Bibliografie tematiche / Health administrations

Letteratura scientifica selezionata sul tema "Health administrations"

Autore: Grafiati

Pubblicato: 20 luglio 2024

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Articoli di riviste sul tema "Health administrations"

Baumann, Aron, e Kaspar Wyss. "Exploring evidence use and capacity for health services management and planning in Swiss health administrations: A mixed-method interview study". PLOS ONE 19, n. 5 (8 maggio 2024): e0302864. http://dx.doi.org/10.1371/journal.pone.0302864.

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Background Health administrations require evidence, meaning robust information, data, and research, on health services and systems. Little is known about the resources and processes available within administrations to support evidence-informed policymaking. This study assessed Swiss health administrations’ capacity for evidence use and investigated civil servants’ needs and perspectives regarding the role and use of evidence in health services management and planning. Methods In this mixed-method study, we interviewed civil servants from Swiss German-speaking cantonal health administrations. We quantitatively assessed administrations’ organization-level capacity by applying six structured interviews using an existing measurement tool (ORACLe). Individual-level needs and perspectives regarding evidence use and capacity were qualitatively explored with twelve in-depth interviews that were analyzed using the framework method. Findings Respondents indicated moderate evidence-use capacity in all administrations. Administrations displayed a similar pattern of high and low capacity in specific capacity areas, generally with considerable variation within administrations. Most administrations indicated high capacity for producing or commissioning evidence and close relationships with research. They showed limited capacity in the documentation of processes and availability of tools, programs, or training opportunities. Administrations place the responsibility for engagement with evidence at the level of individual civil servants rather than at the organizational level. Although administrations highly value evidence-informed policymaking and consider it vital to effective health services management and planning, they face significant constraints in accessing evidence-specific resources and receive little organizational support. Administrations rely on external capacity to compensate for these limitations and engage with evidence pragmatically. Conclusion Our findings indicate moderate and improvable capacity for evidence use in Swiss health administrations that place limited value on organizational support. Besides strengthening organizational support, leadership buy-in, particular staff needs, and balancing the implementation of specific measures with the provision of more general resources should be considered to unlock the potential of strengthened engagement with evidence.

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van der Veen, Willem, Patricia MLA van den Bemt, Hans Wouters, David W. Bates, Jos WR Twisk, Johan J. de Gier, Katja Taxis et al. "Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals". Journal of the American Medical Informatics Association 25, n. 4 (22 agosto 2017): 385–92. http://dx.doi.org/10.1093/jamia/ocx077.

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Abstract Objective To study the association of workarounds with medication administration errors using barcode-assisted medication administration (BCMA), and to determine the frequency and types of workarounds and medication administration errors. Materials and Methods A prospective observational study in Dutch hospitals using BCMA to administer medication. Direct observation was used to collect data. Primary outcome measure was the proportion of medication administrations with one or more medication administration errors. Secondary outcome was the frequency and types of workarounds and medication administration errors. Univariate and multivariate multilevel logistic regression analysis were used to assess the association between workarounds and medication administration errors. Descriptive statistics were used for the secondary outcomes. Results We included 5793 medication administrations for 1230 inpatients. Workarounds were associated with medication administration errors (adjusted odds ratio 3.06 [95% CI: 2.49-3.78]). Most commonly, procedural workarounds were observed, such as not scanning at all (36%), not scanning patients because they did not wear a wristband (28%), incorrect medication scanning, multiple medication scanning, and ignoring alert signals (11%). Common types of medication administration errors were omissions (78%), administration of non-ordered drugs (8.0%), and wrong doses given (6.0%). Discussion Workarounds are associated with medication administration errors in hospitals using BCMA. These data suggest that BCMA needs more post-implementation evaluation if it is to achieve the intended benefits for medication safety. Conclusion In hospitals using barcode-assisted medication administration, workarounds occurred in 66% of medication administrations and were associated with large numbers of medication administration errors.

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Loput, Charity M., Connie L. Saltsman, Risa C. Rahm, Wm Dan Roberts, Sanya Sharma, Cindy Borum e Jennifer A. Casey. "Evaluation of medication administration timing variance using information from a large health system’s clinical data warehouse". American Journal of Health-System Pharmacy 79, Supplement_1 (15 ottobre 2021): S1—S7. http://dx.doi.org/10.1093/ajhp/zxab378.

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Abstract Purpose An analysis to determine the frequency of medication administration timing variances for specific therapeutic classes of high-risk medications using data extracted from a health-system clinical data warehouse (CDW) is presented. Methods This multicenter retrospective, observational analysis of medication administration data from 14 hospitals over 1 year was conducted using a large enterprise health-system CDW. The primary objective was to assess medication administration timing variance for focused therapeutic classes using medication orders and electronic medication administration records data extracted from the electronic health record (EHR). Administration timing variance patterns between standard hospital staffing shifts, within therapeutic drug classes, and for as-needed (PRN) medications were also studied. To assess medication administration timing variance, calculated variables were created for time intervals of 30-59, 60-120, and greater than 120 minutes. Scheduled medications were assessed for delayed administration and PRN medications for early administration. Results A total of 5,690,770 medication administrations (3,418,275 scheduled and 2,272,495 PRN) were included in the normalized data set. Scheduled medications were frequently subject to delays of ≥60 minutes (15% of administrations, n = 275,257) when scheduled for administration between 9-10 AM and between 9-10 PM. By therapeutic drug class, scheduled administrations of insulins, heparin products, and platelet aggregation inhibitors were the most commonly delayed. For PRN medications, medications in the anticoagulant and antiplatelet agent class (most commonly heparin flushes and line-management preparations) were most likely to be administered early, defined as more than 60 minutes from the scheduled time of first administration. Conclusion The findings of this study assist in understanding patterns of delayed medication administration. Medication class, time of day of scheduled administration, and frequency were factors that influenced medication administration timing variance.

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Leslie, Eric, Eric Pittman, Brendon Drew e Benjamin Walrath. "Ketamine Use in Operation Enduring Freedom". Military Medicine 186, n. 7-8 (1 luglio 2021): e720-e725. http://dx.doi.org/10.1093/milmed/usab117.

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ABSTRACT Introduction Ketamine is a dissociative anesthetic increasingly used in the prehospital and battlefield environment. As an analgesic, it has been shown to have comparable effects to opioids. In 2012, the Defense Health Board advised the Joint Trauma System to update the Tactical Combat Casualty Care Guidelines to include ketamine as an acceptable first line agent for pain control on the battlefield. The goal of this study was to investigate trends in the use of ketamine during Operation Enduring Freedom (OEF) and Operation Freedom’s Sentinel (OFS) during the years 2011-2016. Materials and Methods A retrospective review of Department of Defense Trauma Registry (DoDTR) data was performed for all patients receiving ketamine during OEF/OFS in 2011-2016. Prevalence of ketamine use, absolute use, mechanism of injury, demographics, injury severity score, provider type, and co-administration rates of various medications and blood products were evaluated. Results Total number of administrations during the study period was 866. Ketamine administration during OEF/OFS increased during the years 2011-2013 (28 patient administrations in 2011, 264 administrations in 2012, and 389 administrations in 2013). A decline in absolute use was noted from 2014 to 2016 (98 administrations in 2014, 41 administrations in 2015, and 46 administrations in 2016). The frequency of battlefield ketamine use increased from 0.4% to 11.3% for combat injuries sustained in OEF/OFS from 2011 to 2016. Explosives (51%) and penetrating trauma (39%) were the most common pattern of injury in which ketamine was administered. Ketamine was co-administered with fentanyl (34.4%), morphine (26.2%), midazolam (23.1%), tranexamic acid (12.3%), plasma (10.3%), and packed red blood cells (18.5%). Conclusions This study demonstrates increasing use of ketamine by the U.S. Military on the battlefield and effectiveness of clinical practice guidelines in influencing practice patterns.

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Purssell, R., L. Mathany, M. Kuo, M. Otterstatter, J. Buxton e R. Balshaw. "P105: BC’s public health emergency and naloxone administration by the BC Ambulance Service". CJEM 19, S1 (maggio 2017): S114. http://dx.doi.org/10.1017/cem.2017.307.

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Introduction: In 2015, there were 476 apparent illicit drug overdose deaths, prompting BC’s Provincial Health Officer to declare a public health emergency on 14 Apr 2016. Paramedics of BC’s Ambulance Service (BCAS) are on the front lines in this crisis. Here we examine recent trends in the number of suspected overdose events attended by the BCAS and the use of naloxone, an opioid antagonist, by BCAS paramedics. Methods: The BC Centre for Disease Control receives a weekly data feed from BC Emergency Health Services that includes all records from the BCAS Patient Care Record where: naloxone was administered by paramedics; the primary impression code indicates poisoning or overdose; or, the originating call is associated with ingestion poisoning (‘card 23’). Here, we report a descriptive analysis of these data for suspected drug overdose events during the period January 1, 2010 to September 30, 2016. Results: Between January 2010 and September 2016 BCAS paramedics attended 164,227 suspected overdose events; 12% of these events (n=16,944) included naloxone administration by BCAS paramedics. Paralleling the rise in illicit drug overdose deaths in BC, naloxone administration by paramedics has been increasing rapidly, doubling from approximately 180/month in 2014, to 370/month in 2016. When naloxone was administered by paramedics, 90% of these patients were transported, whereas 77% were transported when naloxone was not administered. Administrations occurred most frequently on Friday and Saturday evenings. Almost half (46%) of all naloxone administrations by paramedics were recorded as being in a home or residence; 18% were recorded as occurring on a street or highway. The proportion of naloxone administrations among males has increased yearly. In 2010, 58% of naloxone administrations were in males compared to 69% in 2016. Conclusion: The number of overdose deaths in BC has risen drastically in recent years and the proportion of ambulance calls requiring administration of naloxone by BCAS has climbed correspondingly. The vast majority of overdose cases-especially those requiring naloxone-are transported to the emergency department. With the overdose crisis showing little sign of abating, the administration of naloxone by BC paramedics will continue to be a critical element of the provincial response.

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Anselmi, Laura, Mylène Lagarde e Kara Hanson. "The efficiency of the local health systems: investigating the roles of health administrations and health care providers". Health Economics, Policy and Law 13, n. 1 (2 maggio 2017): 10–32. http://dx.doi.org/10.1017/s1744133117000068.

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AbstractThe analysis of efficiency in health care has largely focussed either on individual health care providers, or on sub-national health systems conceived as a unique decision-making unit. However, in hierarchically organized national health services, two separate entities are responsible for turning financial resources into services at the local level: health administrations and health care providers. Their separate roles and the one of health administrations in particular have not been explicitly considered in efficiency analysis. We applied stochastic frontier analysis to district-level panel data from Mozambique (2008-2011) to assess district efficiency in delivering outpatient care. We first assessed the efficiency of the whole district considered as an individual decision-making unit, and then we assessed separately the efficiency of health administrations and health care providers within the same district. We found that on average only 73% of the outpatient consultations deliverable using available inputs were realized, with large differences in performance across districts. Individual districts performed differently in administrative or health care delivery functions. On average, a reduction of administrative inefficiency by 10 percentage points, for a given expenditure would increase by 0.2% the volume of services delivered per thousand population per year. Identifying and targeting the specific drivers of administrative inefficiencies can contribute to increase service.

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Ngwa, Canute A., e Christian Asongwe. "The British Southern Cameroons Health Services as an Appendage to Nigerian Health Sector, 1922-1961". International Journal of Scientific Research and Management 8, n. 03 (4 marzo 2020): 638–44. http://dx.doi.org/10.18535/ijsrm/v8i03.sh01.

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The incidence of disease on the colonial agenda triggered the development of healthcare services by colonial administrations in Africa. In Southern Cameroons, the British administration fashioned a medical policy whose implementation spanned from 1922 to 1930. Informed by the colonial imperative, administrative and medical officers developed medical infrastructure, trained and engaged personnel, conducted research, and made efforts to roll back the incidence of various diseases. This took curative and preventive forms in a context of conflicting agendas, colonial arrogance, cultural ignorance, and defective infrastructure and personnel. The outcomes were beneficial to the colonial enterprise and detrimental to the economic wellbeing of the local population, the incidental benefits notwithstanding.

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Elnitsky, Christine, Martha Bryan e Robert D. Kerns. "Veterans Health Administrations pain research portfolio and publications". Journal of Rehabilitation Research and Development 44, n. 2 (2007): xi. http://dx.doi.org/10.1682/jrrd.2007.04.0056.

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Turingan, Erin M., Bijan C. Mekoba, Samuel M. Eberwein, Patricia A. Roberts, Ashley L. Pappas, Jennifer L. Cruz e Lindsey B. Amerine. "Financial Effect of a Drug Distribution Model Change on a Health System". Hospital Pharmacy 52, n. 6 (giugno 2017): 422–27. http://dx.doi.org/10.1177/0018578717717379.

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Background: Drug manufacturers change distribution models based on patient safety and product integrity needs. These model changes can limit health-system access to medications, and the financial impact on health systems can be significant. Objective: The primary aim of this study was to determine the health-system financial impact of a manufacturer’s change from open to limited distribution for bevacizumab (Avastin), rituximab (Rituxan), and trastuzumab (Herceptin). The secondary aim was to identify opportunities to shift administration to outpatient settings to support formulary change. Methods: To assess the financial impact on the health system, the cost minus discount was applied to total drug expenditure during a 1-year period after the distribution model change. The opportunity analysis was conducted for three institutions within the health system through chart review of each inpatient administration. Opportunity cost was the sum of the inpatient administration cost and outpatient administration margin. Results: The total drug expenditure for the study period was $26 427 263. By applying the cost minus discount, the financial effect of the distribution model change was $1 393 606. A total of 387 administrations were determined to be opportunities to be shifted to the outpatient setting. During the study period, the total opportunity cost was $1 766 049. Conclusion: Drug expenditure increased for the health system due to the drug distribution model change and loss of cost minus discount. The opportunity cost of shifting inpatient administrations could offset the increase in expenditure. It is recommended to restrict bevacizumab, rituximab, and trastuzumab through Pharmacy & Therapeutics Committees to outpatient use where clinically appropriate.

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Zinkevych, V. "Problems of the legal status of military administrations". Uzhhorod National University Herald. Series: Law 2, n. 79 (25 ottobre 2023): 64–68. http://dx.doi.org/10.24144/2307-3322.2023.79.2.9.

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The article examines the grounds and procedure for the formation of military administrations on the basis of local state administrations in the context of the legal regime of martial law. The legislative and encyclopedic definition of the term «military administration» is provided. Various approaches to the interpretation of legislation in the field of local self-government and the legal regime of martial law are analyzed using the example of the order of the head of the Chervonograd District Military Administration to terminate the powers of the district council. The innovations in the legislation of Ukraine that came into force after February 24, 2022 and concern military administrations and local self-government bodies are described. The differences in the formation of military administrations at the level of oblasts, districts, and settlements were analyzed; the role of military administrations during the war. The need for a clearer demarcation of the powers of military administrations, their chiefs and local self-government bodies and heads of communities was revealed. The article identifies common features of military and military-civilian administrations. The article also examines the legal status of military administrations in the context of the ratio of functions and responsibilities of local self- government bodies, which are not clearly demarcated and not regulated by law. This situation endangers the achievements of the decentralization reform in the context of the decentralization of powers and responsibilities. However, the existing legal status of military administrations, despite the challenges and problems described in the material, allows them to perform tasks related to the real preservation of life and health of the residents of communities. The work also raises the dubiousness of the legislative formulation of the grounds for terminating the authority of a local self-government body, as «actual failure to exercise authority», which is an assessment category without defined criteria for actual failure to exercise authority. The lack of detail, the non-fulfillment of which scope of authority is the reason for the termination of authority creates the conditions for the manual one-man decision by the President on the formation of a military administration.

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Più fonti

Tesi sul tema "Health administrations"

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.

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Malaria 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.

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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.

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Nicotine use is very prevalent in the schizophrenic population, which is a 2.5 fold greater than the general population. In the present study, the drug quinpirole (dopamine D2/D3 agonist) or saline was given neonatally to 25 Sprague-Dawley male and female rats. Rats were randomly assigned to condition. Beginning postnatal day 33 animals were given twice daily administrations of nicotine (0.5 mg/kg free base). After the first of the daily injections they were placed in a locomotor arena every other day for behavioral testing. One day after behavioral testing, the dorsal striatum and nucleus accumbens were removed for brain-derived neurotrophic factor (BDNF) assay. BDNF is a neurotrophin that plays an important role in neuronal development, neuronal maintenance and plasticity, and synaptic activity. Results showed that nicotine produced locomotor sensitization but this was not enhanced by neonatal quinpirole, unlike past work. Regarding BDNF, there was a significant increase in the nucleus accumbens in rats treated with nicotine; neonatal quinpirole increased the BDNF response produced by nicotine. Nicotine produced an increase in dorsal striatum BDNF that was not affected by neonatal quinpirole treatment. Importantly, it appears that nicotine administrations, that occurred in two different contexts, may result in differential behavioral results relative to nicotine administrations given consistently in the same context.

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Morize, 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.

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Dans le secteur des soins primaires, ces dernières décennies sont marquées par le développement des maisons de santé pluriprofessionnelles, permettant à des professionnels libéraux de bénéficier de financements publics en échange d’une coordination pluriprofessionnelle accrue. Leur essor s’accompagne de l’apparition de financements collectifs et complémentaires au paiement à l’acte. À partir de 2019, deux expérimentations de financement visent à augmenter la collectivisation des professionnels de santé afin de les responsabiliser malgré leur statut libéral, en leur attribuant le mérite de résultats de santé. Ces expérimentations sont promues par des économistes administratifs, et relayées par des médecins généralistes libéraux, entrepreneurs de ces réformes. Comment expliquer cette alliance a priori improbable, entre des médecins historiquement attachés à leur autonomie libérale, et des pouvoirs publics soucieux de réformer l’exercice libéral ?L’enquête qualitative, conduite de 2019 à 2023, mobilise l’observation de réunions liées à la mise en œuvre des expérimentations, et une centaine d’entretiens semi-directifs avec des acteurs administratifs et des professionnels de santé. Ma thèse montre l’existence d’une communauté d’acteurs qui se mobilisent autour de la promotion des expérimentations tout en effectuant des compromis réciproques. Les économistes administratifs amendent les modèles économiques pour préserver leur relation avec les médecins. Certains médecins, acculturés à l’économie, cherchent à présent à organiser les soins selon cette logique. Pour autant, les médecins généralistes réaffirment une place centrale dans les relations entre groupes professionnels
In 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

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Annear, Peter Leslie, e 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.

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Health care reform has been described as a global epidemic. This thesis deals with nature and experience of health care reform in developing countries. Increasing privatisation, economic transition, and structural adjustment have provided the context for health system changes. Different approaches to reform have been developed by international organisations such as the World Bank, WHO and UNICEF. What has driven national health care reforms? Are such policies really appropriate to developing countries? Has a consensus now emerged in relation to international health policy? Has a new health care model appeared? The study of health care reform in Cambodia is a timely opportunity to investigate the implementation of health care reform under extreme conditions. These conditions include a legacy of genocide, long-term conflict, political isolation, and economic transition. This case study uses both qualitative and quantitative methods and multiple sources of data to analyse the reform program. The study reinforces the conclusion that, under conditions of extreme poverty, market based reforms are likely to have limited positive impact. Rather, understanding the cultural conditions that determine demand, delivering health care of a satisfactory quality, providing appropriate incentives for health practitioners, and supporting services with adequate public funding are the prerequisites for improved service delivery and utilisation. Cambodia's strategy of integrated district health service development and universal population coverage may provide an instructive example of reform. Emerging policy issues identified by this case study include the fundamental role of equity in service provision, the influence of the social determinants of health and illness and interest in the appropriate use of evidence in international health policy-making.

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Mateus, Ashley (Ashley Marie). "Evaluation of teledermatology in the Veterans Health Administration". Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/97827.

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Thesis: Ph. D., Harvard-MIT Program in Health Sciences and Technology, 2015.
Cataloged 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.

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Bieber, Virginia Holt. "Leadership Practices of Veterans Health Administration Nurse Executives". Digital Commons @ East Tennessee State University, 2003. https://dc.etsu.edu/etd/814.

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Transformational leadership has been linked to improved organizational performance and has been recognized as a possible solution to the challenges in Health Care. The role of Nurse Executives (NE) has become an influential leadership position in Health Care Organizations (HCO) and a factor in improving HCO. The purpose of this research was to explore self-reported leadership practices of Veterans Health Administration (VHA) Medical Center NEs, examine leadership strengths of the NEs, and report professional development needs of the NEs. The study population consisted of NEs employed in the Veterans Affairs Medical Centers (VAMC’s) throughout the United States. The Leadership Practices Inventory (LPI) Self-assessment by Kouzes and Posner (2001) was the survey instrument. A letter eliciting participation and a web page address containing the LPI was emailed to the NEs. The survey was completed via the web and submitted electronically. Seventy-seven (55%) of the NEs participated in the study. The results indicate the VHA NEs in this study are using transformational leadership practices regularly. Self-reported leadership practices of this population of NEs indicate that they are engaged in the five leadership practices of challenging the process, inspiring a shared vision, enabling others to act, modeling the way, and encouraging the heart. The NE strengths are enabling others to act, modeling the way, and encouraging the heart. They scored slightly lower in challenging the process and inspiring a shared vision. The self-reported LPI scores of the NE in this study were statistically significantly higher than the leaders in Kouzes and Posner’s research (2002b). The NEs were asked to identify the five most essential leadership skills of exemplary NE. The results indicate professional development for NE should include: transformational leadership skills, financial skills, organization skills, and personnel management skills. Incorporating these skills into a professional development program for NE could be a starting point to improving organizational performance of HCOs. The results of this research provide insight into current NE leadership practices and the professional development needs of NEs, which may lead to the development of a model for professional leadership training for NEs.

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Dhillon, 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.

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In the following thesis the administrative strategies in occupational health and safety regulation form the primary focus of discussion.
The 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.

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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.

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England came to have a nation-wide administrative system for public health in the 1870s. It consisted of the local councils which were designated as sanitary authorities and the Local Government Board (LGB) as the central department. This thesis explores how public health reform was pursued under this administrative system, by tracing the career of Arthur Newsholme (1857-1943), who served as Medical Officer of Health (MOH) for Brighton, 1888-1908, and as Medical Officer to the LGB, 1908-19. The main aim of the thesis is to examine the activities in which Newsholme was involved and his views, in order to consider the development of public health activities, or state medicine, in relation to the traditional notions of government and society in England, that underlay the administrative system such as 'minimal government', , local self-government' or 'voluntarism'. The first half of the thesis deals with public health reform in Brighton during Newsholme's years of office as local MOH. Particular attention is paid to how the scope of public health administration was decided through interactions between the MOH and the local council as a representative body of the community, and to how voluntary efforts were involved in its extension. The second half deals with Newsholme's administrative ideas and activities in the process of, and after, becoming the country's leading health official. By the time of his assumption of office at the LGB, Newsholme envisaged a comprehensive state medical service as the ultimate medical ideal. The thesis examines how he tried to pursue this ideal by means of reconciling it with traditional ideas of government. Special attention is paid to Newsholme's difference from his fellow reformers such as the Webbs and George Newman, particularly in respect of their recognition of the framework of centralllocal relations that underlay the administrative system, and concerning how reforms should or could be proceeded with by means of central bureaucratic initiatives.

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Biron, 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.

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Background: The evidence to date in support of system related factors to account for medication administration errors (MAE) remains scant and inconclusive. Objective: To examine the predictive power of medication administration complexity (component and coordinative), work interruptions and nurses' workload as potential contributing factors to MAE. Design: A prospective correlational design. Setting: A medical patient care unit in a university teaching hospital Sample: A convenience sample of medication administration rounds performed by registered nurses with at least six months of professional experience. Method: Data were collected using direct observation (MAE and work interruptions), self-report measures (subjective workload, nurses' characteristics) and the Medication Administration Complexity (MAC) coding scale (component and coordinative medication complexity). Results: One hundred and two rounds were observed, during which 965 doses were administered and performed by 18 nurses. When wrong administration time errors were included, MAE rate was 28.4% whereas it decreased to 11.1% when wrong time errors were excluded. An interruption during the medication preparation phase (OR 1.596; 1.044 - 2.441) significantly increased the odds of MAE. Two significant interaction effects were found (patient demand for nursing care X overtime and patient demand for nursing care X professional experience). These interactions pointed to more negative effects of overtime and professional experience among nurses who rated the demand for nursing care as above average. Contrary to expectations, coordinative medication administration complexity significantly decreased the odds of MAE (OR 0.558; .322-.967). Including wrong administration time errors changed the cluster of predictors with component medication administration complexity (1.039; 1.016 - 1.062), and nurses' workload (1.221; 1.061 - 1.405) were significant pre
Introduction: 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

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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.

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This research sought to ascertain the extent to which providing public sponsored health insurance (PSHI) to previously uninsured Mexican-American Hispanics improves health outcomes among those requiring ongoing treatment to control diabetes. Prior research utilizing insurance access theory; access, equity, and health outcome interrelationship theory; health affordability theory; and financial and resource burden theory suggests the uninsured receive less care than the insured, with delayed treatment, leading to chronic conditions. This research tested each of those major theoretical constructs into a blended conceptual framework based on the notion that providing health insurance helps alleviate the disabling effects of diabetes among this population. This study used an unobtrusive, longitudinal, one group pretest-posttest design. Research questions were designed to measure the strength of the relationship between PSHI and patient health outcomes using physical examination data, laboratory results, and diagnosis of 712 diabetic patients with 5,300 medical visits over 3 years before and after enrolling for PSHI. Logistic regression was used to analyze data related to age, gender, time enrolled in PSHI, and service location relative to health outcomes. Findings support the theories that accessibility increases with the provision of health insurance but also show that health outcomes do not improve after enrollment in a PSHI. This study contributes to the body of knowledge in public health policy and administration by quantifying the strength and significance of the relationship between health insurance and health outcomes and effects positive social change by measuring the effectiveness of legislation providing the uninsured with health insurance in order to improve health outcomes.

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Libri sul tema "Health administrations"

comptes, France Cour des. Les interventions publiques dans le domaine du thermalisme: Rapport au Président de la République, suivi des réponses des administrations, collectivités et organismes. Paris: Direction des journaux officiels, 1994.

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Casola, Linda, a cura di. Facilities Staffing Requirements for the Veterans Health Administrationâ€"Engineering Administration. Washington, D.C.: National Academies Press, 2019. http://dx.doi.org/10.17226/25450.

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1935-, Nicholson Janice E., a cura di. Comparative health administration. North York, Ont: Captus Press, 1992.

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D, Harris Marilyn, a cura di. Home health administration. [Washington, D.C.?]: National Health Pub., 1988.

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Satyawan. Administration of health agencies. New Delhi: Regal Publications, 2008.

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Schulmerich, Susan Craig. Home health care administration. Albany, N.Y: Delmar Publishers, 1996.

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Hodgetts, Richard M. Modern health care administration. 2^a ed. Madison, Wis: Brown & Benchmark, 1993.

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Great Britain. Department of Health. Healthy lives, healthy people: Our strategy for public health in England. Norwich: TSO (Stationery Office), 2010.

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Watch, Bangladesh Health. Bangladesh health watch report 2009: How healthy is health sector governance. Dhaka: University Press, 2010.

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Brown, Jane Lightcap. Insurance administration. Atlanta, Ga: Life Management Institute, LOMA, 1997.

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Navarro, Adrian, María Jose Checa, Francisco Lario, Laura Luquero, Asunción Roldán e Jesús Estrada. "Monitoring Forest Health: Big Data Applied to Diseases and Plagues Control". In Big Data in Bioeconomy, 335–49. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71069-9_25.

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AbstractIn this chapter, we present the technological background needed for understanding the problem addressed by this DataBio pilot. Spain has to face plagues and diseases affecting forest species, like Quercus ilex, Quercus suber or Eucaliptus sp. Consequently, Spanish Public Administrations need updated information about the health status of forests. This chapter explains the methodology created based on remote sensing images (satellite + aerial + Remotely Piloted Aircraft Systems (RPAS)) and field data for monitoring the mentioned forest status. The work focused on acquiring data for establishing the relationships between RPAS generated data and field data, and on the creation of a correlation model to obtain a prospection and prediction algorithm based on spectral data for early detection and monitoring of decaying trees. Those data were used to establish the links between EO image-derived indexes and biophysical parameters from field data allowing a health status monitoring for big areas based on EO information. This solution is providing Public Administrations with valuable information to help decision making.

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Hannah, Kathryn J., Marion J. Ball e Margaret J. A. Edwards. "Administration Applications". In Health Informatics, 125–46. New York, NY: Springer New York, 1999. http://dx.doi.org/10.1007/978-1-4757-3095-1_9.

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Clément, Hélène. "Administration Applications". In Health Informatics, 215–30. London: Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-2999-8_10.

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Cheah, Phaik Yeong, Michael Parker e Nicholas P. J. Day. "Ethics and Antimalarial Drug Resistance". In Ethics and Drug Resistance: Collective Responsibility for Global Public Health, 55–73. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-27874-8_4.

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Abstract There has been impressive progress in malaria control and treatment over the past two decades. One of the most important factors in the decline of malaria-related mortality has been the development and deployment of highly effective treatment in the form of artemisinin-based combination therapies (ACTs). However, recent reports suggest that these gains stand the risk of being reversed due to the emergence of ACT resistance in the Greater Mekong Subregion and the threat of this resistance spreading to Africa, where the majority of the world’s malaria cases occur, with catastrophic consequences. This chapter provides an overview of strategies proposed by malaria experts to tackle artemisinin-resistant malaria, and some of the most important practical ethical issues presented by each of these interventions. The proposed strategies include mass antimalarial drug administrations in selected populations, and mandatory screening of possibly infected individuals prior to entering an area free of artemisinin-resistant malaria. We discuss ethical issues such as tensions between the wishes of individuals versus the broader goal of malaria elimination, and the risks of harm to interventional populations, and conclude by proposing a set of recommendations.

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Casnoff, Cheryl Austein, Roland Gamache e La Quasha Gaddis. "Administration". In Portable Health Records in a Mobile Society, 139–51. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-19937-1_13.

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Winter, J. M. "Health Administration in Wartime". In The Great War and the British People, 188–212. London: Palgrave Macmillan UK, 1985. http://dx.doi.org/10.1057/9780230506244_6.

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Winter, J. M. "Health Administration in Wartime". In The Great War and the British People, 188–212. London: Macmillan Education UK, 1985. http://dx.doi.org/10.1007/978-1-349-04669-0_7.

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Pain, Simon W. "Training administration". In The Health and Safety Trainer's Guidebook, 155–61. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003342779-14.

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Munson, Diane L. "Administration on Aging". In Encyclopedia of Immigrant Health, 166–68. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-5659-0_20.

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Garger, Catherine, Carol Matlin, George R. Kim e Robert E. Miller. "Medication Administration and Information Technology". In Health Informatics, 357–68. New York, NY: Springer New York, 2009. http://dx.doi.org/10.1007/978-0-387-76446-7_28.

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Stepanova, Natalya, Suryana Fomina, Emiliya Valeeva, Alfiya Ziyatdinova e Galiya Skvortsova. "THE ATMOSPHERIC AIR QUALITY ANALYSIS AND THE HEALTH RISK ASSESSMENT FOR THE KAZAN CITY POPULATION (THE REPUBLIC OF TATARSTAN)". In 22nd SGEM International Multidisciplinary Scientific GeoConference 2022. STEF92 Technology, 2022. http://dx.doi.org/10.5593/sgem2022/5.1/s20.058.

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Monitoring of atmospheric air in the city of Kazan was performed based on average annual concentrations of the Air Pollution Observation Stations (APOS) of three administrations: The Federal Budgetary Healthcare Institution �Center of Hygiene and Epidemiology in RT (Tatarstan)� (FBHI �H&E Center in RT�), Ministry of Environment and Natural Resources of RT (MEPNR of RT) and Federal State Budgetary Institution �Territorial Administration for Hydrometeorological and Environmental Monitoring in RT� (FSBI �TAHEM in RT�). Two Kazan districts with population size equal to one third of the city (the Vakhitovsky and the Sovetsky ones), where APOS of all three administrations were compactly located, were identified for the study. Control data differ in pollutants priority and quantitative estimation of certain pollutants. Non-carcinogenic risk evaluation results on chemical effluence with vehicle emissions had no discrepancies (unacceptably high total risk level in Vakhitovsky and Sovetsky city districts, HI was greater than 6.0); however, danger coefficients obtained from the data of the Federal State-Funded Healthcare Institution �Hygienic and Epidemiological Center in the Republic of Tatarstan� far exceed similar results of other agencies. Verification of the available sampling techniques and development of a single approach to analysis and evaluation of the environmental pollution by harmful substances are required for a consistent risk assessment by monitoring agencies.

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Stepanovic, Stefan, e Tobias Mettler. "Safe return to the workplace: Perceived opportunities and threats in the use of health surveillance technologies in public administrations". In dg.o 2022: The 23st Annual International Conference on Digital Government Research. New York, NY, USA: ACM, 2022. http://dx.doi.org/10.1145/3543434.3543435.

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Orak, Berna. "DIGITALIZATION IN THE GERMAN HEALTH CARE SYSTEM". In SECURITY HORIZONS. Faculty of Security- Skopje, 2021. http://dx.doi.org/10.20544/icp.2.5.21.p12.

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The German health care system will have to overcome big challenges in the following years. According to a study on the digital-health-index by the BertelsmannStiftung in 2018, Germany is placed last but one out of 17 states. The processing of health data is too bureaucratic and administrations have to deal with piles of paperwork every day. To counteract this development, the government extends investments in innovation funds and passes laws that enable the use of digital technologies. The benefits of digitalizing the health care system are expected to be high, e.g., reducing the costs of statutory health insurances by preventing diseases and improved findings in health services research. These are a few of the many expected values. But what about the risks and dangers? Are we neglecting important rights and freedoms to accelerate the process of digitalization for the advantage of health institutions potentially? How can we assure that digitalization serves the interests of the common good and of vulnerable patients? By testing the latest developments in the German health care system, the article concentrates on potential risks in regard to data protection. Due to the sensitivity of health data, fitting technical premises and persistent supervision by independent authorities need to be developed. To ensure consumer and patient safety it is of utmost importance that applied health care tools are of high quality and guarantee data security and privacy. However, it remains the challenge of the policymakers to avoid overregulation and enable innovation. Key words: health data, digitalization, data protection, privacy

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Pocherevin, Evgeny. "Development of the Rural Medical System in the Irkutsk and Yenisei Guberniyas in the Late XIX — Early XX Centuries". In Irkutsk Historical and Economic Yearbook 2021. Baikal State University, 2021. http://dx.doi.org/10.17150/978-5-7253-3040-3.18.

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The article studies the activities of the Irkutsk and Yenisei guberniyas administrations for the development of the rural health system in the late XIX — early XX centuries. The author concludes that both regions made several attempts to expand this system, but they were unsuccessful. However, in the Yenisei guberniya, the process of managing the available resources was more active.

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López López, María N., Rosa Mary de la Campa Portela, María de los Ángeles Bouza Prego e Javier Ramón Sánchez Girón. "Covid-19 control measures and its impact on seafarers’ mental health". In Maritime Transport Conference. Universitat Politècnica de Catalunya. Iniciativa Digital Politècnica, 2022. http://dx.doi.org/10.5821/mt.10918.

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The appearance of COVID-19 in maritime transport has been an exceptional challenge for all stakeholders in this sector, mainly for seafarers who have been caught between the need to keep supply chains operational and the limitations imposed by administrations to prevent the spread of the virus. With these objectives in mind, international institutions and organizations have developed a long series of regulations that have emerged in parallel with the measures established to control the pandemic. This article compiles the recommendations and regulations on health management established for this sector, as well as the implications of this entire process on fatigue and stress in seafarers. Issues such as difficulties experienced in crew changes and repatriation, extended working hours, social isolation caused by mobility limitations in ports, limited medical equipment and services available, health care restrictions in some ports, the need to quarantine, and the possibility of being infected have been reported, among others, as causes of increased fatigue and stress among seafarers, as well as an upturn in anxiety, depression and other psychiatric disorders in this group. Thus, despite the efforts of the international maritime community to regulate the problematic areas related to the outbreak of the pandemic with the aim of keeping seafarers free of coronavirus and facilitating the continuity of maritime transport, its levels of fatigue and stress have increased notably, demonstrating that these efforts have neither been sufficient nor effective regulations have been developed that specifically take into account how COVID-19 and actions aimed at the continuity of maritime transport have affected and may continue to affect seafarers’ mental health.

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Castilla-Rodríguez, Iván, Rafael Arnay, José M. González-Cava, Juan A. Méndez, Amado Rivero-Santana e Lidia García-Pérez. "Towards an adaptive decision-support system for Type I Diabetes treatment based on simulation and machine learning". In the 8th International Workshop on Innovative Simulation for Healthcare. CAL-TEK srl, 2019. http://dx.doi.org/10.46354/i3m.2019.iwish.003.

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"Diabetes is one of the most prevalent chronic diseases in the world, especially in middle- and low-income countries. Inter- and intra-patient variability greatly hinders the establishment of effective treatments by clinicians, even among those most experienced. This variability also prevents health administrations to establish adequate controls that guarantee the application of the most cost-effective interventions. In this work, we propose a decision support system that uses simulation and machine learning as tools to provide the clinician with information adapted to the patient on the best intervention for a patient in terms of effectiveness and cost-effectiveness."

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Toker, Kerem, e Fadime Çınar. "Institutional Sustainability Management in the Health Sector and a Research on the Hospitals in European Side of İstanbul". In International Conference on Eurasian Economies. Eurasian Economists Association, 2017. http://dx.doi.org/10.36880/c08.01853.

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In 1987, The World Commission on Environment and Development report on our Common Future formulated the definition of sustainable development and put forward the issue that caused the conflict between environment and development (Harris, 2000). It was proposed for the first time that the use of the concept of sustainable development, which is the most common today, (WCED, 1987), is the expression of "the ability to supply today’s needs and expectations without compromising the ability of future generations to supply their needs and expectations" (Akgül, 2010). Today, sustainability means that businesses should not only create economic value but also be involved in activities that facilitate and improve living conditions (Caymaz, etc., 2014). Within the globalizing economy, the health sector is one of the most important sectors that have taken human life as a focus. The survey examined whether the governance processes of private and public-sector hospitals in European Side of Istanbul are in line with sustainable policies, and if so, what kind of policies they take. In order to be able to conduct the examination, data were collected from the hospitals through the sustainability questionnaire and statistically analyzed in the obtained computer environment. The findings show that the sustainable environmental policy implementations of hospitals are not at the desired level. Sustainable social policies are also at a high level of implementation. The research showed that; it is necessary to increase the awareness level of hospital administrations on sustainability.

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Tsai, P. H., C. Y. Yu, M. Y. Wang, J. K. Zao, H. C. Yeh, C. S. Shih e J. W. S. Liu. "iMAT: Intelligent medication administration tools". In 2010 12th IEEE International Conference on e-Health Networking, Applications and Services (Healthcom 2010). IEEE, 2010. http://dx.doi.org/10.1109/health.2010.5556551.

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Özcan, Irfan, Gökhan Aba e Metin Ateş. "The Effect of Organizational Commitment and Job Satisfaction of Nurses on Anticipated Turnover". In International Conference on Eurasian Economies. Eurasian Economists Association, 2016. http://dx.doi.org/10.36880/c07.01592.

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Today, there is an intense competition regarding the provision of private health services. In the context of such competition, it is important to provide that health personnel commit to their jobs and have job satisfaction in order for hospitals to thrive. However, perceptions and cognitions related to leaving employment are affected due to the specific features of health services and due to the heavy workload of personnel. The current study was conducted in order to determine the effect of organizational commitment and job satisfaction on employee turnover rates among health personnel. A total of 415 nurses who were employed in 5 private hospitals located in Istanbul completed questionnaires. In the study, expected employee turnover, organizational commitment, and job satisfaction scales were administered. Data was analyzed using the SPSS 17.0 software. It was found that expected employee turnover levels showed significant differences according to the demographic features of the nurses. In addition, employee turnover rates were negatively related to organizational commitment and job satisfaction. According to this, employee turnover levels decrease as organizational commitment and job satisfaction increase. Based on these results, it is recommended that hospital administrations should place importance on programs that aim to increase organizational commitment and job satisfaction among nurses in order to reduce employee turnover rates.

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Anggaini, Niken Lastiti Veri, Bambang Supriyono, Lely Indah Mindarti e Firda Hidayati. "Effects of Health Information Access and Health Service Access on Health Literacy and Health Behavior". In 3rd Annual International Conference on Public and Business Administration (AICoBPA 2020). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/aebmr.k.210928.072.

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Lally, Clare. Mental health and well-being during the COVID-19 outbreak. Parliamentary Office of Science and Technology, maggio 2020. http://dx.doi.org/10.58248/rr03.

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Initial reports suggest we should expect a sharp rise in levels of depression, anxiety and loneliness. The pandemic could have implications for those already suffering from addiction, OCD, and eating disorders. Concerns have prompted a number of initiatives supporting mental well-being. These include guidance from the World Health Organisation (WHO) and Public Health England (PHE), resources from the devolved administrations, and formation of the Help Hub, a service set up by volunteer therapists.

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Desikan, Anita, e Jacob Carter. Getting Science Back on Track: Voices of Scientists across Six Federal Agencies. Union of Concerned Scientists, febbraio 2023. http://dx.doi.org/10.47923/2023.14771.

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To protect the public's safety and health, the US government should base policies on the best evidence—and that requires keeping the work of federal scientists free from political interference. Fortunately, the latest Union of Concerned Scientists survey of federal scientists shows the powerful, positive effects of strengthening scientific integrity policies under President Biden. While challenges remain, the survey found significant improvements in scientific integrity over previous administrations, and scientists say morale and working conditions are better. A majority of those surveyed feel that their agencies have protected scientific staff from COVID-19 in the workplace, and that the agencies frequently consider the impact of their work on historically marginalized communities. Scientists report feeling mostly positive about efforts to incorporate considerations of justice, equity, diversity, and inclusion into research and policy, although perceptions are mixed about the efforts’ long-lasting effectiveness.

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Desikan, Anita, e Jacob Carter. Getting Science Back on Track: Voices of Scientists across Six Federal Agencies. Union of Concerned Scientists, febbraio 2023. http://dx.doi.org/10.47923/2022.14771.

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Dilly, George A. The Failure of the Clinton Administration's Health Care Reform: A Matter of Substance or Process? Fort Belvoir, VA: Defense Technical Information Center, gennaio 2003. http://dx.doi.org/10.21236/ada442073.

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Trynosky, Stephen K. Beyond the Iron Triangle: Implications for the Veterans Health Administration in an Uncertain Policy Environment. Fort Belvoir, VA: Defense Technical Information Center, dicembre 2014. http://dx.doi.org/10.21236/ada614090.

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Hill, Warren E. Local Area Network End User Satisfaction Study at the Department of Veterans Affairs Veterans Health Administration's VA Puget Sound Health Care System. Fort Belvoir, VA: Defense Technical Information Center, maggio 1998. http://dx.doi.org/10.21236/ada372304.

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DEPARTMENT OF DEFENSE WASHINGTON DC. Application of Food and Drug Administration (FDA) Rules to Department of Defense Force Health Protection Programs. Fort Belvoir, VA: Defense Technical Information Center, febbraio 2008. http://dx.doi.org/10.21236/ada594572.

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Watson, Monte R. Factors Associated with Student Stress in the U.S. Army - Baylor University Graduate Program in Health Care Administration. Fort Belvoir, VA: Defense Technical Information Center, luglio 1986. http://dx.doi.org/10.21236/ada209758.

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Roy, Dianne E., e Roslyne C. McKechnie. Non-regulated Home Support Worker role in medication support and administration: A scoping review of the literature prepared for the Home & Community Health Association. Unitec ePress, settembre 2017. http://dx.doi.org/10.34074/rsrp.metro22017.

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The aim of this literature review is to identify and critique literature relating to current policy, guidelines and practice of non-regulated caregivers in relation to medication while they are working with clients in their own homes. The scope of this review comprises medication administration and medication support, which includes medication prompting and assisting the client to take their medication. Out of scope in this review is medication management. The review draws on relevant Aotearoa New Zealand statutes, standards and practice guidelines related to medication support and administration, District Health Board (DHB) policies, and education and training recommended and/ or available to Home Support Workers (HSWs). Relevant published research and international guidelines are also included.

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Freitas, Alexandra. The implementation of communication design in medication administration in the context of mental health: A protocol for a systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, novembre 2023. http://dx.doi.org/10.37766/inplasy2023.11.0102.

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