Дисертації з теми "Hunter Area Health Service"
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Boyle, Patrick James. "An assessment of cultural competence of community public health nursing in Liffeyside Health Service Area, Dublin." Thesis, Middlesex University, 2014. http://eprints.mdx.ac.uk/13464/.
Повний текст джерелаNelson, Candice Afonso. "Neonatal Mortality in the Cape Town Metro West Geographical Service Area 2014-2017." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32948.
Повний текст джерелаChaiyakae, Sonngan, Nobuyuki Hamajima, Pajjuban Hemhongsa, Yoshitoku Yoshida, and Tawatchai Yingtaweesak. "ACCESSIBILITY OF HEALTH CARE SERVICE IN THASONGYANG, TAK PROVINCE, THAILAND." Nagoya University School of Medicine, 2013. http://hdl.handle.net/2237/18473.
Повний текст джерелаVinod, Shalini Kavita Public Health & Community Medicine Faculty of Medicine UNSW. "A lung cancer patterns of care study in the South Western Sydney Area Health Service." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2004. http://handle.unsw.edu.au/1959.4/22463.
Повний текст джерелаWallace, Carolyn A. "An exploration of health and social care service integration in a deprived South Wales area." Thesis, Coventry University, 2009. http://curve.coventry.ac.uk/open/items/0dc2c9be-3b0d-714a-3717-8b04a7ed24f3/1.
Повний текст джерелаWin, Tay Za Kyi. "Demographic characteristics, HIV service utilization and barriers among transgender and gender non-conforming people in the Houston area." Thesis, The University of Texas School of Public Health, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10127421.
Повний текст джерелаBackground: CDC reports that the highest percentage of newly identified HIV positives are among transgender people. They are overburdened by HIV and relatively under-researched in studies and underserved by healthcare providers.
Methods: A secondary data analysis was performed using data from a special needs assessment survey of HIV positive transgender people conducted in 2012 by the Houston Area Ryan White HIV Planning Council. Pearson’s chi-squared (&khgr;²) or Fisher’s exact test was conducted to assess whether HIV service utilization and barriers vary statistically by demographic characteristics. Variables with statistically significant levels less than 0.25 (P < 0.25) were selected to enter into the multivariable logistic regression models. Multivariable logistic regression with backward elimination process was used to identify the significant demographic variables that are associated with HIV service utilization and barriers.
Results: HIV positive transgender people with unstable housing status were less likely to use health insurance assistance services (P=0.012); but more likely to use substance abuse treatment services (P=0.017) and nutrition services (P=0.001) than those who owned or rented housing. They were also more likely to have difficult accessing primary health care services than those who owned/rented housing (P=0.007).
HIV positive African American transgender people were more likely to use mental health services than their white counterparts (P=0.019) and the unemployed were more likely to use mental health services than the employed (P=0.002).
More educated HIV positive transgender people were more likely to use case management services (P=0.039) and less likely to have difficulty accessing them (P=0.019) than the less educated. They had lower odds of difficulty in accessing primary HIV care (P=0.018) than the less educated.
Older transgender people (age group between 25-44) were more likely to use legal services than the younger ones (age group 18-24) (P=0.021).
Conclusion: Socioeconomic status may influence the utilization and barriers of HIV services among transgender people in the Houston Area. Housing assistance program need to be tailored to reach HIV positive transgender people of low socioeconomic status. Culturally appropriate and comprehensive transgender HIV care is recommended to meet the needs of transgender minorities in the area.
Boyes, Allison. "Women's selection and evaluation of obstetric hospitals a survey of the Northern Sydney area /." Connect to full text, 1998. http://hdl.handle.net/2123/393.
Повний текст джерелаTitle from title screen (viewed Apr. 16, 2008). Submitted in fulfilment of the requirements for the degree of Master of Public Health to the Dept. of Public Health and Community Medicine, Faculty of Medicine. Degree awarded 1999; thesis submitted 1998. Includes bibliography. Also available in print form.
Remmelzwaal, Bastiaan Leendert. "A situational assessment of human resources planning in the Mnquma local service area of the Eastern Cape Province, South Africa." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
Повний текст джерелаMakakole, L. "Evaluation of strategies instituted to improve the tuberculosis control program within Scott Hospital Health Service Area, Lesotho." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/544.
Повний текст джерелаBackground: In spite of the substantial progress made in the development and implementation of many strategies necessary for effective tuberculosis control, the disease continues to be the leading cause of death, and in Africa, because of the expanding HIV epidemic, there has been an increase of HIV associated TB. In 2005 African health ministers declared TB a regional emergency. Although TB treatment is free and Lesotho has 100% DOTS coverage, the country still reported an incidence of 485 per 100,000 population (2005) and a treatment success of 74%, which is still lower than 85% WHO target. Objective: This six-month study at Scott Hospital Health Service area in Lesotho was undertaken to assess the outcome measures of strategies instituted to improve the tuberculosis control programme and determine the effect on TB treatment outcome indicators and TB/HIV integration. xi Methodology: The study design was a quantitative, descriptive study. The principal researcher and a research assistant used a questionnaire to collect data from the outpatient, TB suspect and treatment registers. Study population and sample: The subjects of the study were all adult new sputum- smear positive TB patients enrolled and registered in the Scott Hospital Health Service area TB register from 1st January to 30 June 2006. Results and discussion: A total of 100 new sputum smear positive adult TB patients presenting at Scott Hospital during the research period formed the sample group of this study. This included 47 female and 53 male patients. Their ages ranged from 18 years to 84 years with the mean age of 42 years. Majority 52 (52%) were in the age group 20-39 years, followed by 27 (27%) in age group 40-59 years and 19 (19%) in the age group 60-79 years. There was a high TB/HIV co-infection of 40 (81.6%) among the 49 (49%) who accepted HIV counseling and testing. Active screening of patients for TB resulted in 378 (86.3%) of the 438 TB suspects having their sputa tested. Of these, 100 (26.5%) were new sputum smear positive. Good xii adherence and treatment supervision resulted in sputum conversion rate of 89 (89%). Rigorous implementation of the DOTS strategy showed increased treatment outcomes: cure rate of 76 (76%) and treatment success of 85 (85%). These results were similar to findings of other studies carried out in Cambodia, Tanzania and Rwanda to assess TB programme performance following introduction of improvements. Conclusion: This study demonstrates that implementation of activities consistent with new stop TB DOTS strategy to improve TB control is possible in a rural setting and leads to improvement in TB case detection and treatment success and a decrease in both defaulter and death rates.
Kirigia, Doris Gatwiri Public Health & Community Medicine Faculty of Medicine UNSW. "Beyond needs-based health funding: resource allocation and equity at the state and area health service levels in New South Wales - Australia." Awarded By:University of New South Wales. Public Health & Community Medicine, 2009. http://handle.unsw.edu.au/1959.4/44733.
Повний текст джерелаButler, Danielle Coralie. "Area-level variation in primary health care service characteristics and the modifying effect on individual-level socioeconomic variation in receipt of care: potential avenues for improving health equity." Phd thesis, Canberra, ACT : The Australian National University, 2017. http://hdl.handle.net/1885/143527.
Повний текст джерелаIlkiw-Lavalle, Olga. "Enhancing mental health staff confidence and skills in response to aggression and violence a longitudinal study of aggression minimisation training /." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060712.143008/index.html.
Повний текст джерелаKalhar, Riba. "The application of health psychology principles to working within a stop smoking service based in a deprived inner city area." Thesis, City University London, 2011. http://openaccess.city.ac.uk/1298/.
Повний текст джерелаJenkins, Sharon D. (Sharon Dezel). "The Applicability of SERVPERF in Judging Service Quality for Biomedical Information Professionals." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc279133/.
Повний текст джерелаErhardt, Erik Barry. "Bayesian Simultaneous Intervals for Small Areas: An Application to Mapping Mortality Rates in U.S. Health Service Areas." Link to electronic thesis, 2004. http://www.wpi.edu/Pubs/ETD/Available/etd-0105104-195633/.
Повний текст джерелаKeywords: Poisson-Gamma Regression; MCMC; Bayesian; Small Area Estimation; Simultaneous Inference; Statistics Includes bibliographical references (p. 61-67).
Adebanjo, Adefolarin Babafemi. "Comparison of clinical and immulogical responses to Zidovudine (AZT) and Tenofovir (TDF) – containing ARV regimens in patients taking HAART at Roma health service area of Lesotho." Thesis, Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/20440.
Повний текст джерелаBibliography
Objective: The objective of this retrospective cohort study is to assess whether demographic and anthropometric parameters, laboratory tests, co-morbidity, co-infection, treatment regimen, IRIS and adherence to treatment predict the expected response to HAART and differences if any, in the pattern of response as measured by CD4 count, weight gain and haemoglobin levels in two cohorts of patients in Roma, The Kingdom of Lesotho. Method: Data were collected randomly from a computerised database of the Antiretroviral Centre of the hospital and two cohorts of 151 subjects in each of the two arms of the study were identified from hospital records from January 2008. Each of these subjects was followed up over a period of 12 months with data obtained for at least 2 visits within the 12 month span. Data were obtained at baseline, 3 months and also at 6 and 12 months marks. Data on characteristics were compared between the two arms. Variables that may be potential confounders were identified and univariate and multivariate logistic regression analyses were carried out to establish differences independent of confounding factors for the combined endpoints as well as for each endpoint separately. Results: In all 302 patients had their records analysed and comparison of clinical and immunological response patterns in patients taking AZT and TDF-containing ART regimens and the possible prediction of which the regimen would be better and within which population. Despite the perceived mismatch between two NRTIs it can be concluded from the results of this study that, overall, the inclusion of AZT in treatment regimen showed a modest protective effect over the TDF counterpart as measured by the endpoints of the discriminative powers of the Receiver Operating Curves of the explanatory variables being 66% , 77% and 66% for CD4, Haemoglobin and Weight respectively, and 63%, 70% and 65% for the same variables in the AZT and TDF arms of the study respectively. Conclusion: In a population of HIV patients on treatment in resource-limited settings AZT-containing regimens appear to show a slight improvement over the TDF-containing ones.
Carman, Rebecca Anne. "The impact of immunisation service delivery in general practice on Aboriginal children living in the Perth metropolitan area: An opportunity to reduce the gap?" Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2019. https://ro.ecu.edu.au/theses/2176.
Повний текст джерелаGreenfield, David Public Health & Community Medicine Faculty of Medicine UNSW. "The technologisation of practice in early childhood nursing : collaborating for innovation and change." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2004. http://handle.unsw.edu.au/1959.4/20518.
Повний текст джерелаVan, Hoi Le. "Health for community dwelling older people : trends, inequalities, needs and care in rural Vietnam." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-47467.
Повний текст джерелаAging and Living Conditions Program
Vietnam-Sweden Collaborative Program in Health, SIDA/Sarec
(9831875), Peter Russo. "Job design, workplace interaction and job satisfaction among nursing staff at the Rankin Park Unit John Hunter Hospital." Thesis, 1996. https://figshare.com/articles/thesis/Job_design_workplace_interaction_and_job_satisfaction_among_nursing_staff_at_the_Rankin_Park_Unit_John_Hunter_Hospital/20365527.
Повний текст джерелаThis research will investigate job design, workplace interaction and job satisfaction among the various classification of nurses employed at the Rankin Park Unit, John Hunter Hospital. This topic was chosen as the researcher believes and supported by Yoder & Heneman (1975) that the level of staff job satisfaction is reflected in the quality of care that is given to clients, and that improved career pathways and job design directly impact on staff morale and ultimately staff satisfaction. The research into job design, workplace interaction and job satisfaction among nursing staff within the Rankin Park Unit was carried out over a one year period. The instruments of survey, Job Characteristics Inventory (J.C.I.) andL Satisfaction Survey (J.S.S.), were administered to a sample of 181 nurses from the institution. This quota was representative of the various classifications of nurses within the Rankin Park Unit, including; Professional (Registered Nurses, R.N.), Technical (Enrolled Nurses, E.N.), and Service (Assistant In Nursing, A.I.N.) members. Definitions of these titles are located in Appendix A (Definitions of terms and Abbreviations). The responses were analysed and presented in thesis form, to both Central Queensland University and the Hunter Area Health Service. The responses to the instruments of survey and analysis of results give significant insight into areas of possible improvement in job design and job delineation for nurses, thereby flowing on to improved job satisfaction and improved productivity. The information stemming from this research will assist nursing staff at all levels, in association with Institutional Management to map career paths for nurses employed within the Hunter Area Health Service.
Chung-Han, Hsieh, and 謝宗翰. "A Green Cloud-assisted Health Monitoring Service on Wireless Body Area Networks." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/77002894603193133689.
Повний текст джерела國立宜蘭大學
資訊工程學系碩士班
103
As cloud computing and wireless body sensor network (WBAN) technologies mature, relevant applications have grown more and more popular in recent years. The healthcare field is one of the popular applications for this technology that adopts sensor devices to sense signals of negative physiological events, and to notify users. The development and implementation of long-term healthcare monitoring that can prevent or quickly respond to the occurrence of disease and accidents present an interesting challenge for computing power and energy limits. This study proposed a green cloud-assisted healthcare service on WBAN, and considered the sensing frequency of the physiological signals of various body parts, as well as the data transmission among the sensor nodes of WBAN. The cloudassisted healthcare service regulates the sensing frequency of nodes by considering the overall WBAN environment and the sensing variations of body parts. The experimental results show that the proposed service can effectively transmit the sensing data and prolong the overall lifetime of WBAN.
Makoa, E. T. "Collaboration between traditional healers and nurse practitioners in primary health care in Maseru Health Service Area - Lesotho." Thesis, 2000. http://hdl.handle.net/10500/17307.
Повний текст джерелаHealth Studies
D. Litt. et Phil. (Nursing Science)
Chuang, Chao-Chung, and 莊昭宗. "Customer’s Service Demand of Elderly Health Caring Center – An Emperical Study in Tainan Area." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/61356882023485170424.
Повний текст джерела國立屏東科技大學
高階經營管理碩士在職專班
94
The purpose of this study is to discuss the factors of service demand that are valued by customers in elderly health caring center. By reviewing related literatures, we have determined the content of care services includes the demand in terms of the elderly health caring environment, as well as the demand in terms of professional services needed. Through factor analysis, the aspects of important factors in service demand are extracted and discussed. The result shows that the demand of caring environment includes four factors namely: spatiality, leisure, convenience of transportation, as well as comfort and safety. The demand of professional services needed includes three factors namely: staff characteristics, staff specialties, and service activities. In order to understand the cognitive differences between the workers and customers in caring center towards service demand, using independent t test. The result indicates that significant differences exist between customers and workers toward spatiality and staff characteristics. Lastly, in order to provide businesses with management advices, this study groups the customers into four patterns namely: high service demand, service oriented, low service demand, and environment oriented, based on the caring environment and professional services needed. Focusing on the customers of different patterns, this study provides business owners with several management advices. These advices will provide business owners with references in allocation of staff, decision on resource supply, and providing suitable services in elderly health caring center.
Ngceba, Asiphe. "Service quality at selected health and fitness centres in townships in the greater Durban area." Thesis, 2017. http://hdl.handle.net/10321/2636.
Повний текст джерелаThe increasing interest in people’s wellbeing has seen the growth of health and fitness centres (HFC) all across South Africa. It has been a decade since Virgin Active and Planet Fitness expanded their business into townships, with this endeavour resulting in the opening of HFC in Khayelitsha and Soweto. The motivation behind this study is therefore to examine the effect of service quality on customer satisfaction in the HFC industry in Ntuzuma, Umlazi, Kwa-Mashu, Clermont, and Phoenix, all townships in the greater Durban Area. Thus, the main purpose of this research is to ascertain service quality at selected HFC in townships within the greater Durban area. Interest in service quality has grown over the last decade due to increasing competition, which has led managers to finding ways of improving profitability. One area of interest is service quality and how it affects customer satisfaction and its impact on the bottom line, which is why ascertaining service quality at selected HFC in the greater Durban area’s townships is significant. The study was descriptive, quantitative and cross-sectional in nature, probing the effect of service quality on clients’ customer satisfaction. From these findings the Health and Fitness Centres can identify more specifically the failures in its service quality and seek to improve upon them. Service quality dimensions that are deemed to be good predictors of service quality for members of the HFCs offering have been related to factors such as the “Tangibility”, Reliability”, “Responsiveness”, “Assurance” and “Empathy. It is hoped that the results obtained will aid to support these centres in adopting practical customer service quality measures that will assist them to succeed in the highly competitive health and fitness industry.
M
Tshabalala, Amme Mardulate. "Mobile clinic users' opinions on health care service provision in the Muldersdrift area,Gauteng province." Thesis, 2006. http://hdl.handle.net/10539/1880.
Повний текст джерелаThe use of the mobile clinics for rendering health care services in South Africa is part of the services rendered according to the Primary Health Care Service Package that was officially published in 2001. Mobile clinics have been found to be instrumental in rendering of health care especially in the rural and semi- rural areas. In the majority of these areas, the mobile clinic is the only source of health care provision at community level. Lack of well developed infrastructure and poor roads contribute to inaccessibility of health care services in rural and semi-rural areas. Health programmes are often of poor quality or offer incomplete services. Factors such as lack of knowledge of available health care services, satisfaction with the quality and range of services provided, and unavailability of the mobile clinic service when there is a health need, can result in the mobile health care clinic being less utilized. The purpose of the study was to address the following question: What are mobile clinic users’ opinions on health care service provision in the Muldersdrift area Gauteng Province? To answer the question three research objectives were formulated. These were to: describe the mobile clinic users’ level of service utilization, to assess their level of knowledge of available health care services and to determine their level of satisfaction with the services provided. To achieve the study objectives, an exploratory, descriptive survey was used as the research design. Three sampling techniques were used in this study. Cluster sampling was used for developing sampling framework for the 35 mobile points. Stratified sampling used to stratification of the mobile points. A non- probability convenience sampling was then used for final selection of the nine mobile clinic points and for selection of a sample size of 94 mobile clinic users’ to be included in the study. Data were analysed using the Statistical Package 7.0. The results show that the mobile clinic service was optimally utilized, 59% had used the service more than thrice within a period of six months. The majority of participants (89.3%) had knowledge of all the services being offered on the mobile clinic. Very few respondents (19.5%) were aware of the availability of HIV and AIDS counseling and testing on the mobile clinic. All most all the respondents (98.9%) were satisfied the range of services offered on the mobile clinic. Almost half (48.9%) were not satisfied with the service being offered once a month, (4.4%) with the attitude of the staff, (5.3%) with treatment of common ailments and (2%) said the mobile clinic service was bad.
Gumede, Peggy Pinky. "The perceived quality of service in public clinics of Scottsville and Sobantu in the Pietermaritzburg area." Thesis, 2015. http://hdl.handle.net/10321/1670.
Повний текст джерелаThe challenges facing the South African public health systems, especially public clinics seem to be increasing. These Primary Health Centres are having to deliver service under difficult circumstances thereby making the “offering” of the service being perceived as poor. The way in which these centres operate is mainly hampered by infrastucture and resource allocation which is seen as sufficient to render appropriate service to the “black communities”. To the eyes of an outsider, this particular service is seen as ideal, yet the people for whom it is meant, do not fully benefit from it. Prior to 1994, South Africans were faced with poor health facilities; with the democratic elections, they thought the delivery of essential services was going to change for the better. In the White Paper for Transformation of the Health System in South Africa, one of the objectives states that various implementation strategies were to be designed to meet the basic needs of all people, given the limited resources available, but this does not seem to be the case. Research has shown a huge discrepancy in the delivery of service between rural and urban areas. Some of the findings are that one nurse will attend to a huge number of patients without any assistance, either from the doctor or other nurses. The literature review contained in this research indicates that there is still a gap between how the service delivery should be made available to the public and how it is currently administered or managed. This research, which is driven by a passion and love for good public service delivery assesses the perceived quality of service in the public clinics of Sobantu and Scottsville. Interviews were conducted within employees of both the clinics and the patients being served by these two clinics to assess the perceived quality of service received in these clinics
An electronic copy of the Thesis is currently unavailable.
YU, SHU-CHEN, and 游淑真. "Patterns and Determinants of Health Service Use among People with Mental Disorders in Metropolitan Area, Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/qsyk4f.
Повний текст джерела東海大學
社會工作學系
107
This study aims to investigate the use of health services by people with mental disorders. The research was based on stratified cluster sampling from a total of 19 mental rehabilitation institutions in Taoyuan, Taichung, Tainan and Kaohsiung. The subjects were stabled, understandable and willing to fill out the questionnaires. The method of collecting data was from a self-made questionnaire. During the investigation period from April to June 2018, a total of 361 copies were distributed, and of the number of copies 333 questionnaires were effectively recovered, while 28 copies were abandoned. The SPSS for windows 20.0 tool (Chinese version) was used for descriptive and inferential statistical analysis. The research structure refers to Andersen's fourth-stage health service model, which incorporates the factor of time, and collects data at three intervals: the period of not having received medical care(S1), the period of medical treatment(S2) and the period of having entered the mental institute(S3). The study discovered that mentally disabled people who differed in gender, age, education, marriage, employment status, and degree had different approaches with using the health care services. Moreover, the nine variables of sex, age, psychiatric oriented services in S2, frequency of psychiatric treatment in S2, income influence factor, period of no medical treatment, sleep influence factor, the type of help in S1-S2, and number of those who seek help were predictive of the health outcomes of individuals, which positively correlated with the number of frequent psychiatric returns. The significance of this study shows that people with mental illness at the rehabilitation institutes have their own views on when to use the health care services. With the understanding of the overall factors that may influence the use of the services, we recognize the overall manner of which the service is used. All and all, proposals were made on the mental health policy, rehabilitation institute and on research as follows:1.With the mental health policy, continue to promote the education on mental health and provide attention to special needs group, as well as strengthen the integration of various service systems. 2.In terms of mental rehabilitation institutions: a better nighttime atmospheric quality should be developed, and emphasis should be placed on factors affecting the use of service. Long-term care and community resources should be connected to improve follow-up services of middle-aged and elderly, as well as broaden the elements of mental rehabilitation. 3.In terms of research, the scopes of research with supporting mentally disabled are being expanded to the extent where it can be included data from key person.
Liu, Bo-Jun, and 劉博鈞. "A Study on the Relationships between Health Clubs′ Service Quality, Customers′ Values and Consuming Behaviors of Health and Fitness Clubs in Taichung Area." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/65991099684487681097.
Повний текст джерела大葉大學
運動事業管理學系
95
The purpose of this research was to investigate Service Quality、Customers′ Val-ues(practical values、hedonic values) and Consuming Behaviors for the health and fit-ness club members, and furthermore to analyze the relationships between club mem-bers′ Customers' Values and Degree of Service Quality Satisfaction, Customers' Values and Consuming Behaviors. 486 valid questionnaires were collected. Descriptive Statis-tics, Factor Analysis and Pearson Product-Moment Correlation Analysis were used to analyze research data, the findings were:1. the club members was somewhat satisfied with service quality (mean was 3.7175); 2. the club members was somewhat satisfied with customers′ values (mean was 3.6121); 3. the frequency of exercise for the major-ity of club members were once a week(38.3%), and the expenditure per month was un-der NT$1,000 for the majority of members(45.1); 4. there were positive relationships between members’ practical values and degree of service quality satisfaction, and be-tween hedonic values and degree of service quality satisfaction; 5.there was a positive relationship between practical values and frequency of exercise, and there was no sig-nificant relationship between practical values and expenditure per month; there was a negative relationship between hedonic values and frequency of exercise, but a positive relationship between hedonic values and expenditure per month.
Dayaram, Mukund Manhur. "An analysis of the patients presenting to a private hospital emergency department in the Ethekweni Metrpolitan area during holiday and non-holiday periods." Thesis, 2015. http://hdl.handle.net/10539/20859.
Повний текст джерелаBackground: There has always been anecdotal reports that the ED is busier during the holidays and this increase in utilization is due to an increased incidence of trauma. Methods The retrospective data was collected from the Study Hospital’s Database and from the billing records of the doctor practice managing the ED. The data included all patients attending the Study Hospital ED during November 2011 (Non-holiday Period) and between the 10th December 2011 and 8th January 2012 (Holiday Period). Results: It was noted that the age, gender and racial profile of the patients attending the ED during the Holiday and Non-holiday Periods were similar. However there was a 39.9% increase in ED utilization during the Holiday Period. The Holiday Period was also associated with increased utilization by tourists (29.9% vs. 8.2%); with a slightly lower incidence of trauma (23.4% vs. 24.6%); with patients presenting with less urgent Triage Scores; fewer patients arriving at the ED via ambulance (3.2% vs. 7.2%) and a lower admission rate (10% vs. 17.5%). Conclusions: There was a significant increase in the utilization of the Study Hospital ED during the Holiday Period. This increased utilization was due to an increase in visitors to the Umhlanga area during the Holiday Period and was associated with an increased presentation to the ED of low acuity patients probably as a result of a lack of availability of their GP.
Greenfield, David. "The technologisation of practice in early childhood nursing : collaborating for innovation and change /." 2004. http://www.library.unsw.edu.au/~thesis/adt-NUN/public/adt-NUN20050223.110844/index.html.
Повний текст джерелаReddhi, Amravathy. "Experiences of adult mental health care service users and their families upon discharge of mental health care service users, to their families in the Durban area, from Ekuhlengeni Care Centre during May 1999 to December 2001." Thesis, 2008. http://hdl.handle.net/10413/2302.
Повний текст джерелаThesis (M.A.)-University of KwaZulu-Natal, Durban, 2008.
WEN, CHIU I., and 邱怡文. "A Study of Teachers’ Professional Competence and Demand for In-service Training in the Health and Physical Education Learning Area in Taipei County." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/78918870393649997095.
Повний текст джерела國立臺北教育大學
課程與教學研究所
96
The purpose of this study is to understand teachers’ professional competence and demand for in-service training. The subjects of this research are 192 full-time teachers in the health and physical education learning area in Small-scaled elementary schools in Taipei County. 184 valid questionnaires were returned. (92.86%) Data obtained in this study were analyzed by descriptive statistics, t-test, one-way ANOVA, and Pearson Correlation. The results were shown as following: 1. According to the small-scaled elementary school teachers’ self-evaluation, they claim their professional competence achieve high-intermediate level in the health and physical education learning area in Taipei county. 2. The male teachers’ professional competence in physical education area is significantly higher than that of female teachers. And teachers who majored in physical education have better professional competence than those whose major are not physical education. Moreover, P.E. teachers’ profession ability is significantly higher than that of homeroom teachers. However, age, seniority, teaching stage, and teaching subject showed no significant difference in the results of self-evaluating ranking. 3. The demand for in-service training of small-scaled elementary school teachers in health and physical education learning area in Taipei County was rated middle-level. The learning content that the teachers require most is the teaching materials and methods for prevention and treatment of disease, integrating implications and technology into instruction, and health-related physical fitness. The types of learning activities include sport spectator, teaching praxis, and experience-sharing between experts and scholars. 4. Age and seniority showed significant difference in the results of the demands for in-service training. Teachers over 51 years old have stronger demand for in-service training than those at other ages. Based on the comparison of seniority, teachers who have taught for 16 years or more have more intense motivation of in-service training than those who have 6-10 years teaching experience. However, gender, education background, position, teaching stage, and teaching subject showed no significant difference in the results of demands for in-service training. 5. There was low-correlated between the professional competences and the demands for in-service training.
Chin, Cheng Hsiu, and 鄭秀津. "An Investigation to Explore the Association With Health Functional Status and Medical Service Utilization Among Elderly Residents in the Kaohsiung and Pingtung area." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/50592551104983411438.
Повний текст джерела美和科技大學
健康照護研究所
100
Abstract Research Purpose There are six research aims in this study: (1) recognizing the distributions of demographic variables, regional variables, health functional status, and medical services among senior residents of long-term care institutes in Kaohsiung and Pingtung area; (2) recognizing whether health function status and medical services will be affected by demographic variables of senior residents among senior residents of long-term care institutes in Kaohsiung and Pingtung area; (3) recognizing whether health functional status and medical services will be affected by regional variables of senior residents among long-term care institutes in Kaohsiung and Pingtung area;(4) recognizing whether medical services will be affected by which variable of health functional status of senior residents among long-term care institutes in Kaohsiung and Pingtung area; (5) recognizing whether demographic variables and regional variables will be affected by health functional status of senior residents among long-term care institutes in Kaohsiung and Pingtung area; (6) recognizing whether demographic variables, regional variables and health functional status will be affected by medical services of senior residents among long-term care institutes in Kaohsiung and Pingtung area. Material and Methods This research adopts the cross-sectional research design, residents who were over the age of 65 years old and lived within the long-term care institutes in Kaohsiung and Pingtung area were invited as research samples. There are 1,038 senior residents were selected as study samples; 320 residents were selected from the Kaohsiung area and 718 residents were selected from the Pingtung area to conduct secondary data analysis. This research proposes 7 hypotheses based on Andersen's behavioral model. According to the opinion of “Quantitative research method”, both descriptive statistics and inferential statistics (Chi-square test, Logistic regression analysis) were performed to conduct research hypothesis. Research Results Results of this research indicate that the usage of medical services will be affected by demographic variables, regional variables and health functional factors among the 1,038 samples, personal characteristics, It also found that through Logistic regression analysis, the variables of “regional”, “gender”, “cognitive functional scores”, “Barthel Index”, “disease”, “language impairment”, and “hearing impairment” can be significantly influenced by the usage of medication. In addition, the variables of “regional”, “marital status”, “cognitive function scores”, “Barthel Index”, “disease”, “language impairment”, “visual impairment”, and “skin integrity” can be significantly influenced by the usage of tube. Moreover, the variables of “regional”, “age”, “Barthel Index”, and “skin integrity” can be significantly influenced by the usage of special care. Conclusion and Suggestions In short, results of this research provide a clearer direction for clinical caretakers to plan and offer references for improving and reducing the degradation of senior residents’ health and providing advance intervention to increase their health functional status. In addition, results of this research could be regarded as a referee for planning the procedure of care plan in clinical services; it also could be referred in long-term caring issues and subsequent to relevant research of long-term care. Finally, the ultimate goal of this research is to provide a evidence-based information for improving the life quality of senior citizens within long-term care institution and providing them a better care. Keywords:nursing institutes, senior residents, health function status, usage of medical services.
Muntenda, Bartholomeus Mangundu. "The perceptions of women regarding obstetric care in public health facilities in a peri-urban area of Namibia." Thesis, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2579_1397037992.
Повний текст джерела
Namibia has recorded an ascending trend of maternal and neonatal mortality rate from 225 &ndash
449 per 100 000 women from 1992 to 2006, and 38 &ndash
46 per 1000 live births from 2000 to 2006 respectively. Kavango Region in Namibia is one among the top seven regions with high maternal and infant mortality rate. Most pregnant women in peri-urban areas of Rundu District in the Kavango region, where this study was conducted, attend ante-natal care services but do not use public health facilities for delivery. The health records from the public health facilities in Rundu, especially from Nkarapamwe clinic and Rundu Hospital maternity section, reveal that although the pregnant women comply with the required standard policy of a minimum of three visits per pregnancy or more, over 40% of women who attend public ante-natal care clinics do not deliver in the public health facility. The aim of this study was to explore the perceptions of women regarding obstetric care in public health facilities in Kehemu settlement, a peri-urban area of Rundu town. The objectives of the study were to explore the perceptions of women on accessibility and acceptability of maternity services in public health facilities. An explorative qualitative study design using focus group discussion as a data collection method was conducted with three groups of women. A purposeful sampling procedure was used to select participants. Ethical approval was obtained from the High Degree Committee of University of the Western Cape and permission to use data from local facilities was obtained from the Ministry of Health and Social Services. Participants were recruited on their own free will and they signed an agreement on confidentiality. A data reduction process was used for analysis. The study findings indicate that women wish to use public health facilities for deliveries due to perceived benefits, in particular, safety for the mother and the baby and that those services are affordable. However a number of reasons hinder women to access services including the attitudes of health care providers, inability to afford transport at night and cultural influences. The study recommends that delivery services at the local clinic be expanded from eight to twenty-four hours
an information campaign on pregnancy and birth complications as well as the benefits of delivering in a public facility be implemented
refresher training for nurses to improve their caring practices during delivery should be considered and that a similar research be conducted with care providers to ascertain ways to improve maternity services in the public health facility in the area.
HAN, YU-SHAN, and 韓郁姍. "A Study of the Cultural Appearance of the Aging Care Service in the Aboriginal Area: Using the Tribal Cultural Health Station as an Example." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/a7nrrc.
Повний текст джерела東海大學
社會工作學系
107
The tribal cultural health station is the important place to take care of the aboriginal older. Because of the difference of the cultural appearance in every aboriginal, it is important to have better understanding about the influence of aboriginal culture on care service. The purpose of this study is below: 1.To explore the current working implementation of the care-worker in the tribal cultural health station. 2.To explore the cultural characteristics inside care services in the tribal cultural health station. 3.To give suggestion of thinking of cultural caring in management for the tribal cultural health station in the future. This current research is a qualitative method design with depth interview approach and invited 6 care-workers ,who worked in tribal cultural health stations for Paiwan older, as the research participants. This current research found: (1) The tribal cultural health station provides general care service and develops new services for the cultural habits, such as All-in-One services, dining car. (2) Aboriginal culture influence on service time and content. Service time is changed by agricultural culture, weddings, funeral, and traditional festival. Service content merge with traditional culture. Finally, according to the research, the researcher provides suggestion for relevant rules.
HSIEH, CHIH-HSU, and 謝智旭. "Under the Constitution of Health City - the Research of Satisfaction of Home Care Service for Disable Elder in a Hakka Area: the Case of Miaoli County." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/79831345834339595372.
Повний текст джерела國立聯合大學
經濟與社會研究所
101
Whenever I see the tragedy or the news that occurred due to family member’s excessive pressure on long-term care, I have some questions in my mind. Taiwan have positively constructed the healthy city and carried out the policy of the elders’ home care service for many years. Why the same problems of long-term care often happened? My hometown is in Miaoli County and the percentage of the elders is very high. Is the policy of home care service for the Hakka disable elders really helpful? Does it satisfy them? Does it help the caregivers of the disable elders to discrease the pressure and advoid the trage happen? The purpose of this study is to discuss whether the disable elders in Miaoli County are satisfied with the home care services and the different home care service items. This study tries to make the government or the home care providers understand more about the users’ satisfaction, and make more helpful plans of home care service in the future. In order to learn more about the demands of disable elders, the researcher do the literature review of the theory of aging and long-term care. The home service policies of different countries and the theory of satisfaction are also reviewed. In this study, the questionnaire is based on the home care service questionnaire of Ministry of the Interior. To know the background of disable elders, there are some questions about personal data and health situations in the questionnaire. The research field is mainly in the Hakka area in Miaoli County, and the samples include 318 disable elders. The software used for analyzing the data is SPSS (version 18.0), and the analysis methods of the data include Descriptive Statistical Analysis and Chi-square test. The main findings of this study are summarized below: 1.Disable elders’ individual backgrounds don’t affect the overall satisfaction of home care service, but there is a significant difference between the different home care service providers and the overall satisfaction. 2.The variable of different caregivers significantly influences the satisfaction of the service hours. There is significant difference between the individual social welfare identity and the satisfaction of the service hours. 3.The significant difference is found between health situations of disable elders and the overall satisfaction. Also, instrumental activities of daily living (IADL) influnce the overall satisfaction significantly. 4.There is a significant difference between activities of daily living (ADL) or instrumental activities of daily living (IADL) and the satisfaction of the service hours. 5.99.4% disable elders are satisfied with the overall satisfaction of home care services and the different home care service items .
(13965105), Fiona J. Tulip. "Assessing the impact of a recall system on hospitalisations for patients with diabetes in the Torres Strait, 1998-2000: A retrospective re-evaluation study of a randomised control trial using a different data source." Thesis, 2003. https://figshare.com/articles/thesis/Assessing_the_impact_of_a_recall_system_on_hospitalisations_for_patients_with_diabetes_in_the_Torres_Strait_1998-2000_A_retrospective_re-evaluation_study_of_a_randomised_control_trial_using_a_different_data_source/21342918.
Повний текст джерелаBackground: A randomised control trial (RCT) was conducted in the Torres Strait and Northern Peninsula Area (NPA) Health Service District (HSD) during the period 1998-2000. The main intervention strategy for this trial was the introduction of a simple recall/patient reminder system in Primary Health Care Centres (PHCCs) in an attempt to improve the organisation and management of diabetes care. After a twelve-month period, there was a significant reduction (40 per cent) in the number of patients admitted in the intervention sites between baseline and followup. However, as hospitalisation data was derived from the PHC clinic records, it has been suggested that this methodology may have underestimated both the number of patients and hospital episodes captured in the RCT study population.
Aim: To conduct a retrospective re-evaluation study of the hospitalisation component of the original RCT in an attempt to better assess the impact of the clinic recall system for patients with diabetes in the Torres Strait and NPA, 1998-2000. All patients from the RCT were to be tracked manually through three local public hospitals for hospitalisation episodes in a bid to validate the total number of admissions for these Torres Strait Islanders (TSIs) with diabetes.
Methods and Subjects: Subjects included all those patients suffering with diabetes living in the Tones Strait and NPA whose PHC records had been audited during the original RCT. Instead of using PHC clinic patient files, hospital -based patient information systems were used (as a different data source) in order to validate the number of admissions for each individual from the trial. Analysis of the data used the same methodology as the RCT (that is, communities were clustered into intervention and control sites) in order to interpret results in terms of whether or not the implementation of a recall system in the intervention sites had any impact on the hospitalisation rates of patients with diabetes in the Torres Strait.
Results: In comparison with the RCT, the new hospitalisation study found some degree of underestimation in the number of patients identified as having hospitalisations and secondly, considerable underestimation in terms of the number of hospital episodes found. At baseline, the hospital -checking methodologyidentified one extra person and 102 additional episodes of care. At followup, this new methodology found an extra 30 persons and an additional 119 episodes of care. In comparison to the RCT, the new study showed an overall 6.7 per cent increase in the number of individual patients detected having had an admission in the study period. However, there was a large 47.1 per cent increase in extra hospital episodes detected across both audit timeframes.
Discussion: This study supports the main findings of the original RCT. That is, the new study also found a reduction in the proportion of patients hospitalised for any kind of `diabetes -related condition' in the intervention sites between baseline and followup. This reduction was slightly less at 29 per cent in the intervention sites (compared to 40 per cent in RCT across intervention sites) for 'total diabetes -related conditions,' however this new study finding was not statistically significant. The re-evaluation study also found that at followup, those in the intervention sites were 19 per cent significantly less likely to be hospitalised for a diabetes -related condition than those in the control sites (compared with a significant 40 per cent in the RCT). Therefore, admissions for diabetes -related conditions can be reduced or avoided through better organisation and a systematic approach to the management of PHCCs. Although hospital -based information systems may have been more sensitive in detecting patients with hospitalisation episodes and additional episodes for known patients, the tracking of individuals through the public hospital system (without a unique identifier) was problematic and time consuming.
Conclusion: The main aim of the RCT was to improve the organisation and management of PHC in the Tones Strait, in terms of clinical management for the large number of diabetic clients that are served. The original RCT findings suggested that improvements in diabetes care in the intervention sites such as the introduction of a patient recall system was successful in reducing the numbers of patients subsequently admitted to hospital. The re-evaluation study of hospitalisations using a different methodology has also been successful in recording a reduction in the number of people with diabetes being hospitalised from the intervention sites despite a 47 per cent increase in the number of hospital episodes being detected overall.
Khoza, Vista Lovey. "The implementation of the Batho Pele principles from patients' experiences." Diss., 2009. http://hdl.handle.net/10500/2667.
Повний текст джерелаHealth Studies
M.A. (Public Health)