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Rozprawy doktorskie na temat „Integrated Health Care Systems”

Autor: Grafiati
Data publikacji: 7 września 2024
Data aktualizacji: 31 lipca 2025

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1

Wilson, Nicola Ann. "Modelling intermediate care services as part of an integrated care pathway." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20290.

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This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year onwards. Using a dynamic modelling methodology, we developed an empirical model of an integrated care system to explain the linkages, relationships and interactions among service components and analyse the implications of one of the proposed Healthcare 2030 policy interventions - intermediate care - on hospital admissions, waiting times and length of stay of all patients. We tested and compared a number of alternative inte
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Stokes, Jonathan. "Multimorbidity and integrated care." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/multimorbidity-and-integrated-care(28e8922f-42a6-4359-b01d-81ccdaf9bdbe).html.

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Background: Health systems internationally face a common set of challenges: ageing populations, increasing numbers of patients suffering from multiple long-term conditions (multimorbidity) and severe pressure on health and care budgets. ‘Integrated care’ is pitched as the solution to current health system challenges. But, in the literature, what integrated care actually involves is complex and contested. Aims: 1. What does ‘integrated care’ currently look like in practice in the NHS? 2. What is the effectiveness of current models of ‘integrated care’? 3. To what extent are there differential e
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Friedman, Nicole Lisa. "Impactful Care: Addressing Social Determinants of Health Across Health Systems." PDXScholar, 2019. https://pdxscholar.library.pdx.edu/open_access_etds/5073.

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There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progre
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Bosire, Joshua. "Designing an integrated surgical care delivery system." Diss., Online access via UMI:, 2007.

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Chang, Ting-Huan. "Determinants of hospital affiliation with health care networks." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2008r/chang.pdf.

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Carney, Philip Sheridan. "Managed healthcare and integrated delivery systems: A model for getting ahead of the change curve." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2103.

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Managed care became the dominant model for moderating healthcare costs in the 1990's. The later half of this past decade witnessed early signs of a return to escalating premiums. Providers and consumers have reacted negatively to perceptions of health plan micro-management and restriction of choice.
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7

Heslop, Liza. "An ethnography of patient and health care delivery systems : dialectics and (dis)continuity." Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8764.

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8

Park, Hyo Ri. "Whole Care+: An integrated health care for the elderly living in their homes." Research Showcase @ CMU, 2011. http://repository.cmu.edu/theses/22.

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The elderly experience their health getting significantly deteriorated as they age. They suffer not only from chronic diseases but from various geriatric diseases such as high blood pressure, arthritis and cardiovascular disease. Their mental health also retreats creating challenges for the elderly from the loss of short term memory to dementia. Furthermore, after they retire, the elderly’s social network decreases as their social activities are inevitably limited to a small group of people like families and friends. With the face of such impairments in their physical, mental and social health
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9

Delcarme, Brian. "The development and institutionalisation of an integrated health care waste information system." Doctoral thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/10359.

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Includes bibliographical references.<br>Waste management generally in South Africa is poorly defined and practised, and the inadequate management of health care waste (HCW) has been recognised by the South African government as a significant environmental and public health risk. The literature revealed that an integrated health care waste information system (IHCWIS) serves as an important intervention to address the issue of poor health care waste management (HCWM). The overall key research question which this research asked was: "How does an IHCWIS develop and become institutionalised among h
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Giddy, Janet. "The implementation of an integrated prevention of mother-to-child transmission of HIV (PMTCT) programme at McCord Hospital, South Africa, 2003-2013." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16567.

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Includes bibliographical references<br>Integration is an important emerging health systems issue, which has relevance to different health programmes. Improving prevention of mother-to-child transmission of HIV (PMTCT) programs in South Africa would reduce preventable maternal and infant morbidity and mortality, assist with achieving Millennium Development Goals 4 and 5, and help in the response to the WHO call for the elimination of MTCT, the new international PMTCT goal. Integrating PMTCT care into routine maternal and child health programmes has been recommended as a way to optimize PMTCT ca
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11

Thrasher, Evelyn Byrd Terry Anthony. "Examining strategic fit for the interorganizational network an empirical investigation of the health care integrated delivery system /." Auburn, Ala., 2006. http://hdl.handle.net/10415/1300.

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Rawabdeh, Ali Ahmad Awad. "An integrated national health insurance system for Jordan : costs, consequences and viability." Thesis, Keele University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.337091.

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Arguably, in common with many other nation states, Jordan could be said to have drifted into different ways of paying for health services without always foreseeing the long run consequences of taking the strategic direction necessary. In part, of course, as in many developing countries, the financing of Jordan's health care services has been influenced by its colonial past. This partly explains why, historically, Jordan has attempted not only to provide wholly free services, but to provide privileged access to medical services, not only to the military personnel but also to public servants in
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13

Jenkins, Juliette Swanston. "Community Health Worker's Perceptions of Integration into the Behavioral Health Care System." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6908.

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Mental illness in the United States is a major public health problem. According to the Substance Abuse and Mental Health Services Administration, in 2017, 18.9% of adults in the United States had a mental illness. The purpose of this study was to gain insight into the perceptions held by community health workers (CHWs) regarding their integration into the behavioral health care system in Maryland. Using a social constructivism paradigm and phenomenological approach, a purposive sample of 11 CHWs who supported patients with behavioral health conditions in 17 counties in the state were interview
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14

Lotz, Joshua. "A discussion of the role of Chinese Medicine in the modern health care system." Columbus, Ohio : Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1222089481.

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Ow, Yong Lai Meng. "Policy transfer and translation : integrated care development in SingHealth (SGH campus) Regional Health System (RHS) in Singapore." Thesis, University of Bristol, 2018. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.743041.

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16

Koppenhaver, II Kenneth E. "Effects of an Integrated Electronic Health Record on an Academic Medical Center." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2666.

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The debate about healthcare reform revolves around a triple aim of improving the health of populations, improving the patient experience, and reducing the cost of care. A major tool discussed in this debate has been the adoption of electronic health record (EHR) systems to record and guide care delivery. Due to low adoption rates and limited examples of success, the problem was a lack of understanding by healthcare organizations of how the EHR fundamentally changes an organization through the interactions of people, processes, and technology over time. The purpose of this case study was to exp
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17

Hauke, Adam J. "An Integrated System for Sweat Stimulation, Sampling and Sensing." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1535371796736114.

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18

Ibrahim, Abdul Razak. "An integrated performance measurement system of healthcare services : an empirical study of public and private hospitals in Malaysia." Thesis, University of Strathclyde, 2002. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=23752.

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The purpose of this study is to explore performance measurement systems in the healthcare services in Malaysia. This study postulates a framework based on an analysis of the existing literature in the field and on the empirical evidence collected during fieldwork. This framework provides a useful perspective for studying performance measurement in developing countries such as Malaysia. Moreover, identification of gaps in the field enables both academics as well as practitioners to improve the existing systems, thereby creating more robust and better surveillance in the healthcare industry. The
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19

Yung, Fiona Yuet-Ching. "A middle manager's response to strategic directives on integrated care in an NHS organisation : developing a different way of thinking about prejudice." Thesis, University of Hertfordshire, 2013. http://hdl.handle.net/2299/11563.

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This thesis examines a middle manager’s response to strategic directives on integrated care in a National Health Service (NHS) organisation and the development of an awareness of prejudice that acknowledges its relationship to the process of understanding. The research focuses on an integration of two community NHS trusts and an NHS hospital trust into one integrated care organisation (ICO). A change programme was initiated and promulgated on an assumption that integrating the three organisations would facilitate integrated care. However, despite the use of organisational change approaches (su
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20

Creary, Stephanie Joyce. "Making the most of multiple worlds: Multiple organizational identities as resources in the formation of an integrated health care delivery system." Thesis, Boston College, 2015. http://hdl.handle.net/2345/bc-ir:104562.

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Thesis advisor: Michael G. Pratt<br>In spite of an undeniably vast and multidisciplinary body of research on mergers and acquisitions (M&amp;As) spanning more than 50 years, extant scholarship provides little insight into how two organizations that have struggled to integrate rebound from failure in their relationship. This dissertation examines two organizations—AMC Hospital and Community Hospital—that achieved this outcome nearly 16 years after they legally merged. To understand this phenomenon, I conducted an inductive, longitudinal qualitative study of these two organizations and their mem
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21

Lucas, D. Pulane. "Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/2996.

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Advances in medical technology have altered the need for certain types of surgery to be performed in traditional inpatient hospital settings. Less invasive surgical procedures allow a growing number of medical treatments to take place on an outpatient basis. Hospitals face growing competition from ambulatory surgery centers (ASCs). The competitive threats posed by ASCs are important, given that inpatient surgery has been the cornerstone of hospital services for over a century. Additional research is needed to understand how surgical volume shifts between and within acute care general hospitals
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22

Silva, Keila Silene de Brito e. "Avaliação da integralidade no cuidado ao câncer de colo uterino: uso da condição marcadora em um estudo misto." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-12042013-111803/.

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Este trabalho teve como objetivo avaliar a integralidade no cuidado ao CCU em um município de grande porte populacional e com tecnologia de distinta complexidade disponível. Foi utilizada uma metodologia mista (quanti-quali). Para a abordagem quantitativa utilizou-se a base de dados secundários referentes à citologias e biópsias do sistema de informação municipal e regional. A análise e os testes estatísticos foram realizados pelo software PASW statistic 17.0. A abordagem qualitativa foi realizada por meio de entrevistas semi-estruturadas com usuárias, profissionais e representantes da gestão.
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23

Elahi, Behin. "Integrated Optimization Models and Strategies for Green Supply Chain Planning." University of Toledo / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1467266039.

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24

D'ADAMO, ANTONELLA. "Logiche di public governance dei sistemi sanitari e sociosanitari regionali." Doctoral thesis, Università degli Studi di Roma "Tor Vergata", 2008. http://hdl.handle.net/2108/426.

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Il termine governance è utilizzato con sempre maggiore frequenza per indicare le norme, i processi e i comportamenti con cui le aziende e le amministrazioni pubbliche costruiscono e realizzano politiche, strategie e azioni. La ricerca, nel tentativo di approfondire la conoscenza sulle logiche di public governance e sull’applicazione delle stesse ai sistemi sanitari e sociosanitari regionali, cercherà di analizzare l’evoluzione del fenomeno secondo una duplice prospettiva. Da un lato, attraverso l’analisi della letteratura e la sistematizzazione delle azioni che stanno alimentando il dibattito
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25

Gazana, Odwa. "The role of telehealth in enhancing access to healthcare services in an under-resourced setting: A case of Mantunzeleni in Eastern Cape Province." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/2399.

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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2016.<br>The delivery of healthcare services should be of a high standard for everyone. For people in the location of Mantunzeleni this is not the case as there are still challenges that they go through in order to gain access to sufficient healthcare services. The location consists of four villages and the other nine which surround the four, in total this makes thirteen villages that are served by one clinic. These villages are divided by forest, rivers and mountains, people have to cross these and walk long dis
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Lexima, Marie Mirna. "Underserved Patients' Perspectives on How the EHR Impacts Their Health." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1902.

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Our modern health care system requires technology that can deal with multidisciplinary and complex processes, operations, and situations. The EHR, by far, is one of the greatest health information technology innovations that satisfy these requirements because of its efficiency and the effectiveness of its features. This study sought to develop an in-depth understanding of how underserved patients' perspectives about their health and illness, can contribute to greater use of the EHR. It also sought to improve their health outcomes and maintain sustainable change in the lives of the underserved.
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Sheriff, Nathirulla. "Time Synchronization In ANT Wireless Low Power Sensor Network." Thesis, Tekniska Högskolan, Högskolan i Jönköping, JTH, Data- och elektroteknik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-15068.

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Short range wireless data communication networks that are used for sport and health care are sometimes called Wireless Body Area Networks (WBANs) and they are located more or less on a person. Sole Integrated Gait Sensor (SIGS) is a research project in WBAN, where wireless pressure sensors are placed like soles in the shoes of persons with different kinds of deceases. The sensors can measure the pressure of the foot relative to the shoe i.e. the load of the two legs is measured. This information can be useful e.g. to not over or under load a leg after joint replacement or as a bio feedback sys
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28

Patail, Shoaib Chotoo. "Implications of a national immunization registry an alliance to win the race for the future care and accuracy of pediatric immunization." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2600.

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This project examines the role of immunization registries and their effect on a health care delivery system. Recent efforts to attain coverage of child populations by recommended vaccines have included initiatives by federal and state agencies, as well as private foundations, to develop and implement statewide community-based childhood immunization registries.
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Damore, Deborah Rose. "H.H.S.C. Spiritual Health Care Centre, integrated spiritual health care graduate academic programme." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0015/MQ55440.pdf.

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Zhang, Yanzhen. "Health care systems in China /." This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-07102009-040227/.

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Hall, Julie. "Using integrated care pathways in mental health care : a case study." Thesis, University of Nottingham, 2010. http://eprints.nottingham.ac.uk/12749/.

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Background: Integrated Care Pathways (ICPs) are prearranged processes of care which are being increasingly used to deliver mental health services. The literature reveals difficulties in their development and implementation, and a lack of empirical evidence to support their use. Aims: The aim of this research was to investigate how an ICP has been used to manage mental health care in one selected mental health Trust in England. Methods: A case study approach was adopted with several units of analysis. The views of healthcare professionals using semi structured interviews; the experiences of ser
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32

Rajani, Kanth T. V. "GERASOS-A Wireless Health Care Systems." Thesis, Halmstad University, School of Information Science, Computer and Electrical Engineering (IDE), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-963.

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<p>The present development of the demography of elderly people in the western world will generate a shortage of caregiver’s for elderly people in the near future. There are major risk that the lack of qualified caregivers will result in deterioration in the quality of elderly care. One possible </p><p>solution is the use of modern information and communication technology (ICT) to enable staff to work more efficiently. However, if ICT system is introduced into the elderly care it must done in a way which is acceptable from a humane perspective while at the same time increasing the efficiency of
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Singh, Kalvinder. "Security for Mobile Health Care Systems." Thesis, Griffith University, 2013. http://hdl.handle.net/10072/367683.

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The ageing population and the increase in chronic diseases have placed a considerable financial burden on health care services. Mobile health care systems can play an important role in reducing the costs. The pervasiveness of smart phones and the evolution of Internetof- Things are increasing the potential for mobile health care systems to remotely manage the health of a patient or the elderly. Smart phones and small devices, such as body sensors, are used to remotely monitor patients suffering from chronic diseases and allow them to have relatively independent lives. A mobile health care syst
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34

Newbury, Brian. "Integrated health, safety and environmental management systems." Thesis, University of South Wales, 2000. https://pure.southwales.ac.uk/en/studentthesis/integrated-health-safety-and-environmental-management-systems(6a947bb5-bda0-4466-9cb6-f02ad514cb9a).html.

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The continued rise in accident and ill health statistics throughout the member states of the European Union indicate that the standards of occupational health, safety and environmental control require further improvement to minimise the current level of loss. Management systems are regarded as an effective means of reducing this loss by continuously improving standards. Whilst there is much discussion and debate about the possibilities of integrating management systems, at present, there are no national or international published integrated management standards, although some multi-national co
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35

Polaha, Jodi, W. T. III Dalton, S. Allen, A. Enlow, N. Bagwell, and S. Cumpston. "Pediatric Wellness and Integrated Health Care in Rural Appalachia." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/6610.

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Zvonkovic, Jessica. "Development of the Attitudes Toward Integrated Health Care Scale." OpenSIUC, 2015. https://opensiuc.lib.siu.edu/theses/1663.

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This study created and tested a measure of the attitudes of health care providers toward integrated health care (IHC). Phase one of this scale development involved contacting experts in IHC to rate the quality of the items and provide qualitative feedback regarding content of the measure. The instrument was further revised based on this expert feedback. The final phase of instrument development was a field test of the measure with a larger, more representative sample of Physicians, Nurses, and Psychologists. Exploratory Factor Analysis (EFA) was used to determine the factor structure of the me
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Akuamoah-Boateng, Agyenim. "Competence of Behavioral Health Clinicians in Integrated Care Settings." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5443.

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Collaborative efforts between medical and behavioral health professionals is required to simultaneously treat individuals with medical and mental health disorders. However, there is lack of focus on the competencies and trainings needed by behavioral health clinicians (BHCs) transitioning to integrated primary care (IPC) settings. The purpose of this qualitative interpretive phenomenological study was to describe the lived experiences of BHCs who have transitioned from specialty outpatient behavioral healthcare settings to IPC settings. Semi-structured interview questions were used to collect
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Tucker, Helen Jean. "Integrated care : the presence, nature and development of integrated care in community health services in England and Ireland." Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/56879/.

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Background: Integrated care is a policy imperative in health and social care services globally, and yet there are reported difficulties in defining, developing and sustaining this way of working. Research Question: This research explores staff views and experiences of the presence, nature and development of integrated care in two programmes of community services. Method: A case study approach was adopted using secondary analysis of qualitative data from staff questionnaires using themed content analysis and pattern matching, with findings triangulated with documentary sources. The study consid
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Colombani, Françoise. "Modélisation de la coordination des soins infirmière en cancérologie : de l’analyse conceptuelle au transfert vers les décideurs." Electronic Thesis or Diss., Bordeaux, 2024. http://www.theses.fr/2024BORD0113.

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Face aux mutations démographiques, à la progression des maladies chroniques dont le cancer, et en réponse à la fragmentation des systèmes de santé actuels, la coordination des soins est devenue une priorité de Santé publique mondiale. Les patients atteints de cancer sont particulièrement à risque de recevoir des soins mal organisés en raison de la complexité de leur prise en charge, impliquant de multiples équipes médicales, infirmières, médico-sociales et sociales sur une durée prolongée. Ce défaut de coordination se fait au détriment de la qualité et de l’efficience des soins. Les progrès en
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40

Zhang, Peng. "Multi-agent Systems in Diabetic Health Care." Licentiate thesis, Karlskrona : Blekinge Institute of Technology, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00263.

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This thesis discusses how Multi-agent Systems (MAS) should be designed in the context of diabetic health care. Three fields are touched: computer science, socio-psychology and systems science. Agent Technology is the core technology in the research. Theories from socio-psychology and systems science are applied to facilitate the discussion about computer agents. As the integration of socio-psychology and systems science, Activity Systems Theory is introduced to give a synthesized description of MAS. Laws and models are introduced with benefits on both individual agent and agent communities. Cy
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Patterson, Jan. "Consumers and complaints systems in health care /." Title page, contents and summary only, 1996. http://web4.library.adelaide.edu.au/theses/09PH/09php3174.pdf.

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42

Ngowi, Epiphania. "Assessing palliative care policies in Africa: Implication for paediatric palliative care." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32956.

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Around the world, there are millions of children who need palliative care from the moment they are diagnosed with life-threatening and life-limiting illnesses, yet very few children have access to palliative care services. In many African countries, where palliative care is still new, many children with chronic illnesses continue to experience needless pain and suffering. The World Health Assembly Resolution 67.19 made a clear call for governments around the world to implement palliative care policies. Such policies should support the “comprehensive strengthening of health systems to integrate
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43

Eisenbrandt, Lydia L., Jill D. Stinson, and Carrie C. LeMay. "Mental Health Training for Medical Students: Implications for Integrated Care." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7945.

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44

Shafer, Joseph Aron. "Utilization and Intensity of Integrated Behavioral Health Services Within a Primary Care Setting." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2381.

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Integrated behavioral health care within primary care has become a popular style of health care delivery within the United States. However, individuals with a behavioral health concern face several barriers in using these services. The purpose of this quantitative study was to identify key factors accounting for individuals' utilization and intensity of behavioral health services. Andersen's behavioral model of health care use and the integrated theory of health behavior change served as the theoretical framework. It was hypothesized that gender, age, race, ethnicity, family size, payer type,
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45

Kollberg, Beata. "Performance Measurement Systems in Swedish Health Care Services." Doctoral thesis, Linköping : Department of Management and Engineering, Linköpings universitet, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-9302.

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Belli, Paolo Carlo. "Incentives and the reform of health care systems." Thesis, London School of Economics and Political Science (University of London), 2006. http://etheses.lse.ac.uk/1854/.

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This thesis is a study of the reform of health systems from an international and an economic perspective. Its main unifying theme is to investigate the role played by incentives in the performance of health systems and their reform. In the first part, the thesis reconsiders the economic reasons that form the basis for public intervention in health markets, both in financing as well as in service provision. In fact, one of the key elements introduced with health reforms in the last few years has been greater competition in health insurance and provision, among private as well as public provider
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Eriksson, Jens, and Olov Jacobsen. "Brain activity sensors and health-care systems control." Thesis, KTH, Skolan för elektro- och systemteknik (EES), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-199346.

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Salway-Jensen, Barbara Kay, and Barbara Kay Salway-Jensen. "Culturally Sensitive Technology-Enhanced Mental Health Screening in Integrated Primary Care." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/621823.

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The integration of primary care and mental health care is a requirement of the Patient Protection and Affordable Care Act of 2010 and has challenged primary care providers to address gaps in the quality of care provided for patients with mental health issues. Vulnerable populations, such as the American Indian people experience gaps in quality health care, especially communication gaps and language barriers. This quality improvement project used a survey design to explore the potential for primary care providers to adopt a culturally sensitive electronic mental health, screening tool to bridge
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Petersen, Inge. "From policy to praxis : rethinking comprehensive integrated primary mental health care." Doctoral thesis, University of Cape Town, 2001. http://hdl.handle.net/11427/7895.

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Bibliography: p. 222-256.<br>In this dissertation I have provided an academic interrogation of the gap between policy principles for comprehensive integrated primary mental health care in South Africa, and the implementation theoreof. I argue, theoreically, that the current add-on approach, which emphasizes care for patients with serious mental illness, will not achieve the vision for comprehensive integrated primary mental health care in South Africa. I suggest that this trajectory is a product of the reformist approach to the implementation of primary health care, and suggest that what is ne
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Noble, Marilynn. "Integrating Health Care Systems to Maintain Quality Care and to Manage Cost." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6851.

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The rising cost of health care in the Philippines is a concern for the Department of Defense and TRICARE beneficiaries. The purpose of this quantitative cross-sectional research study was to determine the efficacy and acceptability of a different method to deliver health care to increase access to health care and decrease out-of-pocket costs while maintaining quality of care for TOP Standard beneficiaries who receive health care under the Philippine Demonstration. Secondary data was used to determine the acceptability of an alternative reimbursement methodology to decrease cost but maintain ac
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