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Dissertations / Theses on the topic 'Medical policy Medical care Medical care'

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Published: 4 June 2021

Last updated: 16 February 2022

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1

Yeung, Yee-hung Stella. "Sustainable healthcare delivery in Hong Kong : organizational initiatives and strategic financing /." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk:8888/cgi-bin/hkuto%5Ftoc%5Fpdf?B23295776.

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2

Nair, Dev J. "State Medicaid agencies approaches to quality improvement implications for policy, practice and health outcomes /." unrestricted, 2009. http://etd.gsu.edu/theses/available/etd-04222009-214921/.

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Thesis (M.P.H.)--Georgia State University, 2009.
Title from file title page. Russ Toal, committee chair; Mark Trail, committee member. Description based on contents viewed Sept. 14, 2009. Includes bibliographical references (p. 77-81).

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3

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

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

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4

Suen, Yuk-lam Kelvin. "A comparative study of the health care policies in Hong Kong and Singapore." Click to view the E-thesis via HKUTO, 2002. http://sunzi.lib.hku.hk/hkuto/record/B42576350.

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5

Chan, Yee-ying Michelle. "The formulation and implementation of healthcare reform in Hong Kong." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk:8888/cgi-bin/hkuto%5Ftoc%5Fpdf?B2329470x.

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6

Mykhalovskiy, Eric. "Knowing health care / governing health care exploring health services research as social practice /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0018/NQ56249.pdf.

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7

Ng, Suk-han Christina. "The health policy network and policy community in Hong Kong : from concertation to pressure pluralism /." View the Table of Contents & Abstract, 1998. http://sunzi.lib.hku.hk/hkuto/record/B36628979.

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8

Fan, Yun-sun Susan. "Medical insurance : the solution to health care financing in Hong Kong? /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13236404.

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9

Singhal, Astha. "Emergency department use : role of medical home, impact of state Medicaid dental policy and continuity of care." Diss., University of Iowa, 2015. https://ir.uiowa.edu/etd/3190.

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Avoidable use of the Emergency Departments (EDs) constitutes a significant public health problem, which has health, economic and ethical implications. The factors that affect avoidable use of the EDs are complex and poorly understood. The goal of this dissertation was to examine the role of medical home in avoidable pediatric ED visits, assess the impact of Medicaid policy on ED visits for dental problems and assess the factors affecting follow-up dental care after a dental ED visit. Iowa Household Health Survey data was used for the first study, which included a sample of families with at least one child residing in Iowa. It was found that 68% of parents who took their child to an ED in the previous year thought the ED visit could have been avoided if primary care was available to them. Having a medical home was not found to be associated with pediatric ED visits; however, food insecurity was significantly associated. Parents of children with public insurance, those who were not referred by a healthcare provider and those who reported difficulty in getting routine care appointments were more likely to report an avoidable ED visit by their child. The second study examined a policy change in California where Medicaid eliminated its comprehensive adult dental coverage on July 1, 2009. State Emergency Department Database were obtained from Agency for Healthcare Research and Quality for California for 2006 through 2011. Interrupted time series, a quasi-experimental approach of was used to examine the impact of the policy change on rate of dental ED visits by Medicaid enrolled adults. Segmented linear regression revealed that policy change led to an immediate significant increase in the rate of dental ED visits. The policy had a differential impact on various subgroups based on age, race-ethnicity and residential location. The annual costs associated with dental ED visits made by Medicaid adults also increase 68%. Survival analytic approach was used in the final study to examine the patterns of dental care following a dental ED visit by Medicaid enrolled adults in Iowa. Medicaid claims and enrollment data were used to identify adults with an index dental ED visit in 2011, and then each subject was followed for up to 6 months. About 52% of all adults who satisfied the study inclusion criteria, had a follow up dental visit within 6 months of the index dental ED visit. Cox regression model revealed that adults who had visited a dentist in the year prior to the ED visit had greater hazards of having an early dental follow up after the ED visit. Having repeated dental ED visits was found to have a dose-response relationship to follow-up time to dentist visit, with those having 1 repeat ED visit having 53% hazards and those with 2 or more repeat ED visits having 34% hazards of having a follow-up dentist visit, compared to those with no repeat ED visits. Collectively, the results from this dissertation provide important insights in understanding the complex problem of avoidable ED visits. Factors such as food insecurity and medical home need to be further investigated in their association with avoidable ED visits. State Medicaid policy plays an important role and limiting Medicaid adult dental coverage may lead to an increased reliance of the affected population on EDs for dental care. However, EDs do not provide any definitive dental care, and our results indicate that almost half of the adults with dental ED visit do not have a follow-up dentist visit in the next 6 months.

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10

Wong, Oi-ling Irene. "Medical ecology of inpatient service utilization in Hong Kong a population survey /." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31971337.

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11

Cornelio, Deogracia. "Is the alternative traditional? tracing boundaries of medicines in the Dominican Republic /." [Gainesville, Fla.] : University of Florida, 2003. http://purl.fcla.edu/fcla/etd/UFE0001430.

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12

Donovan, Derek. "MEDICAL STUDENTS’ KNOWLEDGE AND OPINIONS OF THE AFFORDABLE CARE ACT AND OTHER HEALTH CARE POLICY ISSUES." Thesis, The University of Arizona, 2015. http://hdl.handle.net/10150/528183.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
Since the Affordable Care Act (ACA) was signed into law in March of 2010, there have been multiple large survey studies focusing on physicians’ thoughts towards health care policy issues. 1‐6 Unfortunately, there has not been adequate attention paid to medical students’ feelings on reform in the literature. Today’s medical students will enter their practice at a vital time in the ACA’s implementation and will play an integral role in health care reform throughout their careers.7,8 This study is a national project that used a survey tool to demonstrate how well medical students know the details of the ACA and what their feelings are on the legislation. The survey was sent to eight different medical institutions across the country with ten total medical school campuses, using SurveyMonkey to collect results. The institutions were chosen based on their geographic location, mix between private and public institutions, and available investigators at each institution. The survey tool was developed by Tyler Winkelman, MD, from the University of Minnesota after a comprehensive literature review, adaptation of items from his previous survey of medical students in Minnesota performed in 2012, and consultation with physicians and policy experts.9 The survey focuses on student’s opinion of the ACA, knowledge of nine key provisions in the ACA, level of support of key health care policies, feelings towards health care policy education in medical schools, and socio‐demographic information, including political ideology, debt amount and intended specialty. Data analysis was performed using Pearson’s Chi‐square tests and multiple logistic regression models at The University of Minnesota to test for associations between students’ opinion of the ACA and five key predictors: debt, medical school year, political ideology, ACA knowledge, and intended specialty. A total of 2,761 out of 5,340 medical students (52%) responded to the survey, with 63% of students indicating support for the ACA, 75% agreeing that they understand the key ACA provisions, and 56% indicating professional obligation to assist in implementation of the ACA. Students intending to enter surgery or a surgical subspecialty and students who identified themselves as conservative were found to have less support and professional obligation of the ACA when compared to students entering primary care (Internal medicine, family medicine, pediatrics, internal medicine/pediatrics, or emergency medicine) or identifying themselves as liberal or moderate. Students that were most knowledgeable of the ACA were found to more likely support the ACA and indicate professional obligation towards the legislation. In conclusion, our study found that the majority of medical students indicate support for the ACA and feel they have a professional obligation in assisting implementation. The views of the ACA differ based on student’s political ideology, anticipated specialty, and knowledge of key ACA provisions, but overall, there is optimism that this high level of support can lead to advocacy and successful health care reform down the road.

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13

Paschane, David Michael. "A theoretical framework for the medical geography of health service politics /." Thesis, Connect to this title online; UW restricted, 2003. http://hdl.handle.net/1773/5649.

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14

Harrigan, Mary Louise (Marylou). "Leadership challenges in Canadian health care : exploring exemplary professionalism under the malaise of modernity /." Burnaby B.C. : Simon Fraser University, 2005. http://ir.lib.sfu.ca/handle/1892/2350.

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Thesis (Ed.D.) - Simon Fraser University, 2005.
Theses (Faculty of Education) / Simon Fraser University. Includes bibliographical references leaves 322-244. Also issued in digital format and available on the World Wide Web.

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15

Fan, Yun-sun Susan, and 范瑩孫. "Medical insurance: the solution to health care financing in Hong Kong?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31964047.

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16

Tinnell, Charles. "The Relationship between Isolation, Distress, and Medical Care among Transgender Coloradoans." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4761.

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In Colorado in 2014, suicidal ideation or suicide attempts occurred up to 10 times more frequently among transgender persons than the general population. This reality occurred within a milieu of stigma that included transgender persons' negative perceptions of healthcare, a higher incidence of psychological distress, and an uncertain role for social isolation in their well-being. The purpose of this quantitative study was to explore the interactions between social isolation, supportive medical care, and psychological distress within the framework of Meyer's minority stress theory. Data were acquired from the 2014 Colorado Transgender Health Survey conducted by the One Colorado Education Fund (n = 417). These survey data were analyzed using multivariate techniques and structural equation modeling. Key findings were that psychological health and social integration were positively related (p < .001), supportive medical care and psychological health were positively related (p = .016) and influenced by race and gender identity (p = .05), and, social integration and supportive medical care were not significantly associated. Access to medical care and disease history influenced these relationships (p < .001), and 5 distinct gender identity/race groups emerged. The positive social change implications stemming from this study include recommendations for healthcare and policy-making bodies to improve understanding regarding gender and racial disparities in medical and psychological healthcare, to expand collection of gender identity and victimization data, to improve availability of adequate insurance coverage, and, to foster employment and housing equity. Implementation of these recommendations may improve the lives of transgender Coloradans.

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17

Jeppsson, Anders. "Decentralization and national health policy implementation in Uganda - a problematic process /." Malmö : Lund University, 2004. http://www.loc.gov/catdir/toc/fy0613/2006401986.html.

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18

Horne, D. A. "Public policy making and private medical care in the United Kingdom since 1948." Thesis, University of Bath, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.381894.

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19

Look, Mary V. "Policy Systems and Their Complexity Dynamics: Academic Medical Centers and Managed Care Markets." Diss., Virginia Tech, 2003. http://hdl.handle.net/10919/27253.

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This dissertation examined how complexity theory might offer insight into the behavior of a population of large-scale networked organizational groups. Academic medical centers (AMCs), a large-scale social and policy system that plays a key role in the education of physicians, the conduct of research, and the provision of specialized clinical care, were chosen as an example to demonstrate the enhanced understanding that can be obtained from the application of complexity theory. Graphical and nonlinear mathematical tools were chosen to place this research study in contrast to studies that metaphorically apply the concepts of complexity theory to social systems. Complexity science suggests that AMCs will demonstrate both nonlinearity and the emergence of patterned behaviors characteristic of self-organization in complex adaptive systems. Changes in the fiscal environment of AMCs, influenced by federal policy and the health care delivery market, were hypothesized to be among the factors that mediated changes in AMCsâ activities and organizational relationships during a twenty-year period. The collection and examination of multiple indicators within the framework of a study model allowed development of a rich description of the AMC system and identification of patterned behaviors. Graphical analysis was used to identify underlying periodic and chaotic attractors in the AMC system. A logistic equation was used to confirm the presence of nonlinearity. The presence of nonlinearity and the emergence of patterned behavior within schools in different managed care market groups suggested that it is appropriate to treat the population of AMCs as a complex adaptive system. The results of this research study also showed that AMCs have responded to the rise of managed care in the health care delivery marketplace by leveraging their institutional strengths. Identification of nonlinear properties offers a new perspective for understanding the behavior of a population of networked organizations, the management of large-scale systems, strategic planning, and policy formulation. Until researchers and managers recognize the coexistence of nonlinear and linear processes in social systems, they will make decisions on the basis of incomplete information.
Ph. D.

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20

Bhatia, Vandna Coleman William D. "Political discourse and policy change: Health reform in Canada and Germany /." *McMaster only, 2004.

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21

Patterson, Jan. "Consumers and complaints systems in health care /." Title page, contents and summary only, 1996. http://web4.library.adelaide.edu.au/theses/09PH/09php3174.pdf.

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22

Puenpatom, Rajitkanok. "Effects of Thai healthcare policy on household demand, hospital efficiency and household earnings." Online access for everyone, 2006. http://www.dissertations.wsu.edu/Dissertations/Fall2006/r_puenpatom_121106.pdf.

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23

Yamada, Go. "Input-output analysis on the economic impact of medical care in Japan." 京都大学 (Kyoto University), 2016. http://hdl.handle.net/2433/215218.

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24

Nigenda-Lopez, Gustavo Humberto. "The medical profession, the state and health policy in Mexico, 1917-1988." Thesis, London School of Economics and Political Science (University of London), 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.307755.

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This thesis assesses the participation of the medical profession in the development of the structure of the health system in Mexico between 1917-1988. The thesis considers that the major variable that influenced the development of the health system was the participation of the State as its most important financer, provider and regulator. The shaping of the health system in turn determined the mode of participation of doctors. The period is divided in three subperiods: 1917-1943; 1944-1970 and 1971-1988. The first describes the efforts of the profession to gain control over the demand for health services which remained private after the end of the 1917 Revolution. The second describes the way in which the State intervened in the redefinition of the health system, the achievement of the legal control of professions and the way in which medical work began to be determined by the constraints of institutions despite doctors' efforts to defend their autonomous status. Finally, the third period is characterised by a crisis of the economic and political system with repercussions in the definition of the educational and health policy, and the way doctors were faced these conditions. The thesis also points out the major changes during the period in four of the most important characteristics of the medical profession: professional organization, education, employment and geographical distribution. An analysis is finally presented where theoretical elements are used to interpret the historical events that characterized the participation of the Mexican medical profession in the development of the health system.

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25

Nordyke, Robert. "Privatization of health care provision in a transition economy : lessons from the Republic of Macedonia /." Santa Monica, CA : RAND, 2000. http://www.rand.org/pubs/rgs%5Fdissertations/RGSD155/.

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26

Agartan, Tuba Inci. "Turkish health system in transition historical background and reform experience /." Diss., Online access via UMI:, 2008.

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27

Foran, Brenda J. "Medical pluralism and global health policy the integration of traditional medicine in health care systems /." View thesis, 2007. http://handle.uws.edu.au:8081/1959.7/25358.

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Thesis (Ph.D.)--University of Western Sydney, 2007.
A thesis presented to the University of Western Sydney, College of Arts, Social Justice and Social Change Research Centre in fulfilment of the requirements for the degree of Doctor of Philosophy (Social Policy). Includes bibliographies.

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28

Stern, Ariel Dora. "Essays in the Economics of Health Care and the Regulation of Medical Technology." Thesis, Harvard University, 2014. http://dissertations.umi.com/gsas.harvard:11678.

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The first chapter of this dissertation explores how the regulatory approval process affects innovation incentives in medical technologies. While prior studies of medical innovation under regulation have found an early mover regulatory advantage for drugs, I find the opposite to be true for medical devices. Using detailed data on over three decades of high-risk medical device approval times in the United States, I show pioneer entrants spend approximately 34 percent (7.2 months) longer in the approval process than the first follow-on innovator. Back-of-the-envelope calculations suggest that the opportunity cost of capital of a delay of this length is upwards of 7 percent of the total cost of bringing a new device to market. I consider how different types of regulatory uncertainty affect approval times and find that a product's technological novelty is largely unrelated to time spent under review. In contrast, uncertainty about application content and format appears to play a large role: when objective guidelines for evaluation are published, approval times quicken for subsequent entrants. Finally, I consider how the regulatory process affects firms’ market entry strategies and find that financially constrained firms are less likely to enter new device markets as pioneers.

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29

Stanton, Jennifer Margaret. "Health policy and medical research : hepatitis B in the UK since the 1940s." Thesis, London School of Hygiene and Tropical Medicine (University of London), 1995. http://researchonline.lshtm.ac.uk/682243/.

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This thesis explores the way changing constructions of hepatitis B have mediated between science and policy during the past fifty years. Research-based 'facts' were filtered in the policy arena according to social, political and economic pressures. Central policy processes depended heavily on expert advisers, who emerged from networks of researchers. This account draws on scientific, clinical and epidemiological research, central policy documents, and interviews with people working with or suffering from the disease. Though epidemiologically close to AIDS, hepatitis B has rarely attracted public attention: there are an estimated 100,000 carriers in the UK, but few deaths due to the acute form. The disease was a major problem in the blood supply, and featured as a hospital infection, with notable outbreaks from 1965 in renal dialysis units. It was seen as an occupational hazard for laboratory workers, doctors, nurses and dentists. The introduction of a test for hepatitis B around 1970 opened up opportunities for epidemiological research. Hepatitis B was increasingly recognized as a sexually transmitted disease, widespread among gay men; also, because of needle sharing, prevalent among drug users. Another outcome of research in the 1970s was the development of a vaccine. However, availability of a vaccine in the UK from 1982 afforded no immediate resolution of public health issues raised by hepatitis B. The legacy of a restricted screening policy from the 1970s, emphasizing prevention via hygiene precautions among health care workers, facilitated a limited vaccine policy throughout the 1980s. While discussing negotiations over hepatitis B in the past five decades, this thesis aims to contribute to a broader analysis of interactions between science and policy, between centre and regions, and between interest groups.

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30

O'Connor, Denise F. "The governance of home care in Ontario and England: contracts, markets and the effects on service providers, clients and workers in an era of balanced budgets /." *McMaster only, 2005.

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31

Suen, Yuk-lam Kelvin, and 孫玉林. "A comparative study of the health care policies in Hong Kong and Singapore." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B42576350.

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32

Wickham, Cheryl E. "Government pharmaceutical subsidy policy and the demand for health care in Russia : evidence from the Russia longitudinal monitoring survey /." Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/7513.

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33

Koo, Sun Tien-lun Catherine. "The impact of health care policies on the health status of the population of Hong Kong /." Hong Kong : University of Hong Kong, 1987. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14016989.

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34

Carrothers, Leslie C. "Capacity, costs, and control, health care policy in Manitoba from 1948 to 1988." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ35041.pdf.

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35

Hon, Wai-ping Tiki. "An analysis of policy options to tackle the problem of expanding expenditure in public healthcare in Hong Kong." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21036640.

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36

Droppers, Oliver John V. "A Case Study of Collaborative Governance: Oregon Health Reform and Coordinated Care Organizations." PDXScholar, 2014. http://pdxscholar.library.pdx.edu/open_access_etds/1824.

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The complexity of issues in health care in the United States--specifically insurance coverage, access, affordability, quality of care, and financing--requires effective new models for governing, in which governmental and non-governmental organizations seek to solve problems collaboratively rather than independently. This research explores collaborative governance as a model to form new partnerships among for-profit, nonprofit, and public organizations in an effort to create community-based, locally governed health care entities in Oregon through coordinated care organizations (CCOs). A key question is whether collaboration, through CCOs, brings together government and non-governmental organizations to solve "intractable problems" by establishing new public-private partnerships in Medicaid. The research focuses on the formation of CCOs, including the influence of local, political, institutional, and historical contexts, planning processes, and governance structures. The hypothesis is that conditions, norms, governance structures and processes, and the presence or absence of a combination of these factors, facilitate or impede participation and decision-making, and over time, successful system integration by these new complex organizations. This study developed insights into similarities and differences among CCO governance structures by investigating three CCOs. Findings from the case study suggest that the following key factors influence the collaborative governance process among government and non-governmental organizations within CCOs: prior history of conflict or cooperation; open, transparent, and inclusive processes for stakeholders; face-to-face dialogue, trust building, and shared understanding; and high-functioning governing boards. Results also indicate that maintaining stakeholder participation can be challenging due to time and cost, power imbalances and competing interests among stakeholders, and mistrust and lack of facilitative leadership. The results suggest that collaborative governance is a strategic approach for the allocation of limited resources across public, private, and nonprofit organizations to deliver services to Oregon's Medicaid population. The significance of this study is that it identified starting conditions that facilitate and hinder the ability of CCOs to effectively solve problems through governance mechanisms. Oregon's CCOs offer an example of multiple layers of governing institutions--federal, state, and county--using formal authority to influence a specified set of outcomes, the Triple Aim, in a specific policy domain: provision of health care services for underserved Oregonians. Results of the study can help inform a larger, more fundamental question in public administration about contemporary governance: whether government through collaborative governance can create the "conditions for rule and collective action" through public-private partnerships to achieve policy goals (Stoker, 1998). Further research is needed to better understand whether local community-based organizations such as CCOs offer a sustainable model to address policy issues in other arenas by which there is "more government action and less government involvement" (Agranoff & McGuire, 2003). This study contributes to the theory of collaborative governance and may inform future policy decisions about CCOs in Oregon and, more broadly, ongoing national health care reform efforts.

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37

Wong, Oi-ling Irene, and 黃愛玲. "Medical ecology of inpatient service utilization in Hong Kong: a population survey." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971337.

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38

Biles, Melanie. "High Time for a Replacement: Medical Cannabis as a Substitute for Opioid Analgesics." Scholarship @ Claremont, 2018. http://scholarship.claremont.edu/scripps_theses/1153.

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Opioid addiction has reached an all-time high in America, partially because there is no federally approved, affordable, available alternative for chronic pain. This paper examines the role of medical cannabis in the opioid crisis by exploring the effect of medical cannabis laws on opioid prescription rates in an OLS regression. I found that medical cannabis laws produce a statistically significant decrease in opioid prescription rates. I discuss the specific policy components that would allow medical cannabis policy to be most effective nationwide.

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39

Tu, Jiong. "Health care transformation in contemporary China : moral experience in a socialist neoliberal polity." Thesis, University of Cambridge, 2015. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.708773.

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40

Yan, Qing. "Inequity of Chinese healthcare system." Thesis, University of Macau, 2015. http://umaclib3.umac.mo/record=b3258539.

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41

Ray, Christopher. "Pediatrician Perceptions of the Patient-Centered Medical Home Model." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/211.

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The Patient-Centered Medical Home (PCMH) is an emerging model of health care designed to provide a simpler, more effective health care experience. The model places heavy emphasis on the concept of every patient having a "personal physician" who is the point of access for all health care needs and concerns. The personal physician integrates all relevant health care information to provide the patient with a holistic picture of his health. The supposed benefits of the PCMH model include an improved patient experience, increased effectiveness of care, increased efficiency of care, greater access to care, among others. Only now is evidence beginning to emerge to substantiate those clams. As evidence continues to emerge supporting the PCMH model, one area that warrants further study is how those directly involved in health care perceive this model. Here, a survey was developed to assess the following information among a population of pediatric physicians: understanding of the PCMH model, agreement with PCMH principles, interest in moving to a PCMH-based practice, and what issues are perceived as barriers to PCMH integration. Results suggest that there is a high degree of familiarity with the PCMH model and a high level of agreement with PCMH principles in this population, but that agreement does not correlate with interest in moving one’s practice toward the PCMH model. Data further indicate that issues regarding payment and associated expenses for PCMH integration are universally perceived barriers. On the other hand, a lack of evidentiary support and compatibility issues with HIPAA are not perceived as barriers. Other issues, such as human resource needs, were more likely to be perceived as barriers in one subpopulation versus another. These data suggest a disconnect between PCMH familiarity and PCMH interest in pediatric physicians. Further, while some issues are perceived as barriers to all pediatric physicians, some issues are more likely to be perceived as barriers in one physician subpopulation versus another, and these differences must be recognized and addressed to help ensure success of the PCMH movement.

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42

Rhodes, Maxine. "Municipal maternity services : policy and provision 1900-1939 with particular reference to Kingston upon Hull and its Municipal Maternity Home." Thesis, University of Hull, 1996. http://hydra.hull.ac.uk/resources/hull:4620.

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43

Lundberg, Anna. "Care and Coercion : medical knowledge, social policy and patients with venereal disease in Sweden 1785-1903." Doctoral thesis, Umeå universitet, Demografiska databasen, 1999. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-15000.

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This study investigates the history of venereal diseases in Sweden in the period from 1785 to 1903. Medical and political perceptions of these diseases as well as the patients and their continued lives have been studied. Venereal diseases were considered a significant threat to the growth of the population throughout the period. They were recognised through the dramatic sores that they produced on the body of the patient, and were frequently cured with mercurial therapies. In the late nineteenth century, syphilis and gonorrhoea became the two most significant sexually transmitted diseases. They were believed to cause paralysis, mental illness, infant mortality and infertility. Sweden fought venereal diseases with a network of State-controlled health measures. County hospitals that contained special wards for patients diagnosed with venereal diseases were established in the late eighteenth century. These hospitals were financed by mandatory revenue after 1817. Medical care was mandatory and ministers, law officers and heads of households could inform the provincial physicians about the incidence of venereal disease. During the nineteenth century, the regulation of prostitution was enforced which implied that women were blamed for the spread of these diseases. Patients with venereal disease belonged to a cross section of contemporary Swedish society. Most of them were from the lower- or working-classes. They suffered higher age-specific mortality in the first half of the century, and high infant mortality throughout the period. It appears, however, that the constructed image of a patient with venereal disease had little impact upon their lives. Contemporary poverty and societal problems, such as unemployment and poor housing, probably played a larger part in their lives.
digitalisering@umu

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44

Chan, Yee-ying Michelle, and 陳意映. "The formulation and implementation of healthcare reform in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31966469.

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45

Yeung, Yee-hung Stella, and 潘怡紅. "Sustainable healthcare delivery in Hong Kong: organizational initiatives and strategic financing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B3196669X.

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46

Radin, Dagmar. "Too Ill to Find the Cure? - Health Care Sector Success in the New Democracies of Central and Eastern Europe." Thesis, University of North Texas, 2006. https://digital.library.unt.edu/ark:/67531/metadc5348/.

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This study examines the factors that have contributed to the success of some Central and Eastern European countries to improve their health care sector in the post communist period, while leaving others to its demise. While most literature has been focused on the political and economic transition of Eastern Europe, very little research has been done about the welfare aspects of the transition process, especially the health care sector. While the focus on political consequences and main macroeconomic reforms has shed light on many important processes, the lack of research of health care issues has lead to consequences on our ability to understand its impact on the future of the new democracies and their sustainability. This model looks at the impact of international (World Bank) and domestic institutions, corruption and public support and how they affect the ability of some countries to improve and reform their health care sector in the post-transition period.

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Morrell, Eric Douglas. "WHO ARE YOU CALLING NORMAL! – THE RELATIONSHIP BETWEEN SPECIES FUNCTION AND HEALTH CARE JUSTICE." Thesis, Connect to resource online, 2008. http://hdl.handle.net/1805/1699.

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Thesis (M.A.)--Indiana University, 2008.
Includes vitae. Department of Philosophy, Indiana University-Purdue University Indianapolis (IUPUI) Advisor(s): Peter H. Schwartz. Includes bibliographical references (leaves 61-66)

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48

Ng, Suk-han Christina, and 伍淑嫺. "The health policy network and policy community in Hong Kong: from concertation to pressure pluralism." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B38628569.

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49

Luk, Che-chung. "An analysis of the planning system of the Medical and Health Department / Hospital Services Department." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13636868.

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Hon, Wai-ping Tiki, and 韓慧萍. "An analysis of policy options to tackle the problem of expanding expenditure in public healthcare in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31965842.

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