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Dissertations / Theses on the topic 'Allocation of health care resources'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Sundquist, Kristina. "Individual health, neighborhood characteristics, and allocation of primary health care resources /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-595-6/.

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2

Kiracho, Elizabeth Ekirapa. "Equity in the allocation of primary health care resources in Uganda." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/8915.

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3

Babaie, M. H. "Inequities in health and health care between provinces of Iran : promoting equitable health care resource allocation." Thesis, University of Salford, 2014. http://usir.salford.ac.uk/30807/.

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Investigation of the influence of public expenditure on health lends support to the opinion that equitable distribution of financial resources would help to reduce inequities in health. This thesis set out to establish inequities in access to health care and health outcomes across the provinces of Iran and explore equitable resource allocation models to contribute to the reduction of health inequities. Inequities were measured based on the relationship between a range of health indicators and socioeconomic status in the provinces. Information on mortality, morbidity, and socioeconomic factors

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4

Ho, Anita Tsz-Shan. "The ethics and politics of health-care resource allocation." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ60297.pdf.

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5

Griffin, Jacqueline A. "Improving health care delivery through multi-objective resource allocation." Diss., Georgia Institute of Technology, 2012. http://hdl.handle.net/1853/50108.

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This dissertation addresses resource allocation problems that occur in both public and private health care settings with the objective of characterizing the tradeoffs that occur when simultaneously incorporating multiple objectives and developing methods to address these tradeoffs. We examine three resource allocation problems (i) strategic allocation of financial resources and limited staffing capacity for the mobile delivery of health care within African countries, (ii) real-time allocation of hospital beds to internal patient requests, and (iii) development of patient redirection policies i

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6

Jutan, Norma M. "Home care in Ontario: Allocation of limited resources and the needs of light-care clients." Thesis, University of Waterloo, 2006. http://hdl.handle.net/10012/2806.

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There is the desire amongst elderly Canadians to remain living at home, maintaining their independence. As the population ages, the health care system is faced with the challenge of allocating limited resources. Home care in Ontario is provided through Community Care Access Centres (CCAC) or Community Support Agencies (CSA). This study made comparisons among CSA clients (using the interRAI-Community Health Assessment, n=796), a sub-population of CCAC clients with lighter-care needs (n=8163) and all other CCAC clients (n=31,078), both using the Minimum Data Set-Home Care (MDS HC). The

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7

Safranyik, Gina Diane Michelle. "Macro-allocation of health care resources, a computer simulation comparing a utilitarian and a deontological approach." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0016/MQ48204.pdf.

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8

Mbatsha, Sandi Andrew. "Decentralised resource allocation and its impact on equitable health care financing." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/11186.

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Includes abstract.<br>Includes bibliographical references (leaves 81-87).<br>The main objectives of this thesis are to: (i) Map the financing of non-hospital primary health care within local government areas in South Africa; analyse the equity of financing health care in relation to need (iii) and document the process followed at provincial and local government level in decision making around budgeting for non-hospital Public Health Care services.

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9

Petrou, Stavros. "Examining QALY's : analysing the use of quality adjusted life years in the allocation of health care resources." Thesis, University of St Andrews, 1992. http://hdl.handle.net/10023/13344.

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This thesis examines the use quality adjusted life years (QALY'S) in the allocation of health care resources. It is divided into three broad sections. The first section discusses how health status measurement techniques can be used to derive the utility values incorporated into QALY'S. The second section uses one health status measurement instrument, the Rosser-Kind Classification of Illness States, to estimate the QALY'S gained by patients who have undergone hip and knee joint replacement surgery. It is shown that the Rosser-Kind Classification of Illness States is as effective in measuring t

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10

Quayyum, Zahidul. "Developing a needs-based resource allocation model for health care expenditure in Bangladesh." Thesis, University of Aberdeen, 2012. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=194789.

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The allocations of health care resources in Bangladesh are not based on the needs of the population. Equality in health care expenditure can be achieved by the use of needs-based resource allocation formulae. Applying such methods in Bangladesh can provide an essential guideline to achieve equality in resource allocation. This thesis examines the prospect of developing a needs-based allocation of health care resources. It attempts to address the counterfactual question of what would have been the allocation to each district had the needs of the population been accounted for. Two alternative ap

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11

Pizarro, Aguilar Melissa. "Operations Research Models Applied for Allocation of Public Resources under the Efficiency-Effectiveness-Equity (3E) Perspective." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1354290092.

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12

Antunes, Denise Silveira. "Assessment of a framework for the allocation of primary dental services." University of the Western Cape, 2017. http://hdl.handle.net/11394/5603.

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Philosophiae Doctor - PhD<br>Background: Standardized and evidence-based resource allocation frameworks for timely provision of primary dental services may support equitable distribution of comprehensive dental care. However, such frameworks, which can be applicable to primary care settings in Brazil, are not available. The purpose of this study was to explore the complex issue of equity allocation of dental staff for primary dental care services, by estimating time to dental disease progression in order to analyze costs when survival targets are set for patients waiting for primary dental car

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13

Philip, Ajith John. "An assessment of equity in geographical allocation of resources relative to need, in public primary healthcare services in the Northern Cape in South Africa." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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<p>This study aimed to contribute to the current debate around equity in health care resource allocation by measuring the current allocation of resources, relative to need in the Northern Cape. It also discussed the level of inequities in health financing/expenditure and staffing at the primary health care level between different districts of the Northern Cape.</p>

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14

Fandi, M. M. "The impact of retirement migration on health care demand and resource allocation in Lancaster Health District." Thesis, Lancaster University, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.372537.

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15

Lalloo, Ratilal. "Equity and the allocation of health care resources at district level: lessons from as a case study in Mitchells Plain." Thesis, University of the Western Cape, 1994. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7259_1181558917.

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16

Crowe, Mary Lind. "Allocation of Health Care Resources at the Point of Care: An Exploratory Study of the Perceptions and Decision Making of Nurse Practitioners Delivering Primary Care Services in Community Clinics." University of Akron / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=akron1333401296.

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17

Cutler, Henry George Economics Australian School of Business UNSW. "Towards a more efficient health care system using social preferences." Awarded by:University of New South Wales. Economics, 2009. http://handle.unsw.edu.au/1959.4/43565.

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THE AUSTRALIAN HEALTH CARE SYSTEM has an overarching objective to improve the well-being of all Australians in an equitable and efficient manner. But like most developed economy health care systems, it has experienced a continual increase in demand for health care services along with increased pressure to improve efficiency, quality, and sustainability. To assist in health sector management, policy formulation, investment decisions and reform, the Australian government developed the National Health Performance Framework (NHPF). The NHPF employs performance indicators across nine dimensions of

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18

Ishfaq, Mohammad. "Decentralized resource allocation in primary health care : formal methods and their application in Britain and Pakistan." Thesis, London School of Economics and Political Science (University of London), 1993. http://etheses.lse.ac.uk/1240/.

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The aim of this thesis is to develop analytic methods to support the implementation of decentralization in primary health care. Decentralization may be defined as the delegation of decision-making power from central management to middle or local management for coordinated control. To be an effective mechanism for coordinated control it needs to be implemented by systematic methods. This doctrine generally comes from the experience of implementing decentralization in the industrial sector. This thesis develops systematic methods of resource allocation to support the implementation of decentrali

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19

Vassilacopoulos, George. "Aspects of information management and resource allocation in hospitals with special reference to Accident and Emergency." Thesis, Royal Holloway, University of London, 1985. http://repository.royalholloway.ac.uk/items/25499417-0afb-49ea-b48d-8d21ff56e843/1/.

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The management and control process in an Accident and Emergency (A/E) department of a District General Hospital is investigated and the functional relationship between the A/E department and the inpatient hospital service is discussed. Attention is focused on resource allocation and methods are proposed towards reconciling levels of service and resource utilisation. Within the framework of control problems inside the A/E department, a computerised patient record system has been designed and implemented, on an experimental basis, to allow easy access to patient-related information for performan

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20

Appiah-Kubi, Philip. "Quantitative Analysis of the Kidney Allocation Policy in USA." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1427294127.

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21

Olubajo, Olalekan Olugbenga. "Resource allocation for primary health care in the local government areas of Ekiti state, Nigeria : how equitable?" Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/9430.

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Includes bibliographical references.<br>The aim of the study was to determine how equitable allocations to primary health care are, identify the factors that influence allocation and make recommendations on how to promote equitable resource allocation for primary health care in the local government areas of Ekiti state.

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22

Headley, Jamila A. "Opening the black box : the politics of allocating public resources for health in Barbados." Thesis, University of Oxford, 2013. http://ora.ox.ac.uk/objects/uuid:216717df-4f7a-4e8d-a219-27560ff245e5.

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Within the field of public health, there has been increasing interest in the factors that influence national priorities in health in low- and middle-income countries (LMICs), where resources are often particularly scarce and decision-making processes are often ad- hoc. Understanding how priorities are set in these countries necessitates a look at the process concealed in the black box that transforms policy inputs into outputs. However, rigorous health policy analysis of macro-level priority setting in LMICs is rare. Using a case study approach, this thesis explores the drivers of priority for

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23

Blaber, Richard M. "A plurality of forces, a cautious response : pluralism and incrementalism at the sub-district and service levels of resource-allocation in the British National Health Service." Thesis, University of Kent, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.360982.

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24

Botha, Claire Roy. "Understanding the role of absorptive capacity in equitable resource allocation to primary health care in the Republic of South Africa." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536942.

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25

White, Christopher P. "NHS resource allocation 1997 to 2003 with particular reference to the impact on rural areas." Thesis, St Andrews, 2009. http://hdl.handle.net/10023/825.

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26

Wing, Donna Marie. "The use of political strategies for resource acquisition and allocation for home health care a comparative field study of Central Thames, United Kingdom, and Energytown, United States /." Access abstract and link to full text, 1987. http://0-wwwlib.umi.com.library.utulsa.edu/dissertations/fullcit/8712610.

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27

Quintal, Carlota Maria Miranda. "Preferences as a determinant of the optimal level of decentralisation in health care resource allocation : theoretical insights and an empirical application." Thesis, University of York, 2006. http://etheses.whiterose.ac.uk/11055/.

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From an economic point of view, decentralisation is expected to increase social welfare through better matching of service delivery to preferences. The latter have been a central piece of the economic rationales for decentralisation but only indirectly. Thus, at the theoretical level, the main question addressed in this dissertation is: might preferences in themselves influence the impact of decentralisation on allocative efficiency, in the context of health care resource allocation? Regardless of which model (public choice theory or principal-agent theory) is used to explain the positive outc

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28

Mugambi, Melissa Latigo. "COST-EFFECTIVENESS OF POINT-OF-CARE DEVICE ALLOCATION STRATEGIES: THE CASE OF EARLY INFANT DIAGNOSIS OF HIV." Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1371039381.

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29

Viney, Rosalie. "Health outcomes and utility : experimental evidence on quality adjusted life years." Thesis, The University of Sydney, 2004. https://hdl.handle.net/2123/27958.

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Health resource allocation decisions increasingly use measures such as Quality Adjusted Life Years (QALYs) to value health care interventions. QALYs have been shown to be consistent with underlying welfare economic theory only if certain restrictions are placed on individual utility fimctions.

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30

Zlotnik, Shaul Randi. "The implications of Canadian law for economic approaches to allocating health care resources, the round hole and the square peg." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ53812.pdf.

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31

McCulloch, Douglas William. "The quality-adjusted life year (QALY) approach as a basis for health care resource allocation : the validity of a QALY measure, and the application of QALYs to clinical practice." Thesis, University of Ulster, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264696.

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32

Lemos, Maria Elisa Villas-Bôas Pinheiro de. "Alocação de recursos em saúde: quando a realidade e os direitos fundamentais se chocam." Universidade Federal da Bahia, 2009. http://www.repositorio.ufba.br/ri/handle/ri/11909.

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192 f.<br>Submitted by Ana Valéria de Jesus Moura (anavaleria_131@hotmail.com) on 2013-06-12T18:36:27Z No. of bitstreams: 1 MARIA ELISA VILLAS-BÔAS PINHEIRO DE LEMOS.pdf: 1233974 bytes, checksum: 4e7336d5612fc52a18a1a5aba04ffd45 (MD5)<br>Approved for entry into archive by Ana Valéria de Jesus Moura(anavaleria_131@hotmail.com) on 2013-06-12T18:37:29Z (GMT) No. of bitstreams: 1 MARIA ELISA VILLAS-BÔAS PINHEIRO DE LEMOS.pdf: 1233974 bytes, checksum: 4e7336d5612fc52a18a1a5aba04ffd45 (MD5)<br>Made available in DSpace on 2013-06-12T18:37:29Z (GMT). No. of bitstreams: 1 MARIA ELISA VILLAS-BÔAS PI

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Rocha, Renata Oliveira da. "Bioética e direito à saúde: reflexões sobre o compartilhamento democrático das tecnologias médicas avançadas." Universidade Federal da Bahia, 2013. http://www.repositorio.ufba.br/ri/handle/ri/11327.

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123 f.<br>Submitted by Ana Valéria de Jesus Moura (anavaleria_131@hotmail.com) on 2013-05-24T19:28:39Z No. of bitstreams: 1 DISSERTAÇÃO - MESTRADO UFBA - RENATA OLIVEIRA DA ROCHA - 201.pdf: 937205 bytes, checksum: fffc66f309529ceb7daf1d7ed0d666de (MD5)<br>Approved for entry into archive by Ana Valéria de Jesus Moura(anavaleria_131@hotmail.com) on 2013-05-24T19:30:19Z (GMT) No. of bitstreams: 1 DISSERTAÇÃO - MESTRADO UFBA - RENATA OLIVEIRA DA ROCHA - 201.pdf: 937205 bytes, checksum: fffc66f309529ceb7daf1d7ed0d666de (MD5)<br>Made available in DSpace on 2013-05-24T19:30:19Z (GMT). No. of bitstrea

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Globekner, Osmir Antonio. "A saúde entre o público e o privado: a questão da equidade no acesso social aos recursos sanitários escassos." Programa de Pós-Graduação em Direito da UFBA, 2009. http://www.repositorio.ufba.br/ri/handle/ri/10729.

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Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-04-17T13:42:49Z No. of bitstreams: 1 Osmir Globekner.pdf: 950469 bytes, checksum: 619fda4d9d7b21142f45d4020e884351 (MD5)<br>Approved for entry into archive by Rodrigo Meirelles(rodrigomei@ufba.br) on 2013-05-09T17:31:08Z (GMT) No. of bitstreams: 1 Osmir Globekner.pdf: 950469 bytes, checksum: 619fda4d9d7b21142f45d4020e884351 (MD5)<br>Made available in DSpace on 2013-05-09T17:31:08Z (GMT). No. of bitstreams: 1 Osmir Globekner.pdf: 950469 bytes, checksum: 619fda4d9d7b21142f45d4020e884351 (MD5) Previous issue date: 2009<br>A presente d

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35

Randová, Jana. "Analýza systému zdravotnictví ve Spojeném království Velké Británie a Severního Irska." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-76975.

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The thesis examines health care system in the United Kingdom of Great Britain and Northern Ireland. In the beginning there is characterised the United Kingdom and its present structure of health care system including assessment of individual functions of system's parts. Then there are analysed sources of finance and their development between 1999 and 2009. The thesis continues with analysis of expenditures where is traced their development between 1999 and 2009 including international comparison. Next there are introduced methods of financial resource allocation into segments of health care sy

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Scherrer, Christina Robinson. "The Allocation of Scarce Resources in Public Health." Diss., Georgia Institute of Technology, 2005. http://hdl.handle.net/1853/7229.

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As health care costs continue to increase at rates higher than the general inflation rate, there is increased focus on controlling health care expenditures in the public and private sectors. In particular, there is a compelling need for more creative and informed allocation decisions for limited government public health funds. This thesis suggests several methods for better forecasting the demand for health care and allocating health care resources more efficiently. First, productivity of dental sealant programs is studied and suggestions are made for increased efficiency. Using simulation and

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37

McIntyre, Diane. "A cost-effectiveness analysis of the tuberculosis control procedures applied in the Cape Divisional Council area." Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/14384.

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Bibliography: leaves 215-226.<br>This study evaluates the costs and effectiveness of preventive and curative procedures currently available for Tuberculosis (TB) control purposes. The procedures examined are as follows : i) BCG vaccinations; ii) Secondary chemoprophylaxis; iii) Health education; iv) Mass screening campaigns; v) Investigation of contacts of infectious TB cases and symptomatic persons, i.e. suspects; and vi) Treatment regimens for notified TB patients. The analysis is largely based on data from the records of 300 randomly selected TB patients, treated at clinics in the Cape Divi

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38

Standfield, Lachlan Barry. "Economic Modelling Methods for the Estimation of Resource Use, Cost-Effectiveness and Allocative Efficiency of Health Care Provision in a Capacity Constrained Health Care System." Thesis, Griffith University, 2017. http://hdl.handle.net/10072/367058.

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Cost-effectiveness models for health care interventions generally make the assumption that all resources are available, as required, without capacity constraints. This assumption may be a reasonable approximation of the truth for a range of questions faced by decision makers in health care. However, in some health care settings, capacity constraints predominate leading to queue development. In these situations the use of a modelling technique that can accommodate these constraints would appear advisable to allow the efficiency of competing healthcare interventions to be determined. Nevertheles

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39

Badano, G. "Deliberative democracy, public reason and the allocation of clinical care resources." Thesis, University College London (University of London), 2014. http://discovery.ucl.ac.uk/1453168/.

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This thesis discusses how societies should allocate clinical care resources. The first aim of the thesis is to defend the idea that clinical care resource allocation is a matter for deliberative democratic procedures. I argue that deliberative democracy is justified because of its ability to implement equal respect and autonomy. Furthermore, I address several in-principle objections to the project of applying deliberative democracy to clinical care resource allocation. Most notably, I respond to the narrow view of the scope of deliberative democracy and the critiques of explicit rationing. The

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Slattery, M. "Demographic aspects of resource allocation to Health Services." Thesis, University of Southampton, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.374235.

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Campos, Marta Sofia Branquinho de. "Health care needs and resources distribution: how to allocate financial resources in primary care trust?" Master's thesis, NSBE - UNL, 2011. http://hdl.handle.net/10362/10059.

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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and Economics<br>Making a good allocation of the resources available is crucial to ensure a good operation of the system. In Portugal the allocation of resources in Primary Care Trust was made, mainly by historical values. In the last year, the Central Administration of the Health System proposed a new way of allocating the financial resources in Primary Care Trust. The goal of this study is to find different possibilities for allocating the financial reso

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Beecham, Jennifer Kate. "Community mental health services : resources and costs." Thesis, University of Kent, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.319222.

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Rahman, Shams-Ur. "Location-allocation modelling for primary health care provision in Bangladesh." Thesis, University of Exeter, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.280652.

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Boles, Brian Nelson. "An examination of relationships among indicators of socioeconomic status, health status, and selected health care utilization for fund allocation /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq21255.pdf.

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Plews, Caroline Margaret Coatsworth. "Clients' reports of the work of health visitors in the child health clinic and during home visits." Thesis, University of Hull, 2001. http://hydra.hull.ac.uk/resources/hull:4626.

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This study examines clients' reports of aspects of a single child health clinic visit and of a home visit by the health visitor. There are two foci of the thesis. First: recall; value and use of the advice/information selected by the client as the most important; second, an exploration of the meaning of support identified by some clients.Seven health visitors participated in the research, which incorporated two studies. In the first study, the researcher observed the content of discussions between 100 clients and the health visitor in child health clinics. These clients were then interviewed a

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46

Anselmi, L. "Equity and efficiency in the geographic allocation of public health resources in Mozambique." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2015. http://researchonline.lshtm.ac.uk/2121555/.

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Equitable and efficient health financing is crucial to improve health care provision, still inequitable in many low- and middle-income countries. The allocation of financial resources across geographic areas is important to increase the capacity to effectively provide services and their availability to the neediest population. However, how resources are transformed into service and finally reach the intended beneficiaries, depends on local health care management, on the supply-side, and on constraints to service use, on the demand-side. Equity and efficiency in the geographic allocation of pub

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47

Alanko, Eira. "Delivery care in Quang Ninh province, Northern Vietnam : resources and access to safe care." Thesis, Högskolan Dalarna, Omvårdnad, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:du-3681.

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Every mother and child has the right to survive childbirth which requires skilled birth attendants together with referral and available emergency obstetric care (EmOC). The objective of the study was to describe delivery care routines at different levels in the health care system in Quang Ninh province, Northern Vietnam. The design was cross sectional using a structured questionnaire. Two districts in Quang Ninh province with 40 Community Health Centres (CHC), three district hospitals and one region hospital was included in the study, in total 138 (CHC n=105 and hospitals n=33) health care pro

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Glover, Gloria. "Relationships Between Nursing Resources, Uncompensated Care, Hospital Profitability, and Quality of Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7142.

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The value-based purchase requirement of the Patient Protection and Affordable Care Act puts pressure on hospital leaders to control cost while improving quality of care. The resource dependency theory was the theoretical framework for this correlational study. Archival data from the Centers for Medicare and Medicaid Services collected from 166 acute care urban hospitals for the Fiscal Year 2016. Multiple linear regression analysis was used to determine the relationship between nursing salaries per patient day, cost of uncompensated care as a percentage of net patient revenue, percentage of net

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Vega-Romero, Roman Rafael. "Health care and social justice evaluation : a critical and pluralist approach." Thesis, University of Hull, 1999. http://hydra.hull.ac.uk/resources/hull:7955.

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This thesis proposes a critical, systemic and pluralist approach to evaluating health programs. It examines ways in which efforts to promote equality and plurality are undermined by the application of foundationalist and universal conceptions of social justice and evaluation. This approach is developed within the current debate taking place in the field of Critical Systems Thinking, particularly in the area of the evaluation of social and health programs. It is argued that the potential for equality and plurality in Western societies goes beyond the questions of economic exploitation, military

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Newton, Benjamin Robert. "Facing scarce health resources in the future: from reform to rationing." Thesis, Boston University, 1998. https://hdl.handle.net/2144/27732.

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Boston University. University Professors Program Senior theses.<br>PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.<br>2031-01-02

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