Дисертації з теми "Medical care – Uganda – Evaluation"
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Jeppsson, Anders. "Decentralization and national health policy implementation in Uganda - a problematic process /." Malmö : Lund University, 2004. http://www.loc.gov/catdir/toc/fy0613/2006401986.html.
Повний текст джерелаKyomuhendo, Grace Bantebya. "Treatment seeking behaviour among poor urban women in Kampala Uganda." Thesis, University of Hull, 1997. http://hydra.hull.ac.uk/resources/hull:4928.
Повний текст джерелаDowning, Julia Dorothy. "A meta-evaluation of an HIV/AIDS palliative care education strategy in rural Uganda." Thesis, Manchester Metropolitan University, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.434061.
Повний текст джерелаFriedman, Alexandra. "Evaluation of the World Health Organization’s basic emergency care course and online cases in Uganda." Master's thesis, Faculty of Health Sciences, 2019. https://hdl.handle.net/11427/31832.
Повний текст джерелаFickel, Jacqueline Jean. "Quality of care assessment : state Medicaid administrators' use of quality information." Full text (PDF) from UMI/Dissertation Abstracts International Access restricted to users with UT Austin EID, 2002. http://wwwlib.umi.com/cr/utexas/fullcit?p3077639.
Повний текст джерелаChauvin, James Brodie. "An analysis of evaluative research : the case of primary health care." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24593.
Повний текст джерелаMedicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
Hocutt, Peggy Lynn, and Peggy Lynn Hocutt. "Transitional Care Coach Program Evaluation at a Southwest Urban Medical Center." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625569.
Повний текст джерелаCretikos, Michelle School of Anaesthetics Intensive Care & Emergency Medicine UNSW. "An evaluation of activation and implementation of the medical emergency team system." Awarded by:University of New South Wales. School of Anaesthetics, Intensive Care and Emergency Medicine, 2006. http://handle.unsw.edu.au/1959.4/25720.
Повний текст джерелаMcGuiness, Clare Frances. "Client perceptions : a useful measure of coordination of health care." View thesis entry in Australian Digital Theses Program, 2001. http://thesis.anu.edu.au/public/adt-ANU20020124.141250/index.html.
Повний текст джерелаKirunda, Kakaire Ayub. "Using Personal Digital Assistants to Improve Healthcare Delivery in Uganda." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23073.
Повний текст джерелаPrice, David C. "Evaluation of a Difficult Urinary Catheter Team in an Academic Medical Center." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10793008.
Повний текст джерелаThe placement of an indwelling urinary catheter (IUC) is a commonly performed clinical procedure which may become challenging for the clinician and painful for the patient. In response to urologic complications attributed to repeated failed IUC insertion attempts by nurses, a difficult urinary catheter (DUC) team program was launched in October 2012. The purpose of the doctoral project was to conduct a quality improvement evaluation of the effectiveness of the DUC team program using retrospective data from May 1, 2013 through May 31, 2017. Benner’s novice to expert model was chosen as the theoretical framework to guide the additional training, critical thinking, problem-solving, and skill acquisition necessary for team member inclusion. The practice-focused question for the project answered whether DUC team nurses, through advanced training and demonstrated procedural competence, have been effective with DUC insertions. Sources of evidence included primary and secondary articles in peer-reviewed journals, as well as clinical evidence collected from internal sources. During the project time-line, 463 DUC team consultations were recorded with an insertion success rate of 89.6%. Based on the DUC team concept, additional didactic content and simulation training may be developed for other cognitive and skill-based clinical procedures. The implications for positive social change include improved patient safety and comfort, as well as cost savings for the organization and overall healthcare system.
Schaepe, Christiane. "And here we are allowed to do it - An ethnographic field study about the role of the palliative care nurses in Uganda." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24457.
Повний текст джерелаPalliative care – end of life care – is not a priority in developing countries. In 1993 Hospice Africa Uganda (HAU) was founded and chosen as a model for other african counties. Among other things nurses are authorised to prescribe morphine and other palliative care drugs after undergoing a nine months clinical palliative care course at HAU. In this ethnographic field study observations, interviews and group interviews are used in order to explore the role of the palliative care nurse specialist in Uganda. In total there are 20 participants involved in this study, who are working at HAU, Mulago hospital and students from the clinical palliative care course. The result of the study reveal that the role of the palliative care nurse specialist is multifaceted. Beyond prescribing drugs their role is to deliver holistic care by taking into consideration the physical, psychosocial and spiritual pain patients and their family can have. They encounter many challenges in their work but they also have the possibility to improve the quality of the patients life.
Moodley, Vineshree Mischka. "Improving point-of-care diagnosis of tuberculosis: development and evaluation of novel technologies." Doctoral thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25439.
Повний текст джерелаKairouz, Joseph. "Patient data management system medical knowledge-base evaluation." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=24060.
Повний текст джерелаFollowing a literature survey on evaluation techniques and architecture of existing expert systems, an overview of the Patient Data Management System hardware and software components is presented. The design of the Expert Monitoring System is elaborated. Following its installation in the intensive Care Unit, the performance of the Expert Monitoring System is evaluated, operating on real vital sign data and corrections were formulated. A progressive evaluation technique, new methodology for evaluating an expert system knowledge-base is proposed for subsequent corrections and evaluations of the Expert Monitoring System.
Lubega, Samuelsaul. "Best medical care practices in sport: investigating the barriers to the implementation in the developing countries. Uganda as a case study." Doctoral thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32772.
Повний текст джерелаHumphrey, Charlotte Miranda. "Promoting audit in primary care : a qualitative evaluation of medical audit advisory groups." Thesis, University College London (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338849.
Повний текст джерелаWebb, Janet Marie. "Information about primary care physicians considered most useful by managed health care consumers." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1370.
Повний текст джерелаPleasant, Michelle L. "Improving Dementia Care through Online Training Programs: A Systematic Review and Evaluation." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6745.
Повний текст джерелаYamada, Go. "Input-output analysis on the economic impact of medical care in Japan." 京都大学 (Kyoto University), 2016. http://hdl.handle.net/2433/215218.
Повний текст джерелаCheung, Yuk-fai, and 張煜暉. "Clinical and health-related quality of life evaluation of acute strokeunit care versus conventional medical care for minor stroke patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422800.
Повний текст джерелаpublished_or_final_version
Public Health
Master
Master of Public Health
Hardy, Jennifer Lynette. "Healthcare providers communication mechanisms using a case management model of care implications for information systems development, implementation & evaluation /." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060731.120940/index.html.
Повний текст джерелаSwanton, Amanda Rachel. "Evaluation of trauma response to agricultural injuries." Diss., University of Iowa, 2017. https://ir.uiowa.edu/etd/5654.
Повний текст джерелаJerrom, David William Andrew. "A description and evaluation of the introduction of a primary care clinical psychology service in one health district." Thesis, University of Stirling, 1985. http://hdl.handle.net/1893/24393.
Повний текст джерелаTrillo, Diaz Liliana. "Protection of access to essential treatment for people living with HIV/AIDS in Uganda from a human rights perspective." Diss., University of Pretoria, 2005. http://hdl.handle.net/2263/1170.
Повний текст джерелаThesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2005.
[Prepared under the supervision of] Dr. Ben Kiromba Twinomugisha, Makerere University
http://www.chr.up.ac.za/academic_pro/llm1/dissertations.html
Centre for Human Rights
LLM
Phahladira, Martha Thapelo. "A critical Evaluation of the Locality Rule regarding the rural health care service in Public Sector." Diss., University of Pretoria, 2020. http://hdl.handle.net/2263/75388.
Повний текст джерелаDissertation (MPhil)--University Of Pretoria, 2020.
Public Law
MPhil
Unrestricted
He, Xinju. "Three essays on treatment quality : theory, measures and application in the hospital sector in China." HKBU Institutional Repository, 2019. https://repository.hkbu.edu.hk/etd_oa/698.
Повний текст джерелаWong, Nga-man, and 黃雅敏. "Quality evaluation of geriatric health information on Yahoo! Answers : a cross-cultural comparative study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193007.
Повний текст джерелаpublished_or_final_version
Library and Information Management
Master
Master of Science in Library and Information Management
Farrell, Kathy, and University of Lethbridge Faculty of Education. "Health care professionals' perceptions of health promotion." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1996, 1996. http://hdl.handle.net/10133/34.
Повний текст джерелаv, 101 leaves : ill. ; 28 cm.
Klein, Susan. "The effects of cancer patient participation in teaching communication skills to medical undergraduates a follow-up evaluation /." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 1996. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=59664.
Повний текст джерелаValentine, Nicole Britt. "An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa." Master's thesis, University of Cape Town, 1997. http://hdl.handle.net/11427/17539.
Повний текст джерелаThere is currently much work underway internationally to improve the accuracy and to refine the detail of accounting for health care expenditures. This research was initiated by the increasing activity in the field of national health accounting, as well as by previous research indicating that the Reserve Bank might be underestimating private health care expenditure in the national accounts. The Reserve Bank estimate of health care expenditure is important as it is the only complete and regularly produced estimate of private sector health care expenditure for South Africa. It was posited that an independent estimation of private health care expenditure would show that its magnitude is underestimated in the expenditure estimates published by the Reserve Bank for the national accounts. This thesis was upheld by the results of the research. The thesis estimate of private health care expenditure was R15 billion, 39% higher than the Reserve Bank estimate available at the time. It was also 21% higher than the final Reserve Bank estimate published in December 1995. The methodology used to derive the thesis estimate involved a survey of national income accounting concepts and guidelines embodied in the internationally used publication, the 1993 System of National Accounts. Primary data was collected from a wide range of institutions in the South African health sector. Secondary data sources were also consulted in several instances. In particular, the Registrar of Medical Schemes was consulted for medical scheme expenditure estimates as they constitute the largest portion of private sector health care expenditure in South Africa. The thesis estimate was then calculated for a single year according to the 1993 System of National Accounts guidelines. The year chosen was the government financial year from April 1992 to March 1993. The year was chosen to coincide with the year chosen for a national health expenditure review. In the presentation of the results, the estimate was broken down in separate "sources" and "uses" matrices, which are being used internationally to present national health accounting information. From the comparison of the Reserve Bank and thesis expenditure estimates, one of the most important recommendations that emerged was that the Reserve Bank should consult a wider range of expenditure data sources, more timeously and regularly. In particular, it was suggested that the Reserve Bank should negotiate earlier access to the data held by the Registrar of Medical Schemes, as well as cross-check household survey data with independent estimates of out-of-pocket and statutory scheme health care expenditure. In addition to providing a new benchmark estimate for private sector health care expenditure in the government financial year 1992/93, the breakdown of the estimate into matrices provides a framework that could be used as the basis for the development of more detailed satellite national health accounts, in accordance with 1993 SNA standards.
Shiu, Wan-yee Ruby. "An evaluation on 2007 obstetric service policy in Hong Kong a solution to the service-seeking behaviour of Mainland pregnant women? /." Click to view the E-thesis via HKUTO, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38598358.
Повний текст джерелаOkamura, Naoki. "Ethical dilemmas in the care of severely impaired neonates a critical evaluation of the principle of the sanctity of human life /." Theological Research Exchange Network (TREN), 1993. http://www.tren.com.
Повний текст джерелаEilbert, Kay Wylie. "A Community Health Partnership Model: Using Organizational Theory to Strengthen Collaborative Public Health Practice." Diss., Health Services Management and Leadership, George Washington University, 2003. http://hdl.handle.net/1961/123.
Повний текст джерелаAbstract Community partnerships are an increasingly popular strategy for improving community health. This popularity is based less on evidence than on rhetoric. This research developed and tested a systems model of partnership to improve the practice of collaboration in public health. Basing the need for partnerships on the multi-sectoral nature of health, the model used open systems theory to set out requirements for partnership. Institutional theory suggested that problems faced by partnerships may result from partners meeting requirements for legitimacy. Change is, therefore, required, both in organizations and in their institutional environment. Using exploratory case studies, the study design involved site visits to two community health partnerships (West Virginia Community Voices and Healthy New Orleans). Mixed qualitative methods included semi-structured interviews, focus groups, and document review. Analysis involved interpreting informants responses in terms of evidence representing the model and for new elements. Evidence from practice suggested several revisions to the model. One involved applying a typology of organizational affiliation, with partnership toward one end of the continuum. Use of this typology permitted an extension of the model to understand the form of affiliation practiced by Community Voices and of Healthy New Orleans. Multiple opportunities to network and build coalitions in Community Voices led to increased chances of success in achieving health improvement goals. Networking opportunities for individual volunteers led to an informal Healthy New Orleans organization. Results of this research led to an analytic fit between the two sites and the community health partnership model. Recommendations are offered for practice, research, and for funding agencies. With further research, the model can be used to develop practical tools to guide and assess partnerships as a strategy to improve health, as well as to identify environmental barriers to partnership and strategies for change.
Advisory Committee: Kathleen Maloy JD PhD (Chair), Vincent Lafronza ScD, Chris Johnson EdD
Naour, Michelle G., and Michelle G. Naour. "Transition of Care: The Evaluation of Hand-off Communication Between Emergency Department and Medical/Surgical Nursing Units." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626622.
Повний текст джерелаQin, Hong. "Links among perceived service quality, patient satisfaction and behavioral intentions in the urgent care industry: Empirical evidence from college students." Thesis, University of North Texas, 2009. https://digital.library.unt.edu/ark:/67531/metadc11014/.
Повний текст джерелаIsmail, Noor Azina. "Statistical methods for the improvement of health care." Thesis, Queensland University of Technology, 1999.
Знайти повний текст джерелаKama, Zukiswa Shirley. "An evaluation of access to health care : Gugulethu Community Health Clinic." Thesis, Cape Peninsula University of Technology, 2017. http://hdl.handle.net/20.500.11838/2456.
Повний текст джерелаThe purpose of this study was to examine the problem of access to health care centres in the Western Cape and to forward recommendations that will improve access to health care facilities in the Western Cape. The first objective of the study was to identify trends in primary health care looking at Nigeria, with the view of learning lessons of experience. Secondly, the study provided an overview of the South African health care system. The study further examined the problems around access to Gugulethu Community Health Clinic. The research objectives were directly linked to the composition of chapters. The study utilised a mixed-method approach of quantitative and qualitative approaches. This method is called multi-method approach. The purpose of combining the two approaches was to understand the research problem from a subjective and objective point of view, as well as to provide an in-depth understanding of a research topic, which led to more reliable research results. Data collection was acquired by utilising a structured questionnaire and personal observations. Two groups of respondents participated in the study inter alia: the patients and the staff of Gugulethu Community Health Clinic.
DeBlasio, Julia Marie. "Documentation in a medical setting with young and older adults." Thesis, Georgia Institute of Technology, 2010. http://hdl.handle.net/1853/33897.
Повний текст джерелаStalling, Veda D. "The Phenomenological Evaluation of Social Worker Competencies in Patient-Centered Medical Homes." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1941.
Повний текст джерелаBáez, Carmen Mercedes. "The Cuban Health Programme in Gauteng province: an analysis and assessment of the programme." Thesis, University of the Western Cape, 2004. http://hdl.handle.net/11394/254.
Повний текст джерелаMany parts of South Africa face a shortage of doctors within the public health system. While the PHC system is driven primarily by nursing staff, there is a need for doctors to provide certain services at primary and secondary levels. In 1996, as part of its efforts to address the shortage of doctors, the DoH began recruiting Cuban doctors to work in South Africa. This programme, now underway in eight of the nine provinces, falls under a government-to-government agreement aimed at strengthening the provision of health care in the areas of greatest need: townships and rural areas. The programme has demonstrated tangible success. However, it has also been criticised in some sections of the medical community and the media, where it has been portrayed in a controversial light. All this underlines the importance of an analysis of the programme, but to date, no such evaluation has been carried out.This research assesses the Cuban Health Programme in Gauteng province. On the basis of this thorough assessment, the government can take steps to improve the national programme, using Gauteng as a case study. This study was conducted in July 2004, employing qualitative methods to develop an in-depth understanding of recruitment and induction processes in Cuba and South Africa, the scope of practice of Cuban doctors, professional relationships, adaptation to the health system and broader society, and other factors. The researcher also conducted a review of official documents. Gauteng began with two Cuban doctors at the outset of the programme in 1996. The number peaked at 32, and has since dropped to 15. All of these doctors were interviewed in the course of the research, along with five managers and five peers. The study revealed that all the interviewees, except one manager, firmly believe that the programme has achieved its objectives, and should continue. Peers and managers commended the high quality, comprehensive and caring approach of the Cuban doctors, and say they are satisfying a real need. The Cuban doctors, however, believe that because they are providing mostly curative services, they are under-utilised. Flowing from the research are a series of recommendations. These include a proposal that the government recommit to the programme and ensure its continuity, and review the current role of the Cuban doctors, taking into consideration their willingness to provide training and expertise in preventive interventions.
South Africa
Kinser, Joshua Andrew. "Evaluation of a Behavior Skills Package to Teach Caregivers to Manage Disruptive Behavior during Medical and Dental Appointments." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1062808/.
Повний текст джерелаIrochu-Omare, Margaret Helen. "Parent/caregiver satisfaction with physiotherapy services for children with cerebral palsy: an explorative qualitative study at the cerebral palsy clinic in Mulago Hospital, Kampala, Uganda." Thesis, University of the Western Cape, 2004. http://hdl.handle.net/11394/1527.
Повний текст джерелаThe extent to which customers are satified with the care they receive from the health professionals has been an important area of interest for researchers, managers and health care workers. The physiotherapy cerebral palsy clinic at Mulago Hospital in Kampala Uganda provides physiotherapy services for parents caregivers of children with cerebral palsy. The parents caregivers visit the clinic seeking physiotherapy services that will address their problems and those of the child. The purpose of this study was to explore the satisfaction that the parents caregivers of children with cerebral palsy get from utilising the physiotherapy services at the clinic and to identify the barriers problems that they encounter that might affect their attendance.
South Africa
Coovadia, Mohamed Yusuf. "Identification and evaluation of patient satisfaction determinants in medical service delivery systems within the South African private healthcare industry." Diss., University of Pretoria, 2008. http://hdl.handle.net/2263/23094.
Повний текст джерелаDissertation (MBA)--University of Pretoria, 2010.
Gordon Institute of Business Science (GIBS)
unrestricted
Lewandowski, Mark E. "The Design, Fabrication, and Evaluation of Mobile Point-of-Care Systems for Cellular Imaging in Microfluidic Channels." Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1512576064493513.
Повний текст джерелаDakin, Helen A. "Economic evaluation of factorial randomised controlled trials." Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:77eda1f6-dd8c-439a-8871-75fd57a4c7f5.
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 джерелаKennedy, Christine A. "Development of an evaluation protocol for an alternative funding plan for academic pediatricians." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ34192.pdf.
Повний текст джерелаNtsoele, Motsegoane Monica Naomi. "An evaluation of the effective use of computer-based nursing information system in patient care by professional nurses at Dr George Mukhari Hospital." Thesis, University of Limpopo ( Medunsa Campus), 2011. http://hdl.handle.net/10386/408.
Повний текст джерелаAn evaluation of the effective use of Computer-based Nursing Information System (CNIS) in patient care by Professional nurses at Dr George Mukhari Hospital. The aim of the study was to evaluate if the CNIS is being used effectively for patient care by professional nurses in different nursing units. The objectives of the study were to describe the perceptions of professional nurses regarding the role of CNIS, to determine the effective use of CNIS, and to identify barriers to the effective use of CNIS in patient care. Quantitative descriptive simple survey research design was used. The setting was at Dr George Mukhari Hospital. The population was all professional nurses who are working on day and night shifts in the wards that have computers installed for the purpose of patient care. Non probability, convenience sample of 120 professional nurses was used. Data was collected utilising a self report questionnaire with 41 closed ended and one open ended questions. Raw data was fed into a SPSS with the assistance of a statistician. Data analysis was conducted through the use of descriptive statistics. The findings are that professional nurses are not using CNIS effectively in patient care. In a unit with a bed occupancy rate of 30-40 patients, and where 30-40 patients are attended to on a daily basis, only 0-2 Nursing Care Plans (NCP) or entries are performed by professional nurses. The majority of professional nurses (56%) never updated NCPs or made an entry before. This is despite the fact that they have indicated positive perceptions with regard to the role of CNIS in patient care. Increased workload, inadequate number of computers, and lack of continuous in-service training were cited by the majority as barriers to the effective use of CNIS in patient care. A problem of increased workload will remain a challenge for as long as available technology is not used appropriately. Hence, hand held devices such as Personal Digital Assistants (PDAs), Electronic Health Records (EHRs) and bedside terminals, are highly recommended. Key concepts: Computer, Nursing, Information, System, Evaluation, Effective, Professional Nurses, Patient care.
Van, Tonder Bernardus Hermanus. "An investigation into the validity and reliability of an instrument for the assessment of clinical performance during work integrated learning of emergency medical care students at the University of Johannesburg." Thesis, Cape Peninsula University of Technology, 2016. http://hdl.handle.net/20.500.11838/2610.
Повний текст джерелаBackground - As emergency medical care students approach the exit level of their four-year qualification, additional focus get placed on assessment of their ability provide patient care in the real world pre-hospital emergency care environment. Upon graduation, there is no opportunity for newly graduated emergency care practitioners to complete an internship programme. The assessment of clinical competence is therefore regarded as a critically important and invaluable activity within the academic unit. Academic staff within the Emergency Medical Care department at UJ recognised the need for the development of a standardised assessment instrument to purposefully assess pre-hospital clinical performance and developed an assessment instrument referred to as the University of Johannesburg Clinical Performance Assessment Instrument (UJ CPAI). Having developed the UJ CPAI it became necessary and important to scientifically investigate and evaluate the extent to which the CPAI (as a newly developed instrument) meets the requirements of what is considered to be a "good assessment instrument". For this reason investigation of the validity, reliability and end-user support for the implementation of the UJ CPAI became the central aim and focus of this study.
Letsoalo, Ngokwana Jacqueline. "An evaluation of a selected component of a primary health care service : a nursing perspective." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/49745.
Повний текст джерелаENGLISH ABSTRACT: Nationally and internationally emphasis is placed on quality care in health services. The researcher identified a need to evaluate a component of primary health care service in the Northern province. A study based on the combination of qualitative and quantitative methods was conducted to formulate and evaluate structure, process and outcome standards for selected clinics in the Northern Province. The most important results are: • The standard relating to the structure was suboptimal. Physical and human resources are of critical importance to the rendering of quality patient care. However this did not comply with the pre-set standard norm of 80%. • Process standards focused on physical examination of patients taking into account the age of the client and the systems involved. Substandard care was found in all these aspects. • Outcome standards determined by the patient questionnaire also revealed negative findings. Recommendations include the development of a quality improvement model for the Northern Province Health Services, formulation of standards for all disciplines of health care, annual evaluation of patient care and the institution of a formal staff development programme. Key words: quality care, formulation of standards, structure, process, outcome
AFRIKAANSE OPSOMMING: Nasionaal en internasionaal word die belang van gehaltesorg in gesondheidsdienste beklemtoon. Die navorser het enbehoefte ge'identifiseer om en component van prirnerre gesondheidsorgdienste in die Noordelike provinsie te evalueer. en Kombinasie van kwalitatiewe en kwantitatiewe metodes is gebruik om struktuur-, proses en uitkomsstandaarde in geselekteerde klinieke in die Noordelike provinsie te formuleer en evalueer. Die belangrikste resultate was: • Die standard ten opsigte van die standard was suboptimal. Fisiese en menslike hulpbronne is van kritiese belang vir gesondheidsdienslewering. Die standaard hiervan het nie voldoen aan die voorafbepaalde norm van 80% wat gestel is nie. • Prosesstandaarde het op fisiese ondersoek van die pasiente gefokus met inagneming van die ouderdom van die klient en die simptome waarmee pasiente presenter. Sub-standaardsorg is ten opsigte van al hierdie aspekte gevind. • Uitkomsstandaarde is deur middel van en pasientevraelys gemeet en he took negatiewe bevindinge opgelewer. Aanbevelings sluit in die ontwikkeling van engehalteversekeringsmodel vir die Noordelike Provinsie se gesondheidsdienste, die formulering van standaarde vir aile dissiplines van gesondheidsorg, jaarlikse evaluering van pasientesorq en die instelling van enformele personeelontwikkelingsprogram. Kernwoorde: Gehaltesorg, formulering van standaarde, struktuur, proses, uitkomsstandaarde.