Rozprawy doktorskie: „Medical care surveys”

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Lo, Oi-sheung Anne. "A study of different perspectives on the quality of health care and its implication for medical social service /". [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13417496.

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Brudevold, Christine. "Assessment of capitated contract medicine arrangements in Hong Kong : an example of financial incentives and managed care in an unregulated environment /". Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B20906791.

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Geoghegan, John. "What do RNs working in hospital aged care units identify as the positive and negative aspects of aged care nursing?" Thesis, View thesis, 2006. http://handle.uws.edu.au:8081/1959.7/19352.

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This study reports the positive and negative aspects identified by registered nurses (RNs) working with older people in public hospital aged care units and was conducted in 4 public hospitals in Sydney, Australia. Qualitative data using questionnaires and telephone interviews was collected from 26 female and 4 male RNs of which 46% (n 14) had worked in an aged care unit for 10 years or more. The participants identified positive perceptions within three major themes: a genuine liking of older people; the stories older people tell and the complexity of the older patient’s illnesses. Positive responses were a focus as it was identified that this was a gap in the literature which required addressing at the time. These findings are significant and have implications for nursing practice for several reasons: Data was collected exclusively from RNs and focused on their positive perceptions about aged care nursing in public hospitals. Participants reported a genuine liking for older people. Patients’ telling their stories was reported by 60% (n 18) of participants as being interesting in their work and meaningful to the patient and should be considered more as a therapeutic process during hospitalisation to assist support and enhance patient outcomes and therapy. The participants reported that aged care nursing is complex, rewarding and requires mature nurses, with current nursing knowledge and skilled in the art of caring for older people. These findings can be used to improve recruitment and retention of RNs within aged care nursing.

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Geoghegan, John. "What do RNs working in hospital aged care units identify as the positive and negative aspects of aged care nursing?" View thesis, 2006. http://handle.uws.edu.au:8081/1959.7/19352.

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Thesis (M.Sc.(Hons) Health) -- University of Western Sydney, 2006.
A thesis submitted for examination for the degree of Master of Health Science (Hons) to the University of Western Sydney, College of Health and Science, School of Nursing. Includes bibliography.

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Andersson, Kerstin. "Oral health in old age : perceptions among elderly persons and medical professionals /". Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-816-9/.

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Chau, So-wah Francis. "Assess the feasibility of having an insurance-like national-scale health service in Hong Kong /". Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14710419.

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Conrad, Michael Dean, i Anna Kampanartsanyakorn. "Advanced practice nursing health care needs assessment in an underserved community". CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2336.

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The purpose of this study was to gain information about the community health care needs through a comprehensive assessment. This information will allow providers to identify services and groups of people where the biggest gap exists in receiving needed health care services. This may provide the basis for the design of an advanced practice preventative health intervention for the community.

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Beasley, Emily Louise. "Survey assessment of treatment outcomes in adult tinnitus patients receiving tinnitus retraining therapy /". Full-text of dissertation on the Internet (2.52 MB), 2010. http://www.lib.jmu.edu/general/etd/2010/doctorate/beasleel/beasleel_doctorate_04-21-2010.pdf.

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Capp, Stan, i kimg@deakin edu au. "The Geelong Community's Priorities and Expectations of Public Health Care". Deakin University. School of Health Sciences, 2001. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20040505.114253.

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Abstract This thesis set out to achieve the following objectives: (1) To identify the priorities and expectations that the Geelong community has of its public health care system. (2) To determine if there is a common view on the attributes of a just health system. (3) To consider a method of utilising the data in the determination of health care priority setting in Barwon Health. (4) To determine a model of community participation which enables ongoing input into the decision making processes of Barwon Health. The methodology involved a combination of qualitative and quantitative research. The qualitative work involved the use of focus groups that were conducted with 64 members of the Geelong community. The issues raised informed the development of the interview schedule that was the basis of the quantitative study, which surveyed a representative sample of 400 members of the Geelong community. Prior to reporting on this work, the areas of distributive justice, scarcity and community participation in health care were considered. The research found that timely access to public hospitals, emergency care and aged care services were the major priorities; for many people, the cost was less relevant than a quality service. Shorter waiting times and increased staffing levels were strongly supported. Increased taxes were nominated as the best means of financing the health system they sought. Community based services were less relevant than hospital services but health education was supported. An egalitarian approach to resource distribution was favoured although the community was prepared to discriminate in favour of younger people and against older people. There was strong support for the community to be involved in decision making in the public health care system through surveys or focus groups but very little support was given to priorities being determined by politicians, administrators and to a lesser extent, medical professionals.

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Day, Julie A. "Behavior of family practice residents in screening and treating at-risk patients for high blood cholesterol". Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1136701.

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This study was designed to answer the following research questions: "Are those at risk for coronary heart disease being screened for high blood cholesterol?" and "Are those with high blood cholesterol being treated according to the national guidelines?" The importance of early detection and treatment of high blood cholesterol is vital for preventive health care. A chart review of patient records was conducted to determine the behavior of the family practice residents. From the analysis of data it was determined that the residents screened their patients 83.0% of the time and when compared with national guidelines, treated those patients identified with high blood cholesterol 52.8% of the time. Third year residents screened their patients more (88.7%) for blood cholesterol than first (82.1%) or second (74.7%) year residents. Male residents screened a higher percent of their patients (84.8%) than female residents (75.0%).
Department of Physiology and Health Science

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McGonigle, T. Hope. "Surveying for sexuality in cyberspace sexual orientation and stage of change for cervical cancer screening /". Connect to this title online, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1061318216.

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Warner, Judy A. "Perceptions of family caregivers of non-institutionalized Alzheimer's patients about support groups". Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1133742.

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The purpose of this descriptive study was to document and analyze the perceptions of family caregivers of non-institutionalized Alzheimer's patients about the benefits and limitations of Alzheimer's support groups. Survey methodology was used to survey caregivers and support group leaders from eight Alzheimer's support groups in the central Indiana area. Several of the major findings challenge the literature. These findings are as follows: The majority of caregivers attended the support group to receive information. None of the caregivers attended the support group due to frustration, and only one caregiver responded that relieving frustration was a benefit of participating in the support group. A majority of caregivers and support group leaders were positive about mixed (spouses and adult children) support groups. A majority of caregivers responded that they did not have guilt, anger, fears about caregiving in the future, or stress concerning their caregiving responsibilities. The study generated several implications that can be used by planners to improve support groups.
Department of Educational Leadership

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Xu, Fang, i 徐方. "Self-rated health, chronic diseases and health service utilisation in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2015. http://hdl.handle.net/10722/212607.

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Introduction Self-rated health (SRH) is a widely used indicator of health service utilisation and reflects self-perceived objective health condition. Poorer non-comparative SRH was shown to be related to higher inpatient and outpatient utilisation in Western and elderly populations. Little is known about how healthcare utilisation relates to SRH in non-Western settings, such as Hong Kong and in adult populations. The association of age- and time- comparative SRH with healthcare utilisation is also unclear. This study aimed to assess the association of three types of SRH (non-, age- and time- comparative SRH) with inpatient and outpatient utilisation in Hong Kong‟s general populaion. Methods Data were derived from 2011 Thematic Household Survey (THS), covering 23,892 non-institutional residents aged 20 and above. The study adopts Andersen‟s Behavioral Model of Health Service Use for the analytical framework. Healthcare utilisation was measured by inpatient use during the past year and outpatient use (including General Outpatient Clinic (GOPC) and Specialist Outpatient Clinic (SOPC)) during the past month, in terms of ever-use and the amount of use (bed-days and number of outpatient visits). SRH was measured with a 5-point Likert Scale: non-comparative SRH from “Excellent” to “Poor”; age- and time- comparative from “much worse” to “much better”. Logistic regression and zero-truncated negative binomial/ Poisson regression were applied to examine the association of SRH and chronic diseases with healthcare utilisation in the public and private sector separately as per the Andersen behavioral model. Results “Fair/ poor” non-comparative SRH was associated with higher inpatient and outpatient utilisation. The association was not significant for hospital bed-days. Similarly, age-comparative SRH was associated with inpatient (except private bed-days) and outpatient utilisation (except the number of SOPC visits). “Worse/ much worse” time-comparative SRH was associated with higher healthcare utilisation, but the relationship was less clear for private hospitalisation. The presence of cancer, cardiovascular diseases, diabetes, lower respiratory diseases, and musculoskeletal diseases were associated with higher healthcare utilisation, with stronger association observed for ever-use than the amount of use. The relationships between musculoskeletal diseases and inpatient utilisation, between cardiovascular diseases and diabetes and the number of private outpatient visits, and between lower respiratory diseases and GOPC utillisation were not significant. Conclusions The present study suggests SRH to be a useful health indicator of health service utilisation. All three SRH measures were associated with health service utilisation and no marked differences were observed between different measures. Poorer SRH were strongly related to higher public inpatient utilisation, with stronger association observed for ever hospitalisation than bed-days. Poorer SRH measures were also related to higher outpatient uilisation in both sectors during the past month. All the selected chronic conditions were related to increased healthcare use. The associations were less clear for hospital bed-days and the private sector. Future studies should focus on the predictive validity of SRH on future healthcare utilisation.
published_or_final_version
Public Health
Master
Master of Philosophy

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Durandt, Nicola Estelle. "Outcome of a home-visiting intervention to improve social withdrawal assessed with the m-ADBB in six-month old infants in Khayelitsha, Cape Town : a cluster randomised controlled trial". Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/96009.

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Thesis (MSc)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Pregnant women living in South African peri-urban settlements face many challenges for their health and the health of their infants. Current health care services face many constraints and are not able to meet all the needs of pregnant mothers. Home-visiting programmes implemented by community health workers can alleviate these constraints. The current RCT assessed the effectiveness of the Philani Plus Intervention Program that addressed HIV, alcohol, maternal and child nutrition and mental health. The effectiveness of the intervention was assessed by measuring infant social withdrawal behaviour using the modified Alarm Distress Baby Scale (m- ADBB). A total of 681 cases were randomised into control (N=330) and intervention groups (N=351) and assessed using the m-ADBB. A cut-off score of two and above was used to determined significant social withdrawal behaviour. Data was analysed using descriptive statistics and cross-tabulation initially, followed by analysis of variance and multilevel modelling. Results indicated a prevalence of 46.7% of social withdrawal behaviour; however, no significant differences between groups were found. The current prevalence was substantially higher in comparison to the only other published study using the m-ADBB. Furthermore, the prevalence rate was also significantly higher compared to the majority of other studies using the original Alarm distress Baby Scale (ADBB). The high prevalence of social withdrawal behaviour found in this study indicates an increased risk for suboptimal infant development. Further research regarding social withdrawal behaviour and the casual mechanisms associated with the development of such behaviour is needed. Furthermore, validation of the m-ADBB in different settings is needed.
AFRIKAANSE OPSOMMING: Swanger vroue wat in Suid-Afrikaanse buitestedelike nedersettings woon staar baie uitdagings in die gesig met betrekking tot hul gesondheid en die gesondheid van hul babas. Huidige gesondheidsdienste is baie beperk en is nie in staat om in al die behoeftes van swanger moeders te voorsien nie. Huis-besoek programme wat deur gemeenskaplike gesondheidswerkers geïmplementeer word, kan hierdie beperkings verlig. Die huidige RCT het die effektiwiteit van die Philani Plus Intervensie Program wat MIV, alkohol, voeding en geestelike gesondheid aanspreek, geassesseer. Die effektiwiteit van die intervensie is geassesseer deur sosiale onttrekkingsgedrag met behulp van die gewysigde Alarm Nood Baba Skaal (m-ADBB) te meet. ‘n Totaal van 681 gevalle is lukraak in kontrole (N = 330) en intervensie groepe (N = 351) verdeel en geëvalueer volgens die m-ADBB. 'n Afsnypunt van twee en hoër is gebruik om beduidende sosiale onttrekkingsgedrag te bepaal. Data is aanvanklik ontleed met behulp van beskrywende statistiek en kruis-tabulering, gevolg deur analise van variansie en multi-modelle. Resultate toon 'n 46,7%-voorkoms van sosiale onttrekkingsgedrag, maar het egter geen beduidende verskille tussen groepe getoon nie. Die huidige voorkoms was aansienlik hoër in vergelyking met die enigste ander gepubliseerde studie wat gebruik gemaak het van die m- ADBB. Verder was die voorkomssyfer ook aansienlik hoër in vergelyking met die meerderheid van die ander studies wat gebruik gemaak het van die oorspronklike Alarm Nood Baba Skaal (ADBB). Die hoë voorkoms van sosiale onttrekkingsgedrag dui op 'n verhoogde risiko vir suboptimale baba ontwikkeling. Verdere navorsing oor sosiale onttrekkingsgedrag en die meganismes wat verband hou met die ontwikkeling van sulke gedrag, is nodig. Verder word die bekragtiging van die m-ADBB in verskillende instellings benodig.

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Giannini, Fábio Poianas. "Abordagem do erro em unidades de terapia intensiva paulistanas". Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-23102018-114122/.

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A prática da medicina vem mudando rapidamente. Nos últimos 20 anos os profissionais de saúde tem se preocupado cada vez mais com os erros que ocorrem durante o processo de cuidado dos pacientes enquanto trabalham duramente para preveni-los e mitigá-los. Tão importante quanto o erro em si é a maneira como o evento adverso é discutido e a maneira como os profissionais envolvidos no erro são abordados. O objetivo da pesquisa foi aplicar um questionário sobre erro e abordagem do erro. O instrumento foi originalmente publicado em língua inglesa e validado em português pelo método de Brislin. Responderam ao questionário 161 profissionais de saúde (enfermeiros, técnicos de enfermagem, médicos e fisioterapeutas) provenientes de 19 diferentes unidades de terapia intensiva adulto públicas e privadas da cidade de São Paulo (Estado de São Paulo - Brasil).Os resultados revelaram que profissionais do sexo masculino são mais propensos a reconhecer que cometem erros em relação a profissionais do sexo feminino com uma razão de chances de 0,21 (0,07-0,65); que profissionais oriundos de unidades públicas reportam com mais frequência que ameaça de processos {RC 0,23 (0,11 - 0,48)}, ameaça à estabilidade no emprego {RC 0,49 (0,24 - 0,99)} e personalidade de outros membros da equipe {RC 0,22 (0,09 - 0,51)} são motivos para que os erros não sejam discutidos tampouco abordados adequadamente. Estas informações levantam possíveis oportunidades para aprofundar a discussão e o tratamento de eventos adversos em unidades de terapia intensiva
The practice of medicine is changing quickly. In the last 20 years, health professionals have increasingly worried about errors that occur during the process of patient care while working hard for its prevention and mitigation.As important as the error itself is the way each adverse event is discussed as well as each professional involved in an error is approached .The goal of the research was applying a survey about error and its approach. The tool was originally published in english and afterwards validated in portuguese by the Brislin method. The survey was answered by 161 health professionals (nurses, nurse technicians, intensive care physicians and physiotherapists) coming from 19 different adult intensive care units both public and private in the city of São Paulo (São Paulo - Brazil). The results revealed that male professionals are more likely to recognize having made an error than female professionals with a odds ratio of 0.21 (0.07-0.65). It also showed that professionals coming from public units report more often that the threat of litigation {RC 0.23 (0.11 - 0.48)}, threat of unemployment {RC 0,49 (0,24 - 0,99) } and other team members personality {RC 0.22} (0.09 - 0.51) are reasons for problems not being discussed or addressed. The informations collected on this survey raise opportunities to improve the study and treatment of adverse events in intensive care units

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Tie, Yunfeng. "Antiretroviral Regimens in HIV-Infected Adults Receiving Medical Care in the United States: Medical Monitoring Project, 2009". Digital Archive @ GSU, 2013. http://digitalarchive.gsu.edu/math_theses/128.

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Effective antiretroviral therapy (ART) is essential for viral suppression (VS) in HIV-infected patients. However, there is a lack of nationally representative data on types of ART regimens used and their impact on VS. This thesis used self-reported interview and abstracted medical record from 2009 Medical Monitoring Project (MMP) to study ART regimen type and related health outcomes. Results showed that 88.6% of HIV-infected adults in care was prescribed ART, and about half took regimens designated as ‘preferred’ according to U.S ART guidelines. Among MMP participants prescribed ART, 62.7% achieved durable VS, 77.8% achieved recent VS, 83.5% were 100% dose-adherent, and 17.1% reported side effects. Multivariate regression analyses revealed that although ART was critical for VS, there were minor differences in health outcomes among the major ART classes in the U.S. ART guidelines or six most-commonly used regimens. This study could be potentially useful for future strategic planning of HIV care.

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Wong, Oi-ling Irene. "Medical ecology of inpatient service utilization in Hong Kong a population survey /". Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31971337.

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Aguilera, Antonio M., David L. Wood, Cortney Keeley, Hector E. James i Philipp R. Aldana. "Young adults with spina bifida transitioned to a medical home: a survey of medical care in Jacksonville, Florida". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/5134.

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OBJECTIVE The transition of the young adult with spina bifida (YASB) from pediatric to adult health care is considered a priority by organized pediatrics. There is a paucity of transition programs and related studies. Jacksonville Health and Transition Services (JaxHATS) is one such transition program in Jacksonville, Florida. This study’s purpose was to evaluate the health care access, utilization, and quality of life (QOL) of a group of YASBs who have transitioned from pediatric care. METHODS A survey tool addressing access to health care and quality of health and life was developed based on an established survey. Records of the Spinal Defects Clinic held at Wolfson Children’s Hospital and JaxHATS Clinic were reviewed and YASBs (> 18 and < 30 years old) were identified. RESULTS Ten of the 12 invited YASBs in the Jacksonville area completed the surveys. The mean age of respondents was 25.1 years. All reported regular medical home visits, 8 with JaxHATS and 2 with other family care groups. All reported easy access to medical care and routine visits to spina bifida (SB) specialists; none reported difficulty or delays in obtaining health care. Only 2 patients required emergent care in the last year for an SB-related medical problem. Seven respondents reported very good to excellent QOL. Family, lifestyle, and environmental factors were also examined. CONCLUSIONS In this small group of YASBs with a medical home, easy access to care for medical conditions was the norm, with few individuals having recent emergency visits and almost all reporting at least a good overall QOL. Larger studies of YASBs are needed to evaluate the positive effects of medical homes on health and QOL in this population.

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Olaisen, R. Henry. "Developing and Assessing Measures of Primary Care in the Medical Expenditure Panel Survey". Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1523036135517028.

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Wong, Oi-ling Irene, i 黃愛玲. "Medical ecology of inpatient service utilization in Hong Kong: a population survey". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971337.

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Coetzee, Francois. "A survey of wound care knowledge in South Africa". Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97230.

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Abstract Chronic wounds afflict millions worldwide, incurring significant health care costs and chronic suffering. Clinicians are often unsure about treatment, resulting in poor outcomes. Objective To determine the scope of knowledge possessed by fifth year medical students, general practitioners (GP’s) and surgical registrars, concerning chronic wound management. Design Cross sectional study Methods Deans of eight South African medical schools received letters requesting information regarding time devoted to wound-care training. Knowledge-based questionnaires were distributed to final-year students at two universities, surgical registrars at three universities and general practitioners attending refresher courses. Result. Four medical schools replied, of whom only two offered formal teaching. 162 medical students, 45 GP’s and 47 surgical registrars completed questionnaires. The overall median (25th–75th percentiles) knowledge scores for registrars, GP’s and students were 65%;(55%–70%), 55%;(45%–65%) and 45%;(35%–50%) respectively. Whereas the scores of registrars and GP’s did not differ, the student scores were significantly less. Only 32% of registrars and 18% of GP’s attained scores of 70% or more. 96% considered training to be inadequate. Interest in wound-care was only mild to moderate, with more GP’s than registrars requesting literature. Conclusions Very little, if any training on chronic wounds is offered in South Africa. The levels of knowledge cannot be considered adequate for successful treatment, nor for teaching to undergraduates. This preliminary study cannot reflect the attitudes and knowledge throughout the country; however it is clear that there is a need for improved education about these conditions that have huge clinical and economic consequences.

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Al-sultan, Muhammed S. "Using the medical expenditure panel survey (MEPS) to assess antibiotic utilization in acute respiratory tract infections /". View online ; access limited to URI, 2003. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/dlnow/3112112.

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Wickham, Cheryl E. "Government pharmaceutical subsidy policy and the demand for health care in Russia : evidence from the Russia longitudinal monitoring survey /". Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/7513.

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Coetzee, Francois. "A survey of wound care knowledge in South Africa". Thesis, Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/20438.

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Thesis (MMed) -- Stellenbosch University, 2010.
Bibliography
Chronic wounds afflict millions worldwide, incurring significant health care costs and chronic suffering. Clinicians are often unsure about treatment, resulting in poor outcomes. Objective To determine the scope of knowledge possessed by fifth year medical students, general practitioners (GP’s) and surgical registrars, concerning chronic wound management. Design Cross sectional study Methods Deans of eight South African medical schools received letters requesting information regarding time devoted to wound-care training. Knowledge-based questionnaires were distributed to final-year students at two universities, surgical registrars at three universities and general practitioners attending refresher courses. Result. Four medical schools replied, of whom only two offered formal teaching. 162 medical students, 45 GP’s and 47 surgical registrars completed questionnaires. The overall median (25th–75th percentiles) knowledge scores for registrars, GP’s and students were 65%;(55%–70%), 55%;(45%–65%) and 45%;(35%–50%) respectively. Whereas the scores of registrars and GP’s did not differ, the student scores were significantly less. Only 32% of registrars and 18% of GP’s attained scores of 70% or more. 96% considered training to be inadequate. Interest in wound-care was only mild to moderate, with more GP’s than registrars requesting literature. Conclusions Very little, if any training on chronic wounds is offered in South Africa. The levels of knowledge cannot be considered adequate for successful treatment, nor for teaching to undergraduates. This preliminary study cannot reflect the attitudes and knowledge throughout the country; however it is clear that there is a need for improved education about these conditions that have huge clinical and economic consequences.

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Backlund, Anna. "Maternal health care in Rwanda and its associations to early neonatal mortality. : A secondary analysis of the cross-sectional Rwanda Demographic Health Survey 2014-2015". Thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-324174.

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Background: Neonate’s health is intimately linked to maternal health. Yearly approximately 2.8 million neonatal deaths occur worldwide, counting for more than 40 % of all deaths of children less than five years. Over 70 % of these deaths happen during the first week of life (early neonatal mortality), often the first day, and 99% of these deaths occur in low- and middle-income countries with an often low quality of maternal health care services. Aim: To assess societal and household factors, and maternal health care factors delivered in Rwanda, and how these were associated with early neonatal mortality Methods: Cross-sectional data of interviewed mothers to 7726 children between 2010 to 2014, obtained from the 2014–15 Rwanda Demographic and Health Survey, were analyzed in relation to early neonatal mortality using multiple logistic regression. Results: The factors found to be associated with reduced risk of early neonatal mortality were: delivery at a health facility, delivery assisted by a skilled birth attendant, and no low birth weight neonates. After adjustment with socioeconomic and proximate determinants, the same associations were found with delivery at a health facility and no low birth weight neonates. Conclusions: Delivery at a health facility and not to be born of low birth weight were associated with risk reduction of early neonatal mortality. These findings indicate that interventions to strengthen the antenatal health care system and to increase the utilization of already existing health care services are needed, and to educate practicing professional health care workers about early neonatal mortality.

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Geiger, Susan Louise. "Nonattendance Rates and Barriers to Health Care in Outpatient Clinic Settings". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/222.

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Lower socioeconomic status, ethnicity, and race are associated with reduced health care use in the United States. Patients who continually miss their appointments suffer significant negative results, including a disruption in continuity of care, complications with their chronic illnesses, and an increase in hospital readmissions. The health belief model was used as the theoretical support for this project that investigated the underlying causes of no-shows at an urban hospital-based outpatient clinic in the United States. It used a quantitative, descriptive design and examined a minority, underserved, and underinsured population that was receiving care at the research site and had a fairly consistent 30% no-show rate. Data was collected by anonymous survey from 151 patients and 22 health care providers and analyzed via means, t tests, and an ANOVA. Female patients were significantly more likely than male patients to approve of the current scheduling system at the site, in which patients simply call the clinic for an appointment (p = 0.040). White (non-Hispanic) patients in general had a statistically lower interest in receiving appointment reminders via text compared to the rest of the population (p=0.024). Patients who were 29 years old and younger were significantly less likely than patients who were 30 years old and over to indicate that they did not show up to appointments due to a lack of insurance (p '? 0.001). This project promoted positive social change by increasing patient, staff, and stakeholder awareness of the reasons patients miss their appointments. The findings of this project can be used to improve appointment scheduling, reduce patient wait times, increase patient satisfaction, and increase cost savings to the clinic.

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Bender, Kelly L. "Choosing a healthcare facility a survey of women's views in a local healthcare setting /". Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008benderk.pdf.

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Case, Cora. "Providers' Knowledge of the U.S. Health Care System and their Medical Practice Choices: A Study of Physicians, Residents, and Non-Physician Practitioners". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1838.

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The expansion of health insurance through health care reform has reduced the number of uninsured. but access to providers has not been addressed. Understanding the relationship between practice choices and aptitude of health policy and delivery is essential to determine other factors or motivators that contribute to the development of health care access policies. This descriptive study explored the value-laden elements of health care reform, such as social constructions, to learn whether there are implicit ways to address the issue of access to health care in the United States. Schneider and Ingrams's conceptualization of policy making through social construction was used as the theoretical lens of this study. The research questions for the study examined the relationship between a provider's choices and their knowledge of health policy and delivery. This non-experimental, quantitative survey study used a convenience sample of 189 providers. The survey was a compilation of 4 existing instruments that were used to capture provider demographics and choices as well as scaled questions to assess knowledge. Data were analyzed through a series of chi-square tests. Significant relationships were found (p < .05) between the variables of specialty, medical licensure, and understanding of health policy and delivery concepts. This study contributes to social change by suggesting the need for health policy and delivery education programs geared towards providers. These changes could improve the level of provider engagement and be a catalyst for generating ideas of how the U.S. health care system could achieve the goal of providing efficient, high-quality care.

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Alcântara, Erikson Custódio. "Avaliação do conhecimento e capacitação de profissionais da Atenção Primária sobre doença pulmonar obstrutiva crônica". Universidade Federal de Goiás, 2017. http://repositorio.bc.ufg.br/tede/handle/tede/6836.

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Background: Video Lesson is a multimedia system, with text narration and illustration, capable of promoting the training of Primary Care professionals. To evaluate the effect of training, an assessment tool is needed, however, there are no validated instruments that measure knowledge about Chronic Obstructive Pulmonary Disease (COPD) among these professionals. Objective: Validate a knowledge questionnaire about COPD for Primary Care professionals and train them on chronic obstructive pulmonary disease. Methods: Initially, a methodological study was carried out with 88 Primary Care professionals to elaborate and validate a questionnaire. Then, quasiexperimental study with 36 primary care professionals in order to enable them, through videotapes. The knowledge of the professionals was measured before, shortly after and three months after being trained by the "Primary Care - COPD Knowledge Questionnaire (QAP-COPD)". To analyze the reproducibility and reliability of the questionnaire, the Kappa and α Cronbach tests were applied respectively. In the evaluation of the knowledge, the tests of Friedman and Tukey a posteriori, Bonferroni correction and the χ2 test were used. A significance level of 5% was adopted. Results: The questionnaire presented reproducibility in most items (87.5%) from good to excellent (Kappa: 0.61 - 0.88) and reliability with α Cronbach = 0.763. Of the 16 items in the questionnaire, the professionals who indicated the "agree" option, before the training, soon after opting for the "totally agree" option, in 11 items (68.8%). Fourteen items had a significant difference before and after training, but in the moments just after and three months after the training, 14 items did not present significant differences. The median score of the participants' questionnaire increased from 60 points before training to 77 shortly after and three months after training (p <0.001). In the three months after there was no significant statistical difference, in relation to the soon after (p = 0.38). Conclusions: The questionnaire met the psychometric properties and proved to be reproducible and reliable in the evaluation of knowledge about COPD among primary care professionals. The videotaped training presented satisfactory results observed by the good performance of the knowledge of Primary Care professionals, before and shortly after the training and the maintenance of this knowledge after three months of the training program.
Introdução: A videoaula é um sistema de multimídia, com narração de texto e ilustração, capaz de promover a capacitação de profissionais da Atenção Primária. Para avaliar o efeito da capacitação é preciso um instrumento de avaliação, no entanto, não há instrumentos validados que meçam o conhecimento sobre Doença Pulmonar Obstrutiva Crônica (DPOC) entre esses profissionais. Objetivo: Validar questionário de conhecimento sobre DPOC para os profissionais da Atenção Primária e capacitá-los sobre doença pulmonar obstrutiva crônica. Métodos: Inicialmente realizouse estudo metodológico com 88 profissionais da Atenção Primária para elaborar e validar um questionário. Em seguida, estudo quase experimental com 36 profissionais da Atenção Primária com intuito de capacitá-los, por meio de videoaulas. O conhecimento dos profissionais foi medido antes, logo após e três meses após a capacitação pelo “Questionário de Conhecimento sobre DPOC na Atenção Primária – (QAP-DPOC)”. Para análise da reprodutibilidade e confiabilidade do questionário, aplicou-se o teste Kappa e α Cronbach respectivamente. Na avaliação do conhecimento utilizou os testes de Friedman e Tukey á posteriori, correção de Bonferroni e o teste χ2. Foi adotado um nível de significância de 5%. Resultados: O questionário apresentou reprodutibilidade na maioria dos itens (87,5%) de bom a excelente (Kappa: 0,61 – 0,88) e confiabilidade com α Cronbach = 0,763. Dos 16 itens do questionário, os profissionais que assinalaram a opção “concordo”, antes da capacitação, logo após optaram pela opção “concordo totalmente”, em 11 itens (68,8%). Quatorze itens apresentaram diferença significativa antes e logo após a capacitação, porém nos momentos logo após e três meses após a capacitação, 14 itens não apresentaram diferenças significativas. A mediana do escore total do questionário dos participantes aumentou de 60 pontos antes da capacitação para 77 logo após e três meses após a capacitação (p < 0,001). Nos três meses após não houve diferença estatística significante, em relação ao logo após (p = 0,38). Conclusões: O questionário atendeu às propriedades psicométricas e mostrou-se reprodutível e confiável na avaliação do conhecimento sobre DPOC entre profissionais da Atenção Primária. A capacitação por videoaula apresentou resultados satisfatórios observados pelo bom desempenho do conhecimento dos profissionais da Atenção Primária, antes e logo após a capacitação e a manutenção deste conhecimento decorrido três meses do programa de capacitação.

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Jim, Abongile. "Health seeking behaviours in South Africa: a household perspective using the general households survey of 2007". Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_1219_1360587139.

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This study is aimed at empirically examining health seeking behaviours in terms of illness response on household level at South Africa using 2007 General Household Survey and other
relevant secondary sources. It provides an assessment of health seeking behaviours at the household level using individuals as unit of analysis by exploring the type of health care provider sought, the reason for delay in health seeking and the cause for not consulting. This study also assesses the extent of dissatisfaction among households using medical centres and this factor in health care utilisation is considered as the main reason for not consulting health care services. All the demographic and health seeking variables utilised in this study are controlled for medical aid cover because it is a critical variable in health care seeking. Therefore this study makes distinction on illness reporting and they type of health care consulted by medical aid holders and non medical aid holders. Statistical analyses are conducted to explore and predict the way in which demographic variables and socio economic variables affect health care seeking behaviours.

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Lam, Lo-kuen Cindy. "Cross-cultural validation and norming of the MOS 36-item short-form health survey (SF-36) on Chinese adults in Hong Kong". Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B3198180X.

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Jahn, Haiko [Verfasser], Wilhelm [Gutachter] Behringer, James F. [Gutachter] Beck i Sebastian van [Gutachter] As. "Survey of mobile device and Medical App use in emergency care / Haiko Jahn ; Gutachter: Wilhelm Behringer, James F. Beck, Sebastian van As". Jena : Friedrich-Schiller-Universität Jena, 2020. http://d-nb.info/1209196018/34.

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Mashanda-Tafaune, Blessing. "Pain knowledge and attitudes of final year medical students at the University of Cape Town: a cross-sectional survey". Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33792.

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Background: Pain is the most common presenting complaint in patients visiting a healthcare facility. Healthcare professionals need adequate knowledge of pain to be able to manage it effectively. Aim: To determine the Pain Knowledge and Attitudes of the 2018 final year medical students at the University of Cape Town (UCT). Setting: The study was conducted by the Department of Anaesthesia and Perioperative Medicine in the Faculty of Health Sciences, University of Cape Town, South Africa with final year medical students Methods: Unruh's Modified Pain Knowledge and Attitudes (MPKA) questionnaire was utilized to collect data in a cross-sectional survey using an internet-based electronic format. Results: A total of 104 students out of 232 students in the class (44.8%) participated in the study. The total median score on the MPKA questionnaire was 46 (IQR 44- 50.5) out of 57, or 80.7%(IQR 77.2-88.6%).The participants performed worst in the section on the pharmacological management of pain with median scores of 6 (IQR 4- 8) (55%) correct out of 11 questions. Conclusion: Pain knowledge, especially with regards to the pharmacological aspects of pain management, has some important deficiencies in these final year medical students. It appears that the undergraduate curriculum and teaching thereof would benefit from a review of the pain curriculum.

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Fornstedt, Cecilia. "Medical Technology and eHealth for Prevention against LifestyleRelated Diseases : A survey of attitudes among health center personnel and patients prescribed with physical activity on prescription (PAP)". Thesis, KTH, Människa och Kommunikation, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-210310.

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With an aging population that suffers from comorbidity, healthcare is facing grand challenges. In order to meet the demand, digitalization is thought to be an opportunity. Digitalization of curative care, such as diagnostics and treatment, have been initiated and is today used and appreciated. Preventative care, on the other hand, has not been included in the digital adaptions to the same extent and there are few scientific studies within the area. Nonetheless, a further proactive care that meets patients and healthcare personnel are of interest to several actors. The Swedish Government has a vision that Sweden, in 2025, will be world leading within eHealth. For that to be possible, digital preventative care have to support and complete the preventative work that is performed today. The present study has investigated the attitude towards Connected Medical Devices for Prevention (CMDfP) within the primary care. By a mixed-methodology including questionnaires, the opinions of 24 health center personnel and 17 patients prescribed with Physical Activity on Prescription (PAP) were collected and analyzed. The results show that health center personnel are willing to prescribe connected eHealth devices for prevention and patients are willing to use the devices prescribed. Additionally, among the respondents there is a belief that CMDfP could facilitate in order to increase the adherence to PAP without any major impact on the personnel's workload. By digitalizing preventative care, it is possible that people will be able to live healthier and therefore not require care to the same extent as today. Reasons to the possible results are that digital tools within curative care have been shown to generate positive outcomes to chronically ill patients that utilize home care. Additionally, studies of preventative care have generated positive outcomes to the health of the population in several countries. It is therefore likely that the combination, digital preventative care, would be rapidly relished. These thoughts align with the positive results on attitudes of this study. Before CMDfP could be prescribed to patients, pilot studies have to be performed and new work routines including reimbursement models, have to be established within healthcare. These are all areas of future work within medical engineering.
Med en åldrande population som lider av samsjuklighet, står hälso- och sjukvården inför stora utmaningar. För att möta behovet är digitalisering en möjlighet. Digitalisering av åtgärdande vård, så som diagnostik och behandling, har redan påbörjats och är idag uppskattat. Preventiv vård har, å andra sidan, inte varit inkluderad i den digitala utvecklingen och därav saknas det vetenskapliga studier inom området. Dock är en mer proaktiv vård av stort intresse för flera aktörer. Sveriges regering har en vision att Sverige, år 2025, ska vara världsledande inom eHälsa. För att detta ska vara möjligt måste digital preventiv vård möta och komplettera det preventiva arbete som bedrivs idag. Denna studie har undersökt attityderna till Uppkopplade Medicinsktekniska Hjälpmedel för Prevention (UMHfP) bland primärvården. Genom en metod som inkluderat enkätundersökningar, inhämtades och analyserades attityden av 24 personer från personalen på vårdcentraler och 17 patienter med Fysisk Aktivitet på Recept (FaR). Resultaten visade att primärvårdspersonal är villiga att förskriva UMHfP och att patienter vill använda de hjälpmedlen som förskrivs. Dessutom har respondenterna tro att UMHfP kan underlätta att förbättra följsamheten till FaR utan att påverka personalens arbetsbörda nämnvärt. Genom att digitalisera den preventiva vården är det troligt att befolkningen kommer få ett hälsosammare leverne och därför inte behöva vård i samma utsträckning som idag. En anledning till detta är att digitala hjälpmedel för åtgärdande vård har visat sig vara positivt för kroniskt sjuka patienter som hemsjukvårdas. Dessutom har studier inom preventiv vård indikerat flera positiva konsekvenser för invånares hälsa världen över. Det är därför troligt att digitala hjälpmedel i kombination med preventivt arbete snabbt kommer bli uppskattat. Dessa spekulationer sammanfaller väl med det positiva resultatet från denna studie. Innan UMHfP kan förskrivas till patienter måste pilotstudier genomföras och nya arbetssätt inklusive betalningsmodeller måste införas i hälso- och sjukvården. Detta är kommande arbeten inom medicinsk teknik.

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PHELAN, KIERAN J. "TRENDS AND PATTERNS OF PLAYGROUND INJURIES IN UNITED STATES CHILDREN AND ADOLESCENTS". University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1006198437.

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Cantu, Roberto. "A Survey of Physical Therapists' Perceptions of Workplace Ethics in the State of Georgia". Thesis, Nova Southeastern University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3583622.

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A Survey of Physical Therapists’ Perceptions of Workplace Ethics in the State of Georgia. Roberto Cantu, 2014: Applied Dissertation, Nova Southeastern University, Abraham S. Fischler School of Education. ERIC Descriptors: Physical Therapy, Ethics, Conflict of Interest, Ethical Instruction, Job Satisfaction.

This study examined how physical therapists in Georgia perceive ethical climates in their workplaces, based on the use of the Ethics Environment Questionnaire (EEQ), and how these perceptions may be different based on the type of workplace, financial status of their workplaces, their respective positions within their organizations, their age, gender, and years in the profession.

Questionnaires were sent to a random sample of 1200 physical therapists in Georgia; 340 surveys were completed and returned. The results suggested that, overall, physical therapists in Georgia are satisfied with the ethical environments of their workplaces. The average score was 3.8, higher than the 3.5 cutoff score that indicates an ethical environment. The only sub-group that scored below 3.5 on the EEQ were those who worked in skilled nursing/assisted living facilities (M = 3.35, SD = .67). There was a statistically significant difference in scores between therapists working in for-profit settings (M = 3.75, SD = .55) and therapists working in not-for-profit settings (M = 3.88, SD = .45; t (335) = -2.21, p = .027). Clinicians had the lowest perceptions of ethical climate (3.73), executives/owners the highest (4.29), with middle managers scoring in between the two groups. There were strong negative correlations between the perception of an ethical environment with burnout and intent to leave the place of employment (r_s = -.66, p < .01; r_s = -.524, p < .01).

Increased governmental/insurance regulation, increased paperwork, decreased reimbursement, and productivity issues were areas of most concern to therapists. Greater communication and dialogue between clinicians and managers was the dominant theme in the recommended solutions to these concerns.

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Shelh, Malaz. "Usability evaluation of electronic dental record systems in Sweden : A survey among dentists and dental hygienists". Thesis, Linnéuniversitetet, Institutionen för medicin och optometri (MEO), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-104224.

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Electronic Dental Records (EDR) are an important part of dental care in Sweden. The usability of these records can affect the workflow in dental care organizations. This study aims to measure the System usability scale (SUS) score of EDRs that are used in dental clinics in Sweden. The study will also investigate the relationship between the SUS score of EDRs and participants’ age, gender, interest in technology, number of patients per workday, professional experience, possible special training to use the EDR, and the period of the training. The study will also rank the most common usability problem in EDRs among the seven possible usability problems included in the questionnaire. The study will present how the participants describe experienced usability problems in the EDRs. The quantitative method constitutes the largest part of this study, while the open-ended questions were used to get a deeper knowledge about some of the usability problems. A digital questionnaire was used in this study to gather data from 115 dentists and 77 dental hygienists who work at various dental clinics around Sweden to get a statistical anchored description about the usability of various EDRs. SUS indicates a low usability level in the EDRs included in the study and a significant negative correlation between the frequency of using EDRs and usability. The males showed better experience with the usability of the EDRs compared to females. The highest-ranked usability problem was the need for users to spend a long time to document patient cases. The usability problems were summarized into three categories which are: an inefficient user interface, lack of semantic interoperability, and users relying on paper.
Elektroniska journalsystem är en viktig del av tandvården i Sverige, då användbarheten av dessa system kan påverka arbetsflödet i tandvårdsorganisationer. Denna studie syftar till att mäta System usability scale (SUS) poäng för olika elektroniska journalsystem som används i olika tandkliniker i Sverige. Studien kommer också att undersöka sambandet mellan SUS-poäng för elektroniska journalsystem och deltagarnas ålder, kön, intresse av teknologi, antal patienter per arbetsdag, yrkeserfarenhet, möjlig specialutbildning för att använda elektroniska journalsystem och perioden för denna utbildning. Studien kommer också att rangordna det vanligaste användbarhetsproblemet i journalsystem bland de sju möjliga användbarhetsproblemen som ingår i frågeformuläret. Studien kommer att presentera hur deltagarna beskriver upplevda användbarhetsproblem i journalsystem. Den kvantitativa metoden utgör den största delen av denna studie, medan de öppna frågorna användes för att få en djupare kunskap om några av användbarhetsproblemen. Ett digitalt frågeformulär användes i denna studie för att samla in data från 115 tandläkare och 77 tandhygienister som arbetar vid olika tandkliniker runt om i Sverige för att få en statistisk förankrad beskrivning om användbarheten av olika elektroniska journalsystem. SUS indikerar en låg användbarhetsnivå i de systemen som ingår i studien. Vi upptäckte också en signifikant negativ korrelation mellan frekvensen av att använda systemen och användbarhetsnivån. Män visade en bättre upplevelse för användbarhet av systemen jämfört med kvinnor. Det högst rankade användbarhetsproblemet var användarnas behov av lång tid för att dokumentera patientfall. Vi sammanfattade hur deltagarna beskriver upplevda användbarhetsproblem i journalsystem under tre kategorier som är: ett ineffektivt användargränssnitt, brist på semantisk interoperabilitet och användare som skriver på en lapp.

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Bam, Zina. "An exploratory survey: experiences and perceptions of community members who have accessed pre-hospital Emergency Medical Service in Langa, Cape Town". Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31165.

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Background: Calling an ambulance is the first line for citizens in dealing with many healthcare emergencies. It is crucial for the caller to convey correct information regarding the patient’s emergency and on-scene location to the emergency services, resulting in prompt dispatch of correct emergency resources to the exact location. Although there is a good deal of focus on emergency medicine time parameters and outcomes, little is known about the experiences, perceptions and satisfaction level from those who have accessed pre-hospital Emergency Medical Services. Methods: A telephonic survey was conducted on individuals who had recently called for an ambulance, from the urban township of Langa, Cape Town. Surveys were conducted in the caller’s home language, using a standardized tool for collecting quantitative data around the call process, caller satisfaction, outcomes of the call, and issues experienced. Results: During June 2018, 50 callers completed the survey (69% response rate). Most callers (88%) used a personal mobile phone, and 83% called predominantly for medical problems in the daytime. Callers accessed the service by dialling a variety of emergency phone numbers. Callers were largely satisfied with the call (66%), and there were fewer language mismatches than expected. A need for better communication regarding ambulance status and over the phone medical advice was identified. A substantial number of inconsistencies were reported between callers’ outcomes and those from emergency communication centre which require further analysis. These inconsistencies, pointed into gaps within the emergency communication centre’s collecting and database system Conclusion: The study provided the first insight into pre-hospital emergency caller experiences and perceptions, highlighting important aspects perhaps not revealed through other metrics. Measurement of caller satisfaction can be a useful quality improvement tool, and would seem feasible without substantial resources. Further investigation into data capturing system and identification of call outcomes are recommended.

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Westwood, Anthony Thomas Read. "Survey of medical, dental and nursing services in centres for intellectually and physically disabled children in Cape Town and its environs". Master's thesis, University of Cape Town, 1992. http://hdl.handle.net/11427/26677.

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This study describes the present medical, dental and nursing services in and used by centres for intellectually and physically impaired children in Cape Town and its environs. The information was gained by means of a structured questionnaire. Thirty three of the 34 centres with a total of 3480 children are included. Twelve are Special Care Centres, 15 Training Centres and 6 are Special Schools. The number of children enrolled ranges from 9 to 400. At the time of the study 9 of the centres were for white children, 17 for coloured children, 5 for black children and 2 were multiracial. Nine of the 11 Special Care Centres were not government supported while only 6 of the other centres were mainly funded from non-government sources. Nurses employed at the centres had worked an average of 8 years at their centres, 23,5% of them having worked with disabled children prior to taking up their present posts. Of the Special Care Centres, only the two residential ones had a nurse on the staff. All the Special Schools had at least one nurse. 57,5% of the centres have a doctor or doctors visiting the centre. Two of the others have regular medical care for the children arranged with local health centres. All the Special Schools are visited while 25% of the Special Care Centres and 33% of the Training Centres receive medical visits. The number of doctors visiting a centre varies from 1 to 7. The doctors come from a variety of services both private and public. Most of the doctors do not receive remuneration for their services. Of the 1 7 centres who have no doctors visiting, the majority depend on parents to take their children to a medical facility if there are problems related to the child's disability. For 7 of them, there is no other option. A similar pattern exists for medical problems unrelated to the child's disability. Six centres make use of medical facilities as a first option in these circumstances. For emergencies only 1 centre can count on a doctor to come to the centre. Ten centres may be able to get a doctor to come. The General Hospitals are the most common facility used in an emergency. Dentists visit 4 of the centres. Twelve of the remaining 29 centres arrange regular dental visits for the children. Eleven of the 13 Special Care Centres do not have regular visits to a dentist arranged. Fifteen centres receive visits from Community Nurses and these are local authority nurses in the main. Their functions are limited in all but one case to contraception, immunisation, Heaf testing or genetic services. There are 10 centres which receive visits from neither doctor, dentist nor nurse (7 Special Care Centres, 3 Training Centres). 32% of the interviewees were satisfied with the services received. The most common improvement sought was to have a doctor visit the centre. Of those with a doctor visiting, 28% wanted the doctors to deal with intercurrent problems as well as the child's disability. The need for paramedical services was also expressed. Further detail is presented and the implications of the findings discussed.

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Lumansoc, Rita Marie W. Dr. "Perceived Health Status, Source of Care and Health Outcomes of Individuals with Self-Reported Mental Disorders". Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/nursing_diss/11.

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In Healthy People 2010, mental health is listed as a major public health concern as evidenced by an alarming increase in the number of individuals who suffer from mental disorders. Mental disorders are a treatable public health condition. However, health disparities in the treatment of mental disorders are evident. The purpose of this study was to examine factors that affected health outcomes of persons with mental disorders. Two specific aims were addressed: Aim 1: to examine the relationships of population characteristics (predisposing factors and enabling resources), health behaviors (health services use and health practice); and health outcomes (physical health status and mental health status); Aim 2: to determine the differences in the usual source of care and health outcomes between individuals with self-reported mental disorders and individuals without mental disorders. This study was a secondary analysis of existing data collected from 2006 Medical Expenditure Panel Survey Household Component Consolidated file. A sample of U.S. civilian non-institutionalized adults (N=622) was grouped according to three self-reported health conditions: mental disorders (MD), physical illnesses (PI) and co-morbid mental disorders and physical illnesses (CM). This sample was predominantly male, White non-Hispanic and married; had a high school diploma, middle to high income, and private insurance; and preferred office-based clinics as the usual source of care, F(2,29)=5.94, p = .007. No statistically significant differences between groups in usual source of care (p=.069) and physical health status (p=.490) but there was a significant difference in mental health status (p=.001). Participants with CM had a poorer mental health status than those with PI and MD, F (2,619) =21.8, p= .000. The mental health status of individuals with PI was significantly better than that of participants with MD. Awareness of disparities in the usual source of care, health services use, and health outcomes among individuals with mental health conditions is imperative if barriers to care are to be eliminated. Innovative interventions pertinent to decreasing barriers to accessing health care and improving the health outcomes among individuals with MD must be tested. Advocating for mental health care policies that reduce health care services disparities among individuals with self-reported MD must be encouraged.

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Мантула, В. В. "Оцінка якості надання медичної допомоги хворим стаціонарних відділень Сумської ЦРКЛ на основі цільового соціологічного опитування". Thesis, Сумський державний університет, 2016. http://essuir.sumdu.edu.ua/handle/123456789/45182.

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На сьогодні в загальносвітових тенденціях стосовно покращання якості медичної допомоги превалює залучення механізмів безпосереднього впливу у самому закладі охорони здоров’я через систематичне оцінювання роботи персоналу та вивчення думки пацієнтів. Мета: визначити оцінку задоволеності пацієнтів стаціонарних відділень якістю медичної допомоги на основі цільового соціологічного опитування.

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Lam, Lo-kuen Cindy, i 林露娟. "Cross-cultural validation and norming of the MOS 36-item short-form health survey (SF-36) on Chinese adults in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B3198180X.

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Clayton-Smith, Bevan, i n/a. "He ratonga hauora Maori me nga ratonga rarau rongoa o Aotearoa e tirohanga, he tataritanga i nga mohio o tenei wa, i nga tumanako me etahi huarahi atu = Maori health providers and pharmacy services in New Zealand : a survey and analysis of current awareness, expectations and options". University of Otago. School of Pharmacy, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070501.142338.

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This research aims to assess the existing relationship and characteristics between Maori health providers (MHPs) and pharmacy services in New Zealand and to provide future direction, pathways and strategies for collaboration, planning and improving health outcomes for Maori within the primary health care environment. The characteristics of the relationship were identified and discussed before exploring strategies to strengthen the relationship and to improve Māori health outcomes. The assessment and analysis of the characteristics required an exploration of MHPs current knowledge of pharmacy services, the expectations of MHPs of pharmacy services and the current knowledge of pharmacists of MHP services and Maori health. Themes identified that characterised the relationship were related to knowledge, health philosophies, interaction, service and capacity issues. Knowledge issues incorporated themes of group dynamics, historical context, participant knowledge, pharmacy participant knowledge, MHP participant knowledge, solutions/ outcome knowledge, consideration of Maori. Health philosophies related to themes of paradigms/worldviews, kaupapa Maori, capacity, culture and delivery of services, Treaty of Waitangi, knowledge of culture, communication and te reo, rongoa Maori, environmental culture, access, tino rangatiratanga. Interaction issues discussed the themes of collaboration and communication, extent of collaboration, contact with Maori, community relationships, cost, benefits and opportunities. The pharmacy environment, cost and health service delivery were identified as themes relating to service issues. Capacity issues included themes of mana, direct workforce development (education, employment, promotion), indirect workforce development (education, environment, relationship building, funding), and the Maori Pharmacists Association. This research attempted to follow kaupapa Maori qualitative research methodology, methods and the epistemology of kaupapa Maori throughout the research and design process. One to one semi-structured interviews were conducted with participants from each group. The sample size was established based on the purposeful sampling strategy of maximum variation sampling (7 MHP participants, 8 pharmacy participants. Responses were directly related to differences in world-views and the historical context of the two health provider groups with respect to their roles in health. Variations within each group were related to knowledge, location and previous experience working with their counterparts. Recommendations were associated with themes/issues of environment, knowledge, communication, cultural awareness, collaboration, services and the increased awareness of the roles and responsibilities with respect to each health provider group. This dissertation also highlighted a number of key components that formed a collaborative, empowerment model of health created between organisations with different world-views, which can be adapted to a number of environments where there are different or opposing world-views within the overall same patient population. It is anticipated that the results and outcomes from this research will help develop Maori responsive pharmacy services based on health promotion and wellness to Maori locally, regionally, nationally and have a positive impact on Maori health in collaboration with MHPs. Areas of pharmaceutical care are highlighted which may encourage projects or initiatives in collaboration with MHPs to enhance health gains for Maori, while increasing professional practice roles and scope for pharmacy.

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Norbeck, Angela J. "Health Insurance Literacy Impacts on Enrollment and Satisfaction with Health Insurance". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5387.

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Health insurance literacy (HIL) contributes to the lack of understanding basic health insurance (HI) terms, subsidies eligibility, health plan selection, and HI usage. The study is one of few to address the existing gap in the literature regarding the exploration of the relationship between HIL, individuals' HI enrollment, and individuals' satisfaction with their HI. The theoretical framework selected for this study was the prospect theory, which describes the behavior of individuals who make decisions. In this cross-sectional correlational study, secondary data set from the third Quarter 2015 Health Reform Monitoring Survey was used. Binary logistic regression models were used to test hypotheses of four predictive relationships between (a) HI enrollment and HIL with HI terms; (b) marketplace enrollment and HIL with HI terms; (c) satisfaction with HI and HIL with HI access to care; and (d) satisfaction with HI and HIL with HI cost of care. Results indicated that participants with high HIL with HI terms had 4.2 times higher odds that those with low HIL to be enrolled in HI and 81% higher odds than those with low HIL to be enrolled in marketplace HI. The most significant relationship indicated that participants with high HIL with HI activities had 12.8 times higher odds than those with low HIL to have high satisfaction with access to care and 8.8 times higher odds than those with low HIL participants to have high satisfaction with cost of care. The finding that low HIL is associated with lower enrollment and lower satisfaction with HI has implications for social change. Policymakers may have the opportunity to utilize this study to promote policies that promote higher HIL, which may lead to increased HI enrollment and improved satisfaction with HI selection.

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Chong, Kelly. "Psychometric analysis and evaluation of Iowa medicaid adult and child enrollees' experiences with health care using the beta version of the CAHPS® 4.0 health plan survey". Diss., Restricted to subscribing institutions, 2008. http://proquest.umi.com/pqdweb?did=1666128111&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.

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Mbeng, Wilfred Otang. "Antifugal evaluation and phytochemical analysis of selected medicinal plants used in the treatment of fungal diseases associated with HIV infection in the Eastern Cape Province, South Africa". Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1006834.

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Background. As a result of the AIDS pandemic, many people areimmuno compromised andopportunistic fungal infections (OFIs) such as candidiasis are common. Despite the widespread use of medicinal plants in South Africa, there is a dearth of knowledge regarding the use of such plants in the management of these infections. This study evaluates three South African medicinal plants (Arctotis arctotoides, Pittosporum viridiflorum, and Gasteria bicolor) traditionally used in the treatment of OFIs in HIV/AIDS patients, in the Eastern Cape Province, South Africa. Materials and methods. A six-stage process of documentation, evaluation and analysis of results was conducted: (1) Selection of medicinal plants most frequently used in the treatment of OFIs through ethnomedical studies and the survey of specialised literature; (2) Collection and preparation of the extract of each plant; (3) Antifungal evaluation of the crude plant extracts. (4) Phytochemical and antioxidant evaluation of the active crude plant extracts; (5) Cytotoxicity evaluation of the bioactive extracts using the Chang liver cell line, and (6) Statistical analysis of the results. Ethnobotanical information was obtained through interviews with traditional healers and AIDS patients with the aid of semi-structured questionnaires, direct observations and by reviewing studies reported in the literature. Following the approval from the University of Fort Hare‘s Ethics Committee, 101 HIV/AIDS patients were recruited through convenience sampling into an anonymous cross-sectional questionnaire study. The agar diffusion and micro-dilution methods were used to determine the antifungal activities of the hexane, acetone and aqueous extracts of A. arctotoides, G. bicolor and P. viridiflorum against 10 opportunistic fungi.

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Tornberg, Jakob. "Att ta ställning". Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26160.

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Socialstyrelsen, i sin roll av tillsynsmyndighet för den läkemedelsassisterade opiatvården, utfärdar riktlinjer för detta arbete. Av dessa framkommer vissa skyddsfaktorer av särskild vikt, vilka har operationaliserats i en factorial survey med en randomiserad och en standardiserad vinjettkomponent. Dessa bedömdes av yrkesverksamma inom underhållsbehandling, totalt 38 personer. Materialet bearbetades genom multipel regressionsanalys. Resultatet visade att tre av variablerna - psykosocial intervention, boendesituationen samt familjen/nätverkets stöd, har ungefär lika stor påverkan på bedömningar. Variabeln för sysselsättning hade ytterst marginell påverkan. Vidare visade materialet att den arbetsplats som respondenten var yrkesverksam på var viktigare för att förstå påverkan av bedömningar än någon av ovan nämnda variabler. Detta diskuteras med hjälp av de teoretiska modellerna för återhämtningskapital, handlingsutrymme och judgement theory.
The swedish national board of health and welfare is the regulatory body for the medically assisted opiate care. As such, the board issues guidelines for this field. Theese guidelines contain several recommendations concerning salutogen factors, namely housing, the role of the family and network, work and psychosocial care. These are incorporated in vignettes using the factorial survey approach, and distributed to 38 swedish opiate care professionals. The results show that while the variables family/network, housing and psychosocial care have a relatively coherent influence on professional judement, work does not. However, the single most relevant factor is the clinicians workplace to understand influence om professional judgement. The results are discussed using a framework of recovery capital and judgement theory.

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Marumo, Tshipinare Renard. "A survey of the information seeking behaviour of the dental faculty lecturers and students at the University of the Western Cape's Oral Health Centre Library, in Mitchell's Plain". Thesis, University of the Western Cape, 2000. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_8949_1213362632.

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Navaratnam, Prakash. "Predictors of the prescribing of asthma pharmacotherapy in the ambulatory patient population of the United States". Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1171582748.

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Josupeit, Tanja. "Bewertung der akademischen Allgemeinmedizin". Doctoral thesis, [S.l.] : [s.n.], 2002. http://hdl.handle.net/11858/00-1735-0000-0006-AF20-5.

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