Dissertations / Theses on the topic 'National Institute of Health Research and Development'
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Sofia, Gustina, and n/a. "Information needs of health researchers at the National Institute of Health Research and Development, Ministry of Health, Indonesia." University of Canberra. Information, Language & Culture, 1992. http://erl.canberra.edu.au./public/adt-AUC20061109.083237.
Full textErdey, Nancy Carol. "Armor of patience : the National Cancer Institute and the development of medical research policy in the United States, 1937-1971 /." Diss., Case Western Reserve University School of Graduate Studies / OhioLINK, 1995. http://www.ohiolink.edu/etd/view.cgi?acc%5Fnum=case1058363714.
Full textTwelvetree, Timothy James. "Research and development policy in the English National Health Service : the implementation of the 'Research for Health' strategy." Thesis, University of Bedfordshire, 1999. http://hdl.handle.net/10547/335750.
Full textWang, Liang. "Effects of Maternal Depression on Childhood Overweight and Obesity: Findings from the National Institute of Child Health and Human Development Study." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etd/1307.
Full textWang, Liang. "An Epidemiological Study of Maternal Depression: Findings from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etd/1984.
Full textMelville-Richards, Lucy. "Exploring and explaining the role of boundary objects in implementation through the National Institute of Health Research's Collaborations for Leadership in Applied Health Research and Care (NIHR CLAHRCs)." Thesis, Bangor University, 2015. https://research.bangor.ac.uk/portal/en/theses/exploring-and-explaining-the-role-of-boundary-objects-in-implementation-through-the-national-institute-of-health-researchs-collaborations-for-leadership-in-applied-health-research-and-care-nihr-clahrcs(6fc865ae-79ae-4826-8157-4b250017a258).html.
Full textMarshall, Karen. "Newcastle Chronic Obstructive Pulmonary Disease (COPD) Cognitive Behavioural Therapy (CBT) care study : a randomised controlled trial (funded by the National Institute for Health Research)." Thesis, University of Newcastle upon Tyne, 2016. http://hdl.handle.net/10443/3197.
Full textZadeh, Sheava T. "Academic achievement factors in children with chronic illness: A report based on the National Institute of Child Health and Human Development, from the Study of Early Child Care." Scholarly Commons, 2010. https://scholarlycommons.pacific.edu/uop_etds/2421.
Full textMarsh, Claire L. "Action research for sustainability in the UK National Health Service (NHS) : linking theory and practice in organizational strategy for sustainable development." Thesis, University of Leeds, 2011. http://etheses.whiterose.ac.uk/2367/.
Full textWard, Kevin. "An Examination of Science NCE Scores of Students of Participating and Nonparticipating Teachers in East Tennessee State University Summer Science Institute." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etd/1944.
Full textBrown, Margaux Hanes. "An Examination of Executive Function, Stress, and Adolescent Attachment to Caregivers in a Social Neuroscience Model Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD)." Thesis, The George Washington University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3610769.
Full textThe goal of this study was to explore the relationship between stress and executive function (EF) in adolescence and to determine the extent to which the adolescent-caregiver attachment moderated the effects of stress on EF. EF are a set of meta-cognitive processes, including planning, that require coordinated neural activation in the prefrontal cortex and a number of other brain regions. Deficits in EF are associated with many mental health disorders. Large-scale, federally funded efforts are ongoing to understand more about EF and the brain.
Current adolescent brain research calls for further investigation of how regions coordinate in task-specific activities (Spear, 2010). The stress, or hypothalamic-pituitary axis (HPA), and attachment systems share underlying neural substrates that overlap with regions activated to perform EF. Adolescence is a sensitive period for changes in EF skills (Blakemore & Choudhury, 2006), the HPA axis (Romeo, 2011), and attachment (Allen, 2008). Therefore, this research was aimed at exploring how stress and attachment predict performance on an EF task in adolescence. Specifically, the researcher examined the extent to which attachment styles moderated the relationship between cortisol, a measure of HPA axis functioning, and performance on the Tower of London (TOL), a test of planning skills. The NICHD Study of Early Child Care and Youth Development (SECCYD) data were used to examine this overarching research question in a social neuroscience model.
While the TOL is one of the most frequently used measures of EF, its scoring methods vary across studies (Etnier & Change, 2009). Study 1 consisted of an exploratory factor analysis with data from 932 youth, and results supported a single factor model that best represented planning skills, which was consistent with the hypothesized structure based on an exploratory study with a small sample of college students (Berg, Byrd, McNamara, & Case, 2010). The factor score was then used as the criterion variable in Study 2, which included three moderated regression models that explored secure, preoccupied, and dismissing attachment styles. Though results suggested that cortisol and attachment were not predictive of planning in this sample, potential explanations for the lack of findings are proposed and recommendations for future research are included.
Mgoqi, Nyameko Confidence. "The state and the non-governmental organisation sector in South Africa, 1994-2001: a case study of the relations between the National Development Agency, the Labour Research Service and the Institute for Democracy in South Africa." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
Full textKeane, Melissa. "How the quality of the early mother-infant relationship Influences decision making in risky situations later in life." Scholarly Commons, 2014. https://scholarlycommons.pacific.edu/uop_etds/111.
Full textLi, Meng-Chia, and 李孟佳. "Craft Design Pavilion of National Taiwan Craft Research and Development Institute." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/7j84j7.
Full text台南應用科技大學
室內設計系碩士班
106
Abstract The creative base is located at National Taiwan Craft Research and Development Institute and its surrounding area. It is located in Caotun Township where the straw sandals mound was originated. According to Caotun Township Records, Caotun was a staging post for pioneers, porters, merchants and travelers, and they arrived at it at sunset, and in early morning they started off and replaced their old straw sandals with new ones. Days after days, the abandoned straw sandals stacked up into a mound”. Thus, it is called Caotun which means straw in Chinese. Now new meanings are given to straw. In the past, we often considered straw as a static object, but it was used as a life tool in ancient times. Now, it is an element of the place, which can be used to build a space and symbolizes culture. Thus, we should activate straw. We should not see straw as a straw. We should think how to activate the village through straw. This is to pursue genius of regional space. The creation work integrates the base with National Taiwan Craft Research and Development Institute into new spatial order and new place through analysis of landscape, ecology, culture, and application of weaved structure in the traditional construction of central regions so as realize creation objective by using creation approaches at different stages. The creation work is intended to find the memory space and memory fragments in life. The space can be used for leisure, exhibition, sales and service. The hydroponic technology is used for mutualistic symbiosis between fish and water, and rice is grown indoors, and weaved straws structure is integrated into life design. All these are started from our familiar scenes. The place is only memory fragments, which should be integrated into human and time and reshape space and time spirits to break established concept. The interior design is to retain previous building memory and combine it with the new memory fragments to make a dialogue between them and make space life sustainable. Keywords: Memory, place, weaving, reproduction, transformation, order
LIN, Yi-Chun, and 林怡君. "Study on Promotion of Bamboo Craft by National Taiwan Craft Research and Development Institute." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/3uc85j.
Full text國立高雄應用科技大學
文化創意產業系
106
The purpose of this study is to explore the management of bamboo craft in Taiwan and discuss its development by National Taiwan Craft Research and Development Institute (NTCRI). This article based on the traditional bamboo craft, use of literature analysis, participation in observation and in-depth interviews from the NTCRI, craftsmen and the public. According the interviews with each other, through their experience and dialogue to understand what is the artist view for the NTCRI in promoting bamboo craft? And discuss the development of bamboo craft is helpful? Or bamboo craft although revitalized the traditional industries, but also facing a new predicament? The results of this study show that in 1970s after because Taiwan bamboo craft sales were declining so craftsmen suddenly became less. The other side because of the industrial development, the advantages of bamboo craftsmanship no longer existed, and artistry is even more limited in its development. So the NTCRI in the promotion of bamboo craft to personnel training and innovation, and separated the traditional bamboo craft by innovative design. Finally, made some suggestions on the based of the article:(i)making bamboo craft return to life and use of design thinking,(ii)organizing various exchange activities to open new horizons of bamboo arts,(iii)standardization of commodity inspection,(iv)Gradually develop people's habits. Hope in this way, bamboo craft in Taiwan can open a new career and create a new horizons.
Yang, Shiang-Chung, and 楊相中. "The Study Between Paternalistic Leadership and Department Performance in National Defense Research and Development Institute." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/72895579216729809171.
Full text靜宜大學
企業管理研究所
91
Since the leadership styles will cause leading deviation when it respond to the cross-cultural, so attempt to imitate western leadership theory completely may explain how western leadership theory can suit to non-western society, however it may has no help for realizing the Chinese leading cases deeply. In another way, ignoring the cultural character may also cause the regret for cutting the feet to fit the shoes easily, and therefore paternalistic leadership, which combine with traditional culture, and family system is the prescription for solving above symptom. Attempt to use paternalistic leadership which combine with traditional culture and family system to explain the Chinese leading cases, and analyze how paternalistic leadership can suit to national defense R & D Institute, as well as the relationship between paternalistic leadership and department performance, those measures which describe before and clear the cause and effect can prompt the department performance. The following collusions are the results for analyzing the researchful samples: 1.The paternalistic leadership suit to national defense Research & Development Institute. 2.Benevolence leadership and morality leadership have significant relationship to department performance of national defense Research & Development Institute. 3.Morality leadership of the leader, which led technical department, has significantly effective prediction to department performance. 4.The subordinate sex, educational background and job’s age have significant relationship to perception of leader’s paternalistic leadership. 5.Leader’s status has significant relationship to paternalistic leadership; the term of leader just has significant relationship to morality leadership.
Jou, Chuarn-Chen (Gerald), and 周傳震. "The Application of the Balanced Scorecard System to a National Defense Research & Development Institute." Thesis, 2000. http://ndltd.ncl.edu.tw/handle/59188066046720263595.
Full text國防管理學院
資源管理研究所
88
By conducting a case study, this research examines the application of the balanced scorecard system (BSC) to a National Defense R&D Institute. The findings are: 1. The BSC can be successfully implemented in a nonprofit governmental R&D agency. 2.Support from all levels of management is vital to BSC success. And, the R&D institute must follow a clear and concise method of using the BSC system. But for a long-term strategy purpose, the BSC must link career development and human resource management. If a link exists between these, it will lead to employee trust and support of BSC system. 3. In order to implement the BSC to governmental agencies successfully, the reward system must extend non-financial rewards. 4. Performance measurement must be adjusted to follow outside influences such as market fluctuations, political climates and consumer demand, etc. And, performance of different departments must be measured separately according to their different functions within the integrated strategy. But each scorecard measurement must exist not only for administrative management control, but must also indicate how future success can be attained. 5. We also found that three improvements were closely related to administrative control and not necessarily for long-term future success. So, we suggest our case and a government agency using the BSC must align with and stay focused on implementing the organization’s long-term strategy, Otherwise BSC will to become just an administrative management fair tool.
Yeh, Wei-Po, and 葉韋柏. "From Display to Curating:A Study of Exhibition Planning of National Taiwan Craft Research and Development Institute." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/sm9q95.
Full text國立臺北藝術大學
藝術行政與管理研究所
99
Craft originates from the production and usage of various tools for daily livelihood, where their basic function is to adequately and efficiently facilitate the comfort of living, so that work becomes convenient and logical. Therefore, once craft becomes the subject of exhibition, it is a declaration of transformation in terms of usage significance and relationship with people. The planning of the Taiwanese craft exhibition is fundamentally based on the structure of the knowledge classification in the museum and is inspired by the theme of conveying rational/scientific knowledge within the realm of craft. It starts by labeling information on the craft exhibits to gradually creating the topic and integrating the exhibits with visual design and spatial ambiance, supplemented by multimedia and interactive devices; hence the stationery craft exhibition is transformed into a dynamic experience. Although a diverse exhibition design and multimedia application may provide the audience with more sensual stimuli and experience, however, the cultural connotation presented for craft may potentially be the output of unilateral communication. The study focuses on the policy development of the NTCRI’s actual craft exhibitions during 2002~2010 as the research content. Through such a national iconic institution, its task migration in researching and promoting craft is used to analyze Taiwanese craft’s lateral connection in three major facets such as livelihood economics, government policy and cultural development, as well its historical connotations. The transition from craft display exhibition method to theme design and then to exhibition thinking is clarified, further analyzing the current implementation technique and condition of craft exhibitions. It is hoped to examine the concept, and the pros and cons of the current exhibition system, so as to propose adjustments in response to the changes in time and compile issues worth reviewing in contemporary craft creation and exhibition interpretation, ultimately provide exhibition organizers and the audience with more diverse clues when contemplating the subject of viewing exhibitions.
Shiang, Liou Jr, and 劉智祥. "A Study of Optimized Foreign Procurement Management in the Institute of National Defense Research & Development." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/19676243686324292219.
Full text大葉大學
國際企業管理學系碩士在職專班
94
National defense policy in our country is always focused on the development and establishment of our own national defense power. The institute of national defense R&D has been taking an important role of which carries out the mission in developing and researching the-state-of-edged-art weapon systems. Its achievements are not only the satisfied outcome of the weapon systems developed also the helpfulness for the acquisition of the advanced weapon systems from the other countries. Nevertheless, the R&D capability in the institute is gradually decreasing due to the decreasing support in national defense budget. Therefore, how to improve the national defense R&D management becomes a more important issue from now on. This study is trying to figure out the improvement in the foreign procurement management in this institute and hope to give some useful suggestions to the institute. By the actual case study of one R&D project selected, we will learn how the procurement in the project was operated and find out what problems will influence the efficiency in the project. Furthermore, we will give some improvement suggestions that can be used to solve those problems. Key Words : National Defense R&D, Equipment & Material Acquisition, Project Management, Procurement & Supply Management.
Lo, Yin-Tsai, and 羅銀彩. "A Research on Volunteers Participative Motivation, Learning Satisfaction and Work Involvement - An Example of National Taiwan Craft Research and Development Institute." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/se8g6x.
Full text南開科技大學
福祉科技與服務管理所
103
2001 was “International Year of Volunteer”. Meanwhile, our country promulgated “Act of Volunteer Service” on January 20 in the same year, which set up a new milestone for volunteer work in Taiwan. Currently, there have been more than one million volunteer workers throughout the island. Whether in the field of social welfare or in public affairs, volunteer service is getting even more important. In this study, a questionnaire survey was used, and the research subjects were volunteer workers in National Taiwan Craft Research and Development Institute (NTCRDI). The aim of the study is to inquire their personal qualities, motivation for service participation, and learning satisfaction in relation to their involvement in volunteer service. This practice is to provide references for relevant units when they’re in need of human resources in volunteer service. 255 copies of questionnaires are distributed with 238 valid questionnaires being collected. After the analysis from SPSS 17.0, the results are as follows. (1) 64.3% of NTCRI volunteer workers are mid-high aged people between 45-65 years old; they are the main force that are extremely valuable groups in volunteer service. (2) The injection into volunteer work was positively correlated with variables of personal traits; health condition is the most influential factor. (3) Regarding the participatory intention for volunteer service, the “self- directing tendency” to enrich knowledge of handicraft is the most prevailing. (4) As to learning satisfaction of volunteer service, the volunteers have the strongest recognition with “learning contents”. (5) The keys to promote work injection of volunteer workers are their health conditions, diverse volunteer service experiences, strong self-motivation, well-designed learning courses, and the acquisition of service skills. In order to encourage them to continue contributing to volunteer work, it is recommended that NTCRDI should focus on improving the training courses. This main point may stimulate their learning interests, from which the "learning by doing" skill can be achieved. The service-learning spirit will enable them to work in a happy and virtuous cycle. In this way, sublimation and fulfilment obtained from voluntary life will ultimately be helpful in attaining a successful aging process. Keywords: Volunteer service, Service learning, Successful aging
Huang, Yaling, and 黃雅鈴. "The Case Study of KMT’s Improper Assests--taking the land of National Development Research Institute as an example." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/13732835670951317415.
Full text國立臺北教育大學
台灣文化研究所
99
The improper origins of the Kuomintang (KMT) party assests have long been controversial in Taiwan democratical history. With the party-state system, the KMT took the possession of the assets originally belonged to the government. The KMT also collected more assets by gaining bestowed land from the government, purchasing the land at a low price, and gaining national assests and people’s property with force. The origins of the party assets have long been criticized since 1958 in the magazine of “Free China”, blaming that the KMT has manipulated the privilege under its ruling power of the country, and competed the benefits with the people. However, under the threat of the White Terror, the criticism about the improper attainment of the assets could hardly be spoken. Not until 1980, when Taiwan was declard martial law to end, politics were gradually democratized, did people get to focus once again on the improperness of the party assets. The transition of the political parties in 2000 opened a window to the examination and prusue of the improper party assets. In April, 2001, the Control Yuan has announced a report investigating the party assets of the KMT, comfirming there is indeed inappropriateness in the party assets in gaining from the national assests. The Democratic Progressive Party (DPP) government not only investigated KMT’s improper party assets, but also dunned for the state assets. However, the draft “Disposal Ordinance Of Improper Assets Of Political Parties” was not passed during 2000 and 2008. KMT’s dispose of party assets during these eight years has caused criticism. One example is the land of National Development Research Institute disciplined by President Ma Ying-jiou. The land of National Development Research Institute was purchased in from the gorvenment and the people during the 1950s and 1960s. Among it, the part purchased fom Yeh Zhongchuan was accused by the Yeh’s descendants to illegally occupy their land and eventually obtained their land with threat. In 2000, the Yeh’s descendants wished to obtain the estate through legislation by appealing to the government and media, but in vain. In 2005, the KMT sold out the land of National Development Research Institute. In the meanwhile, the Taipei City government took an announcement about a case of land use change around the National Development Research Institute, which astounded the public. Taipei City government was thought to benefit KMT, giving it an excuse to sell its party asset. The Yehs could do nothing but to follow the judicial procedure. In 2006, the Yehs appealed to the court for the civil action, accusing KMT’s illegal occupation of their land, and asking KMT to return it. This study discusses the origin of the KMT’s inappropriate party assets, analyzes the process and property flows, and investigates the inappropriateness KMT’s party assets and its way to deal with inappropriate party assets based on the case study of the land of the National Development Research Institute.
Mei-Yi, Lee, and 李美宜. "Craft Products Marketing:A Case Study of Taiwan Living Crafts Center and National Taiwan Craft Research and Development Institute." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/45603445836602250604.
Full text亞洲大學
國際企業學系碩士在職專班
98
With the expansion of craft market since 2000, the promotion to craft products requires a more organized strategy including exhibition plan, marketing, packaging and distribution channel to survive in the keen competition. Besides the existing National Taiwan Craft Research and Development Institute Shop, National Taiwan Craft Research and Development Institute(NTCRDI)founded Taiwan Living Crafts Center in Park Lane by CMP in July 2008. This Center attracted the attention of craft industry ever since its opening and thus coming out the motive of this research. This research uses mainly the qualitative research methods to probe into the operation of these 2 outlets of NTCRDI by document analysis, participant observation and in-depth interview. And through the observation of their operation conditions and development to know how the government organization (NTCRDI) creating the added-value of craft product by the using its aesthetic and culture identity. After analyzed this case study, the conclusion propose some sales strategies for the craft market.
LIU, YAO-BIN, and 劉燿賓. "The Research of Relationship among Perceived External Prestige, Organizational Identity and Organizational Citizenship Behaviors in the Institute of National Defense Research & Development." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/37966287993126120426.
Full text國防管理學院
後勤管理研究所
96
Nowadays, the research institute of our Armed Forces not only reaches the target of the fiscal year mission related to defense technology research topic, but also release our capability and license of our technologies to the local industries, then in virtue of the operational fund mechanism dubbed at “Tri-service production and service operational fund-Dual use technology development operation”. The institute is very actively applying for the SBIR(small business innovative research) projects from MoEA, Tri-service project, and possible technological service projects from local industries and our government-run companies. That will be beneficial to infuse the funding for the year-end research budget and the target of surplus in auxiliary-unit budget can be achieved. The employees in the institute are mostly knowledge-worker and work for the weapon systems development under the social expectation of national security. While, when the institute has the duty for technology service besides its regular mission which has the characteristics of utilitarianism for the purpose of budget surplus to achieve the performance of fund may conflict with the employee’s recognition. Such organizational identity is a very important topic, there is no any research topic that focuses on the employee in our military research institutes; besides, the organizational citizenship behavior is still a new research area in the military research institutes, and is deserved to be studied and explored about the relationship among perceived external prestige, organizational identity, and organizational identification.
"An Epidemiological Study of Maternal Depression: Findings From the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development." East Tennessee State University, 2008. http://etd-submit.etsu.edu/etd/theses/available/etd-0508108-125221/.
Full textYu-WeiYeh and 葉玉偉. "Research on institutional development of the National Health Insurance of medical expenses Review--Historical institutionalist perspective." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/a6c5d8.
Full text國立成功大學
政治經濟研究所碩士在職專班
102
Ever since the Department of Health adopted the global budget system for Public Health Insurance. Hospitals have encountered some troubles. Such as fierce competition, raising cost, and elevating consumer conscious. In order to survive these predicaments, medical care institutes have to enhance the quality of the medical service care and satisfy the needs of the patients. So as to maintain the long term relationship with the patients and make sure that patients could revisit the hospitals. The gradually decreasing of the NHI drug payments and Dual Medical System lead smaller hospitals and clinics to large-scale hospitals. Moreover, due to the price discussion controlled by the medical centers, there has been the drug gap. Asymmetric information resulting from high information cost and professional abilities causes the burden of the National Health Insurance Bureau (NIHB) and the growth of the medical expenditure and the difficulties of reducing the waste of medical resources.
Rabothata, Matome Freddy. "Water use, growth and development of sugarcane as affected by a trash mulching." Diss., 2010. http://hdl.handle.net/2263/27332.
Full textDissertation (MInstAgrar)--University of Pretoria, 2010.
Plant Production and Soil Science
unrestricted
Fiala, Ades Laci A. "Maternal employment, attachment, and breastfeeding pathways to early childhood problem behaviors /." 2009. http://proquest.umi.com/pqdweb?did=1858626311&sid=5&Fmt=2&clientId=14215&RQT=309&VName=PQD.
Full textTitle from title screen (site viewed July 6, 2010). PDF text: vii, 111 p. : ill. ; 3 Mb. UMI publication number: AAT 3369361. Includes bibliographical references. Also available in microfilm and microfiche formats.
Dias, José Augusto Aleixo. "Contribution of medical affairs to an efficient management in the pharmaceutical industry." Doctoral thesis, 2019. http://hdl.handle.net/10773/25719.
Full textDurante a última década, a gestão das operações na indústria farmacêutica (PI) tornou-se mais complexa devido a várias mudanças estruturais e organizacionais das empresas, a nova legislação e às restrições orçamentais a nível nacional e internacional. O papel dos Assuntos Médicos/Medical Affairs (MA) tem vindo a ser cada vez mais importante e as interações entre empresas farmacêuticas e os profissionais de saúde (HCP), muito mais baseadas em ciência, do que em argumentos comerciais ou de marketing. Esta tese fornece uma descrição detalhada da função MA, mapeia as principais áreas de actividade, problemas, desafios e oportunidades, com base na informação recolhida junto de profissionais da indústria farmacêutica, HCP, autoridades regulamentares, pagadores e associações de doentes, ao mesmo tempo sugerindo métricas, para avaliar a actividade e o impacto de tais ações. Para recolha de dados elaborámos dois questionários que, foram enviados por email a 400 profissionais da indústria farmacêutica e a 197 clientes, abordando os tópicos mais relevantes da contribuição de MA para as atividades estratégicas e operacionais, identificando as áreas onde existe um maior valor percebido dessa acção. Foram recebidas 169 respostas ao primeiro inquérito (colegas) enquanto que 40 respostas ao segundo inquérito (clientes). Os resultados obtidos permitem concluir que a contribuição dos MA para os resultados globais da empresa e para as estratégias definidas foi muito alta, sendo essencial para o apoio ao lançamento dos medicamentos, melhoria da adesão terapêutica e colaboração com as associações de doentes. Foram igualmente salientadas as atividades operacionais, como as relacionadas com materiais educacionais e de actualização, preparação de simpósios, treino interno e de consultoria. Um grande esforço médico é igualmente investido na criação de conteúdos, preparação e revisão de materiais, bem como, nas respostas relacionadas com os medicamentos, planos de gestão de risco, contribuição para dossiês de reembolso, em reuniões internas de alinhamento e na interacção com clientes. O contributo médico para as actividades digitais e multicanal foi ainda classificado como pouco relevante, enquanto que, as aplicações móveis registaram interesse. O número de medicamentos considerado razoável para um profissional de MA ter sob sua responsabilidade foi de dois a três, enquanto que o número de clientes a acompanhar deveria rondar os dez. A eficiência destes profissionais foi considerada melhor se exercida a partir do escritório do que do domicílio, enquanto que, a investigação clínica foi considerada mais eficiente se realizada pelos recursos da empresa vs recursos contratados (CRO).Para estes colegas, alguns dos factores determinantes para a investigação clínica no nosso país foram: o interesse na investigação e valor percebido dessa participação, enquanto que, os longos tempos de aprovação, a falta de recursos e o baixo impacto no curriculum vitae, constituíram alguns dos principais obstáculos. A experiência dos clientes com os ensaios clínicos é maior do que com os estudos de iniciativa do investigador (IIR), ou outros estudos não-intervencionais (NIS). Ao recrutar um profissional para Assuntos Médicos/Medical Affairs, as características percebidas como mais relevantes foram: uma atitude visando a solução de problemas, flexibilidade, pró-atividade e competência. Os factores mais relevantes referidos como impactantes na retenção destes profissionais foram: as oportunidades de desenvolvimento pessoal, o reconhecimento e as condições de trabalho. A contribuição dos Assuntos Médicos/Medical Affairs para a reputação e credibilidade da indústria farmacêutica foi altamente reconhecida, prevendo no futuro um ainda maior envolvimento médico nas empresas. O impacto da implementação do Código de Ética e Transparência da Federação Europeia da Indústria Farmacêutica e Associações (EFPIA), que rege as relações entre a indústria farmacêutica com os profissionais de saúde, foi considerado elevado; enquanto que a sua imagem foi avaliada como boa. No futuro, prevê-se um envolvimento maior dos Assuntos Médicos/Medical Affairs nas operações da indústria farmacêutica, dos doentes e dos cidadãos, no processo de decisão sobre a sua saúde. No final sugerem-se um conjunto de métricas sobre a actividade de MA em termos de volume e de impacto.
Programa Doutoral em Ciências e Tecnologias da Saúde
Severns, Christopher Ray. "A comparison of geocoding baselayers for electronic medical record data analysis." Thesis, 2014. http://hdl.handle.net/1805/3841.
Full textIdentifying spatial and temporal patterns of disease occurrence by mapping the residential locations of affected people can provide information that informs response by public health practitioners and improves understanding in epidemiological research. A common method of locating patients at the individual level is geocoding residential addresses stored in electronic medical records (EMRs) using address matching procedures in a geographic information system (GIS). While the process of geocoding is becoming more common in public health studies, few researchers take the time to examine the effects of using different address databases on match rate and positional accuracy of the geocoded results. This research examined and compared accuracy and match rate resulting from four commonly-used geocoding databases applied to sample of 59,341 subjects residing in and around Marion County/ Indianapolis, IN. The results are intended to inform researchers on the benefits and downsides to their selection of a database to geocode patient addresses in EMRs.