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Rozprawy doktorskie na temat „Medical policy”

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Autor: Grafiati

Data publikacji: 4 czerwca 2021

Data aktualizacji: 29 lipca 2024

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1

Backhouse, Peter. "Medical knowledge, medical power : doctors and health policy in Australia /". Title page, contents and abstract only, 1994. http://web4.library.adelaide.edu.au/theses/09PH/09phb126.pdf.

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Ng, Suk-han Christina. "The health policy network and policy community in Hong Kong : from concertation to pressure pluralism /". View the Table of Contents & Abstract, 1998. http://sunzi.lib.hku.hk/hkuto/record/B36628979.

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3

Hollis, Brett F. "Medical emergencies on commercial airlines| An Analysis of Onboard Medical Incidents, Treatment versus Prevention". Thesis, Brandman University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10181770.

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The occurrence of inflight medical incidents on commercial airlines is documented in medical and aviation journals to occur at a rate of approximately 1 in 11,000 – 50,000 passengers (Lyznicki, 2013; Prout, 2013; Johanson, 2013; and Peterson, 2013) but these numbers can vary. As there are no requirements to report medical incidents to any governing body worldwide (Ruskin, 2009), (Walters, 2008), (Liao, 2010) it is very difficult to obtain an accurate accounting of inflight incidents. The literature reveals that most of the inflight incidents are occurring among passengers with pre-existing conditions (Grounder, 2011) and that issues were not being properly addressed by their primary care providers. The purpose of this study was to show the depth of discrepancy between the currently reported rate of inflight medical incidents and the actual rate of inflight incidents and to gain a better understanding of the general public knowledge base regarding flying with medical conditions and practice of medical providers addressing their patient’s acute & chronic conditions as it pertains to flying on commercial airlines. This study surveyed the general public and revealed the majority of respondents had no knowledge of medical guidelines for passengers and a lack of discussion with their providers regarding safety of flying as it relates to their medical conditions. This study also conducted a survey of medical providers which revealed a lack of understanding of how aircraft cabin pressurization affects their patients with acute and chronic illness. These findings support the need for improvement in developing and implementing a unified method of calculating and reporting inflight medical incidents, along with patient and provider flight education.

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4

Rudin, Robert (Robert Samuel). "Making medical records more resilient". Thesis, Massachusetts Institute of Technology, 2007. http://hdl.handle.net/1721.1/41567.

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Thesis (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, Technology and Policy Program, 2007.
This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Includes bibliographical references (p. 72-77).
Hurricane Katrina showed that the current methods for handling medical records are minimally resilient to large scale disasters. This research presents a preliminary model for measuring the resilience of medical records systems against public policy goals and uses the model to illuminate the current state of medical record resilience. From this analysis, three recommendations for how to make medical records more resilient are presented. The recommendations are: 1) Federal and state governments should use the preliminary resilience model introduced here as the basis for compliance requirements for electronic medical record technical architectures. 2) Regional Health Information Organizations (RHIOs) should consider offering services in disaster management to healthcare organizations. This will help RHIOs create sustainable business models. 3) Storage companies should consider developing distributed storage solutions based on Distributed Hash Table (DHT) technology for medical record storage. Distributed storage would alleviate public concerns over privacy with centralized storage of medical records. Empirical evidence is presented demonstrating the performance of DHT technology using a prototype medical record system.
by Robert Rudin.
S.M.

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5

Suen, Yuk-lam Kelvin. "A comparative study of the health care policies in Hong Kong and Singapore". Click to view the E-thesis via HKUTO, 2002. http://sunzi.lib.hku.hk/hkuto/record/B42576350.

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6

Nair, Dev J. "State Medicaid agencies approaches to quality improvement implications for policy, practice and health outcomes /". unrestricted, 2009. http://etd.gsu.edu/theses/available/etd-04222009-214921/.

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Thesis (M.P.H.)--Georgia State University, 2009.
Title from file title page. Russ Toal, committee chair; Mark Trail, committee member. Description based on contents viewed Sept. 14, 2009. Includes bibliographical references (p. 77-81).

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7

Sandham, John Dafydd. "Achieving a model for improving medical devices management policy". Thesis, Middlesex University, 2014. http://eprints.mdx.ac.uk/19157/.

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Hospitals have always faced fundamental questions of patient safety, care, and budgetary concerns. There has been increasing recognition recently of the serious issue of medical devices management, covering the areas of procurement, training, maintenance, and governance. This issue, documented by the National Audit Office, National Patient Safety Agency, Medicines and Healthcare Products Regulatory Agency, National Health Service Litigation Authority, and World Health Organisation, impacts on healthcare costs and patient safety. It has led to new Health and Social Care Act Regulations, enforced by the Care Quality Commission. As a result of my work as a consultant in the field of medical devices management, I constructed a policy model based on my own specialist experience and knowledge. This research sought to improve that model through participatory research conducted at an NHS Hospital in London. It took the form of a case study that specifically explored the core policy areas, but this time in collaboration with participants with expertise in one or more of the four interrelated policy areas of procurement, training, maintenance, and governance. This collaboration involved researching and analysing the external demands from regulatory agencies and internal demands from the organisation, centred on procurement, budgetary, and policy issues. The action research informed changes in policy, especially around procurement, leading to improvements in practice. The challenge of keeping policy up to date, and consistent with the external regulations and internal operational demands, is discussed in the case study. The Hospital’s internal politics and culture were found to be a help when starting up the case study, but a hindrance when it came to getting agreement and approvals to change the policy content, because of multiple committees and competing interests. The overall outcome of the project was an organisationally approved best practice policy model for medical devices management within a governance framework that meets the needs of the external regulators, and the management of the organisation. More specifically it was discovered that the use, maintenance, and governance of medical equipment were all reliant on a central issue, namely procurement practice. Procurement conduct for the organisation was redefined within the Hospital policy, and is making training, maintenance, and governance easier to achieve, thereby reducing risk and cost. A major consequence is that all budget holders need to be trained in procurement itself. Moreover, it is anticipated that the model could be used at similar healthcare organisations, ultimately leading to a contribution to knowledge and practice which assists in patient safety and meeting budgets.

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8

Cornstubble, Morgan Miller. "Dynamics of a US military theater medical evacuation policy". Thesis, Georgia Institute of Technology, 1992. http://hdl.handle.net/1853/25634.

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9

Vanhook, Patricia M., Trish Aniol, Rachel Clifton i John Orzechowski. "Changing State Policy through Nurse-Led Medical-Legal Partnership". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7424.

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10

Paschane, David Michael. "A theoretical framework for the medical geography of health service politics /". Thesis, Connect to this title online; UW restricted, 2003. http://hdl.handle.net/1773/5649.

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11

Crawford, Seth. "The Political Economy of Medical Marijuana". Thesis, University of Oregon, 2013. http://hdl.handle.net/1794/12986.

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This study aims to shed light on several vexing questions surrounding marijuana at various levels of analysis. Why have some states adopted medical laws when others have not, and what are the implications of these adoptions for elites at the federal level? Why are certain areas within states hotbeds of marijuana use and production? Why, in the face of serious penalties, do certain individuals continue to use, produce, and sell this particular drug? How is the marijuana market structured and how much economic impact does it have? Possible sociopolitical factors responsible for passage (or failure) of marijuana-related voter initiatives and legislation in states are examined and the process of policy diffusion occurring between states that adopt such measures is detailed. An analysis of geographic variations in medical cardholder rates in Oregon is conducted using longitudinal data. Using a Respondent-Driven Sample and a detailed survey of legal and illegal marijuana users in Oregon, I identify differences between the two groups, elucidate differences between marijuana users and the general population, and estimate the economic impact of marijuana on Oregon's informal economy. Overall, the study finds that innovative, Democratically dominated states tend to pass medical marijuana laws and are the most at risk of doing so in the future. Within Oregon, county-level participation in the medical marijuana program is associated with Democratic party members, unemployment rates, and timber harvest levels. The Oregon marijuana market consists of a robust network of small producers, with individual users primarily managing distribution of the drug. Economic estimates indicate that the legalization of marijuana could generate between $37 million and $153 million per year in taxes for the state. Finally, historical evidence suggests that legalization of this drug could lead to its control; however, doing so could structurally transition the market from a robust network of small producers into tight oligopolic control by a limited number of producers, thereby disenfranchising small, artisan growers, communities traditionally reliant on marijuana for revenue, consumers who seek variety, and the plant's genetic diversity.

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12

Johnstone, John G. "Medical concepts and penal policy : a study of the use of 'medical' concepts in penal discourses". Thesis, University of Edinburgh, 1990. http://hdl.handle.net/1842/24027.

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This thesis examines the ways in which 'medical' concepts have been used in penal discourse since the middle of the nineteenth century. By doing this I have tried to contribute to our understanding of modern methods of penal control and modern penal rationalities. The thesis contains two case studies. The first study examines the uses which have been made of the terms 'inebriety' and 'alcoholism' within penal discourse and also examines what is meant by the term 'treatment' when it is used in the context of 'the "treatment" of inebriates'. The second study looks at various ways in which the terms 'moral insanity', 'moral imbecility' and 'psychopathy' have been employed in penal discourses.

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13

Sigurgeirsdóttir, Sigurbjörg. "Health policy and hospital mergers : how the impossible became possible /". Reykjavik : Háskólaútgáfan [u.a.], 2006. http://www.loc.gov/catdir/toc/fy0802/2007462881.html.

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14

Challis, Maggie. "Policy and practice in medical education : putting the learner first". Thesis, University of Nottingham, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251268.

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15

Cannavina, Cenwein. "Medical autonomy, judicial precedent : towards a theory of consensus policy". Thesis, University of Sheffield, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.425626.

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16

Grbic, Jelica. "Medical cannabis in the United States: Policy, politics and science". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1619.

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Historically, cannabis has been used as a pharmaceutical drug for a variety of conditions including rheumatism, depression, convulsions, and malaria. Since the 1970s, randomised, controlled clinical trials have shown cannabis to be effective in the treatment of debilitating medical conditions including nausea and vomiting resulting from cancer chemotherapy, wasting syndrome associated with HIV/AIDS, and chronic pain. Despite scientific evidence, as of 2011, when the material for this thesis was collected, only 17 states of the United States (U.S.) and the District of Columbia had enacted medical cannabis laws allowing patients with specific medical conditions to use cannabis without being criminally prosecuted. This thesis examines two components of the medical cannabis policy: the medical cannabis policy process in five representative states of the U.S., and the factors influencing the formation of such a process. The first part of the thesis chronologically documents the passing, attempts to pass, and failure to pass medical cannabis policies in five U.S. states; two with a current medical cannabis law; one where attempts to pass a law have been made, but a law has not yet been passed; and two states where no or few attempts at passing a medical cannabis law have been made. The second part of the thesis used a questionnaire to elicit the factors influencing policies as perceived by three groups. Group one comprised individuals directly involved in the medical cannabis policy process in at least one of the five states referred to above and group two comprised individuals participating in research in the alcohol and other drug field. Group four comprised members of the International Society for the Study of Drug Policy (ISSDP). The study found that, despite the expectation that the same rules would apply to cannabis as other medicine, the medical cannabis process appears to be less medically and more politically driven, with scientific evidence having limited influence. The results suggest that there are a number of interlinking factors which played a role in the passing or failure to pass medical cannabis laws in U.S. states, and the level of influence of these factors can vary according to context or conditions placed on them. Three major themes emerged in relation to the factors influencing policy: the role of scientific evidence, the political process, and the interaction between factors. It is hoped that this thesis will be viewed as an observation of the medical cannabis process, not only from the researcher’s point of view but from the views of those who participated in the process, researched the process, or observed the changes in medical cannabis laws over the years

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17

Ng, Suk-han Christina, i 伍淑嫺. "The health policy network and policy community in Hong Kong: from concertation to pressure pluralism". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B38628569.

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18

Choi, Sung-Mo. "A variant theory of policy implementation : policy content, policy context, and implementation style in Korea /". The Ohio State University, 1991. http://catalog.hathitrust.org/api/volumes/oclc/31238785.html.

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19

Tse, Ka-yan. "A study of the healthcare policy in Hong Kong". Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B41012793.

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20

Amporfu, Eugenia. "Three essays in health economics /". Burnaby B.C. : Simon Fraser University, 2004. http://ir.lib.sfu.ca/handle/1892/2297.

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21

Cornelio, Deogracia. "Is the alternative traditional? tracing boundaries of medicines in the Dominican Republic /". [Gainesville, Fla.] : University of Florida, 2003. http://purl.fcla.edu/fcla/etd/UFE0001430.

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22

Jeppsson, Anders. "Decentralization and national health policy implementation in Uganda - a problematic process /". Malmö : Lund University, 2004. http://www.loc.gov/catdir/toc/fy0613/2006401986.html.

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23

Kiatpongsan, Sorapop. "Decision Making for Medical Innovations". Thesis, Harvard University, 2014. http://dissertations.umi.com/gsas.harvard:11386.

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Gibson, Brendan John Joseph. "From transfer to transformation : rethinking the relationship between research and policy /". View thesis entry in Australian Digital Theses Program, 2003. http://thesis.anu.edu.au/public/adt-ANU20040528.165124/index.html.

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25

Singhal, Astha. "Emergency department use : role of medical home, impact of state Medicaid dental policy and continuity of care". Diss., University of Iowa, 2015. https://ir.uiowa.edu/etd/3190.

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Avoidable use of the Emergency Departments (EDs) constitutes a significant public health problem, which has health, economic and ethical implications. The factors that affect avoidable use of the EDs are complex and poorly understood. The goal of this dissertation was to examine the role of medical home in avoidable pediatric ED visits, assess the impact of Medicaid policy on ED visits for dental problems and assess the factors affecting follow-up dental care after a dental ED visit. Iowa Household Health Survey data was used for the first study, which included a sample of families with at least one child residing in Iowa. It was found that 68% of parents who took their child to an ED in the previous year thought the ED visit could have been avoided if primary care was available to them. Having a medical home was not found to be associated with pediatric ED visits; however, food insecurity was significantly associated. Parents of children with public insurance, those who were not referred by a healthcare provider and those who reported difficulty in getting routine care appointments were more likely to report an avoidable ED visit by their child. The second study examined a policy change in California where Medicaid eliminated its comprehensive adult dental coverage on July 1, 2009. State Emergency Department Database were obtained from Agency for Healthcare Research and Quality for California for 2006 through 2011. Interrupted time series, a quasi-experimental approach of was used to examine the impact of the policy change on rate of dental ED visits by Medicaid enrolled adults. Segmented linear regression revealed that policy change led to an immediate significant increase in the rate of dental ED visits. The policy had a differential impact on various subgroups based on age, race-ethnicity and residential location. The annual costs associated with dental ED visits made by Medicaid adults also increase 68%. Survival analytic approach was used in the final study to examine the patterns of dental care following a dental ED visit by Medicaid enrolled adults in Iowa. Medicaid claims and enrollment data were used to identify adults with an index dental ED visit in 2011, and then each subject was followed for up to 6 months. About 52% of all adults who satisfied the study inclusion criteria, had a follow up dental visit within 6 months of the index dental ED visit. Cox regression model revealed that adults who had visited a dentist in the year prior to the ED visit had greater hazards of having an early dental follow up after the ED visit. Having repeated dental ED visits was found to have a dose-response relationship to follow-up time to dentist visit, with those having 1 repeat ED visit having 53% hazards and those with 2 or more repeat ED visits having 34% hazards of having a follow-up dentist visit, compared to those with no repeat ED visits. Collectively, the results from this dissertation provide important insights in understanding the complex problem of avoidable ED visits. Factors such as food insecurity and medical home need to be further investigated in their association with avoidable ED visits. State Medicaid policy plays an important role and limiting Medicaid adult dental coverage may lead to an increased reliance of the affected population on EDs for dental care. However, EDs do not provide any definitive dental care, and our results indicate that almost half of the adults with dental ED visit do not have a follow-up dentist visit in the next 6 months.

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May, Kyle P. "Internet disseminated medical information an investigation of three regulatory policy tools /". Fairfax, VA : George Mason University, 2008. http://hdl.handle.net/1920/3350.

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Thesis (Ph.D.)--George Mason University, 2008.
Vita: p. 210. Thesis director: David M. Hart. Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Public Policy. Title from PDF t.p. (viewed Jan. 11, 2009). Includes bibliographical references (p. 196-209). Also issued in print.

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Kennedy, Robert B. "Medical Marijuana Policy Conflicts within the District of Columbia Private Workplace". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7681.

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The District of Colombia poses a unique challenge to private employers because the passage of a local medical marijuana policy was instituted in a federalized district that is obligated to abide by federal Schedule 1 narcotic laws. Using punctuated equilibrium as the theoretical foundation, the purpose of this case study was to understand how managers maintain compliance and address the conflict between different levels of government. Data were collected from interviews with 8 private industry hiring personnel who operate within the District of Columbia. These interviews were transcribed, inductively coded using a 2 cycle coding procedure, and then subjected to a thematic analysis procedure. Two primary themes emerged; cognizance of the policy, and fear and safety concerns related to enforcement. In the case of the theme of cognizance, punctuated equilibrium was confirmed in that unbalanced policy development had negative or positive interpretations that created a significant subsystem effect. The second theme of “fear” is also explained through punctuated equilibrium as marijuana legalization is perceived as an emotional policy issue in the establishment of new policy. Implications for positive social change stems from recommendations to policy makers to clarify remaining ambiguity about the requirements associated with the juxtaposition of federal and local policy and law. Reconciling the differences between policies may improve the capacity for hiring authorities to better understand and practice effective talent recruitment while at the same time be attentive to the social needs in the District of Columbia related to workplace medical marijuana policies.

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Balaker, Berhanu Bankashe. "The Need for Public Policy Initiatives to Retain Medical Doctors in Ethiopia". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4713.

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Ethiopia suffers from a medical shortage or brain drainthat has severely affected its already fragile health care system. The country has a very low physician-to-population ratio,whilemany in the medical community continue to leave in great numbers. Aphenomenological approach was used in this study to explore the lived experiences of medical doctors who have left Ethiopia, with contemporary migration theory serving as the conceptual framework. The central research question focused onwhy Ethiopian medical doctors leave their country and what can be done to retain them. Participants were 10 medical doctors of Ethiopian origin who live and practice medicine in the Washington, DC metropolitan area. Participantswere purposively selected, and in-depth interviews and a focus group discussion were used to collect data from them. The study followed Moustakas' recommendations for phenomenological analysis, which representeda modification of the Stevick-Colaizzi-Keen method. The themes that emerged during data analysis have economic, political, professional, and personal dimensions. The findings includelow pay, lack of professional development, poor working conditions, the threat of political persecution, fear of contracting HIV, and inability to participate in health care decision-making. Recommendations accordingly include offering pay raises and fringe benefits, creating opportunities for professional development, improving working conditions, and limiting political interference in the health care system. Implications for positive social change include the fact that stemming the outflow of medical doctors could help save the lives of thousands of Ethiopians threatenedby preventable and curable diseases.

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Puenpatom, Rajitkanok. "Effects of Thai healthcare policy on household demand, hospital efficiency and household earnings". Online access for everyone, 2006. http://www.dissertations.wsu.edu/Dissertations/Fall2006/r_puenpatom_121106.pdf.

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Chan, Yee-ying Michelle. "The formulation and implementation of healthcare reform in Hong Kong". Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk:8888/cgi-bin/hkuto%5Ftoc%5Fpdf?B2329470x.

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31

Lee, Shwe-yan. "Physical medical rehabilitation in Hong Kong a study of the government's policy /". Click to view the E-thesis via HKUTO, 1993. http://sunzi.lib.hku.hk/hkuto/record/B31964576.

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32

Lee, Shwe-yan, i 李瑞炎. "Physical medical rehabilitation in Hong Kong: a study of the government's policy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31964576.

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33

Nigenda-Lopez, Gustavo Humberto. "The medical profession, the state and health policy in Mexico, 1917-1988". Thesis, London School of Economics and Political Science (University of London), 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.307755.

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This thesis assesses the participation of the medical profession in the development of the structure of the health system in Mexico between 1917-1988. The thesis considers that the major variable that influenced the development of the health system was the participation of the State as its most important financer, provider and regulator. The shaping of the health system in turn determined the mode of participation of doctors. The period is divided in three subperiods: 1917-1943; 1944-1970 and 1971-1988. The first describes the efforts of the profession to gain control over the demand for health services which remained private after the end of the 1917 Revolution. The second describes the way in which the State intervened in the redefinition of the health system, the achievement of the legal control of professions and the way in which medical work began to be determined by the constraints of institutions despite doctors' efforts to defend their autonomous status. Finally, the third period is characterised by a crisis of the economic and political system with repercussions in the definition of the educational and health policy, and the way doctors were faced these conditions. The thesis also points out the major changes during the period in four of the most important characteristics of the medical profession: professional organization, education, employment and geographical distribution. An analysis is finally presented where theoretical elements are used to interpret the historical events that characterized the participation of the Mexican medical profession in the development of the health system.

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Maahs, Michael Keith. "Medical Academia Conflict of Interest Policy and Potential Impact on Research Funding". ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1317.

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Medical Academia Conflict of Interest Policy and Potential Impact on Research Funding by Michael K. Maahs MPA, Troy University, 1993 BA, Ripon College, 1990 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Policy and Administration Walden University July 2015 The partnership between medical academia and the pharmaceutical industry has been scrutinized for issues associated with research bias. As a result of this scrutiny, the Institute of Medicine (IOM) issued policy recommendations in 2009 directing academia to adopt comprehensive conflict of interest (COI) policies. During the same time, a slowdown of funded research into academia occurred, and it is not clear whether the IOM recommendations contributed to this problem. The purpose of this case study was to determine the extent to which compliance with the IOM policy resulted in a reduction in funded research. The Advocacy Coalition Framework (ACF) was the theoretical lens used for study. COI policy statements (n = 15) were analyzed from American Association of Medical Colleges member schools that engage in medical research. In addition, in-depth interviews were conducted with 4 medical academic researchers. Data were inductively coded and organized around key themes. Key findings indicated that medical academia is compliant with IOM recommendations and COI policies did not appear to have a direct effect on research placement by industry. Interestingly, a possible explanation for reductions in industry funding relate to inefficient institutional review board processes. Additionally, the ACF construct was validated via an observed complex and slowly evolving COI policy process. The positive social change implications of this study include recommendations to academia to continue to monitor and report on COI and explore efficiency improvements related to IRB oversight in order to support important pharmaceutical research that ultimately improves the health and wellbeing of people.

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35

Bazira, Peter J. "Medical education in the United Kingdom : a post-structural critical policy analysis". Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/18238/.

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Medical education in the UK is regulated by the General Medical Council (GMC), which among other things, formulates and publishes policies to effect this regulation. The latest GMC policy on medical education was published in July 2015 and came into effect on 1st January 2016. As educational organisations and educators endeavour to implement the latest GMC policy therefore, I contend that it is both fitting and germane to seek to provide a critical understanding of the policy by analysing its heritage, ramifications and significance. The literature on policy studies in medical education, and engagement with policy by medical education organisations and educators are meagre, in spite of the abundance of policy covering this area. This work presents a post-structural critical policy analysis of the 2015 GMC policy, in the light of its preceding policies published in 1993, 2003, and 2009. It uses documentary evidence and applies the study of problematisation in and of policy to the discursive representation of policy problems, evaluating how these have evolved and transformed in light of the prevailing sociopolitical contexts, and critically analysing and reflecting on the implications and significance of these problem representations. It finds that the GMC policies hinge on the problematisation of medical education as an issue of patient safety, educational prerequisites and the workforce demands of an increasingly decentralised and marketised health service. It argues that this problematisation is situated in notions of individual responsibility, marketisation and social accountability, and is underpinned by a reliance on the asymmetrical union of neoliberal and socialist ideologies. The findings might be particularly useful to medical educators and educational organisations who have an interest in contributing to the development of further medical education policy. This work will contribute to the body of policy studies and medical education literature and, it is hoped, stimulate further research into medical education policy.

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36

Biles, Melanie. "High Time for a Replacement: Medical Cannabis as a Substitute for Opioid Analgesics". Scholarship @ Claremont, 2018. http://scholarship.claremont.edu/scripps_theses/1153.

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Opioid addiction has reached an all-time high in America, partially because there is no federally approved, affordable, available alternative for chronic pain. This paper examines the role of medical cannabis in the opioid crisis by exploring the effect of medical cannabis laws on opioid prescription rates in an OLS regression. I found that medical cannabis laws produce a statistically significant decrease in opioid prescription rates. I discuss the specific policy components that would allow medical cannabis policy to be most effective nationwide.

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Fan, Yun-sun Susan. "Medical insurance : the solution to health care financing in Hong Kong? /". [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13236404.

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Harrigan, Mary Louise (Marylou). "Leadership challenges in Canadian health care : exploring exemplary professionalism under the malaise of modernity /". Burnaby B.C. : Simon Fraser University, 2005. http://ir.lib.sfu.ca/handle/1892/2350.

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Thesis (Ed.D.) - Simon Fraser University, 2005.
Theses (Faculty of Education) / Simon Fraser University. Includes bibliographical references leaves 322-244. Also issued in digital format and available on the World Wide Web.

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Bhatia, Vandna Coleman William D. "Political discourse and policy change: Health reform in Canada and Germany /". *McMaster only, 2004.

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Baej, Khalifa Ali. "Social structure, health orientation and health behavior". PDXScholar, 1985. https://pdxscholar.library.pdx.edu/open_access_etds/3426.

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An attempt has been made to examine the relationship between social structure and medical factors in a framework which links cosmopolitanism to health orientation and behavior. Specifically, this study has attempted to investigate the variations in health knowledge, beliefs, attitudes and behavior among individuals whose social structure varies in terms of cosmopolitanism.

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Koo, Sun Tien-lun Catherine. "The impact of health care policies on the health status of the population of Hong Kong /". Hong Kong : University of Hong Kong, 1987. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14016989.

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謝嘉茵 i Ka-yan Tse. "A study of the healthcare policy in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41012793.

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Peckover, Christopher Allen. "Iowa school finance equity: a value-critical policy analysis". Thesis, University of Iowa, 2010. https://ir.uiowa.edu/etd/571.

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Mykhalovskiy, Eric. "Knowing health care / governing health care exploring health services research as social practice /". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0018/NQ56249.pdf.

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Nordyke, Robert. "Privatization of health care provision in a transition economy : lessons from the Republic of Macedonia /". Santa Monica, CA : RAND, 2000. http://www.rand.org/pubs/rgs%5Fdissertations/RGSD155/.

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Fiske, Eric James. "Cuban Medical Internationalism: A Case for International Solidarity in Foreign Policy Decision Making". Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3724.

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Since the beginning of the Revolutionary government in Cuba, a comprehensive foreign policy involving medical personal and equipment has been implemented worldwide. Known as medical internationalism, thousands of doctors have been sent to developed and less developed nations in the spirit of solidarity and humanitarian aid. Even more, thousands of students have been given free medical education in Cuba at its world renowned university, the Latin American School of Medicine (ELAM). Often, no monetary or direct political gain is made by Cuba and the doctors simply receive their normal government salary. While the success of Cuba's medical internationalism is well documented (Feinsilver 1993, Kirk & Erisman 2009), the reasons and guiding forces behind it are much less understood. Based on a Cultural/Political Foreign Policy model created by Marijke Breuning to study foreign policy, this study aims to show that the concept of proletarian internationalism is the guiding principle in Cuba's medical internationalism programs.

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Horne, D. A. "Public policy making and private medical care in the United Kingdom since 1948". Thesis, University of Bath, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.381894.

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Stanton, Jennifer Margaret. "Health policy and medical research : hepatitis B in the UK since the 1940s". Thesis, London School of Hygiene and Tropical Medicine (University of London), 1995. http://researchonline.lshtm.ac.uk/682243/.

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This thesis explores the way changing constructions of hepatitis B have mediated between science and policy during the past fifty years. Research-based 'facts' were filtered in the policy arena according to social, political and economic pressures. Central policy processes depended heavily on expert advisers, who emerged from networks of researchers. This account draws on scientific, clinical and epidemiological research, central policy documents, and interviews with people working with or suffering from the disease. Though epidemiologically close to AIDS, hepatitis B has rarely attracted public attention: there are an estimated 100,000 carriers in the UK, but few deaths due to the acute form. The disease was a major problem in the blood supply, and featured as a hospital infection, with notable outbreaks from 1965 in renal dialysis units. It was seen as an occupational hazard for laboratory workers, doctors, nurses and dentists. The introduction of a test for hepatitis B around 1970 opened up opportunities for epidemiological research. Hepatitis B was increasingly recognized as a sexually transmitted disease, widespread among gay men; also, because of needle sharing, prevalent among drug users. Another outcome of research in the 1970s was the development of a vaccine. However, availability of a vaccine in the UK from 1982 afforded no immediate resolution of public health issues raised by hepatitis B. The legacy of a restricted screening policy from the 1970s, emphasizing prevention via hygiene precautions among health care workers, facilitated a limited vaccine policy throughout the 1980s. While discussing negotiations over hepatitis B in the past five decades, this thesis aims to contribute to a broader analysis of interactions between science and policy, between centre and regions, and between interest groups.

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Omukunyi, Bernard. "The Bamasaaba people's response to the safe medical male circumcision policy in Uganda". University of the Western Cape, 2021. http://hdl.handle.net/11394/8113.

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Philosophiae Doctor - PhD
The Joint United Nations Programme on HIV (UNAIDS) strongly recommends that developing countries regard medical male circumcision as a biomedical intervention. This recommendation has caused developing countries seeking a radical solution to the prevailing and persistent social problem of HIV to reform their health policies. Most now discourage traditional male circumcision and promote safe medical male circumcision (SMMC) as a strong contributor to reductions in HIV transmission. This has introduced conflicts in traditional African societies such as the Bugisu, where male circumcision is culturally motivated, symbolising a rite of passage from boyhood to manhood. In the Bugisu sub-region, the local Bamasaaba regard their cultural practice of traditional male circumcision (TMC) as prestigious.

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Look, Mary V. "Policy Systems and Their Complexity Dynamics: Academic Medical Centers and Managed Care Markets". Diss., Virginia Tech, 2003. http://hdl.handle.net/10919/27253.

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This dissertation examined how complexity theory might offer insight into the behavior of a population of large-scale networked organizational groups. Academic medical centers (AMCs), a large-scale social and policy system that plays a key role in the education of physicians, the conduct of research, and the provision of specialized clinical care, were chosen as an example to demonstrate the enhanced understanding that can be obtained from the application of complexity theory. Graphical and nonlinear mathematical tools were chosen to place this research study in contrast to studies that metaphorically apply the concepts of complexity theory to social systems. Complexity science suggests that AMCs will demonstrate both nonlinearity and the emergence of patterned behaviors characteristic of self-organization in complex adaptive systems. Changes in the fiscal environment of AMCs, influenced by federal policy and the health care delivery market, were hypothesized to be among the factors that mediated changes in AMCsâ activities and organizational relationships during a twenty-year period. The collection and examination of multiple indicators within the framework of a study model allowed development of a rich description of the AMC system and identification of patterned behaviors. Graphical analysis was used to identify underlying periodic and chaotic attractors in the AMC system. A logistic equation was used to confirm the presence of nonlinearity. The presence of nonlinearity and the emergence of patterned behavior within schools in different managed care market groups suggested that it is appropriate to treat the population of AMCs as a complex adaptive system. The results of this research study also showed that AMCs have responded to the rise of managed care in the health care delivery marketplace by leveraging their institutional strengths. Identification of nonlinear properties offers a new perspective for understanding the behavior of a population of networked organizations, the management of large-scale systems, strategic planning, and policy formulation. Until researchers and managers recognize the coexistence of nonlinear and linear processes in social systems, they will make decisions on the basis of incomplete information.
Ph. D.

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