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Dissertations / Theses on the topic 'Medical personnel Medical economics'

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Published: 4 June 2021

Last updated: 3 February 2022

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1

Kenna, George Anthony. "Prevalence and risk factors associated with substance use and abuse by Rhode Island healthcare professionals /." View online ; access limited to URI, 2003. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/dlnow/3103707.

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2

Thums, Norma J. "A comprehensive review and critique of the literature on effective delivery methods for mandatory training in a healthcare setting." Menomonie, WI : University of Wisconsin--Stout, 2004. http://www.uwstout.edu/lib/thesis/2004/2004thumsn.pdf.

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3

Richards, Gates. "Teacher training for medical students and residents." [Denver, Colo.] : Regis University, 2009. http://adr.coalliance.org/codr/fez/view/codr:126.

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4

McClellan, Mark B. "The economics of medical treatment intensity." Thesis, Massachusetts Institute of Technology, 1993. http://hdl.handle.net/1721.1/12703.

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5

Amporfu, Eugenia. "Three essays in health economics /." Burnaby B.C. : Simon Fraser University, 2004. http://ir.lib.sfu.ca/handle/1892/2297.

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6

White, Jamie Aaron. "Empowering medical personnel to challenge through simulation-based training." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7864/.

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The rigid structure of medical hierarchies within UK hospitals can become the source of dissatisfaction and conflict for medical personnel, the repercussions of which can be disastrous for patients and staff. The research reported herein presents the results of an investigation into the use of Virtual Reality (VR) simulation and conventional story-boarded techniques to empower medical personnel to challenge decisions they feel are inappropriate. Prototype applications were crafted from a selection of transcribed ‘challenge events’ acquired from an opportunistic sample of clinical staff. Data obtained from an initial investigation were used to establish attitudes toward challenging and evaluate the findings of the literature to generate research questions and objectives. Medical personnel who engaged with both media as part of an experimental phase assessed their viability as potential training resources to help foster the ability to challenge. Analysis of this experiment suggested that both techniques are viable tools in the delivery of decision-making training and could potentially deliver impact into other applications within healthcare. To increase the realism of the training material, the technologies should be presented in a format appropriate for those with limited ‘gaming’ experience and allow a credible level of interaction with the environment and characters.

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7

Tsang, Tsz-ling Goretti. "Establishment and implementation strategies of ISO9000 in the training and development function of health care organizations /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19878114.

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8

Ramirez-Fernandez, Luis. "The evaluation of Chilean medical educators' perceptions about establishing a national medical examination in Chile /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487266362336727.

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9

Mishel, Leslie A. "Exploring the career motivation of health professionals impact of experience with an ill or handicapped sibling /." Click here for text online. The Institute of Clinical Social Work Dissertations website, 2004. http://www.icsw.edu/_dissertations/mishel_2004.pdf.

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Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 2004.
A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.

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10

Lin, Hai. "Risk factors of violence against healthcare providers in hospital setting." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B42997252.

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11

Day, Brian T. "Using stages of change to examine fear, threat, efficacy, and safety climate perceptions in health care workers who routinely handle needles and sharps." Morgantown, W. Va. : [West Virginia University Libraries], 1999. http://etd.wvu.edu/templates/showETD.cfm?recnum=403.

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Thesis (Ed. D.)--West Virginia University, 1999.
Title from document title page. Document formatted into pages; contains ix, 94 p. : ill. (some col.) Includes abstract. Includes bibliographical references (p. 67-73).

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12

Przemeck, Judith. "Personnel economics, incentives and human behavior /." [Bonn] : [s.n.], 2009. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=017381917&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.

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13

Eichner, Matthew Jason. "Medical expenditures and major risk health insurance." Thesis, Massachusetts Institute of Technology, 1997. http://hdl.handle.net/1721.1/10316.

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14

Koivukangas, T. (Tapani). "The medical device industry market development analysis." Master's thesis, University of Oulu, 2014. http://urn.fi/URN:NBN:fi:oulu-201406241776.

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The basis and interest for this thesis is the global economic situation of especially the high technology industry. In the traditional fields of high technology and more recently, in the field of ICT, there is a clear transition of work and markets toward the continents with lower development and production costs and those that are in the need of new technologies. This transition has evidently hit the developed countries (i.e. Western Europe and the USA) the hardest. Even though the other fields of technologies are clearly in transition, the statistics show that the medical device industry is in its highest growth in history. In fact, in 2012 the field grew at a pace of over 25 % annually in Finland and at double digits globally. In Finland, the medical device industry currently accounts for nearly 40 % of the total high technology market exports. This is remarkable to note, as this industry is relatively compact in size in comparison to the other high technologies. The objective of this research was to define the medical device technologies, to analyze the medical device technology market and, finally, to analyze reasons for its predicted continuous growth. This thesis covers the driving factors of this field of technology that predict the current trend in its market growth. This thesis also covers the aspects of medical devices and the medical device development processes, including the main differentiating factors compared to other fields of high technology products, especially those in the consumer markets. Finally, this study estimates the future economic growth of the medical device industry globally with special reference to Finland. The economic methods in this research are based on regression analysis of the medical device industry in the BRIC nations (Brazil, India, Russian Federation and P. R. China) and selected OECD countries. The variables used in the research include the trade balance, age structure, medical device technology status and GDP related factors, i.e. GDP in current USD and total health expenditure as percentage of GDP. Technology-wise, the research is based on the global trends in the medical device industry and the growing needs for new medical devices in general. The results and analyses indicate that the driving factors behind the predicted market growth can be explained by the science-push and demand-pull models. The time series and panel analyses indicate that the medical device industry could also serve as a global market opening technology. Furthermore, the results show that the growth of this industry is highly affected by population growth and age structure that increase the demand for new technologies to prevent and treat illnesses. Also, it was found that the medical device industry is not so greatly affected by global financial disruptions. Finally, the results show that the increase of medical device technologies clearly shortens the length of hospital stay which has been previously found to be a major factor in the rise of healthcare costs especially in the developed countries. This industry is thus evidently both a technology-push and a demand-pull based industry which is expected to grow due to the demand for higher quality healthcare while being less affected by general economic situations.

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15

Laing, Jenny. "The role of conscientiousness in the task and contextual performance of ambulance paramedics /." St. Lucia, Qld, 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17738.pdf.

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16

Sim, Samantha Ng, and 沈鈺兒. "The effectiveness of high performance work systems on employee satisfaction and commitment in health care: asystematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46941502.

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17

Hendricks, Janine Jolene. "Job satisfaction levels of health care professionals in a public hospital." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/11058.

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Health care professionals play a pivotal role in contributing towards the sustainability of a healthy economy and the standard of quality health care. It is therefore important that organisations understand what influences the job satisfaction levels of health care professionals as it could have an impact on their motivational levels and ultimately the quality of health care that is provided. The aim of this study was to assess the levels of job satisfaction amongst health care professionals in a public hospital in the Eastern Cape. Research for this study included a literature review to define what job satisfaction is and to establish a theoretical foundation to identify the factors that influence job satisfaction. Various motivational theories were explored after which Herzberg’s two-factor theory was identified to serve as a theoretical basis for investigating the job content and organisational factors that influence job satisfaction. Selected demographic factors that could possibly influence levels of job satisfaction were also identified. An empirical study, consisting of a survey with a questionnaire as measuring instrument, was conducted amongst 146 health care professionals at a public hospital in the Eastern Cape. The purpose of the questionnaire was to determine the extent to which job content factors and organisational factors that were associated with job satisfaction were present in the jobs of health care professionals in state hospitals. In addition, the purpose was also to determine whether selected demographic variables had an influence on the responses provided to the factors that were associated with job satisfaction and the job satisfaction levels of the target group. The major findings of the study indicated that all job content and organisational factors had an influence on the job satisfaction levels of health care professionals in a public hospital. Three factors namely Achievement, Responsibility and Work itself were identified to have a significant positive influence on the job satisfaction levels. Relationships between the demographic variables and the job content and organisational factors were identified. Work itself, Responsibility and Achievement were the top three factors whilst leadership/supervision, Human Resource systems and policies and Remuneration and benefits were the bottom three factors in terms of presence in the organisation and influence on the job satisfaction levels of health care professionals. Safety aspects, work environment standards, availability of resources, remuneration and benefits were amongst the major concerns highlighted. The job content factors were identified to be overall more present than the organisational factors. Recommendations were suggested to address the areas of concern that were highlighted in this study in order to ensure high levels of job satisfaction amongst the health care professionals.

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18

Ding, Chunyan. "Medical negligence law in transitional China a patient in need of a cure /." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B43913696.

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19

Willems, Sharon A. "Employee satisfaction and its affects (sic) on customer service in a healthcare facility." Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005willemss.pdf.

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20

Kugler, Neil. "When curing stops and caring begins : a study of the need for end-of-life care education of future health care workers /." ProQuest subscription required:, 2003. http://proquest.umi.com/pqdweb?did=990270731&sid=1&Fmt=2&clientId=8813&RQT=309&VName=PQD.

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21

Eckerlund, Ingemar. "Essays on the economics of medical practice variations." Doctoral thesis, Stockholm : Economic Research Institute, Stockholm School of Economics [Ekonomiska forskningsinstitutet vid Handelshögsk.] (EFI), 2001. http://www.hhs.se/efi/summary/583.htm.

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22

Murray, Bryon Michael. "Determination of eye dose from personnel monitoring devices in medical institutions." Thesis, Georgia Institute of Technology, 2001. http://hdl.handle.net/1853/17040.

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23

Carlson, Greg P. "Hostile workplace violence directed toward rural emergency medical services (EMS) personnel /." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007carlsong.pdf.

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24

Mack, Carolyn Denise. "Recruiting Strategies for Increasing the Number of Emergency Medical Technician Personnel." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7164.

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Demand for the emergency medical technician (EMT) is 2 times greater than that of all other occupations. Sustainability of ambulance services (AS) personnel is dependent upon the recruitment of EMTs into the industry. The purpose of this multiple case study was the exploration of the recruiting strategies that AS administrators used to increase the number of EMTs. Herzberg's 2-factor theory of motivation was the conceptual framework for this study. The data collection instrument included semistructured interviews with 6 AS company executives in southeastern New Mexico and southwestern Texas. Secondary data and document from each state's emergency medical services personnel and websites related to EMTs were reviewed. Data were analyzed using thematic analysis alignment between the recruiting strategies and the conceptual framework. Two key themes emerged: AS administrators have minimal data-driven recruitment tracking mechanisms and recruiting strategies for EMTs must align with the motivational aspects of growth, advancement, recognition, and responsibility in the AS business to entice people into the industry. The implications of this study for social change include the potential for AS executives to identify recruiting strategies they might use to increase the recruitment of EMTs to meet patient and community needs for medical transport while reducing the demand for EMTs nationwide.

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25

Aagard, Erik A. "A pre-design study of patient and medical professional atitudes and reactions towards the colors of medical scrubs." Columbus, Ohio : Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1218038251.

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26

Kwan, Wai-shan. "Low back pain in health care workers in public hospital the relationship between physical fitness and self reported low back pain /." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B41710344.

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27

Raduma-Tomás, Michelle Amondi. "Doctors' shift handovers in acute medical units." Thesis, University of Aberdeen, 2012. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=186875.

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Aim and objectives: To describe the ideal doctors' shift handover process in a systematic fashion, and to identify tasks that should be performed, but are not consistently done. To understand the types of communication problems that may occur during the handover process, their causes, their likelihood of occurrence and their effect on patient safety. Method: Three studies were conducted in two, Scottish Acute Medical Units. A Hierarchical Task Analysis was performed and data was collected by means of interviews and focus groups. Observations of doctors' actual shift handover process were compared against the description of doctors' ideal handover process. To examine potential failures modes, a Healthcare Failure Modes and Effects Analysis was performed using focus group interviews. Results: The handover process entailed the pre-handover, the handover, and the post- handover phases. Multiple critical steps in the process were omitted by outgoing shift doctors. The pre-handover was particularly vulnerable to information omission, with over 50% of its critical tasks not being performed across a total of 62 observations. Nonetheless, most of these omissions were typically caught during the handover meeting, especially if incoming doctors participated in pre-handover activities. Post-handover activities involved prioritizing and delegating clinical tasks. However these were observed not to happen consistently due to multiple interruptions. Thirty-four failure modes were identified, with eight of them posing a significant risk to patient safety. The studies found that interruptions, patient workload, and a lack of standardised procedures were the biggest causes for information loss during the handover process. Conclusions: There are key critical tasks necessary for an ideal doctors' shift handover process. A simple, handover process checklist may ensure critical handover tasks have been achieved prior to any shift change. Interruptions, patient workload, peer trust, and a lack of standard operating procedures are areas that future handover research should examine.

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28

Mellum, Karen M. W. "Medical tasks self-efficacy : initial scale development." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1177987.

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This investigation examined the self-efficacy beliefs of medical professionals towards medically-related tasks. Although several instruments existed that measured different aspects of career self-efficacy, none of them was relevant nor appropriate to people who have already chosen their occupational field of choice. The typical scales utilized in assessing career self efficacy are generalized across occupations and not relevant to someone who was already employed in a profession. The purpose of the present study was to develop a new scale, Medical Tasks Self-Efficacy (MTSE), to measure the self-efficacy beliefs of a specific employed population toward their occupational tasks. The analysis of the MTSE was conducted using respondents (N=307) of medical professionals, specifically physicians and nurses. The reliability and validity of the scale was analyzed through four phases of scale development.Phase one consisted of item development which included the generation of an item pool from special occupational books and interviews with medical professionals (N=8). Additional experts (N=3) in scale construction were also consulted during this phase. Thirty-two items were developed originally and then, through consultation, reduced to 27 items. Phase two involved a pilot study with respondents from various medical settings in the midwest (N=34). The pilot study helped to provide preliminary reliability information and to modify the necessary demographic information. One more item was dropped from the scale during this phase and thus the revised MT SE consisted of 26 items.Phase three consisted of a major investigation (N=209) to test the initial factor structure of the MTSE and to examine the internal consistency. Using a principal components extraction, the MTSE yielded a two factor solution which seemed to best fit the data both in terms of statistical configuration and theoretical soundness. Factor One constituted tasks involving “medical content competencies" and held an alpha coefficient of .93. Factor Two constituted tasks involving "interpersonal process competencies" and held an alpha coefficient of .87.The fourth and final phase (N=64) was conducted to test the convergent and discriminant validity of the scale and to examine the test-retest reliability. Convergent and discriminant validity were tested using the Task Specific Occupational Self-Efficacy Scale (TSOSS) and the Beck Depression Inventory (BDI). The MTSE was hypothesized to demonstrate convergent validity with the TSOSS. Both factors of the MTSE were significantly correlated with the overall TSOSS, and additionally correlated with the four factors of the TSOSS, with one exception. Only Factor Two ("interpersonal process competencies") of the MTSE did not correlate significantly with factor four of the TSOSS. The BDI was used to test discriminant validity. The BDI did not correlate significantly with either of the factors of the MT SE. Thus, the MTSE demonstrated both convergent and discriminant validity with the instruments utilized in this study. The two-week test-retest correlation was .80, additionally demonstrating a stable reliability estimate in the MT SE. Limitations and implications for future research of the MT SE were provided.
Department of Counseling Psychology and Guidance Services

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29

James, Batuka. "Factors influencing the price of medical services : a survey of the pricing behaviour of private medical providers in Kampala, Uganda." Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/8629.

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Includes bibliographical references (leaves 84-90).
Understanding the pricing behaviour of medical providers in private clinics is important for the effective regulation of the private sector and ensuring that there is no extortion of patients. There is a global trend to encourage delivery of health services by the private sector reducing the public role to stewardship. Understanding the factors that inﬂuence the price of medical services in an out of pocket setting is important in designing strategies necessary to control the price of medical care. The study investigated the factors that inﬂuenced the price of medical services in Kampala district, Uganda. The respondents reported cost of drugs given to patients (type and dose of drug), other overhead expenditures, type of disease, income status of the patient and need to make proﬁt as factors which influence the price of medical services. On regression analysis, it was found that rent was a signiﬁcant factor on the price of medical services across all disease conditions. It was concluded that governments need to put in place effective regulatory mechanisms to ensure proper functioning of the private health sector.

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30

Lukies, Rhonda. "Examination of prevalence rates of psychopathology and coping styles in a community sample of emergency service job candidates /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19313.pdf.

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31

Ramineni, Chaitanya. "Rater contrast effects in performance assessments using the medical licensure examination." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 167 p, 2009. http://proquest.umi.com/pqdweb?did=1654488081&sid=3&Fmt=2&clientId=8331&RQT=309&VName=PQD.

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32

Huesch, Marco D. "Three essays in healthcare economics." Diss., Restricted to subscribing institutions, 2008. http://proquest.umi.com/pqdweb?did=1619406861&sid=2&Fmt=2&clientId=1564&RQT=309&VName=PQD.

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33

Kowalski, Amanda. "Essays on medical care using Semiparametric and structural econometrics." Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/43729.

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Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Economics, 2008.
This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Includes bibliographical references.
This dissertation consists of an empirical chapter, an econometrics chapter, and a theoretical chapter, all of which advance the study of the price elasticity of expenditure on medical care. In Chapter 1, I estimate the price elasticity of expenditure on medical care across the quantiles of the expenditure distribution. My identification strategy relies on family cost sharing provisions that generate differences in marginal prices between individuals who have injured family members and individuals who do not. I use a new censored quantile instrumental variables (CQIV) estimator, which allows me to examine variations in price responsiveness across the skewed distribution of medical expenditure. The CQIV estimator does not require any parametric assumptions to account for individuals who consume zero medical care. Using CQIV, as well as traditional estimators, I find elasticities that are an order of magnitude larger than those in the literature. My CQIV estimates suggest strong price responsiveness among people who spend the most. I find that the price elasticity of expenditure is approximately -2.3, which is stable across the .65 to .95 quantiles of the expenditure distribution. In Chapter 2, Chernozhukov and Kowalski (2008), we develop a censored quantile instrumental variables (CQIV) estimator. The CQIV estimator handles censoring nonparametrically in the tradition of Powell (1986), and it generalizes standard censored quantile regression (CQR) methods to incorporate endogeneity. Our computational algorithm combines a control function approach with the Chernozhukov and Hong (2002) CQR algorithm. Through Monte-Carlo simulation, we show that CQIV performs well relative to Tobit IV in terms of median bias and interquartile range.
(cont.) In Chapter 3, I develop a structural model to estimate the price elasticity of expenditure on medical care. The model relies on deductibles, coinsurance rates, and stoplosses that generate nonlinearities in consumer budget sets. The model generalizes existing nonlinear budget set models by allowing for more than one nonconvex kink. Furthermore, it incorporates censoring as a corner solution. Unlike reduced form models, the model utilizes identification from utility theory, it allows for preference heterogeneity, and it allows for the direct calculation of welfare effects.
by Amanda Ellen Kowalski.
Ph.D.

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34

Rutledge, Thomas. "Psychological response styles and cardiovascular health : confound or independent risk factor?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0002/NQ34622.pdf.

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Smith, Jennifer Marion. "Resolving inter-cultural value conflicts in Canadian healthcare practice." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/mq27378.pdf.

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36

Gellman, Gregg W. "Using web-based interactive multimedia to supplement traditional teaching methods : a pilot program for medical training of non-medical personnel /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2005. http://library.nps.navy.mil/uhtbin/hyperion/05Mar%5FGellman.pdf.

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Thesis (M.S. in Operations Research)--Naval Postgraduate School, March 2005.
Thesis Advisor(s): Rudolph P. Darken, Samuel E. Buttrey. Includes bibliographical references (p. 142-143) Also available online.

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37

Shum, Kwok-leung, and 沈國良. "The relationship between management and staff in the Fire Services Department: the case of the ambulancemen." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31965635.

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Wong, Lai-cheung. "A study of hospice care : [factors affecting] communication between the health care professionals and the patients /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13409475.

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Sandvick, Clinton Matthew. "Enforcing Medical Regulation in the United States 1875 to 1915." Thesis, Connect to title online (Scholars' Bank), 2008. http://hdl.handle.net/1794/7783.

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40

Mihara, Thomas G. "Measuring the Efficient Utilization of Medical Personnel at Navy Military Treatment Facilities." Thesis, Monterey, California : Naval Postgraduate School, 1990. http://handle.dtic.mil/100.2/ADA237029.

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Thesis (M.S. in Operations Research)--Naval Postgraduate School, June 1990.
Thesis Advisor(s): Johnson, L. Second Reader: Whipple, D. R. "June 1990." Description based on title screen as viewed on October 19, 2009. DTIC Indicator(s): Naval Hospitals, MHSS(Military Health Services System), Measures of effectiveness, Evaluation, DEA(Data Envelopment Analysis), Military Medicine, Economics, Statistical Analysis, MTF(Medical Treatment Facility), Efficiency, Effectiveness, Productivity. Author(s) subject terms: Effectiveness, efficiency, health, hospital, medical, MHSS, MOE, MTF, productivity. Includes bibliographical references (p. 120-125). Also available in print.

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Kling, Michael Patrick. "Needs Assessment for Mental Health Support Towards Emergency Medical Service (EMS) Personnel." Thesis, Regent University, 2021. http://pqdtopen.proquest.com/#viewpdf?dispub=27961789.

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Understanding and assessing the needs of Emergency Medical Service (EMS) personnel and other first responders is crucial for providing these individuals with the resources needed within their community. The literature discusses how EMS personnel are at risk for psychological impairment due to routine exposure to traumatic events and occupational stressors within EMS organizations. Additionally, the research has supported the importance of positive coping abilities, organizational belongingness, and social support within the lives of EMS personnel to enable them to resiliently handle the occupational stress of their job. This study investigated the occupational needs of EMS providers to determine if they are receiving resources within their organization to cope with occupational stressors. Participants for this study comprised (n=153) paramedics and fire-fighters from the Tidewater EMS Council organization. A needs assessment was conducted to explore correlations between quality of life, resiliency, years of service, level of education, burnout, secondary traumatic stress, interpersonal support, positive and negative religious coping, and the occupational needs of EMS personnel. The results revealed that burnout (r=4.27**) and secondary traumatic stress (r.215*) were important factors for determining occupational turnover among EMS personnel. Furthermore, EMS providers reported occupational needs such as easier access to mental health, improved staff relations, adequate staffing, and improved shift hours are needed within their organization. Future research should explore differences in occupational needs with EMS providers among EMS organizations in metropolitan and rural communities. Keywords: Emergency Medical Services (EMS), Burnout, Occupational Stress, Traumatic Critical Incidents

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42

Samba, Sheku. "Obstetric Fistula| The Experiences of Patients and Medical Personnel in Sierra Leone." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10636481.

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Women face great risks in pregnancy and childbirth, especially in developing countries where there are very few skilled birth attendants and negligible government investments in maternal health programs. As a result, obstetric fistula (OF), a potentially fatal but preventable and treatable condition, affects some 3 million women and girls globally. In Sierra Leone, the prevalence of OF is extremely high, but the absence of quality data to inform decision-making, both on prevalence and risk factors, is a barrier to creating an environment for OF prevention and care. The purpose of this phenomenological study was to explore and document the barriers to medical care, and the perceptions of patients and medical personnel concerning the complexities of OF. In-depth interviews were performed over a 2-month period with 12 patients and 8 medical personnel at the Aberdeen Women's Center in Freetown, Sierra Leone. Results showed that patients face multiple medical barriers including high costs, fear of hospital treatment, severely inadequate treatment, and severe physical sequelae including paralysis and foot dragging. Multiple emotional, social, and financial harms related to OF were also reported, including stigmatization, abandonment by family, embitterment, depression, and job loss. Most patients expressed a preference for traditional birth assistants over medical personnel. However, many also benefitted from the intervention of friends or other good Samaritans. The results and recommendations from this study should be helpful in informing the general public and policy-makers about OF as a major public health problem, and in the design and delivery of programs to eradicate or alleviate the problem of OF in Sierra Leone.

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Chan, Yuen-yan, and 陳遠欣. "Job satisfaction, stress and mental wellbeing of health care workers in a regional public hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422502.

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Introduction: Amongst all public servants in Hong Kong, health care workers are one of the groups suffering from highest working pressure. They have long working hours and may have overnight shift duties, including Sundays or even public holidays. This may lead to poor job satisfaction, psychological stress and the recent high resignation rate in public hospitals. The aim of this study is to assess the prevalence of the psychological stress, psychological symptoms and job satisfaction of health care workers, the association between stress, psychological symptoms and job satisfaction; and also the factors associated with job satisfaction in a regional hospital in Hong Kong. Method: Health care workers in a large regional hospital of Hong Kong were surveyed by means of a questionnaire assessing basic demographic data, questions of the General Health Questionnaire (GHQ-12), Perceived Stress Scale (PSS), Warr-Cook and Wall job satisfaction scale (JSS). Four groups of health care workers (doctors, nurses, allied health workers and supporting staffs) were surveyed. Summary of descriptive statistics were calculated for each group to compare the prevalence of job dissatisfaction, perceived stress, and psychological symptoms. Two-stage analysis will be used. The first stage analysis will use ANOVA test to access the association between job satisfaction and different variables. The second stage analysis will use multivariate regression model to further assess the coefficient correlation of significant factors drawn from ANOVA test with job satisfaction. Results: There were 674 eligible questionnaires. About half (47%) of the health care workers reported having perceived stress and a third (33.8%) psychological symptoms. Doctors reported the (76.8%, 95% C.I = 69.43%, 84.17%) highest level of job satisfaction amongst all the health care workers surveyed. Among staff reporting a GHQ score equal to or more than three, supportive staff had significantly higher prevalence (38.7%, 95% C.I.=27.96%, 49.44%) and doctors the lowest prevalence (28.1%, 95% C.I.= 15.11%, 41.09%) of psychological symptom but proportions were compatible with their counterparts in other countries. The mean score for GHQ-12 was 2.41+/- S.D. 3.28. The overall mean perceived stress score was 18.14 with SD +/- 5.0. There was no significant difference when different subgroups were compared. The mean PSS scores of all subgroups were lower than their counterparts in other counties but were quite similar to the mean PSS reported during SARS period. Sixty eight percent of all health care workers surveyed were satisfied with their job (respondents indicating “moderately satisfied”, “very satisfied” and “extremely satisfied” on their overall job satisfaction). Values equal to or above 5 reflect being satisfied. The mean value for Job satisfaction was 4.58 +/-S.D. 1.21. The factors including shift duty, perceived stress, and psychological symptoms were negative correlated with job satisfaction. Factors such as clinical work, doctor and secondary school level were positive correlate with job satisfaction. Conclusion: Prevalence of perceived stress and psychological symptoms among health care workers were high when compared with the general population (14-17.6% for perceived stress and 28.1% for psychological symptom), but not as high as expected. In contrast to popular belief, doctors had the lowest perceived stress level, lowest prevalence of psychological symptom and the highest job satisfaction among different groups of health care workers. This may be related to higher income, social status and, education background that might help to protect them from depression and anxiety. Supportive staffs, who felt neglected by management, were found to have the highest prevalence of psychological symptom and higher stress levels. Nurses got highest prevalence of perceived stress. More attentions and resources should be devoted to these groups to cope with their psychological needs and stress.
published_or_final_version
Public Health
Master
Master of Public Health

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Farnworth, Michael G. "Three essays in health economics /." Thesis, *McMaster only, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0033/NQ66265.pdf.

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Lau, Man-kwong. "A study of the training strategy of the Auxiliary Medical Service." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B251395f63.

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Lee, Olivia F. "Internal marketing implications of health care employees' job satisfaction and performance in Singapore." online access from Digital Dissertation Consortium access full-text, 2006. http://libweb.cityu.edu.hk/cgi-bin/er/db/ddcdiss.pl?3235760.

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Orcutt, Venetia L. Henson Robin K. "The supply and demand of physician assistants in the United States a trend analysis /." [Denton, Tex.] : University of North Texas, 2007. http://digital.library.unt.edu/permalink/meta-dc-3633.

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Yeung, Suk-ching Stephenie. "The effectiveness of educational programs to improve the knowledge and compliance of healthcare workers towards standard precautions /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38297279.

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Margretz, Jason. "The effect of medical malpractice award amount on health a cross-sectional review of 1998 state data /." Auburn, Ala., 2007. http://repo.lib.auburn.edu/2007%20Spring%20Theses/MARGRETZ_JASON_24.pdf.

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Whitman, Marilyn V. Permaloff Anne. "An examination of cultural and linguistic competence in health care." Auburn, Ala., 2006. http://repo.lib.auburn.edu/2006%20Fall/Dissertations/WHITMAN_MARILYN_10.pdf.

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