Дисертації з теми "Health system users law"
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1
Milioni, Konstantina. "Hospital Information Systems In Greece : Users' Perspectives." Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-54560.
Анотація:
Hospital Information Systems (HIS) are considering a significant aspect for supporting health care professionals in their work. However, a large number of them are often poor to provide the needed information for accomplishing various work activities in the oriented environment. The aim of this research is to address users’-Administrators and Clinicians- perceptions in order to gain a deeper knowledge about problems they encounter with daily work performed through IS. Additionally, the scope is extended into formulating suggestions through the employment of Soft System Methodology (SSM) that could bring improvements. A qualitative interpretive method with an inductive analysis was followed. Data collection completed through focus group interview sessions and the adoption of SSM three activities in order to acquire the complexity of the problem situation. Research findings revealed that despite IS Lisora serves as a tool for supporting users work operations, it causes significant problems in their daily operations since the information flow are not feasible. Thus, the research study suggests five feasible and desirable improvements that could improve the overall processes followed by the hospital’s users and bring improvements. In all, SSM was proved to be very efficient in identifying problems that exist. In this way proposed solutions to the problems were enlightened. The general hospital of Preveza shall benefit from the higher efficiency offered by the system, which in turn shall improve the quality of health-care services offered.
2
Silva, João José Francisco da. "Obama's law : analysis of a breakthrough law on healthcare access and lessons for the Portuguese health system management." Master's thesis, Universidade Nova de Lisboa. Escola Nacional de Saúde Pública, 2012. http://hdl.handle.net/10362/9667.
Анотація:
ABSTRACT - The Patient Protection and Affordable Care Act shook the foundations of the US health system, offering all Americans access to health care by changing the way the health insurance industry works. As President Obama signed the Act on 23 March 2010, he said that it stood for “the core principle that everybody should have some basic security when it comes to their health care”. Unlike the U.S., the Article 64 of the Portuguese Constitution provides, since 1976, the right to universal access to health care. However, facing a severe economic crisis, Portugal has, under the supervision of the Troika, a tight schedule to implement measures to improve the efficiency of the National Health Service. Both countries are therefore despite their different situation, in a conjuncture of reform and the use of new health management measures.
The present work, using a qualitative research methodology examines the Affordable Care Act in order to describe its principles and enforcement mechanisms. In order to describe the reality in Portugal, the Portuguese health system and the measures imposed by Troika are also analyzed.
The intention of this entire analysis is not only to disclose the innovative U.S. law, but to find some innovative measures that could serve health management in Portugal. Essentially we identified the Exchanges and Wellness Programs, described throughout this work, leaving also the idea of the possibility of using them in the Portuguese national health system.RESUMO - O Patient Protection and Affordable Care Act abalou recentemente as bases do sistema de saúde dos EUA, possibilitando a todos os cidadãos Americanos o acesso aos cuidados de saúde, alterando os mecanismos em que a indústria de seguros de saúde funcionava naquele país. Ao assinar a citada lei a 23 de Março de 2010, o Presidente Obama afirmou que defendia "o princípio fundamental de que todos devem ter alguma segurança básica quando se trata dos seus cuidados de saúde". Ao contrário dos EUA, o artigo 64 º da Constituição da República Portuguesa prevê desde 1976 o direito de acesso universal aos cuidados de saúde. No entanto, enfrentando uma forte crise económica, Portugal tem, sob a vigilância da Troika, um calendário apertado para implementar medidas que permitam melhorar a eficiência do Serviço Nacional de Saúde. Ambos os países se encontram, pois, apesar das situações serem diferentes, numa conjuntura de reforma e de utilização de novas medidas de gestão em saúde. O presente trabalho, utilizando uma metodologia (qualitativa) de pesquisa documental, analisa essencialmente o Affordable Care Act de forma a descrever os seus princípios e mecanismos de aplicação. O sistema de saúde português e as medidas a cumprir na área da saúde, ao abrigo do Memorandum da Troika são também analisadas no sentido de descrever a realidade portuguesa. O conjunto desta análise tem como finalidade, não só dar a conhecer a inovadora lei norte-americana, mas, sobretudo tentar encontrar algumas medidas inovadoras que pudessem servir a gestão da saúde em Portugal. Identificámos essencialmente as Exchanges e os Wellness Programs, as quais descrevemos no âmbito do trabalho, deixando a ideia de uma possível utilização das mesmas no sistema de saúde nacional.
3
Muller, Sabine. "A simple ergonomic intervention for neck and upper back musculoskeletal pain in computer users." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96938.
Анотація:
Thesis (MScPhysio)--Stellenbosch University, 2015ENGLISH ABSTRACT: Background: The use of computers at school, university, work and for social media is growing and whilst neck pain is common in the general population, computer users have an even higher prevalence. Incorrect workstation ergonomics have been identified as a risk factor for the development of neck pain in computer workers. Aims: To assess the effect of adjusting chair and monitor height of a female office worker’s computer workstation on work related neck and upper back pain intensity, comfort of her sitting posture and disability. Methods: An N=1 study was conducted using the A-B-C design consisting of a computer workstation adjustment involving chair and monitor height of a female office worker. The effect of the intervention was evaluated using the Visual Analogue Scale (VAS) to measure neck and upper back pain intensity and comfort of sitting position, and the Neck Disability Index to measure disability. The effect of the intervention was assessed over the three phases, consisting of four weeks each. During these phases, the participant could continue with her usual computer work. The results were compiled and tabulated. Results: A reduction in neck and upper back pain intensity as well as an increase in sitting comfort position were found. However these improvements were not statistically or clinically significant. The effect size for pain intensity was 0.76 and for sitting comfort 0.21. The participant reported no disability as measured by the Neck Disability Index, at the start and at the end at the end of the study. Conclusion: The vertical adjustment of this female office worker’s chair and monitor height according to her anthropometrics improved neck and upper back pain intensity and comfort of sitting position. This ergonomic workstation intervention could form part of a practical management option for computer users with neck and upper back pain. Further research is recommended to establish whether these findings are generalizable to the wider community of computer users.
AFRIKAANSE OPSOMMING: Probleemstelling: Die gebruik van rekenaars by skole, universiteite, werksplekke en vir sosiale doeleindes neem toe. Nek pyn kom dikwels in die algemene bevolking voor, maar dit is meer prevalent in rekenaargebruikers. ‘n Werkstasie wat nie ergonomies korrek opgestel is nie, is geidentifiseer as ‘n risikofaktor vir die ontwikkeling van nekpyn in rekenaar werkers. Doelwitte: Om te bepaal of aanpassings in die stoel- en beeldskerm hoogte van ‘n vroulike kantoor werker se rekenaar werkstasie, ‘n effek het op werksverwante nek en boonste rug pyn, sitgemak en funksionele vermoë. Methode: Die N=1 studie met ‘n A-B-C ontwerp is onderneem en het bestaan uit n rekenaar werkstasie aanpassing waarby die hoogte van die stoel en beeldskerm van ‘n vroulike relenaargebruiker aangepas is. Die effek van die intervensie is ge-evalueer deur middle van die visueel analoogskaal (VAS) om pyn en sitgemak te bepaal; en die Nek Ongeskiktheids Indeks (NOI) om gestremtheid te bepaal. Die effek van die intervensie is oor drie fases, wat elk bestaan het uit vier weke, evalueer. Gedurende die fases, kon die deelnemer met haar gewone rekenaarwerk voortgaan. Die resultate is saamgestel en getabuleer. Resultate: Daar was ‘n vemindering in die intensiteit van nekpyn, boonste rug pyn en die sitgemak van die individu het ook verbeter. Hierdie verbeteringe was egter nie statisties of klinies betekenisvol nie. Die effek grootte vir pyn intensiteit was 0.76 en vir sitgemak was 0.21. Die deelnemer het geen gestremdheid gerapporteer, soos gemeet met die NOI met aanvangs van die studie of teen die einde van die studie nie. Gevolgtrekking: Die vertikale hoogte-aanpassing van die stoel en beeldskerm van hierdie vroulike rekenaar werker volgens haar antropometrie het bygedra tot ‘n verbetering in nek en boonste rug pyn, asook sitgemak. Hierdie ergonomiese werkstasie intervensie kan deel vorm van die praktiese hantering van nek en boonste rug pyn in rekenaargebruikers. Verdere navorsing wod aanbeveel om te bepaal of hierdie bevindinge veralgemeenbaar is na die wyer gemeenskap van rekenaarverbruikers.
4
Lakpini, Clarence Sokolambe. "An examination of South Africa’s efforts at patent system reform: trips flexibilities fully appropriated for public health needs?" Master's thesis, Faculty of Law, 2020. https://hdl.handle.net/11427/31712.
Анотація:
The question that underlies this research is whether and to what extent does South Africa’s
moves to amend its Patent Act, as outlined in the country’s new Intellectual Property (IP)
Policy take advantage of the flexibilities made available through the Agreement on Trade-
Related Aspects of Intellectual Property (TRIPS)? Patents law and access to medicines are two areas which are not new to South African IP law. Since the late 1990s when the Human Immunodeficiency Virus (HIV) was at its peak, there has been a tensed relationship between IP, through patents, and access to medicines. While proponents for pharmaceutical patents have argued that patents are a necessary stimulant for innovation and development of new medicines, those against pharmaceutical patents have vigorously laid blame on the patent system for birthing monopolies which have led to unaffordable prices for many life-saving drugs. This dissertation examines the patent framework of South Africa and juxtaposes it with the TRIPS Agreement to determine if there is a gap with the regards to the flexibilities available under each, and if so, how much of a gap exists between them. Also, the recommendations made in the IP Policy which was released by the Department of Trade and Industry (DTI) in 2018, are evaluated to ascertain how aligned to the TRIPS flexibilities they will be if they are turned into law by the lawmaker. The Indian patent system is also looked at to see how it went about patent reform and what South Africa can learn from it. Finally, conclusions are drawn and recommendations made, regarding model language which reflects the recommendations in the Policy that the lawmaker may refer to in the amendment process.
Patent reform is a difficult task, and with lives hanging in the balance, a crucial one. The process in South Africa has lingered for many years without resolution. This dissertation highlights the need for urgency in the process with the hope that these changes catalyse into a more equitable patent system where the IP scale provides a more balanced eco-system in which both pharmaceutical patent owners and the general public who rely on their medicines can thrive. Although, a daunting task, a bold and proactive approach must be taken to ensure that the balance is reached timeously and efficiently.
5
Cumley, Samantha Renee. "Drug use, mental health and encounters with the legal system in Missoula County." CONNECT TO THIS TITLE ONLINE, 2007. http://etd.lib.umt.edu/theses/available/etd-05112007-130625/.
6
Salomonsson, Mutesi Janette. "End-user challenges after the implementation of a new health information system : A case study in one municipality in a region in the south of Sweden." Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-89046.
Анотація:
Swedish municipalities invest enormous amounts of resources in health information systems (HIS) in order to have a competitive edge, reduce cost in operations, faster storage and retrieval of patient information, foster transparency, efficiency and effectiveness in service delivery. This study examines the major challenges faced by the system end-users after the implementation of the new health information systems in the elderly and care homes in a municipality in a southern region of Sweden. The rationale for the examination is derived from the discovery that the municipality is yet to fully utilize the new-HIS, despite huge investments in procurement, supervision and training of users. The major reason why this topic was chosen was due to the challenges encountered while working as a care giver staff in one municipality in a southern region of Sweden. In this study, The technology acceptance model (TAM ) is used to better understand the current working of the new-HIS. Mixed methods are utilized to conduct the case study; semi structured interviews and questionnaire survey. The findings of this study are presented in the findings chapter and have shown many shortcomings in the use of the new-HIS such as limited supervision from top management, inadequate skills, inadequate computers, long procedures thus time wasting, insufficient resources like financing and policies among others as further discussed in the research findings chapter in this report. Finally, this study proposes the findings as contributions to the study of challenges faced by end-users after the introduction and reception of the new-HIS by the given case study; and it propagates share of experiences and lessons to be learned.
7
Pancerytė, Marija. "Sveikatos teisinė reforma Lietuvoje." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2009. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20090122_101852-64474.
Анотація:
Šio darbo objektas yra sveikatos sistemos teisinė reforma. Rašant šį darbą, pasitelkus teisės teoriją, bandoma atsakyti į klausimą ar sveikatos sistema gali būti laikoma sveikatos teisės dalyku. Toliau keliama hipotezė, jog sveikatos sistemą Lietuvoje, kaip teisinių santykių visumą būtina aiškiai teisiškai reglamentuoti. Siekiant įrodyti šią hipotezę nagrinėjama sveikatos sistemos samprata, jos formavimas ir įgyvendinimas kaip teisinių santykių visuma. Toliau pateikiama sveikatos sistemos teisinio reglamentavimo teisės sistemoje problematika. Darbe apžvelgiami pagrindiniai sveikatos sistemą reglamentuojantys teisės aktai. Juose siekiama išskirti tas teisės normas, kurios apibrėžia svarbiausias sveikatos reformos dalis. Kaip ir kiekvienoje reformoje bandoma atsakyti į aktualius klausimus: ką mes padarėme, kur mes dabar esame, ko siekiame ir kaip mes tai pasieksime. Apžvelgus reformos etapus, išanalizavus pagrindinius sveikatos sistemos teisės aktus, nustatomos problemos. Išskiriamos ir apibendrinamos pagrindinės sveikatos teisinės reformos Lietuvoje dalys: padėties analizė, pagrindiniai tikslai ir prioritetai bei priemonės. Šių magistro tezių apimtis yra 63 lapai.The object of the thesis is legal reform of the Lithuanian health system. This study targets the question whether the health system can be considered as a health law based on the law theory. Hypothesis of this study is that health system, as the whole complex of legal relationships, must be clearly legally regulated. In order to support the hypothesis the health system together with its development and implementation is analyzed as a whole of legal relationships. The topic of the health system legal regulation in the context of the law system is presented. The overview of the key legal regulations in the health system is given. The emphasis is made on those regulations that describe main parts of the health system reform. As usual in a reform it is sought to answer the following questions: what have we done, where we are at the moment, what do we want and how are we going to achieve this. The problems of the health system are uncovered as a result of reform stages overview and key health system laws analysis. Main parts of the health system legal reform in Lithuania (current state analysis, objectives, priorities and tools) are distinguished and summarized. Master thesis consist of 63 pages.
8
Moranelli, Ryan A. "An Investigation Into the Collaboration of Mental Health and Social Worker Services with the Criminal Justice System." Kent State University Honors College / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors162065733632442.
9
Close, Eliana. "Navigating conflicts about life-sustaining treatment in a health system with limited resources: Reconciling law, policy and practice." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/200067/1/Eliana_Close_Thesis.pdf.
Анотація:
This thesis is the first study of how Australian laws and policies address tensions between patient and societal interests in decisions to forgo life-sustaining treatment for critically ill adults. Using a combination of qualitative interviews, legal doctrinal research, and qualitative content analysis, the thesis evaluates these regulatory instruments against doctors' perceptions of practice. The thesis argues that existing laws and policies need reform to support more transparent decisions that recognise resource constraints can be relevant to end-of-life decisions. In particular, laws and policies should support doctors to distinguish between patient interests and distributive justice as two separate rationales for non-treatment.
10
Le, Minh Thi. "Implementation of the law on domestic violence prevention and control within the health system: A case study in Vietnam." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/201745/1/Minh%20Thi_Le_Thesis.pdf.
Анотація:
This study charts the evolution of the Domestic Violence Prevention and Control Law in Vietnam over 15 years. In-depth qualitative methods were used to critically analyse the policy process from agenda-setting, framing, and formal ratification, through to implementation in two provinces. There are major gaps between international and local policies, and between law development and effective, accessible services. Currently, many victims of violence remain under-served. There is a pressing need for changes to the content of the law, and more practical action in health, justice and social services in Vietnam to improve support for survivors of domestic violence.
11
Calvey, Jo. "Women's experiences of the workers' compensation system in Queensland, Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2002. https://ro.ecu.edu.au/theses/731.
Анотація:
This was a phenomenological study undertaken to understand women's experience of the workers' compensation system. Eleven women were interviewed. They ranged in age from twenty-five to sixty-five years and represented diverse socio-economic and educational backgrounds. All women were from a non-indigenous background. The initial question to women was "Can you tell me what it is like to be involved in the workers' compensation system?" The narratives were analysed and interpreted using Hycner's (1985) phenomenological guidelines. Five core themes were found: negative versus positive/neutral experiences, the workplaces response and role in the process, women's experiences of payouts and tribunals, reasons why women may not claim workers' compensation, and the impact of the process on each women and their family(s). Acker's theory of 'gendered institutions' was used to understand why "many apparently gender-neutral processes are sites of gender production" (Acker, 1992b, p. 249). The experiences of the eleven women suggested that the workers' compensation system in Queensland is gendered; 'The women indicated that the workers compensation process was a disincentive to making a claim. WorkCover was viewed as siding with the employer, bureaucratic in nature and lacking values associated with empathy, sympathy and caring. Recommendations for improvements to the workers' compensation included: establish legal obligations and enforcement of occupational health and safety responsibilities to injured or ill workers; adoption of occupational health and safety values by employers; change the attitudes of employers (recognising women as breadwinners and workers are not disposable); a single case manager to advocate for injured or ill workers; recognition of mental and emotional consequences of an injury or illness provision of rehabilitation that recognises mental and emotional factors as well as the importance of family participation; greater involvement of employers and employees in the rehabilitation process; and finally, improved service delivery which involves consistency, ethics, clarity, (regarding the WorkCover process for injured workers and employers), accountability and involvement of all parties. The knowledge embedded in the interviews, expressed through core stories and themes, was essential to making women's voices visible and providing an insight into service delivery based on women's experiences and needs.
12
Ibrahim, Lauren Sue. "A Case Study of the Acceptance of the Tacoma-Pierce County Needle Exchange Program by Three Diverse Groups: Law Enforcement Personnel, Health Department Officials, and Program Clients (i.e., Intravenous Drug Users)." PDXScholar, 1993. https://pdxscholar.library.pdx.edu/open_access_etds/1383.
Анотація:
Legitimate and underground needle exchange programs, specifically targeted for intravenous drug users (IVDUs) (i.e., currently the second largest risk group in the AIDS epidemic), have emerged in various locales in a desperate attempt to change their drug use practices and behaviors associated with the transmission of HIV-1/AIDS. This study focuses on one such program, the Tacoma-Pierce County Needle Exchange Program, in which the pioneering efforts of a private individual are provided, the manifestations of public entrepreneurism are examined, and in which various attributes of program acceptance are identified and explored. An introductory and exploratory case study approach is the research strategy used in this dissertation, since it is adaptive and flexible to accommodate the use of multiple data sources. Data have been collected through semi-structured interviews involving four law enforcement personnel and 21 program clients (i.e., IVDUs), which consisted of open-and close-ended questions regarding program acceptance. Existing data sources, such as court documents, published interviews with key officials, journals, and various news articles provide an assessment of the events and activities that relate to the evolution and success of the Tacoma-Pierce County Needle Exchange Program. The attributes identified and explored in this study include: settings, type of staff, method of service delivery (including spillover effects), nature of the geographic area, concern over the effects of AIDS, external environmental conduits (the informal communication network and the media), and characteristics of program clients. These attributes were found to be important to program acceptance of the Tacoma-Pierce County Needle Exchange Program; however, they should be further examined in other communities to see if they remain important. To this extent, the findings indicated that needle exchange programs have complex characteristics attached to them, and that they deserve to be further studied to understand those complexities. Other benefits of the Tacoma-Pierce County Needle Exchange Program found to be important include: (1) fewer citizen complaints about the carelessly discarded, used syringes often found in gutters, parks, greenbelts, alleys, and streets; and (2) fewer reports of infections caused by accidental needle stick injuries among law enforcement personnel (which can occur when a law enforcement officer frisks a suspect), maintenance employees, and grounds-keepers. Overall, phenomenal savings can accrue from such unintentional and additional benefits of needle exchange programs. In light of this debilitating disease, and of the high cost associated with medical care, such innovative interventions are perceived worthy in the course of this deadly epidemic.
13
Karimipour, Lisa L. "The first amendment and internet access restrictions in public university libraries." Honors in the Major Thesis, University of Central Florida, 2001. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/228.
Анотація:
This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Legal Studies
14
Keevy, Daniel Matthew John. "A critical analysis of the doctor-patient relationship in context of the right to adequate health care." Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/25086.
Анотація:
The purpose of this thesis is to prove the existence of the right to adequate healthcare through a critical analysis of the law of obligations, constitutional law and international law framed in the wider focal point of South African medical law. The Constitution only makes provision for the right to access to health care. Conclusively this thesis will have to establish a link between a minimum standard in health care and the Constitution. It is submitted that the most efficacious method of establishing this link is with the duty of care, which is intrinsically linked to the doctor-patient relationship. If a critical analysis of the doctor-patient relationship can establish a clear link between the duty of care and state liability then such a link can successfully be applied to the Constitution. If this link is transposed onto the Constitution, a critical evaluation of the rights in the Bill of Rights will then reveal the most applicable right that can house the right to an adequate standard of health care. Such an analysis is only part of the solution however. In order to make this right effective, the international body of medical laws must be critically analysed and juxtaposed against this adequate standard. This carries the dual purpose of adding normative content as well as determining the current state of South Africa’s obligations under international human rights law, and to what extent those obligations have been discharged. Finally, and most significantly, the right to adequate healthcare, as it was forged in the international legal analysis, will be transposed onto the current South African jurisprudence of socio-economic rights. This practical application will then be reflected onto the new National Health Care Insurance to show conclusively that the current governmental approach of effecting health care is wholly inoperable and will ultimately result in significant harm and extensive human rights violations. This is based on the government only considering access to health care sufficient to discharge its duties and being totally incapable of effectively managing its resources. The core outcome for this thesis is to prove the existence of the right to adequate healthcare. Secondary outcomes are tracing the history of medicine to illustrate the creation and evolution of the doctor-patient relationship, a critical analysis of the application of medical ethics to South African law of obligations, a critical analysis of the Constitution and its fundamentals, an exhaustive evaluation of South Africa’s duties and accomplishments under its international obligations and effectively applying the right to adequate healthcare which is diametrically opposed to the current course South Africa is taking to provide health care.Dissertation (LLM)--University of Pretoria, 2012.
Public Law
unrestricted
15
Tsui, Sin-mei, and 徐善美. "A study on the association of individual and work-related factors withmusculoskeletal disorders among display screen equipment (DSE) users." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B39724268.
16
Mathekgane, Justice Mpho. "The laws regulating National Health Insurance scheme :prospects and challenges." Thesis, University of Limpopo, 2013. http://hdl.handle.net/10386/2542.
17
Pierce, Suzanne Marie. "Expectations and experience of complaints and notifications about registered health professionals in the Australian national and NSW regulatory systems: A comparative study of complaints and notifications from the perspective of ‘system users’." Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/17985.
Анотація:
Receiving and managing complaints is a core function of Australian health practitioner regulators; complaints long recognised as an important source of information about safety and quality of care and identifying practitioners of concern. Identified values for good complaint management include improved accountability and public confidence; consistency and integrity of decision-making; and opportunity to provide resolution, identify trends, take corrective action and make system improvements. Australia has an enviable record in establishing and refining health complaint mechanisms to make them accessible and responsive within a broader culture of safety and learning. Yet this study found both low levels of satisfaction and understanding of the two systems under study. Consequences from these findings include the reputational standing of regulators and preparedness of individuals and organisations to raise future concerns. Respondent expectations of quality complaint processes were found to be congruent with the literature on best practice regulation and complaint management. The most significant factors moderating respondents’ perceptions and experience were power and transparency; accounting for reported views both of operational processes and underlying assumptions of the regulatory model. Regulators were approached to ‘bring to account’, raise the standards of or stop practitioners regarded as unsafe, not competent or not responsive to concerns raised directly. Respondents also looked to regulators to account for themselves; with the same detail and rigour applied to those regulated. Contrary to expectations, respondents were alienated from the detail and resolution of events personal and painful; concerning issues of significance for future patients and practise. The majority reported issues were either not or only poorly addressed; and few were aware of any resultant changes. There is a lack of understanding about the core mandate of health professional regulators; including the rationale for and focus of regulatory effort and underlying concepts and assumptions. Even when dissatisfied, the process is valued; respondents wanting to contribute to improvements. There are opportunities to leverage better their insights to deliver a more efficient and effective regulatory system.
18
Agassiz, Kelle. "The Strategically Broken System: A Grounded Theory Study of the Clinical Implications of Immigration Law, Policy, and Practice." Antioch University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1632764613681191.
19
Pereira, Maria Odete. "Análise da política do Ministério da Saúde do Brasil para a atenção integral dos usuários de álcool e outras drogas." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-11012010-145632/.
Анотація:
O estudo objetivou apresentar: diretrizes, potencialidades, fragilidades, fatores que inviabilizam, estratégias adotadas e a serem adotadas, da Política Nacional de Álcool e outras Drogas, do Ministério da Saúde do Brasil, na fala do Gestor Estadual e Municipal e de dois Centros de atenção psicossocial a usuários de álcool e outras drogas - nível II, municipal e estadual paulista; e contribuir na produção de novas estratégias de enfrentamento, na tentativa de subsidiar novos programas que contemplem o fortalecimento da rede de assistência aos usuários de álcool e outras drogas. Trata-se de um estudo descritivo, exploratório, de abordagem qualitativa. O estudo foi realizado com dois gestores de saúde mental, um estadual e outro municipal e dois coordenadores de CAPS ad, também nos âmbitos estadual e municipal. Foram observadas as determinações éticas prescritas na Resolução CONEP/MS nº 196/06. O estudo foi realizado em duas fases: revisão bibliográfica e coleta de dados. A coleta de dados foi realizada no período de maio de 2008 a agosto de 2009. As autoras elaboraram instrumento não estruturado para a caracterização sociodemográfica dos serviços e das colaboradoras, e para os dados obtidos na entrevista gravada. Os dados foram transcritos, transcriados, categorizados e analisados segundo o método hermenêutico dialético. A análise dos dados foi fundamentada no referencial teórico do sociólogo Santos (2006), na perspectiva das cinco categorias da sociologia das ausências. As diretrizes identificadas na Política Nacional foram: acolhimento, intersetorialidade, mudança de paradigma, redução de danos, reinserção psicossocial, atenção à família e tratamento individualizado. Todas as diretrizes foram reproduzidas nas falas das colaboradoras. Algumas das questões abordadas por elas foram: necessidade de articulação entre os serviços da rede de atenção SUS; número insuficiente de CAPS ad em quase todo o território nacional; dimensões/atribuições da equipe técnica determinadas pelo Ministério da Saúde - MS que devem coadunar com as especificidades dos serviços; carência de leitos hospitalares de retaguarda em hospital geral e de leitos de urgência e emergência; número insuficiente de CAPS III; ideologia de abstinência na Secretaria Nacional Anti-Droga - SENAD e de algumas das colaboradoras, que se contrapõe à proposta de redução de danos adotada pelo MS. As estratégias a serem implementadas na Política indicadas pelas colaboradoras são: a elaboração de política específica para as outras drogas, como as realizadas para o álcool e tabaco; adequação das leis trabalhistas; abrangência populacional; maior número de leitos de observação no CAPS ad; rever número de profissionais na equipe técnica; o número de profissionais na equipe limita as ações comunitárias desenvolvidas pela equipe técnica do CAPS ad; avaliação da efetividade dos CAPS; cultura e lazer; e dependência do usuário à equipe técnica do serviço. Para Santos (2006) realidade, necessidade e possibilidades são três características modais que ele se apropria para construir a lógica da sociologia das emergências. A economia solidária se mostra muito oportuna para a realidade dos usuários dos CAPS ad, por ter grande potencial de emergência, pois envolve não somente a questão econômica, mas estabelece espaço para trocas sociais, culturais e políticasThe study aimed to present the guidelines, strengths, weaknesses, inviable factors, strategies adopted and to be adopted, of the National Policy on Alcohol and Other Drugs, Ministry of Health of Brazil, in the words of the State Administrative and Municipal of the two Centers of psychosocial care to users of alcohol and other drugs - Level II, municipal and state of S. Paulo; and to contribute to the production of new coping strategies, in an attempt to subsidize new programs which address the strengthening of the network of assistance to users of alcohol and other drugs. This is a descriptive, exploratory qualitative approach. The study was conducted with two managers of mental health, one state and one municipal, and two coordinators of the CAPS ad, also at the state and municipal levels. The ethical determinations determined by the Resolution CONEP / MS n º 196/06 were observed. The study was conducted in two phases: literature review and data collection. Data collection was performed between May 2008 and August 2009. The authors developed unstructured instruments for the socio-demographic characterization of the services and collaborators, and the data obtained in the recorded interview. The data were transcribed, reproduced, categorized and analyzed according to the hermeneutic dialectic method. Data analysis was based on the theoretical framework of sociologist Santos (2006), taking into perspective the five categories of the sociology of absences. The guidelines identified in the National Policy are: host, intersectorial, paradigm shift, risk reduction, psychosocial rehabilitation, family care and individualized treatment. All guidelines have been reproduced in the statements of the collaborators. Some of the issues addressed by them were: the need for coordination between the health network SUS; insufficient CAPS ad in almost all the national territory, dimensions / responsibilities of the technical team determined by the Ministry of Health - that MS should respond to the specificity of the services, lack of hospital beds in the general hospital support system, emergency beds and emergency rooms, insufficient CAPS III; ideology of abstinence in view of the National Anti-Drugs - SENAD and some collaborators, which works against the harm reduction adopted by the MS. The strategies to be implemented in the policy proposed by the project collaborators are: the development of a specific policy for other drugs, such as those carried out for alcohol and tobacco; adequate labor laws, overall population coverage, high number of observation beds in CAPS ad; review the number of professionals in technical team; the number of professionals in the team limits the community actions developed by the technical team in CAPS ad; evaluate the effectiveness of CAPS; culture and leisure; and dependence of user to the professional technical staff of service. For Santos (2006) reality, demands and possibilities are three modal characteristics that he appropriated to build the logic of the sociology of emergencies. The solidary economy is very appropriate to show the reality of the CAPS II users, having great potential emergence, it involves not only economic issues but creates the space for social, cultural and political exchanges
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Kölling, Gabrielle Jacobi. "O direito à saúde: história e perspectivas." Universidade do Vale do Rio dos Sinos, 2011. http://www.repositorio.jesuita.org.br/handle/UNISINOS/4479.
Анотація:
Submitted by William Justo Figueiro (williamjf) on 2015-07-15T20:46:46Z
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CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Esse trabalho pretende analisar o contexto do surgimento do direito à saúde no Rio Grande do Sul. As demandas em saúde são crescentes, o que gerou no sistema do direito uma especialização: nota-se isso a partir do “processo de formação” do direito à saúde e do direito sanitário do Rio Grande do Sul. Esse processo passa pelo fenômeno da judicialização da saúde, bem como pela produção legislativa e executiva do direito à saúde, além do reconhecido papel do controle social. Nesse processo de gênese, reconhecimento, afirmação e concretização do direito à saúde e do direito sanitário no Estado, pode-se destacar três “frentes”: poder legislativo e executivo (sistema da política), sistema do direito e controle social. O trabalho busca contextualizar os antecedentes históricos da consolidação desse processo a partir da tríade mencionada. Analisar a consolidação histórica desse direito, na sociedade complexa, contingente e paradoxal, demanda-nos referenciais teóricos que deem conta disso; por isso, a escolha pela Teoria dos Sistemas Sociais e pela Metateoria do Direito Fraterno.
This work intends to analyze the context of the emergence of the right to health in Rio Grande do Sul. The health demands are increasing, the result was the specialization of the law system; that is observed from the "shaping process" of Rio Grande do Sul’s right to health and the sanitary law. This process involves the phenomenon of judicialization of health, as well as the legislative and executive production of the right to health, besides the acknowledged role of social control. Thus, in this process of genesis, recognition, affirmation and concretion of the right to health and sanitary law (in the state of Rio Grande do Sul), we highlight three "fronts": legislative and executive power (political system), law system and social control. This paper aims to contextualize the historical consolidation of this process based on the mentioned triad. Analyze the history of the consolidation of this right, in the complex society, contingent and paradoxical demand us theoretical references to realize it, so the choice for Social Systems Theory and Metatheory of Fraternal Law.
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Santos, Lenir dos 1948. "SUS : desafios político-administrativos da gestão interfederativa da saúde : regionalizando a descentralização." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309399.
Анотація:
Orientador: Gastão Wagner de Sousa CamposTese (Doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Trata-se o presente trabalho de um estudo, fundado no critério hermenêutico, que tem por finalidade analisar o Sistema Único de Saúde (SUS) à luz de sua forma organizativa, expressada no art. 198 da Constituição Federal, que conforma um sistema de interdependências federativas gerido por entes autônomos, na forma do disposto no art. 18. Preliminarmente, este trabalho analisa as formas de Estado e as concepções mais modernas de federalismo, que hoje se multiplica, a partir do clássico federalismo dual para o federalismo cooperativo, solidário e de interdependências tão afeito ao nosso Sistema Único de Saúde. Ao analisar o federalismo brasileiro, não se pode deixar de analisar as marcas do centralismo histórico na nossa República mitigando as práticas federativas, com grave influência na gestão político-administrativa, em especial no SUS - um sistema de interdependência e inter-relação federativa - que conta com a forte presença do poder central - a União - exercida pelo Ministério da Saúde em todo o país. Essa presença tem distorcido a descentralização política prevista na Constituição Federal e ofuscado o papel do estado-membro, por pautar e tutelar os entes federativos em razão dos recursos financeiros que se centram na União e que devem ser partilhados entre os entes subnacionais por critérios nem sempre pautados na lei. O centralismo federal em relação ao SUS se estrutura a partir de seu financiamento, uma vez que grande parte dos recursos que o sustentam são recursos federais transferidos pela União aos entes subnacionais, para programas e projetos definidos em âmbito federal. Esse fato tem forte repercussão na organização do Sistema Único de Saúde que se estrutura mais pelo seu financiamento e orientações federais e menos pelo planejamento global da saúde fundado nas necessidades de saúde da população. Outro ponto importante é a competência comum dos entes federativos no tocante à saúde, sua autonomia federativa e sua interdependência organizativa. Essas aparentes antinomias jurídicas - a autonomia federativa e a interdependência organizativa - requerem soluções que as harmonizem, garantindo ao SUS uma sólida estrutura jurídico-administrativa
Abstract: This dissertation is a study on the organization form of the Brazilian Unified Health System - Sistema Único de Saúde (SUS) that, according to article 198 of the Brazilian Federal Constitution, is a system of federative interdependence managed by autonomous entities, as set forth under article 18 of such Constitution. It adopts an interdisciplinary approach, with emphasis in the legal standpoint and interpretation of the major guidelines of the Principles embedded in the Constitution and the protection of the Basic Human right to Health. There is an initial focus on the conceptual framework of Federalism and the traditions where the Brazilian Model got its background. The Brazilian State and its organization form and structure for the Health are scrutinized: the role of the Federal State, its centralistic imposition and influence on SUS' management. The study analyses how the characteristics of federative interdependence and mutual relationship, are harmed by the strong presence of central authority, the Federal Government, through the Brazilian Health Ministry. Concerning the SUS, the federal centralism is materialized through the form of its financing, since a large amount of resources that supports it is assigned by the federal Government to programs and projects determined by federal scope, prevailing over a federal or decentralized system. That situation has a strong impact on SUS' organization, defining its priorities rather by the sources of its financing than by global health planning, that should have as its foundation the people's need for health. The interdependence and autonomy require solutions that reaches a compromise between these contradictions, assuring to SUS a legal and administrative structure that allow overcoming its contradictions, in order to bring together an efficient system. To achieve this purpose, some ideas are presented, ideas that attempt to reconcile all required elements to a management that guarantees to citizens the right to health. With such aim, some structures and institutional arrangements are proposed, like interfederal network of health, health area, sanitarian map, public act agreement, interfederals collegiates, that are integrality patterns that could organize SUS and make it operate in an integrated way and meeting local needs. Citizens should be the centre of all technical, administrative and legal movements, in order to guarantee good services in reasonable time framework
Doutorado
Política, Planejamento e Gestão em Saúde
Doutor em Saude Coletiva
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Sarturi, Valkiria. "Direito à saúde e transformação social: limites e possibilidades na efetivação do direito à saúde do trabalhador." Universidade do Vale do Rio dos Sinos, 2011. http://www.repositorio.jesuita.org.br/handle/UNISINOS/3288.
Анотація:
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Nenhuma
Neste trabalho realizar-se-á uma retrospectiva histórica, jurídica e legislativa do surgimento e evolução do Direito à Saúde do trabalhador do último século até os dias atuais. De um passado de lutas, em que muitas vezes não se tinham garantidos direitos mínimos, veio à tona o processo de redemocratização do país, que desencadeou a promulgação da Constituição Federal de 1988, a qual garantiu e universalizou o acesso à saúde a todos os cidadãos, bem como estabeleceu como valor fundamental do Estado brasileiro o respeito à dignidade da pessoa humana. Paradoxalmente ao fenômeno da constitucionalização de direitos, as relações de trabalho se tornaram mais complexas: as fronteiras se romperam, a competitividade cresceu, as cobranças pelo atingimento de metas e de resultados se tornaram diárias, a pressão em busca de eficiência passou a ser rotina, e o individualismo se converteu em marca de um tempo em que cada um age e pensa somente em si. Como resultado deste panorama, surgiu uma série de novas doenças, as quais afetam, sobretudo, a saúde mental dos trabalhadores e que vêm sendo relacionadas ao ambiente de trabalho. Assim, dentro dessa sociedade complexa, contingente e paradoxal, o presente estudo analisará o posicionamento da jurisprudência e da doutrina em relação a estes novos casos de doenças que vêm sendo relacionadas ao trabalho, averiguando de que forma o Direito à Saúde dos trabalhadores vitimados por essas doenças vem sendo garantido na atualidade. Para a realização desta pesquisa, foi utilizado como referencial teórico a Metateoria do Direito Fraterno de Eligio Resta, bem como pesquisa bibliográfica e jurisprudencial. Foram feitas, ainda, entrevistas com médicos e juízes do trabalho a fim de melhor embasar as reflexões acerca do tema.
This work will realize a historical, legal and legislative retrospective of developments and the emergence of the right to health worker of the last century to the present days. From a past of struggle, where not often had guaranteed minimum rights, came up the process of democratization of the country, which triggered the enactment of the 1988 Constitution, which guaranteed and universalized access to health care to all citizens, as well established as a fundamental value of Brazilian state, the respect for human dignity. Paradoxically the phenomenon of the constitutionalization of rights, labor relations have become more complex: the boundaries are broken, competition grew, the demands for achieving goals and results became daily, the pression for efficiency has become routine, individualism became a mark of the time where each one acts and thinks only of himself. As a result of this scenery emerged a number of new diseases which is particularly affecting the mental health of workers and has been related to the workplace. Thus, within this complex society, contingent and paradoxal, this study will examine the positioning of the doctrine and jurisprudence for these new cases of diseases that has been related to work, ascertaining how the right to health of the workers victimized by these diseases has been granted today. For this research was used as a theoretical Eligio Restas Fraternal Law Metatheory, literature and jurisprudence. Have been made yet, interviews with doctors and work judges to better support the reflections on the subject.
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Targino, Raquel Lira de Oliveira. "Qualidade de vida dos usuários de drogas." Universidade Federal do Amazonas, 2017. http://tede.ufam.edu.br/handle/tede/5706.
Анотація:
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Researches about Quality of Life (QoL) has been increasingly frequent since it is known that QoL influences health and is also influenced by it. In this way, understand the perception of QoL of the individuals has been important to evaluate the impact of the interventions in the most different health services. The objective of this research was to analyze the QoL of drug users hospitalized for treatment in a public health institution in the city of Manaus. This is a quantitative-descriptive, cross-sectional study with 52 patients hospitalized for treatment at the Ismael Abdel Aziz Chemical Dependency Rehabilitation Center (CRDQ). The SF-36 and the socio-demographic questionnaire were used, applied in two different moments. The data were analyzed through statistical programs Excel 2010 (Microsoft Office Enterprise) and Statistic Package for the Social Sciences (SPSS), version 17.0. It was evidenced a predominance of single men, between 17 and 27 years. They reported having oxy as a drug of dependence, followed by cocaine, consumed every day for at least 2 years. They reported having a familiar drug user, with the brothers being the most cited. QoL at the beginning of treatment was impaired, with low scores in the physical (M=60), (DP=17,23) and mental (M=49), (DP=17,63) components. However, after three months of treatment there was a significant improvement in the scores of these components, for (M=88,6), (DP=10,85) and (M=82,2), (DP=16,72), respectively. The functional capacity domains (M=69), (DP=18,05) and vitality (M=58,8), (DP=20,04), were also highlighted, with low initial scores. However, there were higher scores at the end of treatment, being (M=95,3), (DP=9,54) and (M=86,8), (DP=13,58), respectively. It was concluded that the therapeutic interventions carried out by the multiprofessional team contributed to the improvement in the patients' QoL perception, as well as their adherence to the treatment.
As investigações sobre Qualidade de Vida (QV) têm sido cada vez mais frequentes, uma vez que é sabido que QV influencia a saúde e também é por ele influenciada. Desta forma, compreender a percepção de QV dos indivíduos tem sido importante para avaliar o impacto das intervenções nos mais diversos serviços de saúde. Esta pesquisa teve por objetivo analisar a QV de usuários de drogas internados para tratamento em uma instituição pública de saúde na cidade de Manaus. Trata-se de pesquisa quantitativo-descritivo, de corte transversal, com 52 pacientes internados para tratamento no Centro de Reabilitação em Dependência Química Ismael Abdel Aziz (CRDQ). Foram utilizados o instrumento SF-36 e questionário sócio demográfico, aplicados em dois momentos distintos. Os dados foram analisados através dos programas estatísticos Excel 2010 (Microsoft Office Enterprise) e Statistic Package for the Social Sciences (SPSS), versão 17.0. Evidenciou-se predomínio de homens solteiros, entre 18 a 27 anos. Relataram ter o oxi como droga de dependência, seguido da cocaína, consumidos todos os dias, há pelo menos 2 anos. Referiram possuir familiar usuário de drogas, sendo os irmãos os mais citados. A QV no início do tratamento apresentou-se prejudicada, com baixos escores nos componentes físico (M=60) e (DP=17,23) e mental (M=49) e (DP=17,63). Contudo, após três meses de tratamento houve melhora significativa nos escores dos referidos componentes, para (M=88,6), (DP=10,85) e (M=82,2), (DP=16,72) respectivamente. Destacaram-se ainda os domínios capacidade funcional (M=69), (DP=18,05) e vitalidade (M=58,8), (DP=20,04), com baixos escores iniciais. Apresentando, contudo, escores mais elevados ao final do tratamento, sendo (M=95,3), (DP=9,54) e (M=86,8), (DP=13,58), respectivamente. Concluiu-se que as intervenções terapêuticas realizadas pela equipe multiprofissional contribuíram para a melhora na percepção de QV dos pacientes, bem como na adesão ao tratamento.
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Behrens, Ronaldo. "Le système de santé brésilien et les droits des usagers." Thesis, Lille 2, 2014. http://www.theses.fr/2014LIL20014/document.
Анотація:
Le système de santé brésilien bénéficie d’atouts indéniables depuis sa création il y a 25 ans et aussi en particulier depuis l’évolution de la condition sociale de la population à la suite de la stabilité monétaire, de l’organisation de l’État et de politiques sociales en faveur des plus démunis. Cependant, la participation directe des usagers dans le système reste limitée, malgré l’influence du mouvement pour la santé (dit « mouvement sanitariste ») et le fait que la « participation de la collectivité » ait été consacrée à l'article 198 de la Constitution de 1988 comme un principe déterminant du système. Or, la population souhaite participer activement pour résoudre des problèmes importants concernant la structure du système ; cette volonté peut être illustrée par le nombre important d’actions judiciaires intentées contre le système public ou privé, les professionnels et les hôpitaux. Pour résoudre ce problème et favoriser la participation des usagers, la solution serait de présenter le système brésilien aux Français, de développer des échanges internationaux d’informations (théoriques ou pratiques) et de modifier le système en transplantant au Brésil certaines règles de droit français, notamment des dispositions de la loi française du 4 mars 2002 (loi dite « Kouchner »)After 25 years of existence, the Brazilian health-care system shows good results, mainly because our population's social condition has improved, mostly through the advent of currency stability and State organization and, also, through the transfer of income to the poverty-stricken populations. Nevertheless, despite having been created from a people-driven movement (the so-called sanitary movement) and having citizen participation as one of its tenets, the Brazilian health-care system does not allow for a direct contribution by the users who, in view of the system's serious structural problems, have been demanding further participation, which can be seen through the increase in number of lawsuits against the public and the private systems and against professionals and hospitals. To face up to this problem and make the participation of the citizen an effective one, we take this opportunity to introduce the French system to the Brazilian system, to encourage further exchange between these two countries and draw on the former for inspiration on the evolution of the latter, specifically with respect to some aspects of Kouchner Act dated March 4, 2002
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Dourado, Daniel de Araujo. "Regionalização e federalismo sanitário no Brasil." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-02062010-164714/.
Анотація:
Este trabalho tem o propósito de examinar as implicações da estrutura federativa brasileira no processo de regionalização das ações e serviços de saúde do Sistema Único de Saúde (SUS). A ideia nuclear é que, por sua natureza federativa, a regionalização da saúde no Brasil deve realizar-se no contexto das relações intergovernamentais fundadas na configuração institucional do federalismo cooperativo do país e em sua expressão na área da saúde. O método empregado inclui a utilização de material bibliográfico e a incorporação de componentes de investigação empírica. A análise desenvolvida baseia-se numa abordagem diacrônica do federalismo, tomando-o como princípio organizador do Estado que se manifesta em suas diversas dimensões. Desse modo, o fenômeno do federalismo é estudado em função de sua evolução no tempo e, de forma concatenada, partindo de seus aspectos gerais em direção aos específicos que se exprimem no Estado brasileiro e particularmente no âmbito da saúde. O federalismo sanitário brasileiro é abordado a partir de seu ingresso no ordenamento constitucional, identificando dois períodos bem delimitados de formação: a descentralização e a regionalização. Agregam-se elementos empíricos de pesquisa em que a regionalização da saúde é caracterizada a partir de concepções expressas por atores políticos que representam as perspectivas das três esferas de governo. Os condicionantes do processo de regionalização do SUS são então explorados à luz do referencial teórico do federalismo em três dimensões de análise: base normativa, estrutura de financiamento e dinâmica política. Assim, identificam-se pontos facilitadores e entraves para a regionalização e apontam-se possibilidades para a efetivação dessa diretriz organizativa no SUS. Conclui-se que a regionalização da saúde no Brasil está apoiada em arcabouço normativo bem definido, proveniente da assimilação dos princípios do federalismo cooperativo no direito sanitário brasileiro, e que encontra obstáculos derivados do modelo federativo de financiamento e relacionados ao funcionamento das relações intergovernamentais instituídas no SUS.This study aims to examine the implications of Brazilian federal structure in the regionalization process of healthcare services of the national health system (Sistema Único de Saúde SUS). The core idea is that, by its federal nature, the regional health planning in Brazil must take place in context of intergovernmental relations founded on the institutional configuration of cooperative federalism in the country and on its expression in health. The method includes the use of bibliographic material and incorporation of empirical research components. The analysis is based on a diachronic approach, taking federalism as an organizing principle of State which is manifested in its various dimensions. Therefore, the phenomenon of federalism is studied in terms of its evolution in time and, so concatenated, starting with its general aspects towards specific ones which are expressed in the Brazilian State and particularly in health. The Brazilian health federalism is approached from its entry into the constitutional order, with two clearly defined development periods: decentralization and regionalization. Empirical elements are added from a study in which health regionalization is characterized from ideas expressed by political actors representing the perspectives of three levels of government. The conditioning factors of SUS regional health planning are then explored in light of the federalism theoretical framework taking three dimensions of analysis: normative basis, funding structure and political dynamics. Thus, facilitators and barriers to regional health planning are identified and opportunities for actualizing this organizational guideline in SUS are indicated. It is concluded that health regionalization in Brazil is supported by well-defined regulatory framework, proceeding from assimilation of cooperative federalism principles in Brazilian health law, and that it has obstacles derived from the federal model of financing and related to the operation of intergovernmental relations established in SUS
26
Meyer, Patti A. "The Health Consequences and Healthcare-Seeking Strategies for South American Immigrant Careworkers in Genoa, Italy." UKnowledge, 2013. http://uknowledge.uky.edu/anthro_etds/6.
Анотація:
This research on healthcare strategies of home-based, low-wage, immigrant careworkers contributes to the ways medical anthropology, migration studies and social science understand human-economy-family care relationships and health and carework as commodities in today's global economy. It reveals the consequences for workers as they defray the costs of care for the Italian government and contribute to their home economies. This research was conducted in Genoa, Italy, which has the largest percentage of people over the age of 70 in any city of its size in the world and a tradition of sending and receiving immigrant workers. The main question was: Under the circumstances of providing labor-intensive, in-home supportive services, how do immigrant workers respond to their own health needs?
The researcher collected data from interviews with 50 careworkers, 25 professionals who provide services to the careworkers, and 23 administrators in the health system, government agencies, labor unions, and the Catholic Church. The careworkers interviewed were women from South America, as they do most of the carework jobs in this city. Long-term participant observation and interview data were analyzed to: 1) produce empirical data on health concerns of and healthcare resource use by migrant careworkers; and 2) investigate the relationships between health concerns, living/working conditions, and healthcare resource use of transnational immigrants in the informal economy. The data showed that the Catholic Church promoted immigrants as able workers, aided their elderly parishioners, and provided necessary mental health support to careworkers who experienced stress. The data also revealed that the health care system of Italy functioned well to address the physical health concerns of immigrant careworkers. The relationship between the client and the worker was important for the general well-being of the worker and her ability to maintain her general health, have time for medical appointments, socialize outside of the workplace, and attend community events. This study examined: strategies for using health resources; responses of the Italian medical system personnel to anti-immigrant legislation; use of non-State resources to meet health needs; the health consequences of caring for an elderly person in the private home; and ways to address these health consequences.
27
Gibavičiūtė, Justė. "Ar Lietuvos vasltybė pažeidžia žmogaus teises nesuteikdama asmenims nemokamo gydymo?" Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140619_163452-67187.
Анотація:
Santrauka
Magistro baigiamajame darbe „Ar Lietuvos valstybė pažeidžia žmogaus teises nesuteikdama asmenims nemokamo gydymo?“ nagrinėjama viena iš svarbiausių žmogaus teisių – teisė į sveikatos priežiūrą. Nemokamo gydymo tema mūsų šalyje yra kiek nauja, mažai nagrinėta, tačiau be galo aktuali, nes situacija Lietuvoje rodo, kad yra neatitikimų tarp to, kas įtvirtinta teisės aktuose ir praktikos gydymo įstaigose.
Pirmoje darbo dalyje išsamiai apibrėžiama teisės į sveikatos priežiūrą samprata. Šiame skyriuje analizuojama sveikatos priežiūros samprata, „sveikatos“ sąvokos aiškinimas ir tikslai. Be to kalbama apie kokybiškų sveikatos priežiūros paslaugų teikimą Lietuvoje. Taip pat aprašomos pacientų teisės ir pareigos.
Antroje darbo dalyje aptariama teisė į nemokamą gydymą tarptautiniu lygmeniu, kalbama apie skirtingas užsienio valstybių sistemas sveikatos priežiūros sektoriuje, požiūrį į žmogų ir jo teises. Taip pat analizuojama situacija Lietuvoje, ką reglamentuoja Lietuvos Respublikos Konstitucija ir kiti tarptautiniai teisės aktai.
Trečioje darbo dalyje pateikiama privalomojo sveikatos draudimo samprata bei jo reikšmė. Akcentuojami privalomojo sveikatos draudimo privalumai ir trūkumai. Taip pat pateikiami atlikto tyrimo rezultatai, padėję atskleisti nagrinėjamos temos problematiką.
Darbe nagrinėjama keturių pažangių pasaulio šalių - Australijos, Kanados, Lenkijos ir Vokietijos sveikatos priežiūros sistemos modeliai, plėtojimosi istorija bei teisinis reglamentavimas. Išsamiai... [toliau žr. visą tekstą]Summary In the Master’s final thesis “Does Lithuania violate human rights by refusing to provide treatment for people free of charge?” are analyzed the obligation of the State, set by Article 53 of the Constitution of the Republic of Lithuania and problems in the health system. The right to free of charge treatment belongs to the group of social human rights. The implementation of this group of human rights usually depends on the economic situation of the state and, in particular, right to free charge treatment depends on the health protection policy of the state. Health care systems are criticized around a world. By reason of expensive medical technologies and medicine as such, require huge sums of money, which is scare. Patient’s needs and expectations for health care, health and quality of life are growing. Patients become more aware and demanding on health care. In these conditions health care quality helps to save resources and better meets patient’s needs and expectations. Globalization and privatization processes determine expansion of health care services and patient’s market. The Constitution was adopted by referendum on the 25th of October 1992. Since these days continues a period of biggest changes: a new system of social, economical, political relations was settled. The right of to free of charge health protection is established in Article 53 of the Constitution of the Republic of Lithuania, which determines that the state shall take care of people’s health and... [to full text]
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Yelverton, Brittany. "The representation of women's reproductive rights in the American feminist blogosphere: an analysis of the debate around women's reproductive rights and abortion legislation in response to the reformation of the United States health care system in 2009/10." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1002949.
Анотація:
This study investigates the representation of women's reproductive rights in the feminist blogopshere during 2009/10 United States health care reform. Focusing on two purposively selected feminist blogsites - Feministing and Jezebel- it critically examines the discursive and rhetorical strategies employed by feminist bloggers to contest the erosion of women's reproductive rights as proposed in health care reform legislation. While the reformation of the U.S. health care system was a lengthy process, my analysis is confined to feminist blog posts published in November 2009, December 2009 and March 2010. These three months have been designated as they are roughly representative of three pivotal stages in health care reform: the drafting of the House of Representatives health care reform bill and Stupak Amendment in November 2009, the creation of the Senate health care bill inclusive of the Nelson compromise in December 2009, and the passage of the finalised health care reform bill, the Patient Protection and Affordable Care Act and supplementary executive order, in March 2010. This study is informed by feminist poststructuralist theory and Foucault's conceptions of discourse and power - an appropriate framework for identifying and analysing the unequal power relations that exist between men and women in patriarchal societies. Foucault conceives of discourse as both socially constituted and constitutive and contends that through the constitution of knowledge, discourses designate acceptable ways of talking, writing, and behaving, while simultaneously restricting and prohibiting alternatives, thereby granting power and authority to specific discourses. However, Foucault also stresses the multi-directionality of power and asserts that though hegemonic discourses are privileged over others, power lays in discursive practice at all social sites; hence the socially and politically transformative power of contesting discourses. Critical discourse analysis is informed by this critical theory of language and regards the use of language as a form of social practice located within its specific historical context. Therefore, it is through engaging in the struggle over meaning and producing different 'truths' through the reappropriation of language that the possibility of social change exists. Employing narrative, linguistic and rhetorical analysis, this study identifies the discursive strategies and tactics utilised by feminist bloggers to combat and contest anti-choice health care legislation. The study further seeks to determine how arguments supportive of women's reproductive rights are framed and how feminist discourses are privileged while patriarchal discourse is contested. Drawing on public sphere theory, I argue that the feminist blogosphere constitutes a counter-public which facili tates the articulation and circulation of marginalised and counter-discourses. I conclude this study by examining the feminist blogopshere's role in promoting political change and transformation through alternative representations of women and their reproductive rights.
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Webber, Suelen da Silva. "Decisões judiciais e risco no direito à saúde : a concessão de medicamentos experimentais e a obrigatoriedade da decisão : um aporte sob a perspectiva sistêmica da comunicação entre a decisão do poder judiciário e o sistema da saúde." Universidade do Vale do Rio dos Sinos, 2011. http://www.repositorio.jesuita.org.br/handle/UNISINOS/3611.
Анотація:
Submitted by Mariana Dornelles Vargas (marianadv) on 2015-05-21T13:22:35Z
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Nenhuma
Esta pesquisa sustenta que Direito e Saúde são Sistemas Sociais autopoiéticos e, por isso, suas decisões devem se limitar à sua função código/programação. Nessas condições, onde a saúde encontra-se posicionada entre diversos outros sistemas, como o Econômico e o Político, uma observação transdisciplinar é obrigatória, mormente quando pretende-se apurar se o Poder Judiciário, organização central do Sistema do Direito, tem condições de deferir pedidos de medicamentos experimentais ajuizados contra do Estado, observando estritamente seu código funcional e programação, sem com isso causar a corrupção do Sistema ou problemas autopoiéticos. Para isso, elementos como complexidade, risco e contingência devem ser trabalhados, pois estão sempre presentes na tomada de decisão, e em questões envolvendo a saúde são de relevância ímpar, uma vez que há um excesso de possibilidades de decisões e os riscos e perigos poderão levar um doente a morte, de acordo com a decisão proferida ou de acordo com a forma como ela será operacionalizada. Nessa perspectiva, pode observar-se que emergiu um paradoxo deste processo decisional, o qual nem Direito, nem Saúde e nem Sistema Político descobriram uma nova forma de observação para superá-lo. De modo que, havendo um paradoxo e uma necessidade de superação ainda não atingida, é preciso uma observação de segunda ordem das decisões que estão sendo prolatadas, para que se visualize os sentidos comunicacionais que elas vem produzindo e como argumentos advindos de outros sistemas tem sido internalizados para fundamentar estas mesmas decisões. Nessa linha, o trabalho será desenvolvido com base na Teoria dos Sistemas de Niklas Luhmann e da Teoria da Autopiese de Humberto Maturana e Francisco Varela, por possibilitar uma forma diferenciada e completa de observação da sociedade e das novas improbabilidades comunicacionais.
This research supports that Law and Health are both autopoietic Social Systems and, therefore, its decisions must be limited by its code/programming. On these terms, as health is situated between several other systems, as Economy and Politics, a transdisciplinar observation is mandatory, specially when it is intended to verify if Judiciary, Law Systems central organization, is able to grant experimental medicines appeals in disadvantage on State, observing strictly its funcional code and programming, but not causing any corruption of the System nor autopoietic problems. For this, elements like complexity, risk and contingency must be developed, because they must be considered in order to decide, and on issues involving health they are highly relevant, since there is an excess of possibilities of decisions and the risks and dangers could cause death to a patient, according to the decision made or according to the way it will be operationalized. From this perspective, it is possible to observe that a paradox has emerged from this decisional process, that neither Law, nor Health and nor Political System found out a new way of observation, in order to overcome it. So, as there is a paradox and the necessity of overcoming still not reached, it is needed a second-order observation about the decisions made, what will allow to visualize the comunicational meanings they has produced and how arguments originated from other systems have been internalized in order to serve as groundwork for these same decisions. On this path, this work will be developed based on Niklas Luhmanns Theory of Systems and Humberto Maturana and Francisco Varelas Theory of Autopoiesis, as these theories make possible an observation of the society and of the new comunicational improbabilities in a more proper and complete way.
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Pinto, Nádia Regina da Silva. "O acesso aos exames de alta complexidade nos planos de saúde privados na perspectiva dos usuários." Universidade do Estado do Rio de Janeiro, 2011. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=2468.
Анотація:
A dissertação trata do acesso aos serviços de alta complexidade, particularmente os exames diagnósticos e complementares, estudado entre usuários de planos de saúde privados que buscam atendimento e diagnóstico especializado. Desde a década de 80 o usuário do sistema público de saúde vem procurando a saúde suplementar. Contudo, afirmar que o acesso é garantido no domínio privado, através da contratação dos planos de saúde, é uma incerteza que rodeia a inspiração para esta pesquisa, que se justifica pela relevância de ações que possibilitem a melhora da qualidade regulatória dos planos de saúde, a partir do controle social de seus usuários. O objetivo geral é analisar as percepções do acesso aos exames de alta complexidade nos serviços de saúde privados entre usuários de planos de saúde. Os objetivos específicos são descrever as percepções dos usuários de planos de saúde acerca do acesso aos exames de alta complexidade; analisar as motivações dos usuários de planos de saúde privados para a realização de exames de alta complexidade através da rede privada de assistência; e analisar o nível de satisfação dos usuários de planos de saúde quanto ao acesso aos exames de alta complexidade. A metodologia é qualitativa-descritiva, onde a amostra foi de trinta usuários de planos de saúde, acima de 18 anos, selecionados no campo de estudo no ano de 2010. O cenário de estudo foi um laboratório privado de medicina diagnóstica no Rio de Janeiro. As técnicas de coleta de dados utilizadas foram formulário e entrevista individual estruturada. A análise do formulário foi realizada através de estatística descritiva, e as entrevistas através da análise de conteúdo temática-categorial. Os usuários de plano de saúde declararam que o acesso é garantido com facilidade para os exames de alta complexidade. Suas principais motivações para a realização desses exames na rede privada de assistência foram caracterizadas pela rapidez de atendimento, flexibilidade e facilidade de marcação pela internet, telefone ou pessoalmente no laboratório estudado, pronta entrega dos resultados, dificuldade e morosidade do atendimento do SUS, localização do prestador credenciado próxima de bairros residenciais ou do trabalho, resolutividade diagnóstica de imagem de excelência, possibilidade de escolha pelo usuário entre as modalidades aberta e fechada de ressonância magnética e tomografia computadorizada, além da densitometria óssea que foram facilmente acessíveis a todos os sujeitos da pesquisa. O nível de satisfação foi correspondido com a rapidez na realização dos exames em caráter eletivo e de urgência quase equiparados na escala de tempo de acordo com os usuários. Contudo, embora as notas de avaliação dos usuários quanto aos seus planos de saúde tenham sido altas, foram abordadas algumas dificuldades, tais como: prazos de validade dos pedidos médicos com datação prévia; solicitações de senhas de autorização pela operadora; burocracia nos procedimentos de agendamento; dificuldades de acesso para tratamentos como implantes, fisioterapia, RPG, pilates, home care, consultas de check up; negação de reembolsos; restrição de materiais cirúrgicos, em especial as próteses e órteses; e restrições específicas de grau para cirurgias de miopia. Conclui-se que o atendimento rápido dos exames de imagem de alto custo na amostra foi descrito como satisfatório, embora a percepção de rapidez possa variar em função do tipo de produto do plano de saúde privado contratado, com necessidade de melhoria regulatória em alguns aspectos pontuais da saúde suplementar.This dissertation deals with access to services of high complexity, particularly diagnostic and complementary exams between users of private health system that seek specialized treatment and diagnosis care. Since the 80's people has being looking for additional health system. However, say that access is guaranteed in the private system, is an uncertainty that leads the inspiration for this research, which is justified by the importance of actions that enable the improvement of regulatory quality of health plans from social control of its users. The overall objective is to analyze the perceptions to access high complexity exams in the health system between users of private health plans. The specific objectives are to describe the perceptions of users of health plans to access high complexity exams; analyze motivations from users of private health plans for the exams of high complexity through the private network; and analyze the level of users satisfaction with health plans regarding access to tests of high complexity. The methodology is qualitative-descriptive, and the sample was thirty users of private health care system greater than 18 years, selected in 2010. The research scenario was a private laboratory of medical diagnostic in Rio de Janeiro. Data collection techniques used were individual interviews and structured form. The analysis was performed by the form of descriptive statistics, and interviews through the analysis of thematic content-category. Users of health plan stated that the access is guaranteed with facility for tests of high complexity. Their main motivations for doing exams in private health care services were characterized by quick responsiveness, flexibility and ease of marking their exams by internet, telephone or personally in the laboratory, prompt delivery of results, difficulty and length of service in SUS, location of laboratory near home or work, excellence resolution in diagnostic image, user choice between open and closed methods of magnetic resonance and computed tomography, and bone densitometry were easily accessible to all research subjects. Satisfaction level was reached by quickly resolution of the exams, and performing elective and emergency procedures in almost similar time scale, according to users. However, although evaluation from users with their health plans have been high, some difficulties were pointed such as validity periods for realization of exams; according to the date on the medical application; password requests for authorization by the operator; bureaucracy in procedures for scheduling exams; and poor access to treatments such as implants; physiotherapy; RPG; pilates; homecare; check ups; denied refunds; restricted surgical materials; in particular prosthetics and orthotics; and specifics degree limitation for myopia surgery. We conclude that the quickly response of high complexity exams were described as satisfactory, although the perception of speed may vary depending on the type of private health plans contracted, with the need for regulatory improvement in specific points in privete health system.
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Яковенчук, Наталя Миколаївна, та Natalia Mykolaivna Yakovenchuk. "Світовий досвід публічного управління реформування системи охорони здоров'я". Master's thesis, СумДПУ імені А. С. Макаренка, 2020. http://repository.sspu.edu.ua/handle/123456789/11325.
Анотація:
Досліджено сучасний стан та проблемні питання законодавчого забезпечення управління охороною здоров’я на регіональному та місцевому рівнях в Україні. Проаналізовано зарубіжний досвід реформування сфери охорони здоров’я. Визначено роль державних інституцій у здійсненні реформи сфери охорони здоров’я у зарубіжних країнах. Обгрунтовано можливості використання різних моделей та варіантів реформування сфери охорони здоров’я для України.The current state and problematic issues of legislative support of health care management at the regional and local levels in Ukraine are studied. Foreign experience in healthcare reform is analyzed. The role of state institutions in the implementation of health care reform in foreign countries has been identified. Possibilities of using different models and variants of healthcare reform for Ukraine are substantiated.
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Moreira, Iris Cristina de Oliveira Ricardo Domingos. "A introdução de mecanismos de competição e o quadro legal básico do Sistema Nacional de Saúde português : a perspectiva hospitalar." Master's thesis, Escola Nacional de Saúde Pública. Universidade Nova de Lisboa, 2009. http://hdl.handle.net/10362/5788.
Анотація:
RESUMO - O presente trabalho de projecto visa analisar a introdução de mecanismos de competição do ponto de
vista do quadro legal básico – Constituição e Lei de Bases da Saúde – que enforma o sistema de saúde
português e principalmente, o seu impacte ao nível do meio hospitalar. Pretende-se aferir se a
implementação de ferramentas de mercado no meio em apreço encontra previsão naqueles diplomas
legais, sendo por isso, permissivos quanto ao seu desenvolvimento ou se, por outro lado, o nosso
enquadramento legal se revela hostil ao seu desenvolvimento.
O estudo foi desenvolvido com recurso, essencialmente, à pesquisa e revisão bibliográficas que serão
transversais aos capítulos que compõem o enquadramento conceptual, à hermenêutica para efeitos de
aplicação à temática da descrição do quadro legal básico e à análise das hipóteses de trabalho
apresentadas.
Os resultados obtidos permitem concluir que, via de regra, o quadro legal básico do sistema de saúde
português é permissivo à introdução de mecanismos de competição, encontrando mesmo, alguns deles,
eco legal em disposições datadas de final da década de ’60. Este grau de permissividade tanto é
comprovável através de estatuições que directamente prevêem determinada ferramenta, como através da
ausência de previsão que no nosso ordenamento jurídico, não é sinónimo de proibição. ----------------------------------ABSTRACT - This essay analyses the existing relation between the introduction of competition tools in the Portuguese
health care system and its basic legal framework – the Constitution and the Health Bases Law –
particularly from the hospital’s point of view. We aim to assess if the use and implementation of those tools
are permissible by law or if, on the other hand, our legal system is hostile towards that introduction.
Preferably we used bibliographical research in almost every chapter and hermeneutics allowed us to
perform a detailed analysis of the basic legal framework.
We conclude that, most of the times, the Portuguese basic legal framework is permissible to the use of
such tools and some of the legislative acts date from the late sixties. That can be encompassed by
existing or non-existing statutes – since in our legal system what is not specifically foreseen is not,
necessarily forbidden.
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Brinkel, Johanna [Verfasser]. "A user-centred evaluation of a mobile phone-based interactive voice response system to support infectious disease surveillance and access to healthcare for sick children in Ghana: users’ experiences, challenges and opportunities for large-scale application. Part of a concept and pilot study for mobile phone-based Electronic Health Information and Surveillance System (eHISS) for Africa / Johanna Brinkel." Bielefeld : Universitätsbibliothek Bielefeld, 2020. http://d-nb.info/1204561826/34.
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Martins, Márcia Maria de Medeiros Travassos Saeger. "A política do cartão nacional de saúde sob a ótica dos usuários do SUS na região metropolitana de João Pessoa e Recife." Universidade Federal da Paraíba, 2009. http://tede.biblioteca.ufpb.br:8080/handle/tede/3871.
Анотація:
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Previous issue date: 2009-09-18Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
Throughout its history, Brazil has been finding many difficulties in education, economy, security, politics and health. The poor sections of the population - which is a large majority of people in relation to the ones who have more conditions - depend on governmental actions to make use of education and good health care among other services. One of the ways used to find solution to improve public health care services in the country was to create the Unique Health Care System (Sistema Único de Saúde - SUS), which aims at altering inequality in health care assistance to the population, imposing public attendance to any citizen, being prohibited the charge of money under any circumstances. With the increase in advances in technology around the world, public administration has been inserting in its practice devices that information technology (IT) disposes. In the public health care field, besides the Information systems in health, the national health card -or SUS card - represents one of the biggest projects developed by the government, using information systems that integrate all governmental spheres, providing a bigger financial control of the Ministry of health. The SUS card makes the access of registered patients to the SUS services possible, but at the same time it should not obstacle the access of the ones who do not have the card yet. According to the Health Ministry, one of the objectives of SUS card is to raise quality and efficiency in access to public health services. Ahead of the investments carried through in technology, an increase productivity is waited, that reflects in benefits to the population. This research aims at bringing to the reader the way as the users of SUS perceives the politics of SUS Card. Therefore public hospital patients in the metropolitans regions of João Pessoa and Recife were interviewed and the evaluation results proceeded from content analysis, proposed by Gläser and Laudel, with variables and dimensions established from the SERVQUAL model, scientifically validated. It was verified, to the end of the analysis, that the users of SUS do not feel themselves benefited with the implantation of SUS Card, what it makes possible the conclusion of that the high expenses of the Government with SUS Card had not been reverted in benefits to the population.
O Brasil tem encontrado grandes dificuldades, ao longo de sua história, na educação, economia, segurança, política e saúde. A população carente, que ocupa uma fatia enorme em relação àqueles que têm mais recursos depende das ações do Governo para que possa usufruir de educação e saúde de qualidade, além de outros serviços. Uma das formas adotadas na busca de soluções de otimização dos serviços de saúde pública no país foi a criação do Sistema Único de Saúde (SUS), que tem a finalidade de alterar a situação de desigualdade na assistência à saúde da população, tornando obrigatório o atendimento público a qualquer cidadão. Com os crescentes avanços tecnológicos por que vem passando o mundo, a administração pública vem inserindo em suas práticas ferramentas que a Tecnologia da Informação (TI) disponibiliza. No campo da saúde pública, além dos Sistemas de Informação em Saúde, o Cartão Nacional de Saúde, ou Cartão SUS representa um dos maiores projetos criados pelo governo, utilizando sistemas de informação que integram todas as esferas de Governo, propiciando assim maior controle financeiro do Ministério da Saúde. O Cartão SUS possibilita o acesso de pacientes cadastrados aos serviços prestados pelo SUS. De acordo com o Ministério da Saúde, um dos objetivos do Cartão SUS é aumentar a eficiência e a qualidade do acesso aos serviços públicos de saúde. Diante dos investimentos realizados em tecnologia é esperado um aumento de produtividade, que reflete em benefícios à população. Esta pesquisa objetiva trazer ao leitor, o modo como os usuários do SUS percebem a política do Cartão SUS. Para tanto, foram entrevistados pacientes de hospitais públicos das regiões metropolitanas de João Pessoa e Recife e os resultados da avaliação foram provenientes de uma análise de conteúdo, proposta por Gläser e Laudel, com dimensões e variáveis estabelecidas a partir do modelo SERVQUAL, validado cientificamente. Verificou-se, ao final da análise, que os usuários do SUS não se sentem beneficiados com a implantação do Cartão SUS, o que possibilita a conclusão de que os altos gastos do Governo com o Cartão SUS não foram revertidos em benefícios à população.
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Tolentino, J?nior Dilceu Silveira. "Estudo da preval?ncia de doen?as autoimunes na microrregi?o de sa?de de ?guas Formosas - Minas Gerais - Brasil." UFVJM, 2017. http://acervo.ufvjm.edu.br/jspui/handle/1/1636.
Анотація:
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As doen?as autoimunes s?o s?ndromes cl?nicas distintas caracterizadas por v?rias altera??es na resposta imune normal, com perda da toler?ncia para constituintes do pr?prio hospedeiro que representam um importante problema de sa?de p?blica que atinge de 3 a 5% da popula??o mundial. O presente estudo teve como objetivo realizar o levantamento epidemiol?gico de doen?as autoimunes de usu?rios do sistema ?nico de sa?de proveniente da aten??o prim?ria ? sa?de da microrregi?o de sa?de de ?guas Formosas - Minas Gerais, contemplando as caracter?sticas sociodemogr?ficas da amostra, al?m da distribui??o, frequ?ncia e determinantes dessas doen?as no ?mbito dos munic?pios que a comp?em. Trata-se de estudo epidemiol?gico de abordagem quantitativa e delineamento transversal, com a realiza??o de inqu?rito domiciliar do tipo survey, de natureza descritiva e explorat?ria. O estudo foi aprovado pelo Comit? de ?tica em Pesquisa da Universidade Federal dos Vales do Jequitinhonha e Mucuri. O inqu?rito foi realizado de janeiro a dezembro de 2016. Um total de 407 portadores e 24 diferentes doen?as autoimunes foi identificado. A preval?ncia de doen?as autoimunes nesta regi?o foi de 673,6 casos para cada 100.000 habitantes. A maior preval?ncia foi identificada para tireoidite de Hashimoto, seguidas de vitiligo e artrite reumatoide. Em rela??o ao sexo foi maior no feminino (69,25%), confirmando a tend?ncia mundial. A faixa et?ria mais acometida foi de 60 anos e mais (31,21%) com maior predomin?ncia para a zona urbana (81,76%) quando comparada a zona rural. Ao comparar a preval?ncia encontrada com a de estudos anteriores, verificou-se que a preval?ncia de v?rias doen?as na microrregi?o ultrapassou algumas estimativas nacionais e mundiais. O presente estudo ensejou o primeiro levantamento epidemiol?gico e a estimativa da preval?ncia de doen?as autoimunes na microrregi?o de sa?de de ?guas Formosas - Minas Gerais, Brasil, sendo poss?vel atrav?s destas informa??es, auxiliar aos gestores no planejamento das pol?ticas p?blicas de sa?de para esta microrregi?o.
Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Tecnologia, Sa?de e Sociedade, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017.
Autoimmune diseases are distinct clinical syndromes characterized by several alterations in the normal immune response, with loss of tolerance for host constituents that represent a major public health problem that affects 3 to 5% of the world population. The present study aimed to carry out the epidemiological survey of autoimmune diseases of users of the unified health system from the primary health care of ?guas Formosas - Minas Gerais health micro-region, considering the sociodemographic characteristics of the sample, as well as the distribution, frequency and determinants of these diseases within the municipalities that comprise it. This is an epidemiological study and a quantitative approach with a cross-sectional design, with the conduct of a survey-type household survey of a descriptive and exploratory nature. The study was approved by the Research Ethics Committee of the Federal University of the Jequitinhonha and Mucuri Valleys. The survey was conducted from January to December 2016. A total of 407 carriers and 24 different autoimmune diseases was identified. The prevalence of autoimmune diseases in this region was 673,6 cases per 100,000 inhabitants. The highest prevalence was identified for Hashimoto's thyroiditis, followed by vitiligo and rheumatoid arthritis. Sex was higher in the female (69.25%), confirming the world trend. The most affected age group was 60 years and over (31.21%), with a greater predominance in the urban area (81.76%) when compared to rural areas. When comparing the prevalence found with that of previous studies, it was verified that the prevalence of several diseases in the micro-region exceeded some national and world estimates. The present study led to the first epidemiological survey and estimation of the prevalence of autoimmune diseases in the health micro-region of ?guas Formosas - Minas Gerais, Brazil. It is possible through this information to assist managers in the planning of public health policies for this micro-region.
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Stefanova, Deyana. "Le rôle de la notion de service public dans l'organisation du système de santé en droit français." Thesis, Bordeaux, 2020. http://www.theses.fr/2020BORD0273.
Анотація:
Depuis les années 1970, la notion de service public a été conçue comme le fondement du système de santé en droit français. Cependant, cette notion ne s’est pas imposée comme un élément d’intégration des services de soins de ville dans le champ du système de santé. Parallèlement, le concept de système hospitalier, qui renvoie à la coordination de l’ensemble de l’offre de soins hospitaliers par l’Etat, a été construit en dehors du spectre de la notion de service public. Cela amène au constat de l’échec de la notion de service public comme fondement du système de santé en droit français. Depuis les années 2000, l’émergence du concept du système de santé en droit interne de la santé, ainsi que l’influence du droit de l’Union Européen sur la conception de service public dans le champ des services sociaux et sanitaires, ont conduit à un renouveau du rôle du service public dans le domaine de la santé. Le service public s’est alors progressivement transformé en instrument d’organisation du système de santé au travers de son régime juridique. En ce sens, la réintroduction de la notion de service public hospitalier, opérée par la loi Touraine de 26 janvier 2016, apparaît comme paradoxale. Le passage à une approche exclusivement fonctionnelle de service public en matière de santé implique désormais de procéder à la définition et à l’aménagement des missions de « service au public » au sein du système de santéSince the 1970s, the notion of public service has been conceived as the basis of the health system in French law. However, this notion has not become an integral part of city care services within the scope of the health system. At the same time, the concept of the hospital system, which refers to the coordination of the entire supply of hospital care by the state, was constructed outside the spectrum of the concept of public service. This leads us the to observe the failure of the notion of public service as the basis of the health system in French law. Since the 2000s, the emergence of the concept of the health system in domestic health law, as well as the influence of European Union law on the design of public service in the field of social and health services, have led to the renewal of the role of the public service in the domain of health. Public service then gradually became an instrument for organizing the health system through its legal regime. In this sense, the reintroduction of the concept of public health service, operated by the Touraine law of January 26, 2016, appears paradoxical. The shift to an exclusively functional public service approach in health involves defining and building "service to the public" missions within the health system
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Van, Vledder Nicole. "An ergonomic intervention : the effect of a chair and computer screen height adjustment on musculoskeletal pain and sitting comfort in office workers." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96865.
Анотація:
Thesis (MScPhysio)--Stellenbosch University, 2015.ENGLISH ABSTRACT: Aims: To assess the effect of a vertical height adjustment of the chair and visual display unit (VDU) on work related upper quadrant musculoskeletal pain (WRUQMP) and sitting comfort in computer users. The upper quadrant refers to the occiput, cervical and upper thoracic spine including the clavicles and scapulae. Methods: An N=1 study was conducted using the ABC design whereby an ergonomic workstation adjustment, of VDU and chair height, was compared to the subject’s usual workstation settings. Pain and sitting comfort were measured using visual analogue scales (VAS). The subject was assessed over the four week phases as she performed her typical VDU work. The results were compiled and tabulated. Results: Both the mean and variance in pain intensity decreased after the workstation intervention. A deterioration was noted in sitting comfort. Conclusion: The vertical height adjustment of the chair and VDU may have contributed to a decrease in WRUQMP in this subject. This safe, economical workstation intervention may be a practical management option for the computer user suffering from WRUQMP. Further research into the measurement of comfort whilst sitting at a computer workstation, is recommended.
AFRIKAANSE OPSOMMING: Doelwitte: Om die effek te bepaal van n vertikale aanpassing van die stoel en beeldskerm van rekenaargebruikers op werksverwandte boonste kwadrant muskuloskeletale pyn en sitgemak. Die boonste kwadrant verwys na die oksiput, servikale en boonste torakale werwelkolom en sluit ook die klavikel en skapula in. Methode: Die N=1 studie is onderneem met gebruik van die ABC ontwerp in terme waarvan n ergonomiese aanpassing van stoel en beeldskerm vergelyk is met die normale gebruik van die deelnemer. Pyn en sitgemak is gemeet deur die gebruik van die Visueel analoogskaal. Die interwensies is ge-evalueer oor vierweekfases tydens normale rekenaar gebruik van die deelnemer. Die resultate is saamgestel en getabuleer. Uitkoms: Beide die gemiddelde en veranderlike pynintensiteit het verminder nadat die werkstasie aangepas is. Geen verbetering in sitgemak is opgemerk nie. Gevolgtrekking: Die vertikale hoogte-aanpassing van die stoel en beeldskerm het moontlik bygedra tot die verminderde pynvlakke in hierdie deelnemer. Hierdie veilige, ekonomiese verstelling is moontlik n praktiese beheeropsie vir rekenaargebruikers wat werksverwandte boonste kwadrant muskuloskeletale pyn verduur. Verder studie in die meet en waarneming van sitgemak tydens rekenaarwerk is nodig.
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Dierks, Christian. "Rechtliche und praktische Probleme der Integration von Telemedizin in das Gesundheitswesen in Deutschland." Doctoral thesis, [S.l.] : [s.n.], 1999. http://deposit.ddb.de/cgi-bin/dokserv?idn=959449531.
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Silva, Camila Magrini da. "Políticas públicas regulatórias setoriais : sistema de saúde privado /." Franca, 2016. http://hdl.handle.net/11449/150858.
Анотація:
Orientador: José Carlos de OliveiraBanca: Alexandre Walmott Borges
Banca: Sebastião Sérgio da Silveira
Resumo: O sistema de saúde privado consiste em uma clássica alternativa utilizada pelo Estado para atender a prestação e a concretização dos serviços à saúde. A contratação do sistema de saúde privado não proíbe o cidadão de acessar e utilizar o sistema de saúde público, pois esse tem direito ao acesso universal à saúde, previsto na Constituição Federal. Esse direito universal é uma conquista social a qual não se pretende pesquisar, pois as pretensões são: averiguar as razões que conduzem o cidadão a realizar a contratação do sistema de saúde privado, e, ainda, utilizar o sistema de saúde público?; averiguar se o sistema de saúde privado realiza o ressarcimento integral do uso do sistema de saúde público?; averiguar se a Agência Nacional de Saúde Suplementar (ANS) realiza, de forma efetiva, a regulação da relação do sistema de saúde privado? Essas averiguações permeiam algumas das competências da ANS previstas na Lei n. 9.961/2000, as quais devem servir de ferramentas na promoção de políticas públicas regulatórias para fomentar a efetividade dos direitos à saúde. O descumprimento a essas competências pode ocasionar problemas regulatórios, e, gerar à judicialização da regulação da saúde. A metodologia utilizada nesta investigação foi a teórico-dedutiva combinada com dados empíricos.
Abstract: The private health system consists of a classic alternative used by the State to meet the delivery and delivery of health services. The contracting of the private health system does not prohibit citizens from accessing and using the public health system, since they have the right to universal access to health, as provided for in the Federal Constitution. This universal right is a social achievement that is not intended to be researched, since the pretensions are: to investigate the reasons that lead the citizen to contract the private health system, and also to use the public health system? To investigate whether the private health system provides full compensation for the use of the public health system? To investigate whether the National Supplementary Health Agency effectively regulates the relationship of the private health system? These inquiries pervade some of the competencies of National Supplementary Health Agency provided for in Law n. 9.961/2000, which should serve as tools in the promotion of public regulatory policies to promote the effectiveness of health rights. Noncompliance with these competencies may lead to regulatory problems, and, to the judicialization of health regulation. The methodology used in this research was theoretical-deductive combined with empirical data.
Mestre
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Mesnil, Marie. "Repenser le droit de la reproduction au prisme du projet parental." Thesis, Sorbonne Paris Cité, 2015. http://www.theses.fr/2015USPCB217.
Анотація:
À partir de la notion de projet parental, nous souhaitons déconstruire, en droit, l'assignation des femmes aux questions reproductives. En effet, le corpus juridique relatif à la reproduction participe à la perpétuation des stéréotypes de genre et en particulier, ceux liés à la division sexuée du travail. Le projet parental est une notion qui a émergé avec les techniques reproductives. Pour autant, l'analyse du cadre relatif aux techniques de PMA montre de quelle manière celui-ci renforce les stéréotypes de genre. Les conditions d'accès aux méthodes de PMA sont empreintes de naturalisme et une comparaison entre le droit français et le droit suisse montre le caractère construit de ces références constantes à la nature. L'établissement du lien de la filiation renforce le cadre naturaliste : d'un côté, la filiation est établie pour les projets parentaux réalisés dans le cadre légal selon les règles du droit commun et renforce la différenciation des fondements à la filiation selon le sexe du parent ; de l'autre, les projets parentaux qui s'écartent du cadre naturaliste sont relégués aux marges du droit de la filiation, même s'ils doivent aujourd'hui être reconnus sous la pression du législateur en matière de PMA et de la CEDH concernant la GPA. En dépit de l'état actuel du droit, la notion de projet parental pourrait promouvoir au sein du droit de la reproduction l'égalité entre les sexes et la liberté reproductive. En prenant appui sur le principe d'égalité entre les sexes et la liberté reproductive nous proposons de faire évoluer le droit de la reproduction, afin qu'il y ait davantage d'autonomie et d'égalité, tant en matière de filiation que d'accès aux actes médicaux non thérapeutiques en matière de reproduction que sont l'IVG, la contraception, la stérilisation et la PMA. Nous préconisons en particulier de modifier le droit commun de la filiation en y intégrant les techniques de PMA et en faisant de la volonté le fondement principal de l'établissement de la filiation. La promotion de l'autonomie reproductive lors de la mise en œuvre des droits reproductifs se traduit par un renforcement des droits des usagers du système de santé en matière de reproduction. À travers l'exemple du droit de la reproduction, nous montrons in fine de quelle manière le droit peut contribuer à favoriser au sein de la société l'autonomie des individus et l'égalité entre les sexesStarting from the concept of "parental project", we aim to deconstruct the traditional roles of women in reproductive matters from a legal standpoint. Gender stereotypes, especially those related to gendered division of labour, are indeed sustained by the current reproductive legal framework. The parental project is a concept introduced by law regulating the new reproductive technologies and yet, the analysis of legal aspects of medically assisted reproduction (MAR) stresses how gender stereotypes are in fact strengthened. The legal criteria to access MAR methods are defined based on Nature and comparing French and Swiss legal frameworks shows there are no fixed rules and thus, that references to Nature are not unbiased. Moreover, when it comes to rules of filiation, the naturalistic framework is further reinforced: on the one hand, when the parental project is carried out within the legal framework, filiation is established based on general law, corroborating the gendered legal basis of filiation; on the other hand, parental projects outside of the naturalistic framework are marginalized, and if nowadays filiation should also be recognized for children born in such conditions, it is only because of legal and jurisprudential developments. In spite of this, we think that the concept of "parental project" should promote, within the legal framework of reproduction, both gender equality and reproductive autonomy. Based on the principle of sex-equality and reproductive autonomy, our proposals aim to change dispositions regarding filiation and reproductive medical acts so that they could improve gender equality and reproductive autonomy. In particular, MAR should be addressed by the general law of filiation in order to make of will the main basis of parentage. Likewise, promoting autonomy in reproductive medical acts cannot proceed without rights of the health care users. Finally this research in reproductive law could be seen as a striking example of how law could foster gender equality and individual autonomy in society
41
Nasser, Ali Djambae. "Accès aux soins et gestion des flux migratoires." Thesis, Normandie, 2018. http://www.theses.fr/2018NORMR050.
Анотація:
Mayotte département d’outre-mer français depuis 2011, fait partie de l’archipel des Comores ; elle est séparée des îles de l’État de l’Union des Comores depuis 1975. L’instauration d’un visa en 1995 et l’ordonnance n° 2002-688 du 12 juillet 2004 entréeen vigueur le 1er avril 2005 relative à l’extension de la sécurité sociale à Mayotte exclut les malades étrangers du système de santé mahorais. Ceci entraine des processus d’évacuation sanitaire par la voie d’une immigration clandestine qui provoque des naufrages et des violations des droits du patient. L’attrait de Mayotte et de la France métropolitaine pour les populations défavorisées occasionne des situations de conflits et de concurrence pour l’accès à la protection sanitaire et sociale. Les populations défavorisées de Mayotte, qui se battent pour combler leur retard par rapport à la métropole, vivent mal cette concurrence ; tandis que les populations immigrées vivant dans la clandestinité et sous la menace d’une expulsion imminente, rencontrent des difficultés pour faire valoir leur droit aux soins et au bénéfice à l’assistance du système social. Les obstacles sont nombreux et souvent considérables, dus notamment à la discrimination, à une disparité de difficultés sociales et économiques et à leurs conditions de vie généralement très difficiles. La maîtrise des flux migratoires et la lutte contre l’immigration irrégulière demeurent des priorités de la politique du gouvernement français en matière d’immigration. Laspécificité de la situation du département de Mayotte ainsi que l’importance des flux migratoires qui y sont constatés ont conduit les autorités sanitaires à gérer les flux migratoires liés aux évacuations sanitaires par la voie illégale. La France mène une politique sanitaire en continuant de soutenir l’Union des Comores dans l’amélioration de l’accessibilité et de laqualité des soins, à travers les programmes d’appui au secteur de la santé. Ces programmes auront pour finalité l’amélioration de la santé des mères et des enfants, notamment la réduction des mortalités maternelle et néonatale. La France à travers son organisme Agence française de développement (AFD) entend appuyer le ministère de la Santé dans l’élaboration et la mise en oeuvre des politiques publiques et contribuer au renforcement du cadre institutionnel et juridique du secteur. Il s’agira notamment d’appuyer l’État comorien dans la mise en place de mécanismes de régulation du service privé dans le secteur public et de réformer la pharmacie nationale. Cette recherche pointe les enjeux liés au droit de la protection sociale et au droit de la santé des étrangers sur le territoire national, aussi bien en France métropolitaine qu’à Mayotte. La diversité des droits nationaux applicables à Mayotte constitue une entrave sérieuse face aux dispositifs locaux relatifs à l'accompagnement sanitaire et social. Il est donc indispensable de chercher des solutions juridiques relatives à l’uniformisation de ce droit sanitaire et social afin d’améliorer le système de santé. Les résultats de cette recherche ont montré que les dispositifs locaux tels que le « bon rose » et le « bon AGD » ne sont pas du tout équivalents aux dispositifs nationaux (l'AME et la CMUc)Mayotte a French overseas department since 2011, is part of the comorian archipelago from which it was separated from the State of Union of the Comoros islands since 1975. The introduction of a visa in 1995 and the order n° 2002-688 delivered on 12 july 2004 and entered into force on April 1st 2005 with regard to the extension of social security in Mayotte exclude the foreign sick from Mayotte's health system. This leads to a process of medical evacuation following an illegal immigration way that causes shipwrecks and the violation of the patient's rights. The attraction of Mayotte and Mainland France for disadvantaged populations lead to conflict situations and competition in the access to health and social protection. Mayotte's disadvantaged populations, who are struggling to catch up with the mainland, do not get along with that competition. At the same time the illegal immigrants living clandestinely and with the threat of expulsion are facing difficulties to assert their right to health care and to benefit from social system assistance. Obstacles are numerous and most of the time considerable, mainly because of discrimination, because of their judicial status, of disparity in their social and economical difficulties and because of their generaly very hard living conditions. The control of migratory flow and the fight against illegal immigrant remain the top priorities of the French government policy as far as immigration is concerned. The singularity of the situation in the department of Mayotte and the huge migratory flows that have been observed led healthcare authorities to handle migratory movements related to illegal medical evacuations. France has a healthcare policy and continues to support the Union of Comoros in the effort to improve healthcare access and quality, through support programs to health sector. These programs aim at improving the health of mothers and children, mainly in reducing maternal mortality. Through its organisation AFD, France aims at supporting health ministry in elaborating and implementing public policies and helping comorian state to put in place regulatory mechanisms of a private service within public sector and to reform the national pharmacy. This work focus on the issues related to the right to social protection and the health law for foreigners on the national territory, in mainland France and in Mayotte as well. Diversity of national laws applicable in Mayotte is a significant barrier to local devices in terms of medical and social assistance. It is necessary to seek legal solutions related to standardization of this health and social law in order to better the healthcare system. During our field research we observed that local devices such as the "pink warrant" and the "good AGD" are not at all equivalent to the national devices (AME and CMUc)
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Patail, Shoaib Chotoo. "Implications of a national immunization registry an alliance to win the race for the future care and accuracy of pediatric immunization." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2600.
Анотація:
This project examines the role of immunization registries and their effect on a health care delivery system. Recent efforts to attain coverage of child populations by recommended vaccines have included initiatives by federal and state agencies, as well as private foundations, to develop and implement statewide community-based childhood immunization registries.
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GRECO, MARCO. "Il costo del diniego. Diritto, religione e sistema sanitario nell'esperienza americana tra giurisprudenza e dottrina." Doctoral thesis, Università Cattolica del Sacro Cuore, 2010. http://hdl.handle.net/10280/865.
Анотація:
La tesi approfondisce il complesso rapporto tra diritto, religione e sanità nella realtà americana, concentrandosi in particolare sulle problematiche scaturenti dall’orientamento religioso del paziente, del care provider e della struttura sanitaria.
La prima sezione si propone di studiare, sempre in chiave giuridica, l’evoluzione del rapporto tra fede e medicina, presentando altresì due casi di studio: i nativi americani e christian science.
Nella seconda sezione, invece, si ricostruiscono le linee interpretative essenziali del primo emendamento con specifico approfondimento tanto della Free exercise clause che dalla establishment clause. Parimenti, viene tracciato un disegno di sintesi del sistema sanitario americano, soffermandosi tanto sugli aspetti pubblicistici che su quelli privatistici dello stesso. La ricerca, poi, si sofferma sull’analisi dettagliata delle problematiche evidenziate dalla giurisprudenza americana con riferimento al care receiver, al care provider e, soprattutto, al contenzioso in materia pediatrica.
L’ultima parte è dedicata allo sviluppo di due distinti filoni, ovvero: il rapporto tra scienza e diritto ed il ruolo dell’economia. Questo ultimo aspetto viene approfondito sotto due diversi punti di vista. In primo luogo si ricostruisce l’impatto economico delle policy che garantiscono la libertà religiosa sul “sistema sanità”. In secondo luogo, si approfondisce il tema dell’influenza del dato economico sullo sviluppo della libertà religiosa in ambito sanitario.This work deals with the complex relationship between law, religion and the sanitary system in the U.S. setting, by focusing on the problems emerging from the religious view of the patient, of the care provider and the religious orientation of the hospital or HMO. The first section of the work aims to study, from a legal point of view, the evolution of the relationship “medicine-religion”, and focuses on two case studies: native Americans and Christian science. In the second section the essential interpretative streamlines about the first amendment are presented, through a deep analysis of the Free Exercise Clause and of the Establishment Clause. At the same time, the American (U.S.) sanitary system is deeply studied both in the private sector and the public one. The research then focuses on a detailed analysis of the jurisprudence related to the care provider and the care receiver, while a specific section is dedicated to the litigation concerning pediatric patients and the related litigation cases. The last part develops two different subjects: the relationship between science and law, and the role of economy. This last subject is deeply analyzed under two different points of view: the economic impact of the religious freedom on the “sanitary system” on the one hand; and the influence of the economic data on the development of religious freedom in the health care system setting on the other.
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GRECO, MARCO. "Il costo del diniego. Diritto, religione e sistema sanitario nell'esperienza americana tra giurisprudenza e dottrina." Doctoral thesis, Università Cattolica del Sacro Cuore, 2010. http://hdl.handle.net/10280/865.
Анотація:
La tesi approfondisce il complesso rapporto tra diritto, religione e sanità nella realtà americana, concentrandosi in particolare sulle problematiche scaturenti dall’orientamento religioso del paziente, del care provider e della struttura sanitaria.
La prima sezione si propone di studiare, sempre in chiave giuridica, l’evoluzione del rapporto tra fede e medicina, presentando altresì due casi di studio: i nativi americani e christian science.
Nella seconda sezione, invece, si ricostruiscono le linee interpretative essenziali del primo emendamento con specifico approfondimento tanto della Free exercise clause che dalla establishment clause. Parimenti, viene tracciato un disegno di sintesi del sistema sanitario americano, soffermandosi tanto sugli aspetti pubblicistici che su quelli privatistici dello stesso. La ricerca, poi, si sofferma sull’analisi dettagliata delle problematiche evidenziate dalla giurisprudenza americana con riferimento al care receiver, al care provider e, soprattutto, al contenzioso in materia pediatrica.
L’ultima parte è dedicata allo sviluppo di due distinti filoni, ovvero: il rapporto tra scienza e diritto ed il ruolo dell’economia. Questo ultimo aspetto viene approfondito sotto due diversi punti di vista. In primo luogo si ricostruisce l’impatto economico delle policy che garantiscono la libertà religiosa sul “sistema sanità”. In secondo luogo, si approfondisce il tema dell’influenza del dato economico sullo sviluppo della libertà religiosa in ambito sanitario.This work deals with the complex relationship between law, religion and the sanitary system in the U.S. setting, by focusing on the problems emerging from the religious view of the patient, of the care provider and the religious orientation of the hospital or HMO. The first section of the work aims to study, from a legal point of view, the evolution of the relationship “medicine-religion”, and focuses on two case studies: native Americans and Christian science. In the second section the essential interpretative streamlines about the first amendment are presented, through a deep analysis of the Free Exercise Clause and of the Establishment Clause. At the same time, the American (U.S.) sanitary system is deeply studied both in the private sector and the public one. The research then focuses on a detailed analysis of the jurisprudence related to the care provider and the care receiver, while a specific section is dedicated to the litigation concerning pediatric patients and the related litigation cases. The last part develops two different subjects: the relationship between science and law, and the role of economy. This last subject is deeply analyzed under two different points of view: the economic impact of the religious freedom on the “sanitary system” on the one hand; and the influence of the economic data on the development of religious freedom in the health care system setting on the other.
45
Hajný, Jiří. "Management informační bezpečnosti ve zdravotnickém zařízení." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2014. http://www.nusl.cz/ntk/nusl-224498.
Анотація:
The diploma thesis focuses on implementation and deployment of information security management system (ISMS) into healthcare organizations. Specifies what is required to include in this process and what not to forget. It includes a risk analysis of a branch of the selected company, and for it is written a safety guide. Safety guide provides advice and recommendations regarding security in terms of human resources, physical security, ICT security and other aspects that should be included in the ISMS deployment in healthcare organizations. The work also reflects the newly emerging law on cyber security. It is expected that the law will also address cyber security in healthcare.
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Berrios-Ayala, Mark. "Brave New World Reloaded: Advocating for Basic Constitutional Search Protections to Apply to Cell Phones from Eavesdropping and Tracking by Government and Corporate Entities." Honors in the Major Thesis, University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1547.
Анотація:
Imagine a world where someone’s personal information is constantly compromised, where federal government entities AKA Big Brother always knows what anyone is Googling, who an individual is texting, and their emoticons on Twitter. Government entities have been doing this for years; they never cared if they were breaking the law or their moral compass of
human dignity. Every day the Federal government blatantly siphons data with programs from the original ECHELON to the new series like PRISM and Xkeyscore so they can keep their tabs on issues that are none of their business; namely, the personal lives of millions. Our allies are taking note; some are learning our bad habits, from Government Communications Headquarters’ (GCHQ) mass shadowing sharing plan to America’s Russian inspiration, SORM. Some countries are following the United States’ poster child pose of a Brave New World like order of global events. Others like Germany are showing their resolve in their disdain for the rise of tyranny. Soon, these new found surveillance troubles will test the resolve of the American Constitution and its nation’s strong love and tradition of liberty. Courts are currently at work to resolve how current concepts of liberty and privacy apply to the current conditions facing the privacy of society. It remains to be determined how liberty will be affected as well; liberty for the United States of America, for the European Union, the Russian Federation and for the people of the World in regards to the extent of privacy in today’s blurred privacy expectations.B.S.
Bachelors
Health and Public Affairs
Legal Studies
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Malý, Filip. "Stavebně technologický projekt výstavby polyfunkčního domu lokalita Nová Nitra." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2012. http://www.nusl.cz/ntk/nusl-225445.
Анотація:
The content of this thesis is the construction project of technological multifunctional building new locality Nitra the Slovak Republic. Individual points outline the project, which are dealt with in this thesis can be divided into subcategories, depending on the type of information provided. The first category can include items such as a technical report to the STP, which describes the basic information about the objects constructed building including the construction situation, location of the site including links to transport and technical infrastructure and rough timetable for the construction of all buildings. The second category can include no specific calculation and optimization outputs such as itemized budget polyfunctional house SO-07.03, drawing of the site including all buildings proposed site and their economic evaluation, sizing of utilities for supplying water and electricity construction site, design of building machines and mechanisms including determining the time of deployment, technological regulation for the implementation of monolithic roof structure, including financial balance sheets prepared by the deployment of slab formwork. The last category included in the thesis are legislative requirements that must be observed and kept in the course of the construction plan is constructed as a safety and health at work, including security risks drawn up, inspection and testing schedule for monolithic construction and a list of environmental risks that may arise during implementation.
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Jaume, Bennasar Andrés. "Las nuevas tecnologías en la administración de justicia. La validez y eficacia del documento electrónico en sede procesal." Doctoral thesis, Universitat de les Illes Balears, 2009. http://hdl.handle.net/10803/9415.
Анотація:
La tesis se encarga de analizar, por un lado, la integración y el desarrollo de las nuevas tecnologías en la Administración de Justicia; y, por otro, los parámetros que constituyen la validez y eficacia del documento electrónico. La primera cuestión se centra en la configuración de los Sistemas de Información de la Oficina Judicial y del Ministerio Fiscal, así como de la informatización de los Registros Civiles, donde el art. 230 LOPJ es la pieza clave. Se estudian sus programas, aplicaciones, la videoconferencia, los ficheros judiciales y las redes de telecomunicaciones que poseen la cobertura de la firma electrónica reconocida, donde cobran gran relevancia los convenios de colaboración tecnológica. La digitalización de las vistas quizá sea una de las cuestiones con más trascendencia, teniendo en cuenta que el juicio es el acto que culmina el proceso. Aunque no todos los proyectos adoptados en el ámbito de la e.justicia se han desarrollado de forma integral, ni han llegado a la totalidad de los órganos judiciales. El objetivo final es lograr una Justicia más ágil y de calidad, a lo cual aspira el Plan Estratégico de Modernización de la Justicia 2009-2012 aprobado recientemente.
En referencia a la segunda perspectiva, no cabe duda que el Ordenamiento jurídico y los tribunales, en el ámbito de la justicia material, otorgan plena validez y eficacia al documento electrónico. Nuestra línea de investigación se justifica porque cada vez son más los procesos que incorporan soportes electrónicos de todo tipo, ya sea al plantearse la acción o posteriormente como medio de prueba (art. 299.2 LEC). Entre otros temas examinamos el documento informático, la problemática que rodea al fax, los sistemas de videograbación y el contrato electrónico.
La tesi s'encarrega d'analitzar, per una part, la integració i el desenvolupament de les noves tecnologies dins l´Administració de Justícia; i, per l'altra, els paràmetres que constitueixen la validesa i l'eficàcia del document electrònic.
La primera qüestió es centra en la configuració dels Sistemes d´Informació de l´Oficina Judicial i del Ministeri Fiscal, així com de la informatització dels Registres Civils, on l'art. 230 LOPJ es la peça clau. S'estudien els seus programes, aplicacions, la videoconferència, el fitxers judicials i les xarxes de telecomunicacions que tenen la cobertura de la firma electrònica reconeguda, on cobren gran rellevància els convenis de col·laboració tecnològica. La digitalització de les vistes tal vegada sigui una de les qüestions amb més transcendència, tenint amb compte que el judici es l'acte que culmina el procés. Però no tots el projectes adoptats en l'àmbit de la e.justicia s'han desenvolupat d'una manera integral ni han arribat a la totalitat dels òrgans judicials. L'objectiu final es assolir una Justícia més àgil i de qualitat, al que aspira el Pla Estratègic de Modernització de la Justícia 2009-2012 aprovat recentment.
En referència a la segona perspectiva, no hi ha dubte que l´Ordenament jurídic i els tribunals, en l'àmbit de la justícia material, donen plena validesa i eficàcia al document electrònic. La nostra línia d'investigació es justifica perquè cada vegada son més el processos que incorporen suports electrònics de tot tipus, ja sigui quant es planteja l'acció o posteriorment como a medi de prova (art. 299.2 LEC). Entre altres temes examinem el document informàtic, la problemàtica que envolta al fax, els sistemes de videogravació i el contracte electrònic.
The thesis seeks to analyse, on the one hand, the integration and development of the new technologies in the Administration of Justice; and, on the other, the parameters which constitute the validity and efficiency of the electronic document.
The first question centres on the configuration of the Information Systems of the Judicial Office and the Public Prosecutor, as well as the computerisation of the Civil Registers, where the art. 230 LOPJ it's the part key. Their programmes, applications, the Video Conferencing, the judicial registers and the telecommunication networks which are covered by the recognised electronic signatures, are studied, where the agreements on technological collaboration gain great relevance. The digitalisation of evidence might perhaps be one of the questions with most consequence, bearing in mind that the judgment is the act by which the process is culminated. Although not all the projects adopted within the compass of e.justice have developed completely nor have reached all the judicial organs. The final objective is to achieve an agile, quality Justice, to which the recently approved Strategic Plan for the Modernisation of Justice aspires.
With reference to the second perspective, there is no doubt that the juridical Ordinance and the tribunals within the compass of material justice grant full validity and efficacy to the electronic document. Our line of investigation is justified because there are more and more processes which are sustained by electronic supports of all kinds, whether it be at the establishment of the action or later, as a proof of it (art. 299.2 LEC). Amongst other things, we examine the computerised document, the problems which surround the fax, the systems for video recording and the electronic contract.
49
Yao, Huang Ching, and 黃瀞瑤. "The study on users'' satisfaction of National Health Insurance Pharma Cloud System." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/8fc45y.
Анотація:
碩士樹德科技大學
資訊管理系碩士班
106
According to statistic report from Ministry of Health and Welfare, cases of improper effects from medicine increase from 2200 in 2004 to 10420 in 2011. That is Administration of National Health Insurance set up National Health Insurance Pharma Cloud System (NHIPCS) in the light of Cloud Application, invited all medical units island-wide to participate. The National Health Insurance Pharma Cloud System not only open to medical doctors but also to pharmacist with different user interface. One can rarely find academic papers discuss the expectation and request function existing NHIPCS from medical doctors and pharmacists. Thus, this paper focus on the factors that impact the usage by doctors onto NHIPCS with Technology Acceptance Mode (ATM). The result shows “perceived useful” is the key factor that affects the acceptance of NHIPCS.
50
Barroso, João Diogo Burrica. "Healthcare rule-based expert system framework to help, educate and prepare users." Master's thesis, 2021. http://hdl.handle.net/10400.26/38312.
Анотація:
Existe neste momento um grande problema com a abundância de informação relativa a saúde, a desinformação. Este problema tem causado que uma grande percentagem de pessoas faça visitas ao hospital desnecessariamente, ou pior. Como não foi possível encontrar uma aplicação móvel que disponibiliza um conjunto de informação cientificamente correta, disponível para todos, organizada e acessível, foi procurado neste documento resolver este problema. Para isto, um estudo foi conduzido para entender o estado da arte sobre aplicações móveis e sobre o ecossistema de aplicações para a saúde, desta forma endereçando diversos tópicos como acessibilidade, UX/UI e usabilidade. Para combater a desinformação, é importante ser capaz de disponibilizar aos utilizadores informação de confiança e para isso concluiu-se que a melhor e mais confiável informação teria que ser recolhida de especialistas os profissionais de saúde. Um protótipo foi construído que incorpora não só um sistema pericial que, baseado em regras criadas através da informação recolhida dos especialistas, podes disponibilizar um sistema de pesquisa de sintomas, mas também diversas funcionalidades de usabilidade e opções de acessibilidade. Este protótipo abre a possibilidade de desenvolver conjunto de novas funcionalidades e/ou melhorar aquelas já implementadas, como um algoritmo baseado em regras mais dinâmico ou testes de utilizadores mais extensos que permitem uma aplicação móvel mais completa em termos de acessibilidade e usabilidade.There is currently a major problem with the abundance of information regarding health, misinformation. This problem causes a large percentage of people that take unnecessary trips to the hospital or worse. As there is not a suitable mobile app that conveys a set of scientifically correct, easily available, and organized information that is accessible to everyone, in this document we sought to solve this issue. For this, a study was done to understand the state of the art of mobile applications and about the current ecosystem of healthcare apps, addressing several issues such as accessibility, UX/UI and usability. To tackle misinformation, it was important being able to provide reliable information to users, and therefore it was concluded that the best and most reliable information had to be gathered from experts, health professionals. A prototype was built that not only encompasses an expert-system that can, based on rules made with the information gathered from experts, provide a symptom search system, but also incorporates several usability features and accessibility options. This prototype opens the opportunity to develop a range of new features and/or enhance those already implemented, such as an improved and more dynamic rule-based algorithm or extensive user testing that allows for a full- fledged accessible and easy to use mobile application.