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Rosenbaum, Christopher Michael. "AN OBSERVATIONAL STUDY OF THE METHODS AND PROGRESS IN ENTERPRISE LEAN TRANSFORMATION AT A LEARNING HEALTH CARE ORGANIZATION". UKnowledge, 2013. http://uknowledge.uky.edu/ms_etds/5.
Pełny tekst źródłaLiang, Zhanming, i N/A. "Characteristics, Competencies and Challenges: A Quantitative and Qualitative Study of the Senior Health Executive Workforce in New South Wales, 1990-1999". Griffith University. School of Public Health, 2007. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20070914.091446.
Pełny tekst źródłaLiang, Zhanming. "Characteristics, Competencies and Challenges: A Quantitative and Qualitative Study of the Senior Health Executive Workforce in New South Wales, 1990-1999". Thesis, Griffith University, 2007. http://hdl.handle.net/10072/366277.
Pełny tekst źródłaThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Public Health
Faculty of Health
Full Text
Geraldes, Mariana Fernandes Araújo. "Avaliação dos benefícios da implementação da plataforma de dados de saúde: portal do profissional". Master's thesis, Universidade de Évora, 2014. http://hdl.handle.net/10174/12163.
Pełny tekst źródłaHenson, Cheryl R. "Passing the mantle the development of a healthy model of clergy departure among American Baptist Churches of Area 1 in Great Rivers Region /". Theological Research Exchange Network (TREN) Theological Research Exchange Network (TREN) Access this title online, 2006. http://www.tren.com.
Pełny tekst źródłaAhlswede, Benjamin James. "What to plant and where to plant it; Modeling the biophysical effects of North America temperate forests on climate using the Community Earth System Model". Thesis, Virginia Tech, 2015. http://hdl.handle.net/10919/74269.
Pełny tekst źródłaMaster of Science
Ku, Shawn. "Disability management, developing the ideal disability management model : the Diamond Health Management model". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape7/PQDD_0002/MQ45231.pdf.
Pełny tekst źródłaChiang, Nhan Tu. "Mesh network model for urban area". Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/44698.
Pełny tekst źródłaIncludes bibliographical references (p. 52, 2-7 (2nd group)).
Decreasing population, high crime rate, and limited economic opportunities are all symptoms of urban decline. These characteristics are, unfortunately, evident in major cities and small towns. Local municipalities in these cities and towns with the aid of state and federal government have attempted to reverse urban decline through the traditional approach of urban renewal. Their idea was to create low cost housing to attract people back to urban areas. Their approach has shown mixed results with most attempts having no effect on the deterioration. The goal of this thesis is to propose a higher system approach to answer urban decline through the application of new technology, wireless mesh networks. A wireless mesh network can provide improved security, public safety, new economic opportunities, and a bridge that crosses the digital divide. Married to the appropriate applications, a wireless mesh network creates a business model that is both favorable and sustainable. More importantly, the business model brings about the human capital necessary for urban revitalization.
by Nhan Tu Chiang.
S.M.
Cardin, Sylvie. "Empirical evaluation of small area estimators in community health". Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=28702.
Pełny tekst źródłaCano, Yakelin, Grimaldo Quispe, Heyul Chavez, Nestor Mamani-Macedo, Carlos Raymundo-Ibañez i Francisco Dominguez. "Occupational Health and Safety Management Model for Mining Contracts". Springer, 2020. http://hdl.handle.net/10757/656173.
Pełny tekst źródłaThe importance of an occupational health and safety management system (OHSMS) in a mining contract allows the establishment of guidelines to prevent and mitigate accidents that may occur in mines and in exploration areas. Such guidelines are integrated to ensure compliance with regulations with respect to the mining activity (DS 024-2016-EM). For developing a model, the literature was initially reviewed (scientific articles and research studies were used as the background), development techniques were established, and an OHSMS was proposed, with prior evaluation from the contractor. Subsequently, this study presents the general requirements, planning, implementation, verification, and the corresponding review by the appropriate authority. Finally, the model is established, supported by tables that will report the current state of the company and the implementation process. This study concludes with the execution of OHSMS in case of mining contracts.
Basulto, Solis Yajaira Yanet. "Sustainable integrated water management model with public health strategies". Thesis, University of Leeds, 2015. http://etheses.whiterose.ac.uk/11701/.
Pełny tekst źródłaMonsia, Atoke Frédia. "Macroeconomic imbalances, crises and management of crises in euro area countries". Thesis, Aix-Marseille, 2016. http://www.theses.fr/2016AIXM2024/document.
Pełny tekst źródłaThis dissertation consists of three essays on how macro-financial imbalances precede crises and to what extent their consideration can help better management of crises in the Eurozone countries. The different chapters of this thesis, try to answer three important questions : What are the macro-financial imbalances that exposed the Euro area countries to fiscal stress before the outbreak of the debt crises in Europe? What are the impacts of sovereign default and deposit guarantee on macroeconomic variables and on the behavior of investors ? To what extent could better institutions/governance help to improve the long-term growth in a constrained economy on the international capital market ? Using a short-term approach, the first two chapters show the importance of market confidence in analysis of the link between macroeconomic imbalances and crises. In the third chapter, we adopt a long-term perspective to analyze the effects of this market confidence on the dynamics of growth. Our approach is both theoretical and empirical. The theoretical approach is based on the DSGE models (dynamic stochastic general equilibrium models) and the modeling of a crisis in a small open economy (SOE). The empirical approach focuses on Probit/Logit models for panel data and on Signal model based on early warning indicators
Krueger, Kem Patrick. "Assessing the predictive ability of a deterministic model and a stochastic model". Diss., The University of Arizona, 1999. http://hdl.handle.net/10150/289030.
Pełny tekst źródłaThomas, Linda M. "An integrated model for facilities management : indoor environment evaluation". Diss., Georgia Institute of Technology, 2000. http://hdl.handle.net/1853/23466.
Pełny tekst źródłaCoker, Christopher J. "Checklist Training Model| A Comparison of Time, Investment, and Job Function Knowledge". Thesis, Capella University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13811243.
Pełny tekst źródłaThis quantitative study was an evaluation of the effectiveness of the online Training Home software program, designed for use with a national nonprofit business model. This study was undertaken because nonprofits have a difficult time resourcing training. If the Training Home program can deliver a comprehensive training program for minimal cost, then a nonprofit will be better able to deliver on the nonprofit’s stated mission. For this study, six research questions centered on measuring the helpfulness of the program, the difference in job function training, improved knowledge of a national nonprofit, and perception of the Training Home program between those that had and or had not used the program. Additionally, cost per unit of training, the number of training vignettes delivered, time spent in training, ease of use by supervisors, and staff ratings of the effectiveness of the training home program. The population studied was the 450 staff at one affiliate of the national nonprofit. This staff group consisted of a mix of genders, ages, and education levels. This study used archival data gathered over the 2013, 2014, and 2015 calendar years and was analyzed using multivariate regression and descriptive analyses. The cost and number of training vignettes delivered in a 24-month period were compared to determine whether the Training Home program was a more cost-effective delivery model than the prior system for the year before the study. Analyses indicate that the Training Home program delivered more training to staff at a lower cost per unit of training when compared to the units of training delivered in the prior model. Supervisors and staff reported the program to be effective in knowledge management and tracking and the training of all staff. The study had positive results for the sample studied. It would be beneficial for any future studies to expand the sample size into other geographic regions.
Salminen, Anna, i Daniel Hägglöf. "City Information Model - CIM : Benefits with an integrated city information model in the area of technical aspects". Thesis, Mälardalens högskola, Akademin för ekonomi, samhälle och teknik, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-28543.
Pełny tekst źródłaLee, Chiao-Tzu Patricia, i N/A. "Applicability of the Integrative Workplace Health Management (IWHM) Model in Taiwan". Griffith University. Griffith School of Environment11, 2007. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20070824.102636.
Pełny tekst źródłaBowen, Huw James. "A public health management model for acute chemical incidents in Wales". Thesis, Open University, 1999. http://oro.open.ac.uk/57919/.
Pełny tekst źródłaLee, Chiao-Tzu Patricia. "Applicability of the Integrative Workplace Health Management (IWHM) Model in Taiwan". Thesis, Griffith University, 2007. http://hdl.handle.net/10072/366793.
Pełny tekst źródłaThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Griffith School of Environment
Faculty of Environment and Planning
Full Text
Eilbert, Kay Wylie. "A Community Health Partnership Model: Using Organizational Theory to Strengthen Collaborative Public Health Practice". Diss., Health Services Management and Leadership, George Washington University, 2003. http://hdl.handle.net/1961/123.
Pełny tekst źródłaAbstract Community partnerships are an increasingly popular strategy for improving community health. This popularity is based less on evidence than on rhetoric. This research developed and tested a systems model of partnership to improve the practice of collaboration in public health. Basing the need for partnerships on the multi-sectoral nature of health, the model used open systems theory to set out requirements for partnership. Institutional theory suggested that problems faced by partnerships may result from partners meeting requirements for legitimacy. Change is, therefore, required, both in organizations and in their institutional environment. Using exploratory case studies, the study design involved site visits to two community health partnerships (West Virginia Community Voices and Healthy New Orleans). Mixed qualitative methods included semi-structured interviews, focus groups, and document review. Analysis involved interpreting informants responses in terms of evidence representing the model and for new elements. Evidence from practice suggested several revisions to the model. One involved applying a typology of organizational affiliation, with partnership toward one end of the continuum. Use of this typology permitted an extension of the model to understand the form of affiliation practiced by Community Voices and of Healthy New Orleans. Multiple opportunities to network and build coalitions in Community Voices led to increased chances of success in achieving health improvement goals. Networking opportunities for individual volunteers led to an informal Healthy New Orleans organization. Results of this research led to an analytic fit between the two sites and the community health partnership model. Recommendations are offered for practice, research, and for funding agencies. With further research, the model can be used to develop practical tools to guide and assess partnerships as a strategy to improve health, as well as to identify environmental barriers to partnership and strategies for change.
Advisory Committee: Kathleen Maloy JD PhD (Chair), Vincent Lafronza ScD, Chris Johnson EdD
Thomson, Steven Michael. "A standards-based security model for health information systems". Thesis, Nelson Mandela Metropolitan University, 2008. http://hdl.handle.net/10948/718.
Pełny tekst źródłaBogner, Matthew Preston. "Nursing staff members' reactions to household model implementation". Thesis, Central Michigan University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10132103.
Pełny tekst źródłaTraditional nursing homes are based on a model that can limit a resident’s ability to make basic choices, minimize opportunities to direct their own lives, and ultimately destroy the human spirit. As an alternative to the traditional model, the household model is an arrangement in which small groups of residents direct their daily lives in a shared home setting (a household), supported by a decentralized self-led service team of frontline professionals empowered to be responsive to the residents’ needs. While many frontline nursing staff members are advocates of the need for change, it is also common for them to react negatively toward the process of household model implementation. The purpose of this qualitative study was to examine nurse aides’ and licensed nurses’ reactions to household model implementation. Sixteen semi-structured interviews were transcribed verbatim, divided into 524 units of meaning, and coded using concepts of Oreg, Vakola, and Armenakis’ (2011) theoretical model, derived from 60 years of qualitative studies on change recipients’ reactions to organizational change. In this model, employee reactions are a function of antecedents, categorized as pre-change (individual characteristics and internal context) and change antecedents (change process, perceived benefit/harm, and change content). Antecedents influence affective, cognitive, and behavioral reactions to change and, subsequently, lead to change consequences, including work-related and personal consequences. Two trained independent coders reviewed transcripts and achieved 70% agreement. Explicit reactions accounted for 48% of comments, followed by antecedents (27%) and change consequences (25%). Most common antecedents were related to change process (71%), perceived benefit/harm (24%), and change recipient characteristics (4%). Study participants reported difficulties with cross training, initial experiences of hardship and fear, confusion over the new model, and perceptions that it would be harmful to staff members and residents. Although experiences improved over time, some staff members, who self-identified as positive individuals, still reported perceived harm and engaged in resistant behaviors. Explicit reactions to change were behavioral (41%), cognitive (33%), and affective (26%). Most staff members supported household model implementation through their actions. They communicated with each other to learn and to cope with change. While three staff members actively resisted changes, they still supported at least some aspects of the household model. Cognitive and affective reactions were mixed, ranging from excitement and happiness to fear, nervousness, and frustration. Core household model components were received as positive, especially for residents. Concerns regarding work accounted for 94% of all reported organizational change consequences and included insufficient household staffing, harder working conditions, insufficient time to get everything done (or to do it well), and widespread feelings of isolation. The theoretical model for analyzing organizational change proved to be useful in understanding nursing staff members’ reactions to household model implementation and for identifying proactive steps to manage this change. Ongoing education is recommended to ensure staff members follow through with changes over time and to reduce confusion and perceptions of harm. The household model may need to be staffed at a higher level, at least initially, to maintain the same quality of care as in the traditional care delivery model. Ongoing team training within each household can serve to improve operations and balance responsibilities of blended roles. Due to the decentralized environments, potential feelings of isolation among residents and staff members are anticipated, which can be alleviated through regular multi-household gatherings.
Cowie, Meredith. "Environmental flows, health and importance of macrophytes in the estuaries of water management area 11". Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/7930.
Pełny tekst źródłaHaile, Yohannes. "Sustainable Value And Eco-Communal Management: Systemic Measures For The Outcome Of Renewable Energy Businesses In Developing, Emerging, And Developed Economies". Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1459369970.
Pełny tekst źródłaZehr, Kelson. "Case Study| Triad Case Management Model Applying Human Performance Technology". Thesis, Capella University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10928025.
Pełny tekst źródłaDespite the level of organizational investment in training and performance improvement, little is known about the use of different models of case management as interventions for the ever-increasing health care issues in the United States. Based on Van Tiem, Moseley, and Dessinger's Performance Improvement/Human Performance Technology model, this case study used qualitative semi-structured interviews and quantitative archival aggregate patient data to answer the following research questions: RQ1. How did the implementation of the triad model of case management process improvement change case management processes and implementation methods? RQ1a. What happens to key performance indicators (cost of service, patient satisfaction, and quality of care) when the triad model of case management process improvement is implemented? RQ2. How did acceptance and resistance to a new case management model manifest themselves during the implementation of the triad model of case management process improvement intervention? Seven hospital employees answered questions regarding possible resistance to change during the implementation phase of this model of case management. Data analysis included comparisons of the participants’ responses regarding cost of care, quality of care, and satisfaction with services to quantitative archival measures of those variables. Mean comparisons of all three areas, cost of service, quality of care, and satisfaction with services, revealed that differences before and after implementation of the triad model were not significant. Participant interviews provided general indications that cost of service, quality of care, and satisfaction with services improved with the intervention of the triad model of case management. Participants generally also approved of the change to the triad model of case management following an initial period of concern about work disparity, which resolved with the separation of utilization review and case manager job duties. Recommendations for future research include waiting beyond the time frame used in this study to assess for change and further evaluating possible resistance to change in an organization using emerging trends in human performance technology (HPT) and the completed HPT process.
Alexander, Kathy. "Promoting health at the local level : a management and planning model for primary health care services /". Title page, contents and introduction only, 1994. http://web4.library.adelaide.edu.au/theses/09PH/09pha376.pdf.
Pełny tekst źródłaHanna, Elizabeth Gayle (Liz), i lizhanna@netc net au. "Environmental health and primary health care: towards a new workforce model". La Trobe University. School of Public Health, 2005. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20061110.152550.
Pełny tekst źródłaRisikko, T. (Tanja). "Safety, health and productivity of cold work:a management model, implementation and effects". Doctoral thesis, University of Oulu, 2009. http://urn.fi/urn:isbn:9789514291883.
Pełny tekst źródłaTiivistelmä Kylmä on yksi yleisimmistä työympäristön riskitekijöistä pohjoisissa oloissamme. Kylmästä aiheutuu haittaa ihmisen toimintakyvylle ja terveydelle sekä työn turvallisuudelle, laadulle ja tuottavuudelle. Tässä väitöstutkimuksessa kehitettiin systemaattinen kylmäriskien hallintamalli osaksi yrityksen työterveys- ja työturvallisuus-, ympäristö- ja laatujohtamisjärjestelmiä (SHEQ). Kehitetty kylmäriskien hallintamalli menetelmineen on nykyisin osa standardia ”SFS-EN ISO 15743 Lämpöolojen ergonomia. Kylmät työpaikat. riskin arviointi ja hallinta”. Kylmäriskien hallintamallia ja sen menetelmiä sovellettiin ja edelleen kehitettiin kahdessa tapausyrityksessä rakennusalalla sekä merenkulun tukipalveluissa. Konkreettisista kehittämistoimenpiteistä ja henkilöstön koulutuksesta koettiin tapausyrityksissä saadun välitöntä hyötyä, ja ne johtivat positiivisiin asenteisiin jatkokehittämistyötä kohtaan. Tutkimuksessa arvioitiin kylmätyön myös lisäävän rakennusalan henkilöstökustannuksia vuosittain 50 miljoonalla eurolla, mikä oli 3 % alan vuotuisista palkkakustannuksista. Tapaustutkimuksen avulla osoitettiin, että kylmänhaittojen hallinta on kannattavaa. 20 henkilön rakennustyömaalla kylmänhaittojen hallinnalla saavutettavat säästöt olivat 2,5-kertaiset toimenpiteistä aiheutuneisiin kuluihin verrattuina. Merenkulun tukipalvelujen alalla toimivassa tapausyrityksessä tehdyn seurantatutkimuksen mukaan kylmäriskien hallintamallin käyttöönotto ja levittäminen yrityksessä vaatii kuitenkin aikaa ja systemaattista työtä. Mallin käyttöönottoa ja levittämistä voidaan tutkimuksen perusteella nopeuttaa kehittämistyön näkyvyydellä ja konkreettisuudella, koulutuksella, organisaatiotasoisten ohjeiden laatimisella aikaisessa vaiheessa sekä erityisesti asiantuntijatuen saatavuudella koko implementointivaiheen ajan. Tutkimuksessa syntyi myös turvallisuusjohtamismatriisi työkaluksi kehittämistyön suunnitteluun ja arviointiin
Cakir, Bilge. "Urban Coastal Settlements: Implementation Of A Coastal Area Assessment Model In Iskenderun Case". Phd thesis, METU, 2010. http://etd.lib.metu.edu.tr/upload/12612481/index.pdf.
Pełny tekst źródłaurban&rdquo
and &ldquo
coastal&rdquo
together. In relation to the specific contents of these concepts, there are also different models of management plans. &ldquo
Urban Disaster Risk Management&rdquo
and &ldquo
Integrated Coastal Zone Management&rdquo
are two of them. Urban Disaster Risk Management model deals with the planning and management problems of urban settlements in the case of disaster risk conditions. Likewise, Integrated Coastal Zone Management model focuses on the whole coastal area and deals with the sustainable use and protection of all types of coastal resources. However, in case of urban coastal settlements, these models of management plans can be valid together, can overlap, and they can even conflict with each other. In this thesis study, these two models of management plan and their coexistence are considered. A Coastal Area Assessment Model is set up and applied for Iskenderun case. This model provides a detailed spatial analysis opportunity in planning and management of coastal urban settlement. Therefore the model offers a significant input for the planning process through determining urban and coastal risks at the same time. Coastal Area Assessment Model is a tool which takes both Urban Disaster Risk Management and Integrated Coastal Zone Management models&rsquo
concerns into account and evaluates the coastal settlement in terms of urban risk sectors and coastal management issues. This study also introduces an approach on classification of the coastal areas and coastal urban settlements while setting up the Coastal Area Assessment Model. Coastal Area Assessment Model becomes an advantageous tool since it has significant contributions to the planning process by making a simple risk analysis and guiding the proper utilization and protection of the population, built environment, and resources of the coastal areas. Risk sectors, coastal management issues, critical and prior intervention areas of a coastal urban settlement are easily determined, and preparation of development plans of a coastal settlement is guided by the implementation of Coastal Area Assessment Model. In addition to these, general principles on planning and management of coastal settlements are determined by the implementation of the model for the implementation conditions of Urban Disaster Risk Management model, Integrated Coastal Zone Management model, and the Coastal Area Assessment Model in Turkey are also discussed and presented.
Frudakis, Angela C. "Identifying indicators of longevity and the transtheoretical model of behavior change". Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10241139.
Pełny tekst źródłaThe purpose of this study was to compare and contrast four age cohorts to determine: (a) if they have any preexisting knowledge about The Blue Zones Power 9 lessons for longevity, (b) if they are currently practicing any of the Power 9 lessons, and (c) to what extent they intend to adopt all or some of the Power 9 lessons in the future. The Transtheoretical Model of Behavior Change (DiClemente & Prochaska, 1982) guided exploration of the respondents’ adoption of the Power 9 lessons. There were four significant findings in this study. Physical activity and stress relief had similar results in that both the youngest and oldest age cohorts’ expressed higher frequencies than the two middle age cohorts. Wine consumption and adoption/intention to adopt the Power 9 also had similar results, demonstrating that as age increased, so did the frequency of wine consumption and adoption/intention to adopt the Power 9.
Van, Der Walt Marthinus. "Development of a land use-based spatial water requirements model for the Berg Water Management Area". Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27071.
Pełny tekst źródłaMUNIZ, MARCELO AUGUSTO DO NASCIMENTO. "HEALTH, SOCIAL ORGANIZATIONS AND WORK: THE LIMITS OF THE NEW HEALTH MANAGEMENT MODEL IN RIO DE JANEIRO". PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2016. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=27984@1.
Pełny tekst źródłaCOORDENAÇÃO DE APERFEIÇOAMENTO DO PESSOAL DE ENSINO SUPERIOR
PROGRAMA DE SUPORTE À PÓS-GRADUAÇÃO DE INSTS. DE ENSINO
O presente estudo, Saúde, Organizações Sociais e Trabalho, apresenta reflexões que apontam para uma perspectiva de desconstrução do modelo de atendimento à saúde enquanto sistema único, além da consolidação de um novo modelo de gestão das políticas públicas, que altera as relações de trabalho e, consequentemente, a correlação de forças sociais, que interfere na construção da política de saúde. A discussão sobre a política de saúde tem se conformado como uma das questões mais tratadas no âmbito da questão social no Brasil. Neste contexto, a saúde está atrelada às configurações das relações sociais na sociedade, sendo parte e expressão da estrutura macrossocietária e suas transformações históricas. No Estado do Rio de Janeiro, o loteamento das urgências e emergências hospitalares, em sua maioria, sob gestão das Organizações Sociais, revela a lógica de subordinação da saúde às relações sociais estabelecidas pelo capitalismo, suscitando contradições entre público e privado, que colocam em xeque a linguagem pública inerente aos direitos sociais e trabalhistas, em nome dos ideais mercantilistas. Nosso objetivo, portanto, consiste em contribuir para a compreensão dos determinantes da política de saúde na atualidade e a conformação dos modelos de gestão privada na administração dos serviços públicos, e consequentemente, seus rebatimentos sobre os profissionais de saúde, em um contexto de profunda precarização e exploração da classe trabalhadora.
This study presents, Health, Social Organizations and Work, reflections pointing to a deconstruction perspective of the health care model as a single system, and the consolidation of a new management model, amending labor relations and consequently the balance of social forces that interfere in the construction of health policy. The discussion on health policy has resigned as one of the most discussed issues in the social question in Brazil. In this context, health is linked to the settings of social relations in society, being part and expression of corporate macro structure and your historical transformations. In the state of Rio de Janeiro, the allotment emergency room and hospital emergencies, mostly under the management of social organizations, reveals the health subordination of logic to the social relations of capitalism, raising contradictions between public and private, posing in check public language inherent to social rights on behalf of mercantilist ideals. Our aim therefore is to contribute to the understanding of the determinants of health policy at the present time and the conformation of private management models in the management of public services, and consequently, its repercussions on health professionals in a context of deep insecurity and exploitation of the working class.
González, Echeverri Germán. "A model for improving emergency services of Hospital Universitario San Vicente de Paul, Medellin-Colombia". Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=36807.
Pełny tekst źródłaAt the time of this investigation, there was no pre-hospital emergency care services in the Valle de Aburra. Thus, this thesis examines predictors of mortality from a case series of 1395 persons presenting to the Emergency department of the Hospital Universitario San Vicente de Paul (HUSVP). Overall mortality for this series was 9.31% and 37.5% of these deaths were retrospectively identified as preventable. Mortality for injuries involving the central nervous system (CNS) was higher at 14.4%. Using the TRISS method, higher than expected death rates were noted from pedestrian-motor vehicle incidents and trauma associated with firearms use.
Determinants of mortality and length of stay were identified using logistic regression. These included factors associated with the mechanism and site of injury and also with the process of care, both pre-hospital and in-hospital.
Based on these identified determinants, policies for integrated pre-hospital and hospital emergency care in the Valle de Aburra can be developed. Regionalizing these services could be expected to reduce both mortality rates and preventable deaths.
Abildso, Christiaan G. "Evaluating an insurance-sponsored weight management program using the RE-AIM model". Morgantown, W. Va. : [West Virginia University Libraries], 2008. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=5720.
Pełny tekst źródłaTitle from document title page. Document formatted into pages; contains viii, 104 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 54-59).
Handelman, Corinne. "Natural Area Stewardship Volunteers| Motivations, Attitudes, Behaviors". Thesis, Portland State University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1543073.
Pełny tekst źródłaTo better understand the value of those who engage in environmental stewardship of natural areas, we studied volunteer steward's motivation to participate, their sustainable behaviors and attitudes toward stewardship-related constructs. Specifically, we designed and conducted a survey of volunteers who work as stewards in urban natural areas in Portland, Oregon. We hypothesize that as volunteer frequency increases: participants will be more motivated to participate for environmental reasons, volunteers will be more likely to feel a strong connection to the stewardship site, participants will be more likely to engage in public pro-environmental behaviors, and their level of environmental literacy will increase. Participants were sampled using a face-to-face survey methodology over the course of late winter and spring of 2012 during 18 different Portland Parks and Recreation sponsored stewardship events. We examined the motivations, attitudes and behaviors of the volunteers, and devised appropriate management implications for those organizing volunteer efforts. We equated a three-tiered typology of environmental literacy, based upon the frequency of volunteer participation, and analyzed our survey data using a principal component analysis, generalized linear models, and a qualitative coding analysis. The most frequent participants showed a higher likelihood of participation in public environmental behaviors, whereas participants at all frequency levels were also likely to participate in private environmental behaviors, such as removing invasive plants in one's yard. Volunteers across all frequencies of participation were motivated to engage in stewardship events by a desire to help the environment. By understanding volunteers' motivations and linked behaviors, park managers may gain insights about the recruitment, retention, and messaging of volunteers upon whom they may depend to achieve restoration goals. We recommend considering volunteers' motivations and benefits derived from participation in messaging to recruit and retain volunteers. Additionally, park managers should take advantage of educational opportunities linked to stewardship events, such as training programs and chances for volunteer mentorship.
Barrachina, Muñoz Sergio. "Responsive spectrum management for wireless local area networks: from heuristic-based policies to model-free reinforcement learning". Doctoral thesis, Universitat Pompeu Fabra, 2021. http://hdl.handle.net/10803/670782.
Pełny tekst źródłaEn aquesta tesi ens centrem en el problema conjunt de la gestió de l'espectre: assignació de canals primaris i secundaris a xarxes d'àrea local sense fils (WLAN) amb channel bonding. Des de l'estàndard IEEE 802.11n fins a estàndards més recents com el 802.11ac, el 802.11ax i el 802.11be, s'han anat proposant amplades de banda més grans per permetre agrupar canals, augmentant així l'amplada de banda total per transmissió. Tot i que aquest augment en l'amplada de banda afavoreix la capacitat potencial de les xarxes, suportant així els requeriments de les noves aplicacions Wi-Fi, també redueix la potència per Hertz i accentua els problemes de contenció i interferència entre nodes veïns. En resum, si les xarxes WLANs ja eren complexes per se, s'estan tornant encara més complexes a causa de l'augment de la densitat de nodes i de les noves prestacions incloses als darrers estàndards. Primer proposem un model analític basat en xarxes Markov en temps continu (CTMN) per caracteritzar channel bonding en WLANs saturades. Aquest model es basa en un nou algorisme que genera CTMNs a partir d'escenaris distribuïts espaialment, on no és necessari que els nodes estiguin dins del rang de contenció de la resta. Identifiquem els factors claus que afecten el rendiment i l'equitat de les diferents polítiques de channel bonding i mostrem l'existència d'interrelacions crítiques entre nodes en forma de reacció en cadena. D'això se'n desprèn que no hi ha una política channel bonding òptima única per a cada escenari. En ampliar el model analític per donar suport a règims no saturats, destaquem els avantatges d'assignar els canals tan amplis com sigui possible a les WLAN i implementar polítiques d'accés adaptatiu per fer front a les situacions que poden aparèixer tant en termes de rendiment com d'equitat. A part dels models analítics, aquesta tesi es basa en simulacions per generalitzar escenaris evitant costosos bancs de proves experimentals, de vegades inviables. Malauradament, els simuladors de xarxes sense fils existents solen ser massa simplistes o molt costosos computacionalment. És per això que desenvolupem el simulador de xarxes sense fils Komondor, concebut com una eina de codi obert accessible (llesta per utilitzar) per a la investigació de xarxes sense fils. L’avantatge essencial de Komondor respecte d’altres simuladors sense fils coneguts rau en la seva elevada velocitat de processament d’esdeveniments. A continuació ens desviem de models analítics i simulacions i abordem mesures reals a través del Wi-Fi All-Channel Analyzer (WACA), el primer sistema que mesura simultàniament l'energia de tots els 24 canals que permeten channel bonding a la banda Wi-Fi dels 5 GHz. Amb WACA, realitzem un estudi únic de localitzacions que inclouen nuclis urbans, barris residencials, universitats i fins i tot un partit a al Camp Nou, un estadi ple amb 98.000 aficionats i 12.000 connexions Wi-Fi simultànies. Les dades experimentals revelen els factors fonamentals que controlen el guany de rendiment, a partir dels quals ressaltem la correlació entre canals. També mostrem la importància del conjunt de dades recopilades per trobar nous factors claus, que d'una altra manera no seria possible, atès que els models d'ocupació de canals simples subestimen els guanys potencials. Pel que fa a solucions, primer discutim propostes basades en heurístiques per trobar configuracions satisfactòries ràpidament. En aquest sentit, proposem dinàmicament (DyWi), un algorisme de selecció de canal primari en línia, descentralitzat i eficient per xarxes channel bonding. DyWi millora el rendiment esperat tenint en compte no només l’ocupació del canal primari objectiu, sinó també l’activitat dels canals secundaris. Fins i tot quan suposem retards significatius a causa del canvi de canal primari, observem millores importants en termes de rendiment i retard. Finalment, identifiquem els enfocaments d’aprenentatge automàtic (o machine learning) aplicables al problema de la gestió de l’espectre a les WLAN i justifiquem per què l'aprenentatge del tipus reinforcement learning (RL) és el més adient. En particular, ens centrem en el rendiment adequat de les variacions d'RL sense estats i proposem multi-armed bandits com la solució adequada, ja que i) necessitem una adaptabilitat ràpida per millorar l’experiència d’usuari en escenaris Wi-Fi dinàmics i ii) el nombre de configuracions multicanal que una xarxa pot adoptar és limitat; per tant, els agents poden explorar completament l’espai d’acció en un temps raonable.
LePome, Robert C. (Robert Charles) 1977. "Model predictive control for terminal area energy management and approach and landing for a reusable launch vehicle". Thesis, Massachusetts Institute of Technology, 2002. http://hdl.handle.net/1721.1/8125.
Pełny tekst źródłaIncludes bibliographical references (p. 235-236).
The space industry plans to develop new reusable launch vehicles. The new vehicles will need advanced, new guidance and control systems. Since 1996 Draper Laboratory has been developing the next generation guidance and control for reusable launch vehicles in which guidance and control is integrated into one correlated system. Draper's research of integrated guidance and control originated with a single loop multivariable control scheme using time-invariant linear quadratic regulator theory. The research has since evolved into the use of model predictive control theory. The main focus of this thesis is the theory and design of model predictive control for entry of aerospace vehicles. The goal is to develop design criteria and guidelines explaining how to select the model predictive control parameters: prediction horizon, simulation rates, and weighting matrices. A secondary goal is to tightly couple an onboard trajectory generation algorithm with the model predictive controller to improve tracking performance and robustness. Favorable tracking is achieved through two model predictive control architectures, which are discussed. The first architecture has an inner loop stability augmentation system with model predictive control used as an outer loop. The second architecture replaces the inner and outer loops with a single model predictive controller. The two architectures demonstrate the flexibility of model predictive control to adapt to new vehicles; the model predictive control may be used to augment an existing inner loop or may be used as a stand-alone controller. The design focuses primarily on the architecture without a stability augmentation system.
by Robert C. LePome, II.
S.M.
Ronayne, Michael James, i Thomas III Maddock. "Flow model for the Bingham cienega area, San Pedro river basin, Arizona: a management and restoration tool". Department of Hydrology and Water Resources, University of Arizona (Tucson, AZ), 1996. http://hdl.handle.net/10150/615701.
Pełny tekst źródłaDavidson, Gavin. "Area Wide Traffic Management, a strategy for improving the economic, social and environmental health of urban centres". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq24117.pdf.
Pełny tekst źródłaFernandez, Valerie L. "Quantitative Analysis of Obese Hypertensive Women and the Health Belief Model". Thesis, Capella University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10973076.
Pełny tekst źródłaThis study utilized secondary data to understand weight-loss behaviors in obese adult women with hypertension. There are multifactorial reasons for obesity. This study attempted to clarify why people cannot lose weight and why many often regain weight. The gap in the literature relates to why the concepts such as perception of risk, benefits, and obstacles to action have not been found to cause individuals to achieve weight loss or to maintain weight loss. Secondary data were used from the NHANES dataset, a weighted dataset representative of the U.S. population. The sample used in this study included 411 obese hypertensive women over the age of 18. In all, six years of data from 2009–2014 were derived from the National Health and Nutrition Examination Survey (NHANES) dataset. Perception about the obstacles an individual confronts can be a barrier to successful weight loss. If an individual thinks success cannot be attained, efforts to lose weight will fail. Hierarchical regression analysis was used to assess the variables. The results indicated that only perception of weight acted as a cue to action for losing weight. That is, the perception of weight was the only statistically significant finding of reasons obese hypertensive women initiate weight loss efforts. Recommendations for future research include an investigation of the perception of weight status and body habitus, and to assess what triggers a poor perception of weight and body habitus as a cue to action to lose weight.
Thom, Elizabeth Whyte. "Alcohol treatment policy 1950-1990 : from alcohol treatment to alcohol problems management". Thesis, London School of Hygiene and Tropical Medicine (University of London), 1997. http://researchonline.lshtm.ac.uk/682245/.
Pełny tekst źródłaReiner, Monika. "Safety, health, environment and quality framework for small and medium-sized entreprises in the Durban area". Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/19404.
Pełny tekst źródłaA company’s primary goal is to make money. Simple as it may seem, this is not always easily achieved, and sustainability of the business may be a serious challenge. In an effort to make a profit, important aspects of safety, health, environment and quality (SHEQ) may sometimes be neglected. Some small and medium-sized enterprises (SME) merely do not have the understanding or the capacity to address all the important aspects of SHEQ, thereby placing the company under potential financial and legal risks. A survey was conducted in SMEs based in the Durban area to ascertain their level of legislative and voluntary system standard awareness and implementation. The questionnaire responses indicated that general awareness of legislation such as the Occupational Health and Safety Act, the Compensation for Occupational Injuries and Diseases Act, the National Environmental Management Act and voluntary system standards such as ISO 9001, ISO 14001 and OHSAS 18001 was relatively good, on the whole. However, implementation of the mandatory environmental requirements associated with the National Environmental Management Act was low, as was the implementation of the voluntary standards. Management and implementation of SHEQ responsibilities and requirement in larger organisations may be divided amongst various discipline specialists. However, in the SME these various disciplines may be the responsibility of one person, and often this person is the managing director. As such, this individual may not always have adequate time or understanding of the legal requirements of SHEQ aspects. There may also be a lack of understanding of the potential cost implications in not managing SHEQ aspects, and similarly budgeting requirements of managing SHEQ aspects appropriately. This research report introduces and summarises key SHEQ legislation and voluntary management system standards, such as the Occupational Health and Safety Act, the National Environmental Management Act, local bylaws, and introduces the ISO 9001, ISO 14001 and OHSAS 18001. Since some characteristics of the disciplines of health and safety, environment and quality may overlap, combining these into an integrated management system has merit. Such an integrated system can save the company time and money. This research report reviews some pertinent business requirements associated with SHEQ and presents an integrated management system guideline for the SME business owner. Business management, today, needs to learn from past business management developments. Successful and sustainable business management is not only about making a profit, but also incorporates a significant human resource management focus, health and safety assurance, the mitigation of potential environmental impacts from operations, whilst ensuring that quality standards of products and services are competitive.
Wong, Andrea N. "The model minority at risk| Barriers to mental health access for Chinese Americans". Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1524130.
Pełny tekst źródłaThis thesis examines the role of limited English proficiency (LEP) as a contributing significant barrier to the mental health access for Chinese living in America. The literature purports that language barriers do present significant challenges to providing timely and effective mental health services worldwide. Additionally, studies highlight two reoccurring themes on the mental health of Chinese Americans, including their underutilization of mental health services and the premature termination of treatment in comparison to other nonminority clients. Using the 2009 dataset from the California Health Interview Survey (CHIS) 2009 Adult Questionnaire, data was analyzed and it was concluded that a relationship exists between mental health status and language proficiency. Further study is necessary to determine where it may be best for health professionals to invest their efforts in the mental health care of this deserving population. It would behoove organizations, communities, and health care leaders to peer deeper into the interconnected relationship between mental health utilization and language proficiency.
Madhura, Hande Handattu Lall Pradeep. "Prognostics health management and damage relationships of lead-free components in thermal cycling harsh environments". Auburn, Ala, 2008. http://hdl.handle.net/10415/8.
Pełny tekst źródłaAssad, Albert. "Model of medical supply demand and astronaut health for long-duration human space flight". Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/47867.
Pełny tekst źródłaIncludes bibliographical references (leaves 57-60).
The medical care of space crews is the primary limiting factor in the achievement of long-duration space missions. (Nicogossian 2003) The goal of this thesis was to develop a model of long-duration human space flight astronaut health and a medical supply demand model in support of such missions. This model will be integrated into an existing comprehensive interplanetary supply chain management and logistics architecture simulation and optimization tool, SpaceNet. The model provides two outputs, Alphah and Mass, for each set of input variables. Alphah is an estimate of crew health and is displayed as a percentage. Mass is a measure of medical consumables expended during the mission and is displayed in kilograms. We have demonstrated that Alphah is a function of three scaling parameters, the type of mission, duration of mission, and gender of crew. The type of mission and gender are linked to radiation fatality data published by NASA and mission duration correlates to predicted incidence of illness and injury and linked to the model through published US Navy submarine crew medical data. The mass of medical consumables (MMC) expended increases with the number of crew, the duration of the mission and the distance of the mission away from the earth. The degree of medical expertise on-board is not necessarily related to a change in consumption of medical supplies but perhaps to a better outcome for the individual infirmed crew member.
(cont.) We have determined that there is no information to incorporate gender into this aspect of the model and that the ages of the crewmembers would also have a negligible effect. Risk was investigated as an additional independent driver in the calculations. This parameter defined as likelihood of a medical event multiplied by impact to the mission, is in line with current NASA planning processes. Although the equations don't currently incorporate this parameter, implementation in subsequent versions of the model would allow for a more granular description of medical supply mass (i.e. laboratory and diagnostic, imaging, medications, surgical supplies, telemedicine and expert systems equipment) needed to support long-duration human operations in space. The framework of SpaceNet does not currently allow for this level of detail but future version of the software would likely develop and integrate this capability.
by Albert Assad.
S.M.
Kyrkander, Sara, i Frida Germundsson. "Menstrual Hygiene Management : A Study on How User-friendly the Menstrual Cup is in a Rural Area of South Africa". Thesis, KTH, Medicinteknik och hälsosystem, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-231367.
Pełny tekst źródłaWoMensCup
Badrick, Tony Cecil. "Implementing total quality management in Australian health care organizations". Thesis, Queensland University of Technology, 1997.
Znajdź pełny tekst źródłaPerumal, Palani. "Business model and strategy analysis for radiologists to use electronic health records (EHR)". Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76928.
Pełny tekst źródłaCataloged from PDF version of thesis.
Includes bibliographical references (p. 90-94).
Radiology is a medical specialty that employs imaging to diagnose and treat disease. It has long been an advance user of technology to capture, store, share, and use images electronically. In 2009, President Obama signed into law a measure, the HITECH Act (part of the stimulus package), that incentivizes healthcare providers to use electronic health records (EHR) in care delivery to improve quality, efficiency, safety, and reduce cost. The meaningful use (MU) program's Stage 1 requirements (part of HITECH Act) did not include imaging requirements, leading to confusion among radiologists and other specialties with regard to what MU offers to and requires of them. This thesis attempts to clarify the contribution radiology can make to MU by understanding radiology as a system, including its surrounding issues and its drivers, using Stage 1 MU requirements, data from qualitative research, and results from analysis. It answers the following question: Should Radiologists be considered part of the care team, leveraging EHR for meaningful use and hence eligible for incentive payments? It does so via the following methods: a) Discussing in detail current issues surrounding radiology systems from quality, safety, efficiency, and cost perspectives; b) Discussing MU in the context of radiology and reviewing what is missing in it for radiologists; c) Providing deeper systems analysis of current behaviors and why they have this form at this time; and d) Explaining how MU objectives can help to overcome many current issues and ultimately help to improve health outcomes. Specific changes to MU criteria to achieve these benefits are recommended. This thesis employs systems concepts and tools including system architecture and system dynamics for research and analysis to understand the system and derive hypotheses. A system dynamics model is used to analyze current drivers in imaging and to clarify the impact MU can have on these drivers. Thesis conclusions are supported by the analysis performed using the model as well as information gathered through industry interviews, online articles, academic and industry journals, and blogs.
by Palani Perumal.
S.M.in Engineering and Management
Du, Toit Willem Johannes. "The development of an integrated management model for occupational health and safety in medical institutions". Thesis, Nelson Mandela Metropolitan University, 2005. http://hdl.handle.net/10948/1300.
Pełny tekst źródłaYEH, LI-CHING, i 葉麗靖. "A Qualitative Research of National Health Insurance Asthma Disease Management Model at Regional Hospital in Koa-Ping Area". Thesis, 2004. http://ndltd.ncl.edu.tw/handle/47625433341930156785.
Pełny tekst źródła高雄醫學大學
行為科學研究所
92
Asthma is one of the most common diseases among children and adults. Because of rising morbidity, mortality and medical costs all over the world, asthma becomes a very important issue. Taiwan is no exception. Bureau of National Health Insurance(BNHI) sets up the quality based payment system, a disease management system to improve payment of asthma, in order to raise the quality of taking care of these patients. The system has been practiced for two years. Therefore, it probably has made certain effect on regional hospital management. This study including difficulties and the responding strategies taken by the study objects, so as to make up the deficiencies of previous quantitative studies, to truly reflect workers’ experiences, and try to dialogue with current policies and systems, in order to offer some references to policy makers and service providers for further planning of asthma disease management. The subjects of the study are regional hospitals having practiced the asthma disease management for one year. The multimethod includes participant observation, depth interview, and related materials from medical institutions to seeking trustworthiness. The following points are significant findings of the study. First, the content of the management of asthma patients include setting up a work team, specialists of management asthma, set up management styles of asthma patients, intervention of related medical education, using information system to management asthma patients, strengthening effective information connections of medical resources, and the assessment of the result of asthma patients. Second, the gaps exist between the policy —makers and practical ways of hospitals, for example, a incomplete assessment of asthma severity, there are not use a personal best peak expiratory flow to measure patients’ lung function, the wrong opportunity of using IgE, an unclear definition of quality assessment indicator of the asthma disease management system, unmatched criterion of the asthma disease management care stepwise and hospital practice, the problem of BNHI Medical Claims, different opinions of the rule of asthma disease management. The following are the problems of exiting management system of asthma. For instance, work teams are not centered on patients, specialists of management asthma lack sufficient training, using information system to management asthma patients is not common, patients education must include culture factor, and insufficient follow-up assessments of asthma patients. The above results suggest to policy-makers and hospitals. First, policy-makers should establish a more thorough clinic criterion of asthma patients, redesign the referral system, re-assess the current payment, increase the communication channels of policy-makers and hospitals, and gather all information. Second, in hospitals, it is important to set up a work team centered on patients with intervention of health education, indicate education skills, and supportive information systems.