Дисертації з теми "Health services innovation"
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Ziglio, Erio. "Uncertainty and innovation in health policy : the Canadian and Norwegian approaches to health promotion." Thesis, University of Edinburgh, 1985. http://hdl.handle.net/1842/19439.
Повний текст джерелаPetrich, Mark William. "Innovation in Community-Based Health Services: A Multiple Case Study Exploration." Thesis, Curtin University, 2020. http://hdl.handle.net/20.500.11937/81967.
Повний текст джерелаFerlie, E. "Efficiency improving innovation in the community care of the elderly." Thesis, University of Kent, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.370373.
Повний текст джерелаFox, Amanda R. "Factors influencing sustainability of health service innovation, emergency nurse practitioner service." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/92994/1/Amanda_Fox_Thesis.pdf.
Повний текст джерелаHeaney, David. "Organisational change and remote and rural health care delivery : identifying the attributes of successful innovation." Thesis, University of Aberdeen, 2013. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=211425.
Повний текст джерелаKollberg, Beata. "Performance Measurement Systems in Swedish Health Care Services." Doctoral thesis, Linköping : Department of Management and Engineering, Linköpings universitet, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-9302.
Повний текст джерелаSansourekidou, Patricia. "Accessibility of Innovative Services in Radiation Oncology." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7738.
Повний текст джерелаRoberts, Lance L. "Leadership safe practices snd their relationship with hospital deployment of the medication reconciliation innovation." Diss., University of Iowa, 2010. https://ir.uiowa.edu/etd/879.
Повний текст джерелаNjoku, Vicente. "Strategies Hospital Administrators Utilize to Optimize Patient Services." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7496.
Повний текст джерелаWilson-Evered, Elisabeth 1956. "The leadership and workgroup requirements that organizations need to ignite and fan the flames of innovation." Monash University, Dept. of Management, 2002. http://arrow.monash.edu.au/hdl/1959.1/7899.
Повний текст джерелаHu, Xiao Xia Public Health & Community Medicine Faculty of Medicine UNSW. "Improving quality while reducing cost : an innovation journey." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2003. http://handle.unsw.edu.au/1959.4/20464.
Повний текст джерелаGardner, John. "A sociology of medical innovation : deep brain stimulation and the treatment of children with dystonia." Thesis, Brunel University, 2014. http://bura.brunel.ac.uk/handle/2438/8714.
Повний текст джерелаDennis, Matthew. "The role of community-led innovation in the adaptive capacity of ecosystem services in an urban social-ecological system." Thesis, University of Salford, 2015. http://usir.salford.ac.uk/35449/.
Повний текст джерелаVianna, Rodrigo de Souza. "Processo decisório e inovação em serviços: um estudo a partir da trajetória de uma instituição hospitalar." Universidade do Vale do Rio dos Sinos, 2015. http://www.repositorio.jesuita.org.br/handle/UNISINOS/4955.
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UNISINOS - Universidade do Vale do Rio dos Sinos
A adequada articulação entre processo decisório e inovação em serviços pode levar ao sucesso ou fracasso de uma empresa ou instituição. A inovação em serviços é também o resultado de um processo decisório, e este deve ser bem gerenciado, de forma a abarcar os possíveis desdobramentos deste processo, principalmente para evitar eventuais vieses. A reflexão sobre processo decisório e inovação em serviços no ambiente hospitalar também se justifica pela atualidade do tema. A administração hospitalar é resultado de um sistema que se expandiu, e o hospital é visto como uma empresa moderna. A vantagem competitiva em saúde pode ser obtida através de estratégias de diferenciação ligadas a muitos fatores geradores de custos (estrutura hospitalar e operacional, cultura da organização, entre outras), que precisam ser administrados (PORTER e TEISBERG, 2007; KLOCK, 2009; NEVES, 2009). O estudo buscou demonstrar como ocorre o processo decisório para inovação em serviços em uma instituição hospitalar que, recentemente, implementou novos serviços e em breve ampliará toda a sua estrutura física (inclusive com novas tecnologias e serviços). O estudo também percorreu uma trajetória de forma a verificar se os novos serviços podem ter auxiliado nos resultados financeiros da instituição. No desenvolvimento do trabalho, foram realizadas pesquisas em doutrinas, sites, artigos, bem como coleta de dados através de documentação fornecida pela instituição e entrevistas com alguns tomadores de decisão da instituição. O estudo teve como objetivo geral identificar o funcionamento do processo decisório na inovação em serviços em um ambiente hospitalar, e verificar de que forma tais inovações podem ter impactado os resultados financeiros da instituição. Já os objetivos específicos deste trabalho foram identificar como funciona o processo decisório da instituição hospitalar em estudo, quais as inovações em serviços foram implementadas recentemente, bem como quais foram os seus objetivos e resultados financeiros alcançados. Analisando os dados coletados, buscou-se entender se as decisões tomadas, sobre os novos serviços, realmente beneficiaram o desempenho da instituição. Os principais resultados sugerem que existe relação entre os investimentos em novos serviços e os resultados da instituição. Assim, a decisão pela ampliação da estrutura física, que também será acompanhada de novos investimento em serviços, pode ter sido uma acertada decisão.
Proper coordination between decision-making and innovation in services can lead to success or failure of a company or institution. Innovation in services is also a result of a decision-making process, and this must be well managed in order to cover the possible consequences of this process, mainly to avoid any bias. The consideration of decision-making and innovation in services in hospitals is also justified because this theme is current. The hospital administration is a result of the system that has expanded, and the hospital is seen as a modern company. Competitive advantage in health can be achieved through differentiation strategies related to many factors causing costs (hospital and operational structure, culture of the organization, etc.) that need to be administered (Porter and Teisberg, 2007; Klock, 2009; Neves, 2009). The study sought to demonstrate how is the decision-making process for innovation in services in a hospital,whichrecently implemented new services and soon it will expand its entire physical structure (including new technologies and services). The study also covered a trajectory in order to demonstrate if the new services may have aided the recent results of the institution. In developing this work, surveys were conducted in doctrines, websites, articles, and data collection through documentation provided by the institution and interviews with some decision makers of the institution. As a general aim, the study wanted to identify the functioning of the decision-making process on innovation in services in a hospital setting, and check how these innovations impact the results of the institution. As for the specific objectives of this study they were to identify how the decision-making process works, which innovations in services have been implemented recently, and what were your goals, beyond of understanding the relationship between decision-making and innovation in services in the context of the study. Analyzing the data collected, we sought to understand whether the decisions taken on the new services actually benefited the performance of the institution. The main results suggest that there is a relationship, although not significant, between investments in new services and the results of the institution. Thus, the expansion of physical infrastructure, which will also be accompanied by new investments in technologies and services, suggests a positive conclusion as to the decision made.
Telemo, Nilsson Sara, and Laurinda Rexha. "When the physical patient becomes digital : A study of the innovation “digital health care center” on the Swedish market." Thesis, Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-32145.
Повний текст джерелаEriksson, Per Gustav. "Analysis of Physiotherapists Perceptions for Improvement of Digital Innovation." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279129.
Повний текст джерелаEdvardsson, Kristina. "Health promotion in pregnancy and early parenthood : the challenge of innovation, implementation and change within the Salut Programme." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-70172.
Повний текст джерелаBakgrund: År 2005 lanserade Västerbottens läns landsting en hälsofrämjande satsning “Salut” som svar på en oroande förekomst av övervikt och fetma samt trender till ökad förekomst av karies hos barn i länet. Satsningen, som initialt utvecklades i fyra pilotområden, bygger på tvärprofessionellt och verksamhetsövergripande samarbete och syftar till att stödja och stärka hälsofrämjande insatser inom landstinget och länets kommuner. Satsningen riktar sig till barn och unga (0-18 år) och deras föräldrar, med start under graviditeten. Denna avhandling fokuserar på insatser som erbjuds via mödrahälsovård, barnhälsovård, tandvård och öppen förskola riktade till blivande föräldrar och familjer med barn i åldern 0-1 ½ år. Med utgångspunkt från Salut-satsningen syftar avhandlingen till att undersöka socio-demografiska mönster av övervikt och fetma hos blivande föräldrar (I), förstagångsföräldrars upplevelser av hälsofrämjande insatser och förändrade levnadsvanor under graviditet och tidigt föräldraskap (II), personalens upplevelser av underlättande och hindrande faktorer för satsningens införande och uthållighet (III, IV), samt förändringar i arbetssätt och samarbete mellan verksamheterna efter den länstäckande spridningen av satsningen (IV). Metod och resultat: En populationsbaserad tvärsnittsstudie bland blivande föräldrar visade på övervikt och fetma hos 29% av kvinnorna (vikt före graviditet) och hos 53% av männen (n=4352♀, 3949♂). Lägre utbildningsnivå, arbetslöshet och sjukskrivning samt att bo utanför städerna visade sig öka sannolikheten för fetma. Hos en övervägande del av paren (62%) fanns minst en partner med övervikt eller fetma och samband kunde även påvisas mellan kvinnans och mannens BMI (I). En intervjustudie med 24 förstagångsföräldrar (n=12♀, 12♂) visade att föräldrarna främst förändrade sina levnadsvanor för att säkra hälsan hos fostret under graviditeten och för att skapa en hälsosam miljö för barnet under uppväxten. Föräldrarna beskrev sig själva som mycket mottagliga för information om hur deras levnadsvanor kunde påverka fostrets hälsa och de diskuterade ofta graviditetsrisker i relation till tobak och alkohol samt gifter och smittoämnen i livsmedel. Föräldrarna var dock mindre angelägna att förändra sina levnadsvanor med tanke på sin egen hälsa. De upplevde att mödrahälsovårdens och barnhälsovårdens insatser i huvudsak riktades till kvinnor och beskrev en avsaknad av helhetssyn på familjen, vilket även avspeglades i upplevelser av att papporna behandlades som mindre viktiga (II). En intervjustudie med personal (n=23) inom pilotområdena, två år efter utveckling och införandet av Saluts insatser, indikerade god uthållighet av satsningen, även om en lägre följsamhet till insatserna beskrevs inom barnhälsovården. Faktorer som av personalen beskrevs påverka uthålligheten identifierades på flera organisatoriska nivåer (III). En före- och efterstudie bland personal (n=144) mätte effekter av den länstäckande spridningen av satsningen i 13 av länets 15 kommuner. Resultaten visade på flera signifikanta förbättringar av de hälsofrämjande arbetssätten och ett ökat samarbete mellan verksamheterna. En enkät med öppna frågor riktad till personalen belyste också faktorer på flera organisationsnivåer som ansågs underlätta respektive hindra införandeprocessen (IV). Slutsats: Salut-satsningen, som är utvecklad i nära samarbete med verksamheternas personal och väl integrerad i redan existerande organisatoriska strukturer och arbetssätt, visar på potential att förbättra hälsofrämjande arbetssätt och samarbete mellan verksamheter. Aspekter som beskrivits och diskuterats kan vägleda satsningens fortsatta utveckling såväl som framtida nya initiativ. Resultaten och slutsatserna kan även användas i syfte att påverka policy, praxis och framtida forskning. Detta avser framförallt hälsofrämjande och sjukdomsförebyggande metoder, pappans roll under graviditet och tidigt föräldraskap samt kunskaper om faktorer som kan ha betydelse för genomförande och uthållighet av verksamhetsövergripande hälsofrämjande insatser.
Lucas, D. Pulane. "Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/2996.
Повний текст джерелаThyagaraj, Arjun, and Krishnakumar Narayanan. "Internet of Things (IoT) adoption in Indian Healthcare Industry-A case study from a hospital." Thesis, Högskolan i Halmstad, Akademin för företagande, innovation och hållbarhet, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-45313.
Повний текст джерелаRobertson, Karen E. "The diffusion of joint mother and baby psychiatric hospital admissions in the UK : an historical analysis." Thesis, University of Stirling, 2012. http://hdl.handle.net/1893/11295.
Повний текст джерелаWang, Tianyi. "International students’ stress : Innovation for health-care service." Thesis, Linnéuniversitetet, Institutionen för design (DE), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-76296.
Повний текст джерелаSavory, Clive. "User-led Innovation in the UK National Health Service." Thesis, Open University, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.518175.
Повний текст джерелаMarciano, Marcelo Antunes. "Gestão de serviços de saúde análise da qualidade dos sistemas de saúde público e suplementar do estado do Rio Grande do Sul." Universidade do Vale do Rio dos Sinos, 2014. http://www.repositorio.jesuita.org.br/handle/UNISINOS/3968.
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Este trabalho investiga como aumentar a qualidade dos serviços entregues à população pela gestão de operações em serviços de saúde, tanto no sistema público quanto na saúde suplementar, mais especificamente, em operadoras de plano de saúde e em hospitais do estado do Rio Grande do Sul (RS). O objetivo principal do presente trabalho consiste em analisar possibilidades de elevar a qualidade do sistema de saúde público e suplementar do estado do Rio Grande do Sul à luz do sistema dinâmico em que se inserem. Os objetivos específicos são: Mapear o sistema de saúde, por meio do pensamento sistêmico, e propor pontos de alavancagem à qualidade do sistema de saúde pública do RS; e Analisar a aderência aos critérios do Managed Care e de inovações em gestão de saúde, pelos atores “operadora de plano de saúde” e “hospital”. A dissertação é formada por dois artigos, cada um entregando um objetivo específico, e por capítulos adicionais que consolidam a entrega do objetivo geral. Quanto aos procedimentos metodológicos, a pesquisa parte de um paradigma positivista e orienta-se qualitativamente, fazendo uso de entrevistas, análise documental, coleta de dados secundários em bancos de dados de acesso público, análise por julgamento em dinâmica de grupo multidisciplinar e modelagem. Como resultados obteve-se a construção de um mapa que evidencia os atores e as relações desse sistema dinâmico, possibilitando a identificação de possíveis cenários, pontos de alavancagem e a sugestão de estratégias para auxiliar no aumento da qualidade do sistema de saúde pública do RS, bem como a construção de uma ferramenta, no caso, um questionário, por meio do qual foi possível verificar que os atores hospitalares contatados encontram-se mais aderentes do que as operadoras de plano de saúde contatadas com relação às boas práticas de gestão orientadoras do estudo. Argumenta-se que um sistema integrado de gestão, padronizado, empregado de forma sistêmica, com auxílio de estratégia organizacional, de inovações e com foco na cadeia de valor, contempla aspectos assistenciais, econômicos e competitivos, desses atores e, como consequência, pode contribuir para que as operadoras e hospitais possam aumentar a qualidade dos serviços prestados.
This work examines how to improve quality in health services, both in the public system and in supplementary health, more specifically, in health insurance companies and hospitals in the state of Rio Grande do Sul (RS). The main goal of the present work is to improve quality for the public and supplementary health systems in the state of Rio Grande do Sul under the dynamic system they are included into. Specific goals are: Mapping the health system through systemic thinking, proposing points of leverage regarding the quality of the public health system in RS; and analyzing the compliance with the Managed Care criteria and innovation in health management by the players, namely, “health insurance companies” and “hospitals”. The work is composed of two articles, each delivering a specific goal, and by additional chapters that consolidate the delivery of the general goal. As for the methodological procedures, the research develops from a positivist paradigm and it is based on a qualitative perspective, making use of interviews, document analysis, secondary data collection in public-access databases, analysis based on multidisciplinary group dynamics assessment and modeling. As a result, this led to the creation of a map that highlights players and relations of this dynamic system, allowing for the identification of possible scenarios, points of leverage, and the suggestion of strategies to help improve the quality of the public health system in RS, as well as the awareness that contacted hospital players were found to be more compliant than the contacted health insurance companies as far as good management practices that guided this study are concerned. We argue that a integrated and standardized management system, which is systematically used, with the help of organizational strategies, innovation, and a focus on the value chain, takes into account assistance-related, economic, and competitive aspects of these players and, as a consequence, it may contribute to improve quality to services provided.
Sherry, Julia Caroline. "Perceptions of water services and innovations to improve water services in Tanzania." Thesis, Virginia Tech, 2017. http://hdl.handle.net/10919/78238.
Повний текст джерелаMaster of Science
Snyder, Hannah. "Health Care Customer Creativity." Doctoral thesis, Linköpings universitet, Logistik- och kvalitetsutveckling, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-125723.
Повний текст джерелаGrego-Nagel, Anne C. "An exploratory study of the adoption of mobile telecommunications service in order to improve mobile health service development." Diss., Kansas State University, 2016. http://hdl.handle.net/2097/34554.
Повний текст джерелаDepartment of Industrial & Manufacturing Systems Engineering
Malgorzata J. Rys
This dissertation is the result of exploring the phenomenon of the adoption of a service innovation, in particular mobile telecommunications service, with the goal of informing the design of mobile health services. A grounded research study led to the finding that older adults may not abandon a legacy service, such as landline telecommunications service, when they adopted mobile telecommunications service. To further understand the results of the first study, a multidisciplinary literature review was undertaken and resulted in a typology of the factors of individual-level innovation adoption that can be applied by human factors professionals in the field. The three categories of factors included macro environmental, innovation-specific, and human factors. A research analysis of a study done by a county health department provided insights into what older adults contributed to the service production process in healthcare services including which common proxies do not accurately reflect the situations of older adults. A three-state process model of individual-level innovation adoption, which incorporated the role of a legacy system, was developed using the adoption patterns of mobile telecommunications services. In this model, individuals move from a state of using a legacy system to adopting a innovative system while still using the legacy system. After a period of time, the individual moves from the state of dual use to fully abandoning the legacy system and using only the innovative system. A compartmental mathematical model is developed to allow the model to be simulated and future service demand needs can be better predicted. Two decision-making processes were identified to be employed by individuals in the abandonment of a landline telecommunications services. Finally, recommendations for the design of mobile health services are provided.
Parry-Jones, Beth. "Innovative practice and occupational stress in care management." Thesis, Bangor University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.275178.
Повний текст джерелаLoh, Poh Kooi. "Innovations in health for older people in Western Australia." University of Western Australia. School of Medicine and Pharmacology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0051.
Повний текст джерелаKortstee, Michiel Jeroen Herman Willem. "Making sense of management innovation in health care." reponame:Repositório Institucional do FGV, 2018. http://hdl.handle.net/10438/25694.
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This thesis aims at exploring stakeholders’ perceptions of management innovation in health care. Rising health care costs due to technological innovation and demographic developments and advanced insights on how health and care could be organized drive the search for new organizational models and technologies that may contribute to better health outcomes for lower costs. Multiple stakeholders across the health care continuum need to collaborate in integrated care networks with multiple interdependent components. The study is based on qualitative exploratory research and consists of a literature review and a case-study at a management innovation in an university medical center. This study explores the vision and perceptions of stakeholders of innovation in healthcare, the innovation process through which management innovations evolve, underlying change and steering mechanisms, critical success factors and results. Management innovations and their implementation are considered complex. It is observed that due to different backgrounds and professional logics, stakeholders have partial and different understandings of integrated care concepts. Awareness of the different understandings explains the importance of an implementation approach of integrated care concepts where these perceptions converge. Sense making, the attribution of meaning to perceptions is essential here. Change does not happen in a vacuum, but emerges in interaction with other actors in the organization and its local context. It is observed in the literature and case-study that sense making processes are at work in the innovation process. Management innovation is merely a spontaneous, unplanned change process that starts with an intrinsic drive and emerges from how people frame what they see, relate it to their values and act upon it in interaction with others. It is a human, subjective, interactive, emergent selforganizing process of sensing and sense making that – if aligned with vision, values and intentions of people – can bring together different stakeholders in joint concepts of integrated care. Leading management innovation processes becomes a matter of guiding and creating room for self-organizing processes in organizations. Examples of management innovation from across the world demonstrate that management innovation can significantly contribute to better health outcomes for lower costs. The willingness, necessity and ability to change determine the pace. Exploring further and investing in the potential of management innovation may be a wise choice to make health systems more sustainable.
Esta tese tem como objetivo explorar as percepções dos stakeholders sobre inovação em gestão na área da saúde. Aumento dos custos de cuidados de saúde devido à inovação tecnológica e mudanças demográficas e insights avançados sobre como saúde e cuidados poderiam ser organizados impulsionam a busca de novos modelos organizacionais e tecnologias que podem contribuir para melhores resultados de saúde com menores custos. Múltiplos stakeholders em toda a cadeia de cuidados de saúde precisam colaborar em redes de atenção integradas com múltiplos componentes interdependentes. O estudo é baseado em pesquisa qualitativa exploratória e consiste em uma revisão da literatura e um estudo de caso de inovação em gestão em um centro médico universitário. A tese explora a visão e as percepções dos stakeholders sobre inovação nos cuidados de saúde, o processo de inovação através do qual as inovações de gestão evoluem, mecanismos subjacentes de mudança e direção, fatores críticos de sucesso e resultados. As inovações de gestão e sua implementação são consideradas complexas. Observa-se que, devido às diferentes origens e lógicas profissionais, os stakeholders possuem entendimentos parciais e diferentes dos conceitos de cuidado integrado. A conscientização dos diferentes entendimentos explica a importância de uma abordagem de implementação de conceitos de cuidados integrados nos quais essas percepções convergem. Sense-making, a atribuição de significado às percepções, é essencial aqui. A mudança não acontece no vácuo, mas surge em interação com outros atores da organização e seu contexto local. Observa-se na literatura e estudo de caso que processos de sense-making estão presentes no processo de inovação. A inovação gerencial frequentemente é um processo de mudança espontâneo, não planejado, que começa com uma motivação intrínseca e emerge de como as pessoas enquadram o que vêem, relacionam-se com seus valores e agem de acordo com eles em interação com os outros. É um processo humano, subjetivo, interativo, emergente de auto-organização de sensing e sense-making, que, se alinhado com a visão, os valores e as intenções das pessoas, pode reunir diferentes stakeholders em um único conceito de cuidado integrado. Os principais processos de inovação gerencial tornam-se uma questão de orientar e criar espaço para processos de autoorganização. Exemplos de varias partes do mundo demonstram que a inovação gerencial pode contribuir significativamente para melhores resultados de saúde com custos mais baixos. A vontade, necessidade e capacidade de mudar determinam o ritmo. Explorar mais e investir no potencial da inovação gerencial pode ser uma escolha sábia para tornar os sistemas de saúde mais sustentáveis.
Quaggio, Frederico Medeiros. "Contribuições para o modelo de desenvolvimento de novos serviços: um estudo de caso em serviços de atenção básica à saúde." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/3/3136/tde-23042009-175005/.
Повний текст джерелаNew Service Development (NSD) has received increasing attention from either service managers or service marketing researchers. This dissertation firstly discuss that NSD models developed from mass services or services shop experiences, do not totally comprehend more dynamic services challenges, specially professional services. Following a literature review that aims to identify which professional services characteristics may influence positively or negatively the new service development process, this dissertation uses a multiple case study research to evaluate if the theoretical framework built before is related to two public professional services innovations case. From theses conclusions, we point out some practical implications that we could observe and after that we analyze if the NDS model proposed by Edvardsson et al (2000) is or is not prepared to deal with theses questions.
Niles, B., V. Gifford, Jodi Polaha, I. Rivkin, and C. Koverola. "Innovative Competency Training in Ethical Decision Making for Providers Delivering Telebehavioral Health Services." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/6612.
Повний текст джерелаBose, Ruchira. "Innovations in care for children with mental handicaps : an evaluation of the Canterbury and Thanet family link scheme." Thesis, University of Kent, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.305077.
Повний текст джерелаEngström, Jon. "Patient involvement and service innovation in healthcare." Doctoral thesis, Linköpings universitet, Kvalitetsteknik, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-106661.
Повний текст джерелаDenna avhandling syftar till en mer patientcentrerad och effektiv sjukvård. Den bidrar till en strömning inom forskningen som menar att sjukvården kan förbättras genom en omdefiniering av patientrollen – från en roll som passiv mottagare till aktiv, samskapande aktör. Patienten kan ses som en resurs både i utförande av vården (Anderson and Funnell, 2005; Berry and Bendapudi, 2007; Bitner and Brown, 2008; McColl-Kennedy et al., 2012; Nordgren, 2008) och inom utveckling och innovation (Bate and Robert, 2006; Groene et al., 2009; Longtin et al., 2010). Avhandlingen kombinerar sjukvårdsforskning (Anderson and Funnell, 2005; Nelson et al., 2002) med tjänsteforskning (Grönroos, 2006; Vargo and Lusch, 2008, 2004) i en forskningsansats som innefattar fyra vårdenheter och 68 patienter. Den utforskar tre aspekter av patientinvolvering och tjänsteinnovation. För det första undersöks konceptet patientinvolvering genom en omfattande litteraturöversikt av den empiriska forskningen på området. Översikten leder till en konceptuell modell för att beskriva patientinvolvering: vad dess förutsättningar är, vilka former av patientinvolvering som finns och vad patientinvolvering leder till. Avhandlingen diskuterar även begreppet värde och hur patienter kan samskapa värde, utifrån perspektiv inom vårdforskning och tjänsteforskning. För det andra föreslår avhandlingen en dagboksbaserad metod för att involvera patienter i tjänsteinnovation. Deltagande patienter skriver i denna metod ner sina ner sina idéer och upplevelser varje dag under två veckors tid. Mina kollegor och jag utvecklade metoden i samarbete med personal från de deltagande vårdenheterna och applicerade den på praktiken. Erfarenheterna från projektet och de deltagande patienternas bidrag användes för att utforska möjligheterna med patientinvolvering i utvecklingen av vården. Vi föreslår tre sätt att lära sig från det insamlade materialet: som direkta idéer till förbättringar; summerat till rapporter för att ge kvalitativ förståelse av andra kvantitativa mätningar; och enskilda patienters berättelser kan användas för att förmedla patientperspektivet i organisationen och mana till förändring. För det tredje undersöker avhandlingen patienters motivation att bidra till tjänsteinnovation, ett hittills outforskat område. Genom en analys av patienters bidrag och genom intervjuer med deltagare finner vi att patienter motiveras att delta av en rad olika anledningar, från ett behov av upprättelse till en glädje av att utföra aktiviteten. Deltagandet uppfattas som en social och meningsfull händelse. Patienter upplever psykiskt välbefinnande och stöd genom att delta, även om sjukdom kan vara ett hinder i deltagandet. Avhandlingen undersöker även hur de allra mest motiverade patienterna kan identifieras och inkluderas i tjänsteinnovation, detta inspirerat av lead user-metoden (von Hippel, 1986). Sammantaget utforskar avhandlingen patientinvolvering och tjänsteinnovation från nya perspektiv och bidrar därmed till våra gemensamma ansträngningar för att förbättra vården och patienters välbefinnande.
Deardorff, Karen Sickels. "Catalytic Innovations in Appalachia Ohio Health Care: The Storying of Health Care in a Mobile Clinic." Ohio : Ohio University, 2009. http://www.ohiolink.edu/etd/view.cgi?ohiou1245354639.
Повний текст джерелаBjörkehag, Jonathan, and Kristin Seglare. "Innovationssystem för medicinsk teknik i Stockholm : En undersökning av centrala omständigheter för organisatorisk samverkan." Thesis, Södertörn University College, School of Business Studies, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-2747.
Повний текст джерелаIntroduction In order to foster innovation of medical devices within the healthcare sector, a collaboration project, PUSH, has been initiated including the hospitals managed by the Stockholm County Council. The collaboration aims to capture ideas from employees and turn them into so called “high-practice” products as well as facilitate the possibilities for medical device companies to try out their products in the settings of healthcare. Collaborations for innovation, comparable to the PUSH project, can be found in both Swedish and foreign regions, but some of them fail to survive due to obstacles affecting the progress of each collaboration. Avoiding the same destiny will be a challenge to the PUSH project.
Purpose The purpose is to search for factors affecting organizational collaboration concerning innovation systems for medical device development. The study is focusing on ”high-practice” products within the PUSH project.
Theoretical approach In order to emphasize factors affecting innovation, theories regarding innovation systems, clusters and networks has been studied hence they all concern organizational collaboration.
Method The study’s qualitative approach is based on a semi deductive method. The analysis derives from a deductive outlook consistent with chosen theories, whereas collected data is used inductively to stress and enlarge part of the theoretical framework. Semi structured interviews, earlier research and evaluations constitutes most of the collected data.
Results and analysis Experience from collaborations for innovation shows that some affecting factors can’t be influenced by collaborators, as political decisions and medical device directives. Collaborators can however affect circumstances such as connections and networking, which is significant to manage the innovation process; from idea to commercialization. An explicit focus on commercialization is important to the collaboration project’s surviving opportunities. A central cause why innovation projects don’t last is lack of funding, both for commercializing certain products as well as for retaining and developing existing innovation structures.
Conclusion Collaborating projects should utilize existing structures and complement their networks to involve extensive competency. Decision makers need to decide whether innovation ventures shall be part of the County Council’s assignment. To fulfil the visions of the collaboration project, a policy common to all participants in the forthcoming innovation project needs to be stated, regarding ownership relations, risk sharing, funding and sharing of profits.
Bakgrund För att främja medicinteknisk innovation inom vården har ett utvecklingsprojekt för samverkan mellan Stockholms landstingsstyrda sjukhus påbörjats, under namnet PUSH (Produktutveckling inom Stockholms hälso- och sjukvård). Syftet med samverkan är att ta vara på landstingspersonalens idéer och utveckla s.k. high-practice-produkter samt att underlätta för medicintekniska företag att testa produkter i vårdmiljö. Liknande innovationssatsningar finns på olika håll i Sverige och utomlands, men det har varit problematiskt att få flera av dessa att överleva, då olika omständigheter påverkar utvecklingen av satsningarna. Samverkansprojektet mellan sjukhusen står således inför en rad utmaningar om de inte ska gå samma öde till mötes.
Syfte Syftet är att undersöka omständigheter som är centrala för organisatorisk samverkan inom innovationssystem för utveckling av medicinteknik. Utgångspunkten är utveckling av ”high-practice-produkter” inom projektet PUSH.
Teoretisk ansats För att belysa innovationspåverkande omständigheter i studien, har teorier om innovationssystem, kluster och nätverk studerats, utifrån att de behandlar organisatorisk samverkan.
Metod Studiens kvalitativa upplägg bygger på ett semideduktivt tillvägagångssätt. Utifrån ett deduktivt synsätt utgår analysen från befintliga teorier medan empirin på ett induktivt sätt ligger till grund för att framhålla och vidga delar av teorierna. Insamlad data utgörs till stor del av semistrukturerade intervjuer och tidigare undersökningar och utvärderingar.
Resultat och analys Erfarenheter från samverkansprojekt för innovationer visar att projekten påverkas delvis av omständigheter som ligger utanför projektens kontroll, som innovationspolitiska beslut och medicintekniskt regelverk. Påverkningsbara omständigheter är exempelvis att innovationsprojekt är beroende av ett välutvecklat kontaktnät som sträcker sig över hela innovationsprocessen, från utveckling av idén till kommersialisering. För långsiktig överlevnad är ett uttalat kommersialiseringsfokus av största vikt för projekten. En central orsak till att innovationsprojekt inte överlever på lång sikt är att det saknas finansiering, dels för kommersialisering av enskilda produkter och dels för att behålla och utveckla befintliga innovationsstrukturer.
Slutdiskussion För samverkansprojekt bör befintliga strukturer utnyttjas och kompletteras med en utvidgning av nätverket för att involvera en bredare kompetens. Beslutsfattare måste ta ställning till om huruvida innovationssatsningar ingår i landstingets uppdrag. En gemensam policy för ägarförhållanden och risktagande, finansiering och fördelning av eventuella vinster måste utarbetas om samverkansprojektets visioner ska kunna uppnås.
Ottosson, Ulrika, and Siri Rönnlund. "Implementation of a Mobile Healthcare Solution at an Inpatient Ward." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279145.
Повний текст джерелаWass, Sofie. "The importance of eHealth innovations : Lessons about patient accessible information." Doctoral thesis, Internationella Handelshögskolan, Högskolan i Jönköping, IHH, Informatik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-38045.
Повний текст джерелаChama, Samson. "Program Approach for Childheaded Households in Zambia." VCU Scholars Compass, 2008. http://scholarscompass.vcu.edu/etd/1614.
Повний текст джерелаBoak, George Stewart. "The competencies of leaders of innovative change in health service organisations : an exploratory study." Thesis, University of Leeds, 2007. http://etheses.whiterose.ac.uk/1438/.
Повний текст джерелаBjörkehag, Jonathan, and Kristin Seglare. "Karolinska Testbädd för Telemedicin och eHälsa : En analys av medicintekniska företags behov och krav på en samverkansmiljö för produktutveckling på Karolinska Universitetssjukhuset." Thesis, Södertörns högskola, Institutionen för ekonomi och företagande, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-4828.
Повний текст джерелаThe purpose is to study the demand for a testbed for telemedicine and to analyze the medical device-developing companies’ requirements on the testbed’s facilities when collaborating with the healthcare sector in their product development. The study’s aim is to result in a commercialization plan for Karolinska Testbed for telemedicine and eHealth, at the department of Biomedical Engineering at Karolinska University Hospital. During the study, 19 interviews and 6 telephone-interviews has been held with people from the medical device industry, hospitals, potential funders and collaboration structures which foster medical device development. A web-survey has been sent to 279 companies within the fields of medical technologies, IT and telecom, to quantify the results from the interviews. The study describes how the clinical research on medical technologies has changed over the last decades and what the situation is like today. Present and forthcoming challenges to the Swedish health care system is presented, like demographic changes, increasing healthcare-costs, expensive treatments and the scarcity of medical device innovations being commercialized. Obstacles affecting the medical device development are studied, including the regulatory differences between IT and medical devices. An analysis of the research on product and service development is also looked at from the perspectives on how the medical device companies develop their products, which is derived from both interviews and the web-survey. The result shows that medical device companies rely upon the ability to collaborate with the hospitals in different phases of their product development process and that there is an extensive need for a testbed structure amongst companies. The companies that collaborate with hospitals do it primarily because it makes their products more adaptive to functioning in the settings of healthcare, time to market and development costs can be decreased and it facilitates the process when validating the functionality of their products. Several companies have their ways of collaborating with hospital wards whilst others explicitly lack indispensable collaboration structures. The study has identified some companies which have shown interest in collaborating with Testbed Karolinska for telemedicine and eHealth and other ones whom wish to receive more information on what the testbed can offer them. In the commercialization plan it is suggested that Karolinska Testbed for telemedicine and eHealth shall focus on their niche and elaborate the competency which the companies doesn’t have. It is also suggested that the Testbed continues the work with developing the internal organization within Karolinska to enable efficient, flexible and qualitative collaboration between companies and the clinics at Karolinska University Hospital.
Летуновська, Наталія Євгенівна, Наталия Евгеньевна Летуновская, and Nataliia Yevhenivna Letunovska. "Marketing innovations in the tourism product of the sphere of health and treatment." Thesis, Kharkiv State University of Food Technology and Trade, 2020. https://essuir.sumdu.edu.ua/handle/123456789/80664.
Повний текст джерелаВ тезисах рассматриваются современные подходы к продвижению услуг медицинского туризма. Автор приводит конкретные примеры инструментов, которые помогают распространять информацию о продукте целевым потребителям медицинских услуг.
Theses consider modern approaches to the promotion of medical tourism services. The author gives specific examples of tools that help disseminate information about the product to target consumers of medical services.
Brantnell, Anders. "Exploitation of University-Based Healthcare Innovations : The Behaviors of Three Key Actors and Influencing Factors." Doctoral thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-317934.
Повний текст джерелаEllison, Jeffrey H. "Rural Parents Mental Health Service Delivery Preferences: Overcoming Barriers to Care." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etd/1334.
Повний текст джерелаMostert-Phipps, Nicolette. "Health information technologies for improved continuity of care: a South African perspective." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/1619.
Повний текст джерелаRasia, Isabel Cristina Rosa Barros. "Relação entre as forças internas e externas na inovação em serviço na atenção primária à saúde." reponame:Repositório Institucional da UCS, 2015. https://repositorio.ucs.br/handle/11338/1310.
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This thesis focuses on the innovation in services at Health Primary Attention (HPA) andaims at analyzing the relationship between internal and external forces in the innovation in services at HPA in Pelotas, describing its organization and management ways, the procedures established for innovating, its guidance on the HPA, and the innovation generated/produced on the following dimensions: product, process, marketing, and organizational area (Manual de Oslo, 2005). Each dimension was analyzed under perspectives as follows: physical structure, human resources, appliances, medicines and materials, access to complementary examinations, management, and user service. Innovation on health services assumption is the improvement of production and efficiency, the increase on quality and responsiveness, the reduction on variation in care practice, and the increase of access to health services. The HPA includes the individual’s, family, and collectivity first level of contact with the health system. Research was performed through a cross-sectional, objective, exploiting method under a quantitative, qualitative nature of approach. A case study was conducted by the application of an empirical research to the population of managers linked to the health system of the local HPA asking about the health system forming, innovation in services, and its guidance on the HPA according to the Primary Care Assessment Tool, a tool validated by Starfield (2001) and (2010).Quantitative results show that the innovation in services were, as to their typology, mostly: product (98%), process (90%), and organizational (88%), and fewest in marketing (32%). In all dimensions, the perspectives presenting more innovations were connected to management, user care, and human resources. Regarding to “HPA orientation” outcome, the general average 6.91 (SD = 1,12) indicated that the local “UBS” are arranged in HPA. However, when stratified according to the attention model, the “UBS” working with the Family Health Strategy (FHS) scored 7.51 (SD = 0.71),while Traditional ones averaged 5.91 (dp = 0.95), considered as not guided in HPA (p = 0,000). As to the association of innovations and orientation in HPA it was seen under the gross analysis by Poisson Regression that they belong to the model that pays attention to FHS variables, which were significantly related to the orientation in HPA. In the adjusted analysis, however, only the variable attention model remained related to the outcome (2.86; IC 95% 2.18 – 6.91). The qualitative analysis identified that the county performs the full management model of its Municipal Health System and the processes of innovation in services are leveraged by the Federal Government, being the programs and projects launched at national level, along with the Municipal Secretariat of Health, developed with the effective participation of health teams from the Basic Unit of Health (BUH), based on planning and formalization, supported by the assigned community, Universities, Municipal Council of Health (MCH), and the Local Council of Health (LCH).
Yingyi, Lu. "Investigation of the Process for Generating Evidence for Innovations in Medical Technology." Thesis, KTH, Medicinteknik och hälsosystem, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-297527.
Повний текст джерелаHälsoteknikutvärdering (HTA) är en process som utvärderar värdet och effekterna avhälsoteknik i dess livscykel och ger vetenskaplig information till beslutsfattare. Klyftanmellan hälso- och sjukvård och innovation har dock lyfts fram inom fleraforskningsområden. HTA länkar forskning och beslutsfattande genom att möjliggöramer transparenta processer och hög kvalitet på bevis för effektivare och säkrareMedTech-innovationer att nå och gynna sjukvård och patienter. Denna uppsats syftartill att undersöka HTA:s nuvarande status i olika länder jämfört med Sverige för attidentifiera de största hindren och möjliggörare i denna process och eventuellamöjligheter till lärande i olika system. Tyskland, Storbritannien och Finland är treländer som jämförs med Sverige i avhandlingen. Litteraturöversikt och intervjuer är de huvudsakliga metoderna som används för dettaprojekt. Forskargransakad litteratur, regeringsdokument och officiella webbplatser gaven översikt över HTA-systemen i utvalda länder och lade en solid grund för följandeintervjuer. Åtta intervjuer (nio intervjuade) med HTA-byråer och MedTech-företaggenomfördes via Zoom, tillsammans med en e-postkommunikation med Fimea.Intervjuerna användes som ett stödverktyg för att ge en bättre förståelse för hela HTAsystemet.Vissa personliga åsikter gav tillfälle att förstå HTA från ett alternativtperspektiv jämfört med dess beskrivning i litteraturen. Resultaten visar olika HTA-processer och bevisgenereringsvägar i fyra länder, samtsynpunkter från MedTech-företag. HTA i Sverige har två huvudvägar: SBU (viaregionala HTA centra) och TLV. Dessa två vägar har speciella egenskaper som fungerarannorlunda och med olika syften. När det gäller bevisgenerering ochbedömningsmetoder skiljs de även åt. Det är utmanande att jämföra dessa systemparallellt på grund av systemets komplexitet och olika sjukvårdsförhållanden i varjeland. Men alla länder, inklusive Sverige, bör inse brister i befintlig HTA och försökaminska bevisgenereringsgapet mellan förväntan och verkligheten. Under tiden skapasfler möjligheter för små MedTech-företag att delta i processen och delta aktivt iinternationella HTA-samarbeten.
Nodari, Cristine Hermann. "Dinâmica da inovação no serviço público da atenção primária à saúde." reponame:Repositório Institucional da UCS, 2013. https://repositorio.ucs.br/handle/11338/916.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, CAPES
The theory of innovation has developed intensively in recent decades, including the analysis of innovation in public health. Moreover, the services sector accounts in several countries, including Brazil , annual growth rates in excess of all other sectors of the economy. The Primary Health Care (PHC) is the essence of the reorientation and restructuring of many systems (OPAS, 2005), it acts as a core organizer and integrator of network services and promotion, prevention and rehabilitation of health. Given the importance of the issues guided by the aim to encourage better health in populations from the complex network of APS (MENDES, 2007), and understanding the importance of innovation in services for organizations , the aim of this thesis was to analyze the dynamics of innovation in the public service of APS. Considering the public environment, it was proposed that the APS has a structured logic for the development of innovations from ongoing interactions between different agents in the production of the service. To achieve this central proposition was the need to design holistically development, integration and impact of innovation in the service sector. The methodology used was an exploratory and descriptive divided into two stages of research. The first stage of the research used a semistructured interview to identify the typology of innovation in the industry and understanding of the innovation process. Also, we used a structured questionnaire to analyze the quality of the service under the guidance of APS. The second stage of the survey provided for the use of a structured questionnaire in order to identify the capabilities and preferences mobilized by agents for the occurrence of innovations. Made use of multivariate analysis of the collected data involving qualitative and quantitative techniques considering two steps. The main results show the identification of fifty six innovations related to quality of service under the guidance of APS. Also show a preponderance of server capacity in mobilizing innovation that permits configuring the innovation process in the public service of APS contributing in the design of an evidence – based approach to innovation.
Lindermann, Nadine [Verfasser]. "Open Health Service Innovations mit Web 2.0 : Design-Ansatz für den Einsatz von Web 2.0 zur Generierung offener Gesundheitsdienstleistungsinnovationen / Nadine Lindermann." Aachen : Shaker, 2016. http://d-nb.info/1124366032/34.
Повний текст джерелаJego, Maéva. "Améliorer la santé des personnes sans chez-soi : vers quelles innovations organisationnelles en soins primaires ?" Thesis, Aix-Marseille, 2019. http://www.theses.fr/2019AIXM0211/document.
Повний текст джерелаAim: to identify new forms of organization and adaptations to develop in primary care to improve the care of Homeless People (HP).Method: research by mixed methods. In the first phase we explored the views of general practitioners (GPs) about how they can provide care to HP. In the second phase we led a literature review, to describe the main characteristics of the primary care programs that take care of homeless people, and to identify which could be most relevant. In the third phase, we explored the experience and views of HP about primary care.Results: GPs expressed the need to develop medical and psychosocial approach with closer relation with social workers. In the litterature, almost all homelessness programs developed a multidisciplinary approach and / or offered co-located mental health, physical health and social services. Some characteristics were associated with significant positive outcomes: tailored primary care organizations, clinic orientation, multidisciplinary team-based models which included primary care physicians and clinic nurses, integration of social support, and engagement in the community’s health. The interviews with HP showed central relational expectations of HP for their general practitioner. More than a medical response, they expected to be listened to, considered and understood.Conclusion: Primary care programs that wish to better care for HP should develop a multidisciplinary, medico-psycho-social approach. The patient-centered approach appears warranted to improve the care experience of these patients
Larsson, Eva. "Innovationsvårdcentralens tillkomst : Medarbetares erfarenheter från ett förändringsarbete inom primärvård." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-23597.
Повний текст джерела