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Dissertations / Theses on the topic 'Division of Health Care Quality'

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1

Du, Plessis Ulandi. "Explaining the endurance of poverty and inequality : social policy and the social division of welfare in the South African health system." Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1002002.

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This thesis examines the structure and flow of public funding between the public and private sectors in the South African health system and the consequences thereof for the achievement of equity. The conceptual framework used to undertake the analysis derives from Richard Titmuss’ core theoretical framework, the Social Division of Welfare. The application of the Social Division of Welfare applied to the South African health care context demonstrates how state resources end up benefitting the non-poor and, as a result, reproduce inequality. Those who access public institutions such as public he
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Yildiz, Ozkan. "A Comprehensive Model For Measuring Health Care Process Quality: Health Care Process Quality Measurement Model (hpqmm)." Phd thesis, METU, 2012. http://etd.lib.metu.edu.tr/upload/12614318/index.pdf.

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Similar to the manufacturing sector, process improvement gains much attention in health care sector. Measuring process quality is one of the most important components of process improvement and numerous healthcare quality indicator models are developed to achieve this aim. Existing quality models focus on some specific diseases, clinics or clinical areas. Although they contain structure, process, or output type measures, there is no model which measures the quality of health care processes comprehensively. As a result, hospitals cannot compare quality of processes internally and externally. To
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3

Steel, Nicholas. "National Population Evaluation Of Quality Of Health Care: Developing And Using Quality Of Health Care Indicators." Thesis, University of East Anglia, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490364.

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Background: Good quality health care can improve individual and population health. This study aimed to assess the receipt of effective health care interventions by middle aged and older people with common chronic diseases and health problems. Methods: 119 quality indicators were reviewed by an expert panel. Approved indicators were developed into a structured questionnaire for the English Longitudinal Study of Ageing (ELSA). 8,688 participants aged 50 years and over were interviewed in 2004-5 in England, of whom 4,419 reported diagnoses of one or more of 14 study conditions. Outcome measures w
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4

Svartbo, Boo. "The elusive quality of health care." Doctoral thesis, Umeå universitet, Institutionen för samhällsmedicin och rehabilitering, 2000. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-96909.

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5

Al-Haque, Shahed. "Responding to traveling patients' seasonal demands for health care services in the Veterans Health Administration." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/81112.

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Thesis (S.M. in Technology and Policy)--Massachusetts Institute of Technology, Engineering Systems Division, 2013.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 60-62).<br>The Veterans Health Administration (VHA) provides care to over eight million Veterans and operates over 1,700 sites of care distributed across twenty-one regional networks in the United States. Health care providers within VHA report large seasonal variation in the demand for services, especially in healthcare systems located in the southern U.S. that experience a large influx of "snowbi
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6

Hernandez, Cynthia Lynn. "Adapting the Lean Enterprise Self Assessment Tool for health care." Thesis, Massachusetts Institute of Technology, 2010. http://hdl.handle.net/1721.1/62768.

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Thesis (S.M. in Engineering and Management)--Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, 2010.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 61-63).<br>The Lean Enterprise Self Assessment Tool (LESAT) is a product of the Lean Advancement Initiative (LAI) and the Massachusetts Institute of Technology. This tool has been applied by many organizations to gage their progress toward lean enterprise management, however applying this tool in health care organizations has been inhibited by language and
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7

Jackson, Anne Margaret. "Explaining hydrotherapy outcomes : quality in health care." Thesis, University of Surrey, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324076.

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8

Lee, Yuna Swatlian Hiratsuka. "Fostering creativity to improve health care quality." Thesis, Yale University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10633255.

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<p> Eliciting and evaluating new ideas to improve the quality of health care are important processes for health care organizations. Creativity, which refers to the generation of novel and useful ideas, is required for innovation and is valued by many organizations. Health care staff (e.g., primary care providers, nurses and medical assistants) can be an important source of creative ideas. In my dissertation, I conducted a longitudinal, mixed methods study of 220 improvement ideas generated over 18 months by improvement team members from 12 federally qualified community health centers. I also a
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9

Fowler, Katherine Szabo. "Evolutionary struggles of supply chain strategy in home-based health care delivery." Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/45224.

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Thesis (M. Eng. in Logistics)--Massachusetts Institute of Technology, Engineering Systems Division, June 2008.<br>Includes bibliographical references (leaves 68-72).<br>As the healthcare industry in United States continues to be constrained by increasing costs, new delivery channels are coming into practice. One such channel is home healthcare. Home healthcare presents challenges on the basis of acceptability by the medical community, insurers and patients, availability of care in fragmented locations and affordability of the product or service in comparison to other healthcare modes. This stu
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Peck, Jordan S. (Jordan Shefer). "Using prediction to facilitate patient flow in a health care delivery chain." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/79504.

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Thesis (Ph. D.)--Massachusetts Institute of Technology, Engineering Systems Division, 2013.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 163-178).<br>A health care delivery chain is a series of treatment steps through which patients flow. The Emergency Department (ED)/Inpatient Unit (IU) chain is an example chain, common to many hospitals. Recent literature has suggested that predictions of IU admission, when patients enter the ED, could be used to initiate IU bed preparations before the patient has completed emergency treatment and improve flow through t
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11

Hebert, Christopher J. "Measuring Quality of Care for Hypertension." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1231883022.

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12

Ippolito, Andrea K. (Andrea Katherine). "Architecting the future telebehavioral health system of care in the United States Army." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/79523.

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Thesis (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, 2012.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 151-159).<br>Charged by the Chairman of the Joints Chief of Staff, the authors were members of a study to develop innovative recommendations for transforming the military enterprise to better manage post-traumatic stress and related conditions in support of service members and their families. The authors first began their study by performing a stakeholder analysis to understand the unmet needs of stakeholders across the en
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13

Youn, Kyung II. "ORGANIZATIONAL SLACK, EFFICIENCY, AND QUALITY OF CARE IN ACUTE CARE HOSPITALS." VCU Scholars Compass, 1995. https://scholarscompass.vcu.edu/etd/5059.

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The relationship between technical efficiency and quality of care in hospitals is studied in the context of resource availability in hospital organizations. The resource availability of hospitals is conceptualized by organizational slack. An integrated model is developed encompassing the source of organizational slack, its impact on technical efficiency and on quality of care, and its impact on the relationship between efficiency and quality. Organizational threat as an environmental factor affecting the level of slack is measured by the level of competition and regulation. Organizational slac
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Chong, Stéphane. "The future of primary care : an engineering system approach to fix the U.S. health care system." Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/51654.

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Thesis (S.M. in Technology and Policy)--Massachusetts Institute of Technology, Engineering Systems Division, Technology and Policy Program, 2009.<br>Includes bibliographical references (p. 75-78).<br>The ailing U.S. health care system faces two tremendous challenges: a rising health care bill and a growing number of uninsured individuals. Several policies have been enacted to tackle these challenges but they are short-term patchwork solutions rather than long-term holistic solutions needed to address structural issues. Despite the market-based aspect of the U.S. healthcare system, self-correct
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15

Lee, Hyang Yuol. "Quality of care: Impact of nursing home characteristics." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3352465.

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Thesis (Ph.D.)--University of California, San Francisco, 2009.<br>Source: Dissertation Abstracts International, Volume: 70-04, Section: B, page: 2206. Advisers: Mary A. Blegen; Charlene A. Harrington. Includes supplementary digital materials.
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Urassa, David Paradiso. "Quality Aspects of Maternal Health Care in Tanzania." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distrubutör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4221.

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17

Petersson, Håkan. "On information quality in primary health care registries /." Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/tek805s.pdf.

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18

Mycroft, Matthew. "An Information System for Health Care Quality Measures." Digital Commons at Loyola Marymount University and Loyola Law School, 2016. https://digitalcommons.lmu.edu/etd/426.

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The Patient Protection and Affordable Care Act (PPACA) is slowly transforming the U.S. Health Care System from a fee-for-service structure, which reimburses providers based on the quantity of patient encounters, to a new structure that emphasizes the value of care. Since value can be interpreted differently among various stakeholders, quality measures have been established by government and nonprofit sources. These quality measures serve as agreed-upon criteria by which to measure the achievement of value in health care. While these measures help to improve the quality of health care, they can
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19

Scharpf, Tanya Pollack M. S. "Functional Status and Quality in Home Health Care." Case Western Reserve University School of Graduate Studies / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=case1112905040.

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20

Mattila, Marja-Leena. "Quality-related outcome of pediatric dental health care." Turku : Turun Yliopisto, 2001. http://catalog.hathitrust.org/api/volumes/oclc/48714198.html.

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21

Hutchinson, Allen. "Exploring safety, quality and resilience in health care." Thesis, University of Sheffield, 2014. http://etheses.whiterose.ac.uk/6574/.

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There still appears to be much to do to make the National Health Service in England a safer place for patients. Hospitals, in particular, are complex organisations in which staff and processes are under the twin simultaneous demands of an increasingly aged society and severe financial constraints. While much health care is well delivered, there remains a need to predict, and to explore, where and why problems occur. This thesis presents work which has refined methods and tools that can be used at health system and organisation levels to explore some key safety and quality issues in health care
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22

Flores, Cristina. "The quality of care in residential care facilities for the elderly." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3261238.

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23

Fortune, Darla. "An Examination of Quality of Work Life And Quality of Care Within a Health Care Setting." Thesis, University of Waterloo, 2006. http://hdl.handle.net/10012/2798.

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Unsatisfactory working conditions and job stress may be indicative of working in a society where work-life balance is a desired, but often elusive, goal (Duxbury & Higgins, 2001; Smola & Sutton, 2002; Sturges & Guest, 2004). Working conditions in the healthcare sector are reported to be particularly problematic and stress inducing compared to other work sectors (Yassi, Ostry, Spiegel, Walsh, & de Boer, 2002). In fact, quality of work life (QOWL) among healthcare workers is believed to have deteriorated to the point where it is impeding the capacity of the system to recruit and retain staf
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24

Xie, Yue M. Eng Massachusetts Institute of Technology. "Supply chain automation and the effects on clinician satisfaction and patient care quality in the hospital setting." Thesis, Massachusetts Institute of Technology, 2006. http://hdl.handle.net/1721.1/35534.

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Thesis (M. Eng. in Logistics)--Massachusetts Institute of Technology, Engineering Systems Division, 2006.<br>Includes bibliographical references (leaves 61-63).<br>The healthcare industry, more specifically hospitals, has in recent times been experiencing a steady rise in nursing shortages and cost pressures. To offset these problems hospitals have increasingly relied upon supply chain automation and the use of Automated Point of Use systems (APU) to relieve nurses of their supply management responsibilities and allow them to focus more of their time on patient care, and therefore increase nur
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25

Brogienė, Daiva. "Patients' rights to quality in health care and health damage compensation." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2010. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100507_093057-38617.

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Objects of dissertation: the quality in health care inpatient institutions and health damage compensation in medical malpractice litigation cases. This work is a scientific assessment of the implementation of the patients‘ rights to quality in health care and health damage compensation in Lithuania, where the functioning of two patients' rights is assessed in a systematic and integrated manner, both in the medical and the legal aspect. Research: the modified Picker Institute‘s questionnaire was used for the scientific research of 1917 patients treated in hospitals in order to examine and asses
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26

Noble, Marilynn. "Integrating Health Care Systems to Maintain Quality Care and to Manage Cost." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6851.

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The rising cost of health care in the Philippines is a concern for the Department of Defense and TRICARE beneficiaries. The purpose of this quantitative cross-sectional research study was to determine the efficacy and acceptability of a different method to deliver health care to increase access to health care and decrease out-of-pocket costs while maintaining quality of care for TOP Standard beneficiaries who receive health care under the Philippine Demonstration. Secondary data was used to determine the acceptability of an alternative reimbursement methodology to decrease cost but maintain ac
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27

Bell, Mary Ann 1953. "Perceptions of quality of care in the nursing home." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/291785.

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The purpose of this study was to determine the perceptions of residents, family members, and nursing staff regarding quality of care and the physical environment in the nursing home. Relationships among quality of care, the physical environment, and selected organizational characteristics were then described. The Quality of Care Scale (QoCS) and the Environment Description Scale (EDS) were given to a convenience sample of 100 subjects. A significant difference in perceptions of quality of care was found between the nurse assistants and residents. Significant relationships were obtained between
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28

Glenn, Annalia. "Do electronic health record components improve the quality of health care in a primary care setting?" Connect to Electronic Thesis (CONTENTdm), 2010. http://worldcat.org/oclc/643296012/viewonline.

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Maříková, Irena. "Health Care Quality with the Patient in Relation to Strategic Management in selected Health-Care Organization." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-194060.

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The aim of the thesis is to make the strategic analysis of the specific medical device in relation to quality of health care from the view of its patients. In this thesis are used selected analysis instruments of the strategic management. For finding of the quality of the health care, which the medical device provides, I used investigation through questionnaires. Information I gained through these questionnaires I have evaluated and analysed this data. The medical device I have chosen doesn't wish to be named in my thesis so I will respect the wish of its management. This hospital is located i
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Magner, MaryBeth. "The Effects of Managed Care on the Quality of Dental Hygiene Care." TopSCHOLAR®, 1998. http://digitalcommons.wku.edu/theses/344.

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Managed care has become a prominent mechanism for insuring dental care. Empirical research suggests that managed dental plans provide lower quality care to patients. However, few studies have specifically addressed the effects of managed care on the quality of dental hygiene care. Thus, in this study the researcher examines whether dental hygienists deliver a lower level of treatment to managed care patients than to those who are not subject to managed care. Questionnaire data were gathered from 193 members of the American Dental Hygienists' Association residing in the Chicago area. The primar
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Senot, Claire. "Combining Conformance Quality and Experiential Quality in the Delivery of Health Care." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1397407599.

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32

Lindberg, Malou. "Asthma nurse practice in primary health care : quality, costs and outcome /." Linköping : Univ, 2001. http://www.bibl.liu.se/liupubl/disp/disp2001/med695s.pdf.

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Prater, Laura C. prater. "Advance Care Planning: Implications for Health Care Quality at the End of Life." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1534344349446923.

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34

Engström, Sven. "Quality, costs and the role of primary health care." Doctoral thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5198.

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The general aim of this thesis is to describe and analyse the role of primary care in health care systems in terms of health, health care utilisation and costs, and to study the feasibility of retrieval of data from computerised medical records to monitor medical quality. The thesis includes five studies, a systematic literature review, a register study of utilisation of hospital and primary care, a study based on data from computerised medical records of individual patients cost for primary care, and two studies of management of respiratory infections in primary care based on data from comput
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Engström, Sven. "Quality, costs and the role of primary health care /." Linköping : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5198.

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36

Straten, Annemieke van. "Quality of hospital care and health outcomes after stroke." Proefschrift, [S.l. : Amsterdam : s.n.] ; Universiteit van Amsterdam [Host], 2000. http://dare.uva.nl/document/83805.

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37

Richardson, Samuel Starr. "Quality-based payment in health care: Theory and practice." Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:11142.

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Quality-based payment in healthcare&mdash;also known as pay-for-performance&mdash;is a popular policy intervention aimed at improving healthcare quality. However, there has been little theoretical work characterizing the underlying quality problem or the interaction between pay-for-performance and existing payment mechanisms. Furthermore, there is little empirical evidence that pay-for-performance has a substantial effect on healthcare quality.
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Schwartz, Aaron Lawrence. "Measuring Health Care Quality and Value: Theory and Empirics." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17463148.

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Imperfect information is a pervasive feature of health care markets. Therefore, measuring the quality and value of health care services may inform efforts to improve health care delivery. This dissertation explores several applications of performance measurement in health care: describing national practice patterns, evaluating the effects of payment reforms, and contributing to policies that reward providers for measured performance. Chapter one describes the use of low-value services in fee-for-service Medicare. Drawing from evidence-based lists of services that provide minimal clinical bene
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Badrick, Tony Cecil. "Implementing total quality management in Australian health care organizations." Thesis, Queensland University of Technology, 1997.

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Lu, Wei. "Economic determinants of quality of care in nursing homes." Thesis, Wayne State University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3626093.

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<p> This dissertation examines the factors that will affect nursing home quality of care using several national data sources on market regulation, county demographic characteristics, market structural and the characteristics of different types of long-term care providers in 2010. </p><p> The first study examines how nine different measures of nursing home care quality respond to the greater levels of local market competition from these alternative providers of long-term care, as well as other nursing homes. Findings reveal that faced with greater competition from assisted living facilities,
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Ratto, Melissa. "An Educational Module on Palliative Care for an Upper Division GE Gerontology Course." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10751082.

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<p> Palliative care is a service provided by an interdisciplinary team, helping improve the quality of life for seriously ill patients and their families. Policy focusing on palliative care in the 21<sup>st</sup> century addresses the needs of older adults who suffer from a serious illness, including education about the benefits of palliative care. The under-utilization of palliative care partly stems from lack of knowledge about the topic. This project report was an educational module about palliative care that can be added to a gerontology course taken by a future workforce that may assist p
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Ekström, Anette. "Amning och vårdkvalitet = Breastfeeding and quality of care /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-240-3/.

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Williams, Cynthia. "Home Care Quality Effects of Remote Monitoring." Doctoral diss., University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/6383.

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Despite concerted efforts to decrease costs and increase public health, the embattled U.S. health care system continues to struggle to alleviate these widespread issues. Because the problem of hospital utilizations among patients with heart failure is posited to increase as the population ages, innovative methodologies need to be explored to mitigate adverse events. Remote monitoring harnesses the strength of advanced information and communication technology to affect positive changes in health care quality and cost. By reaching across geographical boundaries, remote monitoring may support inc
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Watson, M. "The division of labour in child health care : Poland and England and Wales compared." Thesis, University of Warwick, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.373279.

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Arnetz, Judith E. "Violence towards health care personnel : prevalence, risk factors, prevention and relation to quality of care /." Stockholm, 1998. http://diss.kib.ki.se/1998/91-628-3254-9/.

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Lindström, Kjell. "Methods for quality development of the primary health care structure /." Linköping : Univ, 2002. http://www.bibl.liu.se/liupubl/disp/disp2002/med719s.pdf.

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D'Ambruoso, Lucia. "Care in obstetric emergencies : quality of care, access to care and participation in health in rural Indonesia." Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=165859.

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Study Setting: Two rural Indonesian districts served by the national midwife-in-the-village programme. Methods: Three critical incident audits of maternal mortality and severe morbidity: confidential enquiry, a verbal autopsy survey, and a participatory community-based review. Results: A range of inter-related factors contributed to poor quality and access. When delivery complications occurred, many women and families were un-informed, un-prepared, found care unavailable, unaffordable, and relied on traditional providers. Social health insurance was poorly promoted, inequitably distributed, co
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Plauché, Leneé Michele. "Eliminating waste in US health care: evaluating accountable care organizations as a model for quality sustainable care." Thesis, Boston University, 2013. https://hdl.handle.net/2144/12191.

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Thesis (M.A.)--Boston University<br>In 2011, the United States spent $2.7 trillion in health care expenditures, accounting for 17.9 percent of the Gross Domestic Product (GDP). Health care spending increased by 3.9 percent in 2011 and is expected to surpass 20 percent of GDP by 2020. An investigation of national trends in health spending conducted by the Institute of Medicine (IOM) estimates that approximately 30 percent of US health expenditures—that is, about $750 billion—is wasteful spending. Analysis of spending trends suggests waste in health care falls into one of six categories: (1) fai
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Villar, Corrales Carlos. "A Goal-Driven Methodology for Developing Health Care Quality Metrics." Thèse, Université d'Ottawa / University of Ottawa, 2011. http://hdl.handle.net/10393/19850.

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The definition of metrics capable of reporting on quality issues is a difficult task in the health care sector. This thesis proposes a goal-driven methodology for the development, collection, and analysis of health care quality metrics that expose in a quantifiable way the progress of measurement goals stated by interested stakeholders. In other words, this methodology produces reports containing metrics that enable the understanding of information out of health care data. The resulting Health Care Goal Question Metric (HC-GQM) methodology is based on the Goal Question Metric (GQM) approach, a
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Collin, Bagewitz Ingrid. "Prosthodontics, care utilization and oral health-related quality of life /." Malmö : Malmö högskola, 2007. http://dspace.mah.se/handle/2043/3896.

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