Dissertations / Theses: 'ICT in health services'

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Rozmarinová, Jana. "Příspěvek k hospodářsko-politickému hodnocení zavádění elektronizace zdravotnictví." Master's thesis, Vysoká škola ekonomická v Praze, 2008. http://www.nusl.cz/ntk/nusl-4327.

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This thesis is dealing with problems of eHealth specified on particular conditions on the territory of the Czech Republic in context of national economy. Positive and negative aspects of implementation of eHealth solution into health services is evaluated in theoretic part of thesis as well as dominative problems which faces development of eHealth in the Czech Republic. Fundamental plans of support eHealth in the European Union and Czech Republic are described as well. Practical part of thesis is concerned with particular projects of eHealth in the Czech republic. Evaluation of project IZIP is performed due to questionnaire inquiry among the doctors. The example of contribution of implementation eHealth solution into health services is shown on Oblastní nemocnice Mladá Boleslav, a.s.

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Liu, Jie, and 刘捷. "ICT delivery of health information for older adults in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B47469390.

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Although there is a general trend of aging as the expected longitude increase for human being, the developing countries which, according to the report of WHO, have grown old even before grow rich face a more challenging state than the developed countries. These countries, especially their rural parts, are less likely to adapt to the aging trend with relatively smaller medical budget, less developed professional training of care takers, and a lack of public awareness of prevention and treatment of geriatric disease.(Organization, Health, Promotion, & Course, 2011) On the other hand, it indicates a big stage for distant medical service to play because of its lower cost of implementation and effectiveness in controlling the overall medical expenditure given such service would help to prevent and control at a earlier stage of disease. Therefore in developing countries like China and for population like the older citizen who has less mobility, online healthcare information platform is expected to play a much more important role than in developed countries. At the same time, experienced can be borrowed from investigations and installations of online platform of health information designed for the older population where they usually serve as a supplement to the primary health care facility in developed countries like UK.
published_or_final_version
Library and Information Management
Master
Master of Science in Library and Information Management

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Acheampong, Faustina. "Development of Web-based Health Care Services in Swedish County Councils : Strategies, Usage and Challenges." Thesis, Jönköping University, JIBS, Business Informatics, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-13061.

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eHealth has been adopted by many countries across the globe in response to cut down cost and improve the quality of life. Sweden has been engaged in providing web-based health care services for its citizens for the past decade and county councils have the responsibility to develop them. The main aim of this thesis is to present answers to the following research questions:What strategies (formal and informal) guide the development of web-based health care services provided by the Swedish county councils?What barriers exist in relation to the development and usage of web-based health care services provided by the county councils from the viewpoint of their IT leaders?From the perspective of IT leaders in the county councils and in their capacity to develop, manage and monitor their organizations‘ website content, which web-based health care services are mostly accessed by users and what age group utilize the services most?The thesis is an exploratory research conducted through a survey based on a mail questionnaire that was posted to all 21 county councils in Sweden with 18 councils responding. The results show that all county councils have formally adopted the National eHealth Strategy to guide the development of web-based health care services and some have other informal strategies as well. Technological barriers, resistance to use the web-based services and changing business process to integrate ICTs have been identified by IT leaders as major challenges that impede the development of web-based health care services in Swedish county councils. Swedish citizens more frequently access prescription renewal and booking and cancellation of appointments than other available web-based health care services which depicts a trend towards the use of advanced interactive services than basic information seeking, and people in the ages of 46 to 55 have been identified as the frequent users of web-based health care services according to IT leaders from the county councils.

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Khudair, Ahmad A. "Health sciences libraries : information services and ICTs." Thesis, City University London, 2005. http://openaccess.city.ac.uk/11881/.

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In Saudi Arabia the need is recognised significantly to move towards the concept of an Information Society, particularly for the benefit of the healthcare community. There have been some individual efforts, in this direction but they do not address the problem and related root issues. The problem is that the body and soul are not joined as one to formulate a single entity. The health professional is the body and the soul is the health information professional (health librarians). Health professionals spend a great deal of time in information searching, while the health information professional's role is underestimated. This research is conducted to explore the state of health sciences libraries, and to investigate the strengths and weaknesses of the Information Services and Information, Communication Technology (ICT) in health sciences libraries in the capital city of Saudi Arabia, Riyadh. To accomplish this, a mixed method is used (qualitative and quantitative approaches) to collect related data. A framework is designed particularly for this research and a visionary organisational model is designed initially and developed throughout the research. This proposed model is to introduce a potentially possible successful paradigm for changing the health sciences libraries environment to encounter future challenges. In addition, for this research will contribute to the better understanding of how to provide fast, efficient and easy-to-use service to increase user satisfaction. Changing the paradigm of health sciences libraries in Riyadh will facilitate better access, sharing and use of information resources from distant geographical locations, and increase participation opportunities. In addition, the proposed model considers the human and social needs of communication, and the exchange of feelings and reactions. Importantly, successful change will help healthcare environments to move towards the establishment of a flourishing health information society by popularising the use of electronic resources and demonstrating the benefits and advantages of continuous learning and development programmes. It is clear that access to fast. accurate and reliable health information and resources, may be, the difference between life and death.

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Oddershede, Astrid. "Methodology to Evaluate QoS of ICT Networks for the Chilean National Health Service." Thesis, University of Newcastle Upon Tyne, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.512183.

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Matondolo, Siyamthanda Luthando. "Utilisation of ICT in healthcare centre to support HIV/AIDS flow of information and service delivery In Khayelitsha." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/2477.

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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2012.
This research is an attempt to investigate the utilisation of Information Communication Technology (ICT) in Healthcare to support the flow of HIV/AIDS patient’s general information in public and private sector. Furthermore, the research examines the detail flow of database information for healthcare service delivery to patients, in particular HIV/AIDS patients, in Khayelitsha Township. Finally, the research will detail the types of technologies currently being utilised to transfer this information, technology utilised for capturing or data collection profile of the patient. The research study data collecting was done in 2009 in mostly private and public healthcare centre in Khayelitsha township. First, the study will concentrate on general utilisation of ICT in healthcare service delivery and flow of information for public and private sector healthcare centres. Additionally, the research also looks at NGOs such as HIV/AIDS Unit in Cape Peninsula University of Technology (CPUT) and Treament Action Campaign (TAC) to find out what ICT equipment is being utilised to transfer this information to adult people to inform and make them to be aware of HIV/AIDS and improve healthcare service delivery to patients and particularly to HIV/AIDS patients. Taking NGO’s such as TAC and CPUT HIV/AIDS Unit that are well informed about HIV/AIDS, nationally and internationally will make our research results to be more precise. The research will also look at the utilisation of ICT in flow of information at healthcare centre such as communication between healthcare providers such as receptionist/clerk, nurses, doctors and medical researchers since they are the first people who deal with HIV/AIDS patient cases when they come for healthcare provision.

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Petratos, Anastasia. "An ICT strategy to support a patient-centred approach to diabetes care." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/14466.

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Factors such as poverty, ethnicity, socio-economic status, poor infrastructure and governance, etc., are some of the reasons that effective and proven prevention and treatment interventions for most of the major causes of mortality and morbidity in the developing world continue to fail. Chronic diseases require complex interventions that these countries simply cannot maintain. Diabetes mellitus (DM) is a chronic disease that is on the rise worldwide. This disease is a lifestyle disease, which means, that it is brought on by poor health habits. Statistics show that 285 million (6.4%) people aged between 20 and 79 years will be affected by Diabetes in 2010 and a staggering 439 million (7.7%) by 2030. This is a projected growth of 69% in developing countries and 20% in developed countries. The findings from studies conducted from 1993 to 2003 in Sub-Saharan Africa, particularly in South Africa, around the health care services for diabetes highlights many challenges. Sadly, the challenges 10 years after that study, are very similar. The conditions of people with Diabetes can be improved through regular monitoring of patients, improvement and monitoring of health care provided, education on healthy lifestyle, as well as education on the importance of adherence to treatment plans for the successful management of the condition. The diabetes endemic in South Africa is exacerbated by the manual functions that are performed in all aspects of monitoring and management of the disease. With the advancements that have been made in ICT and the many apps that already exist for healthcare, it is sensible to state that ICT can assist in the monitoring and management of diabetes. Another factor that is considered is that of patient-centred care. The huge number of people who need acute care and treatment in hospitals and clinics have forced a previously caring environment, to turn into a cold, almost production line affair. The sick wait in long queues and are ushered in and out of the consulting rooms as fast as possible without even as much as a “hallo”. This has left a void in the healthcare delivery to South Africans which should never have been removed in the first place, namely patient-centred care. This means that the patient is at the centre of the treatment and fully involved in the decisions about his/her health. Every patient deserves to be recognised as a human-being and treated with dignity and respect. Treatment plans for long term chronic care patients such as diabetics, should be thoroughly discussed with the patient and they should believe and comit themselves to the treatment plan. These plans are life-long and require dedication and as it is vital that patients are part of decision making and understand fully what they are expected to do. Bearing this in mind, this study has investigated the needs and care plans for people with diabetes. Specialist in the field of diabetes were interviewed and recognised care plans for diabetes such as those from WHO, IDF and SEMSDA were studied. This study also established, that by practising a patient-centred approach the adherence to a treatment plan is likely to be higher. The strategy developed involves the person with diabetes, the healthcare worker and the support structure in the care plan of the diabetic. The use of ICT as part of the solution must consider the patient-centred requirements for using IT so that the people using the strategy are comfortable and not intimidated by the technology. The need to incorporate e-health into governments’ healthcare plans has been growing over the last decade. The GSMA conducted research into mobile health opportunities in South Africa and found that SA now has a penetration of 98% and that this is the ideal medium to address the inaccessibility and inequality of healthcare in SA. The causes identified as playing a major role in the rise in diabetes were identified and it was determined that through the implementation of an ICT strategy for diabetes care, many of these can be addressed. These include the use of technology for, improved monitoring and management, increased diabetes awareness and education, and promotion of healthy lifestyle. The study focuses on the self-management aspect of diabetes and produces a strategy that incorporates various ICT solutions that would assist in the daily aspects of diabetes care, as well as follow a patient-centred approach to diabetes care. This strategy developed in this study does not need any intervention from government as it is driven by the people who have diabetes and their healthcare workers, with the aid of the technology that they currently have on hand.

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Ståhl, Ylva. "Documentation in Child and School Health services : Mapping health information from a biopsychosocial perspective using the ICF-CY." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-17948.

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The overall aim of this thesis was to analyze whether the documentation in the Child Health Services (CHS) and School Health Services (SHS) reflects a holistic view on health as represented by a bio-psychosocial perspective. The method used based on four studies, all with a descriptive design. Analyzed documents contained lists of health terms recommended to be included in the health record (HR) (I), requested information in health questionnaires (II) and the content of free text notes in health records (HRs) (III). A deductive approach was used on an item-by-item basis (I, II), and for the free text notes in HRs a qualitative content analysis with an inductive approach was chosen (III). Nurses’ and physicians’ views on documentation and electronic HR were analyzed with the help of a quantitative questionnaire design (IV). Results showed that information on developed lists of health terms recommended to be included in an electronic version of the HR (I) could be linked to codes in the ICF-CY. The linked health terms were mainly focused on the body, i.e. a biological perspective on health. Several health terms linked to two or more codes, which indicate a need for more clarity in content descriptions. In the locally produced health questionnaires (Study II), for all age groups, a majority of the linked health items counted only once, and involved a psychosocial perspective on health. These health items were related to communication, psychosomatic symptoms and taking care of one’s health (II). The results in the free text notes in HRs (III) mainly focused on a psychosocial perspective on health and were represented across all age groups, but were unevenly distributed. There was new health information in the free text notes which had not been covered in the standardized part of the HRs. The respective staffs acknowledged that more health information than was documented in the HR was transferred between the CHS and SHS (IV). This information concerned foremost family function. The CHS and SHS had positive opinions regarding the possibilities of an electronic version of the HR. Conclusions: The predominant medical content of lists of health terms was supplemented with health information related to psychosocial health in health questionnaires and in the free text notes in the HR. However, the focus was on the child as a person rather than a child within a family and preschool/school environment, and was strongly related to age groups. More information on children’s health than was recorded was transferred between and within the services. The utility of the ICF-CY as a tool has been confirmed, and indicates challenges to develop a common language to document more on psychosocial health.

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Björkqvist, Maja. "Asking for a friend : Youths experience with youth health centres in Sweden." Thesis, Umeå universitet, Designhögskolan vid Umeå universitet, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-174529.

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This thesis explores the stigmas and taboos surrounding youth health centers in Sweden and how this might be hindering young people to visit the youth health centers. It’s exploring how this can be challenged and how the threshold can be lowered by involving the informal support system and bringing the youth health center to the youth arena which allows for a more informal type of support and guidance. The youth health centers in Sweden have been around since 1970 and are a well known and established form of healthcare, yet the majority of the visitors are young women. How come? I’ve been working from the hypothesis that there is a need for more youth to seek help but that they for various reasons don’t manage to make it all the way there. There are many stigmas surrounding topics that the youth health center is dealing with, such as sex, depression, or domestic violence. This is especially true for young people on the edge between childhood and adulthood. Using a human-centered design approach this project has through the involvement of adolescents, midwives and youth workers among others, been exploring challenges and finding opportunities where interaction design can be used to improve the situation for the youth that do not make it to the youth health centers but that want and would benefit from their services. The final design proposal is an ambassadorship, aimed towards adults already part of the informal support system, that will enable youth to feel more empowered to seek help. It is set up to reach the youth in new ways, in an informal manner to bring the solution to the youth and to create a more comfortable space for them to open up within. Part of this is also a service for youth to effortlessly get in contact with the youth health center and to create personal connections to its personnel through link cards and video presentations. These connections are there to prepare the youth and to lower the bar of contact by building trust and humanize the help-seeking process. To make it clear that they are not trying to contact an institution but a person.

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Shrewsbury, Jeffrey. "Perceptions of job satisfaction in an ICF/MR environment." Huntington, WV : [Marshall University Libraries], 2002. http://www.marshall.edu/etd/descript.asp?ref=72.

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Šebesta, Michal. "Management of IS/ICT with focus on ICT services outsourcing." Doctoral thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-261945.

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Research on outsourcing has been around for several decades, while recent evolution in the information systems discipline towards ICT service commoditization significantly changes the context of decision-making. Services that are available on-demand via the Internet allow organizations implementing functions they demand in a fraction of time. This trend represents a chance for organizations seeking to use advanced ICT services without a need of major investments. Problem is the current lack of guidelines and tools for managing ICT services and their outsourcing. Given the trends on the ICT service market, it is expected that much of the IT management in the future will encompass the ICT services and utilize service-level structures. Methods currently available are either too broad or encompass only small part of the whole problem. Ad-hoc or unsound decisions in this area might cause major complications in terms of quality, usability, integration, and consequently influence total cost of organizational IT. Organizations need to either revise existing models or propose and implement completely new models to manage their IS/ICT. This thesis deals with the management of IS/ICT with focus on the ICT services outsourcing. It discusses available sourcing models in the literature and links them to the various interconnected areas. Based on these areas, it presents an integrated view on IT outsourcing strategies. Most importantly the thesis proposes an original concept for decision-making about outsourcing of ICT services named the SOURCER framework. This approach utilizes the presented outsourcing strategies, and introduces a complex methodology and decision-making criteria that will assist organizations with selection of ICT services in order to maintain and manage a most suitable ICT service portfolio. The decision-making is based on four essential viewpoints: function, costs, time, and quality. These viewpoints are discussed, individually analyzed, and serve as a basis for further research. The whole framework is developed and validated according to Design Science Research Methodology (DSRM). Individual components are evaluated using a survey among a group of selected IT managers. Proof of concept is then established by a case study on framework use in a real organization. This case study covers strategy specification, business--IT alignment, specifying service architecture and its interconnections, outsourcing, and management of the ICT service portfolio.

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Campos, Jeria Jaime. "ICT tools for e-maintenance /." Växjö : Växjö University Press, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-2399.

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Jama, Mahmud Amina. "Designing ICT-Supported Health Promoting Communication in Primary Health Care." Doctoral thesis, Blekinge Tekniska Högskola, Sektionen för hälsa, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00571.

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Increasing lifestyle-related ill health, escalating health care costs, expanding health inequalities within and between nations, and an aging population are challenges facing governments globally. Governments, especially in industrialized countries like Sweden, are investing in health promotion and health communication, especially in ICT-supported health communication as a way to increase health literacy and empowerment at individual and population levels. Studies show that many eHealth communication efforts are narrow in scope, medical oriented and therefore not enough to address the complexity of lifestyle-related ill health and equity issues. This thesis proposes integrating health promotion values and principles in the design process of eHealth systems for health promotion in order to develop usable, sustainable, engaging, eHealth resources that are adaptable to their context of use and user’s skills. The overall aim of this thesis was study the participatory development process of an interactive ICT-supported health communication channel for health promotion and enhancing health literacy in PHC context. Participatory Action Research (PAR) with a multi-phase and multi-method approach was used in this thesis. A model entitled Spiral Technology Action Research’ (STAR) was used to guide the development of the health channel. This design process was framed in three developmental and evaluation phases corresponding to formative, process and outcome evaluation. A total of 146 participants consisting of professionals from primary health care services, information technology and academia, and local citizens participated in the project’s different phases. A triangulation of methods was used to collect the data; survey, document analysis, participatory observations with field notes, individual interviews, focus groups, think aloud protocols and log statistics. Qualitative and quantitative content analyses were used to analyse data. The results revealed that integrating health promotion values and principles in the design process proved to be valuable not only to the content of the channel, but also in PHC practice. The different design phases yielded valuable results that built into each other and contributed to an eHealth channel that was perceived as relevant to the local people’s need for health communication; accessible and user friendly. The results also indicated that an Internet based interactive health channel, could be a valuable resource for enhancing health literacy if users are involved in the design.

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Burjanová, Martina. "OFFSHORING OF BUSINESS, PROFESSIONAL, AND TECHNICAL SERVICES:." Master's thesis, Vysoká škola ekonomická v Praze, 2007. http://www.nusl.cz/ntk/nusl-1439.

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Tématem mé práce je offshoring v sektoru služeb ve Spojených státech amerických. Offshoring je proces, při kterém jsou rozděleny jednolivé části produkce a některé z nich jsou pak přesunuty do zahraničí. Většinou je motivací k offshoringu snižování nákladů. Offshoring může být spojen s outsourcingem, tj. zajištěním služby nebo výrobku externím dodavatelem. Ve své práci prezentuji teoretické přístupy k offshoringu a outsourcingu a platnost jejich závěrů zkoumám na datech ze sektoru služeb Spojených států amerických. Zaměřila jsem se na služby z kategorie informačních a komunikačních technologií, administrativních služeb poskytovaných firmám a výzkumu a vývoje. Analyzuji zejména data o produkci, produktivitě, zaměstnanosti a mezinárodním obchodě. Poslední část mé práce je analýzou americké vládní politiky zaměřené na negativní dopady offshoringu v sektoru zpracovatelského průmyslu. Zkoumám, je-li účelné takovou politiku zavádět také pro sektor služeb.

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Jelínek, Martin. "Technologická integrace ICT služeb." Master's thesis, Vysoká škola ekonomická v Praze, 2014. http://www.nusl.cz/ntk/nusl-193574.

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This thesis deals with the integration of ICT services at the technological level. It mainly focuses on the integration of services which are provided by third parties and a user cannot change them. In this work are described the characteristics of web services and the typical methods for designing their application interface. Furthermore, are described various approaches to integration of applications at the technological level and some integration tools. As part of this thesis, was also created an application designed for integration of web services. This application can be categorized as message-oriented middleware. The aim was to create a simple application, which still meets basic requirements for this kind of applications. This thesis also contains a description of the created application and a description of problems that occurred during implementation. During the application development were used some integration design patterns, which are also described in this thesis.

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Šebesta, Michal. "Analýza různých forem zajišťování ICT služeb." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-15537.

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The topic of the thesis focuses on the analysis of various service provisioning practices from the view point of a prospect customer organization. Introductory part of the thesis summarizes the actual challenges of IS/ICT for an appropriate business alignment, defines the theoretical foundations of sourcing and ICT services, considering the contemporary state of these fields. Moreover, it identifies the related areas of these fields, like enterprise architecture, IS/ICT management, and systems integration. The central part deals with the identification and analysis of the areas that influence the decision making of ICT service sourcing. Results of this analysis are summarized and further developed by creating a framework to assist companies in deciding the most suited ICT sourcing solution. Within this framework the thesis summarizes important criteria to be considered for a much suited ICT service provisioning practice. It details the prerequisites for the use of this approach and its limitations. Subsequently, it presents an evaluation of certain ICT services within the SaaS market, that could be applicable in the enterprise environment. Finally, the thesis provides a simplified case study, demonstrating a required mindset for exercising the framework in practice.

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Koen, Ruan. "ICT readiness for business continuity in local government." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/7025.

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Information and Communication Technology (ICT) has evolved into a pervasive commodity in modern enterprises. ICT enables enterprises, regardless of sector, to achieve their strategic objectives. Similarly, ICT is regarded as a critical enabler in South African municipalities to reach their objectives and ultimately deliver sustainable services to their communities. This dependence on ICT, therefore, necessitates a resilient ICT environment where minimal disruption to ICT is a primary goal. Unfortunately, as reported by the Auditor-General of South Africa, the majority of South African municipalities are neglecting to address the continuity of their ICT services. Failing to implement adequate ICT continuity controls restrict these municipalities from achieving their strategic goals and, as a result, fulﬁlling their constitutional mandate of service delivery. It is, therefore, the objective of this study to devise a method, consisting of a theoretical foundation and a supporting tool-set, to assist municipalities in addressing a real-world ICT continuity problem. This method aims to be scalable and usable within diﬀerent municipalities, and be simplistic and comprehensible enough to implement. The theoretical foundation will introduce the concept of ICT Readiness for Business Continuity, based on the recommendations of international best practices and standards, for example, the ISO 27031 (2011) standard. Furthermore, by considering various challenges within local government, the tool-set will ultimately help municipalities to help themselves in this regard.

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K, c. D. (Deepak). "ICT for elderly health and independent living opportunities & challenges." Master's thesis, University of Oulu, 2014. http://urn.fi/URN:NBN:fi:oulu-201403151203.

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Introduction: Digital technologies are increasingly being used to assist older people to live more independently and better lives. The rapid increase in ageing population requires and enforces the development of adaptive technological products and services to improve the quality of life for the elderly. ICT has a huge impact on healthcare from both perspectives of delivering and providing accessibility to healthcare for elderly living independently at homes. The usability issues remain major concern for older adults as a challenge in adopting ICT solutions and services. The purpose of this study was to analyse the importance, role and impacts of ICT on elderly health, identify challenges in slow adoption of solutions and to develop a framework for better interfaces that meets the diverse requirements of older adults due to differences in physical and cognitive abilities. Methodology: This research work presented the results of an interpretative research process that was applied to conduct literature review on relevant literature. The research work analysed the role and importance of using information and communication technology to support integrated healthcare services and independent living for the elderly population in remote, sparsely populated areas. The research work identified the importance of e-health, ambient intelligence, telemedicine, ubiquitous computing and smart homes in today’s digital world. The major constraints and challenges faced by older adults in using ICT effectively in the health sector was studied and a user adaptive interface was proposed as a solution to overcome some challenges faced by developers in developing health applications. To incorporate diverse user requirements, inclusive requirement design (for mobile interface) and universal design were discussed in the research work. Results: The main conclusions are that ICT offers lots of potentials to support independent and healthy living for older adults. Several applications and tools already exist, however they are not user friendly and convenient for older adults. The technology has changed the paradigm of health care from general health care to self-care and prevention. Mobile, interactive TV, interactive games and Internet are utilized to improve cognitive, functional and social skills of older people. Usability problems seem to be the major issue for older people in adopting the latest technology and successfully interacting with them. The age related cognitive abilities have a huge relevance on system design especially for older people. To incorporate the diverse needs of older adults for the purpose of developing universal design is challenging to developers. User adaptive interface and inclusive requirement design model are suitable to develop more user-friendly applications and technology for older adults. Several social and legal issues are encountered when deploying health care systems. The benefits offered by technologies should be balanced with the privacy concerns of the user by utilizing strong policies for medical record storage, access and mining process. Encrypted databases, role based access control and proper authentication mechanism can be implemented to ensure privacy of patients.

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Oh, Youngho. "Demand for health services in Korea: Equity in the delivery of health services /." The Ohio State University, 1997. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487945015618772.

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Jindřich, Martin. "Analýza a návrh podnikové architektury." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-76714.

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This thesis is dedicated to the Enterprise Architecture. Author is trying to verify theoretical knowledge in a business practice. The thesis is therefore divided into two parts - theoretical and practical. The theoretical part deals with the importance of architecture, the benefits of EA and comparison of two major EA frameworks (Zachman framework, TOGAF). Author describes their disadvantages and possible improvements. Focus is placed on issues of ICT services architecture. The architecture of ICT services is not yet in practice, despite its advantages, which I describe. I am trying to describe several points of ADM, which is part of the TOGAF on the basis of theoretical knowledge. To apply the knowledge I choose part of the banking sector. I describe loan process and its IT solution.

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Jerdén, Lars. "Health-promoting health services : personal health documents and empowerment." Doctoral thesis, Umeå universitet, Epidemiologi och folkhälsovetenskap, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1401.

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In 2003, the Swedish Parliament adopted a national public health policy that included the domain - “A more health-promoting health service”. Strategies and tools are needed in the work to reorient health services. Personal health documents are documents concerning a person’s health, and are owned by the individual. Several studies that have evaluated such documents indicate that they could be of interest in health-promotion work. However, there is insufficient knowledge concerning personal health documents that target adolescents, and little is known about the feasibility of such documents in a Swedish cultural context. The concept of empowerment is gaining increased interest for health services, but the associations between empowerment, self-rated health and health behaviour are sparsely studied. The overall aim of the thesis is to explore a strategy - empowerment - and a tool - personal health documents - that might facilitate the work of the public health goal of a health-promoting health service. Specific aims are to examine the feasibility of using personal health documents in health promotion; to examine professionals’ experiences of working with health promotion and personal health documents; to examine the association between personal health documents and self-reported health behaviour change; and to examine the perception of empowerment in relation to self-rated health and health behaviour among adolescents. Two personal health documents that targeted adults and adolescents were developed and evaluated. Distribution to adults in different settings was compared in a cross-sectional study (n = 1 306). Adolescents received the document in school, and surveys were performed at baseline and after one year (n = 339). Practical use and attitudes by document owners were studied by questionnaires. Teachers (n = 69) answered a questionnaire, and community health nurses were interviewed (n = 12). The interviews also explored nurses’ experiences of working with health promotion in general, and were analysed by qualitative methodology. Adolescents’ empowerment was examined by a questionnaire (n = 1 046). Most participants reported reading in the documents; writing in the documents varied between 16% (distribution in occupational health) and 87% (adolescents). The health document was perceived as useful by 35% of the adolescents. Factors significantly related to personal usefulness were being born outside Sweden, experiencing fair treatment by teachers, being a non-smoker and having a positive school experience. Community health nurses were striving for a balance of being a doer of practical, disease-oriented tasks and a health-promotion communicator. The structural organisation in health care centres was important for their work with health promotion and the health document. Teachers were generally in favour of continued work with the document. In different settings, between 10% and 26% of adults reported changes in their health situations as a result of reading the booklet. Self-reported changes in health situations were less likely using postal distribution, and there were no significant differences between the other types of distribution. Adolescents with low empowerment scores reported poorer self-rated health and more risk-taking behaviours such as smoking and binge drinking. To conclude, personal health documents are feasible to use in different settings. Health promotion in health services needs active support from leaders as well as adequate support systems. Findings suggest that personal health documents can be tools for promoting self-reported lifestyle changes among adults in different settings. There is a close relation among adolescents between low empowerment in the domain of health, low self-rated health and health behaviours such as binge drinking and smoking.

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Jerdén, Lars. "Health-promoting health services : personal health documents and empowerment /." Umeå : Univ, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1401.

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23

Steinke, Jonathan. "New opportunities for agricultural extension services: Mainstreaming large-scale farmer participation through modern ICT." Doctoral thesis, Humboldt-Universität zu Berlin, 2019. http://dx.doi.org/10.18452/20903.

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Kleinbäuerliche Haushalte im Globalen Süden sind zunehmend gefordert, ihre landwirtschaftlichen Aktivitäten an globale Veränderungen anzupassen. Landwirtschaftliche Beratungsdienste (extension services) stoßen vielerorts auf Schwierigkeiten, eine wachsende rurale Bevölkerung mit heterogenen Informationsbedürfnissen adäquat zu erreichen. Die zunehmende Verbreitung moderner Informations- und Kommunikationstechnologien (IKT) hat in jüngster Zeit neue Möglichkeiten geschaffen, Information weitreichend zu verbreiten. Gleichzeitig bietet digitale Kommunikation aber auch Möglichkeiten, große Zahlen von Bäuerinnen und Bauern in der Erzeugung von Wissen und Information einzubinden. Durch digitale Kanäle können landwirtschaftliche Beratungsdienste systematisch Daten-Inputs von ihrer Zielgruppe erheben, sie aggregiert verarbeiten, und auf dieser Grundlage ihre Dienstleistung verbessern. Diese Dissertationsschrift präsentiert drei Machbarkeitsstudien zu verschiedenen Strategien zur Einbindung großer Zahlen von Bäuerinnen und Bauern in der landwirtschaftlichen Beratung mittels moderner IKT. Eine erste Studie untersucht die Machbarkeit und den Nutzen digital unterstützter landwirtschaftlicher „Bürgerwissenschaft“ (citizen science) zur Einbindung von Bäuerinnen und Bauern in der Wissensgenerierung. Eine zweite Studie passt den „Positive Deviance-Ansatz“ an multi-dimensionale kleinbäuerliche Entwicklung an. Eine dritte Studie präsentiert und testet ein Verfahren zur Nutzung von „Zwei-Wege-Kommunikation“ über Mobiltelefone, um die automatisierte, individuelle Priorisierung von Beratungsinhalten in kleinbäuerlichem Kontext zu verbessern. Auf Basis der vorgelegten Erkenntnisse aus drei unabhängigen Machbarkeitsstudien macht die Dissertationsschrift Vorschläge, wie landwirtschaftliche Beratungsdienste im Globalen Süden die Herausforderungen der großen Zahl und starken Heterogenität kleinbäuerlicher Haushalte mit effizienter, systematischer Nutzung digitaler Medien begegnen können.
Smallholder farmers across the Global South increasingly need to adapt their farming activities to fast-paced changes. Worldwide, agricultural extension services face the challenge of reaching a large and growing clientele with highly diverse information needs. In recent years, increased penetration of modern information and communication technology (ICT) has created new opportunities for disseminating agricultural information. At the same time, digital communication can also allow the involvement of large numbers of farmers in the creation and aggregation of relevant knowledge and information. By collecting well-defined data inputs from farmers and processing these data in systematic ways, agricultural advisory services can potentially improve their overall performance towards a large and heterogeneous clientele. Through three proof-of-concept studies, this dissertation delivers empirical evidence on the feasibility of different ways of employing modern ICT to harness large-scale farmer participation in agricultural extension. A first study explores the feasibility and usefulness of digitally-enabled agricultural citizen science for involving large numbers of farmers in knowledge generation. A second study adapts the ‘Positive Deviance approach’ to multi-dimensional agricultural development and delivers evidence on its feasibility. A third study suggests and tests a procedure for employing two-way communication through mobile phone interfaces for improving the targeting of agricultural advisory messages in smallholder context. Based on the empirical evidence from these three independent proof-of-concept studies, the dissertation suggests how agricultural extension services in the Global South can address the challenges of scale and complexity in smallholder farming context through increased methodological pluralism, greater farmer participation, and efficient, systematic use of digital media.

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Ghanbari, Amirhossein. "Coopetition for Mobile Service Provisioning : Is it about infrastructures, services or both?" Licentiate thesis, KTH, Radio Systems Laboratory (RS Lab), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-189882.

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As a means of enhancing our everyday lives, ICT industry has caused and experienced significant transformations during past two decades. This transformation relates to technological advances within ICT, and beyond the ICT ecosystem. Wireless ICT is also not an exception in this regard. Accordingly, if we consider Internet of Things (IoT) as the main enabler for transformation, M2M is then the technological enabler of IoT that represent the Wireless ICT in the process of transformation. In this thesis we benefit from the concept of Smart City as a place where Wireless ICT participates for digitalizing other industries. We investigate how smartification is taking place, where our findings show that wireless ICT mainly empowers other industries to provide M2M-enabled services. Consequently, this participation imposes major changes on the wireless ICT ecosystem itself. Therefore, we study the changes that are forming the “future wireless ICT”. We have studied cases from smart cities, and expanded our data collection by performing semi-structured interviews with experts and decision makers, as well as participating in multiple projects and workshops. Accordingly, we have benefited from two major theories for analyzing the collected data; namely ARA model and Five Forces framework. Finally, we argue that traditional actors (i.e. MNOs & Vendors), first have to adopt value co-creation in new businesses. This means cooperation among these actors, which changes the Seller-Buyer relationship to Supplier-Customer, in which they co-create the value. Accordingly, we argue that the linear processes of creating value are inefficient in these new markets and value networks must be adopted instead. As a result, we introduce “vertical coopetition” as a dominant business relationship among traditional actors, and new entrants in future wireless ICT. As the main contribution of this thesis, we discuss the logic behind vertical coopetition while comparing it with horizontal coopetition.

QC 20160815

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25

Jones, Andrew Peter. "Health service accessability and health outcomes." Thesis, University of East Anglia, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296338.

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26

Wu, Yaping. "Essays on health care financing and health services." Thesis, Toulouse 1, 2014. http://www.theses.fr/2014TOU10007.

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Le monde dépense une part signiﬁcative et en augmentation constante de ses ressources sur les soins de santé. Les débats sur les modèles de ﬁnancement des soins de santé et sur les méthodes de paiement des praticiens se déroulent dans le monde. Néanmoins, il n’existe toujours pas de consensus sur le choix idéal des mécanismes de ﬁnancement. Cette thèse vise à contribuer aux débats sur le ﬁnancement des soins de santé et sur la politique des services de santé. Le chapitre premier examine la règle de compensation non-linéaire optimale des praticiens, le principe selon le paiement à la performance, le paiement à l’acte et la capitation en présence à la fois l’antisélection et l’aléa moral au niveau de l’oﬀre. Nous avons trouvé que lorsque l’aléa moral est le seul problème, le paiement à l’acte ne peut que conduire à la substitution de la quantité de traitement par rapport à l’eﬀort du praticien, ce qui est ineﬃcace. En conséquence, le paiement à l’acte ne devrait être utilisé dans ce cas. Toutefois, lorsque l’aléa moral se combine au problème de l’antisélection, un screening eﬃcace requiert une utilisation continue du système de paiement à l’acte pour les praticiens à faible productivité et un moindre recours au système du paiement à la performance. L’élaboration de l’utilisation du paiement améliore le screening. Nous apportons des arguments sur l’analyse critique des points faibles du paiement à l’acte. Et, plus important encore, nous établissons les raisons de l’utilisation continue du paiement à l’acte malgré le fait que de sérieux problèmes concernant ce système aient été largement reconnus. Le chapitre deux analyse le problème du contrat trilatéral entre le payeur, le patient et le praticien, lorsque le praticien et le patient peuvent s’entendre pour exploiter des opportunités avantageuses à l’un et à l’autre. En prenant pour hypothèse qu’un transfert secondaire entre le patient et le praticien est exclu, nous analysons le problème de la mise en place du mécanisme où le praticien et le patient soumettent la réclamation du diagnostic au payeur par un jeu de déclaration. Nous en déduisons aussi le schéma optimal de l’assurance et du paiement pour le patient et le praticien. Le schéma optimal de l’assurance et du paiement qui est collusion-proof (faible) est tel que l’un des deux dise la vérité ; mais l’arbitrage du payeur est diﬀérent selon les diﬀérentes manières qu’il choisit pour répartir les incitations entre le patient et le praticien. De plus, nous montrons que si le payeur parvient à demander aux deux parties de présenter le diagnostic de manière séquentielle, l’avantage du pouvoir de veto du second agent permet au payeur de réaliser le meilleur résultat. Mon domaine d’étude secondaire traite de l’économie du développement. Le troisième chapitre a pour but d’examiner si la migration des villages vers les villes entraîne une éviction des contrats informels de partage de risque et conduit des ménages à une moindre (auto-)assurance de consommation des villages Thai. Pour ce qui concerne la motivation théorique, notre idée est que la migration peut être utilisée comme un contrat d’investissement réalisé à l’avance entre le ménage et l’enfant. Le ménage investit en payant d’avance en échange de versements futurs dépendants des circonstances, ce qui change le processus de revenus du ménage. Pour l’estimation, nous avons utilisé le tableau de Townsend Thai Annual Surveys (1997-2010). L’hypothèse d’aucun biais de sélection est rejetée au niveau du marché de l’assurance du village, ce qui conforte notre conjecture selon laquelle la migration change le statut de partage des risques des ménages à l’intérieur du village. Lorsque les biais sont corrigés, nos résultats montrent que la migration entraîne une éviction du partage des risques informels dans le village et conduit même à une diminution de l’(auto)assurance de consommation des ménages Thai
The world spends a signiﬁcant and increasing share of its resources on health care. The debates on the models of health care ﬁnancing and the methods of payment for the physician continue all over the world. Nevertheless, there is still no consensus on the ideal choice of ﬁnancing mechanisms. This thesis aims at contributing to the debates on the health care ﬁnancing and health service policy. Chapter one examines the optimal non-linear compensation rule of physicians under pay-for-performance, fee-for-service and capitation in the presence of both adverse selection and moral hazard on the supply side. We found that when moral hazard is the only problem, fee-for-service can only lead to the substitution of treatment quantity to physician’s eﬀort, which is ineﬃcient. Consequently, fee-for-service payments should not be used in this case. However, when moral hazard is combined with the adverse selection issue, an eﬃcient screening requires a continued use of fee-for-service for the lower productivity physicians and less pay-for-performance. The design of the use of fee-for-service eﬀectively improves screening. We provide an argument for the criticism on the shortcomings of fee-for-service. More importantly, we also provide a rationale for the continued use of fee-for-service payment even though the serious problems with fee-for-service have been widely acknowledged. Chapter two analyzes the three-party contracting problem among the payer, the patient and the physician when the patient and the physician may collude to exploit mutually beneﬁcial opportunities. Under the hypothesis that side transfer is ruled out, we analyze the mechanism design problem when the physician and the patient submit the claim to the payer through a reporting game. We also derive the optimal insurance payment scheme for the patient and the physician. The insurance payment scheme which is (weak) collusion-proof is such that it is suﬃcient that one of them tells the truth ; but the payer’s trade-oﬀs are diﬀerent when he chooses diﬀerent manners of splitting incentives between the patient and the physician. Moreover, we show that if the payer is able to ask the two parties to report the diagnosis sequentially, the advantage of the veto power of the second agent allows the payer to achieve the ﬁrst best outcome. My secondary ﬁeld is Development Economics. The third chapter examines whether migration crowds out informal risk-sharing contracts and leads to less consumption insurance for households in Thai villages. For the theoretical motivation, our idea is that migration may be used as a cash-in-advance contract between the household and the child. The household invests upfront in exchange for future state-contingent remittance which changes the income process of the household. For the estimation, We use the panel from Townsend Thai Annual Surveys (1997-2010). The hypothesis of no selection bias is rejected at within village insurance market level, which supports our conjecture that migration changes the risk-sharing status of households within village. After the bias are corrected, our results show that migration crowds out informal risk-sharing within village and even leads to less consumption insurance for households in Thai villages

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Devkota, Bhimsen. "Rebel health services in Nepal." Thesis, University of Aberdeen, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.540471.

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The Unified Communist Party of Nepal-Maoist established its own health services within its bastion areas during the decade long (1996-2006) conflict. This study captured a fresh opportunity to examine the Maoist health workers and their services, to explore their numbers, motives and trajectories, and to assess perspectives and responses of the key actors for their assessment, rehabilitation and integration within the primary health system. The study used a mixed methods approach. Data were obtained by using self-administered questionnaires (n=197), semi-structured interviews (n=32) and key informant interviews (n=20). The Maoist health workers regard themselves as capable of delivering health services in rural communities. They claim that their movement was decisive in overthrowing the previous repressive regime and in establishing a republic opening up avenues for people’s democracy, state restructuring and progressive health reforms in the country. The government of Nepal however lacks information on their number, qualities career motivation and integration incentives. Their limited skills and partisan interests could be an obstacle for their recognition and absorption. The military and political agenda has prevailed over the issue of optimal absorption of the Maoist health workers and health services redevelopment. Despite having some institutional provisions for health worker assessment and accreditation and capacity for absorption, there has been no national discussion of what kind of rehabilitation and integration model is appropriate for them. This study suggests that the post-conflict settlement of the Maoist health services provides an opportunity to reorient Nepal’s health services and to recognise the role of the health sector as a bridge for peace.

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Gage, Heather. "Papers in health services research." Thesis, University of Surrey, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417521.

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29

Pusateri, Cassandra G. "Mental Health Services in Appalachia." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/3160.

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30

Mcube, Unathi Unity. "A scenario-based ICT risk assessment approach in local government." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/7598.

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Information Communication Technology (ICT) has become an integral part of conducting business within enterprises including the local government. Local government relies on the use of ICT to ensure that its objectives and goals are accomplished. The effective use of ICT within the context of local government is fundamental for the support, sustainability and growth of municipalities. Benefits associated with the effective use of ICT in local government include but are not limited to accelerated service delivery, efficiency and accountability. While these benefits cannot be disputed, it is important to realise that the use of ICT presents potential risks. Thus, good governance of ICT should be addressed in local government. However, in recent years, the Auditor-General of South Africa (AG) has identified lack of good governance of ICT in local government. Various issues have been identified as emanating from the lack of good governance of ICT and lack of adequate ICT risk assessment is a case in point. In an attempt to address the good governance of ICT local government, various documents have been formulated. However, none of these address how effective management of ICT risks can be achieved. As such, local government lacks the means to effectively address the management of ICT risk which is core to the good governance of ICT. Local government still requires urgent intervention with regard to addressing the activities of managing ICT risks, particularly ICT risk assessment. Moreover, it was revealed that the lack of adequate ICT skills and financial resources in local government elevates this problem. The above-mentioned problem is what has motivated this research study. This dissertation aims to produce an artefact in the form of an approach for ICT risk assessment in local government. It is believed that a customised approach to ICT risk assessment in local government will contribute towards solving the identified problem.

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Sun, Xiao Ming. "Health access and health financing in rural China." Thesis, Keele University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263121.

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32

Hakizimana, Gahamanyi William, and Mohamed Muhe. "Investigating challenges in the implementation of e-government services: A case of Rwanda." Thesis, Umeå universitet, Institutionen för informatik, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-161108.

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An electronic government (e-government), can be simply defined as an effort of employing information and communication technology (ICT) tools to provide services to citizens. Regardless of the synergies, it creates and the remarkable benefits it offers to governments and societies, e-government faces several challenges and obstacles. Therefore, this study highlights some of these obstacles and challenges; it critically investigates the key factors that influence the adoption of e-government services. This study aims to identify the key factors that affect the adoption of e-government in developing countries, particularly in Rwanda. Furthermore, it assesses the barriers and challenges that such countries should be able to overcome to implement e-government successfully. To gather data, the study utilized semi-structured in-depth interviews. Besides, a Design-Reality gap model was applied as a framework to thoroughly understand the nature and origin of the challenges. The outcome of this study indicates that the most prominent challenges and factors influencing the implementation of e-government in Rwanda are related to budget and financial constraints, skills and human expertise, social issues, technical issues, lack of awareness, resistance of public employees, data privacy and security, the appropriate technology, lack of leadership skills, and trust or belief in e-government. At the end of the paper, conclusions, recommendations, and future work are proposed.

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Mamba, Malungelo Siphiwosami Njinga. "A framework to guide development through ICT in rural areas in South Africa." Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1007024.

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Information and Communication Technology (ICT) is widely regarded as a key tool for bringing about development to people who live in underserved areas. Technologies such as mobile phones and Wi-Fi are seen as advantageous because they can be made available to poor places without the cost of building extensive physical infrastructure. However, researchers argue that ICTs have failed to live up to their potential in the context of development. Researchers point out developing countries lack frameworks to guide them through the implementation of ICTs in this context. The objective of this study is to come up with a framework that can be used in rural areas in South Africa to implement ICT projects. The researcher interviewed individuals who have been directly involved in an ICT initiative in a rural setting in the Eastern Cape Province to learn from their experiences. The researcher also studied publications that have been produced from these initiatives in order to gain a richer understanding. The findings of the study show that participants share similar views about how ICT projects should be approached and implemented in rural areas in South Africa. The views are grouped according to similarity into themes and discussed in detail in the study. From these themes a framework that can help implement ICT projects in rural areas is developed.

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Jormfeldt, Henrika. "Dimensions of Health among Patients in Mental Health Services." Doctoral thesis, Lund University, Sweden, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-16873.

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Empirical studies focusing on the subjective experience of health among patients in contact with the mental health services are rare and most questionnaires are based on a medical model that emphasizes objectively observed disease-oriented health indicators. In studies I and II perceptions of the concept of health among patients and nurses in mental health services were explored and described using a phenomenographic approach. The perceptions and description categories that emerged from these studies were transformed into a number of items forming a questionnaire intended to measure subjectively experienced health among patients in mental health services. In study III, a randomly selected sample was used to test the psychometric properties of the new Health Questionnaire. A factor analysis revealed three factors labelled Autonomy, Social Involvement and Comprehensibility. The purpose of study IV was to examine the construct validity of the Health Questionnaire. The hypothesis was that subjectively experienced health would be positively associated to self-esteem, empowerment and quality of life, and negatively associated to psychiatric symptoms, perceived stigmatization experiences and perceived attitudes of devaluation and discrimination. This hypothesis was mainly confirmed insofar that overall health was positively correlated to self-esteem, empowerment and quality of life and negatively correlated to symptoms, attitudes of devaluation and discrimination and rejection experiences. The results of this thesis show that health is more than just an absence of disease and support a focus on health promotion interventions in mental health care.

Medicine doktorsexamen

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Podoba, John E. "Unmet needs for community services among the elderly : impact on health services utilization." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=85636.

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Seniors 75 years of age and older, the majority of whom live in the community, constitute a segment of the population that is vulnerable to loss of autonomy. Indeed many community dwelling seniors have difficulty performing daily living activities, such as bathing, toileting, walking, preparing meals and housekeeping.
In the setting of a population based cohort study of community-dwelling seniors 75 years of age or older, we examined the effect of unmet needs for community services for activities of daily living (ADL) and instrumental activities of daily living (IADL) on health services utilization. Self-perceived unmet need status was determined using a baseline in-home interview. A total of 839 subjects were recruited from the Greater Montreal Region, Quebec, Canada, using random telephone number dialling.
Health services utilization data were obtained from administrative databases from the Quebec Health Insurance Board (Regie de l'Assurance-Maladie du Quebec - RAMQ). Multivariable negative binomial regression models were used to examine the association between unmet need status and health services utilization during the six month period following the baseline interview.
The results of this study indicate that unmet needs are associated with higher rates of emergency department visits, hospitalization and prescription drug use. No statistically significant association was found between unmet needs and physician utilization among single seniors, although married seniors with unmet needs in activities of daily living had 2.8 times the rate of medical specialist visits as compared to those who reported no unmet ADL needs.
Unmet need for community services among the elderly has implications for the use of more expensive acute and long-term health care services. The results of this research suggest that developing programs to address unmet needs in the elderly population can potentially reduce health services utilization by the elderly.

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Kollár, Martin. "Outsourcing tiskových služeb a řízení ICT služby." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2011. http://www.nusl.cz/ntk/nusl-223047.

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In my thesis, I will focus on outsourcing the way it may be applied from global perspective. I will precisely define specific types of outsourcing, it`s versatility and summarize current trends in outsourcing business. Besides outsourcing, focus has also been put on managed service known as managed ICT services. Looking into these, particular interest is given to outsourcing of printing services and managed desktop services. As a result, deep dive into current situation of a concrete company was done, listing analysis of actual printing devices and desktop devices, ending with closing summary recommending the best way to implement new solution and smart ways of financing.

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Jefferies, Natalie. "Young people moving on from child and adolescent mental health services to adult mental health services." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3715/.

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There is a sound evidence base on the effects of the therapeutic alliance on outcome in psychotherapy for adults. In comparison, there is a smaller amount of literature on the effects of the therapeutic alliance on outcomes for adolescents. Adolescents rarely are seen individually for therapy and instead are often seen by family therapists as part of a system with other members of the family. At present, it is uncertain what the effects of the therapeutic alliance on outcome for adolescents in family therapy are. This paper presents a systematic review that aims to investigate the effects of the therapeutic alliance on outcome in adolescents in family therapy and what factors influence the therapeutic alliance with adolescents in family therapy. A systematic review of electronic databases was carried out using a quality assurance checklist adapted from the American Academy of Neurology Clinical Practice Guidelines (2004). This checklist was used as it assessed aspects of the studies’ theoretical basis, design, measures, analysis and results. Eleven studies met the inclusion criteria and were reviewed. The findings of this review suggest that the therapeutic alliance affects outcome for adolescents in family therapy. The presence of identifiable features of the therapeutic alliance, such as task, goal and bond can strengthen the therapeutic alliance with adolescents. Research into this area is still in its preliminary stages. However, important factors have been identified that affect outcome. Further research is necessary before more substantial claims of the therapeutic alliance on outcome can be made. The limitations of this review are presented, followed by clinical, training and supervision implications and suggestions for future research.

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Harley, Judith Ann. "Mental Health Consumers' Perspectives on Traditional Mental Health Services Versus Peer-Run Services: A Qualitative Study." Ashland University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ashland1352125523.

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39

Sheppard, Lorraine. "Service quality in professional health services /." Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09phs5495.pdf.

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Thesis (Ph. D.)--University of Adelaide, Graduate School of Management, 1999.
Includes one computer disk in Work 6 format. System requirements for accompanying computer disk: Mackintosh or IBM-compatible computer. Other requirments: Microsoft Word 6 or compatible Word Processor. Includes bibliographical references (leaves 241-270).

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40

Curtis, Kathryn. "Mental health services and American expatriates." Manhattan, Kan. : Kansas State University, 2008. http://hdl.handle.net/2097/670.

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Murphy, K. "Recovery-orientation in mental health services." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11184/.

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Policy initiatives are calling for mental health services to change their ways of working to prioritising the promotion of service users’ personal recovery. This requires a major re-negotiation of working practices and the relationship between service users and staff/services and their respective social positions. Preliminary research has shown that change has been problematic. The present study aimed to explore the construction of recovery and the positioning of service users and staff during the adoption of recovery-oriented practices in a community support and recovery team. Transcripts of two rounds of focus groups with service users (n=9) and staff (n=5) held six months apart, service user care plans and Recovery Star notes were analysed using a Foucauldian Discourse Analysis. The study found that recovery was constructed as clinical/medical and personal recovery, at different times and in tension with each other. These constructions positioned service users as dependent, passive and hopeless or empowered and hopeful, and staff as helpless or facilitative. It was also apparent that a discourse of personal recovery was not available to service users. Staff oscillated between the constructions of recovery as medical and personal resulting in different subject positions and opportunities for action. The study concluded that adopting a recovery-orientation in services should lead to service users being positioned as more influential in decisions about their treatment and modes of support from the service, and services less likely to dictate their treatment. However, this can only happen if the recovery-orientation constitutes a widely shared discourse with all its assumptions and associated practices. The problematic aspects of the medical discourse and how it can position people socially and how those positions impact on the potential for personal recovery needs to be highlighted.

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Lovell, Jonathan. "Self-disclosure in mental health services." Thesis, University of York, 2017. http://etheses.whiterose.ac.uk/19278/.

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Sharing lived experience of mental health experiences by mental health practitioners is a topic of increasing relevance in statutory UK mental health settings, in part because of the rise in recent years of the employment of peer workers who share their lived experience by default. Literature to date has suggested that self-disclosure can have a range of benefits and risks, but existing studies have tended to focus on general rather than mental health disclosure, have not taken place in statutory settings, have studied a narrow section of the workforce, or have used analogue methodology. The current study used quantitative and qualitative methods through surveys and focus groups to explore statutory UK mental health practitioners’ and service-users’ views about the helpfulness of sharing personal mental health lived experience versus other types of lived experience. Service-users indicated that personal mental health lived experience was the most helpful disclosure topic, was valued when disclosed by all types of qualified practitioner, but it was shared least often. Practitioners who rate disclosure as helpful may be more reflective than practitioners who rate disclosure as unhelpful. Practitioners may be deterred from disclosing by a range of pressures, including risk of negative disclosure effects; adherence to therapeutic models; negative judgements from colleagues; pre-qualifying training; and perceived direction from professional codes of conduct and ethics. Despite perceived risks associated with hypothetical disclosure, most practitioners disclosed to some extent. Respondents gave almost 500 examples of real life disclosures which were almost exclusively helpful. It is recommended that practitioners are afforded greater autonomy, respect and permission to make decisions about disclosure without fear of judgment about professionalism. Training and guidance may be beneficial to help practitioners make best use of disclosures in statutory mental health service delivery.

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Lindelow, Magnus. "Utilization of health services in Mozambique." Thesis, University of Oxford, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410989.

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Jones, Siobhan. "Adolescent engagement in mental health services." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/14807/.

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Despite older adolescence being a risk period for the development of mental health concerns, mental health service engagement is low amongst 16-18 year olds. As therapeutic attendance is linked to clinical outcome, it is important to understand engagement in this population. There is a paucity of research looking specifically at the older adolescent engagement phenomenon. Previous qualitative research into adolescent experiences has provided rich and detailed results. Ten 16-18 years olds, engaged in Child and Adolescent Mental Health Services, were recruited from two London-based services. Each young person was interviewed in order to understand their personal experience of engaging in mental health services. Interviews were transcribed and underwent Interpretative Phenomenological Analysis. Analysis produced twelve subthemes subsumed within five superordinate themes: engagement begins at help seeking, strength of inner resolve, evolution of the self, in the clinic room, and, existing within service walls: physical and policy-based boundaries. Themes are discussed in detail. Conclusions are drawn in relation to previous theory and research. When considering 16-18 year understandings of the engagement phenomena, key elements include: clinician and service developmental appropriateness, negotiation of developmental tasks in relation to engagement, experience of the physical building environment, and awareness of service policy limitations. Suggestions for clinical practice in relation to engagement facilitators and threat are made, and recommendations for future research proposed.

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Weinsteinová, Adéla. "Negativní aspekty nasazování ICT." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-199727.

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This diploma thesis exmines the negative aspects of using information and communication technologies. The main attention is fosused on virtual reality, especially 3D projection in order to decide wheather the using of it has negative impact on phycal and psychological state of the user or not, which exactly are these impacts and what probably cause them. This first part is dedicated to expain concept and history of ICT, explonation of the multidimensional princip and content of each dimension. The following is determination of which ICT areas are currently struggling in their use with negative effects. Detected list of these areas is reduced to six specific technologies which common user has opportunities to experience. These particular technologies were examined as a form of questionnaire, which resulted in a determination of the most used one, ie virtual reality. Shortly afterwards was conducted an experiment imparting undesirable effects caused by using virtual reality. The other five selected technologies are discussed for the most important negatives with which has to face today. The main finding of this study is the identification the side effects of virtual reality based on different types of technologies which are anaglyf 3D projection, passive 3D projection, active 3D projection and comparing if adverse effects depends on the type. It also includes determining the rate of uptake in virtual reality.

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Sills, Margaret Vivienne. "Adult perceptions of influences on personal health and change : a study of health educators and non-health educators." Thesis, King's College London (University of London), 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.284803.

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Novák, Tomáš. "Metodiky řízení informatických procesů, srovnání, vliv na efektivitu podnikového IS/ICT." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-162876.

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This diploma thesis engages with methodologies of managing processes in informatics. This thesis takes into account ITIL, COBIT and ITGPM frameworks considering primarily aspects of setting-up and ensuring SLAs of the services provided by informatics. The author of this thesis has chosen this topic with regards to his profession where as project manager has met typical problems related to the development as well as to the operation of information systems. The goal of this work is to find out what is the approach of each of the considered methodologies to SLAs and their fulfilment. In the second part the thesis is aimed in practical impact of SLAs to the development and operation phases of the service lifecycle. In the first part of the thesis, the given objectives are met on a theoretical level, where is for each of the selected methodological frameworks captured its approach to the issues related to an information service operation, its parameters and their ensuring. Next goal, still on theoretical level, is to find out, whether the individual methodologies (approaches) can be combined together in order to reach the needed quality of a service. In its second part is the thesis aimed on practical analysis of the SLA impact on the development and operational activities. As an example, the author describes necessary adjustments to the processes of both, the provider and the customer of any informatics service, beginning from the initial analytical phases to the live mode of the service. The practical part combines approaches of the given frameworks and adds author's experiences gained in the domain. In the end of the thesis, findings and conclusions resulting from the captured facts are briefly summarized, including the author's opinion and recommendations.

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Brazier, John Edward. "Valuing health benefits : the development of a preference-based measure of health for use in the economic evaluation of health care from the SF-36 health survey." Thesis, University of Sheffield, 1997. http://etheses.whiterose.ac.uk/5997/.

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The main aim of the research was to develop a preference-based measure of health from the Short Form-36 (SF-36) Health Survey for valuing health-related quality of life on a 0 to 1 scale in order to calculate Quality adjusted life years (QALYs). Before undertaking the empirical work, reviews were undertaken of the justification for the QALY approach, existing preference-based measures for deriving QALYs and the rationale for looking at the SF-36. The methods of the research were as follows. The SF-36 was reduced and simplified to form a six dimensional health state classification (SF-6D) amenable to valuation. One hundred and sixty five patients, health professionals, managers, and students valued a sample of health states defined by the SF-6D using the visual analogue scale (VAS) and standard gamble (SG) techniques to elicit preferences. There were 1,357 VAS and 1,037 SG health state valuations after adjustment and exclusions for major inconsistencies. Models for predicting median and mean VAS and SG health state values from the SF-6D were estimated from these data by multivariate techniques. A set of additive models were selected on the basis of goodness of fit and parsimony. More complex specifications did not improve the models. Initial applications of algorithms based on these models to five data sets suggested this new preference-based measure retained much of sensitivity of the SF-36 at the milder end of the of the illness spectrum. The preference-based algorithms can be used to transform SF-36 data collected in a clinical trial (with costs) into information suitable for assessing the cost-effectiveness of health care interventions. The adoption of these algorithms has the potential to considerably extend the application of economic evaluation in health care.

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Munro, Catherine A. M. "Developing a dialogue on health : user involvement in health and health services." Thesis, University of Glasgow, 2008. http://theses.gla.ac.uk/291/.

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In common with other areas of public services, recent years have seen a shift in the National Health Service (NHS), with increased power and authority transferring from professionals towards the users of services. As a result, user involvement has come to form a central element of government policy on public services, and health in particular, with a series of specific policy commitments to give users a stronger voice and to involve them in the health service having been published by both the Westminster and Scottish parliaments. These seek to increase users’ involvement in making decisions about their own care and treatment, in examining and improving the quality of services and in policy and planning activity. In doing so, this policy aspires to respond to the changing culture of personal and societal expectations of health and the health service; to build democratic participation in the difficult targeting and rationing decisions faced by health agencies and, thus, to help renew public trust and strengthen confidence in the NHS. These are ambitious aims with far-reaching implications as they represent a transformation in the interaction between users, health professionals and health policy makers. This thesis examined how this policy has been understood and implemented in the NHS by exploring the scope, relevance and quality of the user involvement processes available in three health service settings. In order to develop a better understanding of the issues in user involvement it explored the nature of user participation; the character of user representation and the barriers and facilitators to user involvement in maternity, gynaecological oncology and mental health services. The study examined the response to this policy within these three settings; the functioning of existing user involvement mechanisms and their capacity to involve users in determining their individual health care and in shaping health services and policy to their definition of need. From this examination it defined the key features of a model process for user involvement within the professional service culture and organisational ethos of the NHS. The study then drew conclusions on the capacity of these current user involvement processes to deliver on the policy directive to develop both individual treatment and health services in ways that are responsive and accountable to users. Finally, the thesis identified those areas that require further research before proposing the lessons for the further development of this significant and potentially influential policy directive.

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Ruston, Annmarie. "Implementation of preventive health policies in the field of sexual health : an examination of the influence of health professionals in the implementation of the Health of the NationStrategy-HIV/AIDS and Sexual Health Key Area." Thesis, University of Kent, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310165.

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Dissertations / Theses on the topic 'ICT in health services'

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