Дисертації: "Health planning"

1

Dvorak, Amy. "To health with planning : a manual for promoting active, healthy living through community planning." Manhattan, Kan. : Kansas State University, 2010. http://hdl.handle.net/2097/3860.

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2

Ambrose, Aleta. "The integration of health planning and social planning /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19431.pdf.

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3

Burton, Salma. "Evaluation in health promotion : assessing effectiveness of Healthy City Project evaluations." Thesis, London South Bank University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326942.

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4

Bennett, Ashlea R. "Home health care logistics planning." Diss., Georgia Institute of Technology, 2009. http://hdl.handle.net/1853/33989.

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This thesis develops quantitative methods which incorporate transportation modeling for tactical and operational home health logistics planning problems. We define home health nurse routing and scheduling (HHNRS) problems, which are dynamic periodic routing and scheduling problems with fixed appointment times, where a set of patients must be visited by a home health nurse according to a prescribed weekly frequency for a prescribed number of consecutive weeks during a planning horizon, and each patient visit must be assigned an appointment time belonging to an allowable menu of equally-spaced times. Patient requests are revealed incrementally, and appointment time selections must be made without knowledge of future requests. First, a static problem variant is studied to understand the impact of fixed appointment times on routing and scheduling decisions, independent of other complicating factors in the HHNRS problem. The costs of offering fixed appointment times are quantified, and purely distance-based heuristics are shown to have potential limitations for appointment time problems unless proposed arc cost transformations are used. Building on this result, a new rolling horizon capacity-based heuristic is developed for HHNRS problems. The heuristic considers interactions between travel times, service times, and the fixed appointment time menu when inserting appointments for currently revealed patient requests into partial nurse schedules. The heuristic is shown to outperform a distance-based heuristic on metrics which emphasize meeting as much patient demand as possible. The home health nurse districting (HHND) problem is a tactical planning problem which influences HHNRS problem solution quality. A set of geographic zones must be partitioned into districts to be served by home health nurses, such that workload is balanced across districts and nurse travel is minimized. A set partitioning model for HHND is formulated and a column generation heuristic is developed which integrates ideas from optimization and local search. Methods for estimating district travel and workload are developed and implemented within the heuristic, which outperforms local search on test instances.

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5

Fisk, Richard Hugh. "Health and safety development planning." Thesis, University of Surrey, 1999. http://epubs.surrey.ac.uk/2903/.

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6

Stigsdotter, Ulrika. "Landscape Architecture and Health : evidence-based health-promoting design and planning /." Alnarp : Dept. of Landscape Planning, Swedish University of Agricultural Sciences, 2005. http://epsilon.slu.se/200555.pdf.

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7

Candlin, D. B. "The reality of planning : A study of Â£Tchild health services planningÂ£T in Kettering Health District 1980-1986." Thesis, De Montfort University, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.377549.

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8

Guilfoyle, Geraldine Awne. "A process model for planning workplace health promotion." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1995. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq23325.pdf.

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9

Steele, Fiona Alison. "Multilevel analysis of health and family planning data." Thesis, University of Southampton, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.319290.

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10

Harrison, Joan P. "The information and planning needs of health visitors." Thesis, Sheffield Hallam University, 1988. http://shura.shu.ac.uk/20694/.

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Rationale: The health visiting service is not planned on the basis of the health needs of the local population. Although relevant information is available it has not been made accessible for use. This study aims to: 1. Obtain baseline data regarding aims, planning methods, health goals and information needs of health visitors in selected practices in Sheffield. 2. Provide information concerning the health visitors' potential caseload and monitor its impact on the production of community profiles and identification of health goals. 3. Evaluate whether health visitors perceive positive change in their planning abilities and whether information provided meets their information needs. 4. Evaluate the social and political effects on the organisation of the health visiting service relating to the information provision. Nature. Scope and Method: An action research approach is used. The sample included, health visitors (N = 31) and their managers (N = 8), who were interviewed with an audiotaped interview schedule, piloted (N = 11). The health visitor sampled attended information workshops resulting in their building community profiles, negotiating practice with managers and producing an innovative method of planning. Workshop discussions and interview results were relayed back to all participants. The health visitor sample completed an evaluation questionnaire. Organisational changes during the research period were recorded. Contribution to knowledge: Community profiles can be used to assist community diagnosis relating the planning of the health visiting service to the health needs of the population. Profiles can fill information gaps existing in the service. Organisational changes to aid profile effectiveness include implementing, an information policy and system, appraisals, clear general policy statements, management training, and addressing a series of changes sought by health visitors. Alternative sources of funding for the service are suggested, as is grassroots representation in the planning process. The study provides an insight into the information and planning needs of health visitors in their organisational setting.

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11

Gudes, Ori. "Developing a framework for planning healthy communities : the Logan Beaudesert health decision support system." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/50783/1/Ori_Gudes_Thesis.pdf.

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In the last few decades, the focus on building healthy communities has grown significantly (Ashton, 2009). There is growing evidence that new approaches to planning are required to address the challenges faced by contemporary communities. These approaches need to be based on timely access to local information and collaborative planning processes (Murray, 2006; Scotch & Parmanto, 2006; Ashton, 2009; Kazda et al., 2009). However, there is little research to inform the methods that can support this type of responsive, local, collaborative and consultative health planning (Northridge et al., 2003). Some research justifies the use of decision support systems (DSS) as a tool to support planning for healthy communities. DSS have been found to increase collaboration between stakeholders and communities, improve the accuracy and quality of the decision-making process, and improve the availability of data and information for health decision-makers (Nobre et al., 1997; Cromley & McLafferty, 2002; Waring et al., 2005). Geographic information systems (GIS) have been suggested as an innovative method by which to implement DSS because they promote new ways of thinking about evidence and facilitate a broader understanding of communities. Furthermore, literature has indicated that online environments can have a positive impact on decision-making by enabling access to information by a broader audience (Kingston et al., 2001). However, only limited research has examined the implementation and impact of online DSS in the health planning field. Previous studies have emphasised the lack of effective information management systems and an absence of frameworks to guide the way in which information is used to promote informed decisions in health planning. It has become imperative to develop innovative approaches, frameworks and methods to support health planning. Thus, to address these identified gaps in the knowledge, this study aims to develop a conceptual planning framework for creating healthy communities and examine the impact of DSS in the Logan Beaudesert area. Specifically, the study aims to identify the key elements and domains of information that are needed to develop healthy communities, to develop a conceptual planning framework for creating healthy communities, to collaboratively develop and implement an online GIS-based Health DSS (i.e., HDSS), and to examine the impact of the HDSS on local decision-making processes. The study is based on a real-world case study of a community-based initiative that was established to improve public health outcomes and promote new ways of addressing chronic disease. The study involved the development of an online GIS-based health decision support system (HDSS), which was applied in the Logan Beaudesert region of Queensland, Australia. A planning framework was developed to account for the way in which information could be organised to contribute to a healthy community. The decision support system was developed within a unique settings-based initiative Logan Beaudesert Health Coalition (LBHC) designed to plan and improve the health capacity of Logan Beaudesert area in Queensland, Australia. This setting provided a suitable platform to apply a participatory research design to the development and implementation of the HDSS. Therefore, the HDSS was a pilot study examined the impact of this collaborative process, and the subsequent implementation of the HDSS on the way decision-making was perceived across the LBHC. As for the method, based on a systematic literature review, a comprehensive planning framework for creating healthy communities has been developed. This was followed by using a mixed method design, data were collected through both qualitative and quantitative methods. Specifically, data were collected by adopting a participatory action research (PAR) approach (i.e., PAR intervention) that informed the development and conceptualisation of the HDSS. A pre- and post-design was then used to determine the impact of the HDSS on decision-making. The findings of this study revealed a meaningful framework for organising information to guide planning for healthy communities. This conceptual framework provided a comprehensive system within which to organise existing data. The PAR process was useful in engaging stakeholders and decision-making in the development and implementation of the online GIS-based DSS. Through three PAR cycles, this study resulted in heightened awareness of online GIS-based DSS and openness to its implementation. It resulted in the development of a tailored system (i.e., HDSS) that addressed the local information and planning needs of the LBHC. In addition, the implementation of the DSS resulted in improved decision- making and greater satisfaction with decisions within the LBHC. For example, the study illustrated the culture in which decisions were made before and after the PAR intervention and what improvements have been observed after the application of the HDSS. In general, the findings indicated that decision-making processes are not merely informed (consequent of using the HDSS tool), but they also enhance the overall sense of ‗collaboration‘ in the health planning practice. For example, it was found that PAR intervention had a positive impact on the way decisions were made. The study revealed important features of the HDSS development and implementation process that will contribute to future research. Thus, the overall findings suggest that the HDSS is an effective tool, which would play an important role in the future for significantly improving the health planning practice.

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12

Westman, Göran. "Planning primary health care provision : assessment of development work at a health centre." Doctoral thesis, Umeå universitet, Socialmedicin, 1986. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100557.

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At the Primary Health Care Centre in Vännäs (VPHCC), northern Sweden, a development work was implemented in 1976-1980. The overall purpose was to enhance primary health care planning. In trying to improve health care delivery cooperation with community members was initiated and some organizational changes like a new appointment system, a new medical record and local care programs for some common diseases were introduced. Official statistics were also used for comparative purposes. The aims of the work were postulated (increased accessibility, higher continuity, more equitable distribution and enhanced cooperation) and suitable methods were designed. From postal surveys, chartreviews and administrative data (from hospitals, out-patient clinics and health centres) figures and information were collected. Accessibility was studied by waiting room time which was reduced and continuity, analyzed with a new concept - visit based provider continuity - was improved. The question of equitable distribution was studied by the consultation rates at different out-patient clinics. It seemed as if the local development work changed the patterns of utilization but some important issues were not decisively answered. Repeated postal surveys reflected the question of equitable distribution and the cooperation between the VPHCC and the community members. Positive responses were recorded in aspects like telephone accessibility and health care information. In a tracer study of diabetes the quality of care was studied. The local care program was actually implemented in the daily practice but the question of care quality needs further penetration. Within the frames of the development work new methods in the health care planning were introduced. Our work started from the prerequisits of the VPHCC and other health centres might find other ways of planning for care provision. On a general level, however, the structure of our work - defining aims, means and evaluation methods - can be used by others.

Diss. (sammanfattning) Umeå : Umeå universitet, 1986, härtill 6 uppsatser.

digitalisering@umu

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13

Finn, Michael P. "Perceptions of discharge planning needs : A study of discharge planning in the mental health setting." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1158.

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Major mental disorder, with prolonged periods of dysfunction that require long term care, is an issue of concern amongst mental health professionals. Although substantial effort and resources are devoted towards returning mentally ill individuals to the community, one of the most distinctive and consistent features of the persistently mentally ill (PMI) is their high rate of readmission to hospital. Existing studies into discharge planning revealed that no research had been undertaken to determine if this is the case in Western Australia. This study sought to investigate perceptions of discharge planning held by patients, carers, nurses and allied health workers involved in discharge preparation in a major metropolitan psychiatric hospital operated by the Health Department of Western Australia. Eighty one subjects were selected from the four principal groups involved in care in this mental health setting, consisting of patients ( n = 21 ), carers ( n = 20 ), nurses ( n = 22 ) and allied health workers ( n = 18 ). Perceptions of discharge planning of these subjects were evaluated and compared using the Discharge Priorities Rating Scale. Farran, Carr & Maxson's model of goal congruence in discharge planning was used to guide this study. Significant differences were found to exist in the perceptions of discharge planning between patients, carers, nurses and allied health workers. Differences in perceptions are seen to have a detrimental effect on the discharge planning process, resu1ting in unnecessary and frequent readmission to hospital and the perpetuation of institutional dependency. Whilst the results of this study can only be applied to similar institutions, the findings are relevant for the persistently mentally ill who have patterns of frequent readmissions across the public and private mental health service settings. The results obtained indicate that nurses can facilitate effective discharge planning practices by adopting a more assertive role in the hea1th care team, in communicating patients' and their carers' concerns and promoting a more collaborative approach to care.

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14

Henriksson, Dorcus Kiwanuka. "Health systems bottlenecks and evidence-based district health planning : Experiences from the district health system in Uganda." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-329082.

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In low-income countries where maternal and child mortality remains high, there is limited use of context-specific evidence for decision making and prioritization of interventions in the planning process at the sub-national level, such as the district level. Knowledge on the utility of tools and interventions to promote use of district-specific evidence in the planning process is limited, yet it could contribute to the prioritization of high-impact interventions for women and children. This thesis aims to investigate, in the planning process, the use of district-specific evidence to identify gaps in service delivery in the district health system in Uganda in order to contribute to improving health services for women and children. Study I evaluated the use of the modified Tanahashi model to identify bottlenecks for service delivery of maternal and newborn interventions. Study II and III used qualitative methods to document the experiences of district managers in adopting tools to facilitate the utilization of district-specific evidence, and the barriers and enablers to the use of these tools in the planning process. Study IV used qualitative methods, and analysis of district annual health work plans and reports. District managers were able to adopt tools for the utilization of district-specific evidence in the planning process. Governance and leadership were a major influence on the use of district-specific evidence. Limited decision space and fiscal space, and limited financial resources, and inadequate routine health information systems were also barriers to the utilization of district-specific evidence. Use of district-specific evidence in the planning process is not an end in itself but part of a process to improve the prioritization of interventions for women and children. In order to prioritize high impact interventions at the district level, a multifaceted approach needs to be taken that not only focuses on use of evidence, but also focuses on broader health system aspects like governance and leadership, the decision and fiscal space available to the district managers, limited resources, and inadequate routine health information systems.

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15

Krause, Beth Breitzig. "Strategic planning in Colleges of Pharmacy /." The Ohio State University, 1993. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487848078450467.

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16

Wong, Lai-shan Queenie. "Mortality patterns in Hong Kong some implications for health planning /." Click to view the E-thesis via HKUTO, 1987. http://sunzi.lib.hku.hk/hkuto/record/B31975197.

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17

Keller, Jan [Verfasser]. "Planning with a partner? Individual and dyadic planning in three health behaviour contexts / Jan Keller." Berlin : Freie Universität Berlin, 2018. http://d-nb.info/1155761103/34.

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18

Franich, Jennifer Joyce. "Cayucos Community Health Plan." DigitalCommons@CalPoly, 2014. https://digitalcommons.calpoly.edu/theses/1249.

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Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the health of the community. Though the creation of a healthy general plan may be unattainable for the County in the short term, a focus on a small yet cohesive part of the county presents an opportunity to affect these changes. Under the direction of the SLO County Health Agency and the Health Commission, we have written Healthy Community Plans for the unincorporated communities of Cayucos and Oceano, California. Both of these plans were greatly informed by their respective communities through input garnered through outreach, interviews, surveys and personal interactions with community members. This project examines the relationship between the built environment and public health, and explores ways planning professionals are beginning to address health issues through infrastructure, land use, creative zoning, and planning strategies that promote health and active living in policy. The planning documents, modeled after health elements currently being included in general plans throughout California, have integrated the fields of planning and public health to provide Cayucos and Oceano an assessment of its residents’ health, a description of the current built environment conditions that may be helping or hindering physical activity and access to nutritious food sources, as well as establish goals, policies and implementation strategies that will set a course of action toward healthier communities.

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19

Mueller, Natalie 1988. "Health impact assessment of urban and transport planning policies." Doctoral thesis, Universitat Pompeu Fabra, 2017. http://hdl.handle.net/10803/664239.

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Urbanization processes are ongoing. Some aspects of urban life such as a sedentary lifestyle, the risk of traffic incidents, high levels of air pollution, noise and heat, and a lack of green spaces can have detrimental effects on our health and well-being. Despite consensus that these exposures related to urban and transport planning affect our health, there is little quantification of these health risk factors in the urban context. Quantitative health impact assessment (HIA) can provide numeric indices of health risk factors and can inform the health benefit-risk tradeoff of public policies. The present thesis sheds light on the utility of quantitative HIA in urban and transport planning policies. Almost 3,000 premature deaths, over 50,000 disability-adjusted life-years (DALYs) and over 20 million € in direct health care spending were estimated to be attributable to current urban and transport planning practices in Barcelona, Spain annually. The present thesis suggests that overwhelming motor transport fleets in cities need to be reduced through (1) the promotion of active transport (i.e. walking and cycling for transport in combination with public transport), facilitated by for instance the expansion of cycling networks and (2) the reinforcement of green spaces. Active transport together with green spaces, were assessed to provide considerable net health benefits through increases in physical activity levels and mitigation of motor transport-associated emissions of air pollution, noise and heat. The present thesis concludes that HIA is a useful tool for quantification of anticipated health impacts of public policies and more extensive application of HIA is encouraged.
Algunas de las características de la vida urbana como el estilo de vida sedentario, el riesgo de sufrir accidentes de tráfico, los altos niveles de contaminación atmosférica, el ruido, el calor y la falta de espacios verdes pueden tener efectos perjudiciales en nuestra salud y bienestar. Aunque se sabe que estas exposiciones afectan nuestra salud, existe poca cuantificación de estos factores de riesgo en el contexto urbano. Las evaluaciones del impacto sobre la salud cuantitativas (HIA por sus siglas en inglés) proporcionan datos sobre los factores de riesgo en la salud e información del equilibrio entre beneficio y riesgo de las políticas públicas. Se estima que cada año casi 3,000 muertes prematuras, más de 50,000 años de vida ajustados por discapacidad (DALYs por sus siglas en inglés) y más de 20 millones de € de gastos directos en el sistema de salud que son atribuibles a las actuales políticas urbanas y de transporte en Barcelona, España. Esta tesis sugiere que el tráfico rodado en las ciudades necesita ser reducido mediante (1) la promoción del transporte activo (caminar, ir en bicicleta, transporte público), facilitada p.ej. por la expansión de la red de carril de bicicleta, y (2) con el aumento de los espacios verdes. Se estimó que el transporte activo y los espacios verdes proporcionan considerables beneficios netos para la salud a través del aumento de la actividad física y de la mitigación de las emisiones de contaminantes atmosféricos, ruido y calor asociadas al transporte motorizado. La presente tesis concluye que la HIA es una herramienta útil para la cuantificación anticipada de los impactos en la salud de las políticas públicas y se recomienda una aplicación extensiva de esta metodología

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20

Crews, Joseph MacNeal. "The planning and design of mental health treatment centres." Thesis, University of Greenwich, 1999. http://gala.gre.ac.uk/8730/.

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This research thesis was developed as a planning and design reference for mental health treatment centres. This text is intended to assist planners, designers, and health practitioners to optimize patient health and comfort by providing suitable environments to facilitate care and treatment. This thesis examines and provides guidance on security issues, environmental design, the cognitive environment, and site development. Sample facility plans are also provided to demonstrate the design principles advocated. The foreword examines the historical background of mental health treatment facilities in relation to the context of care. The continuing problem of the alienating and dehumanizing effects of psychiatric hospitals on patients is also addressed. Security requirements are investigated in relation to patients' rights and personal needs. This text also examines related fire safety requirements and design measures to minimize the risks of suicides, self injuries, and assaults. Environmental design issues, including lighting, color, acoustics, construction materials, air quality, and spatial relationships, are examined in relation to mental and physical health. Cognitive issues such as wayfinding, mental maps, symbolism, and perceptions of physical environments and architectural design are explored in relation to mental health treatment facilities. Earlier research suggests that patients have difficulty making the cognitive adjustment to typical mental health treatment facilities, and this can negatively effect their therapy and potential recovery. An illustrated questionnaire was developed to help determine the types of facilities patients can relate to and experience relative comfort. This questionnaire was used to examine perceptions of buildings and designs in relation to the provision of comfortable and healthy environments. The survey revealed that patients, health care providers, and students shared similar perceptions of the built environment, and that buildings possessing features generally associated with domestic buildings (houses) were considered more comfortable than other building types. In particular, buildings with pitched roofs and brick exteriors were considered most suggestive of comfort. Horizontal windows were preferred to more common vertically oriented windows. This effect was more pronounced when windows framed a pleasant natural view. Curved interior forms were also found to be suggestive of comfort. Past, current, and emerging patterns of site and facility development are reviewed in association with their environmental context. The role of nature in the healing process, from ancient Greece to recent discoveries, is also examined. The final chapter of this thesis is a demonstration of design principles with annotated drawings of a hypothetical inpatient unit and outpatient clinic. These drawings are provided to demonstrate an integration of thesis findings and design principles. These drawings are not a definitive design or prototype, because every site and building program are different and require their own design solution.

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21

Cameron, Wendy K. "Public health planning for vulnerable populations and pandemic influenza." Thesis, Monterey, Calif. : Naval Postgraduate School, 2008. http://edocs.nps.edu/npspubs/scholarly/theses/2008/Dec/08Dec%5FCameron.pdf.

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Thesis (M.A. in Security Studies (Homeland Security and Defense))--Naval Postgraduate School, December 2008.
Thesis Advisor(s): Bergin, Richard ; Josefek, Robert. "December 2008." Description based on title screen as viewed on January 30, 2009. Includes bibliographical references (p. 57-59). Also available in print.

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22

Munzner, Michele. "Health Literacy and Discharge Planning in Social Work Practice." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7945.

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Low health literacy is a public health crisis, currently, there is limited research on social worker engagement with the low health literate patient. The research questions for this study examined health literacy knowledge in medical social workers and how their MSW curricula built their knowledge of health literacy. It also explored challenges that arise when discharge planning for patients with low health literacy. It also asked what social workers can do to aid patients with limited health literacy during the discharge planning process. This basic qualitative research study used criterion sampling and was informed by the socioecological model. Data collection used 2 focus groups of 12 medical social workers comprised of 11 females and 1 male. Data analysis occurred by categorizing the data then classifying the data into themes based on the research question. Key findings include: (a) social workers have a medium to high level of health literacy; (b) MSW curricula would benefit from health literacy knowledge; and (c) challenges occur in discharge planning with people with low health literacy that include overall knowledge and attitudes of health literacy, sociodemographic variables, and lack of preventative health. Recommendations include standardizing healthcare social worker roles and providing educational opportunities in MSW curricula on health literacy. Implications for social change include improved health outcomes, empowering individuals to take personal responsibility for their healthcare which in the long run can help them overcome chronic disease and other health related anomalies. Social change may be seen with hospital health literacy screening to reduce hospital readmissions decreasing individual healthcare costs and reduce societal healthcare costs.

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23

Biro, Victoria Dawn. "Inpatient mental health professionals' perceptions of the discharge planning process." Access electronically, 2004. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20050215.132606/index.html.

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24

Farrally, Vicki Lea. "An analysis of need assessment in the mental health context." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24659.

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Need assessment methods grew out of the Community Mental Health Centre movement. Developed during a time of rapid expansion of service, there was a focus on providing services matched to the unique needs of a community. In the following years need assessment further developed as a technology and a search began for a "best model'. This paper argues that a "best model' is illusionary, a "best fit' being a more desirable goal. As fiscal constraints have reduced the resources available to consumption Ministries such as Health, need assessment has been increasingly used an allocative tool. Users of the tool, it is argued, must therefore choose their model with care and an understanding of the values and concepts inherent in each model is seen as necessary for intelligent choice. Finally, an examination of the British Columbia mental health context offers an analysis of some of the factors which have and will affect the use of need assessment in this Province
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate

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25

Williams, Roy Jerome III. "Integrating community health workers in schools." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/81642.

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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2013.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 59-63).
The Patient Protection and Affordable Care Act (PPACA) has set the tone for a radically revised health landscape in America that focuses on community-based care. Our health care system, however, has neither the infrastructure nor the vision to properly account for these demands. One possible solution is to redefine how established positions and organizations can be utilized to help accommodate the emerging needs. School-based health centers (SBHCs), for example, have traditionally provided general health services to students and members of the surrounding community. In many low-income neighborhoods, however, the needs of the community members far outpace the capabilities of the SBHCs and local community-based health centers. One promising answer to the need for community-based care is the integration of community health workers (CHWs) in SBHCs. The PPACA has identified CHWs as an integral component of health teams. They serve to connect people who have been historically marginalized to necessary health services and advocate on the behalf of community needs. This commentary proposes the integration of the CHW role into schools to provide comprehensive health-services to more students and community members than can be currently served. The argument begins with an examination of Massachusetts' CHW advocates' struggle to legitimize the field to gain the professional respect of other medical professions. Next, it explores the possibilities of a CHW in a school setting and makes recommendations to improve the viability and effectiveness of the role. It closes with an analysis of different views of community-based care and the role of planning in negotiating future workforce development challenges.
by Roy Jerome (RJ) Williams, III.
M.C.P.

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26

Colantonio, Sophia. "Evaluation of Opt-Out HIV Screening in Family Planning Sites." Thesis, Yale University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1548082.

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Background: In September 2006, the Centres for Disease Control and Prevention (CDC) recommended changing to opt-out screening of HIV for all patients in all health-care settings and for all pregnant women as part of the routine panel of prenatal screening. In opt-out HIV testing, a health care provider verbally informs the patient that the test will be performed and consent is assumed unless they refuse. Earlier opt-in HIV testing guidelines required informed written consent and was targeted at high-risk populations. The objective of this study was to evaluate the impact of opt-out HIV screening in family planning centres.

Methods: In 2011, data were collected in a pre-post survey design study conducted at 6 Planned Parenthood of Southern New England (PPSNE) clinical centres in Connecticut. The pre-test period used opt-in HIV screening and the post-test period used opt-out HIV screening. Differences in participant characteristics and HIV testing rates, satisfaction, and perceptions of HIV testing were compared between the pre (n=250) and post periods (n=250). Patient characteristics examined were gender, age, race, language, income, family size, insurance status, previous HIV and STD testing at Planned Parenthood.

Results: The mean age of patients offered HIV screening was 26 years old, 58% were white, 26% were black, 12% were Hispanic, and 3.2% were other races. Three-quarters of participants were female. Characteristics of patients receiving opt-in and opt-out screening did not significantly differ for all variables except income (p>0.05 for all except income). HIV testing rates (74% and 75%, respectively) and satisfaction with HIV testing (75% and 77%) were similar between both opt-in and opt-out groups (p>0.05 for both). However, patients receiving opt-in versus opt-out screening differed significantly with respect to their opinions of HIV opt-out screening (93% vs. 98% agreed that HIV screening should be routine for the general population). Patients accepting versus refusing opt-out HIV testing in the post-period differed significantly based on gender, testing centre, and reason for visit (p<0.05 for all). Those accepting opt-out testing were more likely to be male, tested in Hartford North, and seeking care for an asymptomatic STD test. At an alpha level of 0.05, both the full and reduced multivariate logistic regression models revealed that individuals who were tested in Danielson were less likely to accept opt-out HIV testing (as compared to reference categories). Hispanics and individuals seeking care for asymptomatic STD visits were more likely to accept opt-out HIV testing (as compared to reference categories).

Conclusion: In family planning centres, opt-in and opt-out HIV screening have similar outcomes in patients' characteristics, HIV testing rates and satisfaction. Testing rates were high in the pre-test period, which may have resulted in a ceiling effect on the HIV testing rates in the post-test period. Opt-out testing was less effective for some groups and further studies should be conducted to understand this phenomenon.

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27

McCartney, H. N. "Nurse manpower planning in Northern Ireland." Thesis, University of Ulster, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.378748.

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28

Denyer, Laurie Michelle. "Call me 'at-risk' : maternal health in Sao Paulo's public health clinics and the desire for cesarean technology." Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/55107.

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Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2009.
Vita. Cataloged from PDF version of thesis.
Includes bibliographical references (p. 63-69).
This paper is based on ethnographic field research undertaken in a public health clinic in the periphery of São Paulo, as well as an examination of the "Humanisation of Childbirth Campaign". The Humanisation Campaign is a Brazilian public health initiative targeted at low-income women that aims to drastically lower country-wide caesarean rates. This paper will consider how pregnant women actively seek to be labeled 'at risk' during ante-natal care by doctors, nurses and health care technicians in order to ensure access to caesarean technology during their birthing process, in order to avoid the discrimination and physical abuse often associated with a vaginal delivery. I suggest that experiences of riscos, or riskiness, bear heavily on women's pragmatic adoption of interventionist birthing. Riscos, as it has been explained to me, is experienced both bodily and socially, as a physical threat to bodies that is experienced via physical and social violence within the clinic. In this paper, I plan to explore the phenomenology of risk, and how, for women from the periphery, risk to body and health is an embodied experience, and situated within the social and political context within which individual experience occurs. Ethnographic work suggests that women seek inclusion into 'expert' biomedical risk assessments and categories that ordinarily exclude or overlook them. This paper will be situated in an examination of the Humanisation of Birth Campaign, it will explore the conflicting meanings about what 'natural, normal and tradtional' means in Brazil, and the ongoing debate over birthing that is currently encapsulated in the narratives surrounding the Humanisation Campaign.
(cont.) This pragmatic desire to adopt risk labels offers a window into understanding a new range of questions about how public health narratives have direct implications for women's reproductive health, while at the same time reconfigure women's conceptions of, and negotiations with, bodily risk and flexibility.
by Laurie Michelle Denyer.
S.M.

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29

Yang, Hui, and h. yang@latrobe edu au. "Priorities and Strategies for Health Information System Development in China - How Provincial Health Inforamtion Systems Support Regional Health Planning." La Trobe University. Public Health, 2004. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20050818.135812.

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China is moving towards a market economy. The greater use of market forces has made China richer, accelerated modernisation and increased productive efficiency but has created new problems, including, in the health sector, problems of inequity and allocative inefficiency. From 1997, the Chinese government committed to a national policy of regional health planning (RHP), as part of a broader commitment to harmonising social and economic development. However, RHP has been slow to impact on the equity and efficiency problems in health care. Planning requires information; better health decision-making requires better health information. Information systems constitute a resource that is vital for the health planning and the management of the health system. Properly developed, managed and used, health information systems are a highly cost-effective resource for the nation and its regions. Bureaucratic resistance, one of critical reasons is that regional health planners gained insufficient support from information system. Health information needs to adopt into the new way of government health management. The objective of the study is to contribute to the development of China�s health information system (HIS) over the next 5-10 years, in particular to suggest how provincial health information systems could be made more useful as a basis for RHP. The existing HIS is examined in relation to its support for and relevance to RHP, including policy framework, institutional structures and resources, networks and relationships, data collection, analysis, quality and accessibility of information as well as the use of information in support of health planning. Data sources include key informant interviews, a questionnaire survey and various policy documents. Qualitative (questionnaire survey on provincial HIS) and quantitative (key informant interviews) approaches are used in this study. Document analysis is also conducted. The research examines information for planning within the macro and historical context of health planning in China, in particular having regard to the impacts and implications of the transition to a market economy. It is evident that the implementation of RHP has been retarded by poor performance of information system, particularly at the provincial level. However, the implementation of RHP has also been complicated by fragmented administrative hierarchies, weak implementation mechanisms and contradictions between different policies, for example, between improved planning and the encouragement of market forces in health care. To support RHP which is needs based, has a focus on improving allocative efficiency and is adapted to the new market development will require new information products and supports including infrastructure reform and capacity development. Provincial HIS needs to move from being data generators and transmitters to becoming information producers and providers. Health planning has moved to greater use of population-based benchmark and demand-side control. Therefore, information products should be widened from supply side data collection (in particular assets and resources) to include demand-side collection and analysis (including utilisation patterns and community surveys of opinion and experience). The interaction between users (the planners) and producers (the HIS) should be strengthened and regional networks of information producers and planners should be established.

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30

Arcaya, Mariana Clair. "Possibilities for health-conscious assisted housing mobility." Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/44359.

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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2008.
"June 2008."
Includes bibliographical references.
Many poor, segregated, urban neighborhoods are rife with risks to health, which contributes to stark racial and geographic disparities in health. Fighting health disparities requires buy-in from non-health professionals whose work directly impacts the way cities are designed and governed. This thesis provides a case study of one non-health initiative, assisted housing mobility, with clear relevance to health disparities. Research suggests that moving from high- to lower-poverty neighborhoods may confer a range of health benefits on individuals; however, assisted housing mobility programs are, to date, relocation-only interventions. Could these programs more deliberately promote health, and should they do so? Through interviews and a review of counseling materials, I examine. how nine assisted housing mobility programs are linked to health, how health is understood by program staff, and how managers might offer more health-conscious programming. Based on a review of pathways between health and housing and neighborhoods, I identified five areas of intervention around which managers could build healthful programs: housing units, neighborhoods, health behavior and awareness, social connectedness, and access to health services. For each area of intervention, I detail possibilities for active versus passive approaches, and document relevant practices from the profiled programs. I then explore practitioner attitudes towards integrating health into mobility programs. Although most practitioners see their work as disconnected from health, their programs actually play a promising mediating role. Concerns about mandate, privacy, legality, liability, and capacity hinder programs from exploring health. So does limited understanding of how to incorporate health appropriately.
(cont.) Yet, most staff members are encouraged that their work may improve client health, and many want to do more. I recommend steps programs could take to provide better health-related information and discuss health more openly throughout housing counseling so families can make deliberate choices. I provide a preliminary assessment of relative costs and benefits of each step. I note that program managers will require technical and collegial support in order to implement the suggested changes well. The Poverty & Race Research Action Council, which helped guide my research, could provide needed support.
by Mariana Clair Arcaya.
M.C.P.

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31

Thompson, Helen V. STRATEGY HEALTH CARE FACILITIES REQUIREMENTS DEPARTMENT OF DEFENSE INFORMATION SYSTEMS HEALTH DEPTH PLANNING EXECUTIVES WARTIME STANDARDS MILITARY MEDICINE MEDICINE THESES NAVAL PERSONNEL PEACETIME AUTOMATION. "Navy Health Care Strategic Planning Process : a draft functional description /." Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1993. http://handle.dtic.mil/100.2/ADA273190.

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Thesis (M.S. in Information Technology Management) Naval Postgraduate School, September 1993.
Thesis advisor(s): William J. Haga ; Magdi Kamel. "September 1993." Bibliography: p. 90. Also available online.

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32

Earnest, Jaime Anne. "Methods matter : computational modelling in public health policy and planning." Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/7434/.

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This work is aimed at understanding and unifying information on epidemiological modelling methods and how those methods relate to public policy addressing human health, specifically in the context of infectious disease prevention, pandemic planning, and health behaviour change. This thesis employs multiple qualitative and quantitative methods, and presents as a manuscript of several individual, data-driven projects that are combined in a narrative arc. The first chapter introduces the scope and complexity of this interdisciplinary undertaking, describing several topical intersections of importance. The second chapter begins the presentation of original data, and describes in detail two exercises in computational epidemiological modelling pertinent to pandemic influenza planning and policy, and progresses in the next chapter to present additional original data on how the confidence of the public in modelling methodology may have an effect on their planned health behaviour change as recommended in public health policy. The thesis narrative continues in the final data-driven chapter to describe how health policymakers use modelling methods and scientific evidence to inform and construct health policies for the prevention of infectious diseases, and concludes with a narrative chapter that evaluates the breadth of this data and recommends strategies for the optimal use of modelling methodologies when informing public health policy in applied public health scenarios.

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Walker, Ryan Christopher. "Planning supported housing for people with serious mental health issues." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ52031.pdf.

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34

Wong, Lai-shan Queenie, and 黃麗珊. "Mortality patterns in Hong Kong: some implications for health planning." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1987. http://hub.hku.hk/bib/B31975197.

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35

Omuson, Victoria. "Planning a Smoking Cessation Program in a Mental Health Hospital." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1506.

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The incidence of smoking among mentally ill people is very high. Smokers have a 50%, rate of mental illness diagnosis compared with 23% rate for general population. To address this problem, the purpose of this project was to plan a smoking cessation program for patients in a mental health facility. The theoretical foundation for this project was based on the theory of planned behavior, which identifies the predictive nature of smoking and the benefits that can be derived from implementing a systematic approach for change. The project question examined the effectiveness of smoking cessation program using educational support, pharmacological strategies, and bi-weekly meetings to help patients in a mental health hospital to decrease smoking behavior. The project design was based on use of smoking questionnaires, the Hooked on Nicotine Checklist (HONC), effective pharmacological strategies, educational support, and counseling treatments to evaluate symptoms of dependency. The key results of this project included the creation of a plan that could foster reduction in illness, improved quality of life, and reduced costs related to the onset of major illness in this vulnerable population. This data collection process focused on a qualitative design in which selected professionals were asked to review the materials and answer questions. This project could increase awareness of the issue of smoking; in addition, this project could equip nurses with the tools to deliver evidence based interventions for tobacco dependence that may significantly reduce tobacco use. This project has the implications for positive social change through its potential to improve the health of people with mental illnesses. It also creates a safe and healthy environment in mental health facilities for patients who do not smoke.

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Thompson, Helen V., and HEALTH CARE FACILITIES REQUIREMENTS DEPARTMENT OF DEFENSE INFORMATION SYSTEMS HEALTH DEPTH PLANNING EXECUTIVES WARTIME STANDARDS MILITARY MEDICINE MEDICINE THESES NAVAL PERSONNEL PEACETIME AUTOMATION STRATEGY. "Navy Health Care Strategic Planning Process: a draft functional description." Thesis, Monterey, California. Naval Postgraduate School, 1993. http://hdl.handle.net/10945/26648.

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This thesis explores the Navy Health Care Strategic Planning Process (NHCSPP) and attempts to apply the Department of Defense Automated Information Systems (AIS) Documentation Standard (DOD-STD-7935A) to develop a draft a functional description for the automation of the NHCSPP as module of the Navy Medical Executive Information System. The thesis begins with a discussion of Wartime and Peacetime Health Care Planning. This is followed by an in depth evaluation of the Navy Health Care Strategic Planning Process. The Navy Medical Executive Information System is then discussed, followed by the Functional Description Overview. The research indicates that Navy Health Care Strategic Planning is an extremely complex and intricate process and as such, traditional methodologies that emphasize capturing and representing users requirements upfront, i.e. DOD-STD-7935A, are not appropriate for automating the planning process. Additionally, the health care planning process needs to be standardized across all branches of the armed services. It is further ended that Navy Medicine create a workgroup of end-users and functional experts to develop a more detail functional description

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37

Donnelly, Pamela Christine. "Marketing planning in the National Health Service : implementation and consequences." Thesis, Anglia Ruskin University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325397.

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38

Keenaghan, C. "Public consultation in public health policy and planning in Ireland." Thesis, Queen's University Belfast, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.432596.

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39

Martin, Christopher A. "Accounting for individual choice in public health emergency response planning." Thesis, Kansas State University, 2013. http://hdl.handle.net/2097/16993.

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Master of Science
Department of Industrial and Manufacturing Systems Engineering
Jessica L. Heier Stamm
During public health emergencies, organizations in charge require an immediate and e ffcient method of distributing supplies over a large scale area. Due to the uncertainty of where individuals will choose to receive supplies, these distribution strategies have to account for the unknown demand at each facility. Current techniques rely on population ratios or requests by health care providers. This can lead to an increased disparity in individuals' access to the medical supplies. This research proposes a mathematical programming model, along with a solution methodology to inform distribution system planning for public health emergency response. The problem is motivated by distribution planning for pandemic influenza vaccines or countermeasures. The model uses an individual choice constraint to determine what facility the individual will choose to receive their supplies. This model also determines where to allocate supplies in order to meet the demand of each facility. The model was solved using a decomposition method. This method allows large problems to be solved quickly without losing equity in the solution. In the absence of publicly-available data on actual distribution plans from previous pandemic response e fforts, the method is applied to another representative data set. A computational study of the equity and number of people served depict how the model performed compared to the actual data. The results show that implementing an individual choice constraint will improve the effectiveness of a public health emergency response campaign without losing equity. The thesis provides several contributions to prior research. The first contribution is an optimization model that implements individual choice in a constraint. This determines where individuals will choose to receive their supplies so improved decisions can be made about where to allocate the resources. Another contribution provided is a solution methodology to solve large problems using a decomposition method. This provides a faster response to the public health emergency by splitting the problem into smaller subproblems. This research also provides a computational study using a large data set and the impact of using a model that accounts for individual choice in a distribution campaign.

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40

Bertsch, Kylie M. "Day-of-Discharge Planning at Acute Care Hospitals." Wright State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=wright1405077734.

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41

Hartshorne, Wendy Anne. "Measuring the health of business nodes." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50396.

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Thesis (MPhil)--University of Stellenbosch, 2005.
ENGLISH ABSTRACT: South Africa requires sustained economic growth in order to alleviate the poverty of its urban population. This study is based on the hypothesis that in order to sustain the existing "good" infrastructure and secure the "high-quality" human resource base of our country, it is necessary to be proactive with regard to the management of commercial/business nodes in order to ensure that they do not deteriorate or become stifled and/or excluded from delivering their full economic potential/contribution towards the urban economy. This study contains a synopsis of the research conducted by the author on behalf of the City of Cape Town - Economic Development and Tourism Directorate during 2003. The purpose was to develop a uniform model to ascertain and monitor the economic health of business areas within the Cape Town metropole. The research was presented to the City of Cape Town in the form of a protocol, which has subsequently been utilised to establish economic profiles for the Athlone Central Business District, Gatesville/Rylands business centre and Airport Industria. The focus and purpose of the protocol was to place tbe City Council in a position whereby the relative economic health of specific business/mixed-use areas within the Cape Metropolitan Area can be properly assessed, selected interventions made where necessary and results monitored. The point of departure that was adopted from the outset was that the assessment need not just relate to negative trends or indications of economic distress, but that there is substantial merit in assessing nodes that are seemingly "getting it right" or "booming".
AFRIKAANSE OPSOMMING: Suid-Afrika benodig volgehoue ekonomiese groei ten einde die armoede van sy stedelike bevolking te verlig. Hierdie navorsing is gebaseer op die hipotese dat ten einde die bestaande "goeie" infrastruktuur te handhaaf en ons land se menslike hulpbronbasis van hoë gehalte te verseker, dit nodig is om proaktief te wees ten opsigte van die bestuur van kommersiële/sakepunte ten einde te verseker dat hulle nie agteruitgaan of doodwurg en/of uitgesluit raak van die lewering van hulle volle ekonomiese potensiaal/bydrae tot die stedelike ekonomie nie. Hierdie tesis bevat 'n sinopsis van die navorsing wat die outeur gedurende 2003 namens die Stad Kaapstad - Direktoraat: Ekonomiese _Ontwikkeling en Toerisme - gedoen het. Die doel was die ontwikkeling van 'n eenvormige model om die ekonomiese welstand van sakegebiede binne die Kaapstadse metropool te bepaal en te monitor. Die navorsing is in die vorm van 'n protokol aan die Stad Kaapstad gelewer. Die protokol is daarna aangewend om ekonomiese profiele vir die Athlone Sentrale Sakegebied, Gatesville/Rylands sakesentrum en Airport Industria op te stel. Die fokus en doel van die protokol was om die Stadsraad in 'n posisie te plaas waardeur die relatiewe ekonomiese welstand van spesifieke sakegebiede of gebiede met verskillende ondernemings in die Kaapse Metropolitaanse Gebied behoorlik geassesseer kan word, geselekteerde intervensies waar nodig gemaak kan word en resultate gemonitor kan word. As uitgangspunt is van die begin aanvaar dat die behoefte aan assessering nie net met negatiewe tendense of aanduidings van ekonomiese nood verband hou nie, maar dat daar ook wesenlike meriete lê in die assessering van gebiede wat op die oog af "dinge regkry" of "floreer".

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42

Garske, Gary L. "Continuity planning for local public health agencies in northern Wisconsin : providing essential public health services after displacement /." Connect to online version, 2009. http://digital.library.wisc.edu/1793/37472.

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43

Eilbert, Kay Wylie. "A Community Health Partnership Model: Using Organizational Theory to Strengthen Collaborative Public Health Practice." Diss., Health Services Management and Leadership, George Washington University, 2003. http://hdl.handle.net/1961/123.

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Degree awarded (2003): DPhPH, Health Services Management and Leadership, George Washington University
Abstract Community partnerships are an increasingly popular strategy for improving community health. This popularity is based less on evidence than on rhetoric. This research developed and tested a systems model of partnership to improve the practice of collaboration in public health. Basing the need for partnerships on the multi-sectoral nature of health, the model used open systems theory to set out requirements for partnership. Institutional theory suggested that problems faced by partnerships may result from partners meeting requirements for legitimacy. Change is, therefore, required, both in organizations and in their institutional environment. Using exploratory case studies, the study design involved site visits to two community health partnerships (West Virginia Community Voices and Healthy New Orleans). Mixed qualitative methods included semi-structured interviews, focus groups, and document review. Analysis involved interpreting informants responses in terms of evidence representing the model and for new elements. Evidence from practice suggested several revisions to the model. One involved applying a typology of organizational affiliation, with partnership toward one end of the continuum. Use of this typology permitted an extension of the model to understand the form of affiliation practiced by Community Voices and of Healthy New Orleans. Multiple opportunities to network and build coalitions in Community Voices led to increased chances of success in achieving health improvement goals. Networking opportunities for individual volunteers led to an informal Healthy New Orleans organization. Results of this research led to an analytic fit between the two sites and the community health partnership model. Recommendations are offered for practice, research, and for funding agencies. With further research, the model can be used to develop practical tools to guide and assess partnerships as a strategy to improve health, as well as to identify environmental barriers to partnership and strategies for change.
Advisory Committee: Kathleen Maloy JD PhD (Chair), Vincent Lafronza ScD, Chris Johnson EdD

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44

Buys, Lüet Schraader. "Bridging the divide between primary health care and community." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/22998.

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South African cities have a complex social and physical post-Apartheid layering. The historical legacy, referring here specifically to the inadequate roll-out of public facilities in areas and uprooting as well as separating of communities, have resulted in under serviced environments that can lack social cohesion and often struggle with poverty. Public institutions play a catalytic role within a community. To this end, health care portrays the government in a legible 'provider' role and is, in some ways, an obvious way to make citizens feel valued in comparison with other public institutions. Health care institutions impact the community in a unique way due to the combination of specificity of service and the emotive way it is experienced by the individual. This dissertation aims to research, define (and ultimately) test a strategy that aims to stitch together the fissure between community and institutions, by rethinking the urban interface of generic primary health care facilities. This research is structured around themes of theory, policy, the continuum of care and physical environments; each in order to better understand what and how the 'gap' between health care institution and community is constructed. Programmatic and/or spatial ideas that inform the architectural design. This dissertation asserts that providing 'traditional' generic institutions sustains rather than improves the life of the community. The research suggests that existing health care facilities can be more effective as public spaces by introducing new programmes, disaggregating the formal interface, redefining and activating a new urban threshold and providing meaningful open space. The design ultimately aims to act as a new skin or threshold through which institutions relate to the community.

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45

Wijk, Katarina. "Planning and implementing health interventions : extrapolating theories of health education and constructed determinants of risk-taking /." Uppsala : Dept. of education, Uppsala Univ, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3901.

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46

Alexander, Kathy. "Promoting health at the local level : a management and planning model for primary health care services /." Title page, contents and introduction only, 1994. http://web4.library.adelaide.edu.au/theses/09PH/09pha376.pdf.

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47

Williams, Anthony Bryan. "From Medicare to National Health Insurance: The Movement Towards Planning in U.S. Health Policy, 1963-1974." The Ohio State University, 1994. http://rave.ohiolink.edu/etdc/view?acc_num=osu1391777204.

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48

Poku, Alfred Boateng 1974. "Decentralization and health service delivery : Uganda case study." Thesis, Massachusetts Institute of Technology, 1998. http://hdl.handle.net/1721.1/69394.

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49

Daepp, Madeleine I. G. (Madeleine Isabelle Gorkin). "Three Essays on residential mobility, housing, and health." Thesis, Massachusetts Institute of Technology, 2020. https://hdl.handle.net/1721.1/129066.

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Thesis: Ph. D. in Urban and Regional Planning, Massachusetts Institute of Technology, Department of Urban Studies and Planning, September, 2020
Cataloged from student-submitted PDF of thesis.
Includes bibliographical references (pages 107-121).
Over 700,000 people moved for health reasons in the last year, and many more moved for reasons in which health was implicated, such as to escape climate hazards. Changes in the extent to which a residence promotes health should change housing prices--an important health and social exposure in its own right, as well as a mechanism through which numerous other features of a place are reshaped--yet the relationships between residential mobility, health, and housing markets remain poorly understood. This dissertation comprises three papers on the association of residential mobility with health and housing. In the first paper, I evaluate the effect of a localized change in healthcare access--the 2006 Massachusetts Healthcare Reform--on housing prices and interstate migration along the state border.
I find an increase in the prices of affordable housing that is offset by a commensurate decrease in the price of luxury housing; I also observe a small increase in migration into Massachusetts versus into neighboring states. My second paper seeks to better understand the effects of climate migration on housing markets. Examining the impacts of displacement due to Hurricane Katrina, I show that housing prices decreased in destination neighborhoods that received the largest numbers of movers, relative to neighborhoods that did not receive large inflows. Effects are larger in predominantly Black destination neighborhoods than in predominantly White destination neighborhoods. I also find larger effects in places that received more economically disadvantaged movers relative to similar neighborhoods that received more advantaged movers.
My third paper describes a collaboration with the Healthy Neighborhoods Study Consortium, for whom I constructed a data set of estimated moving flows between Massachusetts neighborhoods. I then created a web-based app to make the resulting estimates accessible to planners, community organizations, and residents. An overarching theme of this work is the recognition that communities share housing and health challenges with the places to which former residents move and the places from which new residents arrive.
by Madeleine I. G. Daepp.
Ph. D. in Urban and Regional Planning
Ph.D.inUrbanandRegionalPlanning Massachusetts Institute of Technology, Department of Urban Studies and Planning

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50

Gould, Solange M. "Advancing Health Equity and Climate Change Solutions in California Through Integration of Public Health in Regional Planning." Thesis, University of California, Berkeley, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3733400.

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Climate change is a significant public health danger, with a disproportionate impact on low-income and communities of color that threatens to increase health inequities. Many important social determinants of health are at stake in California climate change policy-making and planning, and the distribution of these will further impact health inequities. Not only are these communities the most vulnerable to future health impacts due to the cumulative impacts of unequal environmental exposures and social stressors, they are also least likely to be represented in climate change decision-making processes. Therefore, it is imperative that public health and social equity advocates participate in climate change policy-making that protects and enhances the health and well-being of vulnerable communities. Regions have emerged as important policy-making arenas for both climate change and public health in California, because many drivers of climate change are also social determinants of health (e.g. land use, housing, and transportation planning); these play out regionally and are under regional governmental authority. However, the public health sector is not engaged adequately with climate change planning given the magnitude of risks and opportunities inherent for health. Examination of where public health and equity partners have engaged in regional climate change planning and policy-making may offer lessons for how to change the drivers of health inequities and climate change through this work.

This dissertation examines why the public health sector in California is not more engaged with climate change work and regional scale planning given current threats to and opportunities for health, and whether and how public health and social equity stakeholders’ participation in climate change solutions and regional scale planning can improve health and inequities outcomes and decision-making processes. The overarching goal of this research was to inform efforts to increase public health work on climate change and regional-scale planning, strengthen partnerships between public health, social equity, and climate change stakeholders, and formulate strategies that address climate change and health equity.

The first chapter of this dissertation was conducted in conjunction with a study at the Center for Climate Change and Health at the Public Health Institute, where we conducted semi-structured in-depth interviews (n=113) with public health and climate change professionals and advocates. I performed structured coding and conducted inductive-deductive thematic analysis within and across respondent groups. I found that individual-level barriers to public health engagement with climate change include perceptions that climate change is not urgent, immediate, or solvable, and insufficient understanding of public health impacts, connections, and roles. Institutional barriers include a lack of public health capacity, authority, and leadership due to risk aversion and politicization of climate change; a narrow framework for public health practice; and professional compartmentalization. Opportunities include integrating climate change into current public health practice; providing support for climate solutions with health co-benefits; and communicating, engaging and mobilizing impacted communities and public health professionals.

In the second chapter, I conducted two case studies of Sustainable Communities Strategies planning to achieve greenhouse gas reduction targets through integrated regional land use and transportation planning under California Senate Bill 375 (San Francisco Bay Area and Southern California). I used in-depth interviews (n=50) with SCS planning participants, public document review, and participant observation. I analyzed interviews using thematic analysis in an iterative inductive-deductive process. In both regions, climate change planning was a major lever for increasing the language, consideration, funding, and measurement of health impacts into the SCS plans. Public health’s analytic skills and social determinants of health conceptual framework were valuable for both regional planning agencies and equity groups. Political context influenced the priority concerns, framing, and outcomes. Desire to improve public health was influential in both of these environments. In the Bay Area, a health equity frame promoted regional solutions that can improve health, equity, and climate change. In SCAG, a public health frame increased awareness, language, and future funding for active transportation. Public health was a less contested and commonly held value across diverse political jurisdictions that may be an entry point for future discussions of equity and climate change. In both regions, reform of regional governance processes was pursued to sustain institutionalization of health and equity concerns and improve regional democracy. I discuss implications and recommendations for engaging in multi-system integrated regional planning that can simultaneously improve climate change, health, and equity.

In the third chapter, I analyze the same data as a case for understanding regional-scale public health, social equity, and regional planning staff efforts to slow climate change and improve social determinants of health and social equity. In both regions multi-year SCS planning processes, public health and equity stakeholder engagement was instrumental in getting health goals, targets, and indicators into plans. In the Bay Area, advocacy efforts yielded health and equity language in policies and implementation funding guidelines and changes to the basic governance structure. In SCAG, advocacy efforts yielded significant future funding for active transportation and more metrics to monitor the health and equity impacts of planning. Participants in the SCS planning process described their motivations for engaging at the regional level, the barriers to effective regional planning, the achievements of their engagement, and recommendations for improving future efforts. In the interviews, three main themes emerged related to the opportunities and challenges of working at the regional scale: (1) Building regional identity as a foundation for advancing health and equity; (2) The importance of governance structures for health and equity, and the need for regional governance reform; (3) The prospects and barriers of building regional coalitions both within public health networks and with regional equity partners. I discuss implications and recommendations for public health’s engagement with regional planning agencies, creation of coalitions, and reforming of regional governance structures to sustain better consideration of climate change, health, and equity.

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Дисертації з теми "Health planning"

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