Malnutrition rates were low, primary health care was easily accessible, and tertiary (hospital-based) care was becoming increasingly sophisticated. Infant mortality was 47 per 1000 live births per year and the mortality rate of children less than five years old was 56 per 1000 live births per year. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/32146

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Garris, Bill R., and Amy J. Weber. "Relationships Influence Health: Family Theory in Health-Care Research." Digital Commons @ East Tennessee State University, 2018. https://doi.org/10.1111/jftr.12294.

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This article reviews the presence of family theory in health-care research. First, we demonstrate some disconnect between models of the patient, which tend to focus on the individual, and a large body of research that finds that relationships influence health. We summarize the contributions of family science and medical family therapy and conclude that family science models and measures are generally underutilized. As a result, practitioners do not have access to the rich tool kit of lenses and interventions offered by systems thinking. We propose several possible ways that family scientists can contribute to health-care research, such as using the family as the unit of analysis, exploring theories of the family as they relate to health, and suggesting greater involvement of family scientists in health research.

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Nelson, Robert Colin. "The Right to Health: Conflicting Paradigms of Health as Commodity vs. Health as Human Right." [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002010.

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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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Subramaniam, Natasha Marie. "Addressing Human Papillomavirus Vaccination in Primary Care Pediatrics." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7434.

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Human papillomavirus (HPV) is the most common sexually transmitted disease in the United States. Despite most common transmission, HPV immunization in adolescents remains below target rates of 80% as outlined by Healthy People 2020 Objectives. Nearly all individuals will contract HPV during their lifetime. The purpose of this project was to educate providers on successfully promoting HPV immunization in adolescents utilizing evidence-based methods. The health belief model (HBM) was the theoretical underpinning utilized to teach providers on discussions about 9vHPV immunization with parents of adolescents. The practice focused question explored whether an education program using concepts from the HBM would increase provider perception of preparedness on recommending Gardasil 9 immunization in adolescents. Convenience sampling was utilized to recruit participants. There were 9 out of 25 providers that attended the educational in service with 8 completing the continuing education evaluation tool. Participants included providers who are affiliated and hold privileges with the health care system. Survey Monkey was used to analyze the participant evaluations. All the participants found the educational information relevant to increasing their perception of preparedness on recommending Gardasil 9 immunization in adolescents. The findings suggest that providers would benefit from training on recommending HPV immunization in adolescents. Continued training would help enhance timely immunization rates that could decrease cancer rates and reduce associated healthcare cost, in turn promoting population health and positive social change.

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Xie, Rongbing. "Modeling Depression Treatment Strategies for Human Immunodeficiency Virus (HIV) Positive Patients." Thesis, The University of Alabama at Birmingham, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10642913.

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This dissertation empirically examines the associations between depression and HIV-related outcomes, simulates both care and outcomes under different depression care strategies, and compares the cost effectiveness of various depression care strategies to the current care strategy.

The empirical investigations reveal the negative associations between depression and HIV-related outcomes using two longitudinal patient-level databases. Furthermore, the patterns and outcomes of depression care are identified and simulated using agent-based modeling. Finally, simulated costs and effectiveness are used to evaluate different depression care strategies for reducing new HIV infections and improving quality of life.

The current standard of care for depression among patients living with HIV can be characterized as low intensity in terms of screening and treatment; enhanced depression care strategies are proposed and evaluated to be cost-saving. Recommendations are offered to enhance depression care in HIV care settings.

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Lind, Thomas. "Change and resistance to change in health care : Inertia in sociotechnical systems." Licentiate thesis, Uppsala universitet, Avdelningen för visuell information och interaktion, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-224862.

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This thesis explores change and resistance to change of IT systems in organisations from a sociotechnical perspective. The work is drawing on empirical data gathered during two Action Research projects in Swedish Health Care: one regarding the deployment of electronic patient record systems within health care organisations, and the other regarding the deployment of eHealth services geared towards patients and citizens. Resistance to change is classified as an indicator of social inertia, and the concept of counter-implementation, comprising three general strategies to obstruct change initiatives, is used to highlight the political aspects of social inertia. For the analysis, the concept of social inertia is used as a point of departure towards inertia in sociotechnical systems by applying values and principles from sociotechnical systems research, most prominently the interdependence-characteristic. This extended concept is used to show and discuss how IT systems can either enforce change or be a source of inertia preventing change in organisations, and such planned or inadvertent effects of implementing IT systems are discussed as a significant source of user resistance.

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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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Hopper, Veronica Louise. "An appreciative study of highest human values in a major health care organization." Case Western Reserve University School of Graduate Studies / OhioLINK, 1991. http://rave.ohiolink.edu/etdc/view?acc_num=case1059481743.

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Lee, Sang-Young. "The role of design in home-based health-care equipment." Thesis, De Montfort University, 2000. http://hdl.handle.net/2086/4807.

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Lindblom, Johan, and Jonas Rosquist. "Non-disruptive value-chains in home health care." Thesis, Blekinge Tekniska Högskola, Institutionen för programvaruteknik och datavetenskap, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-3293.

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Treatment of elderly people and citizens in need of professional care is one of the most important aspects of any society to consider that aims at support for quality of life. Support for such qualitative aspects of a modern society often manifests itself by means of value-chains. However, all activities that a business or organization uses are not included in the value-chain, it is only the activities and information that generate any kind of value for the users in a particular organization that are included in the value-chains. To that end, the locality of health care related information primarily exists at the hospital and, therefore, the care of patients is most efficiently carried out at the hospital. However, if the involved information can be accessed anywhere throughout the value-chain, a possible situation would be to keep the patients in their homes without disrupting already established work practice and related value-chains. In principle, introducing new technology must not disrupt a value-chain; it must preserve or, even better, improve it. Health care is becoming more mobile and needs support for such behavior. The quantitative value to the user is quantified by means of value-chains, so it is important that they remain non-disrupted. Consequently, the fundamental concepts dealt with in this thesis are; value-chains, health care and mobile technology. The problem domain is distributed health care and we have chosen to focus on sustainability of the involved value-chains. In essence, we want to add new technology to the domain without disrupting already existing value-chains. This in order to make the distributed health care apparatus more efficient and cost effective. The main problem we have identified is regarding how medical doctors and nurses could access the same information in patients' homes as they can at the hospital.

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Clifton-Smith, Gregory James. "In the context of health care, where is God in the dark places of human experience? : implications for pastoral care." Thesis, University of Chester, 2013. http://hdl.handle.net/10034/311264.

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Triggered by a chance pastoral encounter with a nurse who articulated a sense of the presence of God in the midst of existential darkness, this study seeks to explore two underlying questions: “In the context of health care, where is God in the “dark places” of human experience”? and “How is that experience discerned and communicated to others?” It will show how a greater understanding of these questions will add value to the provision of pastoral care in the health care environment by enabling a tailored intervention to be offered that will be to the benefit of the patient and their clinical and pastoral outcome. The research uses insights gained from academia, including theological and health care literature, to explore the former, and a musicological review to explore the latter. These are set alongside qualitative material in the form of case studies and taped interviews. Whilst this study suggests that credible belief in God is possible if God can be seen to be involved with, and supportive of, humanity in the midst of its suffering, it also shows that the way that experience is discerned and thus communicated to others, involves a process of listening and performing comparable with the act of music-making. As with its musical counterpart (incorporating elements of melody, rhythm, dynamics and timbre), this research maintains that the process of pastoral listening and performing is also multi-faceted, existing on a number of different levels. An awareness of these enables the pastoral encounter to begin to be rooted in a process of meaning-making analogous with wisdom emerging out of lament. This research further suggests that one way such wisdom can be discerned is in the way that the lament within the pastoral encounter is itself framed, using musical form as one way of holding in relationship the tradition of faith with pastoral praxis. In using specific examples of music-making as a guide to effective pastoral care, this study concludes with recommended pastoral interventions pertaining to the pastoral practice of healthcare chaplaincy, advocating that through reclaiming the spiritual space and reframing the pastoral encounter, it is still possible for chaplains to model the presence of God.

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Al-Maharwi, Saad Ali Gana 1957. "The impact of human activities on Asir National Park, Saudi Arabia." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/278241.

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Saudi Arabia has witnessed rapid development in economic, cultural and social aspects since the discovery of oil a few decades ago. This development involves all the governmental sectors including national parks. The need for national parks has become inevitable. Asir National Park was established to provide recreational sites and to preserve the unique natural and cultural features of the park. Research evaluated the impact of human activities of logging, grazing, hunting, land development and elimination and negligence of traditional architecture on Asir National Park features. A questionnaire, interviews and field observations were conducted to investigate the impact of these activities on Asir National Park. Asir National Park suffers a great deal of pressures from human activities. The local population depends on the park as their source of livelihood and as a traditional habit. The study illustrates the most affected zones where action should be taken to preserve park features.

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Ram, Jat Tej. "Maternal health and health care in Madhya Pradesh state of India : an exploration using a human rights lens." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-95900.

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Pregnancy and motherhood are natural processes in the lives of women of reproductive age. These processes are generally considered to be positive and fulfilling experiences. However, for various reasons, many women end up dying as a result of these processes. Improving maternal health and reducing maternal mortality are accepted as human rights challenges and prioritized in several international declarations and national policies. However, progress in achieving these objectives still remains poor. This thesis aims to explore the maternal health and healthcare in the Indian state of Madhya Pradesh through a human rights lens. A human rights lens provides a framework to study various aspects of the problem of maternal health from a human rights perspective. It helps in highlighting the gaps and challenges related to political priority, sociocultural, economic and individual-level factors and the availability, accessibility, acceptability and quality of maternal healthcare services. A combination of quantitative and qualitative research methodologies was applied in four sub-studies conducted in Madhya Pradesh. The specific objectives were: to investigate, by using John W. Kingdon’s multiple-streams model of agenda setting, why and how maternal health became a political priority in the state (Paper I); to estimate the effects of individual-, community- and district-level characteristics on the utilization of maternal health services with special reference to antenatal care, skilled attendance at delivery and post-natal care (Paper II); to analyse sociocultural and service delivery related dimensions of maternal deaths in rural central India through a human rights lens (Paper III); and to evaluate the technical efficiency of the public district hospitals using data envelopment analysis (Paper IV). The findings of the first qualitative study indicated that various developments at international, national and state level brought the issue of maternal health to the priority political agenda in Madhya Pradesh state. This resulted in the introduction of new policies and programmes and more resources were allocated for improving maternal health. However, several challenges still remain in ensuring proper implementation of these programmes and policies. The quantitative study on factors affecting the use of maternal health services revealed that 61.7% of women used antenatal care at least once, 49.8% of women used skilled attendance at delivery and 37.4% of women used post-natal care during their most recent pregnancy. The household’s socio-economic status and mother’s education emerged as the most important factors associated with the use of antenatal care and skilled attendance at delivery. Delivery by skilled personnel and the use of antenatal care were the most important factors in the use of post-natal care. This study highlighted the need to identify and focus on community- and district-level intervention along with addressing the individual-level factors. The findings of the third qualitative sub-study revealed that all pregnant women in the study tried to access medical assistance for obstetric complications but various factors delayed appropriate care. The underestimation of complication symptoms by family members, gender inequity and the negative perceptions regarding delivery services deferred decisions to seek care. Transportation problems and care seeking at multiple facilities also constrained timely reaching of appropriate health facilities. Negligence by health staff in providing care, and unavailability of blood and emergency obstetric care services, delayed the receiving of adequate care after reaching a health facility. This study indicates that normative elements of a human rights approach to maternal health, i.e. availability, accessibility, acceptability and quality, were not fully upheld. The deceased women and their relatives were unable to claim their entitlements and the duty bearers could not meet their obligations despite their conscious efforts to improve maternal health. In the last study, the results of data envelopment analysis revealed that half of the district hospitals (20) in the study were operating inefficiently. This research establishes a need to give special attention to addressing challenges in the maternal health programmes at the implementation level as well as tackling the social determinants of maternal health. In order to increase the utilization of maternal health services in the state, the need to identify and focus on community- and district- as well as individual level interventions is emphasized. In order to prevent maternal deaths, a need for further concentrated efforts is underlined with a view to honouring human rights elements of maternal health by better community education, women’s empowerment and health system strengthening with the provision of appropriate and timely services including emergency obstetric care of good quality. It also highlights a need to identify the causes of the observed inefficiencies and to take appropriate measures to increase the efficiency of district hospitals.

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Bowman, Susan Stanwyck. "The human-environment relationship in self-care when healing from episodic illness /." Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.

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Walker, Benjamin F. "The advent of managed care an examination of the impact on behavioral human service delivery /." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 2006. http://www.kutztown.edu/library/services/remote_access.asp.

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Thesis (M.P.A. )--Kutztown University of Pennsylvania, 2006.
Source: Masters Abstracts International, Volume: 45-06, page: 2963. Typescript. Abstract precedes thesis as 2 leaves. Includes bibliographical references (leaves 77-84).

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Cavenaghi, Suzana. "A spatial-temporal analysis of fertility transition and health care delivery system in Brazil /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.

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Lloyd, Bridget. "Stakeholder perceptions of human resource requirements for health services based on primary health care and implemented through a national health insurance scheme." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7813_1363786823.

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In 2007, at its 52nd Conference in Polokwane, the African National Congress (ANC) called for the implementation of a National Health Insurance (NHI) scheme. The announcement resulted in much debate, with critics voicing concerns about the state of the public health system, lack of consultation and the expense of a NHI scheme. However, little attention has been paid to the
human resource (HR) needs, despite the fact that 57% of recurrent expenditure on health1 is on HR. This research aimed to identify the HR requirements to support the implementation of an effective and equitable health system funded by a NHI in South Africa. An overview of the current burden of disease and distribution of HR is provided. Through interviewing key stakeholders the study attempted to elicit information about factors which will hamper or assist in developing such a health system, specifically looking at the HR situation and needs. The research explores HR
odels and proposes key HR requirements for implementation of a health system funded by a NHI in South Africa, including skills mix and projected numbers of health workers and
proposes ways to improve the deficient HR situation. Exploratory qualitative research methods were used comprising in-depth individual interviews, with a purposive sample of key informants, including: public health professionals and health managers (working in rural and urban areas)
researchers
academics and NGO managers. The contents of the interviews were analysed to identify common responses about and suggestions for HR requirements within the framework of a NHI. 1 Personal communication Dr Mark Blecher, Director Social Services (Health), National Treasury, 17 July 2009 The literature review includes policy documents, position papers and articles from journals and bulletins. Key informants were asked to identify literature and research material to support recommendations. The research findings indicate that despite the South African Government&rsquo
s expressed commitment to Primary Health Care (PHC), the National Department of Health has continued to support and sustain a clinical model of health service delivery (Motsoaledi, 2010), primarily utilising doctors and nurses. The clinic based services are limited in their ability to reach community level, and, being focused on curative aspects, are often inadequate with regard to prevention, health promotion and rehabilitation services. While the curricula of health professionals have been through some changes, the training has continued to be curative in focus and the clinical training sites have not been significantly expanded to include peripheral sites. While there are many Community Health Workers in the country, they remain disorganised and peripheral to the public health system. The mid level worker category
has not been fully explored. Finally there are no clear strategies for recruitment and retention of health workers in rural and under-resourced areas. In addition to the continued use of a clinical model, transformation of the health system hasbeen hampered by inadequate numbers of health workers, particularly in the rural and periurban townships and informal settlements. There is no clear strategy for addressing the critical
health worker shortage in under-resourced areas, particularly rural areas. The last section makes recommendations, which will be submitted to the relevant task teams working on the NHI. It is intended that recommendations arising out of the research will influence the process and decisions about HRH within a NHI funded health system.

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25

Zehr, Kelson. "Case Study| Triad Case Management Model Applying Human Performance Technology." Thesis, Capella University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10928025.

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Despite the level of organizational investment in training and performance improvement, little is known about the use of different models of case management as interventions for the ever-increasing health care issues in the United States. Based on Van Tiem, Moseley, and Dessinger's Performance Improvement/Human Performance Technology model, this case study used qualitative semi-structured interviews and quantitative archival aggregate patient data to answer the following research questions: RQ1. How did the implementation of the triad model of case management process improvement change case management processes and implementation methods? RQ1a. What happens to key performance indicators (cost of service, patient satisfaction, and quality of care) when the triad model of case management process improvement is implemented? RQ2. How did acceptance and resistance to a new case management model manifest themselves during the implementation of the triad model of case management process improvement intervention? Seven hospital employees answered questions regarding possible resistance to change during the implementation phase of this model of case management. Data analysis included comparisons of the participants’ responses regarding cost of care, quality of care, and satisfaction with services to quantitative archival measures of those variables. Mean comparisons of all three areas, cost of service, quality of care, and satisfaction with services, revealed that differences before and after implementation of the triad model were not significant. Participant interviews provided general indications that cost of service, quality of care, and satisfaction with services improved with the intervention of the triad model of case management. Participants generally also approved of the change to the triad model of case management following an initial period of concern about work disparity, which resolved with the separation of utilization review and case manager job duties. Recommendations for future research include waiting beyond the time frame used in this study to assess for change and further evaluating possible resistance to change in an organization using emerging trends in human performance technology (HPT) and the completed HPT process.

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26

Remmelzwaal, Bastiaan Leendert. "A situational assessment of human resources planning in the Mnquma local service area of the Eastern Cape Province, South Africa." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The aim of this thesis was to conduct a situational assessment of human resources planning at one local health authority, in order to determine how decentralisation has impacted the effectiveness of human resources planning.

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27

Bai, Wei. "Agent-based Interface Approach with Activity Theory : Human-Computer interaction in diabetic health care system." Thesis, Växjö University, School of Mathematics and Systems Engineering, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-915.

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IMIS (Integrated Mobile Information System for Diabetic Healthcare) aims at providing healthcare on both stationary and mobile platform, which is based on Engström’s triangle model in Activity Theory. It focuses on the need for communication and information accessibility between care-providers and their shared patients. Based on the identified need in the target area, IMIS has decided to construct a network-based communication system to support communication and accessibility to patients’ journal. Since the system integrates various roles from the heath care organization, it is a challenge to provide a useful software program to the group members. In order to facilitate the application and enhance the Human-Computer interaction of the system, agent technology is applied to increase the flexibility factor so that the system could be self-adapted to a wider range group of users.

Besides, this thesis also introduces the approach of using social-psychology — Activity theory in HCI, and discuss the integration of these different disciplines. The Multi-agents System is applied with Gaia methodology from micro perspectives. From the macro perspective Activity theory constructs the coordination mechanism of the different agents. A prototype is applied based on the different model of our research.

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28

Rønning, Olav. "Health care accessibility and second homes: A spatial analysis in South-East Norway." Thesis, Umeå universitet, Institutionen för geografi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176416.

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While the government in Norway strives for equity in health and access, factors of urbanization, modernization, and sustainable development may discourage advancement in rural municipalities. In the rural hinterlands, often where the mountain belt resides, this is known to be caused by declining employment-rates in typical rural industries like agriculture and forestry. A consequence of this has been outmigration and lower numbers in the permanent population in most rural municipalities (Rye et al., 2011). Simultaneously, there is an ongoing trend of more second homes, particularly in rural areas, ascribed to second-home owners living in the cities. More second homes are evident from the country's growth of second homes on par with residential buildings since the 1970s and the existing second-home agglomerations around the major cities (Arnesen et al., 2011). The increased technical standard in second homes, from traditional cottages to high standard recreational homes with electricity- and water-utilities has also increased the year-round frequency of use (ibid). And while the political narrative is urbanization, this increased frequency of use in second homes may support a record of significant rural redistribution with second homes and domestic migration at its core (Ellingsen, 2017). The seasonal displacement from the cities to the recreational hinterland affects supply-demand ratios to important amenities i.e. casualty clinics, ambulance stations, and hospitals. This thesis investigates the current disparity using a GIS-approach.

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Friedl, Christina Renee. "Comparative Analysis of SRY Promoter Sequences on the Human and Rat Y Chromosome." University of Akron / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=akron1376484138.

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30

Wilson, Colleen. "Nurses with human immunodeficiency virus or acquired immunodeficiency syndrome." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23974.

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This thesis will explore the various legal, administrative and ethical issues arising out of the situation in which nurse is HIV-positive or has AIDS. In contrast to the situation of patients suffering from AIDS or HIV, there has been little in the literature, whether legal or medical, on nurses who are infected. The rights and duties of these nurses, testing of nurses for the presence of HIV infection or AIDS and the issue of discrimination are among the matters discussed with reference to relevant legislation and ethical principles.

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31

Ali, Shaun Kevin. "Quebec's health and social services in transition : managing change." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=100737.

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Purpose. To explore the experiences of healthcare managers at a reformed CSSS (Centres de sante et de services sociaux) in Montreal, Quebec and to document the provincial reforms. The objective is to understand the managers' experiences during a period of transition.
Method. This study consists of two methods: a document review of relevant policies and reforms of Quebec's health and social services. Secondly, qualitative interview methods were used to explore the experiences of seven managers within a CSSS and their attitudes towards the reform.
Results. Managers described the following: a new window of opportunity, importance of leadership in the reform process, distorted communication, environment of trust, and culture of the organisation.
Conclusion. Quebec's health and social services is an ongoing discourse. Distorted communication creates an atmosphere of uncertainty which hinders the reform process. Implications include the need for further research in understanding healthcare professionals and other actors in the reform process.

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32

Babcock, Drew Anthony. "INJURY RATES, SEVERITY OF INJURY, AND ACCESS TO SPECIALTY HEALTH CARE OF AMERICAN INDIAN HIGH SCHOOL ATHLETES IN MONTANA." The University of Montana, 2009. http://etd.lib.umt.edu/theses/available/etd-08032009-110037/.

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Introduction: Athletics are an integral part of American Indian (AI) life and culture. However, with participation there is a risk of receiving an injury. Sustaining an injury can be devastating to AI athletes that live on or near a reservation due to the rural location and disparities in health care. Objective: To determine Montanas AI high school athletes injury rates, severity of injury, the current level of medical supervision, and type of health care they seek/receive. Methods: The procedure for collecting data consisted of sending out surveys to head coaches at 11 high schools that met the inclusion criteria. Analysis: Numerical data was analyzed using Microsoft Excel 2007. Discussion: Injury rates were fairly low, with most injuries being minor. Medical supervision at practices/competitions was inadequate and the majority of injured athletes sought medical care from Indian Health Service. Access to specialty care was also found to be inadequate.

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33

Tosh, Amy Elizabeth. "CCHSA accreditation An instigator for change and a motivator for health human resources: A case study of a health region in Alberta." Thesis, University of Ottawa (Canada), 2006. http://hdl.handle.net/10393/27188.

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There are many unanswered questions regarding the influence and effectiveness of accreditation programs on healthcare services. Many participants advocate the value of the process and site reform and success experienced as a result of sharing in a program. However, there are many health service providers who have not chosen to participate. This single case study has been initiated as an opportunity to investigate the impact of an accreditation program on a health region and examine the consequences and results of the process on that organization. This study specifically focuses on the impact the process has on teams within the health organization. This report will be used in a broader multi-case study comparison to view similarities and differences in the results of accreditation. The site of this specific case study was an Alberta Health Region. The accreditation process was undertaken in this region for the first time in the history of the organization under the regional model. (Abstract shortened by UMI.)

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34

Gargett, Ross. "The Use of Automated Speech Recognition in Electronic Health Records in Rural Health Care Systems." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/honors/340.

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Since the HITECH (Health Information Technology for Economic and Clinical Health) Act was enacted, healthcare providers are required to achieve “Meaningful Use.” CPOE (Clinical Provider Order Entry), is one such requirement. Many providers prefer to dictate their orders rather than typing them. Medical vocabulary is wrought with its own terminology and department-specific acronyms, and many ASR (Automated Speech Recognition) systems are not trained to interpret this language. The purpose of this thesis research was to investigate the use and effectiveness of ASR in the healthcare industry. Multiple hospitals and multiple clinicians agreed to be followed through their use of an ASR system to enter patient data into the record. As a result of this research, the effectiveness and use of the ASR was examined, and multiple issues with the use and accuracy of the system were uncovered.

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35

Pumipunta, Surachai Quackenbush Stephen L. "Can money buy health? foreign aid, changes in aid, and the impact of human health in sub-Saharan Africa /." Diss., Columbia, Mo. : University of Missouri-Columbia, 2009. http://hdl.handle.net/10355/6721.

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The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Title from PDF of title page (University of Missouri--Columbia, viewed on March 23, 2010). Thesis advisor: Dr. Stephen Quackenbush. Includes bibliographical references.

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36

Öberg, Emma. "Seniors accessibility to primary health care centers using the public transport system in Uppsala." Thesis, Uppsala universitet, Kulturgeografiska institutionen, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-388053.

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Since many seniors are non-car holders, they are often dependent of the public transport system in reaching vital services, such as primary health care centers. Having spatial accessibility to primary health care centers can be of importance not only for preventing fatal outcomes of chronic diseases, but also for the utilization of these services. The aim of this study is to analyze how accessible primary health care centers are for people from the age of 65 and older in Uppsala by analyzing the public transport system. Statistical data on populations was collected, such as positions of bus stops and primary health care centers. GIS was used as a tool in order to analyze and visualize the data with maps. Accessibility was implemented through the cumulative opportunities measure with distance as impedance to get the total number of primary health care centers reached within each residential area. The measure of centrality was based on the assumption of Uppsala being a monocentric city where the central point was set at the most central clinic in the city. A regression analysis was conducted in order to see if closeness to a public health care facility, wealth, disposable income and centrality had an impact on accessibility and if there were any differences between the seniors and the general population in accessibility. The results showed that seniors were having better access to primary health care centers than the total population. The seniors who were living within a walking distance to a primary health care center had better accessibility, but fewer primary health care centers to choose from. Furthermore, both rich and poor individuals had an increase in accessibility suggesting that poor seniors do not have lower accessibility. Residential areas with a higher and lower disposable income had slightly lower accessibility. At last, the centrality measure showed a similar result, where central and peripheral areas had lower accessibility but areas in between had higher accessibility, which stands in contrast with the conducted maps, indicating that Uppsala might be a polycentric and not a monocentric city.

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37

Alfaro-Velcamp, Theresa. "'Don't send your sick here to be treated, our own people need it more': immigrants' access to health care in South Africa." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15159.

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This minor dissertation argues that there is more than a disjuncture between theory and practices, particularly for refugees and migrants and doctors in South Africa. The core idea of the Bill of Rights is that socio-economic rights are for everyone. Yet, its application suggests everyone means all citizens in the post-apartheid period, rather than all residents in South Africa. In the international domain, the human rights discourse calls on states to recognise responsibility extending to all peoples residing in a sovereign nation- state; but progressive realisation can hamper this aspiration. By employing progressive realisation within South African law, the idea that the state pays for what it can and makes future efforts to change, socio-economic rights for everyone currently cannot be achieved. This dissertation examines how Constitutional Court rulings on access to healthcare and relevant statutes have not been uniformly granted to everyone causing a disjuncture between law and practice.

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38

Nnakwe, Eunice Odaku. "Affordable Care Act and Human Papilloma Virus Vaccine Among Adolescent Females." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5760.

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The human papilloma virus (HPV) is the most frequent cause of sexually transmitted diseases (STDs) and cancers for U.S. adults. The Affordable Care Act (ACA), enacted in 2010, eliminated copay expenses for childhood immunizations and expanded access to health care. The purpose of this secondary data analysis study was to determine if there was an association between ACA and the usage of HPV vaccine among adolescent females in Georgia. Data concerning HPV vaccinations from 2011 to 2015 were obtained from the National Immunization Survey-Teen dataset. Andersen's BM of health care use was applied to ascertain the factors that enhanced the usage of HPV vaccine. Multiple logistic regression analysis was used to determine if there was any association between ACA and HPV vaccination. The study results showed a significant association between ACA and provider visit (p<.05). Also, provider visit was significantly associated with HPV vaccination rate (p<.05). Adolescent females with health insurance had a higher rate of provider visit after the passage of ACA. From 2011 to 2015, 87.2% of insured adolescent females visited their provider. The rate of HPV vaccination increased among the insured adolescent females who visited the provider from 35.3% in 2011 to 53.9% in 2015. Provider visit was identified as the most influencing factor that enhanced usage of HPV vaccine. The knowledge gained from the results contributed to social change by providing insight on how, through increased provider visits, ACA has improved the HPV vaccination rate among teenage females in Georgia. The conclusion will assist in developing effective strategies and policies that will achieve the Healthy People 2020 goal of 80% of herd immunity against HPV.

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39

Hayes, Ann M. 1964. "Health care workers infected with the human immunodeficiency virus : an ethical analysis of U.S. and Canadian government and professional policies." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23893.

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On July 27th, 1990, the U.S. Centers for Disease Control reported that a Florida dentist had transmitted the human immunodeficiency virus (HIV) to five of his patients. These incidents raised many, previously unaddressed, questions regarding the ethical obligations of the HIV-infected health care worker (HCW), as well as the ethical responses to this difficult situation by patients and society.
This paper attempts to address these questions from an ethical viewpoint examining risk of harm and the individual duties of the HCW, the patient and society as well as through analysis of policies regarding HIV-infected HCWs. These policies were written by the federal U.S. and Canadian governments as well as state and provincial health departments and registrars of medical associations in the U.S. and Canada.
The policies were analyzed for five categories of requirements or recommendations with respect to: (1) notification of government and professional organizations or health care institutions and notification of patients of the HCW's HIV status, (2) mandatory HIV testing of HCWs, (3) work restriction for the HCW, (4) retrospective notification of the patient, and (5) monitoring compliance with the policy.
It was found that, in their practical interpretation, the policies left room for a wide spectrum of interpretation possibly due to poorly defined risk of individual invasive procedures. This indicates the need to accurately determine the risks of HIV transmission, from HCW to patient, during specific medical interventions.
It was concluded that certain policies, such as Health and Welfare Canada's Laboratory Centre for Disease Control (LCDC), policy and New York State Department of Health's policy allow enough flexibility to minimize risks of harm as well as to provide the possibility of a balance of the interests of all involved. (Abstract shortened by UMI.)

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40

Malik, Fauzia Aman. "Social life of health policy : an anthropological inquiry into the Affordable Care Act (ACA) and HIV/AIDS care in Atlanta, Georgia." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33266.

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The purpose of this thesis is to ethnographically explore the social life of health reform policy. This thesis focuses on the Ponce Center, a safety net HIV clinic in Atlanta. The thesis engages with a fragmented healthcare world, and the inhabitants of these worlds who are charged with rectifying the fragmentation and make care possible. They are, in technical language, service providers, whether they are policy-makers, patients, or political activists. In order to make the healthcare and policy worlds functional, the AIDS community in Atlanta perceive their first task as attempting to connect aspects of the fragmented healthcare assemblage that are otherwise disparate. The core theme of this thesis is articulations, translations, and piecing together aspects of everyday life particularly with regard to various ways of contending with fragmentation. This thesis explores the relationship between the affective, ideological, physical and structural dynamics of inequality, poverty, vulnerability, identity, and a sense of community and belonging. This thesis is about the policy processes. It does not focus on policy-making, but policy interpretation, implementation, and enactment in Atlanta, Georgia. The thesis tracks the appropriation and contestation of the Affordable Care Act (ACA) as a site of interaction between the experience of HIV as a pre-existing condition, inequitable access to treatment through health insurance, and larger social policy and poverty discourses. Finally, it considers the processes by which major policy reforms draw in disparate actors, who are embedded in complex networks of power and resource relations - assemblages - and inevitably play a role in reshaping society.

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41

Mfuko, Ncedo. "An assessment of primary health care services from the : perspective of the recipients in the Khayelitsha community health centre." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3124_1305890834.

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The general aim of this study is to undertake an assessment of the health care service provision in the Khayelitsha Community Health Centre taking into consideration the underlying principles of the Primary Health Care. More specific objectives include: an overview and discussion of the framework approach to primary health care and its use
the documentation of the practice of primary health care in the Khayelitsha Community Health Centre
an analysis of the results and findings which will highlight the obstacles in the pursuit of a better primary health care service. The perspective of the patients and nurses will be solicited and examined with a view to highlighting factors that facilitate and constrain the delivery of service
and finally to draw conclusions and make recommendations.

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42

Kyhlbäck, Hans. "The Problem of Objects in Design of Health Care Information Systems." Licentiate thesis, Karlskrona : Blekinge Institute of Technology, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00293.

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This thesis is about two different theoretical interpretations of objects and object-orientation in design of health care information systems – the interpretations of Activity Theory/Developmental Work Research and Computer Science respectively. One motive to my interest in objects of work and software, is to better understand the problems and possibilities in an inter¬dis¬ciplinary research project. With an origin in 2001, a Wound Care Project began as a joint R & D endeavour with the initial idea of utili¬zing digital photos. Soon, an information system (“Hedvig”) was developed for the purpose of managing digital photos and related treatment records on wounds. Later, this work expanded in creation of a distributed information system (“Helar”), a digital prototype for support of wound care treatment. Eventually, the thesis is summing up reflections related to the object concepts. AT/DWR has its strength in analysis and design of required change in a work practice but is still weak in method and techniques for support of making specific computa¬tional systems. In a way this shortcoming is thought of to be balanced by the technological CS discipline of which one of its main forces is to develop theory and practice for construction of computational information systems. This thesis suggest, in the inter¬dis¬ciplinary field of Health Care Information Systems Design, a further developed object con¬cept, and related scenarios and use cases, as a way of taking advantage of a combination of those two different strengths.
Avhandlingen handlar om två olika teoretiska tolkningar av objekt och objektorientering i design av informationssystem för hälso- och omvårdnadsarbete - tolkningar utifrån verksamhetsteori/utvecklande arbetsforskning (activity theory/developmental work research: AT/DWR) å ena sidan och datavetenskap (computer science: CS) å den andra. Ett motiv för mitt intresse för objekt i arbete och i programvara, är att bättre förstå problem och möjligheter i ett tvärvetenskapligt forskningsprojekt. Med en början i 2001, startade ett sårvårdsprojekt som ett forsknings- och utvecklingsarbete med den initiala idén att nyttja digitala foton, och snart utvecklades ett informationssystem ("Hedvig") för syftet att hantera digitala foton och annan relaterad behandlingsdokumentation för sårvård. Senare expanderade detta arbetet i skapandet av ett distribuerat informationssystem ("Helar"), en digital prototyp för stöd av sårbehandlingsarbete. Denna avhandling summerar reflektioner relaterade till objektbegreppen. AT/DWR har sin styrka i analys och design av efterfrågad förändring av en arbetspraktik, men är fortfarande svag i metod och tekniker för att stödja skapandet av specifika datorsystem. På ett sätt är det här tillkortakommandet tänkt att balanseras av den teknologiskt datavetenskapliga disciplinen, där en av dess främsta drivkrafter är att utveckla teori och praktik för konstruktion av datoriserade informationssystem. I det tvärvetenskapliga fältet av design av informationssystem för hälso- och omvårdnadsarbete, föreslår denna avhandling fortsatt utveckling av objektkoncepten, och utveckling av de relaterade "scenarios" och "use cases", som ett sätt att dra fördel av en kombination av dessa två olika förtjänster, som de olika disciplinerna står för. objekt, objektorientering, sårvård, digitala foton, verksamhetsteori, datavetenskap, informationssystem

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43

Swinton, John. "From Bedlam to Shalom : towards a practical theology of human nature, interpersonal relationships and mental health care." Thesis, University of Aberdeen, 1997. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU093083.

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In essence this investigation seeks to answer three central questions: 1. What does it mean to be a human being? 2. What does it means to relate in a specifically human way? 3. What is mental health and how might the church enable people to develop and sustain it even in the midst of mental illness? The thesis will argue that these three questions are in fact inextricably intertwined. In order to understand mental health it is necessary to understand human nature and the character of interpersonal relationships. In answering these questions the investigation aims to provide an understanding of human nature, interpersonal relationships and mental health which the church can utilise as a constructive analytical framework that will enable it to structure, critique and develop its practice and understanding. The investigation examines the human condition from a variety of perspectives, theology, philosophy, psychoanalysis, social psychology and psychiatry, as it seeks to develop a holistic picture of human beings, a specifically human way of relating and an adequate, inclusive understanding of mental health. The study argues that human beings are essentially relational creatures, made in the image of a relational God. Although relational by nature, human beings have fallen into patterns of distorted relationships. There is therefore the need for a process of relational redemption. This process was initiated by Christ and continues to be sustained by the church as it works with him towards the fulfilment of his ultimate purpose of shalom. The development of mental health is intricately tied in with this eschatological movement towards shalom. This movement towards shalom forms the eschatological framework within which the study works itself out. The inquiry argues that authentic human existence is fundamentally personal existence, and that the most appropriate embodiment of this is to be found within the relationship of friendship. Friendship mirrors and reveals the nature of God and shows clearly what it means for human beings to live their lives in His image.

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Alshammasi, Abdrabalamir Abbas Abdullah. "The influence of economic, political and socio-cultural factors on the development of health services in Saudi Arabia." Thesis, University of Hull, 1986. http://hydra.hull.ac.uk/resources/hull:5105.

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In this thesis I examine the influence of economic, political and socio-cultural factors on the development of health services in Saudi Arabia. There are four main parts and a conclusion. In Part One I review the situation in developing countries. Many commentators have argued that economic factors, and to some extent political factors, are the main determinant of health services development in developing countries. Socio-cultural factors are generally neglected in these analysis. In this thesis I redress the balance by examining the relationship between economic, political and socio-cultural factors in the development of the Saudi health care system.In Part Two I analyse the Saudi resource situation. Although the health service is not considered a priority in the overall Saudi development strategy, the government provides generous financial resources for its development. However, non-financial resources remain a problem. Relatively abundant financial resources can provide a short-term solution to some of the resource shortages, such as the lack of skilled manpower, but the use of expatriate health personnel may have unanticipated negative consequences.In Part Three I examine the resource allocation process. The Saudi political system contains a mixture of modern and traditional elements, and the decision making process is affected by traditional social relationships. The King and public bureaucrats play a key role in the allocation process, but local leaders and Governors have wide scope to influence their decisions. While health provision is not a political issue in the country, it contributes to the social cohesion between the government and the general public.In Part Four I examine the influence of socio-cultural factors on the development of the Saudi health service. In the Saudi society socio-cultural factors affect the behaviour of individuals in their interaction with the health system. For example, the annual pilgrimage to Mecca by millions of moslems from all over the world presents a formidable challenge to health authorities. Health authorities accept the importance of socio-cultural factors, and respond by compromising policies. In the conclusion I consider the policy and theoretical implications of the study. In particular I examine the need for the formal recongnition and incorporation of socio-cultural factors into health policy decision making. This would lead to the generation of alternative policy options which complement other options based on economic and political considerations. The socio-cultural oriented approach can contribute significantly to the improvement of the long term prospect for health services in Saudi Arabia, and developing countries generally.

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Eden, Aimee R. "The Professionalization and Practice of Lactation Consulting: Medicalized Knowledge, Humanistic Care." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4477.

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Breastfeeding support for mothers and their babies historically was the informal work of family and community members. In the United States today, breastfeeding support is embedded in the biomedical system, and is provided by a new allied health professional: the International Board Certified Lactation Consultant (IBCLC). This dissertation explores this professionalization of breastfeeding support and the origins of this new profession. It studies how IBCLCs working in the U.S. cultural context perceive and practice the profession and examines the relationship between the profession of lactation consulting and the medicalization of breastfeeding. Oral history interviews with 17 founders of the profession, which was established in 1985, and a content analysis of the professional journal (the Journal of Human Lactation) from 1985 to 2010, allowed me to build the story of how and why breastfeeding support became professionalized and how experiential breastfeeding knowledge entered the domain of expert knowledge. While constrained by the biomedical system in which they created the profession, the founders exhibited a both agency and creativity in their production and reproduction of professional values and practices. Interviews with 30 currently certified IBCLCs and observations of the clinical practice of 3 IBCLCs provided insight into the daily practice of IBCLCs working in different settings--hospitals, WIC clinics, pediatric offices, and private practice. The data collected from these ethnographic methods demonstrated how the medical knowledge base of IBCLCs translates into clinical practice with patients, and allowed me to understand the relationship between the profession of lactation consulting and the medicalization of breastfeeding. While IBCLCs' draw on medicalized knowledge and evidence about breastfeeding and human lactation, their interactions with clients are best described as empathetic and humanistic, and are derived from nursing and mother-to-mother breastfeeding support models rather than from a technocratic, biomedical approach to care. While the appropriation of certain biomedical values and standards helped to legitimize the professionalization efforts of the founders, in practice, lactation consultants apply their medical knowledge and clinical experience in a way that reflects the compassionate, empowering care approach of mother-to-mother breastfeeding support and that thus resists the overt medicalization of breastfeeding.

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Burroughs, Emily. "Ethical Standards of Human Services Professionals in Trauma Informed Care Across Diverse Settings." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/honors/538.

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Ethics are important in every aspect of our professional lives. Actions have consequences and in the Human Services field, decisions that we make will potentially directly impact our clients. A human services professional’s responsibility is to care for their clients and provide them with the appropriate resources needed to succeed in their daily lives. When a professional begins working with a trauma victim, they must be sure to assess their ethical behaviors and provide proper resources to the victim. This work is often referred to as trauma informed care which goes beyond the typical helping process of professionals. It is a unique kind of care that requires a great deal of time and dedication in order to help the client through the difficult experience of trauma.

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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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48

Gao, Peng. "Towards Designing Information System of Health-Monitoring Applications for Caregivers: A Study in Elderly Care." Thesis, KTH, Skolan för datavetenskap och kommunikation (CSC), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-209572.

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With the increasing elderly population and longer life expectancies, smart wearable technologies are playing an important role in facilitating caregivers to monitor elderly people remotely. Aifloo’s wristband is one smart wristband which can collect various data, predict activities and detect abnormalities to enable elderly people to live independently at home. However, too much information and poor visualizations will cause huge difficulties for caregivers to interpret the data. Six caregivers were interviewed in this study to investigate what data is relevant to monitor elderly people and how they interpret the different designed displays. The main results show that alarms, fall incidents and medication compliance are the most important. Besides, caregivers place a greater emphasis on holistic views of data and they want to highlight abnormal behaviors and alerts. In the end, design guidelines for the information system to present data meaningfully and intuitively are generated.
Med ett ökande antal äldre och en ökande medellivslängd kommer smart, bärbar teknologi att spela en större roll i äldrevården för att övervaka de äldre. Aifloos armband är en smart teknologi som kan samla in olika former av data, förutsäga aktiviteter och upptäcka avvikande och onormala beteenden, vilket kan användas av äldre som bor självständiga i sena egna hem. Stora mängder data, och dåliga visualiseringar av dem, orsakar svårigheter för vårdgivare att tolka datan. I den här studien har sex vårdgivare intervjuats för att utforska vilken data som är relevant för dem, och hur de kan tolka information ifrån en grupp olika gränssnitt. Studiens resultat visar att alarm, fallolyckor och översikt över hur de äldre efterföljer sina medicinska recept är viktigast. Vårdgivarna lägger en större vikt vid att förstå datan holistiskt, och de vill synliggöra avvikande beteendemönster och varningar. Slutgiltligen presenteras riktlinjer för hur IT-system kan designas för att presentera data på ett meningsfullt och intuitivt vis.

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Sathe, Pushkar Sunil. "Tracking, Recognizing and Analyzing Human Exercise Activity." University of Akron / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=akron1574250900963207.

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Nsengiyumva, Ladislas. "Supporting a Human Rights Agenda: A Three-Pillar Virtue-Based Personal and Social Anthropology of Public Health Policy for Sub-Saharan Africa." Thesis, Boston College, 2016. http://hdl.handle.net/2345/bc-ir:107471.

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Thesis advisor: James F. Keenan
Thesis advisor: Andrea Vicini
Sub-Saharan Africa has one of the worst health care systems in the world. Besides, underdeveloped economies paired with political instability do not offer much hope for improvement. In fact, despite many efforts by local, international organizations and governments to help in this field, the majority of the populations in this region do not have access to basic health care. With this in mind, the aim of this research project is to develop a personal and social anthropology of the human rights language read through the lens of the common good in order to contribute to creating and developing sustainable healthcare systems. While agreeing that many efforts have been made using different frameworks in the sphere of public health ethics in the past two decades and aware of the possibility that other underlying causes may have contributed to the failure of health systems in Sub-Saharan Africa, we will choose to address the human rights language as the main interlocutor for future contribution. This choice is motivated by the influence of human rights on public health policies that affect the lives of people in general
Thesis (STL) — Boston College, 2016
Submitted to: Boston College. School of Theology and Ministry
Discipline: Sacred Theology

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Dissertations / Theses on the topic 'Human health care'

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