Дисертації з теми "Healthcare program"
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Armenta, Angela. "Program Evaluation of a Motivational Interviewing Program for Rural Healthcare Providers." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/556494.
Повний текст джерелаZhang, Qi M. Eng Massachusetts Institute of Technology, and Muching Zhang. "Unlocking value in healthcare delivery channels." Thesis, Massachusetts Institute of Technology, 2017. http://hdl.handle.net/1721.1/112857.
Повний текст джерелаCataloged from PDF version of thesis.
Pharmaceutical supply chains are strictly regulated and work within unique constraints. Traditionally, innovator companies that are manufacturing the product have no direct interaction with the end users (treatment sites or individual patients); rather, over 90% of the orders go through intermediary wholesalers and distributors. However, with the introduction of new technologies for patients to manage their own health, federal regulations coming into effect on supplier responsibility for tracking drugs down to the user, and ever more pressure to cut costs and justify the high cost of medicine, manufacturers are actively reshaping their role in the pharmaceutical supply chain. Our objective in this thesis project was to support our Sponsor Company, a "Big Pharma" company with a wide range of medicines, to understand the key cost drivers of their current distribution channel and to explore the impact that a shift to an alternative distribution channel would have from a financial and operational standpoint. We first conducted a literature review to examine the existing research on costing methodologies, the impact of home delivery for clinical care and the drug distribution landscape. The literature shows some evidence that home delivery improves patient adherence and reduces inventory costs for suppliers. We then analyzed a targeted product's distribution network within the US by building a cost-to-serve model, which maps out the end-to-end service components conducted by the Sponsor Company. With this model we were able to test the supply chain impacts of volume change and a gradual shift to alternative distribution channels. The results of the model showed that for this particular product, working capital was a key cost driver, shifting volume to incorporate alternative distribution channels is highly beneficial; even some significant increases in operating costs are effectively neutralized by reductions in working capital for the entire channel. Aside from the model results, we recommend validating the assumptions and suggest that this 'bottom-up' costing model be extended for other products and geographies and used to inform the company's overall corporate strategic planning exercise. The cost-to-serve model framework can also be extended beyond the pharmaceutical industry to benefit consumer facing industries considering an omni-channel strategy.
by Qi Zhang and Muching Zhang.
M. Eng. in Supply Chain Management
Danielson, Danielle Marie. "Designing a Hypertension Management Program for Family Healthcare." Diss., North Dakota State University, 2014. https://hdl.handle.net/10365/27363.
Повний текст джерелаCochran, Emily D. "Hospital Characteristics Associated with Hospital Acquired Condition (HAC) Reduction Program Payment Penalties across Program Years." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5962.
Повний текст джерелаYaghmaee, Sarah. "Does the H-1B Visa Program Impact Quality of Healthcare?" Scholarship @ Claremont, 2018. http://scholarship.claremont.edu/scripps_theses/1116.
Повний текст джерелаChung, Kristie (Kristie J. ). "Applying systems thinking to healthcare data cybersecurity." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/105307.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (pages 85-90).
Since the HITECH Act of 2009, adoption of Electronic Health Record (EHR) systems in US healthcare organizations has increased significantly. Along with the rapid increase in usage of EHR, cybercrimes are on the rise as well. Two recent cybercrime cases from early 2015, the Anthem and Premera breaches, are examples of the alarming increase of cybercrimes in this domain. Although modem Information Technology (IT) systems have evolved to become very complex and dynamic, cybersecurity strategies have remained static. Cyber attackers are now adopting more adaptive, sophisticated tactics, yet the cybersecurity counter tactics have proven to be inadequate and ineffective. The objective of this thesis is to analyze the recent Anthem security breach to assess the vulnerabilities of Anthem's data systems using current cybersecurity frameworks and guidelines and the Systems-Theoretic Accident Model and Process (STAMP) method. The STAMP analysis revealed Anthem's cybersecurity strategy needs to be reassessed and redesigned from a systems perspective using a holistic approach. Unless our society and government understand cybersecurity from a sociotechnical perspective, we will never be equipped to protect valuable information and will always lose this battle.
by Kristie Chung.
S.M. in Engineering and Management
Etges, Ana Paula Beck da Silva. "The economic enterprise risk management innovation program for healthcare organizations : E2RMhealthcare." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2018. http://hdl.handle.net/10183/185804.
Повний текст джерелаSince the ISO 31000 publication in 2009 and the COSO guide in 2007 Enterprise Risk Management (ERM) has been applied and adapted to the specificities of different business markets. The hospital context characterized by the demand for advances in management systems and methods that allow to improve information accuracy and to support the decision-making process, also became interested in the value of ERM. Influenced by quality and patient safety and healthcare risk management programs presents in the global hospital culture, managers at the top of healthcare organizations started to look for methodologies that can be adapted to the hospital management complexity to support the ERM implementation. The literature, prior to the development of this thesis, does not present a model that consolidates a guide to operationalize ERM in healthcare organizations. Although emphasizes, in multiple publications, the urgency for methodologies that enable proactive and strategic management of healthcare businesses, which are exposed to internal and external risks. Motivated by the described gap, this thesis explored the Brazilian and American healthcare market through interviews, case studies and survey, and proposed a global ERM model for healthcare organizations: E2RMhealthcare. It suggests requirements for global operationalization of the ERM and is organized in 4 levels: risk baseline, education, quantitative and governance that guide a gradual implementation, considering the maturity of the organization management. Different manners to explore the features of the hospital and human capital to operate the ERM were also studied, and it was proposed a relation between the hospital healthcare technology assessment teams and the ERM in the value creation process of the organization through a cause and effect map. Focusing on the healthcare business, this thesis innovates by proposing the first enterprise risk inventory aimed at healthcare organizations that was confirmed by risk managers from different countries. Cyber-attack was identified as the main enterprise risk in healhtcare. Finally, the use of multicriterial analysis methods and activity-based costing are applied as innovative solutions for prioritization and economic assessment of risks throughout the Baseline and Quantitative levels of E2RMhealthcare. The progress of E2RMhealthcare with these incorporated methodologies for a software with artificial intelligence capacity is left as a suggestion for future studies, in addition to its actual application in multiple cases.
Sanders-McBryde, Tennie Rene. "Persistence of First-Generation Graduates of a Community College Healthcare Program." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4680.
Повний текст джерелаNohria, Kanishka. "Transformation of the US healthcare system with the advent of wireless sensing technologies." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/118533.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (pages 45-47).
The US healthcare system is looked at from the point of view of various stakeholders and how its current structure has emerged over the years. With the shifting demographics, change in disease mix, ICT revolution and other factors at play, the system is in a state of flux. Sensor technology on the other hand has also progressed over the years to reach a point where low-cost mass-produced smart sensors are becoming omnipresent. A variety of such sensors are now available, and new ones are being developed for specific needs, like for continuous health monitoring systems. New wireless sensing technologies are redefining the care services, processes and customer expectations. This is especially true for chronic disease management and eldercare. We develop a view point to understand at a broad level how the US healthcare system is currently evolving and what role could new technologies, like wireless sensing, play in shaping its near future. These new technologies are slowly gaining foothold in the market and could possibly reach a point of inflection soon where the population starts to adopt them in masses. By creating a new mental model of how various parts in the system interact with each other, we try and develop an understanding of which factors might affect the speed of adoption of these new technologies into the system.
by Kanishka Nohria.
S.M. in Engineering and Management
Gautam, Sanjay Kumar S. M. Massachusetts Institute of Technology. "Healthcare market outlook and emerging technologies in India." Thesis, Massachusetts Institute of Technology, 2014. http://hdl.handle.net/1721.1/100375.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (page 77).
Usage in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. India's healthcare information technology market is slow with technology adoption but there is little traction shown in last couple of years. This growth is expected to hit US $1.45 billion in 2018, more than three times the US $381.3 million reached in 2012. The increase in adoption of electronic health records, mHealth, telemedicine, and Web-based services has made electronic patient data expand, necessitating the implementation of robust IT systems in Indian healthcare institutions. Information technology (IT) has the potential to improve the quality, safety, and efficiency of health care. Diffusion of IT in health care is generally low (varying, however, with the application and setting) but surveys indicate that providers plan to increase their investments. Drivers of investment in IT include the promise of quality and efficiency gains. Barriers include the cost and complexity of IT implementation, which often necessitates significant work process and cultural changes. Given IT's potential, both the private and public sectors have engaged in numerous efforts to promote its use within and across health care settings. Delivering quality health care requires providers and patients to integrate complex information from many different sources. Thus, increasing the ability of physicians, nurses, clinical technicians, and others to readily access and use the right information about their patients should improve care. The purpose of this thesis is to assess the current state of healthcare in India and specifically look into the emerging technology trends in healthcare IT. During analysis secondary data has been used. Various articles and research papers published in national and international journals are used. India is hub of IT and its use is increasing in health sector.
by Sanjay Kumar Gautam.
S.M. in Engineering and Management
Ren, Haiying S. M. Massachusetts Institute of Technology. "Transition to cloud computing in healthcare information systems." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76507.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (p. 60-63).
This thesis is a study on the adoption of cloud computing in healthcare information technology industry. It provides a guideline for people who are trying to bring cloud computing into healthcare information systems through the use of a framework of tools and processes to overcome both technical and business challenges.
by Haiying Ren.
S.M.in Engineering and Management
Chaudhary, Anjali S. M. Massachusetts Institute of Technology. "System dynamics approach to healthcare affordability in India." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/105305.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (pages [66]-[67]).
Affordability of healthcare is a growing concern across the world. For India, with a population of over 1.2 billion people and one third of world's poorest, to provide affordable and sustainable healthcare to all its citizens becomes even more challenging. The country faces the triple burden of controlling communicable diseases, managing non communicable diseases, and limiting the deaths from injury and mental health. The public healthcare system is underfunded and underutilized while the private facilities are unregulated and unaccountable for quality and cost of care. The high reliance of the population on the private facilities, low insurance coverage, and high emphasis on curative care than the preventive care is further making the cost prohibitive for the general population. There is a lot to be desired in the areas of Pharmaceuticals, Medical Devices, and Research and Development for a holistic development of healthcare system in India. This thesis attempts to model the current healthcare system and how different entities of the system interact to influence the affordability. The simulation of the model projects the affordability in the next 50 years. The study also checks the impact of three different policies on the affordability of care.
by Anjali Chaudhary.
S.M. in Engineering and Management
Okoro, Ngozi Gloria. "An educational program about living with depression." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3813.
Повний текст джерелаMahon, Kerrie L. "Strategic change in healthcare: Seeking reliability." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/115475/3/Kerrie%20Mahon%20Thesis.pdf.
Повний текст джерелаSAKAMOTO, JUNICHI, MD HARUN-OR-RASHID, ONPRASONK SUWATTANA, and ONPRASONK WIDSANUGORN. "HEALTHCARE WORKERS’ KNOWLEDGE AND PRACTICES REGARDING EXPANDED PROGRAM ON IMMUNIZATION IN KALASIN, THAILAND." Nagoya University School of Medicine, 2011. http://hdl.handle.net/2237/15360.
Повний текст джерелаFerguson, Andra Lynn. "The Impact of Crisis Alleviation Lessons and Methods Program on Injuries in Healthcare." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1692.
Повний текст джерелаJohnson, Verena D. "Program for Healthcare Personnel to Improve Anti-hypertensive Medication Adherence in Black Adults." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/265.
Повний текст джерелаJog, Chetan R. (Chetan Ravindra). "Healthcare technology, patient engagement and adherence : systems and business opportunity analysis." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76493.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (p. 63-64).
In the current shift in the US healthcare system, lower cost, higher quality of care, access and safety are the main drivers that are effecting changes. Patient compliance with medication and technology enabled wellness and engagement programs play an important role in ensuring the cost and quality of care is reduced. In a recent study, the overall cost of poor medication adherence, measured in otherwise avoidable medical spending, is close to $310 billion annually, representing approximately 14% of total healthcare expenditures. There have been several studies analyzing the reasons for and impact of non-adherence and solutions to achieve increasing compliance. With the recent wave in healthcare technology, the scope of prescription medication adherence needs to be expanded to include patient engagement and their awareness towards lifestyle changes and managing their own health. This thesis engages in an analysis of these compliance issues and in understanding the relationships among the various stakeholders involved. It also analyses the several technology platforms and solutions from mobile health to "gamification" and social networks from a business, user and regulatory standpoint. It looks into how these newer health technologies helps the individual in adhering and realizing novel insights into their own patterns related to medication, lifestyle and general health. Further, working with a health technology startup catering to the behavioral care market, a real world application of a health technology product that utilizes technology based patient assessment, decision support and patient communication, will be evaluated to explore how it will help in delivering value to several stakeholders.
by Chetan R. Jog.
S.M.in Management and Engineering
Chitwood, Tara Marshall. "SECOND VICTIM: SUPPORT FOR THE HEALTHCARE TEAM." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1554820138107259.
Повний текст джерелаFields, Kellee M. "Community College Healthcare Students’ Conceptions of Empathy: A Program-Wide Mixed Methods Case Study." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1447689608.
Повний текст джерелаWong, Man-ying, and 黃文英. "A manual handling operations training program for healthcare workers in preventing back pain and injury." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44626605.
Повний текст джерелаOna, Samsiya. "Evidence-Based Preventive Healthcare in the CWB Family Support Homes: The Healthy Learners Pilot Program." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17295881.
Повний текст джерелаJia, Hao. "A web application for Medasolution Healthcare Company customer service system." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2612.
Повний текст джерелаSargsyan, Alex. "Development of a Healthcare Genetics and Genomics Graduate Certificate Program at a University in Southeastern US." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8469.
Повний текст джерелаJones, Cathy. "Creation of a Diabetic Health Literacy Program for Staff Of a Rural Federally Qualified Healthcare Center." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5633.
Повний текст джерелаAnderson, Sarah, and Loyd Lee Glenn. "Intentional Learning Orientation According To Gender, Age, Rurality, and Program Type." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/66.
Повний текст джерелаMousaid, Hassan. "Caregiver coordination as an enabler to a hospital to home initiative within the context of healthcare delivery." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/90695.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (pages 47-48).
The Hospital to Home architecture aims to provide a successful transition for patients leaving the hospital in order to improve health outcomes and minimize hospital readmission. This thesis analyzes the current hospital to home system, explores its flows and proposes a better architecture to improve the patient transition from the hospital to home. It makes a significant contribution by proposing a new architecture based on a patient-centric approach within the framework of the Hospital to Home (H2H) initiative called Caregiver Coordination. In this architecture, we propose the creation of a web and mobile based application that allows patients and caregivers to interact easily with each other to help manage the patient's wellbeing. We include a short summary illustrating how this new architecture can address the two main problems: (1) the decentralization of the discharge plan and (2) the dependency on the interactions among diverse stakeholders. We propose to: 1. Analyze and critique the existing hospital to home architecture 2. Follow an existing architecture pattern/framework 3. Recommend a new architecture 4. Create a Caregiver Coordination application using an open source framework to enable a successful transition of patients from hospital to home
by Hassan Mousaid.
S.M. in Engineering and Management
Ingabire, Paula. "Convergence of eco-system technologies : potential for hybrid electronic health record (EHR) systems combining distributed ledgers and the Internet of Medical Things towards delivering value-based Healthcare." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/118548.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (pages 64-66).
The Healthcare industry, just like any industry, is constantly racing to stay abreast with pace of technological innovations, especially at such a time where the industry is experiencing a strain on the global healthcare infrastructure. Specifically, the evolution of record management systems in the healthcare system has taken a slow and gradual transformation with each stage of transformation carrying over certain aspects and functions of previous stages. A survey of record management practices reveals that record management begun with paper-based records that have since partially been replaced with centralized Electronic Health Records (EHR). With the advent of Electronic Health Records enabled by distributed ledgers, we continue to see the inclusion of traditional paper-based functions beyond centralized EHR functions. Electronic data sharing in the healthcare ecosystem is constrained by interoperability challenges with different providers choosing to implement systems that respond to increasing their productivity. Prioritizing a patient-focused strategy during implementation of EHRs forces providers to implement systems that are more interoperable. A system engineering approach was adopted to guide the development and valuation of candidate architectures from Stakeholder analysis to concept generation and enumeration. Nine (9) key design decisions were selected with their combinations yielding 512 feasible hybrid architectures. In this paper, we proposed a hybrid EHR solution combining distributed ledger technologies and Internet of Medical Things, which contributes towards providing value-based healthcare. Leveraging properties of distributed ledgers and IoMT, the hybrid solution interconnects various data sources for health records to provide real-time record creation and monitoring whilst enabling data sharing and management in a secure manner.
by Paula Ingabire.
S.M. in Engineering and Management
Zhang, Biao S. M. Massachusetts Institute of Technology. "Decision analysis of novel point-of-care diagnostics for Pediatric Pneumonia : implementation in Developing countries with tiered healthcare systems." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/98001.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (pages 94-99).
Pediatric Pneumonia (PNA) is the single leading cause of death in children under five, accounting for 19% of all childhood deaths worldwide. Due to severe resource constraints on healthcare, the global burden of the disease in children is disproportionately shared by developing countries. In particular, India, having the highest incidence rate of PNA, accounts for more than 30% of the world's neonatal deaths from pneumonia every year. The three-tier referral systems, shared by many other developing countries, has introduced inefficiencies into delivering appropriate healthcare to patients in need. Point-of-care (POC) diagnostics is a type of tool used to assist physicians to make clinical decisions. Its key advantage include the quick turnaround of results, low cost and high diagnostic power could potentially improve India's pressing situation due to pneumonia. Since the disease progresses quickly in infants and babies and transportation of patients within the healthcare system is time consuming, POC diagnostic is crucial in lowering both the mortality of children with pneumonia and the cost of treating PNA. To this effect, we investigate the potential impact of POC diagnostics when implemented in a three-tier referral system. Using India as a case country, I construct a decision tree model that evaluates cost, mortality, and the combined cost-effectiveness in Tree-Age software as a framework which evaluates five implementation strategies of a POC diagnostic for PNA within the Indian public healthcare system. The strategies reflect various prescription decisions and referral patterns in current medical practice in India. I concluded that (1) the diagnostic will result in both higher cost and mortality in areas where the practice is to provide all patients antibiotics and thus not recommended, (2) the diagnostic is very likely to achieve lower cost and mortality when patients do not always receive antibiotics and sometimes are given only symptom-relieving drugs and thus recommended, (3) the diagnostic has great potential in generating savings by limiting patients from being transported to urban hospitals, (4) when dual diagnostic is employed combining POC diagnostics and X-ray, confirming positive cases from the diagnostic by X-ray results in lower cost and confirming negative cases results in lower mortality and (5) the diagnostic can save resources and benefit health outcomes and should be implemented in places where X-ray is not available.
by Biao Zhang.
S.M. in Technology and Policy
Shvets, Anna. "Program kontinuálního zvyšování kvality péče v soukromém zdravotnickém zařízení na Ukrajině." Master's thesis, Vysoká škola ekonomická v Praze, 2017. http://www.nusl.cz/ntk/nusl-359957.
Повний текст джерелаChahal, Jasleen K. "Medical Humanitarianism: Supporting Health Across the Life Course in a Changing Healthcare Climate." Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1595512845722235.
Повний текст джерелаSalcedo, Maria Victoria Trinidad. "Needs Assessment for a Nurse Practitioner-Led Transitional Care Program." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1450.
Повний текст джерелаWinn, Lisa. "The relationship between job satisfaction and program traits for wilderness therapists employed at outdoor behavioral healthcare treatment programs : a project based upon an independent investigation /." View online, 2008. http://hdl.handle.net/10090/5946.
Повний текст джерелаMakinde, Funmilayo. "Transition care management program for improving 30-day hospital readmission in heart failure patients discharged to home healthcare agencies." NSUWorks, 2015. https://nsuworks.nova.edu/hpd_con_stuetd/16.
Повний текст джерелаBogel, Marianne. "Closing the Gaps in Rural Healthcare in Texas: A Formative Bounded Case Study." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7601.
Повний текст джерелаHilliard, David (David John). "Achieving and sustaining an optimal product portfolio in the healthcare industry through SKU rationalization, complexity costing, and dashboards." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/73385.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (p. 76).
After years of new product launches, and entry into emerging markets, Company X, a healthcare company, has seen its product portfolio proliferate and bring costly complexity into its operations. Today, Company X seeks to achieve and sustain an optimal product offering that meets their customers' needs. Through a six-month research effort, we develop a process for stock-keeping-unit (SKU) rationalization to reduce SKU complexity while maintaining sales volumes. We, also, implement operational models to compute complexity costs associated with SKU complexity and employ SKU portfolio dashboards to monitor SKU development and govern SKU creation. This thesis discusses a process for applying these tools to any healthcare company. Through two case studies, we apply the rationalization process on one pilot brand and develop a dashboard to improve product portfolio management. We expect that the SKU rationalization process will release 38% of avoidable costs associated with the pilot brand. These case studies also provide insight into how to correctly diagnose the cost reduction opportunity associated with SKU complexity, as well as methods for a step-change improvement in lead-times and cost-reduction. Lastly, removal of complexity provides flexibility to capture other business opportunities.
by David Hilliard.
S.M.
M.B.A.
Rush, Mary Catherine, Todd DO MSMS Leibowitz, Katherine DO Stone, Jodi PhD Polaha, and Leigh MD MPH Johnson. "Medical Scribes in a Family Medicine Residency Program: An Implementation Outcomes Study." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/129.
Повний текст джерелаCandanedo, Jesica Eileen. "Referral Tracking Pilot and Referral Outcome Rates for the School Health Program in Panama." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4649.
Повний текст джерелаLower, Tonia L. "Improving healthcare provider knowledge in acute and primary transgender health needs:The implementation of a clinical education program with urgent care and emergency room staff and providers." Otterbein University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1481300755682172.
Повний текст джерелаMoussa, Edie A. "Contracting Out in a Complex Network: An Effectiveness Analysis of EPC Program I." Diss., Virginia Tech, 2011. http://hdl.handle.net/10919/77973.
Повний текст джерелаPh. D.
Goodin, Amie. "EVALUATING STATE POLICY INTERVENTIONS FOR OPIOID ABUSE AND DIVERSION: THE IMPACT ON CONSUMERS, HEALTHCARE PROVIDERS, AND THE U.S. MARKET FOR PRESCRIPTION OPIOIDS." UKnowledge, 2015. http://uknowledge.uky.edu/msppa_etds/14.
Повний текст джерелаRamachandran, Ambili. "Barriers to healthcare contribute to delays in follow-up among women with abnormal cancer screening: data from the Patient Navigation Research Program." Thesis, Boston University, 2014. https://hdl.handle.net/2144/21242.
Повний текст джерелаBACKGROUND: Patient navigation programs were designed to address barriers to healthcare among underserved populations in order to reduce delays in cancer care delivery. While emerging data suggest modest effects of navigation on reducing delays, there is limited understanding of the association between barriers to care and clinical outcomes within patient navigation programs. OBJECTIVE: To investigate the impact of barriers on timely diagnostic care in the multicenter Patient Navigation Research Program (PNRP). STUDY DESIGN: Secondary analysis of data from the intervention arms of PNRP centers that navigated women for abnormal breast or cervical cancer screening tests from 2007 to 2010. METHODS: Analyses were performed separately for breast and cervical subjects. The main independent variables were (a) number of unique barriers to care (0, 1, 2, or 3+) documented during patient navigation encounters and (b) presence of socio-legal barriers (yes/no), those social problems related to meeting life’s most basic needs that are supported by public policy, regulation, and programming and thus potentially remedied through legal advice or advocacy. The outcome of interest was median time to diagnostic resolution, or the interval from index screening abnormality to diagnostic resolution, estimated using Kaplan-Meier cumulative incidence curves. Multivariable Cox proportional hazards regression with time to diagnostic resolution as the outcome examined the impact of barriers, controlling for socio-demographics and stratifying by study center. RESULTS: Among 2600 breast screening subjects, three-quarters had barriers to care (25% 1 barrier, 16% 2 barriers and 34% 3+ barriers). Among 1387 cervical screening subjects, slightly more than half had barriers (31% 1 barrier, 11% 2 barriers, and 13% 3+ barriers). Among breast subjects, we found the presence of barriers was associated with less timely resolution for any number of barriers compared to no barriers. Among cervical subjects, only the presence of 2 or more barriers was associated with less timely resolution. Both socio-legal and non socio-legal barriers were associated with delay among breast and cervical subjects. CONCLUSIONS: Navigated women with barriers resolve cancer screening abnormalities at a slower rate compared to those with no barriers. Further research is necessary to maximize the impact of patient navigation programs nationwide.
2031-01-01
Pereira, Priscila Souza. "Programa de manutenção de edifícios para as unidades de atenção primária à saúde da cidade de Juiz de Fora." Universidade Federal de Juiz de Fora, 2011. https://repositorio.ufjf.br/jspui/handle/ufjf/2146.
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CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
A elaboração e aplicação de um programa adequado de manutenção de edifícios é capaz de minimizar o surgimento de manifestações patológicas e de outros problemas inerentes à edificação, bem como corrigi-los quando ocorrerem. Nesse sentido, este trabalho teve como objetivo principal elaborar um Programa de Manutenção aplicável às Unidades de Atenção Primária à Saúde (UAPS) da cidade de Juiz de Fora. Assim, foram realizados levantamentos in loco, bem como entrevistas não estruturadas para a identificação da problemática atual. Constatou-se a presença de anomalias de diferentes origens e a inadequada manutenção das edificações destinadas às UAPS. Finalmente, obteve-se um Programa de Manutenção abordando questões relativas a Manutenções Preventivas e Corretivas. Desta forma, espera-se colaborar com a melhor organização dos serviços de manutenção nas unidades de saúde, interferindo o mínimo nas atividades externas prestadas à população.
The development and implementation of an appropriate maintenance program of buildings can minimize the appearance of pathological manifestations and other problems inherent in building and correcting them when they occur. In this sense, this work aimed to develop a Maintenance Program applicable to Units of Primary Health Care (UAPS) from the city of Juiz de Fora. Thus, surveys were conducted on-site as well as unstructured interviews to identify the current problems. It was verified the presence of anomalies of different origins and inadequate maintenance of buildings to UAPS. Finally, we obtained a Maintenance Program addressing issues related to Preventive and Corrective Maintenance. Thus, it is expected to collaborate with the best organization of maintenance services at health facilities, with minimal disturbance in outside activities provided to the population.
Saffore, Lateef Yusef PhD. "What Factors Influence Medicare Reimbursement Payments for Healthcare Providers that Admit Diabetic Patients?" University of Akron / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=akron1303145384.
Повний текст джерелаCosta, Júlia Gonçalves. "O modo tecnológico da vigilância da saúde e o trabalho das Equipes de Saúde da Família." Programa de pós-graduação em saúde coletiva, 2009. http://www.repositorio.ufba.br/ri/handle/ri/10372.
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Com a implantação do Programa de Saúde da Família (PSF), na década de 90, a discussão da mudança do modelo assistencial da saúde vem ganhando força. O PSF, entendido inicialmente como programa focalizado de atendimento para os pobres, incorpora os princípios e diretrizes da Vigilância da Saúde e assume o discurso de estratégia de mudança do modelo assistencial a partir da atenção básica, na construção do SUS. No entanto, as propostas de mudança do modelo assistencial enfrentam-se com o desafio que é o de mudar as práticas de saúde, o que implica a redefinição do objeto, dos meios de trabalho, das atividades, das relações técnicas e sociais, bem como das organizações e da sua cultura. Um dos pontos centrais trazidos pelo SUS e incorporado pelo PSF, para propor mudanças na saúde, foi apontar a saúde não apenas como ausência de doença, mas relacionada com as condições de vida e de trabalho, o que significa a redefinição do objeto da saúde. Contudo, este novo objeto não tem sido trabalhado, rotineiramente, pelo setor saúde. Tal situação parece se constituir em um dos nós críticos para a mudança da prática dos profissionais. Daí as questões de investigação: como delimitar este novo objeto? Que instrumentos têm os trabalhadores de saúde para lidar com ele? Procurando responder a essas questões foi realizado um estudo de caso, tendo como unidade de análise duas equipes de saúde da família de um município da Região Metropolitana de Salvador-Ba. O objetivo deste estudo é analisar as práticas de saúde de Equipes de Saúde da Família (ESF) segundo o modo tecnológico da Vigilância da Saúde. O referencial teórico utilizado fundamentase na teoria do processo de trabalho em saúde. Foram realizadas entrevistas com trabalhadores de saúde de duas ESF, principais fontes de dados desta pesquisa. As evidências produzidas permitem afirmar que o objeto privilegiado das práticas das ESF investigadas tem sido as doenças e agravos à saúde. As ESF não estão tomando como objeto de suas práticas os problemas de saúde da população de acordo com as diretrizes e princípios da Vigilância da Saúde e da Estratégia de Saúde da Família, que considera os danos, os riscos e os determinantes relacionados ao processo saúde-doença. As evidências indicam, ainda, que apesar dos profissionais das equipes utilizarem alguns dos instrumentos previstos para apreender de forma ampliada os problemas de saúde, o fazem de forma incipiente usando, apenas, para apreender as doenças e agravos à saúde da população. PCom a implantação do Programa de Saúde da Família (PSF), na década de 90, a discussão da mudança do modelo assistencial da saúde vem ganhando força. O PSF, entendido inicialmente como programa focalizado de atendimento para os pobres, incorpora os princípios e diretrizes da Vigilância da Saúde e assume o discurso de estratégia de mudança do modelo assistencial a partir da atenção básica, na construção do SUS. No entanto, as propostas de mudança do modelo assistencial enfrentam-se com o desafio que é o de mudar as práticas de saúde, o que implica a redefinição do objeto, dos meios de trabalho, das atividades, das relações técnicas e sociais, bem como das organizações e da sua cultura. Um dos pontos centrais trazidos pelo SUS e incorporado pelo PSF, para propor mudanças na saúde, foi apontar a saúde não apenas como ausência de doença, mas relacionada com as condições de vida e de trabalho, o que significa a redefinição do objeto da saúde. Contudo, este novo objeto não tem sido trabalhado, rotineiramente, pelo setor saúde. Tal situação parece se constituir em um dos nós críticos para a mudança da prática dos profissionais. Daí as questões de investigação: como delimitar este novo objeto? Que instrumentos têm os trabalhadores de saúde para lidar com ele? Procurando responder a essas questões foi realizado um estudo de caso, tendo como unidade de análise duas equipes de saúde da família de um município da Região Metropolitana de Salvador-Ba. O objetivo deste estudo é analisar as práticas de saúde de Equipes de Saúde da Família (ESF) segundo o modo tecnológico da Vigilância da Saúde. O referencial teórico utilizado fundamentasse na teoria do processo de trabalho em saúde. Foram realizadas entrevistas com trabalhadores de saúde de duas ESF, principais fontes de dados desta pesquisa. As evidências produzidas permitem afirmar que o objeto privilegiado das práticas das ESF investigadas tem sido as doenças e agravos à saúde. As ESF não estão tomando como objeto de suas práticas os problemas de saúde da população de acordo com as diretrizes e princípios da Vigilância da Saúde e da Estratégia de Saúde da Família, que considera os danos, os riscos e os determinantes relacionados ao processo saúde-doença. As evidências indicam, ainda, que apesar dos profissionais das equipes utilizarem alguns dos instrumentos previstos para apreender de forma ampliada os problemas de saúde, o fazem de forma incipiente usando, apenas, para apreender as doenças e agravos à saúde da população.
Salvador
Elius, Ian M. "Re-engineering graduate medical education an analysis of the contribution of residents to teaching hospitals utilizing a model of an internal medicine residency program /." [Tampa, Fla.] : University of South Florida, 2005. http://purl.fcla.edu/fcla/etd/SFE0001258.
Повний текст джерелаPednekar, Priti. "The Impact of Medication Adherence on Healthcare Utilization and Costs among Elderly Patients with Diabetes Who Were Enrolled in a State Pharmaceutical Assistance Program." Thesis, University of the Sciences in Philadelphia, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13856162.
Повний текст джерелаObjectives: This research identified the potential predictors of medication adherence and studied the impact of medication adherence on healthcare utilization and costs among elderly with diabetes who were enrolled in a State Pharmaceutical Assistance Program (SPAP).
Methods: Pharmaceutical Assistance Contract for Elderly (PACE) programs’ database was used to identify study population and estimate medication adherence as proportion of days covered (PDC) for 12-months post-index observation period (adherent: PDC ≥ 80%; nonadherent: PDC < 80%). Healthcare utilization and costs for the study period were estimated using Pennsylvania Health Care Cost Containment Council’s hospital inpatient discharge records. Healthcare utilization measures included all-cause, diabetes-specific, diabetes-related and diabetes-specific & related number of inpatient hospital admissions and length of stay (LOS). Multiple regression analyzes were performed to determine the predictors of medication adherence and to assess the association of medication adherence with risk of hospitalization, hospital service utilization and costs.
Results: Among 9,497 elderly PACE enrollees with diabetes, 81% were adherent and 21% were hospitalized. Race, marital status, number of unique medications and out-of-pocket payment were the significant predictors of medication adherence. The odds of being hospitalized were higher for nonadherent patients by the factor 2.030 than adherent patients (95% CI: 1.784–2.310). After controlling for covariates, non-adherent patients had significantly a greater number of all-cause (IRR 1.2727; 95% CI 1.1937–1.3569), more diabetes-related (IRR 1.2210; 95% CI 1.0492–1.4210) and more combined diabetes-specific & related (IRR 1.2106; 95% CI 1.0495–1.3965) hospital visits than adherent patients. After adjusting for covariates, LOS for non-adherent patients was longer for all-cause (IRR 1.2388; 95% CI 1.1706–1.3111), diabetes-related (IRR 1.1341; 95% CI 1.0415–1.2349) and for diabetes-specific & related (IRR 1.1271; 95% CI 1.0357–1.2267) hospitalization than adherent patients. GLM models showed that medication nonadherence was associated with significant increase in all-cause hospitalization costs ($22,670 vs $16,383; p < 0.0001) and diabetes-related hospitalization costs ($13,518 vs $12,634; p = 0.0003).
Conclusions: Medication nonadherence was associated with an increased risk of hospitalization, greater number of hospital visits, longer hospital LOS and substantial hospitalization costs among elderly SPAP beneficiaries with diabetes. Utilization of our findings to develop interventions or policies to improve medication adherence would significantly impact the US healthcare system particularly while allocating limited healthcare resources.
Bölenius, Karin. "Improving venous blood specimen collection practices : method development and evaluation of an educational intervention program." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-87015.
Повний текст джерелаBakgrund: Av kliniska beslut angående diagnostik och behandling baseras 60%–80% på laboratorieresultat. Därför är det helt nödvändigt att laboratorieresultat är tillförlitliga. Låg följsamhet till provtagnings anvisningar kan leda till felaktiga och fördröjda analysresultat, förorsaka skada och lidande för patienter och utgöra en stor kostnad för hälso- och sjukvården. Felaktiga provsvar beror till stor del på felaktig provtagning och provhantering och går oftast att undvika. Interventioner som avser att uppdatera och säkra korrekt venprovtagning kan leda till förbättringar men genomförda interventioner har sällan utvärderats. Efter att en enkät för självrapporterad venprovtagning testats för validitet och reliabilitet genomfördes ett omfattande interventionsprogram som utvärderades med hjälp av den testade enkäten och andra utvärderingsmått. Det övergripande syftet var att utvärdera i vilken utsträckning interventionsprogrammet påverkade provtagande personals praktiska utförande av venprovtagning. Metoder: Studierna i denna avhandling omfattade provtagande personal vid hälsocentraler i norra Sverige. För datainsamling användes en enkät som mäter självrapporterad venprovtagning, förekomst av låggradig hemolys (indikator på blodprovets kvalitet) och intervjuer. Initialt testades enkätens förmåga att mäta vad som avsetts (validitet) och testades enkätens förmåga att vid upprepade mätningar vara tillräckligt stabil (reliabilitet) för att användas i interventionsstudier. Därefter utvärderades ett kort men storskaligt interventionsprogram i preanalys inkluderande venprovtagning med före och efter mätningar. Vi jämförde provtagande personal från två landsting vid 61 hälsocentraler. Landstingens personal delades upp i en interventionsgrupp (n=84) och en motsvarande kontrollgrupp (n = 79). För att mäta kvaliteten av blodproverna extraherades uppgifter om hemolys i serumprover (2008, n = 6652 blodprov) och (2010, n = 6121 blodprov) från elva hälsocentraler i ett landsting. Slutligen, intervjuades 30 provtagande personal från 10 hälsocentraler efter att de deltagit i interventionsprogrammet. Intervjuerna var öppna och genererade korta berättelser och analyserades med innehållsanalys. Resultat: Venprovtagningsenkäten befanns vara valid och kan användas för att utvärdera personalens följsamhet till provtagningsanvisningar i venprovtagning och identifiera riskhändelser. Interventionsgruppen visade flera signifikanta förbättringar i självrapporterat utförande av venprovtagning såsom förbättrad informationssökning, vila inför provtagning, remissförfarande, kontroll av patientidentitet, användning av stas och etikettering av provrör. Kontrollgrupen visade inga signifikanta förbättringar. Blodprovskvaliteten visade små skillnader. Provtagande personals erfarenheter från intervjuerna sammanfattades i ett övergripande tema; utbildningsinsatsen öppnade upp möjligheter för reflektion om säkerhet. Slutsats: Avhandlingen är så vitt vi vet den första att utvärdera effekten av ett storskaligt interventionsprogram med hjälp av självrapporterat utförande av venprovtagning och blodprovers kvalitet (låggradig hemolys). Med dessa metoder ökar andelen riskhändelser så att jämförelser kunde göras även på enhetsnivå och avdelningsnivå. Utbildningsprogrammet öppnade upp för reflektioner om säkerhet och förbättrade utförande av venprovtagning vid enheter med större brister. Utbildningsprogram som öppnar upp för reflektion och diskussion kan leda till ökad patientsäkerhet i hälso- och sjukvården. Trots utfallet av resultaten, är riktade utbildningsinsatser för sjukvårdsenheter som uppvisar specifika brister troligtvis mer effektiva än breda utbildningsinsatser. Klinisk betydelse: Interventionsprogram avseende preanalys och venös provtagning förbättrade personalens praktiska utförande. Monitorering av och åtgärder för att minska riskhändelser är väl fungerande preventiva åtgärder. Instrumenten (självrapporterande enkät och hemolys) bör också testas i andra kontexter inom hälso- och sjukvården. Ett externt nationellt program för att identifiera och förebygga riskhändelser bör utvecklas i hälso- och sjukvården. Interventioner i form av e-lärande kan då vara ett alternativ som är billigt och effektivt. Dessutom kan systematisk planering och genomförande med fokus på reflektion av specifika delar i en färdighet vara effektivt för att uppnå förbättringar. Våra studier har bidragit till en djupare och utökad kunskap om effekten av ett interventionsprogram på utförande av venprovtagning. Resultaten kan användas vid framtida planering av utbildningsinsatser. Modeller för praktiskt färdighetsutövande inom omvårdnad kan beskriva venprovtagning ur ett helhetsperspektiv och synliggöra venprovtagning som en viktig praktisk färdighet inom omvårdnad.
Preanalys
Gould-Johnson, Brenda. "Decreasing Attrition of Novice and Newly Hired Professional Nurses Through Preceptorship." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1966.
Повний текст джерелаBorges, Lausanne Souza. "Desigualdade e o trabalho de partejar no Brasil: questões para a educação profissional na área materno-infantil." reponame:Repositório Institucional da FIOCRUZ, 2013. https://www.arca.fiocruz.br/handle/icict/8617.
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Fundação Oswaldo Cruz. Escola Politécnica de Saúde Joaquim Venâncio. Programa de Pós-Graduação em Educação Profissional em Saúde.
O estudo analisa os condicionantes histórico-sociais da prática de parturizar e a formação dual dos trabalhadores que atuam na área materno-infantil no Brasil. Para tanto, a dissertação considera o trabalho na área referida, à luz das especificidades que o orientam. Na introdução, apresenta-se um breve panorama do trabalho de partejar, discutindo a transmissão deste saber nas distintas civilizações humanas, até ser nominado como função especializada, ou seja, como um ramo tecnocientífico unidimensional restrito ao conhecimento médico da área obstétrica. O Capítulo 1 problematiza o paradigma político-econômico que envolve o parto atual enquanto produto constituído no âmbito da sociedade capitalista, abordando dois pontos: a divisão social do trabalho e a realização de distintas tarefas pelos trabalhadores de saúde; e a comparação, a partir do contexto referido, entre assistência hospitalar tecnocrata e o cuidado domiciliar baseado no saber ancestral das parteiras tradicionais. O Capítulo 2 analisa o Programa de Humanização no Pré-Natal e Nascimento do Ministério da Saúde brasileiro – nos aspectos relacionados à garantia de cuidados profissionais para a gestante no momento do parto – e, neste contexto, a proposta do Programa Rede Cegonha direcionada à qualificação do trabalhador da área materno-infantil. A dissertação conclui indicando, a partir da perspectiva de que o parto não constitui um fato natural e sim um ato socialmente produzido, a necessidade de superar a contradição histórica discutida na formação desigual do trabalhador que atua no âmbito da saúde materno-infantil no Sistema Único de Saúde (SUS).
The study analyses the social and historical conditionants of parturition and the dual formation of workers involved in the maternal and child area in Brazil. For both topics, the dissertation considers the job in the refered area, regarding the specificities the abide it. In the introduction, a brief outlook about midwifery is presented, discussing the transmission of this knowledge amongst distinctic human civilizations, until it is nominated as an expertise, in other words, as an technoscientific unidimensional branch restricted to medical knowledge in obstetrics. Chapter 1 problematizes the political and economic paradigm that involves the nowadays parturiton as a constituted product in the scope of capitalist society, addressing two points: social division of labor and the execution of distinct tasks by healthcare workers; and the comparison, from the refered context, between technocrat hospital assistance and home care based upon traditional midwifes' ancestral knowledge. Chapter 2 analyses the brazilian Healthcare Ministry Prenatal and Birth Humanization Program - in the aspects related to the guarantee of professional care for pregnants in the moment of parturition - and, in this context, the proposal of Rede Cegonha Program towards qualification of maternal and child area worker. The dissertation concludes indicating, from the perspetive that the parturition does not constitute a natural fact but a socially produced act, the need to overcome the historical contradition discussed in the unequal formation of the worker that is involved in the scope of Sistema Único de Saúde(SUS) maternal and child healthcare.