Tesis sobre el tema "Health administrations"
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Barnett, Chelcie A. "Geospatial Analyses of Childhood Malaria Following Repeated Village-Wide Ivermectin Administrations| Secondary Analyses for the RIMDAMAL Pilot Study". Thesis, Colorado State University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10264549.
Texto completoMalaria has long been a major public health concern, with historic roots dating back thousands of years. This febrile disease is caused by a parasite that is transmitted among vertebrates by mosquitoes. Over the past century, global eradication programs have focused on minimizing populations of the insect vectors, and administering treatments to people infected, especially young children and pregnant women, as they are the most vulnerable to suffering severe complications. Overall, these programs have decreased the geographic distribution and global disease burden; however, malaria remains a major problem in regions where these efforts have been unsuccessful. In 2015, there were an estimated 214 million cases throughout the world, resulting in approximately 438,000 deaths; however, over 3 billion people are living at risk of becoming infected with malaria. Widespread use of the few available effective insecticides and anti-malarial drugs has conferred resistance in both parasitic and mosquito species, decreasing the effectiveness of current interventions. As anti-malarial resistance and insecticide resistance spread, the need for novel malaria interventions becomes more urgent.
One novel approach to combatting malaria was pilot-tested by researchers in the Department of Microbiology, Immunology and Pathology at Colorado State University. The Repeated Ivermectin Mass Drug Administration to control Malaria, or the RIMDAMAL study, evaluated the safety and effectiveness of repeated village-wide administrations of an anti-parasitic drug to prevent malaria in children ≤ 5 years old. The RIMDAMAL study was a randomized trial carried out in Burkina Faso, a small tropical country in West Africa. Ivermectin (IVM) is a common anti-parasitic used around the world to prevent and treat parasitic diseases. Recent evidence has demonstrated that IVM is toxic to malaria-transmitting mosquitoes, and can inhibit the propagation of some life stages of malaria parasites. Initial analyses of the RIMDAMAL data found significantly fewer childhood malaria cases in intervention villages that received repeated IVM administrations, compared to control villages.
This study is a geospatial analysis of the RIMDAMAL data to provide further insight as to how this intervention could be implemented. There were two study aims for this research: 1) identify significant clustering of high and low childhood malaria incidence within each study village; and 2) identify significant clustering of high and low childhood malaria incidence throughout the entire study region. In total, eight villages were enrolled in the study, four of which served as controls, while the other four received the intervention. Residents of each village live in concessions, or compounds of extended family. Geospatial coordinates were collected for each concession within a study village, along with data on the participants within each concession. Using this data, incidence density of malaria among children 5 years old or younger was calculated at the concession level. Concessions were mapped, and spatial clustering of incidence density values was evaluated using the Getis-Ord Gi* (G-I-star) spatial autocorrelation statistic. To evaluate within village clustering, each of the eight study villages were analyzed individually, and between village clustering was evaluated by analyzing the entire study region.
Within each village, several “hot spots,” or statistically significant clusters of high malaria incidence density values were recognized during analyses with max clustering, at the 95% confidence level. Statistically significant clusters of low incidence density were identified in one study village during the analysis with max clustering. The proportion of concessions identified as significant clusters varied by village, ranging from 12% to 91.3%. There seems to be no trend in clustering patterns seen within each village; some villages had randomly distributed hot or cold spots, while others appeared more clustered.
The spatial clustering patterns in the whole study region are more telling. Max clustering occurs in a bimodal pattern with two peaks; at 2,100 meters and 10,000 meters. The clustering patterns that occur indicate regions of similar malaria incidence. The proximity and locations of these villages may imply the RIMDAMAL protocol has regional impacts. Additional research is needed to evaluate how to most effectively implement this intervention to protect against malaria.
Minnigh, Josie. "Brain-Derived Neurotrophic Factor Levels in D2 Receptor Primed Adolescent Rats Given Twice Daily Nicotine Administrations". Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/honors/25.
Texto completoMorize, Noémie. "Les coûts de l’autonomie : économistes et médecins libéraux dans les réformes expérimentales des soins primaires". Electronic Thesis or Diss., Paris, Institut d'études politiques, 2024. http://www.theses.fr/2024IEPP0009.
Texto completoIn the primary care sector in France, “Multidisciplinary Primary Care Groups,” or MSPs, have progressively been introduced to enhance care coordination between self-employed healthcare professionals. These initiatives diversify the predominantly fee-for-service-based remuneration model within primary care, by adding publicly funded add-on payments for coordination efforts. Two pilot programs launched in 2019 sought to advance these reforms further, striving to increase care professionals’ accountability by providing financial incentives for reaching common health outcome goals for their shared patient groups. These initiatives were conceived by administrative executives trained in economics and received support from self-employed general practitioners. This doctoral study aims to explore the mechanisms behind the unlikely collaboration between general practitioners, traditionally known for their autonomy, and stakeholders seeking to reform the self-employed system in primary care.Through case studies involving qualitative data collection from 2019 to 2023, including observations and approximately one hundred interviews, the study reveals a group of stakeholders including administrative economists, researchers, and self-employed health professionals, advocating for these pilot programs and open to compromises to achieve their respective goals. Administrative economists adapt their strategies to maintain their relationships with practitioners, while some general practitioners, well versed in economic principles, seek to reorganize care accordingly. However, they also assert their central position in professional relationships
Annear, Peter Leslie y mikewood@deakin edu au. "Healthy markets - Heathly people? Reforming health care in Cambodia". Deakin University. School of Health Sciences, 2001. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050825.134836.
Texto completoMateus, Ashley (Ashley Marie). "Evaluation of teledermatology in the Veterans Health Administration". Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/97827.
Texto completoCataloged from PDF version of thesis.
Includes bibliographical references (pages 269-287).
Telehealth technologies are being employed to increase access, quality of care, and cost containment. However, there are no widely accepted measures of telehealth performance and little information about long-term changes in access. The Veterans Health Administration (VHA) is advantageous for telehealth research because of the widespread implementation, organic development of multiple distinctively structured programs, and national electronic medical records. Using teledermatology, one of the earliest and most widely adopted uses, a set of recommended performance metrics are established and a select few are evaluated across the different programs. Store and forward (SF) teledermatology, taking a picture and sending it to a dermatologist for asynchronous evaluation, is the prominent method of care. In SF programs there is variation in the level of follow-up care available locally. Some locations have "surrogate dermatology providers" that are trained to do basic treatments and procedures. Based on four site visits and twenty-five interviews with stakeholders, recommendations for performance measurements were created. VHA is already in the process of executing three of the measures nationally: image quality, time to consult response, and patient satisfaction. Additionally, VHA has the data available to measure time to treatment, post-teledermatology utilization of care, travel distance, and wait-times. Finally, VHA should improve data to create future metrics regarding: cost, particularly payment for outside dermatologists; provider satisfaction; and quality of care through chart review or adverse event reporting. Using administrative databases, the metrics for which data were available were retrospectively evaluated. At a national level for 2013, entry into the care process through teledermatology is associated with faster time to treatment than entry from an in-person referral for both melanoma (teledermatology median: 62 days; in-person consult median: 70 days; p=0.002) and non-melanoma skin cancer (teledermatology median: 79 days; in-person consult median: 88 days; p<0.001). There was little consistency in the post-teledermatology care utilized across programs. Testing three programs with different resources used for local follow-up care, travel distance saved over 2013 was calculated. The program with surrogate dermatology providers had the most travel saved per patient. Implementation of teledermatology had no statistically significant impact on in-person wait times for dermatology clinics.
by Ashley Mateus.
Ph. D.
Bieber, Virginia Holt. "Leadership Practices of Veterans Health Administration Nurse Executives". Digital Commons @ East Tennessee State University, 2003. https://dc.etsu.edu/etd/814.
Texto completoDhillon, Balinder Singh. "The State's role in occupational health and safety administration /". Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=56897.
Texto completoThe initial approach for ensuring acceptable work conditions had been through direct state intervention and the use of coercive power. In view of the limitations of this approach, over time, state regulation was replaced by the "self-regulation" or "internal-responsibility system" under which participants at the workplace were given an enhanced say in the regulatory process. Recent trends have continued to favour this shift towards deregulation of the state's administrative structures.
The self-regulation strategy, however, also has limited applicability and can only prove effective if applied in combination with the state's enforcement strategies. The two approaches need to be viewed as being complimentary to one another and not mutually exclusive. This being the case the state's role in the regulatory process would require re-examination and alteration to ensure an effective and efficient regulatory structure.
Nagashima, Takeshi. "Arthur Newsholme and English public health administration 1888-1919". Thesis, University of Sussex, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366211.
Texto completoBiron, Alain. "Medication administration complexity, work interruptions, and nurses' workload as predictors of medication administration errors". Thesis, McGill University, 2009. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=66704.
Texto completoIntroduction: Les résultats probants relatifs aux facteurs prédictifs des erreurs d'administration des médicaments (EAM) sont peu nombreux et non-concluants.Objectif: Examiner la complexité de l'administration (composante et coordination), les interruptions dans le processus d'administration des médicaments et la charge de travail infirmière subjective comme facteurs prédictifs des EAM.Devis: Un devis corrélationnel prospectif. Milieu: Une unité de médecine dans un centre hospitalier universitaire.Échantillon: Un échantillon de convenance formé de 102 cycles d'administration des médicaments effectués par 18 infirmières avec un minimum de six mois d'expérience professionnelle.Méthode: Les données ont été colligées par observation directe (EAM et interruptions), mesures auto-rapportées (charge de travail subjective, caractéristiques sociodémographiques) ainsi qu'avec l'échelle de la complexité de l'administration médicamenteuse (MAC coding scale).Résultats: 102 observations ont été effectuées au cours desquelles 965 doses ont été administrées par 18 infirmières. En incluant les erreurs de temps d'administration, le taux d'EAM était de 28.4% et diminua à 11.1% lorsque les erreurs de temps d'administration étaient exclues. Une interruption lors de la préparation des médicaments (OR 1.596; 1.044 - 2.441) augmente significativement le risque d'EAM. Deux interactions significatives ont été trouvées (charge de travail X temps supplémentaire et charge de travail X expérience professionnelle). Ces interactions indiquent un effet plus négatif du temps supplémentaire et de l'expérience professionnelle parmi les infirmières ayant une charge de travail supérieure à la moyenne. La complexité de coordination de l'administration de médicament, contrairement aux attentes, diminue significativement les risques d'EAM (OR 0.558; .322-.967). L'inclusion des erreurs de temp
Wagner, Steven M. "Public Sponsored Health Insurance to Improve Health Outcomes with Implications for Government Health Policy, Design, and Decision Making". ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1002.
Texto completoAl-Haque, Shahed. "Responding to traveling patients' seasonal demands for health care services in the Veterans Health Administration". Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/81112.
Texto completoCataloged from PDF version of thesis.
Includes bibliographical references (p. 60-62).
The Veterans Health Administration (VHA) provides care to over eight million Veterans and operates over 1,700 sites of care distributed across twenty-one regional networks in the United States. Health care providers within VHA report large seasonal variation in the demand for services, especially in healthcare systems located in the southern U.S. that experience a large influx of "snowbirds" during the winter. Since the majority of resource allocation activities are carried out through a single annual budgeting process at the start of the fiscal year, the seasonal load imposed by "traveling Veterans," defined as Veterans that seek care at VHA sites outside of their home network, make providing high quality services more difficult. This work constitutes the first major effort within VHA to understand the impact of traveling Veterans. We found a significant traveling Veteran population (6.6% of the total number of appointments), distributed disproportionately across the VHA networks. Strong seasonal fluctuations in demand were also discovered, particularly for the VA Bay Pines Healthcare System, in Bay Pines, Florida. Our analysis further indicated that traveling Veterans imposed a large seasonal load (up to 46%) on the Module A clinic at Bay Pines. We developed seasonal autoregressive integrated moving average (SARIMA) models to help the clinic better forecast demand for its services by traveling Veterans. Our models were able to project demand, in terms of encounters and unique patients, with significantly less error than the traditional historical average methods. The SARIMA model for uniques was then used in a Monte Carlo simulation to understand how clinic resources are utilized over time. The simulation revealed that physicians at Module A are over-utilized, ranging from a minimum of 92.6% (June 2013) to maximum 207.4% (January 2013). These results evince the need to reevaluate how the clinic is currently staffed. More broadly, this research presents an example of how simple operations management methods can be deployed to aid operational decision-making at other clinics, facilities, and medical centers both within and outside VHA.
by Shahed Al-Haque.
S.M.in Technology and Policy
Waddington, Catriona Jane. "Health economics in an irrational world - the view from a regional health administration in Ghana". Thesis, University of Liverpool, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.317275.
Texto completoOgbonna, Francisca. "Assessing Provider Use of Veterans Health Administration Tobacco-Cessation Guideline". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4012.
Texto completoKirk, Malee. "Strategies for Health Care Administration Leaders to Reduce Hospital Employee Turnover". Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10283032.
Texto completoStaff turnover is high in the hospital industry, influencing health care administration leaders to implement successful strategies to decrease staff turnover. The purpose of this case study was to explore successful strategies to reduce hospital employee turnover. Five health care leaders from Raleigh, North Carolina hospitals were in the sample drawn from the population of medical professionals with successful employee retention in their hospital settings. The conceptual framework for this study was the Herzberg dual-factor theory with the supporting theory, Maslow’s hierarchy of needs theory, and the opposing theory, Vroom’s expectancy theory. Semistructured interviews occurred with 5 leaders. The review of hospital human resource documents, website pages, and training program information combined with interview data for methodological triangulation using the Yin 5-step process, leading to 5 themes. Participants emphasized selective recruitment and hiring with a focus on hiring employees for a good organizational fit. Participants discussed different ways of engaging, supporting, and motivating hospital employees. Strategies included valuing employees, effective communication, recognition, and respect. Participants identified a fair, flexible, collaborative, and safe organizational culture as ideal for the retention of hospital employees who fit with the hospital environment. Reducing employee turnover may improve customer relations and quality of care in hospitals, leading to lower health care costs, representing positive social change for hospital employees and the patients served.
Paulo, Cynthia Ann. "Validation of criteria for use in health and safety program administration". CSUSB ScholarWorks, 1992. https://scholarworks.lib.csusb.edu/etd-project/3034.
Texto completoZamora, Laura. "Azura digital health| Scheduling application and prescription service for women's health". Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10260903.
Texto completoIn recent years, the financial barrier to access for prescription contraceptives has been lifted due to the Affordable Care Act. However, there is still a barrier to access because those who want it still need to get a prescription from a provider. This business plan proposes the establishment of Azura Digital Health, a scheduling tool that obstetricians and gynecologists can use to schedule their appointments, while also offering patients convenience for birth control prescriptions and assistance with finding the women’s health provider that is right for them. Allowing patients to choose their provider can increase quality for their health, since they can choose the doctor they feel is best for them. Additionally, the convenience of getting their birth control prescription helps patients get a simple prescription for what they need in a timely manner. The scheduling tool allows providers to market themselves and broaden their patient base, as Azura Digital Health would do that work for them. Azura Digital Health hopes to improve women’s healthcare quality, breaking the barrier to prescriber access.
Castora-Binkley, Melissa. "The Impact of the Veterans Health Administration's Home Based Primary Care on Health Services Use, Expenditures, and Mortality". Scholar Commons, 2015. https://scholarcommons.usf.edu/etd/5457.
Texto completoBrown, Alquietta Lavayle. "Factors Relating to Underrepresentation of Black American Women in Health Care Administration". ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1290.
Texto completoWang, Chunguang S. M. Massachusetts Institute of Technology. "Enterprise architecture processes : comparing EA and CLIOS in the Veterans Health Administration". Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76512.
Texto completoCataloged from PDF version of thesis.
Includes bibliographical references (p. 92-94).
There are numerous frameworks for abstracting an enterprise complex system into a model for purposes of analysis and design. Examples of such frameworks include the Complex Large-scale Interconnected Open Social-technical System (CLIOS) process for handling enterprise system architecture, the Enterprise Architecture eight views (EA) for diagnosing and improving overall enterprise performance, and the Enterprise Strategic Analysis for Transformation (ESAT). In addition to helping identify and manage complexity, emergent behavior and the requirements of many stakeholders, all of these frameworks help identify enterprise-wide processes, bringing value-added flow between enterprises and their stakeholders. This thesis evaluates the applicability of integrating these frameworks into a hybrid process in ongoing programs and to determine if a standard process can be generated through an integrative, interdisciplinary approach using the above models and frameworks. Enterprise Architecture eight views framework as developed at MIT is designed to create enterprise-level transformations in large, complex socio-technical enterprises. In the past 15 years of research at LAI, these enterprise developments have been applied and validated in the government and in other industries including aerospace, transportation, healthcare case, defense acquisition and logistics. The CLIOS process, also developed at MIT, is designed to work with Complex, Largescale, Integrated, Open, Socio-technical systems, creating strategies for stakeholders to reach goals through enterprise development. This process has been used heavily in transportation systems, energy distribution, and regional strategic transportation planning. This thesis will apply both of these frameworks to the case of Veterans Affairs health care enterprise to evaluate its effectiveness. Based on insights from self-assessments and the organization's strategy, a transformation plan will be generated for the Veterans Affairs organization's current state and preferred future state. These outcomes will help to identify the strengths of the merged methodology.
by Chunguang Wang.
S.M.in Engineering and Management
Miller, Sharron. "Exploring Incivility Toward Employee Absenteeism, Productivity, and Effective Communication: Veterans Health Administration". ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1704.
Texto completoDunham-Taylor, Janne, Joseph Z. Pinczuk y Jo-Ann Marrs. "Ethics in Nursing Administration in Health Care Financial Management for Nurse Managers". Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/7105.
Texto completoChen, Qi. "Validating and applying AHRQ patient safety indicators in the veterans health administration". Thesis, Boston University, 2012. https://hdl.handle.net/2144/12322.
Texto completoPatient safety has become a national priority since the Institute of Medicine report "To Err is Human." The Agency for Healthcare Research and Quality developed the Patient Safety Indicators (PSIs) to screen for potentially preventable patient safety events in the inpatient setting using hospital administrative data. We undertook three studies that sought to validate and apply selected PSis in the Veterans Health Administration (VA) to assess quality/safety of care. The first study was to assess the criterion validity (i.e., how well this indicator identifies true events) of PSI #5 "Foreign Body Left During Procedure" using chart review as the gold standard. Among 93 cases flagged by this PSI, 42 were true positives, yielding a positive predictive value of 45% (95% CI, 35%-56%). False positives were due to foreign bodies that were present on admission (57%) or coding errors (43%). The second study was to examine the attributional validity (i.e., whether true PSI events reflect process of care problems) of PSis #14 "Postoperative Wound Dehiscence" (PWD) and #15 "Accidental Puncture or Laceration" (APL) based on chart-abstracted data. Among 95 case-control pairs for each PSI, we were unable to confirm the association between examined processes of care and the occurrence of PWD/APL events. Documentation of process details was frequently missing in medical charts. The third study applied individual PSIs to measure the safety of care that Veterans received in the VA and in the private sector under Medicare financing. One important finding is that among Veterans who were concurrently obtaining inpatient care in both healthcare systems, the rates for PSIs that reflect areas prioritized by the VA for quality improvement (i.e., "Pressure Ulcer," "Central Venous Catheter-Related Bloodstream Infections," and "Postoperative Sepsis") were significantly lower for VA hospitalizations compared to Medicare hospitalizations. These three studies together provide useful insights into ways in which the PSIs can be applied to assess quality of care. The first two studies demonstrate two aspects of PSI validity, and the third one uses the PSis as outcome measures to compare patient safety in and outside the VA.
Goss, Tyler. "Veterans Health Administration discharge telephone follow-up and 30-day hospital readmissions". Diss., University of Iowa, 2015. https://ir.uiowa.edu/etd/5940.
Texto completoLehaney, Brian. "Simulation modelling in administration-by-consensus organisations". Thesis, Brunel University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286696.
Texto completoWilliams, Waitline. "Factors that Affect Bar Code Medication Administration Technology Acceptance". Thesis, Adelphi University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3579387.
Texto completoMedication errors are a major concern for patient safety, and cost the health care system billions of dollars each year. There is evidence that Barcode Medication Administration Technology decreases medication errors. However, little is known about the factors that affect Barcode Medication Administration Technology Acceptance by Nurses. The purpose of this research was to investigate the relationships between caring, role conflict and role ambiguity, organizational commitment and barcode medication administration technology acceptance by nurses.
A quantitative non-experimental correlational design was utilized for this study, in addition to two qualitative questions. Eighty-six nurses completed four questionnaires measuring the study variables. Two of the four hypotheses were supported. There was a negative correlation between role conflict and role ambiguity and technology acceptance, indicating that nurses in this study who experienced less role conflict and role ambiguity were more likely to accept BCMA technology. There was also a positive correlation between organizational commitment and technology acceptance, indicating that nurses in this study that were highly committed to their organization were more accepting of BCMA technology. The qualitative findings indicated that nurses experienced some frustration when aspects of the technology malfunctioned, making the medication administration process time consuming. However, nurses verbalized that BCMA technology made their role of medication administration safer and more efficient.
This study's findings can assist administrators, nurse educators and informatics directors in providing adequate training, support, resources and environment for promoting BCMA technology acceptance by nurses. This will help to promote patient safety and technology acceptance and may result in less turnover due to nurse role conflict and role ambiguity.
Holmberg, Leif. "Health-care processes a study of medical problem-solving in the Swedish health-care organization /". Lund : Lund University Press, 1997. http://books.google.com/books?id=1jNrAAAAMAAJ.
Texto completoHonig, Gerard. "Physiological effects of SSRI administration: Negative feedback control of serotonin production and release". Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3352475.
Texto completoCatena, Rodolfo. "Essays on health care operations management". Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:3c2035a6-b5d0-43b7-9b12-4883e5db4526.
Texto completoStevens, Kim D. "Reducing Errors with Blood Administration Transfusion Systems". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7340.
Texto completoHarris, Bertha J. "Veteran Administration Disease Model to an Interdisciplinary Healthcare Model". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6574.
Texto completoPhelps, John Clayton. "Health Care Leaders' Strategies to Reduce Nursing Turnover". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7326.
Texto completoRoss, Tammy. "Increasing Medication Adherence in Hypertensive Patients With Million Hearts® Health Literacy Program". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5259.
Texto completoHolmer, Leanna L. "Relationships among organizational health, emotional capacity, interpersonal behavior, and process effectiveness". Connect to resource, 1993. http://rave.ohiolink.edu/etdc/view.cgi?acc%5Fnum=osu1266927863.
Texto completoKhurdajian, Angela. "Non-profit community mental health clinic". Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1595233.
Texto completoThe dynamic mental health landscape has placed undue strain on hospitals, providers, and the community at large, resulting in gross inequities in access to care for underserved populations. This business plan proposes the establishment of a Los Angeles area non-profit community mental health clinic, embedded with a mission to accept adult patients suffering from co-occurring mental health and chronic medical conditions, regardless of insurance status and ability to pay. Under the Patient Centered Medical Home model, the aim of the Clinic will be to treat patients holistically by incorporating an interdisciplinary team of clinicians to ensure optimal health outcomes. While this plan acknowledges the challenges in serving indigent populations, the Clinic will contract with Medi-Cal and commit to continuous fundraising efforts to remain financially sustainable in order to improve the health of vulnerable Angelenos.
Leckey, Donna. "Therapeutic Non-pharmacological Interventions and PRN Psychotropic Medication Administration Practices of Mental Health RNs". Thesis, Carlow University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3681319.
Texto completoPRN psychotropic medication administration is a common practice used by psychiatric RNs in acute inpatient mental health settings to manage anxiety and agitation in patients, and as a result, there are high incidences of PRN psychotropic medication administration (Mugoya & Kampfe, 2010). There is limited documentation indicating that therapeutic non-pharmacological interventions are utilized prior to PRN psychotropic medication administration (Curtis et al., 2007). The purpose of this scholarly project was to determine what non-pharmacological interventions are used by mental health RNs prior to or in lieu of administering PRN psychotropic medication to manage anxiety and agitation in adult psychiatric hospitalized patients. Another aim of this project was to determine what factors influence mental health RNs' decisions to administer PRN psychotropic medications. A descriptive study was conducted. Two survey-type self-reporting tools were used. Twenty RNs completed Nursing Surveys. Thirteen RNs completed both Nursing Surveys and Nursing Intervention Tracking Forms. Findings from this study revealed that non-pharmacological interventions successfully resolved problems over 1/3 of the time and may prevent the use of PRN psychotropic medications. In cases where PRN psychotropic medication was not administered, distraction was the non-pharmacological intervention most often used. The most common factor influencing RNs' decisions to administer PRN psychotropic medications was a high level of anxiety persistent after non-pharmacological interventions were used. This study reinforces the importance of RNs using non-pharmacological interventions to manage patients exhibiting signs or symptoms of anxiety or agitation.
Lee, Jae Chul. "Health disparities in access to health care for older people with disabilities". Diss., Connect to online resource - MSU authorized users, 2008.
Buscar texto completoTitle from PDF t.p. (viewed on July 2, 2009) Includes bibliographical references (p. 128-144). Also issued in print.
Spielmann, Brian. "Development and implementation procedures of the Occupational Safety and Health Administration Voluntary Protection Program". Menomonie, WI : University of Wisconsin--Stout, 2006. http://www.uwstout.edu/lib/thesis/2006/2006spielmannb.pdf.
Texto completoKwayiba, Thamsanqa Felix. "Workers' perceptions of occupational safety and health administration measures at Sasol Infrachem in Sasolburg". Thesis, University of Fort Hare, 2009. http://hdl.handle.net/10353/d1001090.
Texto completoGo, Cheung-ngai Alfred. "Organizational health in a sample of Hong Kong secondary schools implications for school administration /". Click to view the E-thesis via HKUTO, 1987. http://sunzi.lib.hku.hk/HKUTO/record/B38627188.
Texto completoGo, Cheung-ngai Alfred y 吳長毅. "Organizational health in a sample of Hong Kong secondary schools: implications for school administration". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1987. http://hub.hku.hk/bib/B38627188.
Texto completoSondheim, Mike. "Applying Systems Engineering and Lean Healthcare Tactics to the Veterans Health Administration Enrollment System". Digital Commons at Loyola Marymount University and Loyola Law School, 2015. https://digitalcommons.lmu.edu/etd/443.
Texto completoJones, Wittney A. "Health Care Administration Faculty Perceptions on Competency Education, Graduate Preparedness, and Employer Competency Expectations". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1200.
Texto completoChitondo, Pepukayi David Junior. "Data policies for big health data and personal health data". Thesis, Cape Peninsula University of Technology, 2016. http://hdl.handle.net/20.500.11838/2479.
Texto completoHealth information policies are constantly becoming a key feature in directing information usage in healthcare. After the passing of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009 and the Affordable Care Act (ACA) passed in 2010, in the United States, there has been an increase in health systems innovations. Coupling this health systems hype is the current buzz concept in Information Technology, „Big data‟. The prospects of big data are full of potential, even more so in the healthcare field where the accuracy of data is life critical. How big health data can be used to achieve improved health is now the goal of the current health informatics practitioner. Even more exciting is the amount of health data being generated by patients via personal handheld devices and other forms of technology that exclude the healthcare practitioner. This patient-generated data is also known as Personal Health Records, PHR. To achieve meaningful use of PHRs and healthcare data in general through big data, a couple of hurdles have to be overcome. First and foremost is the issue of privacy and confidentiality of the patients whose data is in concern. Secondly is the perceived trustworthiness of PHRs by healthcare practitioners. Other issues to take into context are data rights and ownership, data suppression, IP protection, data anonymisation and reidentification, information flow and regulations as well as consent biases. This study sought to understand the role of data policies in the process of data utilisation in the healthcare sector with added interest on PHRs utilisation as part of big health data.
Cano, Olmos Luis Mohamed y Rojas Luis Isaias Jesus Cabrera. "Health Records in the Mexican Health System". Thesis, Internationella Handelshögskolan, Högskolan i Jönköping, IHH, Företagsekonomi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-45285.
Texto completoMcLeod, M. C. "Medication administration processes and systems : exploring effects of systems-based variation on the safety of medication administration in the UK National Health Service". Thesis, University College London (University of London), 2013. http://discovery.ucl.ac.uk/1401849/.
Texto completoHu, Leijun. "Suramin pharmacokinetics after regional or systemic administration". Connect to resource, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1114449390.
Texto completoMurphy, Denise. "Transtympanic administration of dexamethasone an innovative otoprotection against cisplatin chemotherapy /". Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:8881/R/?func=dbin-jump-full&object_id=92269.
Texto completoDemyttenaere, Sebastian. "The effects of pneumoperitoneum and fluid administration on renal perfusion /". Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97941.
Texto completoEilbert, Kay Wylie. "A Community Health Partnership Model: Using Organizational Theory to Strengthen Collaborative Public Health Practice". Diss., Health Services Management and Leadership, George Washington University, 2003. http://hdl.handle.net/1961/123.
Texto completoAbstract Community partnerships are an increasingly popular strategy for improving community health. This popularity is based less on evidence than on rhetoric. This research developed and tested a systems model of partnership to improve the practice of collaboration in public health. Basing the need for partnerships on the multi-sectoral nature of health, the model used open systems theory to set out requirements for partnership. Institutional theory suggested that problems faced by partnerships may result from partners meeting requirements for legitimacy. Change is, therefore, required, both in organizations and in their institutional environment. Using exploratory case studies, the study design involved site visits to two community health partnerships (West Virginia Community Voices and Healthy New Orleans). Mixed qualitative methods included semi-structured interviews, focus groups, and document review. Analysis involved interpreting informants responses in terms of evidence representing the model and for new elements. Evidence from practice suggested several revisions to the model. One involved applying a typology of organizational affiliation, with partnership toward one end of the continuum. Use of this typology permitted an extension of the model to understand the form of affiliation practiced by Community Voices and of Healthy New Orleans. Multiple opportunities to network and build coalitions in Community Voices led to increased chances of success in achieving health improvement goals. Networking opportunities for individual volunteers led to an informal Healthy New Orleans organization. Results of this research led to an analytic fit between the two sites and the community health partnership model. Recommendations are offered for practice, research, and for funding agencies. With further research, the model can be used to develop practical tools to guide and assess partnerships as a strategy to improve health, as well as to identify environmental barriers to partnership and strategies for change.
Advisory Committee: Kathleen Maloy JD PhD (Chair), Vincent Lafronza ScD, Chris Johnson EdD
Garske, Gary L. "Continuity planning for local public health agencies in northern Wisconsin : providing essential public health services after displacement /". Connect to online version, 2009. http://digital.library.wisc.edu/1793/37472.
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