Дисертації з теми "Health care burden"
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Obot, Stella S. "Health Care Disparities and Chronic Disease Burden: Policy Implications for NGOs." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/88.
Повний текст джерелаCaicedo, Carmen. "Children with Special Health Care Needs: Comparison of the Effects of Home Care Setting, Prescribed Pediatric Extended Care Setting, and Long-Term Care Setting on Child and Family Health Outcomes and Health Care Service Use." FIU Digital Commons, 2013. http://digitalcommons.fiu.edu/etd/844.
Повний текст джерелаSnow-Spracklin, Elizabeth G. "Caregivers' perception of health, burden, social support, and care receiver problems." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0014/MQ36179.pdf.
Повний текст джерелаOkwori, Glory, Elaine Loudermilk, Steven Stewart, Delaney Lawson, and Megan Quinn. "Health Care Burden and Expenditure Associated with Adverse Childhood Experiences in Tennessee and Virginia." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/72.
Повний текст джерелаPlange-Kaye, Elizaebth. "Caregivers' Burden| A Phenomenological Study of the Lived Experiences of Informal Caregivers." Thesis, University of Phoenix, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10744463.
Повний текст джерелаABSTRACT The current increase in the population of older adults has created a high demand for more informal caregivers. Informal caregivers complain of many problems in providing care including psychological stresses and anxieties, as well as physical, emotional, financial, and other social burdens. The purpose of this phenomenological study was to understand and describe the essence of the lived experiences of informal caregivers. The study was also intended to make health professionals and policy makers aware of such problems. The study adopted a qualitative methodology and a hermeneutical phenomenological design. Purposeful sampling was used in selecting participants with informal caregiving experience. Eleven informal caregivers were interviewed via telephone for data collection. Data was analyzed using Nvivo 11 for the identification and description of patterns and themes from the perspectives of participants. Eight themes that emerged from data analysis were: (a) Gender, many females engaging in caregiving, (b) Caregivers feeling stressful, (c) Love played a crucial role in caregiving, (d) Need for training for caregivers, (e) Being cared for by loved family members, (f) Impacts on job performance, (g) Living arrangements between caregiver and care receiver, and (h) Lack of support from family, community or state agencies. The conclusions focused on the need for support to informal caregivers such as caregiver training, adult day care services, care leave or respite care, increased access to services, care payments, and expansion in the informal caregiver workforce.
Bigatti, Silvia Marcela. "Relationships between perceived burden, physical health, and health care use among spouses of people with fibromyalgia syndrome /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2000. http://wwwlib.umi.com/cr/ucsd/fullcit?p9970686.
Повний текст джерелаMoorman, Jonathan P., Matthew R. Krolikowski, Stephanie M. Mathis, and Robert P. Pack. "HIV/HCV Co-infection: Burden of Disease and Care Strategies in Appalachia." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/2766.
Повний текст джерелаNeethling, Ian. "Enhancing the use of burden of disease information for health sector decision making." University of the Western Cape, 2019. http://hdl.handle.net/11394/6930.
Повний текст джерелаO'Donovan, Simon Terence. "Dementia caregiving : burden and breakdown." Thesis, University of South Wales, 2004. https://pure.southwales.ac.uk/en/studentthesis/dementia-caregiving(34088905-f406-4d82-bc09-aeed052f5e3c).html.
Повний текст джерелаCarter, Angela Joy Wilhelmina. "Sharing the burden : a study of teamwork and well-being in secondary health care teams." Thesis, University of Sheffield, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324455.
Повний текст джерелаSkelton, Stephanie B. "Health Care Burden of Adoptive and Biological Parents of Children with Cleft Lip and Palate." University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1337888323.
Повний текст джерелаSang, Hilla I. "National Estimates and Complex Sample Regression Modeling of the Financial Burden of Health Care Among the U.S. Nonelderly Population." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1563283247018918.
Повний текст джерелаYakubu, Yakubu A. "The relationship between environmental health status, the attributes of female caregivers and the health status of care recipients in low-income areas in Cape Town, South Africa." Thesis, Cape Peninsula University of Technology, 2016. http://hdl.handle.net/20.500.11838/2885.
Повний текст джерелаInformal caregivers play an important role in the well-being of dependent members in a household. The burdens of these caregivers are multiple and pervasive and may contribute to mental health epidemiology as a result of worry, grief, anxiety and stress. The literature review revealed that studies in caregiving and its various facets began from a pragmatically applied interest rather than from theoretical and intellectual curiosity. The majority of the research on caregiver burden involves meta-analysis of qualitative studies with little quantitative research. Also, many of these studies are concentrated on caregivers of chronically ill patients, such as those suffering from dementia, Alzheimer’s disease, and heart disease, without much attention to care burden resulting from caring for those who are not necessarily ill. Similar studies by other researchers did not consider the impact of the physical health of the care recipients or the environmental factors that are critical in the study of female caregiver burden in low-income settings. In addition, existing studies did not adequately evaluate the many potential factors that may vary and influence the lives of the caregivers, especially in a single, comprehensive model. This study attempted to provide a more complete picture of these relationships in low-income and culturally diverse settings. The study population consisted of black/African and coloured populations living in subsidised or low-cost housing settlements. In each of the two different cultural communities, 100 black/African and 100 coloured female caregivers were selected through a systematic random sampling procedure. In addition, data were also collected from caregivers in Tamale, Ghana to assess differences between the socio-demographic profiles of the caregivers in Cape Town, South Africa and Tamale, Ghana. The theoretical paradigm used in this study is the Stress Process Model by Pearlin et al., (1990). The study instrument assessed caregiver burden with both objective and subjective measures through the use of a fully structured questionnaire. The information that was collected according to the constructs of the Stress Process Model included personal and role strains and incorporated the physical health of the care recipients and environmental factors such as kitchen and toilet hygiene. Inclusion criteria for the respondents in both Cape Town and Tamale were the principal female caregivers who were present, willing, and able to give informed consent. The Statistical Package for Social Sciences (SPSS Version 22) was used for the analyses. The Chi-square test was used to assess the relationships between environmental health, the socio-demographics of the female caregivers and the health status of the care recipients. The hierarchical regression analysis in the form of a General Linear Model was used to model caregiving burden. iv The results showed that the majority of the female caregivers were in the age group 40 – 49 years and in both Cape Town and Tamale, a large proportion was in the low-income group. Also, the majority of the informal caregivers in the two samples were in care tasks as a full-time job, providing more than 40 hours of care per week. Regarding the length of time in caregiving, a large proportion of the caregivers in both Cape Town and Tamale had been in the care role for more than three years preceding the survey, and almost all the caregivers in the Cape Town sample (98.4%) did not use any form of caregiving programme to ameliorate the negative effects of caregiving. Further, the results showed statistically significant relationships between the socio-demographic characteristics of female caregivers (age, education, population group and income status) and the diarrhoea status of the care recipients. Also, a significant relationship was shown between environmental health variables of the home (kitchen hygiene and toilet hygiene) and the physical health of the care recipients. The major predictors of female caregiver burden in the samples were the physical health of the care recipients and access to social grants. On the basis of the analyses, it was recommended that the government should recognise the importance of the physical health of the care recipients and increase the amounts of social grants to the caregivers since this could improve the circumstances of both the caregivers and the care recipients. In addition, this could aid in improving the standard of living of caregivers in these households. Future research in similar settings should disaggregate the data to compare the burden of caring for caregivers of physically strong care recipients with physically ill care recipients.
McDonald, Kate. "Transitions to Adulthood for Children with Special Health Care Needs." Diss., The University of Arizona, 2011. http://hdl.handle.net/10150/202697.
Повний текст джерелаGoeiman, Hilary Denice. "Developing a comprehensive nutrition workforce planning framework for the public health sector to respond to the nutrition-related burden in South Africa." University of the Western Cape, 2018. http://hdl.handle.net/11394/6900.
Повний текст джерелаSouth Africa has not responded well to recommendations in national evaluation reports to address human resource challenges associated with the implementation of nutrition programmes and improved service delivery. Twenty-four years have passed since the dawning of democracy and the nutrition situation within the population has actually deteriorated, with persistently high levels of stunting in young children and the growing prevalence of overweight and obesity in all age groups. These conditions not only rob people of their potential, but they carry a high cost for the state and society as a whole. This study aimed to develop a comprehensive and empirically sound nutrition workforce development planning framework for the public health sector so that it is better equipped to address the nutrition-related burden of disease in South Africa. The study explored the provision of nutrition services in South Africa, focusing on the nutrition-specific work components of health personnel ‒ doctors, nurses, dietitians, nutritionists, health promoters and community health workers working at the primary health care level in the public health sector. Evidence-based workforce information was collected through a mixed methodology comprising: literature reviews, document reviews, analysis of scopes of practice, job descriptions, competencies, workforce surveys, key informant interviews and consensus assessments through the application of the Delphi technique. Permission was obtained to adapt and use questionnaires from an Australian workforce study. Ethical approval, permission to conduct the study and informed consent were obtained prior to the commencement of the interviews. Data was then analysed using descriptive statistics, content and thematic analysis and triangulation of all findings, followed by consensus assessments to describe the nutrition workforce and delineate the roles and functions thereof. The comprehensive planning framework that was developed was applied to the Western Cape province.
Scheepers, Lorna Lorraine. "An exploratory study of the referral pathway of patients discharged from a tertiary hospital to home-based care in the Western Cape." University of the Western Cape, 2012. http://hdl.handle.net/11394/4628.
Повний текст джерелаThe purpose of the study will be to explore the discharge referral pathway for patients that have been discharged from hospital to home in the Western Cape Province. A mix of quantitative and qualitative research, using a descriptive design will be undertaken. Quantitatively, following the patient paper trail from Tertiary Hospital to grassroots level. Qualitatively, to identify whether the referral pathway was user friendly. Records of discharged patients from the Tertiary Hospital will be used as the study population. Patient information will be accessed from patient files at the hospital. Interviews will be conducted with the relevant discharge liaison officers at the Tertiary Hospital, and Primary Health Care level. Relevant staff members within the non–governmental –organisations (NGOs), will also be interviewed in order to determine their perception of the discharge referral pathway. The findings of the study will be used to inform policy guidelines. Challenges encountered by staff members in referring patients for continuum of care, and the perception of consumers will also be described and documented.
Shaunfield, Sara Lynn. "“IT’S A VERY TRICKY COMMUNICATION SITUATION": A COMPREHENSIVE INVESTIGATION OF END-OF-LIFE FAMILY CAREGIVER COMMUNICATION BURDEN." UKnowledge, 2015. http://uknowledge.uky.edu/comm_etds/43.
Повний текст джерелаWagner, Ryan G. "The Burden of Epilepsy : using population-based data to define the burden and model a cost-effective intervention for the treatment of epilepsy in rural South Africa." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-120163.
Повний текст джерелаÅgren, Susanna. "Supportive care for patients with heart failure and their partners : A descriptive and interventional study." Doctoral thesis, Linköpings universitet, Omvårdnad, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-56232.
Повний текст джерелаLam, Chi-wai, and 林智偉. "An exploratory and comparative study of the stress burden and coping strategies of caregivers of people with schizophrenia in Guangzhou andHong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31245481.
Повний текст джерелаFranzén, Irene. "Vad innebär det att må bra och att stärka hälsan som anhörigvårdare?" Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap, HV, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-17645.
Повний текст джерелаChalmers, Sharon Waits. "The Impact of Chronic Stress on the Self-care Practices of Hispanic Diabetic Caregivers." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/nursing_diss/10.
Повний текст джерелаChukwurah, Joan Nkechi. "Associations between Influencing Factors, Perceived Symptom Burden and Perceived Overall Function among Adults Living with Human Immunodeficiency Virus Infection." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1554994347104186.
Повний текст джерелаGreen, Amy Lynn. "Theoretically Guided Examination of Caregiver Strain and its Relationship with School-Based Mental Health Services Utilization and Parent Engagement in Services." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5692.
Повний текст джерелаJoubert, Janetta Debora. "A profile of informal carers in South Africa." Diss., Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-12022005-140227.
Повний текст джерелаFreeman-Hildreth, Yolonda. "THE PATIENT PERSPECTIVE: EXPLORING THE INFLUENCE OF SOCIAL INTERACTIONS ON CHRONIC DISEASE OUTCOMES." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1554315427596961.
Повний текст джерелаMetcalfe, Leanne N. "Bayesian methods in determining health burdens." Diss., Atlanta, Ga. : Georgia Institute of Technology, 2008. http://hdl.handle.net/1853/31809.
Повний текст джерелаCommittee Chair: Vidakovic, Brani; Committee Member: Griffin, Paul; Committee Member: Kemp, Charlie; Committee Member: Sprigle, Stephen; Committee Member: Villivalam, Arun. Part of the SMARTech Electronic Thesis and Dissertation Collection.
Moxon, Alicia M. "The effectiveness of a brief psychoeducational intervention for people with schizophrenia and their families : a dissertation presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Psychology at Massey University, Palmerston North, New Zealand." Massey University, 2009. http://hdl.handle.net/10179/1143.
Повний текст джерелаLiljeroos, Maria. "Caring needs in patient-partner dyads affected by heart failure : An evaluation of the long-term effects of a dyadic psycho-educational intervention." Doctoral thesis, Linköpings universitet, Avdelningen för omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-133182.
Повний текст джерелаJacyna, N. "Assessing the impact of parental mental health on child physical health : validation of a measure of carer burden within carers of children with chronic kidney disease." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11137/.
Повний текст джерелаTadokera, Rabecca. "Investigating the socio-economic and epidemiological risk factors associated with TB transmission in a high TB and HIV burdened community in Cape Town, South Africa." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28146.
Повний текст джерелаWang, Ya-Ni, and 王亞妮. "Burden of Primary Caregivers in Home Health Care." Thesis, 1999. http://ndltd.ncl.edu.tw/handle/25792107110176519736.
Повний текст джерела國立臺灣大學
護理學研究所
87
The purpose of this study was to understand the patients'' demographicdata, primary caregivers'' demographic data, and primary caregivers'' social support. The relationships between patients'' demographic data, primary caregivers'' demographic data, primary caregivers'' socialsupport and caregivers'' burden in home health care were also explored. This was a cross-sectional study. A structural questionnaire was usedto collect data via face to fac interview. Data were collected from Marchto May, 1999. Subjects consisted of 102 patients and their caregivers from 5 home health care agencies in Taipei Metropolitan Area. The importantresults were summarized as followed: 1.The mean age of patients was 72.68. The majority of patients were male,married, with educational level of elementary school. The major diagnosis included stroke, hypertension, and diabetes melitus, and the mean numberof diseases was 1.9. Most patients had N-G tube and foley catheter indwelling, the average number was 1.5. About 83.3% patients'' functional level was complete dependence. 2. The mean age of primary caregivers was 72.68. The majority of primary caregivers were female, married, educational level of elementary school. Most caregiver were patient''s spouse, children and daughter-in-law. About 73.5% caregivers were not working. 37.2% caregivers were suffering from work conflict. 96.1% caregivers lived with patients. Before patient was sick, the relationship between patient and caregiver, 35.5% were stated very good, however, only 27.5% were stated good after the fact. As to caregivers'' health status, 58.8% were rated healthy. The average length for taking care of the patients was 39.16 months and the average time was 18 hours per day, 7 days per week. 69.6% caregivers did not hire helper to assist them. 58.8% caregivers had family members such as spouse, son and daughter to help them to take care of patients. 3.Among the primary caregivers'' burden, the financial burden which wasthe heaviest one, social burden was the second, physical burden was the third and the last one was psychological burden. 4.The most important predictive variables for primary caregivers burden were primary caregivers'' health status, the hours of taking care of the patients per week, the level of social support need and caregivers'' age, which explained 46.7% of variance of primary caregivers'' burden. Based on these results, some recommendations for nursing practice, education, research and health policy were made.
Lin, Pei-Chen, and 林佩蓁. "Disease Burden and Health Care Cost of Oral Cancer." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/41709091056101578777.
Повний текст джерела高雄醫學大學
口腔衛生科學研究所碩士班
93
Abstract Introduction In Taiwan, the incidence rate of oral cancer including oral and pharyngeal cancer has increased rapidly. The death rate of oral cancer was 12.3% and incidence rate was 28.63% in men in 2001. Oral cancer ranks 4th as a cause of death from cancer in 2001. Due to the improvement in medical technology, the cancer patients have prolonged their life lives. We need to pay more attention on the impact of oral cancer on the patients, patient’s families and society. However, no study showed the medical cost and disease burden of oral cancer in Taiwan. Study objective: Our aims are to determine the direct and indirect medical cost, lost productivity due to premature death, and disease burden of oral cancer by the health insurance database, questionnaire interview, public health dataset, cancer registry data, the charge list for discharge and DALY. Methods The “cancer dataset”, a part of Taiwan National Health Insurance (NHI), was bought from National Health Research Institutes and was applied to calculate the direct medical cost of oral cancer. The variables of the mask national ID number, oral cancer ICD code (diagnoses by ICD 9th Revision 140-149 except 142 and 147), hospital visiting date, items of medical costs and treatment were used in present study. The hospital visiting date and the mask national ID number of database were used to identify new cases. All new cases in 1997-2001 were followed up from 1 to 5 years to estimate the direct medical cost. A total of 142 patients were invited to complete a questionnaire and recruited from the medical centers in Kaohsiung and Taipei. 71 patients with the discharged fee were recruited from Kaohsiung medical centers. The NHI dataset, the charge list for patient discharged and the incidence numbers adapted from Taiwan Cancer Registry data were to evaluate the medical cost and the out-of-pocket costs. The NHI data and questionnaire data were used to calculate the costs for outpatients in traffic and caregiving costs accompanying with hospitalization for incident cases in 1997-2001. The numbers of death caused by oral cancer at the age of 20-64 year-old in 1997-2001, and average salary from Public Heath data were applied to evaluate the lost productivity due to premature death. The WHO DALY excel trail table was applied to estimate the disease burden of oral cancer. Results: From NHI database, the costs for outpatient visiting and hospitalization were increased year by year. In 1999 and following years, the individual cost was not dramatic change, but the medical costs were increasing as the cases increasing. The direct medical costs for new cases to follow up 5 years were increased by year. In 1997, the direct medical cost was about 735 million dollars. It could be increased to 1649 million dollars in 2001. In the production lost due to premature death, there were 6200 million dollars lost in 1997 and 9000 million dollars lost in 2001. The major part of total costs for oral cancer was the costs of production lost due to premature death (82%), and the second was medical cost (14%) and the third was costs in traffic spending and caregiving (2%). The DALY of oral cancer in Taiwan was increasing by years. The DALY of men is 12 times higher than that of women. Conclusions The disease burden estimated by DALY and economic cost were increased from 1997 to 2001. The incidence rate of oral cancer was increasing. Although the spending in traffic and costs for caregiver were not major part of total medical cost, it needs us to take care of it. The major costs were raised from lost productivity resulting from premature death. Therefore, the human health in our country would be threatened by oral cancer, especially in men.
Lin, I.-Po, and 林宜柏. "Equity of Health Care Financial Burden in Taiwan:the Impact on Family Budgets." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/49053690567105711727.
Повний текст джерелаGuest, J. F., N. Ayoub, T. McIlwraith, I. Uchegbu, A. Gerrish, D. Weidlich, Kath Vowden, and Peter Vowden. "Health economic burden that wounds impose on the National Health Service in the UK." 2015. http://hdl.handle.net/10454/9286.
Повний текст джерелаYes
Brink, Peter. "The Impact of Informal Care and Caregiver Burden on Place of Death in Palliative Home Care." Thesis, 2008. http://hdl.handle.net/10012/4058.
Повний текст джерелаGallagher, Celine. "Improving patient outcomes and reducing health care burden - the need for a new paradigm of care delivery for atrial fibrillation." Thesis, 2019. http://hdl.handle.net/2440/120497.
Повний текст джерелаThesis (Ph.D.) -- University of Adelaide, Adelaide Medical School, 2019
LU, CHIEN-MEI, and 呂千媚. "Care Burden and Mental Health of Family Caregivers of Patients with Brain Injury: A Systematic Review." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/k7n68d.
Повний текст джерела慈濟大學
人類發展與心理學系碩士班
107
Background: Life-long physical and neuropsychological impairments of survivors of traumatic brain injury (TBI) are the most difficult challenges not only for the patients but also for their families, particularly for those who are responsible for daily caregiving tasks. Previous studies revealed that caregiver burden was negatively associated with the quality of life and mental health of family caregivers. However, other findings indicated the burden of caregiving was unrelated to the well-being of caregivers, instead family functions and social support played key roles in determining caregivers’ quality of life. The aforementioned inconsistent results suggest a systematic review to clarify the associated factors of caregiver burden and mental health is needed. Method: A systematic search of published articles related to TBI and caregiver burden was conducted in Pubmed, CINAHL Complete, Health Source: Nursing/Academic Edition, MEDLINE with Full Text, PsycARTICLES, Psychology and Behavioral Sciences Collection, PsycINFO, SocINDEX with Full Text and Airiti Library. A final of 17 studies were included for meta-analyses. Result and discussions: The result revealed that caregiver burden was associated with quality of life, mental health, and life satisfaction of family caregivers of TBI patients. A noteworthy result was that the correlations among depression, caregiver burden and social support of caregivers were bi-directional. Additionally, the burden of caregiving was decreased when instrumental social supports were available. These findings suggest that it is important for psychological practitioners who work with caregivers of TBI to evaluate caregivers’ needs as well as burden of caregiving, and to help them create a solid social support.
Huang, Tzu-Wei, and 黃子溦. "Equity between the Insurees'' premium Burden and Their Medical Care Expenditures in Taiwan''s National Health Insurance Scheme." Thesis, 2000. http://ndltd.ncl.edu.tw/handle/04342521269906728468.
Повний текст джерела國立政治大學
風險管理與保險學系
88
Equity is widely acknowledged to be an important policy objective in the health care field. The principle comes in two versions:a horizontal version(persons in equal need should be treated the same) and a vertical version(persons with greater needs should be treated more favourably the those with lesser needs)。 The purpose of this study is to investigate the equity between the insurees’ premium burden and their medical care expenditures in Taiwan’s National Health Insurance Scheme .The sample combines two sets of data,which are data for the insured and their dependents’ premiums and medical expenditures of utilization obtained from the Bureau of NHI ; individual income tax return data obtained from the Data Processing Center of the Ministry of Finance. According the data ,we will be able to use the regression model of stepwise and probit methods to analysis the purpose of this study. The major findings are twofold:First, at present the regulations in the premium exists the horizontal and vertical the inequity , so the system can’t bring the income replaecment, About medical dilvery, NHI is favorable person lower-income .To achieve ability to pay, the gap between the upper and bottom of insured payroll-related amount class should be lengthened.And to lighten the burden of insuree with dependents .Second, in the medical delivery deductible amounts paid by beneficiaries will be changed from fixed amounts to fixed rate to control the wasting medical resource.
Filipe, Luís Alexandre Coelho. "A tour of health care: emergency room, hospital and home." Doctoral thesis, 2020. http://hdl.handle.net/10362/108174.
Повний текст джерелаAboobaker, Jamila B. "Skin disorders in primary health care in KwaZulu-Natal : testing for solutions after assessment of burden of disease, and evaluation of resources." Thesis, 2007. http://hdl.handle.net/10413/7823.
Повний текст джерелаDulal, Ram Krishna. "A perspective health care model for Nepal to reduce burden of Diabetes Mellitus through policy appraisal of Germany and Great Britain /." 2004. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=015203568&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
Повний текст джерелаLee, Hsiu-Ju, and 李秀如. "The Effectiveness of Family-Center Care on Health status, Caregiver Burden, Family Function among Patient and Caregiver with Bipolar Disorder: An experimental study." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/49037927031507310096.
Повний текст джерела國防醫學院
護理研究所
99
Background Bipolar disorder is one of the most disabling chronic psychiatric diseases. Enormous burden of the caregivers were found. 32.4% of the caregivers reported mental health service use. 93% of the caregivers reported a moderate or even higher degree of care giving strain when their beloved ones were admitted to psychiatric facilities. Psychiatric nurses not only take care of the patients, but also their caregivers. Aims The purpose of this study was to evaluate the effectiveness of Family-Centered Care (FCC) in increasing family function, relieving caregivers’ burden and perceiving global health status among patients with bipolar disorder and their caregivers. Methods Thirty-six pairs of patients and caregivers were recruited in a medical center in the Northern Taiwan from April to November 2010. We randomly assigned sixteen pairs in the experimental group and twenty pairs in the control group. We have introduced Chinese Health Questionnaire (CHQ), Family Function Scale (FFS), and Caregiver Burden Inventory (CBI) within the assessments of global health status, family function, and caregiver’s burden. Using a Calgary Family Intervention Model, four sections of sixty to ninety minutes in-depth interview were performed for the patients and their caregivers of the experimental group. Statistical tests of Paired t-tests, Chi-square, Pearson’s product moment correlation and Mixed Model repeat measurement were performed with the statistical significance set at α < 0.05. Results The demographic variables of patients and their caregivers were not statistically significant between the experiment group and control group. For the patient after FCC, it showed significantly improved in FFS, especially in the subscale of Cohesion and communication, while CHQ has no statistical improvements. For the caregivers after FCC, FFS was also improved in the subscales of Conflict, Communication, and Problem Solving, while CHQ and CBI showed no statistical difference. Conclusions FCC tends to integrate the patients and their caregivers to discuss about further disease caring plans and problem solving skills. The statistic results showed that FCC could improve the global family function. The patients and their caregivers also learned better communication skills through FCC. This study demonstrated a holistic family nursing care model in acute psychiatric settings.
Bouchard, Maryse. "Responding to the Global Injury Burden by Improving Access to Orthopaedic Medical Devices: A Qualitative Case Study of Orthopaedic Services in Uganda." Thesis, 2011. http://hdl.handle.net/1807/30520.
Повний текст джерелаHelelo, Tsegab Paulose. "Guidelines for the prevention of the burden of hypertension among adults in Hawassa City administration of Ethiopia." Thesis, 2018. http://hdl.handle.net/10500/25807.
Повний текст джерелаHealth Studies
D. Litt. et Phil. (Health Studies)
Cheng, Ssu-Yu, and 鄭思妤. "The effects of Services from the “ Ten-Year Long-term Care Program” on Burden and Health Related Quality of Life of Caregivers Living in Taipei City." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/q4ae5v.
Повний текст джерелаBosch, Johan N. "The needs and experiences of caregivers of persons with Alzheimer's disease living in black rural communities in Mpumalanga." Diss., 2015. http://hdl.handle.net/2263/43765.
Повний текст джерелаDissertation (MSW)--University of Pretoria, 2015.
Social Work and Criminology
Unrestricted
Dahms, Joani. "Financing South Africa's national health insurance :|bthe impact on the taxpayer / Joani Dahms." Thesis, 2014. http://hdl.handle.net/10394/11535.
Повний текст джерелаMCom (South African and International Taxation), North-West University, Potchefstroom Campus, 2014
Dodge, Christopher E. "Caregiving and schizophrenia: The well siblings' perspective." Thesis, 2011. http://hdl.handle.net/1828/3247.
Повний текст джерелаGraduate
Nascimento, Generosa Gonçalves Simões do. "Os cuidados continuados de saúde em Portugal: perspectiva internacional, experiência do paciente na transição e sobrecarga dos cuidadores informais." Doctoral thesis, 2015. http://hdl.handle.net/10071/11402.
Повний текст джерелаOs cuidados continuados de saúde constituem um dos desafios com que as sociedades contemporâneas se debatem, obrigando os países a definirem políticas e estratégias específicas. As dimensões de análise e discussão são diversas, podendo destacar-se o financiamento, a organização e prestação de cuidados, e a sua regulação. A garantia da qualidade dos cuidados prestados é também uma das preocupações pelo que, para além da eficácia clínica e da segurança do paciente, a experiência do paciente tem vindo a tornar-se igualmente central. O paciente é o único elemento constante nesta prestação de cuidados, transitando entre um ou vários prestadores/unidades de cuidados. Para além dos prestadores formais tem de se reconhecer a importância dos cuidadores informais face à sua expressividade e valor económico. Neste trabalho procurou-se dar um contributo, por um lado, para a compreensão dos modelos adotados em diversos países e sua holografia com os respectivos sistemas nacionais de saúde, visando, particularmente, melhorias para as políticas e estratégias do modelo português. Por outro, contribuir para o conhecimento do efeito da experiência do paciente na transição de cuidados sobre o seu estado de saúde e qualidade de vida (ESQV). E, por último, conhecer o impacto do ESQV do paciente na sobrecarga dos cuidadores informais. Para o efeito foram realizados três estudos. No estudo I efetuou-se uma revisão narrativa, analisando-se 17 países. No segundo, através de um estudo longitudinal, foram envolvidos 181 pacientes referenciados para a Rede Nacional de Cuidados Continuados Integrados e no estudo III contemplados 244 cuidadores informais, cujos pacientes cumpriam os critérios de referenciação para a RNCCI. O trabalho tem contributos a nível teórico e prático. A nível teórico destacam-se: i) o mapeamento dos modelos de cuidados continuados nos três sistemas de saúde (beveriano, bismarckiano e de mercado) e sua análise comparativa transnacional; ii) o aprofundamento do conhecimento do efeito da experiência do paciente no ESQV na transição de cuidados entre a alta hospitalar, no internamento nas unidades de cuidados continuados e nas interações entre cuidador e paciente, e iii) a influência do ESQV na sobrecarga do cuidador informal. Do ponto de vista prático, realça-se o contributo para a melhoria das políticas e estratégias desenvolvidas nesta área da saúde em Portugal, para o papel ativo e responsável do paciente sugerindo-se que a experiência do paciente seja um novo indicador da RNCCI, e finalmente, para o reforço de apoios ao cuidador informal pelo papel que desempenha enquanto prestador de cuidados e de intermediário com os cuidados formais. Em termos globais, os resultados mostram que os cuidados continuados nos diversos países constituem um modelo holográfico como os respectivos sistemas nacionais de saúde. O modelo português possui características comuns às dos outros países, identificando-se globalmente com as do sistema beveriano. Contudo considera-se como “quási híbrido” pelo mix utilizado na estratégia de financiamento. Possui uma organização e prestação de cuidados muito estruturada e regulamentada. Ainda que revele práticas de cuidados domiciliários e apoios aos cuidados informais fomenta a institucionalização dos pacientes. A experiência do paciente, tanto na alta hospitalar como no internamento nos cuidados continuados, influencia o seu estado de saúde e qualidade de vida e marcadamente a componente mental. O cuidador informal perceciona uma sobrecarga elevada quer pelo seu sentimento de incompetência ou insegurança quer pela tensão gerada por esta atividade, aumentando este sentimento de fardo quando o seu paciente perceciona um estado de saúde e qualidade de vida muito baixo, especificamente do foro mental. Para a melhoria dos cuidados continuados é fundamental a continuação de estratégias de mudança e desenvolvimento, como por exemplo, o recurso a práticas transnacionais de benchmarking e de benchlearning dos programas e ações implementados, tornar o paciente como um “parceiro” ativo e responsável, fazer do cuidador informal um intermediário com os cuidados formais e “olhar para o lado oculto” das implicações da sua prestação de cuidados.
Long-term care is one of the challenges that contemporary societies are facing and it is forcing countries to define specific policies and strategies. The dimensions of analysis and discussion are various, in which it is possible to highlight the financing, the care provision and the regulation. Care quality assurance is also a concern, where apart from clinical effectiveness and patient safety, patient experience has become equally central. The patient is the only constant element in this care provision, transiting between one or more providers/care units. In addition to formal providers, the importance of informal caregivers must be recognized given its expressiveness and economic value. This work sought to provide a contribution on the one hand to the understanding of the models adopted in several countries and their holography with the respective national health systems, with particular attention paid to enhancements of the policies and strategies of the Portuguese model. On the other hand it aimed to add to the knowledge of the effect of the patient's experience in care transition on their health status and quality of life (ESQV). And lastly, to know the effect of the patients ESQV on informal caregivers’ burden. To this end three studies were conducted. In study I a narrative review was carried out with an analysis of 17 countries. In the second research, through a longitudinal study, 181 patients referred to the National Network of Integrated Long-term Care were involved, and study III included 244 informal caregivers, whose patients met the referral criteria for RNCCI. This work encompasses contributions of theoretical and practical extents. On the theoretical level it stands out the following: i) the mapping of long-term care models in the three health systems (beveridge, bismarck and market-oriented) and their transnational comparative analysis; ii) the knowledge improvement of the effect of the patient's experience on ESQV on transitional care between hospital discharge and hospitalization in long-term care units as well as on the interactions between caregivers and patients, and iii) the effect of ESQV on informal caregiver burden. From a practical standpoint it stands out the contribution to the policies and strategies developed in this health area and specifically for Portugal, to the active and responsible role of the patient through their experience, with the suggestion of the patient experience as a new indicator for the RNCCI, and finally to the strengthening of support targeted to the informal caregiver for its role as a care provider as well as an intermediary agent to the formal care. Overall, the results show that long-term care in different countries constitutes a holographic model as their own national health systems. The Portuguese model has features in common to other countries, which can be altogether matched with the beveridge system. Nonetheless, it is considered as a "quasi-hybrid" system due to the mix used in its financing strategy. It displays an organization and delivery of care highly structured and regulated. Despite revealing home care practices and informal caregiving support, it also fosters the institutionalization of patients. The patient experience, both at hospital discharge and in in-patient long-term care, influences the perception of their health status and quality of life, and markedly the mental component. The informal caregiver perceives a high burden due to their sense of incompetence or insecurity or due to the tension generated by this activity. This sense of burden is enhanced if their patient perceives a very poor health status and quality of life, specifically of mental disorders. To improve long-term care is fundamental the continuous promotion of change and development strategies, such as the use of transnational benchmarking and benchlearning practices of the implemented programs and actions, empower the patient as an active and responsible "partner", convert the informal caregiver into an intermediary of formal care and "look at the dark side" of the implications of their care provision.