Dissertations / Theses on the topic 'Medical model'
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Merck, Derek Pizer Stephen M. "Model guided rendering for medical images." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2009. http://dc.lib.unc.edu/u?/etd,2964.
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Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2010.Title from electronic title page (viewed Jun. 23, 2010). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Computer Science." Discipline: Computer Science; Department/School: Computer Science.
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Ye, Luming. "Perception Metrics in Medical Imaging." Thesis, KTH, Medicinsk teknik, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-102186.
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Bouma, Matthew F. "Medical evacuation and treatment capabilities optimization model." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2005. http://library.nps.navy.mil/uhtbin/hyperion/05Sep%5FBouma.pdf.
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Thesis (M.S. in Operations Research)--Naval Postgraduate School, September 2005.Thesis Advisor(s): Moshe Kress, Matt Boensel. Includes bibliographical references (p. 95-99). Also available online.
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Kapur, Tina. "Model based three dimensional medical image segmentation." Thesis, Massachusetts Institute of Technology, 1999. http://hdl.handle.net/1721.1/80007.
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Ellis, Michael, Joseph Nelson, Jeffrey Kartchner, Karl Yousef, William Adamas-Rappaport, and Richard Amini. "Cadaver-based abscess model for medical training." DOVE MEDICAL PRESS LTD, 2017. http://hdl.handle.net/10150/623112.
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Ultrasound imaging is a rapid and noninvasive tool ideal for the imaging of soft tissue infections and is associated with a change of clinician management plans in 50% of cases. We developed a realistic skin abscess diagnostic and therapeutic training model using fresh frozen cadavers and common, affordable materials. Details for construction of the model and suggested variations are presented. This cadaver-based abscess model produces high-quality sonographic images with internal echogenicity similar to a true clinical abscess, and is ideal for teaching sonographic diagnostic skills in addition to the technical skills of incision and drainage or needle aspiration.
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Kunzler, Jayson S. (Jayson Scott) 1973. "Order fulfillment model for medical equipment installation materials." Thesis, Massachusetts Institute of Technology, 2001. http://hdl.handle.net/1721.1/89316.
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Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering; and, (S.M.)--Massachusetts Institute of Technology, Sloan School of Management; in conjunction with the Leaders for Manufacturing Program at MIT, 2001.Includes bibliographical references.
by Jayson S. Kunzler.
S.M.
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Khalaf, Abdelbaset Abdelrahem. "Evidence based mathematical maintenance model for medical equipement." Versailles-St Quentin en Yvelines, 2012. http://www.theses.fr/2012VERS0036.
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Bien que la maintenance des équipements médicaux a été bien planifiée et exécutée depuis plus de 30 ans, très peu d'études ont été menées pour mesurer et évaluer son efficacité en termes de fiabilité et de disponibilité pour la prestation des services. Le débat en cours, en ingénierie clinique, est de savoir si la maintenance préventive est effectivement nécessaire et, si oui à quelle fréquence et quelles tâches doivent être effectuées. Une approche de modélisation mathématique est utilisée pour analyser la probabilité de survie de divers équipements médicaux. Cette approche permet d'explorer l'impact de la maintenance préventive, de la maintenance corrective et leur combinaison sur la disponibilité des équipements et contribuera aux discussions dans le domaine des maintenances des équipements. Les stratégies d'entretien sont analysées et un nouveau modèle de coûts associés à la maintenance a été développé. Il permet d'adopter des intervalles appropriés de maintenance préventive pour différents types d’équipements médicaux. Un modèle analytique a été développé permettant de calculer le nombre de défaillances et les coûts associés aux maintenances préventive et corrective. Un modèle d’optimisation lié à la planification de maintenance préventive en utilisant la programmation linéaire en nombres entiers ainsi qu’une méthode gloutonne ont été développés et comparés. Cette comparaison nous permet de confirmer que l’algorithme glouton fournit des résultats comparables à ceux obtenus par la programmation linéaire en nombres entiersAlthough medical equipment maintenance has been well planned and executed for more than 30 years, very few studies have been conducted to measure and evaluate its effectiveness in terms of reliability and availability for service delivery. The ongoing unresolved debate in clinical engineering is whether preventive maintenance (PM) is actually necessary and, if so, how often and which tasks need to be performed. A mathematical maintenance modelling approach is used to analyse the survival probability of various medical equipment. This approach allows exploring the impact of PM, CM and combined PM/CM on the availability of equipment and will contribute to the intensified debate regarding PM. Maintenance strategies is analysed and a new failure-cost model was developed, which allows adopting appropriate PM intervals for various types of medical equipment. The analytical model to calculate the number of failures and costs associated with PM and CM is a significant contribution. The optimisation problem related to preventive maintenance scheduling using a Mixed-Integer Mathematical Programming solver was solved and compared to a proposed Greedy Algorithm. Simulation results based on the survival model show that the Greedy Algorithm gives the same solution in terms of schedule plan as the mixed integer approach
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Pathmathasan, Cynthia. "DISABILITY IN MEDICAL EDUCATION & TRAINING: A DISABILITY-FOCUSED MEDICAL CURRICULUM." NEOMED College of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ne2gs1622810204171811.
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Sandham, John Dafydd. "Achieving a model for improving medical devices management policy." Thesis, Middlesex University, 2014. http://eprints.mdx.ac.uk/19157/.
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Hospitals have always faced fundamental questions of patient safety, care, and budgetary concerns. There has been increasing recognition recently of the serious issue of medical devices management, covering the areas of procurement, training, maintenance, and governance. This issue, documented by the National Audit Office, National Patient Safety Agency, Medicines and Healthcare Products Regulatory Agency, National Health Service Litigation Authority, and World Health Organisation, impacts on healthcare costs and patient safety. It has led to new Health and Social Care Act Regulations, enforced by the Care Quality Commission. As a result of my work as a consultant in the field of medical devices management, I constructed a policy model based on my own specialist experience and knowledge. This research sought to improve that model through participatory research conducted at an NHS Hospital in London. It took the form of a case study that specifically explored the core policy areas, but this time in collaboration with participants with expertise in one or more of the four interrelated policy areas of procurement, training, maintenance, and governance. This collaboration involved researching and analysing the external demands from regulatory agencies and internal demands from the organisation, centred on procurement, budgetary, and policy issues. The action research informed changes in policy, especially around procurement, leading to improvements in practice. The challenge of keeping policy up to date, and consistent with the external regulations and internal operational demands, is discussed in the case study. The Hospital’s internal politics and culture were found to be a help when starting up the case study, but a hindrance when it came to getting agreement and approvals to change the policy content, because of multiple committees and competing interests. The overall outcome of the project was an organisationally approved best practice policy model for medical devices management within a governance framework that meets the needs of the external regulators, and the management of the organisation. More specifically it was discovered that the use, maintenance, and governance of medical equipment were all reliant on a central issue, namely procurement practice. Procurement conduct for the organisation was redefined within the Hospital policy, and is making training, maintenance, and governance easier to achieve, thereby reducing risk and cost. A major consequence is that all budget holders need to be trained in procurement itself. Moreover, it is anticipated that the model could be used at similar healthcare organisations, ultimately leading to a contribution to knowledge and practice which assists in patient safety and meeting budgets.
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Ball, Kerry Louise. "Exploring professionalism in medical educators : from model to tool." Thesis, University of Winchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.503839.
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The aim of this research was to explore professionalism in medical educators, mostly from a primary care background, in a mixed method research design. Previous research on profesSionalism has focused on medical students and doctors. However medical educators are responsible for teaching professionalism to medical students. Professionalism is a complex and developed state, which must be explored in context to a specifiC role. This study was an exploratory sequential mixed method research design, with two distinct phases. The first was a qualitative phase involving exploration into the concept of professionalism within the doctors' role of a medical educator. This exploration inCluded a literature review and open-ended survey on professionalism, which led to the development of a model of professionalism for medical educators. The second phase involved the design and piloting of a tool, the Professional Reflective Enrichment Tool (PRET), that could be used to enhance professionalism in medical educators, using the model developed in phase one to structure the tool's development. The model of professionalism offered a unique insight into the medical educator's role. In this research, a resource to encourage reflection was used to enhance aspects of professionalism. Reflection was encouraged by developing a series of scenarios, based on the model, designed to pose professional dilemmas. Formative feedback was provided based on this reflection. The PRET was piloted using both assessors and users. A high multi-rater reliability was found. The pilot testing used 53 medical educators, 75% of whom were from primary care. A three-stage model of reflective thinking was developed using existing, tested models of reflection to structure formative feedback to the PRET. Qualitative data comments indicated that the PRET did promote a state of reflection and that the formative feedback was useful. This research offers a unique resource to encourage reflective thought and professional development in medical educators. By providing a structure to this thought the educator is able to apply the resource to their own practice, in personal reflection and implicit or explicit teaching methods.
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Ray, Christopher. "Pediatrician Perceptions of the Patient-Centered Medical Home Model." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/211.
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The Patient-Centered Medical Home (PCMH) is an emerging model of health care designed to provide a simpler, more effective health care experience. The model places heavy emphasis on the concept of every patient having a "personal physician" who is the point of access for all health care needs and concerns. The personal physician integrates all relevant health care information to provide the patient with a holistic picture of his health. The supposed benefits of the PCMH model include an improved patient experience, increased effectiveness of care, increased efficiency of care, greater access to care, among others. Only now is evidence beginning to emerge to substantiate those clams. As evidence continues to emerge supporting the PCMH model, one area that warrants further study is how those directly involved in health care perceive this model. Here, a survey was developed to assess the following information among a population of pediatric physicians: understanding of the PCMH model, agreement with PCMH principles, interest in moving to a PCMH-based practice, and what issues are perceived as barriers to PCMH integration. Results suggest that there is a high degree of familiarity with the PCMH model and a high level of agreement with PCMH principles in this population, but that agreement does not correlate with interest in moving one’s practice toward the PCMH model. Data further indicate that issues regarding payment and associated expenses for PCMH integration are universally perceived barriers. On the other hand, a lack of evidentiary support and compatibility issues with HIPAA are not perceived as barriers. Other issues, such as human resource needs, were more likely to be perceived as barriers in one subpopulation versus another. These data suggest a disconnect between PCMH familiarity and PCMH interest in pediatric physicians. Further, while some issues are perceived as barriers to all pediatric physicians, some issues are more likely to be perceived as barriers in one physician subpopulation versus another, and these differences must be recognized and addressed to help ensure success of the PCMH movement.
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Nikkarinen, Tuuli. "Evaluation model for continuing medical education : a case study." Helsinki : University of Helsinki, 2002. http://ethesis.helsinki.fi/julkaisut/laa/kansa/vk/nikkarinen/.
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Dalmeyer, Johannes Paulus Franciscus. "A business model for medical subspecialty training in South Africa." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/3508.
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The shortage of healthcare workers and doctors in the developing world compared to the developed world is a problem, and will continue to be so, due to the continual migration of qualified professionals and the inability of the state to remedy these shortfalls. A shortage of healthcare workers and specialist doctors will seriously hamper the Government’s National Health Insurance (NHI) plan, as well as the sustainability of the private health care sector. In addition, the duration of medical training in South Africa is exceptionally long. The three major hospital groups and other private corporates have over the last number of years taken limited initiative to fund education projects in conjunction with the academic institutions. However, these projects have been poorly focused and have been managed in an unstructured and detached manner. There is a desire from the private sector to get involved in these projects on a much larger scale through more formalised structures. Given this background, the primary objective of this research is to develop a business model for medical subspecialty training to complement the current academic subspecialty training in South Africa. A trial model for training subspecialists in reproductive medicine was developed as a first attempt to address the threatening shortages and training duration. This trial programme is the basis of this research. A two-phased process was used in collecting data. In Phase 1 data was collected from stakeholder groups. The results of this survey assisted in generating variables to include in the measuring instrument for the survey in Phase 2. In Phase 2 the perceptions and expectations of sub-specialists (reproductive subspecialists and cardiologists) regarding sub-specialty training was collected. The results of the demographic variables confirm the aging profile of subspecialist and the need to ensure succession. The results further showed that cardiologists and reproductive subspecialist expectations of the training of subspecialists are very similar except for their expectations on the training duration. Reproductive subspecialist respondents agreed more than cardiology subspecialist respondents that the training duration is too long. The biggest gap between perceptions and expectations is also with the factor training. The results showed that the expectations of subspecialists are not met for training. From these results a business model for the training of medical subspecialists is proposed. This proposed business model can play a complementary role to the existing state controlled system and form the bases of Public Private Partnerships (PPP) in medical training. This proposed business model will fit a developing country were the focus is on primary healthcare, with financial and capacity constraints. The proposed model would require role players to bring about change to accommodate a larger scale Public Private Partnership (PPP) to ensure the implementation of the model. The proposed decentralised business model for training subspecialists would allow the trainee subspecialist to practise as a specialist thus maintaining an acceptable income, and enable an expedited completion and lead to a wider dissemination of medical expertise that can be delivered in a wider national foot print. It further will provide for a structured Public Private Partnership.
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Zhang, Jie. "A local likelihood active contour model of medical image segmentation." Ohio : Ohio University, 2007. http://www.ohiolink.edu/etd/view.cgi?ohiou1187087285.
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Jedryszek, Jakub. "A model-driven development and verification approach for medical devices." Thesis, Kansas State University, 2014. http://hdl.handle.net/2097/18222.
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Master of ScienceDepartment of Computing and Information Sciences
John Hatcliff
Medical devices are safety-critical systems whose failure may put human life in danger. They are becoming more advanced and thus more complex. This leads to bigger and more complicated code-bases that are hard to maintain and verify. Model-driven development provides high-level and abstract description of the system in the form of models that omit details, which are not relevant during the design phase. This allows for certain types of verification and hazard analysis to be performed on the models. These models can then be translated into code. However, errors that do not exist in the models may be introduced during the implementation phase. Automated translation from verified models to code may prevent to some extent. This thesis proposes approach for model-driven development and verification of medical devices. Models are created in AADL (Architecture Analysis & Design Language), a language for software and hardware architecture modeling. AADL models are translated to SPARK Ada, contract-based programming language, which is suitable for software verification. Generated code base is further extended by developers to implement internals of specific devices. Created programs can be verified using SPARK tools. A PCA (Patient Controlled Analgesia) pump medical device is used to illustrate the primary artifacts and process steps. The foundation for this work is "Integrated Clinical Environment Patient-Controlled Analgesia Infusion Pump System Requirements" document and AADL Models created by Brian Larson. In addition to proposed model-driven development approach, a PCA pump prototype was created using the BeagleBoard-xM device as a platform. Some components of PCA pump prototype were verified by SPARK tools and Bakar Kiasan.
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Zhang, Jie. "A Local Likelihood Active Contour Model for Medical Image Segmentation." Ohio University / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1187087285.
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Kemp, Andeneshea Shacardia. "A Contingency Model of Team Leadership for Emergency Medical Teams." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5523.
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Emergency medical teams operate under unusual circumstances. They assemble for a singular, temporary purpose, potentially change in size and composition, and their performance can influence whether a patient lives or dies. Although leadership is a critical component to team success, it is rarely investigated in the context of emergency medical teams. This study sought to examine the relationship between directive leadership behaviors and team performance outcomes. It was hypothesized that directive leadership would be particularly effective for emergency medical teams. In addition, a contingency model was proposed. Specifically, it was hypothesized that the effectiveness of directive leadership is contingent upon the complexity of the situation and the experience level of the team such that directive leadership is more effective when teams are inexperienced and the situation is complex. Neonatal resuscitation teams served as the emergency medical teams in this study. The proposed relationships were tested using observations from high-fidelity, neonatal resuscitation team training simulations. Hypotheses were not supported. Limitations and suggestions for future research for the development of leadership training curriculum are discussed.
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Fafílková, Sára. "Marketingová strategie pro firmu Unique Medical, s.r.o." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2015. http://www.nusl.cz/ntk/nusl-224838.
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This thesis is focused on analysis of present conditions of the company and create a marketing strategy that aims to increase the company´s turnover and a leading position in the market. The work includes a theoretical part which contains the basis for practical. Analytical part contains the analyzes of internal, departmental and external enviroment. The final part contains a proposal of marketing strategy that will lead to the fulfillment of mentioned goals.
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Schultz, Sebastian. "Studies on Islet Amyloid Polypeptide Aggregation : From Model Organism to Molecular Mechanisms." Doctoral thesis, Linköpings universitet, Cellbiologi, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-70094.
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The proper folding of a protein into its defined three--‐dimensional structure is one of the many fundamental challenges a cell encounters. A number of tightly controlled pathways have evolved to assist in the proper folding of a protein, but also to aid in the removal of misfolded proteins. Despite the presence of these pathways accumulation of misfolded proteins can still occur. Amyloid deposits consist of misfolded proteins with a characteristic highly ordered fibrillar structure that will exert affinity for the amyloid dye Congo red and has a unique X-ray diffraction pattern. Currently 27 different proteins have been identified as amyloid forming proteins in human, however the exact role of amyloid in the pathogenesis of the connected disease is most often unclear. Islet amyloid is made up of the beta cell derived hormone islet amyloid polypeptide (IAPP) and is associated with the development of type 2 diabetes. Propagation of IAPP-fibrils is believed to be one important cause of the pancreatic beta cell death detected in patients with type 2 diabetes. IAPP is a naturally occurring polypeptide hormone stored and secreted together with insulin. IAPP and insulin arise from posttranslational processing of their biological inactive precursors proIAPP and proinsulin. In addition to human, cat and monkey IAPP will form amyloid deposits in conditions resembling human type 2 diabetes. However, IAPP from mouse and rat do not form amyloid as a result of the differences in amino acid sequence. My main research goal was to establish a unique model system suitable to study the effects of proIAPP and IAPP aggregation. I selected Drosophila melanogaster due to its many suitable characteristics as a model organism and its superior genetic toolbox. I have demonstrated that over--‐expression of hproIAPP and hIAPP in the central nervous system (CNS) results in aggregate formation in the brain and neighbouring fat body. Consistent with previous studies, expression of mIAPP does not result in the formation of aggregates. To investigate the intracellular effects of hproIAPP and hIAPP aggregation on a specific population of neurons, we targeted the expression of these peptides specifically to 16 neurons in the brain, the pdf- neurons. These pdf-neurons are divided into 2 clusters of 8 cells per brain hemisphere. First I showed that expression of aggregation prone hIAPP and hproIAPP resulted in significant death of the 8 cells, whereas expression of mIAPP had no such effect. In efforts to pinpoint the mechanisms behind the observed cell death I demonstrated that hproIAPP and hIAPP both pass the ERs quality control for protein folding and that the initiated cell death does not occur through classical apoptosis. Instead, selective autophagy is activated by hIAPP and hproIAPP. This activation counteracts the usually neuro-protective effects of autophagy and contributes to cell death. Strikingly, I also showed that Aâ, the amyloid protein implicated in Alzheimer’s disease, does not exhibit any intracellular toxicity when expressed in pdf-cells. This supports the existence of separate toxic pathways for different amyloid proteins.
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Bischoff, Stephan Michael. "Hybrid geometry representations with applications in medical imaging and model repair." Aachen : Shaker, 2007. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=017091822&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Vouitsis, Elpida. "Camille Pissarro's Turpitudes sociales : challenging the medical model of social deviance." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=98591.
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The French temperance movement during the nineteenth century believed that it had discovered the source of social problems when it linked accidents, conjugal violence and crime to an increase in alcohol consumption by the working classes. In a swift attempt to curb these societal ills, the campaign led by the medical community targeted the working classes in France. This instigated the further alienation of the masses and allowed government officials to promote its own agenda of moral reform. In an effort to expose the elitist intentions of this state run temperance movement, this thesis analyzes four images from Camille Pissarro's unpublished album, Turpitudes Sociales of 1889, which represent similar imagery but with an opposite message. I will analyze these images from Pissarro's unpublished work in order to shed light on his incorporation of class relations and depiction of the bourgeoisie's negative impact on the French working classes.
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Alshehri, Abdullah S., and Hyrum T. Brossard. "RETENTION ELASTICITY AND PROJECTION MODEL FOR U.S. NAVY MEDICAL CORPS OFFICERS." Monterey, California. Naval Postgraduate School, 2013. http://hdl.handle.net/10945/32787.
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See a presentation from this author for this work: http://hdl.handle.net/10945/39528Retaining skilled doctors in the Navy's Medical Corps has become increasingly difficult due to the Global War on Terrorism (GWOT) and lucrative positions outside the military. This thesis estimates probit models to evaluate the effect that the civilian-military pay gap has on the overall Medical Corps retention rate across 19 specialties using data gathered from Bureau of Medicine and Surgery and Medical Group Management Association for Fiscal Year (FY) 2002 to FY2011. In particular, this study measures the overall retention elasticity and elasticity estimates for three main specialty groups (primary care, surgical specialties, and other specialties) and 19 individual specialties. Furthermore, projection models are employed to predict the Medical Corps future retention rates. Finally, this study seeks to understand if the protracted GWOT has an effect on the retention behavior of the Navys Medical Corps. The results indicate that a 1% increase in the pay gap reduces the overall retention probability by 0.24%. The surgical group shows the highest retention elasticity (0.31), while the other specialties group exhibits the least responsiveness (0.19). The projection models estimate that the aggregate retention probability for FY2012 will be one percentage point lower than the actual retention rate of FY2011 (58%). Finally, the prolonged GWOT has reduced the overall retention rate by 14.1 percentage points.
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Trezise, Melissa. "SimITK: Model Driven Engineering for Medical Imaging." Thesis, 2013. http://hdl.handle.net/1974/8148.
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The Insight Segmentation and Registration Toolkit (ITK) is a highly utilized open source medical imaging library. Written in C++, ITK provides chiefly the functionality to register, segment, and filter medical images. Although extremely powerful, ITK has a very steep learning curve for users with little or no background in programming. It was for this reason that SimITK was developed. SimITK wraps ITK into the model driven engineering environment Simulink, a part of the Matlab development suite. The first released version of SimITK was a proof of concept, and demonstrated that ITK could be wrapped successfully in Simulink. Very few segmentation and registration functions were available and the system was based on ITK version 3 with a semi-automatic wrapping procedure.
In this thesis a new version of SimITK is presented that includes thirty-seven image filter, twelve optimizer, and nineteen transform classes from ITK version 4 which are successfully wrapped and tested. These classes were chosen to represent a broad range of usability (in the case of the filters) and to allow for greater flexibility when creating registration pipelines by having more options for optimizers, transforms, and metrics. Many usability improvements were also implemented for the registration pipeline, including providing the user with the metric value while executing a registration model and allowing the output image size to be specified for certain filters. In order for SimITK to transition to a usable research tool, several usability improvements were needed. These included transitioning from wrapping ITK version 3 to ITK version 4, fully automating the wrapping process, and usability modifications to the registration pipeline including a metric value output.
These implementations of an automated wrapping procedure for ITK version 4, and improved usability of the registration pipeline have propelled SimITK on a path towards a usable research tool. The author will be creating a release of these changes, updating installation documentation, and updating tutorials which are available at www.SimITKVTK.comThesis (Master, Computing) -- Queen's University, 2013-08-05 10:15:16.607
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Qian, Zhen. "Model-based image segmentation in medical applications." 2007. http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.16760.
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Walker, Christopher. "Venezuela's Medical Revolution: Can the Cuban Medical Model be Applied in Other Countries?" Thesis, 2013. http://hdl.handle.net/10222/40667.
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This thesis analyzes the Cuban medical adaptation in Venezuela called Misión Barrio Adentro (MBA) and seeks to answer the question of whether MBA shows promise as a health system that improves medical accessibility for impoverished and marginalized populations. In many cases MBA succeeds by: utilizing a free universal health care system; locating health centres in previously underserved areas; providing medical education scholarships to populations from non-traditional backgrounds; creating a catchment system based on medical accessibility; scaling up the medical workforce to 60,000 community doctors by 2019; and broadening the very praxis of what health means in a Latin American social medicine approach. However, some challenges remain including issues of corruption, fragmentation, and polarization. Issues regarding internal and external migration of Misión Sucre-trained physicians remain to be comprehensively evaluated. However, the capacitation of non-traditional medical personnel, imbued with conciencia, is significant and could well become an important example for other countries.
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Jong, Jia Shyan, and 鍾佳賢. "Analysis Regression Model to Group Medical Expense Insurace." Thesis, 1995. http://ndltd.ncl.edu.tw/handle/90535928385947931164.
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Khalaf, Abdelbaset Abdelrahem. "Evidence-based mathematical maintenance model for medical equipment." 2012. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1000597.
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D. Tech. Electrical Engineering.Aims to develop a mathematical maintenance model for medical equipment for the purpose of analysing maintenance strategies to optimise maintenance of medical equipment.
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Lin, Cheng-Hsien, and 林正賢. "Model Based Motion Estimation in Medical Image Sequences." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/45879466193042824685.
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博士國立成功大學
資訊工程學系碩博士班
97
Motion analysis is very useful for recognizing target patterns from a sequence of images. Applications in motion estimation and target tracking become especially important in medical and biomedical researches nowadays. However, traditional methods which are optimal for rigid body motion are not suitable for medical analysis due to the object deformation and noise problems. In this study, we tried to propose adequate motion estimation methods for several medical motion applications which include motion field estimation from ultrasound images, tag line tracking from tagged magnetic resonance (MR) images, and live cell tracking from microscopic images. Generally, the usual problems in medical motion analysis include: speckle noises and temporal de-correlation of the speckle patterns in ultrasound images; large motion and tag decaying problems in tagged MR images; and low contrast in pseudopods and topological changes in cellular microscopic images. To overcome these problems, it is necessary to integrate a priori knowledge based on the physical properties into the motion estimation process. In this study, we first designed a hierarchical maximum a posteriori estimator together with an ultrasonic feature model for ultrasound image sequences. A motion compounding method is also proposed to reduce speckle noises and to enhance image quality based on the proposed motion estimation method. To cope with the problems of large motion and tag decaying, we proposed to incorporate a cardiac motion model based prediction scheme and a candidate pre-screening technique together with the deformable models to track the tag lines. To segment and track highly deformable cells, we have presented an automatic method based on the framework of modified T-snakes coupled with the knowledge of cellular life model. The proposed motion estimation methods were compared with several existing methods via a series of experiments with both simulated and clinical image sequences. Experimental results showed that motion could be accurately assessed in different types of imaging modalities. The proposed systems can help to perform better quantification and analyses in clinical applications. It will certainly help medical doctors to achieve better observation and more accurate assessments, and thus result in better diagnostic quality.
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Lima, Erica Esmeraldo Figueiredo. "Agile development model for certifiable medical device software." Master's thesis, 2020. https://hdl.handle.net/10216/129850.
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Este estudo tem como objetivo ilustrar como está o estado atual quando o assunto é software de dispositivo médico utilizando agile. Apresenta as necessidades dos regulamentos e padrões para ser um software de dispositivo médico certificável e como essa é a maneira mais segura e de qualidade de fazê-lo.
O problema que muitas empresas se sentem obrigadas a usar a cachoeira ainda quando é um projeto muito complexo ou tem muitas regulamentações como única forma de construir software. A área médica não é diferente; é um desafio ser ágil e ainda cumprir todos os regulamentos e padrões.
Este artigo irá ilustrar alguns trabalhos que outros já fizeram utilizando agile e tentar encontrar a melhor forma de proceder por validação, através de um caso acadêmico e entrevistas e finalmente contribuir com uma proposta de processo final.
Keywords: Desenvolvimento Ágil, Metodologias Ágeis, Dispositivos médicos, Scrum, Processo, Regulamentação, Processos do ciclo de vida de software, Gerenciamento de riscos, Melhoria de processos de software (SPI), FDA, Indústria de dispositivos médicos.This study aims to illustrate how is the current state when the subject is medical device software using agile. Introduces the needs of the regulations and the standards to be a certifiable medical device software and how this is the safer and quality way to do it. The problem that many companies feel obligated to use the waterfall still when it is a project too complex or have many regulations as the only way to build software. The medical area is not different; it is challenging to put agile and still comply with all regulations and standards. This paper will illustrate some works that other papers have already done using agile and try to find the best way to proceed by validation, through one academic case and interviews and finally contribute with a final proposed process. Keywords: Agile development, Agile methodologies, Medical device, Scrum, Process, Regulation, Software life cycle processes, Risk Management, Software Process Improvement (SPI), FDA, Medical device industry.
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Lima, Erica Esmeraldo Figueiredo. "Agile development model for certifiable medical device software." Dissertação, 2020. https://hdl.handle.net/10216/129850.
Full textAbstract:
Este estudo tem como objetivo ilustrar como está o estado atual quando o assunto é software de dispositivo médico utilizando agile. Apresenta as necessidades dos regulamentos e padrões para ser um software de dispositivo médico certificável e como essa é a maneira mais segura e de qualidade de fazê-lo.
O problema que muitas empresas se sentem obrigadas a usar a cachoeira ainda quando é um projeto muito complexo ou tem muitas regulamentações como única forma de construir software. A área médica não é diferente; é um desafio ser ágil e ainda cumprir todos os regulamentos e padrões.
Este artigo irá ilustrar alguns trabalhos que outros já fizeram utilizando agile e tentar encontrar a melhor forma de proceder por validação, através de um caso acadêmico e entrevistas e finalmente contribuir com uma proposta de processo final.
Keywords: Desenvolvimento Ágil, Metodologias Ágeis, Dispositivos médicos, Scrum, Processo, Regulamentação, Processos do ciclo de vida de software, Gerenciamento de riscos, Melhoria de processos de software (SPI), FDA, Indústria de dispositivos médicos.This study aims to illustrate how is the current state when the subject is medical device software using agile. Introduces the needs of the regulations and the standards to be a certifiable medical device software and how this is the safer and quality way to do it. The problem that many companies feel obligated to use the waterfall still when it is a project too complex or have many regulations as the only way to build software. The medical area is not different; it is challenging to put agile and still comply with all regulations and standards. This paper will illustrate some works that other papers have already done using agile and try to find the best way to proceed by validation, through one academic case and interviews and finally contribute with a final proposed process. Keywords: Agile development, Agile methodologies, Medical device, Scrum, Process, Regulation, Software life cycle processes, Risk Management, Software Process Improvement (SPI), FDA, Medical device industry.
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Chen, Hui-Rong, and 陳慧蓉. "Study on Service-Oriented Medical Business Management Model." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/86618093107545419078.
Full textAbstract:
碩士國立中山大學
資訊管理學系研究所
98
Management guru Peter Drucker once claims that the management philosophy is to achieve a comprehensive system for the effective management of enterprise principles, procedures, and practices.Being exposed to intense competitions, financial risks, and internal requirements, without a standard to follow health care industry shall not be able to advantageously record various types of documents, causing the complicated paperwork. Also if there are blurred responsibilities among the various departments, less medical and process efficiency, health care industry shall not be lead to the direction towards sustainability. This research adopts structure-behavior coalescence (SBC) as the core service-oriented modeling method to examine patients, physicians, and resources generated by the relationship among them. We use “service” as the basic construction unit, combining with enterprise architecture and information technology, to build a service-oriented medical business management model (SOMBMM). The results of this research are the following: 1. Modeling step is top-down, at different levels to describe its related services, also echo the corporate bottom-up strategy; 2. Enhance business owner for medical business understanding, enhance manager for business planning and organizational restructuring of the effectiveness and efficiency; 3. When it comes the enterprise strategy revision, structural changes or behavioral updates, service-oriented plays as the best tool; 4. Each service clearly shows all its operations, human resources and manpower, and then fully under control; 5. Service, operation names and input and output data are well delineated after the information system’s analysis, this shall reduce the effort to communicate with users; 6. Using icons that make managers easy to understand, reducing the cost of education. The contribution of this research is to provide business managers a modern management model and to enhance management capacity, no longer need the experience, quickly getting familiarity with the business to improve administrative efficiency.
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Liu, Chun-Liang, and 劉峻良. "Study on Service-Oriented Medical Quality Management Model." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/66482687093200230719.
Full textAbstract:
碩士國立中山大學
資訊管理學系研究所
98
After the implementation of national health insurance, the health care industry has entered into a new era. The public not only ask the hospital for medical technology and expertise, but also more focus on the quality of care. The quality of health care has become a successful key factor for hospital management. The biggest problem of quality management faced by a hospital is that no one can clearly describe the organizational structure, business process, and information system which are related with the medical quality management. Provided that no one could completely describe the quality management system, neither a tool to represent and analyze the quality management system, it is impossible to achieve a nice and sound quality management throughout the hospital. This research uses a quality management model as an example, introducing service-oriented medical quality management model (SOMQMM) to corporate restructuring and process improvements. Service-oriented management model, using the service-oriented theory and method, is able to effectively describe the organizational structure, business process, and information system all in one. ontribution of this research is through the structure-behavior coalescence (SBC) service-oriented theory and method to create a new management tool and quality management model. From this model, we can clearly describe how we can do better quality of care for the medical industry, and integrate the quality management to the organizational structure and business process. Hence, provide the dynamic quality of information system to the manager as the basis for adjustment and management.
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Yen, Tzu-Jie, and 顏子傑. "Innovative Business Model in Medical Cosmetology Entrepreneurship: A Case Study of a Medical Device." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/332b6p.
Full textAbstract:
碩士國立臺灣大學
商學研究所
107
In the recent years, entrepreneurship has been prevailing in Taiwan. However, according to the statistical data, even if the start-up companies can survive through the beginning of the venture, only 1% of them have lasted for more than 5 years. Therefore, how a start-up company can develop a successful business model to steadily grow and make profits becomes a new challenge, which is also the starting point of this study. This thesis applies the method of case study based on an entrepreneurial case of medical device. Through the semi-structured interview, researcher strives to understand the entrepreneurial ideas, future scheming, and the business model development. Since to start a new business is a dynamic process, by taking advantage of qualitative analysis and narrative analysis, researcher can analyze various components of the business model and explore potential resources in the future. Based on the case in this study, we concluded the “Three Important factors” for managers and entrepreneurs in the medical industry, namely, personal characteristics and entrepreneurial experiences of the entrepreneurs, connection with the key stakeholders in the industry value chain, and finding the starting point for the products. To sum, by applying Business Model Canvas, NABC Method and POCD entrepreneurial management model, this thesis explains how the business model was developed and the entrepreneurial activities were systematically organized in the focal case. The findings provide future entrepreneurs an example of “the Best Practices”, and contributes to the literature on the sustainability of new venture.
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Lin, Fay-June, and 林芳如. "A study of Taiwan Customer index Model- Chinese Medical Clinic A study of Taiwan Customer index Model- Chinese Medical Clinic industry." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/11648723153024119102.
Full textAbstract:
碩士嶺東科技大學
經營管理研究所
98
ABSTRACT Chinese Medical Clinics have been recently improving their service qualities by upgrading service quantities. In order to satisfy every patient's needs under the intensive competition resulted from the change of demography and the aging of the whole population. The purpose of research is to demonstrate the level of customer satisfaction based on Taiwan Customer Satisfaction Index(TCSI) regarding to the services provided in two Chinese medical clinics located in Taichung City. The Partial Least Squares(PLS) is applied to estimate TCSI the score of all related variables scores. And the result of 285 effective surveys, with 81.4% collection rate, were .from two Chinese Medical Clinics in Taichung, the statistic is calculated by PLS and the results of clinic's reputation, service quality, patient's expectation, and perspective match with TCSI ( ) in 70.8%. This research points out that patient's expectation doesn't have positive relationship effect with customer's satisfaction and perspective but other hypotheses are proved as TCSI model. Through Important- performance Analysis(IPA), the advantages of Chinese Medical Clinic to keep the great quantity are to be patient, professional and experienced. So the only way to keep a long term business is to increase customer satisfaction.
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Kirschner, Matthias. "The Probabilistic Active Shape Model: From Model Construction to Flexible Medical Image Segmentation." Phd thesis, 2013. https://tuprints.ulb.tu-darmstadt.de/3519/1/thesis.pdf.
Full textAbstract:
Automatic processing of three-dimensional image data acquired with computed tomography or magnetic resonance imaging plays an increasingly important role in medicine. For example, the automatic
segmentation of anatomical structures in tomographic images allows to generate three-dimensional visualizations of a patient’s anatomy and thereby supports surgeons during planning of various kinds of
surgeries.
Because organs in medical images often exhibit a low contrast to adjacent structures, and because the image quality may be hampered by noise or other image acquisition artifacts, the development of segmentation algorithms that are both robust and accurate is very challenging. In order to increase the robustness, the use of model-based algorithms is mandatory, as for example algorithms that incorporate prior knowledge about an organ’s shape into the segmentation process. Recent research has proven that Statistical Shape Models are especially appropriate for robust medical image segmentation. In these models, the typical shape of an organ is learned from a set of training examples. However, Statistical Shape Models have two major disadvantages: The construction of the models is relatively difficult, and the models are often used too restrictively, such that the resulting segmentation does not delineate the organ exactly.
This thesis addresses both problems: The first part of the thesis introduces new methods for establishing correspondence between training shapes, which is a necessary prerequisite for shape model learning. The developed methods include consistent parameterization algorithms for organs with spherical and genus 1 topology, as well as a nonrigid mesh registration algorithm for shapes with arbitrary topology. The second part of the thesis presents a new shape model-based segmentation algorithm that allows for an accurate delineation of organs. In contrast to existing approaches, it is possible to integrate not only linear shape models into the algorithm, but also nonlinear shape models, which allow for a more specific description of an organ’s shape variation.
The proposed segmentation algorithm is evaluated in three applications to medical image data: Liver and vertebra segmentation in contrast-enhanced computed tomography scans, and prostate segmentation in magnetic resonance images.
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Hung, shuching, and 洪淑菁. "Using Kano Model to Explore The Medical Service Quality －A Case of Chinese Medical Clinic." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/qaa5gz.
Full textAbstract:
碩士大葉大學
管理學院碩士在職專班
101
Since the implementation of the National Health Insurance in 1995, the general public has demanded a higher standard on medical care, thus health care facilities have been committed to enhancing the quality of medical service in order to improve operational performance. With the fierce competition among Chinese medical clinics and the limitation of cost control posed by the Global Budgeting of National Health Insurance, the impact on managing clinics have been tremendous. The aim of this study is to explore Chinese medical clinic’s service quality attributes, which classifies the service qualities into must-be quality, one-dimensional quality, indifferent quality, attraction quality and reverse quality, using Kano’s Two-Dimension Model. Whether different demographic variables attribute to how service qualities are classified with significant difference is also investigated. Then the data is analyzed according to quality improvement indicators to find the areas that Chinese medicine clinics can improve to enhance patients’ satisfactions and decrease their dissatisfactions. The results show that among 28 important medical service quality items, three are classified as attraction qualities, four as one-dimensional qualities, eight as must-be qualities, thirteen as indifferent qualities and no reverse quality is found. Moreover, different demographic variables also perceive Chinese medical clinics’ service quality attributes differently.
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Li, Shuo. "Medical image analysis and visualization using geometric deformable model." Thesis, 2006. http://spectrum.library.concordia.ca/8860/1/NR34792.pdf.
Full textAbstract:
Medical image analysis and visualization has become increasingly important in computer aided medicine. Throughout the history of medicine, advances in imaging have led to great progress in medical interventions. The thesis proposes, develops and evaluates methods for automated analysis, visualization and quantification of medical images. The focus of this thesis is to perform both theoretical and practical investigations into medical image analysis and visualization to overcome current challenges in the field. The theoretical framework for fulfilling above goals is based on segmentation using the geometric deformable model and some new advances: support vector machine and principal component analysis from the pattern recognition and machine learning. The medical applications of the above theoretical framework include automated computer aided analysis of dental X-ray image and chest computer tomography volumetric image reconstruction and visualization. There are three main contributions in the thesis: (1) We propose and develop two faster and more robust segmentation methods which have the potential to be used in clinical and hospital environments. (2) We propose and develop the first dental X-ray image analysis and visualization system. It is able to analyze the dental X-ray image, extract the features and then recognize the patterns of certain diseases such as root decay and areas of bone loss. It has potential to be applied in the dental X-ray machine which has attracted interest from industry. (3) We propose and develop an efficient reconstruction and visualization framework. This method can reconstruct and visualize very large medical datasets with less time and less data volume
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Lee, Jonathan, and 李俊賢. "A Study on Usability Evaluation Model for Medical Devices." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/95781996682529393940.
Full textAbstract:
碩士國立清華大學
工業工程與工程管理學系碩士在職專班
103
Abstract With advances in medical devices and technology, adverse events caused by use errors have become an increasing cause for concern. Many of the medical devices developed without applying a usability evaluation are non-intuitive, difficult to learn and to use. As healthcare evolves, less skilled users including patients themselves are now using medical devices and medical devices are becoming more complicated. In simpler times, the user of a medical device might be able to cope with an ambiguous, difficult-to-use user interface. The design of a usable medical device is a challenging endeavor. Therefore, in this study we focus from a perspective of human factors and risk management in medical device use, and also consider regulatory requirements for medical devices, to establish a systematic model of medical device usability evaluation. Medical device manufacturers can integrate this model into product design and development process, to reduce future risks associated with device use, and to improve the usability of products. Finally, the research utilizes home-use blood glucose meters as an empirical study to verify the validity of the model. The usability testing was performed, and we aggregated the results into blood sugar machine interface design principles. We hoped that this study may provide a reference for future study on medical device usability evaluation. Keywords: Medical Device, Blood Glucose Meter, Risk Management, Usability Engineering, Usability Testing.
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Lin, Chi-Min, and 林啟民. "Admission prediction model in the adult medical emergency patients." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/12115243252860856715.
Full textAbstract:
碩士輔仁大學
統計資訊學系應用統計碩士班
100
Object: Overcrowding at the emergency department continues to be an important issue. Early prediction of hospital admission may reduce waiting time and also provide the valuable information to the clinical doctor. The purpose of the study is to develop a model predicting patient’s final outcome of the adult medical emergency department at the time of ED triage, using routine hospital administrative data. Method: This is a retrospective study, using the data collected by the nursing at the time of triage from Jan. 2011 to Dec. 2011. The variable includes age, sex, past history, chief complaint, biological profile (such as blood pressure, pulse rate, etc.), and the final outcome. Chi-square tests are used to study the association between nominal or ordinal data, and the student T test analyzes continuous data. CART (Classification and Regression Tree) is applied to develop the prediction model. Result: Of 36287 patients, 5602 patients (15.4%) were admitted for further treatment. Variables like Age, respiratory rate, respiratory pattern, oxygen saturation, body temperature, conscious level, diastolic blood pressure , and chief complaint of blood in stool are included in our predictive model. The sensitivity of the model is 36.0% and the specificity is 95.7%. The c-statists of ROC curve is 73.516%. Conclusion: By CART prediction model, we can identify the high-risk groups of admission, providing useful information to clinicians.
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SIAO, KAI-REN, and 蕭凱仁. "The heating model analysis of medical food supply cars." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/52029933296357814265.
Full textAbstract:
碩士國立雲林科技大學
機械工程系碩士班
100
Presently the medical food cars is imported product and price is not low who used by the major hospital and nursing center and other medical institution. We have to provide new options of equipments and heating ingredients, because foreign dietary content and heating conditions are not identical to people eating habits. We carry to design analysis and manufacture produce to be directed requires. The prototype car can heat food and keep food fresh and temperature by heat conduction who can steam, bake and keep food warm. This research make theoretical analysis and experiment for heating effect of medical food cars. Hope carried the way of medical food cars out to send meals by compared the result of this study with foreign and provide advice for second-generation further. In theories model-analyzing use Fluent software to simulate. The results of simulation will be compared with the medical food cars experiment data to confirm the accuracy and rationality of the analysis of the theories mode. The results obtained from the numerical simulations and experiments appeared to be reasonable. Although it shows that the predicted temperatures and heating time are slight different from experiment data, the whole variety trend still contain good estimate result.
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林欣慧. "A risk asssessment model for contact lenses medical equiment." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/47028303908227649790.
Full textAbstract:
碩士逢甲大學
工業工程與系統管理學系
101
With increasing success of international brands of contact lenses from vigorous marketing and advertisements of it products it is not surprising contact lenses have gradually been accepted by the general public as a mainstream product in many people&;#39;s lives. According to Article 13 Pharmaceutical Affairs Law, contact lenses in summary may affect the human body health, therefore, have been identified as medical equipment. Medical device therapy equipments include diagnosis, treatment, mitigation or prevention of human diseases, except for the wide range of medical equipments are difficult to set management practices. Therefore, It has become the trend of global management to assure the safety and performance of the product by using risk assessment management methods to implement medical equipment. According to the statutory level, in this study, the risk management system for medical devices to further understand and discuss the operation of risk management operations of the medical equipment. Through ISO 14971 process to set risk management standards and application of failure model effects analysis (FMEA) for contact lenses. Contact lenses firms should understand the level of risk before design, development and combine risk priority number (RPN) assessment to identify unacceptable risk items to improve products safety and efficacy.
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CHEN, YOU-WEI, and 陳宥瑋. "The Resolution Model of Medical Dispute and Mediation System." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/52458415601488661639.
Full text
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Su, Tzu-Hsin, and 蘇子炘. "The Hierarchy Effects Model of Consumer Experiences for Medical Cosmetology." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/47609957716973237956.
Full textAbstract:
博士國立中正大學
企業管理所
94
dical institutes were influenced by the constraint of government budget that resulted in a great change of financial structure on the medical care industry. Also, medical cosmetology had grown up very fast during these years. As a result, the medical institutes must offer better quality medical services at the moment to meet the keen competition. Because medical cosmetology is mostly consumer's initiative, the importance of medical processes must be particularly emphasized. The purposes of this research include:（1）to discuss experience contexts of medical cosmetology by consumers' view;（2）to discuss the relationships among consumer experiences, experiential value, experiential behavior;（3）to build hierarchy effects of medical cosmetology consumer experiences;（4）to use consumer experiences to segment medical cosmetology market;（5）to discuss the hierarchy effects of medical cosmetology consumer experiences between different medical cosmetology market. First, we interviewed 10 consumers with medical cosmetology experience in the first stage for qualitative study. We used grounded theory to analyze the contexts and process of consumer experiences. And then, we used purposed sampling to interview 1040 samples with medical cosmetology experience in the second stage for quantitative study and analyzing the hierarchy effects of consumer experiences. The results of grounded theory analysis showed that: there were 256 important examples after open coding; According to the relationships of each example, getting 62 sub-classifications and 19 classifications after axial coding; finally, choosing 4 core concepts after selective coding. The processes of consumer experiences for medical cosmetology were divided 4 stages: information demand stage, cosmetology experience stage, value cognition stage, behavior performance stage. The hierarchy effects of Consumer experiences showed that: "sense experience", "feel experience" and " act experience" had positive effects on affective value; "think experience" had positive effects on utilitarian value; " act experience" and " relate experience" had positive effects on symbolic value; utilitarian value, affective value and symbolic value all had positive effects on experiential behavior. Besides, we adopted consumer experiences to be segmentation variables. Market was divided into 5 clusters which are named be “traditional conservation”, “full experiences", “emotional tendency”, “rational prudent” and “fanatical tendency” respectively. Different cluster focused on different information. Central route information had more positive relationships with “think experience” and peripheral rout information had more positive relationships with “sense experience”, “feel experience” and “relate experience”. In academy, this research cleared the contexts and processes of consumer experiences for medical cosmetology, and the hierarchy model of consumer experience could explain the relationships among experience information, consumer experiences, experiential value and experiential behavior more completely. In addition, we developed a measurement scale for consumer experiences having well confidence and validity for future relative researches. In practice, this study can help medical institutions with medical cosmetology services understanding consumer’s whole feels and use appropriate marketing tools to enhance consumer experiences.
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Wen-Hsiu, Wei, and 魏文秀. "A Model of Supply Chain Managemetn in Medical Device Industry." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/98121878566227590390.
Full textAbstract:
碩士國立臺北科技大學
生產系統工程與管理研究所
89
In the environment of Electronic Commerce (EC), there are more and more providers of products or services looking for available interactive partners of transaction through the burgeoned electronic media (such as the Internet), who then complete transaction with the use of information technology and the connection of communication networks. Therefore, how to effectively manage and use information flow becomes a key factor for successful supply chain management (SCM). As a result, the needs from enterprises for information service arise. After the initiation of National Health Insurance program, the competition among hospitals has been intensified. With the decreased reimbursement policy, hospitals were forced to control cost and promote effects of hospital to maximize profits. Establishing the partnership of medical device, SCM is a trend of medicates and medical device industry. This dissertation is based upon the 23 indices of Dickson’s research and indices of other research, and the opinions of experts in supplier selection in Taiwan. The research summarizes the new supplier selection criteria and develops the questionnaire. Experts in the previously mentioned industry were asked to fill the questionnaire. The investigation results were first analyzed by the Factors analysis to extract the critical criteria, and to build the criteria hierarchy. Then another questionnaire based on analytic hierarchy process (AHP) was developed and used to investigate the weights of the criteria in the above-mentioned industries. While considering the use of SCM, the most important supplier selection criteria is considered to be “Quality”, which includes four other main factors, “Service”, “Cost”, “Technical Capability” and “Delivery”. The findings of this study could be as a helpful reference for those who plan to conduct the Supply Chain Management in the future.
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Wang, Hua. "Multi-level requirement model and its implementation for medical device." Thesis, 2018. https://doi.org/10.7912/C2JD42.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)Requirements determine the expectations for a new or modified product. Requirements engineering involves defining, documentation and maintenance of requirements. The rapid improving of technologies and changing of market needs require a shorter time to market and more diversified products. As an important and complex task in product development, it is a huge work to develop new requirements for each new product from scratch. The reusability of requirements data becomes more and more important. However, with the current “copy and paste” approach, engineers have to go through the entire set of requirements (sometimes even more than one set of requirements) to identify the ones which need to be reused or updated. It takes a lot of time and highly relies on the engineers’ experiences. Software tools can only make it easier to capture and locate the requirements, but won’t be able to solve the problem of effective reuse of the existing requirement data. The overall goal of this research is to develop a new model to improve the management of requirements and make the reuse and reconfiguration of existing requirements and requirement models more efficient. Considering the requirements data as an important part of the knowledge body of companies, we followed the knowledge categorization method to classify requirements into groups, which were called levels in the study, based on their changing frequency. There are four levels, the regulatory level, the product line level, the product level and the project level. The regulatory level is the most stable level. Requirements in this level were derived from government and industry regulations. The product line level contains the common requirements for a group of products, the product line. The third level, product level, refers to the specific requirements of the product. And the fourth and most dynamic level, the project level, is about the specific configurations of a product for a project. We chose auto-injector as the application to implement the model, since it is a relatively simple product, but its requirements cover many different categories. There are three major steps in our research approach for the project. The first is to develop requirements and classify them for our model. The development of requirements adopts the goal-oriented model to analyze and SysML, a system modeling language, to build requirements model. And the second step is to build requirements template, connecting the solution of the problem to the information system, standalone requirements management tool or information platform. This step is to find a way to realize the multi-level model in an information system. The final step is to implement the model. We chose two software tools for the implementation, Microsoft Office Excel, a commonly used tool for generating requirements documents, and Siemens PLM suite, Teamcenter, a world leading PLM platform with a requirement module. The results in the study include an auto-injector requirement set, a workflow for using the multi-level model, two requirements templates for implementation of the model in two different software tools, and two automatically generated requirement reports. Our model helps to define the changed part of requirements after analysis of the product change. It could avoid the pitfalls of the current way in reusing requirements. Based on the results from this study, we can draw the following conclusions. A practical multi-level requirements management model can be used for a medical device—the auto-injector; and the model can be implemented into different software tools to support reuse of existing requirement data in creating requirement models for new product development projects. Furthermore, the workflow and guideline to support the application and maintenance of the requirement model can be successful developed and implemented. Requirement documents/reports can be automatically generated through the software tool by following the workflow. And according to our assessment, the multi-level model can improve the reusability of requirements.
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林君翰. "Statistical Model for Medical Expense: Based on Extreme Value Theory." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/69kk4a.
Full textAbstract:
碩士逢甲大學
統計學系統計與精算碩士班
101
This study proposes a loss model based on Extreme Value Theory for the outpatient expense costs in Taiwan Bureau of National Health Insurance. From the National Health Insurance Data from Year 2003 to 2009, a heavy-tail distribution occurs as the average outpatient costs exceed NT 12,000. Empirical results indicate that, the fitted model is consistent with the actual high outpatient costs. Comparing to the actual expense, the Generalized Pareto Distribution (GPD) model reflects the cost down outcome by the Taiwan government’s policy to control the high outpatient costs in 2010. By the proposed models, we discuss the costs in a private insurance contract entitled the payment options between full indemnity and predefined compensation. Accordingly, with the average medical cost of outpatient is approximately 2,000 to 3,000, it can be inferred that the cost of this payment option accounts for 30 to 50% of the average outpatient costs. Our proposed models and empirical results provide important suggestions and economic implications for the risk management of health insurance.
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WU, YA-JIN, and 吳亞縉. "A Case Study of Business Model of Medical Device Industry." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/2a6g65.
Full textAbstract:
碩士國立雲林科技大學
企業管理系
105
With the advent of the aging society and the preventive medicine issues, drive the development of medical device industry. Many manufacturers have joined the ranks of the industry, and the government is also actively promoting the development of biotechnology industry, to promote the rapid growth of medical device industry. The research analyze the three listed company which are PISHANG, APEX and ROSSMAX. Analyze there business model and business strategy to understand the advantages and disadvantages of the manufacturers through their own strengths and weaknesses with the overall environment to create a unique profit model. PISHANG focus on its own brand development and after-sales service, in recent years is more into the field of electric vehicles to achieve synergies. APEX according to the international division strategy, develop its own brand and foundry production, and actively expand overseas access and research to enhance the competitive advantage. ROSSMAX in the way of vertical integration to reduce costs and control the quality, towards the brand’s layout and product line once the purchase of the strategy. The study found that the most of the medical device are manufacturer, and through the dealer sold to the end consumer. Most manufacturers and some original equipment manufacturer are the development of there own brand, to establish brand equity and visibility. Companies that adopt differentiated strategies will adopt mergers and acquisitions, the other that adopt low-cost strategies are mostly vertically integrated. Moreover, the medical device manufacturers export ratio higher than the domestic ratio, and more exported to Europe and the United States. Providing after-sales service helps to maintain long-term relationships with customers. This strategy is also one of the methods that most vendors will adopt. When the companies in the R & D technology is mature, they will establish a patented technology and team to develop their own products. In addition, overseas expansion will help them to build awareness.
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Yiu-HuanChiu and 邱鈺桓. "A study of business model for medical tourism in Asia." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/60536215960271780261.
Full textAbstract:
碩士國立成功大學
創意產業設計研究所
98
Due to the globalization, medical traveler can seek medical service easily for low cost and good quality. For destination hospitals, medical tourism is a new kind of business for them to incorporate with tourism industry. Take Taiwan for instance, under the global budget system, it decreased the income of hospitals. It forces local hospitals to develop medical tourism for increasing their profit. In the present stage, the market of Taiwan concentrated on regional market, since the limitation of language and culture, which made them to take China as target market. The study is completely qualitative research to analyze the business model for medical tourism in Asia. The goal of the research is to suggest business strategy for domestic hospitals to develop international medical tourism. Survey the evolution of medical tourism is the other purpose to understand the history. It mainly conducts the methods of document analysis and experts interview. In the design process, the author used the best practice, Parkway Holdings Limited, Singapore, to make general principles for business strategy to develop international market. Then, follow the general principles to compare with Shin Kong Memorial Hospital, which is focus on regional market, especially in Chinese market, with the advantages of culture and language. The conclusion of the research is that for domestic hospital, setting international channels, getting international accreditation, enhancing the education of the employees, providing transparent information and providing customized service are critical strategies. However, during the research, the limitation restrains the analysis. The lack of literature, few of cases to study and uneasy to get detail information of business model are the limitations.
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Hsu, Hsuan-Ling, and 許軒領. "Utilizing Shallow Semantic Answer Inference Model for Medical Question Answering." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/75194482529018595307.
Full textAbstract:
碩士國立成功大學
醫學資訊研究所
96
This paper proposes Shallow Semantic Question Analysis Model and Shallow Semantic Answer Inference Model to address some general medical questions according to the observation and analysis of user questions. Considering the condition that general users are not in the background of medical expertise, we analyze questions by identifying both shallow semantic Entity and Feature according to the keywords of users’ questions. Moreover, we use Google to find relevant documents which can answer user questions. Then, we propose Shallow Semantic Answer Inference Model using the classification architecture provided by National Library of Medicine (NLM) to construct our models and match the conceptual keywords with medical related documents in Kingnet. Finally, we utilize the trained Shallow Semantic Answer Inference Model and relevant documents to find the corresponding phrase-level, sentence-level, and paragraph-level answers for users. In Chinese QA research until now, there is no automatic medical QA system developed for general users. Therefore, there is no better benchmark for evaluation. We can only evaluate the performance of our system. We utilize MRR as our evaluation metric and evaluate the accuracy of phrase-level answers, sentence-level answers and paragraph-level answers, and obtain a result of 0.553, 0.5771, and 0.5886, respectively. Although there is no similar system for our comparison, however, without sufficient Chinese medical resources, we try to utilize two proposed models and existing medical resources, such as MMODE, Chinese-English bilingual MeSH concept terms, and NLM Classification to build a Chinese medical QA system which can deal with users’ natural language questions.
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Yang, Morris, and 楊崇謨. "The Analysis of Business Model Feasibility of Medical Wireless Network." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/78705826620069284347.
Full textAbstract:
碩士國立交通大學
管理學院高階主管管理碩士學程
94
This research dedicates to explore the feasibility for business operational model of wireless medical network and seek future blue ocean strategy in the medical industry. Through well-developed technology in communication, innovative operational model and integrating upstream and downstream business resources, we can create new blue ocean strategy for Taiwan. All the industries will consistently invest considerable capital and human resource in research and design of the wireless medication and home health care due to the rapid-growing aging population around the world. Medical wireless networks will be the core of wireless medication and home health care market. The wireless medication business model will gradually shape up according to the technology development and consumer demand. Technology, service and product manufacturers like Microlife, D-Link and Alpha Networks, will be the key providers within the business model. In this paper, by creating and delivering unique value to the customer, we hope to obtain a higher level of profitability as manufacturers. It will be the most significant contribution to this research.