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Literatura académica sobre el tema "Sheps Center for Health Services Research"

Autor: Grafiati

Publicado: 4 de junio de 2021

Última modificación: 16 de febrero de 2022

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Artículos de revistas sobre el tema "Sheps Center for Health Services Research"

E. Murray, Christine, Jacquelyn White, Hamid Nemati, Anthony Chow, Allison Marsh y Samantha Edwards. "A community considers a Family Justice Center: perspectives of stakeholders during the early phases of development". Journal of Aggression, Conflict and Peace Research 6, n.º 2 (8 de abril de 2014): 116–28. http://dx.doi.org/10.1108/jacpr-09-2013-0023.

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Purpose – Family Justice Centers, or “one-stop shops” that enable domestic violence victims to access a range of services at one location, are becoming increasingly common. However, there is a limited body of research examining the outcomes and planning processes of these Centers. The early phases of planning Centers are critical to their initial and ongoing success. The purpose of this paper is to discuss these issues. Design/methodology/approach – In total, 15 stakeholders in a community in the early phases of planning a Center were interviewed. Findings – Content analysis procedures were used to identify themes related to participants’ ideas about what the Family Justice Center should look like (e.g. services to include and perceived benefits and challenges for the Center), the steps required for planning it (e.g. identifying the purpose of the Center, getting key people involved, and building collaborations), and desired technologies. Originality/value – This paper is the first known research effort to examine the early phases of development in constructing a Family Justice Center.

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Proctor, E. K., C. McMillen, S. Haywood y P. Dore. "Advancing Mental Health Research: Washington University's Center for Mental Health Services Research". Social Work Research 32, n.º 4 (1 de diciembre de 2008): 249–59. http://dx.doi.org/10.1093/swr/32.4.249.

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Hayes, R. P., J. W. Eley, R. S. Greenberg y D. J. Ballard. "Linking health services research to education at an academic health center". Academic Medicine 71, n.º 9 (septiembre de 1996): 957–62. http://dx.doi.org/10.1097/00001888-199609000-00009.

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Maniagasi, Y. Gabriel, Thahir Haning, Rakhmat Rakhmat y Nurdin Nara. "Analysis of Capacity Strengthening of Community Health Center in Improving Health Services in Jayapura Regency". Journal of Asian Multicultural Research for Social Sciences Study 2, n.º 2 (2 de junio de 2021): 41–58. http://dx.doi.org/10.47616/jamrsss.v2i2.140.

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Puskesmas (Community Health Center) is a public organization that is tasked with providing the best health services to the people who live in 139 villages and 5 sub-districts in Jayapura Regency. In fact, Community Health Center are not optimally performing their duties and functions because they experience delays in their human resources, supporting facilities, poor management of Community Health Center, no clear regulatory support and a lack of budget availability to support Community Health Center operations in their services. The problem in this research is How to Strengthen the Organizational Capacity of Puskesmas in Improving Health Services in Jayapura District? The purpose of this study was to analyze the Strengthening of Public Health Center Organizational Capacity in improving health services in Jayapura Regency. This research is expected to contribute to the Jayapura Regency Government, through the Health Office and in particular for Community Health Center as regional technical implementation units to improve the Organizational Capacity in Improving Health Services in Jayapura Regency. The results showed that the Organizational Capacity of Puskesmas can be improved by strengthening management governance, incentive systems, facilities, leadership, organizational culture, communication, and organizational structure.

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Syafitri, Putri Karina y Vetty Yulianty Permanasari. "Physiotherapy Services in The Efforts of Health Services In DKI Jakarta Public Health Center". Jurnal Ilmu dan Teknologi Kesehatan 7, n.º 2 (31 de marzo de 2020): 147–61. http://dx.doi.org/10.32668/jitek.v7i2.318.

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The increase in non-communicable diseases such as hypertension, stroke, diabetes mellitus, joint disease, lack of physical activity, injury, and disability in line with the increasing need for physiotherapy services in health facilities, including in Public Health Centers. The role of the physiotherapist in the Public Health Centers is to carry out activities in the form of promotive and preventive without prejudice to curative and rehabilitative. The purpose of this study is to analyze physiotherapy services at the Public Health Centers using five levels of prevention measures, namely are health promotion, specific protection, early diagnosis and prompt treatment, disability limitation, and rehabilitation efforts at 6 PHC in DKI Jakarta. This study uses qualitative research methods through a phenomenological approach. The results of this study obtained a depth-overview of the efforts of health services that the provision of medical services is preferred over promotive and preventive efforts. Physiotherapy services at the PHC have been regulated in the Decree of the PHC’s Head by referring to Permenkes 75 (2014). Public health activities in collaboration with the Physiotherapy Services are only carried out by 3 PHC, and some of them only conduct individual services. This study recommends that adding one physiotherapist to be able to help physiotherapy services outside the building PHC and physiotherapy organizations can create public health training to support physiotherapy competencies.

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Croisant, Sharon A., Christine Arcari, John Prochaska, Amber Anthony, Brittany Wallace, Chantele Singleton, Lori Wiseman et al. "2533". Journal of Clinical and Translational Science 1, S1 (septiembre de 2017): 54. http://dx.doi.org/10.1017/cts.2017.192.

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OBJECTIVES/SPECIFIC AIMS: The Institute for Transnational Sciences (ITS) has developed novel methods to ethically engage stakeholders across the transnational research spectrum, up to and including public health practice and policy. METHODS/STUDY POPULATION: In 2014, the ITS co-founded The Research, Education, And Community Health (REACH), the mission of which was to facilitate communication, collaborative research, and service activities between faculty and scientists and area community leaders. The intent was to identify and meet the needs of our communities without gaps and/or redundancies, thus better leveraging time, funding, and efforts. RESULTS/ANTICIPATED RESULTS: REACH now boasts 23 Centers, Departments, and Institutes, as well as 39 community organizations, including public and mental health agencies, clinicians, policy makers, family service centers, cultural and faith-based organizations, business, and local schools/colleges. We offer 3 methods for consideration as best practices: (1) a comprehensive community health needs assessment, (2) an “Offer and Ask” community/campus partnership mechanism, and (3) Community Science Workshops, based on the European Union’s Science Shops. DISCUSSION/SIGNIFICANCE OF IMPACT: Results of REACH’s work have been used to provide guidance for enhanced, data-driven programs and allocation of resources for local and statewide initiatives. The organization has evolved into an independent coalition seeking 501(c)3 status and is planning to expand its scope to 5 counties. REACH thus serves as model for successful replication across applicable CTSA hubs.

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Raharja, Wildan Taufik, Lunariana Lubis y Agus Wahyudi. "KNOWLEDGE COMPETENCY ANALYSIS OF HEALTH WORKERS AT SURABAYA COASTAL AREA PRIMARY HEALTH CENTER". JOURNAL ASRO 10, n.º 3 (31 de octubre de 2019): 1. http://dx.doi.org/10.37875/asro.v10i3.143.

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The quality of services at the Primary Health Center (Puskesmas) and the level of utilization of Puskesmas services are closely related to the competency of human resources providing services to the community. Quality health services can provide satisfaction to patients in accordance with the average level of satisfaction of the population as well as procedures for conducting them according to established professional and ethical standards.The purpose of this study to map the competency of knowledge of health workers at Surabaya Coastal Area Primary Health Center. The location of this research is at Puskesmas located in the North Coast of Surabaya, namely Sidotopo Primary Health Center and Sawah Pulo Primary Health Center. This research uses a qualitative approach with a case study research strategy. Then the technique for determining the informant was done using purposive sampling and snowball sampling. This study analyzed the competency of health workers' knowledge with 3 indicators, namely general knowledge, special knowledge and typical knowledge.The results in this study are knowledge competency of health workers at Surabaya coastal area health center is still not good. The majority of health workers do not have special knowledge or specialization. Human resource development is needed by the relevant agencies.Keywords: Competence, Community Satisfaction

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Peterson, Eileen, Deborah Shatin y Douglas Mccarthy. "Health Services Research at United HealthCare Corporation: The Role of the Center for Health Care Policy and Evaluation". Medical Care Research and Review 53, n.º 1_suppl (marzo de 1996): 65–76. http://dx.doi.org/10.1177/1077558796053001s05.

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This article describes collaborative health services research and performance evaluation activities at United HealthCare Corporation, a national health care management services company. We outline the development of a research capacity within our company, the principal data sources used, and the types of research conducted. The importance of health services research within a managed care system is illustrated using two projects as examples. finally, we discuss issues faced by organizations such as ours in defining appropriate research priorities, ensuring health plan participation, and disseminating research findings. Lessons learned should be of interest to health services researchers working in or collaborating with managed care organizations as well as others seeking to understand the dynamics of research in private-sector health care companies.

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Angraeni, Dian, H. Abu Tjaiyya, Muhammad Akhyar y Abd Muhaimin Tayeb. "The Quality of Health Services in Tawaeli Health Center, Tawaeli District, Palu City". PINISI Discretion Review 2, n.º 1 (25 de septiembre de 2018): 93. http://dx.doi.org/10.26858/pdr.v2i1.13254.

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Effective public services carried out by governments or corporations can strengthen democracy and human rights, promote economic prosperity, reduce poverty, improve environmental protection, be wise in the use of natural resources, deepen trust in government and public administration. The purpose of this study was to determine how the quality of health services at the Tawaeli Health Center, Tawaeli District, North Palu. This type of research is qualitative research that is a study used to investigate, describe and explain a phenomenon or problem. To find out the quality of health services in the Tawaeli Health Center according to Zeithaml-Parasuraman-Berry there are four indicators used namely tangible, reliability, responsiveness, assurance, and empathy. There are 8 informants in this study with accidental technique, which is the technique of determining samples based on chance. The results in this study indicate that the Health Services at the Tawaeli Health Center in the District of Tawaeli in Palu City are seen from several aspects that are still not good, the first is tangible, responsiveness is also still lacking. However, seen from the aspects of reliability, assurance, and empathy, it was considered good.

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Dadut, Ronaldus Asto. "The Effect of Health Facilities and Waiting Time on Outpatient Satisfaction at Bondo Kodi Public Health Center". Health Notions 4, n.º 8 (21 de agosto de 2020): 248–51. http://dx.doi.org/10.33846/hn40802.

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This study aims to analyze the influence of service quality, health facilities, and waiting times partially and simultaneously on outpatient satisfaction partially in the Bondo Kodi Public Health Center. This research was based on the results of preliminary observations that show the level of satisfaction of patien was still relatively low on health services provided. This research was explanatory research with quantitative approaches. This study was conducted in the Bondo Kodi Public Health Center. The population used in this study were all patients who had utilized health services. The sampling technique was done by purposive sampling, namely by using criteria. Data collection used questionnaires. Then the data analysis used was multiple linear regression analysis. The results of this study showed that service quality (0.000), health facilities (0.030), and waiting time (0.031) influence patient satisfaction at the Bondo Kodi Public Health Center. The results explained that improvements in the quality of services and health facilities will improve patient satisfaction, but at an increasingly shorter waiting time it will also increase patient satisfaction in Bondo Kodi Health Center. Keywords: service quality; health facilities; waiting time; satisfaction

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Tesis sobre el tema "Sheps Center for Health Services Research"

Carpenter, Tyler y Kate Beatty. "Demographic Fall Predictors in a Rural Level One Trauma Center". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6865.

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Falls are the number one mechanism of injury for The Trauma Center and Johnson City Medical Center (JCMC TC). JCMC TC is one of two level one trauma centers in the region and one of only six in the state. The main method for trauma prevention is outcome specific education and awareness. Injury prevention education is a critically needed area in the field of trauma and emergency care. Falls are the number one cause of injury in populations age >65. Socioeconomic status, age, gender, and race are all mitigating factors in the likelihood of greater length of stays, death in hospital, and death within one year of discharge for those who fall in a home setting. According to the CDC, people over the age of 75 are four to five times more likely than people under 75 to be admitted to a long-term care facility for more than a year. What is the relationship between patient characteristics and fall related outcomes in a level one trauma center? We looked at associations between patient demographics and associated outcomes for those admitted to the trauma center secondary to a ground level fall (GLF) in the home. Dataset: De-identified National Trauma Databank information was compiled by the JCMC Registrar for the past 8 years for the metrics: Injury Severity Score (ISS), length of stay, 48hr readmission, and disposition (home, nursing home, skilled nursing facility (SNF)).Demographic information, along with mechanism of fall, was collected for each patient. Patient age, gender, and date of injury was all used for statistical analysis and trend recognition. Statistical Analysis: Bivariate analyses included independent samples t-tests and Oneway ANOVA to find differences between groups. Results: T-test results show women are significantly more likely than men to be admit for a ground level fall (p<.001) and those with a higher ISS are more likely to have an extended stay in an inpatient setting (p<.001). One-Way ANOVA analysis of collected data shows an annual increase from 2006-2013 of trauma admissions for ground level falls (p<.01). Eight year analysis showed a two-fold increase in these admissions. Over 30% of patients admitted with a GLF are discharged to a SNF leading to higher societal costs due to Medicare reimbursement rates. Diagnosis related groups codes (DRG) dictate Medicare reimbursement rate of $14,091 per patient with an average facility cost of $14,196 per patient with no readmissions (Unplanned readmission within 180 days occurred at a rate of 8.3%). Conclusion: Fall education programs are necessary and needed in rural level one trauma centers to educate citizens on causes and methods of preventing falls in their homes. A decrease in these falls would lead to an increase in productive years of life and a reduction in strain on the hospital system.

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Buckley, Tyra T. "Delivery of Asthma Management Services by a Federally Qualified Health Center in an Urban Setting". Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/145.

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As a chronic disease, asthma presents a significant public health challenge nationally and in Georgia. In 2007, over 22 million people, including over 9 million children, had asthma in the United States. In Georgia, 230,000, or 10% of children have asthma, which is more prevalent among children less than 18 years of age than among adults. While asthma affects people of all ages and socioeconomic status, low income and minority populations have the highest asthma morbidity. This has proven to be the case with residents of Neighborhood Planning Unit V (NPU-V), a low-income minority community located in southeast Atlanta. Children comprise 35% of NPU-V's population, and over half of them live below the poverty line. Among other concerns, children with asthma have higher rates of hospitalization and absenteeism from school than their peers. The hospitalization rates for children with asthma in South Atlanta aged 0-17 years of age is almost five times the rate of North Fulton County. The Georgia State University Institute of Public Health received grant funding for the planning and implementation of the Accountable Communities: Healthy Together-Asthma (ACHT-A) program to help address the problems associated with asthma in NPU-V and among patients of Southside Medical Center (SMC). The capstone project involved development of an evaluation plan for future determinations about the program’s effectiveness in achieving desired outcomes. The evaluation process included development of a logic model and putting systems in place to track and measure specific indicators. The project culminated in a preliminary assessment of selected program activities to establish baseline information for the program, its participants, and SMC staff.

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Bolton, Mychal. "Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health Center". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/223.

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The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the sub-themes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center.

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Quick, Cynthia L. "Measuring Change in University Counseling Center Students: Using Symptom Reduction and Satisfaction with Services to Propose a Model for Effective Outcome Research". Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2268/.

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Abstract This study proposes a model for meeting increasingly mandated outcome research objectives in a university counseling center setting. It is proposed that counseling centers utilize their existing intake forms, along with an annual satisfaction survey to determine the effectiveness of counseling services. Effectiveness is defined as improvement and measured by the reduction of the symptoms or presenting concerns with which the client initially presented. It also introduces the Relative-Change Index (R-Chi) as an objective way to quantify intra-individual change occurring as a result of therapy. This new mathematical procedure allows for a more meaningful assessment of the client's degree of improvement, relative to their potential for improvement. By re-administering the problem checklist, routinely included as part of the initial paperwork for each client at intake, again post-therapy, it is possible to quantify improvement by measuring the difference in distressing concerns. Additionally, including a subjective, retrospective survey question asking the client to indicate their perceived rate if improvement at follow-up provides construct validity and allows for correlational comparisons with R-Chi. Results suggest that student/client ratings of the degree to which the services they received satisfactorily addressed their presenting concerns were significantly rated to their R-Chi score. This model suggests that the framework guiding client outcome research should include measures of the client's level of distress, improvement in reducing the distress, and satisfaction with services.

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Belcher, Michael D. "The Impact of a Rural School-Based Health Center on Students and Their Families in Sneedville, Tennessee: A Case Study". [Johnson City, Tenn. : East Tennessee State University], 2004. http://etd-submit.etsu.edu/etd/theses/available/etd-0331104-125143/unrestricted/BelcherM040804f.pdf.

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Thesis (Ed. D.)--East Tennessee State University, 2004.
Title from electronic submission form. ETSU ETD database URN: etd-0331104-125143. Includes bibliographical references. Also available via Internet at the UMI web site.

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Schiltz, Nicholas Kenneth. "Access to Care and Surgery Outcomes Among People with Epilepsy on Medicaid". Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1372678525.

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Lucas, D. Pulane. "Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital". VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/2996.

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Advances in medical technology have altered the need for certain types of surgery to be performed in traditional inpatient hospital settings. Less invasive surgical procedures allow a growing number of medical treatments to take place on an outpatient basis. Hospitals face growing competition from ambulatory surgery centers (ASCs). The competitive threats posed by ASCs are important, given that inpatient surgery has been the cornerstone of hospital services for over a century. Additional research is needed to understand how surgical volume shifts between and within acute care general hospitals (ACGHs) and ASCs. This study investigates how medical technology within the hospital industry is changing medical services delivery. The main purposes of this study are to (1) test Clayton M. Christensen’s theory of disruptive innovation in health care, and (2) examine the effects of disruptive innovation on appendectomy, cholecystectomy, and bariatric surgery (ACBS) utilization. Disruptive innovation theory contends that advanced technology combined with innovative business models—located outside of traditional product markets or delivery systems—will produce simplified, quality products and services at lower costs with broader accessibility. Consequently, new markets will emerge, and conventional industry leaders will experience a loss of market share to “non-traditional” new entrants into the marketplace. The underlying assumption of this work is that ASCs (innovative business models) have adopted laparoscopy (innovative technology) and their unification has initiated disruptive innovation within the hospital industry. The disruptive effects have spawned shifts in surgical volumes from open to laparoscopic procedures, from inpatient to ambulatory settings, and from hospitals to ASCs. The research hypothesizes that: (1) there will be larger increases in the percentage of laparoscopic ACBS performed than open ACBS procedures; (2) ambulatory ACBS will experience larger percent increases than inpatient ACBS procedures; and (3) ASCs will experience larger percent increases than ACGHs. The study tracks the utilization of open, laparoscopic, inpatient and ambulatory ACBS. The research questions that guide the inquiry are: 1. How has ACBS utilization changed over this time? 2. Do ACGHs and ASCs differ in the utilization of ACBS? 3. How do states differ in the utilization of ACBS? 4. Do study findings support disruptive innovation theory in the hospital industry? The quantitative study employs a panel design using hospital discharge data from 2004 and 2009. The unit of analysis is the facility. The sampling frame is comprised of ACGHs and ASCs in Florida and Wisconsin. The study employs exploratory and confirmatory data analysis. This work finds that disruptive innovation theory is an effective model for assessing the hospital industry. The model provides a useful framework for analyzing the interplay between ACGHs and ASCs. While study findings did not support the stated hypotheses, the impact of government interventions into the competitive marketplace supports the claims of disruptive innovation theory. Regulations that intervened in the hospital industry facilitated interactions between ASCs and ACGHs, reducing the number of ASCs performing ACBS and altering the trajectory of ACBS volume by shifting surgeries from ASCs to ACGHs.

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Senate, University of Arizona Faculty. "Faculty Senate Minutes December 4, 2017". University of Arizona Faculty Senate (Tucson, AZ), 2018. http://hdl.handle.net/10150/626507.

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Okun, Michelle S. "Clients' perception of stigma as a community mental health center consumer a research report submitted in partial fulfillment ... /". 1985. http://catalog.hathitrust.org/api/volumes/oclc/68787962.html.

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Lin, Wen-Yen y 林妏燕. "The Exploratory Research on Integrating Early Childhood Intervention Services via the Children Health Development Center of New Taipei City Government". Thesis, 2013. http://ndltd.ncl.edu.tw/handle/59431247941998530260.

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Libros sobre el tema "Sheps Center for Health Services Research"

Cecil G. Sheps Center for Health Services Research. North Carolina Health Professions Data and Analysis System. The pharmacist workforce in North Carolina. Chapel Hill, N.C: The Center, 2002.

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Madison, Donald L. Cecil G. Sheps memorial volume. Chapel Hill, N.C: Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, 2005.

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United States. Agency for Healthcare Research and Quality. Improving maternal health care: The next generation of research on quality, content, and use of services : conference summary report, September 18-19, 2000, Airlie Conference Center, Warrenton, VA. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, 2002.

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Environment, United States Congress House Committee on Energy and Commerce Subcommittee on Health and the. Health services research: Hearings before the Subcommittee on Health and Environment of the Committee on Energy and Commerce, House of Representatives, One Hundredth Congress, first session. Washington, DC: U.S. G.P.O., 1987.

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Grant projects. Rockville, Md. (5600 Fishers Lane, Maryland 20857): The Division, 1995.

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Castillo, DonnaRae. Annotated bibliography of NCHSR publications 1980-84. [Rockville, MD]: U.S. Dept. of Health and Human Services, Public Health Service, National Center for Health Services Research and Health Care Technology Assessment, 1988.

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Commerce, United States Congress House Committee on Energy and. Health Services Research Extension Act of 1987: Report (to accompany H.R. 3189) (including cost estimate of the Congressional Budget Office). [Washington, D.C.?: U.S. G.P.O., 1987.

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Porterfield, Karen. Annotated bibliography of NCHSR publications January 1985 to July 1987. Rockville, MD: Publications and Information Branch; U.S. Dept. of Health and Human Services, Public Health Service, National Center for Health Services Research and Health Care Technology Assessment, 1987.

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Porterfield, Karen. Annotated bibliography of NCHSR publications January 1985 to July 1987. Rockville, MD: Publications and Information Branch, U.S. Dept. of Health and Human Services, Public Health Service, National Center for Health Services Research and Health Care Technology Assessment, 1987.

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Capítulos de libros sobre el tema "Sheps Center for Health Services Research"

Ramic, H. "Health Center: Integrated Primary Health Care Resources and Services Within the District and Coordinative Role of General Practice". En Health Systems Research, 101–18. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-83240-6_11.

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Schmeida, Mary y Ramona McNeal. "Demographic Differences in Telehealth Policy Outcomes". En Handbook of Research on Distributed Medical Informatics and E-Health, 500–508. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-60566-002-8.ch036.

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This chapter is an analysis of demographic variables influencing policy outcomes with online health information searches in the general U.S. public. This study is based on The Internet and American Life Daily Tracking Survey, August 2006 from the Pew Research Center for the People and the Press. Multivariate regression statistical technique is used to explore changes in individual level behavior following the search for online medical information. The data show individuals in most need of healthcare services (poor, less educated, and minority groups) and those with a recent demand for services, are more likely to make changes to improve their health after accessing online medical information.

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Larsen, Torben. "Neuroeconomics". En Advances in Human Services and Public Health, 64–83. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-3576-9.ch004.

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A neuroeconomic psychology establishes behavioral economics as a positivist discipline connecting health science and ecology. This makes “economic ecology” and “neuroeconomics” important new sub-disciplines of economics. Pigovian carbon emission tax (CET) is the most effective intervention towards the “green-house effect.” However, in the short-term, democratic center-coalitions are too weak to implement CET due asymmetric levels of economic knowledge between economists and the public. However, neuroeconomic research indicates that training can improve decision-making about complex issues as CET. A second-best strategy is presented as green hybrid multilevel transition (GHMT). Besides GHMT preparing doe CET, neuroeconomic psychology delivers a series of science-based advices on effective behaviors: a consumer pattern that integrates individual satisfaction with environmental conscience, efficacious business behavior like an entrepreneur, long-term political suspension of relative poverty by universal basic income, and cognitive training by meditative in-depth relaxation.

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Lee, Diane C. y David Gefen. "Promises and Challenges of Medical Patient Healthcare Portals in Underserved Communities". En Research Anthology on Improving Health Literacy Through Patient Communication and Mass Media, 505–37. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-6684-2414-8.ch029.

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As a safety-net medical center that serves many underserved communities, Einstein Medical Center Philadelphia (EMCP) faces many challenges in providing healthcare to its communities. To improve those services, EMCP has released a new IT healthcare portal (app). This chapter describes some of the promises and challenges EMCP is currently facing in their attempts to convince communities in its catchment area to adopt that healthcare portal. The challenges are discussed in the contexts of poor social determinants of health (SDOH), unique social factors, as well as the importance of managing community trust in EMCP within the broader contexts of underserved communities of which the new portal is only part of the story. This is not a typical case of IT adoption. The challenges at hand are not only technical but to a large degree social, dealing in part with issues of cultural diversity, perceived lack of respect, and poor health literacy.

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Ogloff, James R. P. "The Development of the Center for Forensic Behavioral Science". En University and Public Behavioral Health Organization Collaboration in Justice Contexts, 167–90. Oxford University Press, 2021. http://dx.doi.org/10.1093/med-psych/9780190052850.003.0010.

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This chapter describes a large collaborative project based in Melbourne, Australia, between a public agency providing forensic and correctional mental health services and a research and training center at Swinburne University of Technology. There are several aspects of this partnership that make it distinctive. First, the size of the initiative and the number of individuals working on it is striking. Second, the collaboration has grown very substantially but also evolved through various changes in partners, thus illustrating the importance of flexibility and adaptiveness. Third, it is the only example of a collaborative project of the kind discussed in this volume that is based outside of the United States. It clearly illustrates the value that can be provided through such a partnership, and has important implications for similar partnerships on a large scale.

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Moore, Kathleen, Joshua T. Barnett, Annette Christy, Marie McPherson y Melissa Carlson. "University–Public Behavioral Health Collaboration". En University and Public Behavioral Health Organization Collaboration in Justice Contexts, 143–66. Oxford University Press, 2021. http://dx.doi.org/10.1093/med-psych/9780190052850.003.0009.

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This chapter describes a partnership between faculty at the Florida Mental Health Institute, University of South Florida, and various public agencies. It is a broad and wide-ranging collaboration, including areas such as civil commitment (providing a reporting center), Medicaid drug therapy management for behavioral health, and problem-solving courts. Advantages to these multiple partnerships have included the more extensive provision of research and evaluation services and the partnership with public agencies as part of application for extramural funding in the form of grants and contracts. These partnerships illustrate the scope of the projects that can be developed through successful collaboration.

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"Guidance for Industry by U.S. Department of Health and Human Services—Food and Drug Administration—Center for Biologics Evaluation and Research (CBER)—February 1999". En Biotechnology, 657–721. CRC Press, 2009. http://dx.doi.org/10.1201/9781420084498-32.

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Wolf-Gould, Carolyn. "From Margins to Mainstream: Creating a Rural-Based Center of Excellence in Transgender Health for Upstate, New York". En Leading Community Based Changes in the Culture of Health in the US - Experiences in Developing the Team and Impacting the Community. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.98453.

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Transgender people face many barriers to healthcare, especially in rural America. The work to decrease barriers to care and address health care disparities for this population meets criteria for a wicked problem, each of which is unique and has no clear solution. The barriers are related to the individual and society and are both formal and informal. The definition for a Center of Excellence in healthcare is loose, but these organizations aspire to serve as specialized programs that offer comprehensive, interdisciplinary expertise and resources within a medical field to improve patient outcomes. With funding and leadership training from the Robert Wood Johnson Clinical Scholars program, a group of medical and mental health clinicians worked for three years with the goal of creating a Rural-Based Center of Excellence in Transgender Health embedded within a family practice to approach the wicked problem of transgender healthcare in their region. The goals of the center were six pronged: the provision of competent and affirming medical, surgical and mental health services, training for healthcare professional students, medical-legal advocacy and patient-centered research. The team created a strategic plan, with five strategic directions, including 1) developing infrastructure and organizational capacity, 2) expanding awareness, knowledge and skills, 3) fulfilling staffing needs, 4) ensuring gender-affirming care, and 5) advancing evidence-based care. I describe our work to bring transgender health from the margins to the mainstream for our region through implementation of this strategic plan.

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Djukic, Gordana Petar, Ilic S. Biljana y Goran R. Milovanović. "Eco-Innovation and IT Technologies for Sustainable Development of Health and Recreational Tourism of Serbia". En Advances in Environmental Engineering and Green Technologies, 171–90. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-7998-8900-7.ch010.

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The aim of the chapter is to point the importance of eco-innovation and IT technologies for the sustainable development of health and recreational tourism in Serbia. The subject of the research is the rehabilitation center in Eastern Serbia. The main idea of the chapter is to show how those hospital institutions use artificial intelligence-IT technologies for improving recovery services to patients in the post-COVID condition. The chapter will discuss the most common types of support and measures to facilitate the functioning of eco-tourism in Serbia with the aim to adopt good practices of developed countries (Hungary). Ecological tourism takes place in areas of pure and preserved nature. The contribution of the chapter is to point to new strategies in spa tourism, to shorten the time and reduce business costs. This would contribute to the sustainability of tourism.

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Abosede, Sinmi. "Impact of Water Availability on Rural Development in Nigeria". En Practice, Progress, and Proficiency in Sustainability, 225–34. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7158-2.ch013.

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Water is essential to life and is at the center of any sustainable development initiative. It is crucial for the economic development of a nation and for the alleviation of poverty and it is important for the livelihood of rural communities. Limited access to water and sanitation services adversely affects an individual's health, limits their access to educational and economic opportunities, and affects their ability to be productive and live full and secure lives. These impacts are more visible in rural poor communities and there is linkage between water availability and issues relating to health, poverty, and food security. This chapter reviews and assesses the current state of the water and sanitation sector in rural areas of Nigeria and analyses the impact of water availability on rural community health and agricultural productivity. The research will be conducted as a desk-top study utilizing information from literature, national and international data sources.

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Actas de conferencias sobre el tema "Sheps Center for Health Services Research"

Oktarina, Sri, Sri Mindayani y Wirzam Harir. "The Utilization of Health Services by the Elderly in Lubuk Buaya Health Center in Padang City". En 4th International Symposium on Health Research (ISHR 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200215.080.

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WeiHua Wang, ChiHang Chen, JianGong Li y Hao Chen. "Full life cycle health records of data base center architecture research". En 2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom 2012). IEEE, 2012. http://dx.doi.org/10.1109/healthcom.2012.6380058.

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Joshi, Mukesh y Durgesh Pant. "Role of Cloud enabled data center for transforming E-Health services in Uttarakhand". En 2016 International Conference System Modeling & Advancement in Research Trends (SMART). IEEE, 2016. http://dx.doi.org/10.1109/sysmart.2016.7894521.

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Liu, Baoyan, Lei Zhang, Qi Xie, Huaxin Shi y Haibin Yu. "Construction of national clinical research data center of Traditional Chinese medicine". En 2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom 2012). IEEE, 2012. http://dx.doi.org/10.1109/healthcom.2012.6380064.

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Rosita, Amir Su’udi, Mujiati, Sri Mardikani y Wibowo. "Availability of Health Workers of Promotion and Prevention Services at Public Health Center in Indonesia (Analysis of Health Sector Workers Research Data 2017)". En 4th International Symposium on Health Research (ISHR 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200215.093.

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Andrianto, Mokhamad, Hardiana Widyastuti, Farida Dewi, Nisa Zahra y Nesti Handayani. "A Preliminary Research on Willingness to Pay Pet Lovers on Services in Animal Health Center". En 1st International Conference on Sustainable Management and Innovation, ICoSMI 2020, 14-16 September 2020, Bogor, West Java, Indonesia. EAI, 2021. http://dx.doi.org/10.4108/eai.14-9-2020.2304435.

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Qush, Abeer, Manar E. Abdel-Rahman, Nader Al-Dewik y Layla Kamareddine. "Assessing the Current Standing of Hamad Medical Corporation Blood Donor Center in Qatar and Developing a Forecast Model for the Blood Stock Needs during the 2022 World Cup Event". En Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0156.

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Background: In two years from now, Qatar will host the 2022 World Cup competition, which requires high level of preparedness and readiness in different sectors including healthcare. Among different subsections of health, the blood bank and the Blood Donor Center will have a major role in this event especially in case of unforeseen incidences. Accordingly, a proper assessment of the current blood resource availability and a prediction of future blood needs helps in overcoming any obstacle that could be faced during the event. Objectives: (1) Highlight the process of the blood supply chain, with a detailed delineation of the needed amount of blood components for both routine and emergency situations services, and outline the proper measures taken to deliver the safest and most appropriate blood units and reduce wastage of blood component. (2) Assess the current standing of the Blood Donor Center and corresponding units in Qatar. (3) Develop a forecast model that predicts the number of blood donors in the next four years as a method to evaluate the readiness of the Blood Donor facility to host the world cup event. (4) Explore the potential challenges that could be faced when meeting the benchmark of donation and established an action plan to overcome these anticipated challenges. Materials and methods: Both qualitative (interviews) and a quantitative (data collection and analysis) approaches have been implemented in our study. We also established a time series forecast model using Autoregressive Integrated Moving Average (ARIMA). Results: The number of donors in the next four years, which is predicted to increase by 26%, will not be able to be accommodated in the current Blood Donor Center facility. Therefore, the established blood stock benchmark will not be met despite that the Center and its corresponding units are fully equipped with high standard equipment and follow international guidelines in the process of blood withdrawal. Conclusion: Infrastructure improvements and logistics support for Hamad Medical Corporation Blood Donor Center are required to support the continuously increasing numbers of blood donors for daily demand and during mega events.

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Lapira, Edzel R., Amit Deshpande, Jay Lee y John Snyder. "Smart Machine Health and Maintenance: Tool Assembly Prognostics". En ASME 2008 International Manufacturing Science and Engineering Conference collocated with the 3rd JSME/ASME International Conference on Materials and Processing. ASMEDC, 2008. http://dx.doi.org/10.1115/msec_icmp2008-72314.

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It is well-established that unbalance in tool assembly causes excessive loads on spindle bearings and tool wear and increased vibration levels. However, in the days where high-speed machining (HSM) has become a common practice in the manufacturing industry, methodologies to measure tool assembly unbalance are not developed. In HSM the effects are worse, as the unbalance force is directly proportional to square of the spindle speed. Common practice in industry is to balance the tool assembly either with in-house balancing machines or use third-party balancing services after every batch cycle. This paper describes a data-driven methodology that detects the presence of unbalance in a tool assembly relative to the tools with known balance levels. The unbalance detection prognostic application developed as part of the Smart Machine Platform Initiative (SMPI) checks for the threshold unbalance level in the tool assembly for the given machining requirements before the start of any run. This approach uses statistical tools and a supervised learning algorithm based on the Watchdog Agent® toolbox developed by the Center for Intelligent Maintenance Systems. The proposed research finds high applicability in high-precision manufacturing operations involving high-volume production.

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Gayatri, Maria. "The Use of Modern Contraceptives among Poor Women in Urban Areas in Indonesia". En The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.27.

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ABSTRACT Background: Poverty in urban areas is a complex problem for the development of human resources, including the control of population numbers. This study aimed to determine the factors influencing the use of modern contraceptives in urban areas among poor women in Indonesia. Subjects and Method: This was a cross-sectional study conducted in rural areas in Indonesia. Total of 3,249 women aged 15-49 years who were poor and live in urban areas in Indonesia were enrolled in this study. The dependent variable was the use of modern contraceptives. The independent variables were husband’s work status, desire to have children, age, number of children living with, health insurance, women education, and internet use. Data were collected from the 2017 Indonesian Demographic and Health Survey (IDHS). Data were analyzed using a multiple logistic regression. Results: The use of modern contraceptives among poor urban women in Indonesia reached 59.8%. Women living with actively working husband (OR = 2.64; 95% CI = 1.43 to 4.88; p<0.001), desire to have children (OR = 2.24; 95% CI = 1.87 to 2.67; p<0.001), aged 20-34 years (OR = 1.68; 95% CI = 1.07 to 2.65; p<0.001), the number of children living 3 or more (OR = 1.23; 95% CI = 1.03 to 1.47; p<0.001), and having health insurance (OR = 1.19; 95% CI = 1.03 to 1.39; p<0.001) were more likely to use modern contraceptive methods. Meanwhile, women who are highly educated and women who actively use the internet were more likely to not use modern contraceptives. Conclusion: The dominant factor affecting is the husband’s work status and the desire to have children. Health insurance owned by poor women greatly influences the use of modern contraceptives. It is recommended to improve communication, information and education (IEC), counseling, and access to contraceptive services to continue to be carried out in urban poor areas in Indonesia. Keywords: modern contraception, poor, urban, family planning, logistic regression. Correspondence: Maria Gayatri. Center for Family Planning and Family Welfare Research and Development, National Population and Family Planning Agency. Jl. Permata no. 1, Halim Perdana Kusuma, East Jakarta, Indonesia. Email: maria.gayatri.bkkbn@gmail.com. Mobile: 081382580297 DOI: https://doi.org/10.26911/the7thicph.03.27

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Informes sobre el tema "Sheps Center for Health Services Research"

Coelho Resende, Noelle, Renata Weber, Jardel Fischer Loeck, Mathias Vaiano Glens, Carolina Gomes, Priscila Farfan Barroso, Janine Targino, Emerson Elias Merhy, Leandro Dominguez Barretto y Carly Machado. Working Paper Series: Therapeutic Communities in Brazil. Editado por Taniele Rui y Fiore Mauricio. Drugs, Security and Democracy Program, Social Science Research Council, junio de 2021. http://dx.doi.org/10.35650/ssrc.2081.d.2021.

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Spread across Brazil and attaining an unparalleled political force, therapeutic communities are as inescapable in the debate on drug policy as they are complex to define. Although they are not a Brazilian creation, they have been operating in that country for decades, and their dissemination intensified in the 1990s. In 2011, they were officially incorporated into Brazil's Psychosocial Care Network (Rede de Atenção Psicossocial, or RAPS). Since then, therapeutic communities have been at the center of public debates about their regulation; about how they should—or even if they should—be a part of the healthcare system; about the level of supervision to which they should be submitted; about their sources of funding, particularly whether or not they should have access to public funding; and, most importantly, about the quality of the services they offer and the many reports of rights violation that have been made public. However, a well-informed public debate can only flourish if the available information is based on sound evidence. The SSRC’s Drugs, Security and Democracy Program is concerned with the policy relevance of the research projects it supports, and the debate around therapeutic communities in Brazil points to a clear need for impartial research that addresses different cross-cutting aspects of this topic in its various dimensions: legal, regulatory, health, and observance of human rights, among others. It is in this context that we publish this working paper series on therapeutic communities in Brazil. The eight articles that compose this series offer a multidisciplinary view of the topic, expanding and deepening the existing literature and offering powerful contributions to a substantive analysis of therapeutic communities as instruments of public policy. Although they can be read separately, it is as a whole that the strength of the eight articles that make up this series becomes more evident. Even though they offer different perspectives, they are complementary works in—and already essential for—delineating and understanding the phenomenon of therapeutic communities in Brazil.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2016. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, mayo de 2017. http://dx.doi.org/10.32747/2017.7207238.aphis.

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The National Wildlife Research Center (NWRC) is the research arm of Wildlife Services, a program within the U.S. Department of Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS). NWRC’s researchers are dedicated to finding biologically sound, practical, and effective solutions for resolving wildlife damage management issues. There are spotlights highlight the breadth and depth of NWRC’s research and support services expertise and its holistic approach to addressing today’s wildlife-related challenges.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2015. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, mayo de 2016. http://dx.doi.org/10.32747/2016.7206800.aphis.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2007. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, enero de 2008. http://dx.doi.org/10.32747/2008.7206794.aphis.

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The National Wildlife Research Center (NWRC) is a world leader in providing science-based solutions to complex issues of wildlife damage management. As the research arm of Wildlife Services (WS) program within the U.S. Department of Agriculture's (USDA) Animal and Plant Health Inspection Service, NWRC work with WS operational staff to provide Federal leadership and expertise to resolve wildlife conflicts related to agriculture, livestock, human health and safety (including wildlife diseases), invasive species, and threatened and endangered species. NWRC is committed to finding nonlethal solutions to reduce wildlife damage to agricultural crops, aquaculture, and natural resources. As part of WS' strategic plan to improve the coexistence of people and wildlife, NWRC has identified four strategic program goals: (1) developing methods, (2) providing wildlife services, (3) valuing and investing in people, and (4) enhancing information and communication. WS is dedicated to helping meet the wildlife damage management needs of the United States by building on NWRC's strengths in these four key areas. This annual research highlights report is structured around these programs goals.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2010. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, abril de 2011. http://dx.doi.org/10.32747/2011.7291310.aphis.

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As the research arm of Wildlife Services, a program within the U.S. Department of Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS), NWRC develops methods and information to address human-wildlife conflicts related to agriculture, human health and safety, property damage, invasive species, and threatened and endangered species. The NWRC is the only Federal research facility in the United States devoted entirely to the development of methods for effective wildlife damage management, and it’s research authority comes from the Animal Damage Control Act of 1931. The NWRC’s research priorities are based on nationwide research needs assessments, congressional directives, APHIS Wildlife Services program needs, and stakeholder input. The Center is committed to helping resolve the ever-expanding and changing issues associated with human-wildlife conflict management and remains well positioned to address new issues through proactive efforts and strategic planning activities. NWRC research falls under four principal areas that reflect APHIS’ commitment to “protecting agricultural and natural resources from agricultural animal and plant health threats, zoonotic diseases, invasive species, and wildlife conflicts and diseases”. In addition to the four main research areas, the NWRC maintains support functions related to animal care, administration, information transfer, archives, quality assurance, facility development, and legislative and public affairs.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2013. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, junio de 2014. http://dx.doi.org/10.32747/2014.7206798.aphis.

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The National Wildlife Research Center (NWRC) is the research arm of Wildlife Services (WS), a program within the U.S. Department of Agriculture’s (USDA)Animal and Plant Health Inspection Service (APHIS). NWRC’s researchers are dedicated to finding biologically sound, practical, and effective solutions to resolving wildlife damage management issues. The three spotlights, aviation strike hazard management, reproduction and wildlife damage management, and technology transfer of wildlife damage management tools and strategies, for 2013 show the depth and breadth of NWRC’s research expertise and its holistic approach to addressing today’s wildlife-related challenges.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2014. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, junio de 2015. http://dx.doi.org/10.32747/2015.7206799.aphis.

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The National Wildlife Research Center (NWRC) is the research arm of Wildlife Services (WS), a program within the U.S. Department of Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS). NWRC’s researchers are dedicated to finding biologically sound, practical, and effective solutions to resolving wildlife damage management issues. They seek these solutions using a multiyear, multidisciplinary project management system. NWRC identifies and prioritizes projects based on feedback from WS program leaders, managers, and stakeholders concerning their most pressing wildlife damage management needs. During 2014, five research projects reached the end of their 5-year life cycle. At the final project reviews, project leaders and their staff presented and discussed each project’s accomplishments, challenges, and findings.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2011. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, marzo de 2012. http://dx.doi.org/10.32747/2012.7207240.aphis.

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The National Wildlife Research Center (NWRC) is the research arm of Wildlife Services, a program within the U.S. Department of Agriculture (USDA), Animal and Plant Health Inspection Service (APHIS). The mission of the NWRC is to apply scientific expertise to resolve human-wildlife conflicts while maintaining the quality of the environment shared with wildlife. NWRC develops methods and information to address human-wildlife conflicts related to: agriculture (crops, livestock, aquaculture, and timber), human health and safety (wildlife disease, aviation), property damage, invasive species, and threatened and endangered species. There four spotlights for 2011 show the depth and breadth of NWRC’s research expertise and its holistic approach to address today’s wildlife-related challenges.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2009. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, julio de 2010. http://dx.doi.org/10.32747/2010.7206796.aphis.

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As the research arm of Wildlife Services (WS) program within the U.S. Department of Agriculture's (USDA) Animal and Plant Health Inspection Service, NWRC develops methods and information to address human-wildlife conflicts related to agriculture, human health and safety, property damage, invasive species, and threatened and endangered species. NWRC is the only Federal research facility in the United States devoted entirely to the development of methods for effective wildlife damage management. NWRS's research authority comes from the Animal Damage Control Act of 1931.The Center is committed to helping resolve the ever-expanding and changing issues associated with human-wildlife conflicts management and remains well positioned to address new issues through proactive efforts and strategic planning activities.

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Innovative Solutions to Human-Wildlife Conflicts: National Wildlife Research Center Accomplishments, 2012. U.S. Department of Agriculture, Animal and Plant Health Inspection Service, abril de 2013. http://dx.doi.org/10.32747/2013.7206797.aphis.

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The National Wildlife Research Center (NWRC) is the research arm of Wildlife Services (WS), a program within the U.S. Department of Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS). NWRC’s researchers are dedicated to finding biologically sound, practical, and effective solutions to resolving wildlife damage management issues. There are four spotlights for 2012 show the depth and breadth of NWRC’s research expertise and its holistic approach to address today’s wildlife-related challenges. NWRC remains committed to its other core mission areas of agriculture and natural resource protection, invasive species control, and product development. Product development takes center stage in this year’s report with accomplishments organized by specific types of products and methods.

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