Tesis sobre el tema "Health care system"
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Ling, Meng-Chun. "Senior health care system". CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2785.
Texto completoZhang, Yanzhen. "Health care system in China". Thesis, Virginia Tech, 1994. http://hdl.handle.net/10919/43605.
Texto completoNdossa, А. "Health care system in Tanzania". Thesis, Сумський державний університет, 2013. http://essuir.sumdu.edu.ua/handle/123456789/33768.
Texto completoCano, 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 completoAl-Yaemni, Asmaa Abdullah. "Does universal health care system in Saudi Arabia achieve equity in health and health care?" Thesis, University of Liverpool, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.526777.
Texto completoWright, Trudy y n/a. "Primary health care : the health care system and nurse education in Australia, 1985-1990". University of Canberra. Education, 1994. http://erl.canberra.edu.au./public/adt-AUC20061110.171759.
Texto completoVasudevan, Sridhar. "Secure telemedicine system for home health care". Morgantown, W. Va. : [West Virginia University Libraries], 2000. http://etd.wvu.edu/templates/showETD.cfm?recnum=1254.
Texto completoTitle from document title page. Document formatted into pages; contains vi, 94 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 92-93).
Karki, Jiban Kumar. "Health system actors' participation in primary health care in Nepal". Thesis, University of Sheffield, 2016. http://etheses.whiterose.ac.uk/15799/.
Texto completoStoyanov, Joan Ellen. "South African health care practitioners’ experiences of the current health care delivery system in Uthungulu District". Thesis, University of Zululand, 2017. http://hdl.handle.net/10530/1530.
Texto completoHealth is a human need and considered to be a human right across all societies. Access to health care services is not a problem for those who can afford it, but, for those who cannot provide for themselves, legislation needs to protect their rights. Although there is legislation in place to protect these vulnerable populations, it is ultimately the health care practitioners’ job to protect and improve the health of their communities. It is these health care practitioners who were the inspiration for and focus of the present study. The present study emerged as a separate, but expanded version of the researcher’s limited 2011 study, which specifically focused on medical practitioners’ experiences of the current health care delivery system. Results from this 2011 study suggested that a broader spectrum of health care practitioners may be similarly affected by the current health care system and that their experiences may ultimately contribute towards a better understanding of the dynamics within which health care practitioners work and function. Therefore, the present phenomenologically-oriented study aimed to describe, explicate, interpret and analyse the experiences of a broad sample of health care practitioners through their lived, day-to-day realities in both the public and private health care sectors. Data were collected from a non-probability, purposive, convenience sample of 30 adult registered health care practitioners in public and private hospitals, clinics and private practices in the uThungulu District of Kwa-Zulu Natal, South Africa. There were 15 participants from the public and 15 from the private sector. An open-ended questionnaire was used to ascertain and understand their experiences, knowledge and exposure to the relatively new national health insurance (NHI) system, what they perceived as key objectives for effective transformation of the South African health care system, possible reasons for considering emigration in light of the current staff shortages and their views on the new NHI policy, in order to find solutions to problems. The overall data analysis consisted of three levels of subsidiary data analysis, descriptive, social constructionist and interpretive paradigms, each contributing to the whole, both “vertically and horizontally”, where participants’ experiences were described, explicated and interpreted. Research findings indicated persisting large divisions and fragmentation in and between the public and private health care sectors. Yet there was unity in responses concerning the poor and disadvantaged members of society and the challenges of their access to health care services. Sensitivity to human rights standards, past socio-political influences and awareness of health as a human right and need were evident in all participant responses. Valuable solutions to improve the health care delivery system were offered by health care practitioners as key stakeholders in the future of health care delivery in South Africa. Public health care practitioners’ experiences were dominated by overall expressions of unhappiness, anger and frustration related to poor service delivery, lack of resources, inadequate management structures, wages, inadequate consultation, fear for personal (and family) safety and the future of health care. Concern for the poor, vulnerable and the majority of citizens who use health care services, coupled with the burgeoning burden of disease, were perceived as a major stressor and source of anger towards the government and bureaucracy in general. Chronic stress and anxiety, suggestive of burnout and other negative psychological states, were also apparent. The inability to service long patient queues, inadequate communication structures/channels and lack of cohesive team practices, ethics and standards created a sense of emotional overburden and other negative affective states. These, and the uncertain future of health care under the new NHI, exerted extra stress on already overworked health care personnel. Education and effective consultation about the NHI were expressed as being inadequate and incomplete. Despite these factors, health care practitioners offered various valuable solutions and suggestions for the improvement of health care service delivery. Despite also being stressed, participants who work in the private sector were generally happier and they evinced less negative psychological states. Although a stressful environment with its own problems, within the private sector the NHI was considered to be a good concept in principle, although many participants doubted its feasibility and felt that regulatory changes often took place without adequate consultation. Given the nature and transparency of the present study, across multidisciplinary teams of health care practitioners, the researcher is of the opinion that the present study created a platform for discussion and debate around the context of a changing health care system within South Africa’s culturally diverse society. In conclusion, a critical review of the present study and recommendations for management structures, health care practitioners themselves and future research is provided.
Mycroft, Matthew. "An Information System for Health Care Quality Measures". Digital Commons at Loyola Marymount University and Loyola Law School, 2016. https://digitalcommons.lmu.edu/etd/426.
Texto completoNtau, Christopher Gopolang. "Medical careers and the Botswana health care system". Thesis, Royal Holloway, University of London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.543578.
Texto completoNganda, Benjamin Musembi. "Structural reform of the Kenyan health care system". Thesis, University of York, 1994. http://etheses.whiterose.ac.uk/14168/.
Texto completoHuston, Annette L. "Carilion: A Corporate System of Managed Health Care". Diss., Virginia Tech, 2001. http://hdl.handle.net/10919/29798.
Texto completoPh. D.
Mak, Yuen-yung y 麥菀容. "Hong Kong's health financing system". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B50255745.
Texto completopublished_or_final_version
Politics and Public Administration
Master
Master of Public Administration
Chong, Stéphane. "The future of primary care : an engineering system approach to fix the U.S. health care system". Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/51654.
Texto completoIncludes bibliographical references (p. 75-78).
The ailing U.S. health care system faces two tremendous challenges: a rising health care bill and a growing number of uninsured individuals. Several policies have been enacted to tackle these challenges but they are short-term patchwork solutions rather than long-term holistic solutions needed to address structural issues. Despite the market-based aspect of the U.S. healthcare system, self-correction of structural inefficiencies is unlikely to happen. A new care model has to disrupt the current care system. In line with this observation, we propose to analyze the potential of a new primary care delivery as a solution to address the two key challenges threatening to destabilize the U.S. health care. Based on our analysis of the literature, we note that chronic diseases account for a large proportion of the health care bill. Yet, the delivery model to provide chronic care, where primary care plays a central role, is inefficient, fragmented and insufficient. Compounding these ailments, primary care is facing its own crisis resulting from the shortage of generalist doctors and the inflating demand for primary care services. As primary care is critical for the continuity and coordination of medical care, resolving the urgent situation facing this branch of practice should be a top priority to improve quality of care while reducing health care costs. Every stakeholder in the current health care system should collectively contribute to the primary care model redesign endeavor.
(cont.) To this end, we apply an engineering system approach to devise an appropriate course of actions for health care businesses, health care providers and policy-makers in redesigning primary care. We discuss insights gained through a collaborative project with a local hospital to model and simulate a new primary care practice. These insights were geared to guide decision-makers in the design of care processes, resources allocation and appointment rules. In conclusion, we show that primary care has a critical role to play in the much-needed revolution of the U.S. health care system. It will require active collaboration of health care providers, business leaders and policy-makers to enable this disruptive change.
by Stéphane Chong.
S.M.in Technology and Policy
Jenkins, Juliette Swanston. "Community Health Worker's Perceptions of Integration into the Behavioral Health Care System". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6908.
Texto completoHartmann, Andre. "An assessment of telemedicine services within the Western Cape public health care system". Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86225.
Texto completoENGLISH ABSTRACT: Telemedicine is de ned as an electronic exchange of medical information and/or the delivery of clinical health care over a distance, by means of Information and Communication Technology (ICT). South Africa is faced with the problem of providing health care to a population in urban, as well as across vast rural areas. In addition to this, the South African health care system must deal with economical imbalances and a shortage of human resources to provide quality health care. Telemedicine services could provide a solution. Since the introduction of the rst national telemedicine services initiative in the late 1990s, a number of South African telemedicine services have been implemented in the public health care system. The majority of these telemedicine services have been prone to failure and many were prematurely terminated. The circumstances which in uence the failure or success of these services are not unknown. The lack of insight, and the high failure rate of telemedicine services implemented in the South Africa were the reasons for conducting this study. The purpose of the study is to assess telemedicine services implemented in the Western Cape public health care sector. The purpose is also to provide recommendations for improving the current and future telemedicine services in the Western Cape and other provinces. A telemedicine services assessment was conducted on a total of 26 telemedicine services identi ed at 6 health care facilities located in the Western Cape. The assessments were based on the TeleMedicine Services Maturity Model (TMSMM), which was developed speci cally for the purpose of assessing telemedicine services. The TMSMM capability statements were used as a yardstick to assess the maturity of each of the elements of telemedicine services in terms of the three service level groups (micro-,meso- and macro-level) and ve telemedicine domains (man, machine, material, method and money). The assessment process included: (i) the identi cation of telemedicine services at the selected health care facilities; (ii) the gathering of the relevant telemedicine service data by means of structured interviews; (iii) the transformation of the complex ow of information into Data Flow Diagrams (DFDs); (iv) the loading of telemedicine services data into a data warehouse; and (v) the analysis of data by means of On-Line Analytical Processing (OLAP), as well as box-and-whisker plots and statistical correlations. Based on the results of the TMSMM assessment, an electronic questionnaire was developed and administered amongst health care workers throughout the entire Western Cape. The questionnaire con rmed that the ndings from the TMSMM assessment are indeed representative of the entire Western Cape. The assessment of the telemedicine services provides information about the elements which a ect the success or failure of these services. This therefore addresses the initial research problem and ful ls the purpose of the study. These results were used as an input to the analysis of strengths, weaknesses, opportunities and threats (SWOT) of the delivery of telemedicine services in the Western Cape public health sector. For future references and studies, the SWOT analysis provides a point of departure for a strategic telemedicine services framework for a province like the Western Cape.
AFRIKAANSE OPSOMMING: Telegeneeskunde, per de nisie, behels die deel van mediese inligting en/of die lewering van kliniese gesondheidsdienste oor 'n afstand, deur middel van inligting en kommunikasie tegnologie (ICT). Telegeneeskunde dienste is moontlik een van die oplossings vir die lewering van gesondheidsdienste vir 'n bevolking wat versprei is oor 'n groot landelike gebied binne 'n publieke gesondheidsektor wat mense hulpbronne kort om kwaliteit gesondheidsorg te lewer. Die publieke gesondeheidstelsel van Suid Afrika het 'n drie-dubbele las van siektes, ekonomiese wanbalans and 'n tekort aan mediese praktisyns. Sedert die eerste nasionale inisiatief vir telegeneeskunde dienste in die laat 1990s bekend gestel is, is 'n paar telegeneeskunde dienste in die publieke gesondheidsektor van Suid Afrika geïmplementeer. Die meerderheid van hierdie dienste blyk onsuksesvol te wees. The faktore wat die implementeringsukses beïnvloed is nog nie goed nagevors nie. Die doel van hierdie studie is om telegeneeskunde dienste wat in die Wes- Kaap publieke gesondheidsektor geïmplementeer is te ondersoek. Die doel is verdermeer om aanbevelings te maak met die oog op die verbetering van bestaande en toekomstige dienste in die Wes-Kaap asook ander provinsies. Eerstens is 'n telegeneeskunde diens assessering uitgevoer op 'n totaal van 26 dienste 6 fasiliteite. Hierdie assesserings is gebasseer of the Telegeneeskunde Diens Volwassenheidsmodel (TMSMM), wat ontwikkel is spesi ek met die doel om telegeneeskunde dienste te assesseer. Dit word gedoen deur die dienste te meet in terme van drie vlakke (mikro-, meso- en macrovlak) en vyf domeine (man, masjien, materiaal, metode en geld). Die TMSMM vermoeë-stellings word as maatstaaf gebruik. Die assesseringsproses sluit in (i) die identi sering van telegeneeskunde dienste by die aangewese gesondheidsfasiliteite; (ii) die versameling van relevante telegeneeskunde data deur middel van gestruktureerde onderhoude; (iii) die transformasie van komplekse inligtings vloei na data vloeidiagramme (DFDs); (iv) die laai van telegeneeskundige dinste data in 'n databasis; and (v) die analyse van data deur middel van aanlyn analitiese verwerking (OLAP) sowel as boxen- snorbaard gra k en statistiese korrelasies. Gebasseer op die resultate van die TMSMM assesseringsproses, is 'n elektroniese vraelys ontwikkel en geadministreer onder gesondheidswerkers regoor die Wes-Kaap ten einde te bevestig of die gevolgtrekkings van die TMSMM assessering die hele provinsie verteenwoordig. Die assessering van die telegeneeskundige dienste verskaf inligting in terme van die faktore wat die sukses van telegeneeskundie dienste beïnvloed. Sodoende word die aanvanklike navorsingsprobleem aangespreek. Hierdie resultate is toe gebruik as inset vir die analise van die sterk punte, swak punte, geleenthede en bedreigings (SWOT) in die publieke gesondheidsektor van die Wes-Kaap in terme van telegeneeskundige dienste. Hierdie SWOT-analise kan in die toekoms gebruik word as vertrekpunt vir die ontwikkeling van strategiese raamwerk vir die implementering van telegeneeskundige dienste in 'n provinsie soos die Wes-Kaap.
Taylor, C. E. "Observations on oral health and the oral care system". Thesis, Faculty of Dentistry, 1989. http://hdl.handle.net/2123/4303.
Texto completoJofre-Bonet, Mireia. "Health care: interaction between public system and private sector". Doctoral thesis, Universitat Pompeu Fabra, 1998. http://hdl.handle.net/10803/7392.
Texto completoYaoming, Chen. "A smart gateway design for WSN health care system". Thesis, Jönköping University, JTH. Research area Robust Embedded Systems, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-11826.
Texto completoUsing Wireless Sensor Networks (WSNs) in health care system has yielded a tremendous effort in recent years. However, in most of these researches tasks like sensor data processing, health states decision making and emergency messages sending are done by a remote server. Numbers of patient with large scale of sensor data consume a lot of communication resource, bring a burden to the remote server and delay the decision time and notification time. In this paper, we present a prototype of a smart gateway that we have implemented. This gateway is an interconnection and services management platform especially for WSN health care systems at home environments, by building a bridge between WSN and public communication networks, compatible with an on-board data decision system (DDS) and a lightweight database, which enable to make the patient’s health states decision in the gateway in order to get faster response time to the emergencies. We have also designed the communication protocols between WSN, gateway and remote servers. Additionally Ethernet, Wi-Fi and GSM/GPRS communication module are integrated into the smart gateway in order to report and notify information to care-givers. We have conducted experiments on the proposed smart gateway by performing it together with a wireless home e-health care sensor network. The results show that it is reliable and has low latency and low power consumption.
Al-Thumairi, Ahmed Hamad. "Modeling and analyzing a health care supply chain system". Thesis, Brunel University, 2006. http://bura.brunel.ac.uk/handle/2438/5795.
Texto completoPhiri, Jane. "Socioeconomic inequalities in Zambia's public health care delivery system". Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/9458.
Texto completoIn this thesis, equality is considered as the absence of differences in utilization among individuals of different socioeconomic status while equity is taken to mean that individuals in equal need of health care should use the same amount of care, irrespective of their socioeconomic status. Using the above definitions, this thesis, examines equity/inequality in the utilization of public health care in Zambia. Concentration curves, concentration indices and horizontal equity indices were used for this purpose. This thesis focuses specifically on public health care that is subsidized by the Government. It is anticipated that the findings of this thesis will broaden the knowledge base on health care utilization inequities in Africa.
Adams, Orvill (Orvill Bruce Ried) Carleton University Dissertation International Affairs. "Transition to a primary health care system in Ghana". Ottawa, 1991.
Buscar texto completoNamiki, Satoko. "Navigating the Health Care System: Movement and Meaning for Older People with Dementia". Thesis, Griffith University, 2014. http://hdl.handle.net/10072/365242.
Texto completoThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing
Griffith Health
Full Text
Dlatu, Ntandazo. "The integration of mental health care services into primary health care system at King Sabata Dalindyebo Municipality Clinics". Thesis, Walter Sisulu University, 2012. http://hdl.handle.net/11260/d1008290.
Texto completoСміянов, Владислав Анатолійович, Владислав Анатольевич Смиянов, Vladyslav Anatoliiovych Smiianov, Ольга Іванівна Сміянова, Ольга Ивановна Смиянова y Olha Ivanivna Smiianova. "Health care influence on the health of Sumy population studying". Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/36367.
Texto completoNienaber, Petrus Millar. "The system dynamics approach as a modelling tool for health care". Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/25311.
Texto completoDissertation (MEng)--University of Pretoria, 2012.
Industrial and Systems Engineering
unrestricted
Shumeyko, D. I. "Health care in the United Kingdom". Thesis, Sumy State University, 2018. http://essuir.sumdu.edu.ua/handle/123456789/66765.
Texto completoČížová, Ludmila. "Problematika řízené péče (managed care)". Master's thesis, Vysoká škola ekonomická v Praze, 2008. http://www.nusl.cz/ntk/nusl-10176.
Texto completoBaidoo, Rhodaline. "Toward a Comprehensive Healthcare System in Ghana". Ohio University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1237304137.
Texto completoSolis, Beatriz Maria. "Medi-Cal managed care enrollees diverse experiences and perceptions about the health care system /". Diss., Restricted to subscribing institutions, 2007. http://proquest.umi.com/pqdweb?did=1464129111&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
Texto completoGranholm, Hanna y Linda Axwik. "Patients and care providers perception of the current heart failure health care system : A survey within Stockholm County". Thesis, KTH, Skolan för teknik och hälsa (STH), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-149273.
Texto completoUtbredningen av hjärtsvikt ökar, vilket påverkar sjukvårdssystemet. För att möta de nya behoven är det nödvändigt med förändringar. Det finns idag många effektiva behandlingsmetoder för hjärtsvikt, men för att dessa behandlingsmetoder ska kunna implementeras behöver sjukvårdssystemet förändras. Innan dessa förändringar kan genomföras är det viktigt att identifiera problem inom hjärtsviktsvården. Målet med denna studie var att identifiera befintliga problemområden inom hjärtsviktsvården. För att kunna göra detta var det nödvändigt att prata med både sjukvårdspersonal och hjärtsviktspatienter. Sammanlagt har 26 patienter och 27 vårdgivare från Stockholms Län delaktigt. Alla delatagare har svarat på enkätfrågor rörande hjärtsviktsvården. Resultaten från vårdgivarna var konsekventa, de ansåg att patienternas kännedom om hjärtsvikt och den hjärtsviktsutbildning de fått var problemområden. Vårdgivarna ansåg vidare att det var viktigt för patienterna att vara delaktiga i sin vård, samt att de skulle få träffa olika typer av vårdgivare. Hjärtsviktspatienterna visade sig vara en blandad grupp, de ville ha olika typ av vård samt vara olika mycket aktiva i egenvård. Resultaten visade också att det fanns skillnader mellan vårdgivarnas och patienternas uppfattning av hjärtsviktsvården. Hjärtsviktsvården behöver bli mer individualiserad för att kunna tillgodose varje patients behov. Det är viktigt att utbilda patienterna samt att aktivt arbeta med egenvård. Det är även viktigt att vårdgivarna får tillräckligt med kunskap om hjärtsvikt, samt att patienterna erbjuds möjligheten till möten med olika typer av vårdgivare.
Cutler, Henry George Economics Australian School of Business UNSW. "Towards a more efficient health care system using social preferences". Awarded by:University of New South Wales. Economics, 2009. http://handle.unsw.edu.au/1959.4/43565.
Texto completoMacLean, Jan. "The health care system and women aging with physical disabilities". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq22350.pdf.
Texto completoMcIntosh, Krista R. "Needlestick injuries, blame the system, not the health care worker". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq24685.pdf.
Texto completoGalve, Salgado Miguel. "Impact of medical equipment tracking in a health care system". Diss., Columbia, Mo. : University of Missouri-Columbia, 2006. http://hdl.handle.net/10355/4639.
Texto completoThe entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on August 23, 2007) Includes bibliographical references.
Jasaitytė, Neringa. "Financing of Health Care System in Lithuania and its Efficiency". Master's thesis, Lithuanian Academic Libraries Network (LABT), 2010. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100623_094255-19127.
Texto completoŠiame darbe yra aptariama Lietuvos sveikatos apsaugos sistema ir jos neefektyvumo apraiškos bei priežastys. Pagrindinės problemos, susijusios su analizuojama sritimi, yra netinkamas lėšų paskirstymas ir neefektyvus turimų išteklių panaudojimas, nulemiantys sistemos žemesnę kokybę. Atliekamo tyrimo tikslas – nustatyti ryšius, siejančius išlaidas sveikatos apsaugai ir įvairius sistemos elementus, kaip kad išlaidos vaistams ar ligoninių lovų skaičius, bei suprasti, kurie iš turimų išteklių panaudojami neefektyviausiu būdu. Empirinis tyrimas yra padalintas į išlaidų nagrinėjimą naudojant fiksuotų efektų panelinę regresiją bei sistemos efektyvumo tyrimą, vykdomą pasitelkiant duomenų apgaubimo analizės techniką. Gauti rezultatai atskleidė, jog mažėjantys ligoninių lovų ar ligonių apsilankymų stacionare skaičiai neskatina išlaidų sveikatos apsaugai smukimo, o netgi gali lemti jų išaugimą. Tuo tarpu duomenų apgaubimo analizė patvirtino tai, jog ypač didelę reikšmę sistemos neefektyvumui turi per didelis sveikatos apsaugos darbuotojų skaičius. Taip pat pastebėta, jog ši problema ypač didelė rytų Europos šalyse, kur ištekliai turėtų būti sumažinti vidutiniškai 30%, lyginant su 10% sumažinimu siūlomu vakarų šalims. Kita vertus, analizuojant bendrą sistemos efektyvumą nustatyta, kad didelės išlaidos sveikatai nebūtinai reiškia gerą gyventojų sveiktos būklę ar aukštus šalies rezultatus sveikatos apsaugos sistemų reitinguose. Viena iš šio darbo išvadų yra ta, jog prieš imantis kokių nors... [toliau žr. visą tekstą]
Balabanova, Dina Chadarova. "Financing the health care system in Bulgaria : options and strategies". Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://researchonline.lshtm.ac.uk/682297/.
Texto completoWilliams, Gary L. "Exploring Management Practices of the Health Care System for Contractors". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4952.
Texto completoAgartan, Tuba Inci. "Turkish health system in transition historical background and reform experience /". Diss., Online access via UMI:, 2008.
Buscar texto completoChireshe, Jaison. "Financial development, health care system financing and health outcomes: Evidence from sub-Saharan Africa". University of the Western Cape, 2018. http://hdl.handle.net/11394/6691.
Texto completoThis thesis purposes to examine the impact of financial development on health outcomes, health care expenditure and financial protection in health in 46 selected sub-Saharan African (SSA) countries from 1995 to 2014. It also estimates the impact of health care expenditure on health outcomes. The thesis is premised on the hypothesis that health care expenditure is a critical transmission mechanism through which financial development leads to better health outcomes. The health care expenditure channel is conspicuously absent in the literature on financial development and health outcomes; hence the need for this study to fill the gap in the literature. The thesis explores the effects of both depth and access dimensions of financial development on health outcomes, expenditure and financial protection. Throughout the study, financial access is measured by the number of automated teller machines (ATMs) and commercial bank branches per 100 000 people, while financial depth is measured by the proportion of broad money and bank credit to the private sector, to Gross Domestic Product (GDP). The study uses fixed and random effects and the Two-Stage Least Squares estimation approaches. The Generalised Method of Moments (GMM) is also used to estimate the impact of health care expenditure and health outcomes given the absence of valid instrumental variables. The results of the regression analyses show that financial development leads to increased health care expenditure and health outcomes. The analysis also shows that health care expenditure leads to better health outcomes. Additionally, the study indicates that financial development leads to financial protection in health care by reducing out-of-pocket health care expenditure. Well-developed financial systems provide financial protection from the risk of catastrophic health care expenditure and impoverishment resulting from illness. The study shows that health care systems financed through prepaid mechanisms reduce neonatal, infant and under-five mortality rates and increase life expectancy, while those relying on out-of-pocket expenditure have adverse effects on health outcomes.
Waibel, Sina. "Continuity of health care across care levels in different healthcare areas in the Catalan national health system: The patient’s perspective". Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/370371.
Texto completoIntroduction: Specialization in health care, rapid advances in technology and the diversification of providers cause that patients receive care from several professionals of different disciplines in various settings and institutions. These trends together with demographic and epidemiological changes increasingly expose the patient to fragmented care delivery, which can be harmful to them due to duplication of diagnostic tests, inappropriate poly-pharmacy and conflicting care plans. Continuity of care is the patient’s perception of the coordination of services and can be defined as how one patient experiences care over time as coherent and linked. It embraces three types: continuity of clinical management and information across the care levels and continuity of relation with the primary and the secondary care physician. Studies on continuity of care from the point of view of healthcare users of the national health system of Catalonia are still scant. The objective is to explore the user’s perception of continuity of health care in different healthcare areas in the Catalan national health system, as well as its influencing factors and consequences on quality of care, in order to contribute to its improvement in the healthcare system. Methods: The research consisted of three individual studies addressing different aspects of continuity of care: 1) Analysis of the international evidence on continuity of care from the patient’s perspective, employing a meta-synthesis of qualitative studies based on a literature search in various electronic databases. 2) Analysis of COPD patients’ perceptions of continuity of care in four integrated health care networks of the national health system of Catalonia, using a multiple-case study of patients. Data were collected by means of individual semi-structured interviews with patients and physicians and the review of clinical records. 3) Analysis of continuity of care in different healthcare areas of the Catalan national health system (representing the diversity of management models for the delivery of service). Individual semi-structured interviews with healthcare users (49) were employed until data saturation was reached. Ethical approval of the study protocols was obtained. Results: Results suggest that patients are able to perceive the three types of continuity of care by referring to concrete attributes of each dimension. Patients served in the Catalan national health system generally perceived that the three types were existent with a few elements of discontinuity identified in all study areas including the integrated health care networks. A number of factors influencing (dis)continuity of care were identified, which were classified into factors related to the healthcare system, the organizations and the physicians. Different consequences of continuity of care for quality of care and the patient’s health emerged from the study findings. The three types of continuity of care appeared to be interrelated; particularly continuity of information affecting continuity of clinical management, and relational continuity playing an important role by influencing the other two types. Conclusions: This thesis contributes to filling the existing knowledge gap on continuity of care by providing a better understanding of the phenomenon as perceived by users of the national health system of Catalonia. The identified elements of discontinuity serve to indicate where there is room for improvement, and the factors influencing continuity can offer valuable insights to managers and professionals of health care organizations in these and other contexts on where to direct their care coordination efforts; which supposedly would also enhance the patient’s experience of a smooth trajectory along the care continuum. Introducción: La alta especialización en la provisión de la atención, los rápidos avances en la tecnología y la diversificación de los proveedores promueve que los pacientes sean atendidos por varios profesionales de diferentes disciplinas en diferentes organizaciones y servicios. Estas tendencias, junto con los cambios demográficos y epidemiológicos, hacen que el paciente, cada vez más, esté expuesto a una atención fragmentada, lo que le puede perjudicar debido a la duplicación de pruebas diagnósticas, la poli-medicación inapropiada y los planes de tratamiento incompatibles. La continuidad asistencial es la percepción del paciente sobre la coordinación de los servicios y se puede definir como el grado de coherencia y unión de las experiencias en la atención que percibe a lo largo del tiempo. Abarca tres tipos: la continuidad de gestión clínica y la continuidad de información entre niveles de atención y la continuidad de relación con el médico de atención primaria y el médico de atención especializada. Los estudios sobre la continuidad asistencial desde el punto de vista de los usuarios del sistema nacional de salud de Cataluña son escasos. El objetivo es explorar la percepción del usuario sobre la continuidad asistencial en las diferentes áreas del sistema nacional de salud catalán, así como los factores que influyen y las consecuencias sobre la calidad de la atención, con la finalidad de contribuir a su mejora en el sistema de salud. Métodos: La investigación consistió en tres estudios que abordan diferentes aspectos de la continuidad asistencial: 1) Análisis de la evidencia internacional sobre la continuidad asistencial mediante una meta-síntesis de estudios cualitativos basada en la búsqueda bibliográfica en diferentes bases de datos electrónicas. 2) Análisis de la percepción de la continuidad asistencial de los pacientes con EPOC atendidos en cuatro organizaciones sanitarias integradas del sistema nacional de salud de Cataluña, mediante un estudio de caso múltiple de los pacientes. La información fue recogida mediante entrevistas individuales semiestructuradas con los pacientes y sus médicos y la revisión de las historias clínicas. 3) Análisis de la continuidad asistencial en diferentes áreas sanitarias (representando la diversidad de modelos de gestión para la provisión de servicios sanitarios). Se realizaron entrevistas individuales semiestructuradas con usuarios de los servicios sanitarios (49) hasta alcanzar la saturación de la información. Se obtuvo la aprobación ética de los protocolos de estudio. Resultados: Los resultados sugieren que los pacientes son capaces de percibir los tres tipos de continuidad asistencial refiriéndose a atributos concretos de cada dimensión. En general, los pacientes atendidos en el sistema nacional de salud catalán percibieron la existencia de los tres tipos de continuidad con algunos elementos de discontinuidad identificados en todas las áreas y organizaciones sanitarias integradas de estudio. Se identificaron varios factores que influyen en la (dis)continuidad, relacionados con el sistema de salud, las organizaciones sanitarias y los médicos. Se identificaron diferentes consecuencias en la calidad asistencial y la salud del paciente. Los tres tipos parecen estar relacionados entre sí; particularmente la continuidad de información afecta a la continuidad de gestión clínica, y la continuidad de relación juega un papel importante al influir en los otros dos tipos. Conclusiones: Esta tesis contribuye al conocimiento sobre la continuidad asistencial, un tema escasamente analizado, mediante una mejor comprensión del fenómeno percibido por los usuarios del sistema nacional de salud catalán. Los elementos de discontinuidad identificados sirven para indicar donde hay margen de mejora, y los factores que influyen pueden ofrecer información valiosa a los directivos y profesionales de las organizaciones sanitarias en estos y otros contextos sobre dónde dirigir sus esfuerzos de coordinación asistencial; que supuestamente también mejoraría la experiencia de una trayectoria fluida a lo largo del continuo asistencial.
Christiansen, Isaac Zvi. "Improving public health care an examination of the nature of Cuban government assistance to the Ghanaian public health care system /". [Ames, Iowa : Iowa State University], 2010. 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:1476285.
Texto completoAl-Tuwaijiri, A. M. "Primary eye care in Saudi Arabia : an integral part of the primary health care system". Thesis, Swansea University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.635734.
Texto completoPai, Tsung-Hah y 白宗翰. "Seniors Health Care System". Thesis, 2014. http://ndltd.ncl.edu.tw/handle/16062088390626555437.
Texto completo正修科技大學
電子工程研究所
102
Nowadays Taiwan has entered into the era of high elderly society. Almost every young man has to pay for their parents daily expenses. But the economy today makes people very hard to live, so ordinary people cannot afford to hire a home care, or depend on just one person to afford all the expenses. Due to the status we will need a simple system for the elderly to help themselves measure the condition of their own body. This paper is based on how to design a system that can make the elderly convenient to measure their own body condition at home, using a fast and easy method with a WiFi connection to upload their situation to the data base. Or they can upload their data via Bluetooth connection by using their cell phone, their family members can monitor their status anytime anywhere. Besides, by using this detection system, we can load the data for the doctors or medics to see without having to come the house and having to measure the senior themselves. By this, we can achieve the convenience of home care. Many experts and scholars have suggested the adults should measure and record their blood pressure every day and night, that can effectively prevent or control chronic diseases. Many experts and scholars have suggested that adults can sooner or later each time the measure and record blood pressure, which can effectively prevent or control chronic diseases. The oxygen level will affect the sleep of cardio, cardiovascular disease patients, it is easy due to lack of blood oxygen caused by insomnia, and even breathing difficulties and other problems, breathing adult values at 16-20 beats per minute at rest, If more than 20 beats or less than 16 beats, it means that the physical condition of abnormal need to find a doctor. Therefore, the paper constructed a simple physiological signal monitoring system, to measure blood pressure, blood oxygen, respiration and heart rate. By using the method of our system, we hope to help the seniors to be able to manage their own body condition so the young ones can focus on their career without having to worry about their seniors at home.
Jheng, Jia Chen y 鄭家宸. "Wireless Watch Health-Care system". Thesis, 2008. http://ndltd.ncl.edu.tw/handle/49800693980593403959.
Texto completo長庚大學
電機工程學研究所
96
Recently, the innovation in technology alters the way of healthcare for the elderly. Wearing a wireless and portable monitoring system can allow the elderly to move freely and safely. This study proposes a wireless system which integrates multiple sensors, two-lead ECG, three-axis accelerometer, two-axis Gyroscope, a Altimeter, to monitor physical conditions of the elderly. While falls or heart-rate irregulation were detected, an alarm would be sent to an healthcare system. Also, the system provides event-reminding function. Possible events for reminding include current weather, temperature and time for medicine taken.
Hsu, Chih-Pei y 徐至貝. "Health Care System Associated with Critical Care System Discussion and Problem-solving". Thesis, 2016. http://ndltd.ncl.edu.tw/handle/34062808883480283123.
Texto completo國立交通大學
管理學院高階主管管理碩士學程
104
Taiwan Formosa Water Park explosion such "extreme disaster" this time was survive by the enthusiasm of medical staff, but health care system can not rely on enthusiasm. Since 1995, the implementation of National Health Insurance System, to 2011 the number of physicians grow to 68%, but the daily outpatient, emergency patients grow nearly 109%, day surgery patients grow about 114%, with 1.7 doctors per thousand people, and the medical costs accounted for Taiwan's GDP (gross domestic product) accounted for only 7%, well below the 10% of UK, 17% in the United States. In this paper, we use SWOT analysis, public questionnaires, medical questionnaire, review of the literatures and the experience of other countries to understand and more clearly the impact of the health care policy to critical care system. We summary three internal problems to Taiwan critical physicians, two foreign aggression problems to Taiwan medical hospital, twelve focus problems of Taiwan National Health Insurance System, a structural problem, and a fundamental problem. Taiwan National Health Insurance System 20 anniversary, hopes the politician of Taiwan can grasp this opportunity, begin to build a permanent, reasonable and equitable health care system.
LIN, DA-WEI y 林達偉. "Wearable home health and care system". Thesis, 2017. http://ndltd.ncl.edu.tw/handle/67292649611031956022.
Texto completo國立高雄應用科技大學
電機工程系博碩士班
105
This research aims at the upcoming human rights issue of geriatric health care like reluctance of elders to stay in nursing home or senior living communities, etc. Conforming to the trend of instrument portablization, we designed the wearable home health care system to resolve the problem. It has the advantages of wearable devices, including real-time monitoring and portability. It can link to several kinds of biomedical elements, such as muscle sensors, heart rate monitors, and body temperature sensors, for people who need special health care. The system utilize single chip microcontroller of ATmega series to run the core program, which can analyze signals from gyroscope, biomedical elements, or other components. Through network interface to connect to wireless Wi-Fi module, users’ physiological information can be uploaded to database for further management. The hardware architecture refers to the user’s arm curvature and is manufactured through 3D printed injection molding. Through this design, the wearable home health care system can be applied for long-term physiological monitoring with minimal disturbance in daily hand work.
Feng-ChangChang y 張豐昌. "The cloud Seniors Health Care System". Thesis, 2012. http://ndltd.ncl.edu.tw/handle/53466353009272828303.
Texto completo國立成功大學
電機工程學系專班
100
The problem exist in most elder’s care enterprise are concerning to the management and operation, such as “the shortage of manpower”, “cost and quality dilema”, and “effectiveness of management”. Since 2010 the Department of the Interior Taiwan plan to accredit and evaluate every elder’s care enterprise in Taiwan. This make many enterprise to seek for the help, information and data digitalize become the first choice of substitution. The clouding computer using in the elder’s care management was instantaneous make this problem to be alleviated. In this research, we try to find out a data centralize, system distributed, and customize system of clouding computation, for the elder’s care management system, trough the a ASP.NET technology. By putting the system and database into cloud computation, the user (elder’s care enterprise) only need PC with network connected equipped, once can gain the service from this professonar management system, to take care their enterprise, any aspect of operation, healthcare and social living. This project may overwhelm many information technology problems, such as setup, service contents, cost and method problem. By integrated this system, once will recommend an new service model to this enterprise, especially the communication among caregiver and family, to improve the care quality, professionally and reliability. This reliability will than convert to be a progressive social living, stability and realibility index. Keywords :The cloud seniors health care *The Author **The Advisor
Wranik-Lohrenz, Dominika Wieslawa. "The health care system, black box or Bermuda Triangle? : four essays on economically desirable health care system characteristics". 2005. http://hdl.handle.net/1993/20338.
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