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1

Blaise, Pierre J. "Culture qualité et organisation bureaucratique, le défi du changement dans les systèmes publics de santé: une évaluation réaliste de projets de qualité en Afrique." Doctoral thesis, Universite Libre de Bruxelles, 2004. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/211123.

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Introduction<p>Depuis une quinzaine d'années en Afrique, cercles de qualité, audits cliniques, cycles de résolution de problèmes et autres 'projets qualité' ont été mis en oeuvre dans les services publics de santé pour améliorer la qualité des soins. Ces projets ont souvent mis l'accent sur des approches participatives, la résolution locale de problèmes et le changement, bousculant les pratiques managériales traditionnelles. A court terme, les évaluations montrent l'amélioration des résultats de programmes ou d'activités. Mais la pérennité de la dynamique reste largement à prouver. Le véritabl
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2

Mandaza, Mapesa Nixjoen. "Health Information Technology Implementation Strategies in Zimbabwe." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2452.

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The adoption rate of health information technology (HIT) remains low in developing countries, where healthcare institutions experience high operating costs and loss of revenue, which are related to systems and processes inefficiency. The purpose of this case study was to explore strategies leaders in Zimbabwe used to implement HIT. The conceptual framework of the study was Davis's technology acceptance model (TAM). Data were gathered through observations, review of organizational documents (i.e., policies, procedures, and guidelines), and in-depth interviews with a purposive sample of 10 healt
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3

Magaso, Farai Beverley. "Assessing the barriers to accessing prevention of mother-to-child transmission (PMTCT) services in Marondera Zimbabwe." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11433.

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Although Zimbabwe has invested in nationwide scale-up of prevention of mother to child transmission (PMTCT) services, high HIV-specific under-five mortality rates continue to be observed. This study aimed to document the potential reasons for low PMTCT uptake by examining factors constraining access to PMTCT services.
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4

Waddington, Catriona Jane. "Health economics in an irrational world - the view from a regional health administration in Ghana." Thesis, University of Liverpool, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.317275.

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5

Khoza, Augustine. "Pharmacy Stores Profitability and Sustainability in Bulawayo, Zimbabwe." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3251.

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Zimbabwe's catastrophic economic decline resulted in a high unemployment rate (95%), declining socioeconomic indicators, pharmacy stores' unprofitability and lower sustainability. Profitable pharmacy stores play a fundamental role in ensuring public access to medication. Lack of pharmacy profitability leads to poor healthcare delivery, resulting in increased morbidity and mortality. A healthy population is panacea to economic growth and prosperity and enhances human dignity, social cohesion, and the quality of life. In this qualitative, descriptive multicase study design, using Porter's busine
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6

Paulo, Cynthia Ann. "Validation of criteria for use in health and safety program administration." CSUSB ScholarWorks, 1992. https://scholarworks.lib.csusb.edu/etd-project/3034.

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7

Holmberg, Leif. "Health-care processes a study of medical problem-solving in the Swedish health-care organization /." Lund : Lund University Press, 1997. http://books.google.com/books?id=1jNrAAAAMAAJ.

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8

Peoples, Paula Beth. "Pay-per-visit for Home Health Agency nurses." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1410.

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9

Veenstra, Gerry. "Social capital and regional health governance in Saskatchewan, Canada /." *McMaster only, 1998.

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10

Zhakata, Chikomborero. "The sustainability of health committees in Nelson Mandela Bay." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1019704.

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Primary health care is pivotal to the growth of a country’s economy by improving the health and social well-being of its people. Several efforts and structures have been put in place to ensure that all South Africans have access to health facilities as well as representation in the health facilities, just as community members are represented in schools and other boards. Health committees play an important and integral role to the community and health facilities by being mediators between the community and the health facility (Padarath &Friedman, 2008). The Eastern Cape is one of the provinces
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11

Mwatwara, Wesley. "A history of state veterinary services and African livestock regimes in colonial Zimbabwe, c.1896-1980." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86424.

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Thesis (PhD)-- Stellenbosch University, 2014.<br>ENGLISH ABSTRACT: This thesis explores the relationship between African traditional livestock regimes and state veterinary services in colonial Zimbabwe from the perspective of socio-environmental history. It offers a new direction both methodologically and empirically as few academic studies have used state veterinary services archives extensively as a lens to understanding the parameters of the interaction of veterinarians and African livestock owners during the colonial period. Though located in socio-environmental history, this st
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12

Pai, Chih-Wen. "Determinants of the New Entry of HMOs into A Medicare Risk Contract: A Resource Dependence-Diversification Model." VCU Scholars Compass, 1996. https://scholarscompass.vcu.edu/etd/4946.

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The purpose of this study is to examine the determinants of the new entry of an HMO into a Medicare risk contract using a resource dependence—diversification model. This study is conducted through a non-experimental, panel design With one year time lag. An HMO’s market is defined as the service area. The primary sample for this study is composed of 440 HMOS that do not have a Medicare risk contract as of January 1994. Data for the variables are extracted from the 1994 and 1995 InterStudy and Group Health Association of America (GHAA) directories, the 1996 Area Resource File, the 1994 County and
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13

McCollum, Denise M. "The Structural Response and Performance of General Hospitals in a Managed Care Environment." VCU Scholars Compass, 1998. https://scholarscompass.vcu.edu/etd/4943.

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The study purpose is to link hospital structure, represented by each hospital’s professional contingent, service mix, and inpatient capacity; and its environment, characterized by the penetration of managed care enrollees. The secondary purpose is to test the relationship between hospital structural change and subsequent hospital performance. The study employs a non-experimental panel design, with a sample of 1882 community hospitals (service type: general medical and surgical). Environmental variables are measured for the base year 1989. Hospital structural variables are measured for 1989 and
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14

Sithole, Linet. "Women's right to access family planning and maternal health care services in Hwange rural district, Zimbabwe: challenges and opportunities." Doctoral thesis, Faculty of Law, 2021. http://hdl.handle.net/11427/34007.

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The significance of reproductive health and rights cannot be overemphasised. Investment in the rights of rural women, specifically their reproductive health rights, is a fundamental determinant of their empowerment and social development. Access to reproductive health services enables rural women to make informed choices in their reproductive lives. This is of paramount significance because the exercise of choice in one domain opens possibilities for choices in others. International and regional human rights treaties recognise the significance of reproductive health rights for women's wellbein
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15

Mapira, Wendy. "Demand for health care services in the urban areas of Zimbabwe : a case study of the Harare city." Master's thesis, University of Cape Town, 2003. http://hdl.handle.net/11427/6905.

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Bibliography: leaves 68-70.<br>The study attempts to evaluate the impact of the health sector deregulation policy on the choice of health care providers 12 years after its implementation. It gives some insights into the pattern of health care choices in Harare, the capital city of Zimbabwe with the aim of drawing some conclusions about the urban areas of Zimbabwe. The other objective is to highlight the impact of personal characteristics and factors related to the facility on the choice between public and private health care providers. Some coping mechanisms being used by urban dwellers in dea
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16

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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17

Frantz, Allison E. "The impact of the growing elderly population on health care." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1992. http://www.kutztown.edu/library/services/remote_access.asp.

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Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1992.<br>Source: Masters Abstracts International, Volume: 45-06, page: 2940. Abstract precedes thesis as [1] preliminary leaf. Typescript. Includes bibliographical references (leaves 147-158).
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18

Papadakis, Sophia. "Economic evaluation of cardiac rehabilitation and secondary prevention services." Thesis, University of Ottawa (Canada), 2004. http://hdl.handle.net/10393/26737.

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Little is known about the relative cost-effectiveness (CE) of different cardiac rehabilitation (CR) program designs and how CE is influenced by a patient's clinical and demographic characteristics. The aim of this study was to assess the 2-year incremental cost-utility of a distributed (12-month, 33-session) CR program to that of a standard (3-month, 33-session) CR program as assessed from the perspective of the cardiac health care system. 306 Patients (mean age = 58.4 years, SD+/-9.7) with CAD were randomized to either standard or distributed CR. Program delivery costs, cardiac health care us
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19

Lehaney, Brian. "Simulation modelling in administration-by-consensus organisations." Thesis, Brunel University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286696.

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20

Garske, Gary L. "Continuity planning for local public health agencies in northern Wisconsin : providing essential public health services after displacement /." Connect to online version, 2009. http://digital.library.wisc.edu/1793/37472.

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21

Yeritsyan, Sargis. "Just Culture Consulting, LLC| Cultural Competency Services for Healthcare Providers." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10839096.

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<p> The U.S. healthcare industry seeks to improve patient satisfaction as the national trend of increasing diversity and ethnic representation continues. The provision of culturally sensitive health care will not only increase patient satisfaction and outcome metrics but also allow healthcare organizations to thrive financially by meeting patient needs and payer requirements. Just Culture Consulting, LLC. is a start-up, for-profit healthcare consulting firm that will provide cultural competency and language training services for healthcare professionals. Just Culture Consulting, LLC. aims to b
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22

Dixon, Decia N. "Perceptions of school based mental health services by directors and supervisors of student services." [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002079.

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23

Lee, Jae Chul. "Health disparities in access to health care for older people with disabilities." Diss., Connect to online resource - MSU authorized users, 2008.

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Thesis (Ph.D.)--Michigan State University. Rehabilitation Counselor Education , 2008.<br>Title from PDF t.p. (viewed on July 2, 2009) Includes bibliographical references (p. 128-144). Also issued in print.
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24

Hayes-Burrell, Ingrid Monique. "Financing School-Based Health Centers: Sustaining Business Operational Services." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1684.

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Walden University College of Management and Technology This is to certify that the doctoral study by Ingrid Hayes-Burrell has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Ify Diala, Committee Chairperson, Doctor of Business Administration Faculty Dr. Anne Davis, Committee Member, Doctor of Business Administration Faculty Dr. Yvette Ghormley, University Reviewer, Doctor of Business Administration Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2015 â?? School-b
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25

Donato, Francis A. "Reforming health care through managed care." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1995. http://www.kutztown.edu/library/services/remote_access.asp.

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Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1995.<br>Source: Masters Abstracts International, Volume: 45-06, page: 2939. Abstract precedes thesis as [1] preliminary leaf. Typescript. Includes bibliographical references (leaves 91-92).
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26

Rorie, Terri. "Rural Environmental Factors and Lesbian, Gay, Bisexual, and Transgender Mental Health Services Utilization." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6659.

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The rates of mental health issues in the lesbian, gay, bisexual, and transgender (LGBT) communities are twice that of individuals who identify as heterosexual. Research in urban communities show lower mental health services utilization rates for LGBT individuals compared to their heterosexual counterparts. The purpose of the study was to examine how rural environmental factors affect the use of mental health services by LGBT individuals and provide information to improve mental health outcomes. Andersen's healthcare utilization model and the minority stress theory were the foundations of this
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27

Severance, Jennifer Jurado Eve Susan Brown. "A survey of collaborative efforts between public health and aging services networks in community health centers in Texas." [Denton, Tex.] : University of North Texas, 2009. http://digital.library.unt.edu/permalink/meta-dc-10984.

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28

Catena, Rodolfo. "Essays on health care operations management." Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:3c2035a6-b5d0-43b7-9b12-4883e5db4526.

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The aim of operations management in health care is to enhance the provision of services to patients and to decrease costs. Overall worldwide health care expenditures represent around 10.5% of the global GDP and are projected to increase at an annual rate of 5.3% from 2015 to 2017 [74]. In order to investigate how to curb health care costs, I study the English NHS, a health care system that provided universal care to around 54 million people in 2014 [243]. The NHS has launched many initiatives to improve the performance of hospital operations such as the "QIPP" program, which has the objective
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29

Mambo, Tatenda T. "THE GEOGRAPHY OF BRAIN DRAIN MIGRATION IN THE HEALTH SECTOR: FROM ZIMBABWE TO THE UK." Oxford, Ohio : Miami University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1247686860.

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30

Aronson, Edward. "Ethics and leader integrity in the health sector." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=82823.

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This thesis examines the determinants of ethical leadership and the manner in which they are associated with the directive, transactional, and transformational leadership styles, as well as their effects on organizational followers. A review is first conducted of the major theories of leadership and ethics, and current perspectives on ethical leadership are discussed. The determinants of ethical leadership are postulated to be altruism, manifested through some combination of teleological and deontological values, intellectual integrity, and moral integrity. A framework is then presented
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31

Obenauer, Irina. "Fit4Life, LLC, corporate wellness, fitness, and nutrition services| A business plan." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10142966.

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<p> Over one-third (78.6 millions) of U.S. adults are obese. Weight management in the typical health care practice is inadequate with fewer than half of primary care physicians consistently providing guidance on diet, physical activity, or weight control. Because 60 percent of Americans get their health insurance through their jobs, employers often bear the bulk of the obesity costs, but are also well-positioned to implement effective lifestyle interventions. The Patient Protection and Affordable Care Act (PPACA) of 2010 included provisions for the incentives and penalties employers and heal
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32

Buckley, L. C. "Going through changes : a single point of access for health and social care." Thesis, Coventry University, 2013. http://curve.coventry.ac.uk/open/items/7345dede-9192-4dad-827e-9b4ddd4503fa/1.

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Background: Integrated working between health and social care services within England has been encouraged by Government policy in the last decade, and has been argued to provide a seamless, joined up experience for service users (Department of Health 2011). One way of integrating care is through the use of a single point of access to health and social care services. A single point of access to services has been trialled in mental health and learning disability services to improve access, and following on from policy (e.g. Department of Health 2007) and support from literature (Rogers, Entwistl
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33

Samusodza, Chengetai Rosemary. "The potential of mHealth technologies for maternal health-care services : a case of selected public hospitals' maternal units in Zimbabwe." Thesis, Cape Peninsula University of Technology, 2016. http://hdl.handle.net/20.500.11838/2425.

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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2016.<br>Zimbabwe has a fairly developed health-care delivery system that is served by public and private hospitals at district, provincial and national level. The public health-care system is the largest provider of health-care services and caters for the majority of the population but this is done in a resource-restricted context, typical of a developing context. In this context, this research sought to establish the potential of mHealth Technologies in Zimbabwe’s maternal health sector using Parirenyatwa and H
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34

Carney, Philip Sheridan. "Managed healthcare and integrated delivery systems: A model for getting ahead of the change curve." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2103.

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Managed care became the dominant model for moderating healthcare costs in the 1990's. The later half of this past decade witnessed early signs of a return to escalating premiums. Providers and consumers have reacted negatively to perceptions of health plan micro-management and restriction of choice.
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35

Salsberry, Pamela J. "The distribution of health care in a just society /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487585645577798.

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36

Cota, Luis Quihui. "Prevalence of intestinal parasites in school children from two Mexican states after 7 years of albendazole administration." Thesis, University of Glasgow, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268339.

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37

Gray, Ann Marie. "Government and the administration of hospital services in Northern Ireland 1948 - 1973 : the Northern Ireland Hospital Authority." Thesis, University of Ulster, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.359543.

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38

Myezwa, Hellen. "The nature and extent of participation in CBR in Midlands Province in Zimbabwe." Diss., [S.l. : s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-07282005-122853/.

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39

Bash, Camille Rose. "The influence of community support services in reducing potentially preventable readmissions." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1099.

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Recently, the Centers for Medicare and Medicaid Services (CMS) ranked all hospitals based on Medicare readmission rates for heart attacks, heart failure, and pneumonia. CMS offered subsidies to hospitals ranked in the 4th quartile to develop community support services to reduce the problem of potentially preventable readmissions (PPRs). CMS cited 4 of the 5 hospitals in Prince George's County in the 4th quartile. The purpose of this quantitative research study was to investigate the relationship between community support services and the reduction of PPRs in Prince George's County. The Evans
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40

Duro, Charles. "Effects of Lifestyle Changes on the Health of African Americans With Type 2 Diabetes." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4362.

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African Americans are adversely affected by Type 2 diabetes at a greater rate than their European American counterparts; however, research on the effects of Type 2 diabetes on African Americans is limited. Lifestyle modifications that include the incorporation of physical activity and dietary changes can help patients with Type 2 diabetes better manage their disease and improve their overall quality of health. The purpose of this phenomenological study was to explore the experiences of African Americans with Type 2 diabetes who incorporated these self-management behaviors, discerning if they h
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41

Heinritz, Debbie. "A study to determine the need for lean training by the health care employers of Northeast Wisconsin." Menomonie, WI : University of Wisconsin--Stout, 2006. http://www.uwstout.edu/lib/thesis/2006/2006heinritzd.pdf.

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42

Huonker, John Walter. "The determinants of physician practice choice and its effect on physician autonomy, satisfaction, and commitment." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186498.

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The effective management of professionals requires achieving a balance between organizational control and professional autonomy. The problem of achieving a balance is important currently in the United States healthcare industry. This dissertation examined the antecedents and consequences of physician autonomy in both traditional fee-for-service (FFS) and non-traditional managed care settings. The population of physicians in one county were surveyed. Two models were developed arguing that physician practice choice affects autonomy. The antecedents and consequences of autonomy were compared both
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43

Lai, Tai-yee Barbara. "Pay for patient satisfaction what is the evidence for quality of improvement? /." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B4299486X.

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44

Flad, Jennifer. "Advocating work an institutional ethnography of patients' and their families' experiences within a managed care health system /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2009. http://wwwlib.umi.com/cr/syr/main.

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45

Tyali, Sinovuyo. "An integrated management system for quality and information security in healthcare." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1006670.

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Health service organizations are increasingly required to deliver quality healthcare services without increasing costs. The adoption of health information technologies can assist these organizations to deliver a quality service; however, this again exposes the health information to threats. The protection of personal health information is critical to ensure the privacy of patients in the care of health service organizations. Therefore both quality and information security are of importance in healthcare. Organisations commonly use management system standards to assist them to improve a particu
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46

Lee, Fock Choy. "A quantitative performace measurement framework for health care systems." Diss., Columbia, Mo. : University of Missouri-Columbia, 2006. http://hdl.handle.net/10355/4583.

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Thesis (M.S.) University of Missouri-Columbia, 2006.<br>The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file viewed on (June 26, 2007) Includes bibliographical references.
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47

Jackson, Pulver Lisa Rae. "An argument on culture safety in health service delivery towards better health outcomes for Aboriginal peoples /." University of Sydney. Public Health and Community Medicine, 2003. http://hdl.handle.net/2123/609.

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The bureaucratic measure of health service, health performance indicators, suggest that we are not effective in our legislative responsibility to deliver suitable health care to some of the populations we are meant to serve. Debate has raged over the years as to the reasons for this, with no credible explanation accepted by those considered stakeholders. One thing is clear though, we have gone from being a culture believing that the needs of the many far outweigh those of the few, to one where we are barely serving the needs of the 'any'. This is most evident in the care delivered to the Abori
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48

Harris, Patricia Amanda. "Promoting research utilisation and evidence-based decision making amongst healthcare managers : utilising nonrecursive structural equation modelling to develop the theory of planned behaviour." n.p, 2005. http://ethos.bl.uk/.

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49

Kruthoff, Bryson. "Two canoes: a case study in organizational change failure and the implications for future population health initiatives." Thesis, University of Iowa, 2017. https://ir.uiowa.edu/etd/5541.

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Organizational change is undeniably difficult, and change efforts often fail to overcome the status quo processes and routines. By threatening these structures, change becomes an existential danger to organizations, who often respond with significant resistance. Organizations will look to their experiences with past change efforts to inform future changes, limiting the ability of change actors who seek to implement change beyond this narrow scope. The “Heart Failure Lite” model was a change effort that exceeded the scope of previous changes at an organization with deeply embedded routines and
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50

Coronel, Gabriela V. "Long-Term Sustainment of Rapid Improvement Events: A Case Study in “Room Readiness”." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/honors/382.

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Shifting payment models from fee for service (FFS) to pay for performance (P4P) have fundamentally changed the environment of healthcare administration in the United States (Center for Medicaid and Medicare Services (CMS), 2011). Due to this shift, there has been an increase in demand for tracking and improving quality measures to ensure not only patient safety, but optimization of utilization. Constraints on resources and capacity, coupled with increasing safety measures has developed a new study of patient flow (Miró, Sánchez, Espinosa, et al., 2003). Decreasing patient room turnover times h
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