Rozprawy doktorskie: „Bureau of Health Systems”

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Hagos, Samuel. "Assessment of Business Process Reengineering Implementation and Result within Ethiopian Ministry of Health and Gambella Regional Health Bureau Contexts". Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-5312.

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For many years, the tight bureaucratic and task centered approaches of civil service institutions of Ethiopia led to fragmentation, overlap and duplications of efforts than being responsive, flexible and customer focus. To this end, Business Process Reengineering (BPR) has been considered as a government sector technique to help organizations fundamentally rethink how they do their work in order to dramatically improve customer service, cut operational costs, become responsive, flexible and customer focus. BPR has great potential for increasing productivity through reduced process time and cost, improved quality, and greater customer satisfaction, but it often requires a fundamental organizational change. Despite the numerous advantages of BPR in terms of responsiveness, flexibility and customer focus, its implementation is perceived to be a difficult task and also many unsuccessful experiences have been reported in the literature. In fact, there are very few survey researches that attempt to highlight the kinds of activities that the organizations should pursue to ensure a reasonable transition to the new process; manage the human and technical issues surrounding implementation of the new process; and assess the results of its reengineering efforts. But these researchers saw the issues from private cooperative organizational perspectives and contexts. Besides, most of the discussions and findings were stretched up to showing that successful BPR implementations process are mainly associated with the organizations capability in managing changes. The researches paid no attention to other factors, like the issues of enabler, tools and techniques which can be utilized to build momentum. Hence, the present research investigated the factors associated with successful implementations of BPR projects in the contexts of public institutions. Based on a case study conducted in Ethiopian Ministry of Health and Gambella Regional Health Bureau; this research attempted to provide guidelines and best practices in public service providing institutions that will help them to achieve dramatic performance gains while implementing BPR projects. A cross sectional, qualitative and quantitative study was conducted taking 90 respondents and 20 interviewees as study subjects. Data were collected from June 1 to July 31 2010. A structured questionnaire was filled by 90 respondents where 43.3 % of them from Gambella Peoples’ National Regional State Health Bureau and 56.7% of them were from Ethiopian Federal Ministry of Health. The questionnaire was employed to collect data on change management and factors associated with the attainment of performance goals whereas in-depth interviews were utilized to substantiate the findings of questionnaire and investigate the use of information technology as enabler. The in-depth interviews included planners, core process owners and directors. Cross tabulation results imply that there is significant associations between attainment of performance goals and availability of written comprehensive plan for pilot test, refinement and implementation of change management plan, availability of communication strategy, placement of performance measures, motivation to take new roles and responsibilities, Use of information technology as enabler and pilot testing to evaluate new process. Hence, the findings of this research suggest that reengineering project implementation is complex, involving many factors. To succeed, it is essential that change be managed and that balanced attention be paid to all identified factors, including those that are more contextual (e.g., management support and technological competence), performance management, availability of comprehensive implementation plan, communication strategies, refinement and implementation of change management plan, use of pilot testing to evaluate new process, motivation to take new roles and responsibilities and usage information technology as enabler.
+251911436197, Gambella, Ethiopia, P.o.box. 90

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Heard, Sharon D. "Evaluation of Bureau Practice for Illegal Drugs Use Among Teens". Thesis, Walden University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3617568.

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The Bureau of Substance Abuse Treatment Recovery and Prevention, which oversees drug intervention services for Detroit residents, has found the city's illegal drug use among teens to mirror national rates. Illegal drug use is associated with addiction, major health problems, and stigma. Incorporating evidence-based screening during all teen health care visits would decrease missed opportunities to identify at-risk behaviors, the number of teens that do not receive intervention, and the stigma associated with screening. The purpose of this project was to develop evidence-based policy and practice guidelines for teen screening services for illegal drug use. The Plan-Do-Study-Act (PDSA) model was used to guide the project. An interdisciplinary team of direct service and administrative staff selected questions based on 6 key words—car, relax, alone, forget, friends, and trouble (CRAFFT)—to screen teens for illegal drug use. The interdisciplinary team also developed a teen screening policy along with practice guidelines for the screening policy, implementation plan, and project evaluation. A review of the literature provided support for the project methods. Two experts in the field of substance abuse provided content validity for the policy and practice guidelines, and concluded that the CRAFFT screening questions were valid for evidence-based screening for illegal drug use among teens, that the PDSA model was effective to guide the project, and that an interdisciplinary team approach was effective to address the issue. These findings may improve identification of at-risk teens, decrease missed screening opportunities, decrease stigma, and align the Bureau with current trends in substance abuse treatment.

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Neumann, Cora Lockwood. "Examining the role of traditional health networks in the Karen self determination movement along the Thai-Burma border : examining indigenous medical systems and practice among displaced populations along the Thai-Burma border". Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:e9a5b7a1-5b9c-43ba-9dcb-250f53b33128.

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According to the United Nations High Commissioner for Refugees (UNHCR), by 2012 there were 15.4 million refugees and 28.8 million internally displaced persons (IDPs) forced to flee their homes due to war or violent conflict across the globe. Upon arrival in their host settings, forced migrants struggle with acute health and material needs, as well as issues related to identity, politics, power and place. The Karen ethnic minority of Burma (also known as Myanmar) has been involved in a prolonged civil conflict with the Burmese military government for nearly six decades. This fighting has resulted in massive internal displacement and refugee flight, and although a ceasefire was signed in 2012, continued violence has been reported. This study among the displaced Karen population along the Thai-Burma border examines the relationships between traditional – or indigenous – medicine, the population's health needs, and the broader social and political context. Research was conducted using an ethnographic case-study approach among 170 participants along the Thai-Burma border between 2003 and 2011. Research findings document the rapid evolution and formalisation of the Karen traditional medical system. Findings show how the evolutionary process was influenced by social needs, an existing base medical knowledge among traditional health practitioners, and a dynamic social and political environment. Evidence suggests that that Karen traditional medicine practitioners, under the leadership of the Karen National Union (KNU) Department of Health and Welfare, are serving neglected and culturally-specific health needs among border populations. Moreover, this research also provides evidence that Karen authorities are revitalising their traditional medicine, as part of a larger effort to strengthen their social infrastructure including the Karen self-determination movement. In particular, these Karen authorities are focused on building a sustainable health infrastructure that can serve Karen State in the long term. From the perspectives of both refugee health and development studies, the revival of Karen traditional medicine within a refugee and IDP setting represents an adaptive response by otherwise medically under-served populations. This case offers a model of healthcare self-sufficiency that breaks with the dependency relationships characteristic of most conventional refugee and IDP health services. And, through the mobilisation of tradition for contemporary needs, it offers a dimension of cultural continuity in a context where discontinuity and loss of culture are hallmarks of the forced migration experience.

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Heard, Sharon D. "Evaluation of Bureau Practice for Illegal Drugs Use Among Teens". ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1126.

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The Bureau of Substance Abuse Treatment Recovery and Prevention, which oversees drug intervention services for Detroit residents, has found the city's illegal drug use among teens to mirror national rates. Illegal drug use is associated with addiction, major health problems, and stigma. Incorporating evidence-based screening during all teen health care visits would decrease missed opportunities to identify at-risk behaviors, the number of teens that do not receive intervention, and the stigma associated with screening. The purpose of this project was to develop evidence-based policy and practice guidelines for teen screening services for illegal drug use. The Plan-Do-Study-Act (PDSA) model was used to guide the project. An interdisciplinary team of direct service and administrative staff selected questions based on 6 key words---car, relax, alone, forget, friends, and trouble (CRAFFT)---to screen teens for illegal drug use. The interdisciplinary team also developed a teen screening policy along with practice guidelines for the screening policy, implementation plan, and project evaluation. A review of the literature provided support for the project methods. Two experts in the field of substance abuse provided content validity for the policy and practice guidelines, and concluded that the CRAFFT screening questions were valid for evidence-based screening for illegal drug use among teens, that the PDSA model was effective to guide the project, and that an interdisciplinary team approach was effective to address the issue. These findings may improve identification of at-risk teens, decrease missed screening opportunities, decrease stigma, and align the Bureau with current trends in substance abuse treatment.

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5

Johnson, Laura Young. "Evaluation of Bureau of Land Management Protocols for Monitoring Stream Condition". Thesis, Virginia Tech, 2005. http://hdl.handle.net/10919/45202.

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The goal of the Aquatic Indicators of Land Condition (AILC) project is to develop analytical tools that integrate land condition information with stream condition for improved watershed management within the United States Bureau of Land Management (BLM). Based on the goal of the AILC, two objectives for this study were: to determine the effect of four GIS-derived distance measurements on potential relationships between common BLM landscape stressors (mining and grazing) and changes in benthic macroinvertebrate community structure; and to assess the effectiveness of individual questions on a commonly-used Bureau-wide qualitative stream assessment protocol, the proper functioning condition (PFC) assessment. The four GIS distance measurements assessed for biotic relevance included: straight-line distance, slope distance, flow length, and travel time. No significant relationships were found between the measured distance to stressor and macroinvertebrate community structure. However, the hydrological relevance of flow length and travel time are logically superior to straight-line and slope distance and should be researched further. Several individual questions in the PFC assessment had statistically significant relationships with the final reach ratings and with field-measured characteristics. Two of the checklist questions were significantly related to the number of cow droppings. This may indicate a useful and efficient measure of stream degradation due to grazing. The handling and use of the PFC assessment within the BLM needs further documentation and examination for scientific viability, and the addition of quantitative measurements to the PFC in determining restoration potential would be desirable.
Master of Science

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Bookman, Jedidiah A. "Describing Agricultural Injury in Ohio Using the Ohio Bureau of Workers’ Compensation Database". The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1354676420.

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Liu, Zifan. "Complex systems and health systems, computational challenges". Thesis, Versailles-St Quentin en Yvelines, 2015. http://www.theses.fr/2015VERS001V/document.

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Le calcul des valeurs propres intervient dans des modèles de maladies d’épidémiques et pourrait être utilisé comme un allié des campagnes de vac- cination dans les actions menées par les organisations de soins de santé. La modélisation épidémique peut être considérée, par analogie, comme celle des viruses d’ordinateur qui dépendent de l’état de graphe sous-jacent à un moment donné. Nous utilisons PageRank comme méthode pour étudier la propagation de l’épidémie et d’envisager son calcul dans le cadre de phé- nomène petit-monde. Une mise en œuvre parallèle de méthode multiple de "implicitly restar- ted Arnoldi method" (MIRAM) est proposé pour calculer le vecteur propre dominant de matrices stochastiques issus de très grands réseaux réels. La grande valeur de "damping factor" pour ce problème fait de nombreux algo- rithmes existants moins efficace, tandis que MIRAM pourrait être promet- teuse. Nous proposons également dans cette thèse un générateur de graphe parallèle qui peut être utilisé pour générer des réseaux synthétisés distri- bués qui présentent des structures "scale-free" et petit-monde. Ce générateur pourrait servir de donnée pour d’autres algorithmes de graphes également. MIRAM est mis en œuvre dans le cadre de trilinos, en ciblant les grandes données et matrices creuses représentant des réseaux sans échelle, aussi connu comme les réseaux de loi de puissance. Hypergraphe approche de partitionnement est utilisé pour minimiser le temps de communication. L’al- gorithme est testé sur un grille national de Grid5000. Les expériences sur les très grands réseaux tels que Twitter et Yahoo avec plus de 1 milliard de nœuds sont exécutées. Avec notre mise en œuvre parallèle, une accélération de 27× est satisfaite par rapport au solveur séquentiel
The eigenvalue equation intervenes in models of infectious disease prop- agation and could be used as an ally of vaccination campaigns in the ac- tions carried out by health care organizations. The epidemiological model- ing techniques can be considered by analogy, as computer viral propagation which depends on the underlying graph status at a given time. We point out PageRank as method to study the epidemic spread and consider its calcula- tion in the context of small-world phenomenon. A parallel implementation of multiple implicitly restarted Arnoldi method (MIRAM) is proposed for calculating dominant eigenpair of stochastic matrices derived from very large real networks. Their high damp- ing factor makes many existing algorithms less efficient, while MIRAM could be promising. We also propose in this thesis a parallel graph gen- erator that can be used to generate distributed synthesized networks that display scale-free and small-world structures. This generator could serve as a testbed for graph related algorithms. MIRAM is implemented within the framework of Trilinos, targeting big data and sparse matrices representing scale-free networks, also known as power law networks. Hypergraph partitioning approach is employed to minimize the communication overhead. The algorithm is tested on a nation wide cluster of clusters Grid5000. Experiments on very large networks such as twitter and yahoo with over 1 billion nodes are conducted. With our parallel implementation, a speedup of 27× is met compared to the sequential solver

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Eivazzadeh, Shahryar. "Health Information Systems Evaluation". Licentiate thesis, Karlskrona, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-10910.

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Background Health information systems have emerged as a major component in our response to the trends of rising demands in health care. The insight being gained from the evaluation of those systems can critically influence the shaping of the response. Summative or formative evaluation of health information systems assesses their quality, acceptance, and usefulness, creates insight for improvement, discriminates between options, and refines future development strategies. But the evaluation of health information systems can be challenging due to the propagation of their impacts through multiple socio-technological layers till the ultimate recipients, their heterogeneity and fast evolvement, and the complexity of health care settings and systems. Aim This thesis tries to explain the challenges of evaluation of health information systems with a narrow down on determining evaluation aspects and to propose relevant solutions. The thesis goes for solutions that mitigate heterogeneity and incomparability, recruit or extend available evaluation models, embrace a wide context of application, and promote automation. Method The literature on health information systems evaluation, methods of dealing with heterogeneity in other disciplines of information systems, and ontology engineering were surveyed. Based on the literature survey, the UVON method, based on ontology engineering, was first developed in study 1. The method was applied in FI-STAR, a European Union project in e-Health with 7 use-cases, for summative evaluation of the individual and whole e-health applications. Study 2, extended the UVON method for a formative evaluation during the design phase. Results Application of the UVON method resulted in evaluation aspects that were delivered to the seven use-cases of the FI-STAR project in the form of questionnaires. The resulted evaluation aspects were considered sensible and with a confirming overlap with another highly used method in this field (MAST). No significant negative feedback from the FI-STAR use-case owners (n=7) or the respondents (n=87 patients and n=30 health professionals) was received or observed. Conclusion In the evaluation of health information systems --possibly also in other similarly characterized systems-- ontology engineering methods, such as the proposed UVON method, can be applied to create a flexible degree of unification across a heterogeneous set of evaluation aspects, import evaluation aspects from other evaluation methods, and prioritize between quality aspects in design phase. Ontologies, through their semantic network structures, can capture the extracted knowledge required for evaluation, facilitate computation of that knowledge, promote automation of evaluation, and accommodate further extensions of the related evaluation methods by adding new features to their network structure.

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Mirza, Mahmoudi Milad, i Ljiljana Markovic. "How does physical training affect sedentary long-term unemployed? : An intervention study in association with Halmstad Fastighet AB-Bureau". Thesis, Högskolan i Halmstad, Sektionen för ekonomi och teknik (SET), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-14511.

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Abstract Introduction: Unemployment cause poor health and poor health leads to unemployment. Those who are sedentary and experience unemployment may also experience negative effects on their physical and mental health such as obesity followed by cardiac illness, reduced muscle strength, chronic pain, anxiety and depression. All these factors can be categorised under physical and mental health, which are the essential factors for an optimal work ability. Methods: Our methods were to assess seven subjects (n = 7) of three male and four females, with the mean age of 35 ± 10 (25–54), who were all sedentary and long-term unemployed. These subjects were all part of a project organised by Halmstad Fastighet AB-Bureau (HFAB-Bureau) were they were undergoing education, coaching for employment and learning to apply for job. Our part in this project was to provide eight weeks of physical training to the subjects to reinforce their physical health which in turn supposed to improve their mental health. They were all assessed for grip strength with JAMAR® hydraulic hand dynamometer which represents overall muscle strength, BMI supplemented with waist circumference, blood pressure determination, self-assessing bodily pain with Visual Analogue Scale (VAS), anxiety and depression levels with Hospital Anxiety And Depression Scale (HADS) – a validated self-assessing questionnaire and Work Ability Index (WAI) by answering the self-assessing questionnaire for WAI. Results: T-test shows significance change in perceived pain over eight weeks of physical training as well as correlation between grip strength and perceived pain as well as anxiety and depression. No significant changes or correlations in remaining variables. Conclusion: Physical training contributes to decrease of chronic pain and physical training may give contribution to prevention of depression while increasing in muscle strength. Key word: Unemployment, mental health, physical health, physical training
Abstrakt Introduktion: Arbetslöshet leder till ohälsa och ohälsa leder till arbetslöshet. De som är inaktiva och arbetslösa kan också uppleva negativa effekter på deras fysiska och psykiska hälsa som fetma, följt av hjärt- och kärlsjukdomar, minskad muskelstyrka, kronisk smärta, ångest och depression. Alla dessa faktorer som kan kategoriseras under fysisk och psykisk hälsa, vilket är väsentliga faktorer för en optimal arbetsförmåga. Metod: Våra metoder för att bedöma sju deltagare (n = 7) varav tre män och fyra kvinnor, med medelåldern 35 ± 10 (25-54), där alla är inaktiva och långtidsarbetslösa. Deltagarna är en del av ett projekt som anordnas av Halmstad Fastighet AB-Byrå (HFAB-byrån), där de genomgår utbildning, coachning till sysselsättning och att lära sig att söka jobb. Vår del i detta projekt var att bidra med friskvård i åtta veckor för att stärka deltagarnas fysiska och mentala hälsa vilket i sin tur kan ha påverkan på deras arbetsförmåga. Samtliga undersöktes för greppstyrka med JAMAR ® hydraulisk dynamometer vilket motsvarar totalt muskelstyrka, BMI kompletteras med midjemått, blodtrycksmätning, självskattning av smärta med visuell analog skala (VAS), ångest och depression nivåer med Hospital Anxiety and Depression Scale (HADS) och Work Ability Index (WAI). Resultat: T-testet visar signifikans i upplevd smärta över åtta veckors fysisk träning samt sambandet mellan greppstyrka och upplevd smärta samt ångest och depression. Inga signifikanta korrelationer eller förändringar i de återstående variablerna. Konklusion: Fysisk träning bidrar till minskad kronisk smärta, samt att fysisk träning kan ha en preventiv effekt på depression så muskel styrkan ökar. Nyckelord: Arbetslöshet, mental hälsa, fysisk hälsa, fysisk träning
Med sikte på arbetslivet, HFAB-Byrån

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Rahimi, Bahol. "Implementation of Health Information Systems". Licentiate thesis, Linköping University, Linköping University, MDA - Human Computer Interfaces, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-15677.

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Healthcare organizations now consider increased efficiency, reduced costs, improved patient care and quality of services, and safety when they are planning to implement new information and communication technology (ICT) based applications. However, in spite of enormous investment in health information systems (HIS), no convincing evidence of the overall benefits of HISs yet exists. The publishing of studies that capture the effects of the implementation and use of ICT-based applications in healthcare may contribute to the emergence of an evidence-based health informatics which can be used as a platform for decisions made by policy makers, executives, and clinicians. Health informatics needs further studies identifying the factors affecting successful HIS implementation and capturing the effects of HIS implementation. The purpose of the work presented in this thesis is to increase the available knowledge about the impact of the implementation and use of HISs in healthcare organizations. All the studies included in this thesis used qualitative research methods. A case study design and literature review were performed to collect data.

This thesis’s results highlight an increasing need to share knowledge, find methods to evaluate the impact of investments, and formulate indicators for success. It makes suggestions for developing or extending evaluation methods that can be applied to this area with a multi-actor perspective in order to understand the effects, consequences, and prerequisites that have to be achieved for the successful implementation and use of IT in healthcare. The results also propose that HIS, particularly integrated computer-based patient records (ICPR), be introduced to fulfill a high number of organizational, individualbased, and socio-technical goals at different levels. It is therefore necessary to link the goals that HIS systems are to fulfill in relation to short-term, middle-term, and long-term strategic goals. Another suggestion is that implementers and vendors should direct more attention to what has been published in the area to avoid future failures.

This thesis’s findings outline an updated structure for implementation planning. When implementing HISs in hospital and primary-care environments, this thesis suggests that such strategic actions as management involvement and resource allocation, such tactical action as integrating HIS with healthcare workflow, and such operational actions as user involvement, establishing compatibility between software and hardware, and education and training should be taken into consideration.

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Zhang, Yanzhen. "Health care systems in China /". This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-07102009-040227/.

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Botha, Pieter Andries. "Determining the level of usage of information systems in selected small businesses / Pieter Botha". Thesis, North-West University, 2011. http://hdl.handle.net/10394/6942.

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When starting a new business, the owner has the vision to grow the business to a large corporate enterprise. In the small business stage, many challenges face the management of such businesses though. The influence of the external environment pushes the business from one side to the other. It is at this point where a true entrepreneur takes control and uses all necessary skills to succeed in generating the expected return on the invested money. One of the skills in the management armour of the small business manager is the ability to use information as a management tool. To gain insight into the dynamics of information management, a detailed literature study was done on all the aspects relevant to the topic. Previous research studies were taken into account to form a broad understanding of the study field. To determine the use of management information in small businesses as a tool in decision–making activities, a qualitative research study was done. The outcome of this study shows that there is a good understanding of the advantages of using management information as a decision–making tool, but that application does not happen to its full extent in practice. The management of data seems to be not very recent in small businesses. The objectives of the study was to determine the use of information, as well as the possibility of creating a communal information bureau, to assist in the availability of relevant data in the information support process. Certain recommendations were made in terms of the direct results and conclusions raised by the empirical study. Future studies can be done to determine the feasibility of communal data warehouses and data bureaus.
Thesis (MBA)--North-West University, Potchefstroom Campus, 2012.

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Sharma, Raju Prasad. "Integrative Systems Toxicology For Human Health". Doctoral thesis, Universitat Rovira i Virgili, 2018. http://hdl.handle.net/10803/665621.

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Els disruptors endocrins (DE) són substàncies naturals o antropogèniques presents el ambient, aliments o productes de consum que poden alterar els equilibris hormonals en humans i animals i produir efectes adversos per a la salut fins i tot a dosis baixes. S'han desenvolupat nombrosos mètodes, sota l'orientació de la UE i OCD, amb l'objectiu de realitzar avaluacions de riscos quantitatius per a aquests substàncies, tanmateix, aquests mètodes encara no tenen la confiança en el nivell de seguretat per a l'exposició humana. La predicció quantitativa dels efectes adversos dels DE en la salut humana planteja diversos reptes associats a la seva complexa exposició, cinètica no lineal, metabolisme(s) i mecanisme complex o la resposta complexa d'organismes en diferents etapes de vida o escales de temps. L'anàlisi d'alta capacitat emergent ,(OMICS), in-silico, com la farmacocinética-dinàmica fisiològica (PBPK /PD), la biologia de sistemes i les vies d'èxit adverses (AOPs) faciliten la comprensió de la complexitat biològica i la seva connectivitat multinivell. L'objectiu d'aquesta tesi és construir un model de toxicologia de sistemes integradors per predir els efectes adversos induïts a la salut humana per exposició a DE. La primera part d'aquest treball es centra en el desenvolupament i la validació del model detallat de dosimetria tisular que integra espècies i dades fisiològiques específiques de la població, dades in vitro i in-silico. La segona part es centra en el desenvolupament i la validació del model de toxicologia de sistemes integradors que inclou la biologia de sistemes, la senyalització del desenvolupament i la validació del model de la ruta de la xarxa / AOP, i l'acoblament d'aquests amb el model PBPK detallat. Aquest model de toxicologia de sistemes integrat proporcionarà així una plataforma de models predictius robusta per a productes químics / DE qualificats per donar suport als requisits regulatoris.
Los disruptores endocrinos (DE) son sustancias naturales o antropogénicas presentes en el ambiente, alimentos o productos de consumo que pueden alterar los equilibrios hormonales en los humanos y animales, y producir efectos adversos a la salud incluso a bajas dosis. Se han desarrollado numerosos métodos bajo la guía de la UE y la OCDE con el objeto de realizar Evaluaciones Cuantitativas de Riesgos para estas sustancias, sin embargo, estos métodos aún carecen de la confianza en el nivel de seguridad de exposición a humanos. La predicción cuantitativa de los efectos adversos de los DC en la salud plantea desafíos que están asociados a: su compleja exposición, cinética no lineal, metabolito (s) y complejas respuestas de organismos en su ciclo de vida o en escalas de tiempo. El análisis de alto rendimiento emergente (OMICS) y herramientas in silico como la farmacocinética-dinamia basada en fisiología (PBPK/PD), la biología de los sistemas y las vías de resultados adversas (AOP), facilitan la compresión de la complejidad biológica y su conectividad multinivel. El objetivo de esta tesis es construir un modelo de toxicología de sistemas integrados para predecir los efectos adversos a la salud por la exposición a los DE. La primera parte de este trabajo se centra en el desarrollo y la validación del modelo detallado de dosimetría tisular que integra especies y datos fisiológicos específicos de la población, datos in vitro e in silico. La segunda parte se centra en el desarrollo y validación del modelo de toxicología de sistemas integrados que incluye: la biología, red de señalización/desarrollo y validación del modelo vía AOPs, y el acoplamiento de éstos con el modelo detallado de PBPK. Este modelo de toxicología de sistemas integrados proporcionará una sólida plataforma de modelos predictivos para compuestos químicos/DC calificados para el respaldo de los requisitos reglamentarios.
Endocrine disrupting chemicals (EDCs) are natural or anthropogenic substances in the environment, food, or consumer products that can disrupt hormonal balances in humans and wildlife, and result in adverse health effects even at low dosages. To date, many test methods have been developed under EU and OECD guidance with the aim to perform Quantitative Risk Assessments for these chemicals. However, these methods still lack the confidence on their safety level of exposure to human. Quantitative Prediction of EDCs' adverse effect on human health poses several challenges associated with their complex exposure, nonlinear kinetics, metabolite (s), and complex mechanism or the complex response of organisms over different life stages or time scales. Emerging high-throughput analysis (OMICS) and in-silico tools such as physiologically based pharmacokinetic/pharmacodynamics (PBPK/PD), Systems biology and Adverse Outcome Pathways (AOPs) offer an opportunity to understand the biological complexity and their multilevel connectivity. The objective of this thesis is to build an integrative systems toxicology model for predicting EDCs-induced adverse effects on human health. The first part of this work focuses on the development and the validation of the detailed tissue-dosimetry model integrating species and population specific physiological data, in-vitro and in-silico derived data. The second part focuses on the development and validation of integrative systems toxicology model that includes Systems biology, signalling network/AOPs pathway model development and validation, and coupling of these models with detailed PBPK model. This integrative systems toxicology model will thereby provide a robust predictive models platform for chemicals/EDCs qualified to support regulatory requirements.

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Rajani, Kanth T. V. "GERASOS-A Wireless Health Care Systems". Thesis, Halmstad University, School of Information Science, Computer and Electrical Engineering (IDE), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-963.

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The present development of the demography of elderly people in the western world will generate a shortage of caregiver’s for elderly people in the near future. There are major risk that the lack of qualified caregivers will result in deterioration in the quality of elderly care. One possible

solution is the use of modern information and communication technology (ICT) to enable staff to work more efficiently. However, if ICT system is introduced into the elderly care it must done in a way which is acceptable from a humane perspective while at the same time increasing the efficiency of the personal that working in elderly care centers. This thesis investigates the

technical feasibility of using a wireless mesh network for a social alarm system, in the elderly care. The System as such is not intended to replace the staff at an elderly care center but instead is intended to reduce staff workloads while providing more time for elderly care.

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Kennedy, Catherine. "Welfare and health : systems in tension". Thesis, University of Glasgow, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297521.

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Mani, Girindra N. "Structural Health Monitoring of Rotordynamic Systems". University of Akron / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=akron1144522032.

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Friedman, Nicole Lisa. "Impactful Care: Addressing Social Determinants of Health Across Health Systems". PDXScholar, 2019. https://pdxscholar.library.pdx.edu/open_access_etds/5073.

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There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progress is slow and accountability is diffuse. The goal of this applied research project is to examine Kaiser Permanente Northwest's patient navigator program as a case study for how health systems can transform into organizations that bridge clinical, social and behavioral health and redefine what it means to be a prevention-oriented delivery system. Kaiser Permanente Northwest (KPNW) provides high quality, patient-centered care to over 550,000 medical members and 240,000 dental members in Oregon and Southwest Washington. In conjunction with the Care Management Institute, KPNW created a patient navigator administered, social needs screening tool called "Your Current Life Situation" (YCLS). This thesis focuses on the data collected from this screening tool with an emphasis on operations management, workflows, and the technical tools that have been supported to do this work. The analysis also uses semi-structured qualitative interviews from patient navigators, physicians, social workers, community organizations and members to better understand the experience of social needs screening in clinical practice and its impact on members and community partners as they receive referrals for services outside the health care delivery system. Through using anthropological theory and methods, I seek to help health systems think and act differently by elevating the voice and experience of the community and translating vulnerable populations' needs into a language that can be integrated into multiple systems of care.

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Schira, Norma. "A Survey of Health Promotion Activities of Health Systems Agencies". TopSCHOLAR®, 1986. http://digitalcommons.wku.edu/theses/1980.

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The National Health Planning and Resources Development Act. Public Law 93-641, the last major step in the regulation of the health care system, created a network of health system agencies and state level health planning agencies. Subsequent legislation, the Health Planning and Resources Development Amendment 1929, Public Law 96-79, amended 1974 Law and changed the role and function of health systems agencies to include more regulatory activities. By 1981, the activities of Health System Agencies were being curtained by the action of the Reagan administration. The Health promotion/wellness movement which seeks to improve health has been developing as a compliment to medical medicine for several years. Previous research has determined that health systems agencies were active in health promotion and identified several planning and implementation activities related to this involvement. This is a survey of health systems agencies to determine their efforts in healthy promotions. Resources allocated to these activities, and opinions of the director relevant to agency involvement in health promotion. All active healthy system agencies listed in the 1980. Directory of Health System Agencies (DHSH) were surveyed by a mailed questionnaire. Reponses were receive from 112 agencies (57%) and the respondents were found to be representative of the population. The results revealed health systems agencies to be involved in health promotion. More than 90 percent of the responders listed some type of health promotion activity in their Healthy System Plans for the 1979-1980 planning year. Approximately half of the responders reported some community activity in health promotion. The majority of executive directors saw health systems agencies as being only moderately effective in controlling health care costs: considered healthy promotion as a viable means of controlling health care cost: and believed that modifications of individual life-styles had the greatest potential for improving health status. The survey revealed that Healthy System Agencies did not restrict the wellness/health promotion activities to traditional health facilities, but were defining health broadly and working with a variety of agencies to develop services.

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Saddiq, Muhammad Ibrahim. "Reconceptualising health systems : a case study of lived health systems in urban informal setting in northern Nigeria". Thesis, University of Sheffield, 2015. http://etheses.whiterose.ac.uk/9974/.

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Despite growing interest in health systems strengthening among key global health actors, there is considerable debate about how to conceptualise health systems and about what the best strategies are to strengthen them. Existing conceptualisations of health systems are usually presented as static models in which the formal provision of services is central. Yet it is increasingly apparent that these conceptualisations do not constitute a complete model of how existing health systems work, and fail to capture the complex interactions between people, families, households, health services, and the wider societal context, particularly in urban informal settings in low and middle income countries where formal (state-regulated) health systems are relatively absent. This thesis critiques existing conceptualisations of health systems and develops an alternative understanding, based on detailed empirical research and the ‘lived’ experiences and perspectives of people experiencing health problems in one particular case study of an urban informal setting – Tudun Jukun in northern Nigeria. The thesis is underpinned by critical realism, integrates ideas and methods from a range of empirical studies about health and health seeking practices from the fields of medical anthropology and sociology, and draws on fieldwork conducted in Tudun Jukun between June-September 2012, which used a variety of qualitative methods (observations, interviews, focus groups, and document sampling). Using an innovative analytical approach, which involved developing detailed narratives about episodes of health problems, the thesis explains how people in this urban informal setting understand and experience health problems; the strategies they apply (or do not apply) in solving these problems; the factors that influence (enables/prevents) the choice of strategies and how they are negotiated; and, based on people’s ‘systems of meaning' and expectations, what strategies worked. The thesis presents an alternative conceptualisation of health systems as a ‘landscape’, in which health systems are structured by conceptualisations of health, context, prevailing beliefs or value systems, and power dynamics among individuals in a given context, which are all themselves intimately connected and inter-dependent. The thesis argues that power dynamics and existing forms of knowledge or expertise in solving health problem are crucial in defining health systems in a given context. These knowledge and expertise are distributed among different actors and access is governed by the different kinds of relationships that exist (family ties, friendship or market transactions) and networks of resources that individuals can draw upon. Distinct processes take place as people work to access knowledge and expertise: interpretation, decision-making, enabling and provision. It is argued that units of accountability or collectivity are fundamental in shaping how all elements within a health systems landscape are organised. In Tudun Jukun, the home is the most common unit of collective action on health issues. These findings raise questions about current policy action to strengthen health systems such as relying on (the relatively ineffective) state-led institutions and the uncritical use of existing theoretical conceptual frameworks. This study suggests alternative forms of action that are needed in order to design more context relevant health systems strengthening interventions through recognising what people value or not value and why. This can result in, for example, broadening the scope of health systems to recognise landscapes such as the home and patent medicine vendors as legitimate health systems landscapes and make them safer and more effective. It can also involve recognising and creating wider supporting networks for collective action on health issues in places where such collectivity is non-existent or too small to deal with prevailing health problems.

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Sequeira, Leela Anne. "WATER QUALITY ISSUES IN NORTHERN CALIFORNIA: INTERNSHIPS AT THE BUREAU OF LAND MANAGEMENT, SUSANVILLE & MEC ANALYTICAL SYSTEMS INC., TIBURON". Miami University / OhioLINK, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=miami1073402315.

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Najafizada, Said Ahmad Maisam. "The Afghan Community Health Worker Program: A Health Systems Analysis of a Population Health Intervention". Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/35044.

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To tackle one of the world’s worst maternal, neonatal and child health outcomes and a chronic shortage of human resources for health, the Afghan Ministry of Public Health deployed volunteer Community Health Workers (CHW) in rural areas of Afghanistan in 2003. This thesis documents the Afghan CHW program, exploring organizational and community contexts. The research design in this study is a mixed methods case study. The actual Afghan CHW program was situated with an Afghan complex adapative health system, mainly guided by the policy of the health system but was also largely influenced by the power and gender dynamics of the community context in which it was implemented. The tasks of CHWs were numerous but CHWs role was more than just the sum of their tasks; they occupied a unique location juxtaposed between formal and informal HRH systems. It is important to acknowledge the assembly of so many national and international organizations in achieving a shared goal of providing health services to a large population in an unstable and partially insecure environment. The shared goal in the Afghan context may have been interpreted only in terms availability of services, though the goal carries with it, either explicitly or implicitly, the values of effectiveness, efficiency, timeliness, and costliness – known as quality by some participants of this study. The community component was another layer of the complex adaptive system that made up the Afghan CHW program. Political-ethnic power in the community and legal-rational authority of the health system influenced the way communities were mapped in an inequitable manner, in turn, contributed to the unfair distribution of resources to the populations. Finally, the intersection of the gender equity approach and the gendered nature of the work as a cross-cutting layer added to the complexity of the Afghan health system.

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Zwama, Gimenne. "Improving health care provider - health committee working relationships for responsive, people-centred health systems". Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/23422.

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As community-based governance structures in the service delivery of primary health care, health committees can promote the quality, accessibility and responsiveness of service delivery. More specifically, health committees provide a platform for community members to advocate for their health needs and meaningfully participate in decision-making, oversight and monitoring of service delivery. Hence, health committees provide a bottom-up strategy to realise the right to health and a people-centred health system. Previous research has found that Health Committees in the Cape Metropole of South Africa face similar challenges as their counterparts globally. In South Africa health committees' role and mandate often seem to be unclear and weak policy frameworks have resulted in wide variations in health committee functionality. Health care providers, particularly health facility managers, have been identified to play a key role in creating a supportive environment for health committees' genuine and effective participation. Particularly, health care providers' misunderstandings of health committees' roles and responsibilities as well as their lack of engagement with health committees can form barriers to health committee's functioning. A gap in understanding exists on the impact training of health care providers could have on health committees' meaningful participation. While many health committee members in the Cape Metropole of the Western Cape Province were already trained, health care providers had not been trained until May 2015. Present realist evaluation sought to describe and explore the immediate and short-term impact of this pilot training on health care providers' responsiveness towards health committees. Pre- and post-training questionnaires, direct observations and semi-structured interviews were employed as research methods. The training evaluation was enriched by participants' diverse professional positions and work environments as well as their various experiences and relationships with health committees. The study reveals that the training played a role in increasing health care providers' responsiveness towards health committees' roles and functions. Health care providers demonstrated understandings and intentions towards building effective working relationships with health committees. However, training is recommended to be followed up on and to be continuous to ensure intentions are translated into practice and to account for the dynamic nature of health facilities, health committees and the health system in which they reside. In this manner, health care providers can increasingly contribute to building sustainable relationships with health committees to promote meaningful and effective community participation, the strengthening of people-centred health systems and the progressive realisation of the right to health.

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Lin, Yu-Kai. "Health Analytics and Predictive Modeling: Four Essays on Health Informatics". Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/555987.

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There is a marked trend of using information technologies to improve healthcare. Among all the health IT, electronic health record (EHR) systems hold great promises as they modernize the paradigm and practice of care provision. However, empirical studies in the literature found mixed evidence on whether EHRs improve quality of care. I posit two explanations for the mixed evidence. First, most prior studies failed to account for system use and only focused on EHR purchase or adoption. Second, most existing EHR systems provide inadequate clinical decision support and hence, fail to reveal the full potential of digital health. In this dissertation I address two broad research questions: a) Does meaningful use of EHRs improve quality of care? and b) How do we advance clinical decision making through innovative computational techniques of healthcare analytics? To these ends, the dissertation comprises four essays. The first essay examines whether meaningful use of EHRs improve quality of care through a natural experiment. I found that meaningful use significantly improve quality of care, and this effect is greater in historically disadvantaged hospitals such as small, non-teaching, or rural hospitals. These empirical findings present salient practical and policy implications about the role of health IT. On the other hand, in the other three essays I work with real-world EHR data sets and propose healthcare analytics frameworks and methods to better utilize clinical text (Essay II), integrate clinical guidelines and EHR data for risk prediction (Essay III), and develop a principled approach for multifaceted risk profiling (Essay IV). Models, frameworks, and design principles proposed in these essays advance not only health IT research, but also more broadly contribute to business analytics, design science, and predictive modeling research.

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Chikonde, Nkandu. "Training clinic health committees: a vehicle for improving community participation in health". Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27060.

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Objectives: In South Africa, and globally, community participation has become a key feature in the health system. In order for meaningful participation to occur within the health system several mechanisms have been identified as critical and this includes formation of health committees (HCs) at health facility level. Previous research indicates that health committees are imperative in both actualizing community participation and realisation of right to health. However, few studies have been undertaken to understand the impact training health committees has on community participation and right to health. This study sought to evaluate the impact training clinic health committees in community participation, health and human rights has on participation and right to health. The training been evaluated was led by Learning Network on Health and Human Rights and targeted four clinics in Cape Town Metropole of Western Cape, South Africa. The Learning Network is a grouping of five civil society organisations (CSOs) in Western Cape, South Africa at four universities which was launched in 2008 after the recognition of a gap in documented knowledge that CSOs had on health and human rights. The study explored health committees' changes in knowledge, perceived competencies, documented member's understanding of roles and HCs sustainability as well as the trainings impact on relationship between HCs and health service providers. Methods: The study was a multiple case study with multiple qualitative methods for data collection. Narrative data was collected through twelve in-depth interviews with health committee members, one facility manager, two focus group discussions and three physical observations across four health facilities. Health facilities were purposively selected from a list of health facilities trained by the Learning Network in 2014. Inclusion criteria also included English speaking health facilities and those in close proximity to each other. 2 Results: The study revealed that training HCs contributed to improved competencies, awareness and knowledge of community participation and the right to health. After the training, HC members were perceived to be more aware and responsive to their roles and responsibilities at the health facility. It was also noted that the training aided improved HCs perspectives on sustainability and roles, improved interpersonal skills and self-esteem. Conversely, the study revealed that despite the training improving participation and right to health, power imbalances between HC members and facility staff/managers who hold authority has a bearing on when and how participation occurs. Conclusion: The study demonstrates that training health committees contributed to improving the levels of community participation such as planning, consultation and advise [Arnstein, Rifkin and Loewenson] in the realisation of right to health. It is recommended for wider community participation that trainings of such magnitude are conducted together with facility managers/staff.

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Chen, Wen-Hsia. "Iontophoresis from model systems /". The Ohio State University, 1998. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487952208109888.

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Fotuhi-Firuzabad, Mahmud. "Operating health analysis of electric power systems". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0012/NQ27407.pdf.

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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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Onsy, Ahmed Mahmoud Helmy. "Intelligent health monitoring of power transmission systems". Thesis, University of Newcastle Upon Tyne, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.577153.

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Power transmissions are one of the most important parts of any mechanical system and in order to achieve the reliable operation of these systems, effective maintenance strategies must be used. Condition based maintenance strategies (CBM) are currently gaining in popularity due to their effectiveness in reducing maintenance costs; however, these require reliable monitoring techniques. Vibration, acoustic emission, and oil debris analysis have been studied to establish which can best support the operation of CBM in tracking the condition of the operating system, classifying faults, and predicting the onset of failure. These studies have shown it is necessary to adapt an intelligent approach to solving the problem. This study presents a novel approach to monitoring gear fatigue failures by combining (fusing) vibration, acoustic emission, and oil debris analysis using fuzzy logic. An 'intelligent health monitoring system' (lHMS) has been implemented on a back-to-back gearbox which can be adapted to monitor the behaviour of transmission systems in automotive, aircraft, wind turbine, and industrial machinery. The study describes the design and operation of the online IHMS, and demonstrates its ability in detecting transmission gear defects, thus preventing sudden unexpected failures. The results support the recent trend in using IHMSs in CBM strategies. KEY WORDS: Transmission, Intelligent Health Monitoring, Condition Based Maintenance, Acoustic Emission, Vibration, Oil Analysis, Fuzzy Logic, Sensors Fusion.

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Ödman, Torbjörn. "Wireless measurement systems for health and safety". Licentiate thesis, Mälardalens högskola, Inbyggda system, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-28765.

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This licentiate thesis presents an advanced wireless system, built on a single hardware platform, for applications in medicine and health. In order to design a single system, adaptable for different context, an accurate system specification is required. The technical requirements are authenticated by actual tests in the environment where the system is intended to be used. The results of these measurements give an understanding of the possibilities of designing a real system but also acts as a base for deriving the empirical formulas to be used as the basis of the development and verification. In summary, this work has included a larger measurement campaign and a verification of subsystems to support the development of wireless systems on a single hardware platform. This can be used for different measurements in medical healthcare and rescue work. Previous systems for endurance tests have limitations in that they are not adapted to different sizes of mammals and they also have shortcomings in the quantification of data and scalability. The developed system was validated on mice and humans. On mice the measurement parameters was the hormone dopamine and locomotion. For humans it was measured time for given distances. Both validation tests showed high correlation with the respective reference methods. The correlation coefficients of mice between the developed system and the former system ranged from 0.916 to 0.967. In the validation with humans, runners were clocked by the system clock and a manual stop watch. The lowest correlation coefficient was 0.864. Advantages with the developed system is that it is scalable and measures the activity level quantitatively in the unit meters and it can also be used for different sizes of mammals in different environments. In tracking devices for rescue it is important that the transmitted signal can be detected at distances as large as possible. A support in the design work is to simulate path loss. This requires a path loss exponent, which was calculated after the measurement campaign. The results showed that the exponent of the height dependency decreases with antenna height above water. For the frequency 200 MHz, the exponent for the antenna height is 0.4 (vertical polarization) and 1.5 (horizontal polarization). For the distance dependency, the exponent was 3.59 (vertical polarization) and 3.22 (horizontal polarization). The path loss exponent is 2 for both the free space- and the ground reflection model. An antenna’s physical dimension is to a large extent dependent on the lowest frequency. The research’s aim was to reduce the physical size by introducing a resonance frequency. The physical length was from the beginning 0.43 meter given by the lowest frequency used (0.7 GHz) and the antenna was reduced in size to 0.22 meter.

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Collins, Jonathan D. "Remote monitoring systems for substructural health monitoring". [Tampa, Fla] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002605.

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Abdulabbas, Gatea Al-Khafaji Ali. "Health monitoring of feedback controlled mechatronic systems". Thesis, Cardiff University, 2017. http://orca.cf.ac.uk/112940/.

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Health monitoring is essential in guaranteeing the safe, efficient, and correct operation of complex engineering systems. This PhD thesis presents a simulation of a non-linear, experimental-based model of a coupled tank apparatus CE105 under LabVIEW environment. The consideration of a traditional simple tank system is extended via the inclusion of non-linear elements. The simulation is used to accelerate the timescales of the monitoring and controller signals for nominal and faulty behaviour for several operating scenarios. In this study, a detailed simulation with several sources of fault was produced and run with the variety of operating scenarios to study the nominal and faulty behaviour of such mechatronic system. It is concluded that the liquid level will not be affected by fault nature and intensity in the presence of PID controller that covers hidden faults until its signal reaches a certain threshold. Hence, the end of useful life can be predicted by tracking the PID signal at any stage of the operating scenario. Technology advances have impacted upon monitoring, diagnostics and prognostics activities for increasingly sophisticated industrial systems and their operations. In particular, for integrated mechatronic systems, the facility provided by dynamic simulation models in presence of deteriorating faults has been investigated. For informed data-driven prognostic extrapolations, the long-term, time-varying operational profile of the mechatronic system requires recording and analysis. The contribution reported in this study relates to the simulation and experimentally validated, of a CE105 coupled-tank liquid level control system and three individual-thank liquid level system. A Sign Chart Algorithm (SCA) was developed and utilised as a novel controller-based health monitored (CBHM) system. Moreover, from the SCA and the PID signal trend, the remaining useful life of the system has been estimated. Results are reported and discussed for leakage or blockage and pump performance deterioration faults.

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Newbury, Brian. "Integrated health, safety and environmental management systems". Thesis, University of South Wales, 2000. https://pure.southwales.ac.uk/en/studentthesis/integrated-health-safety-and-environmental-management-systems(6a947bb5-bda0-4466-9cb6-f02ad514cb9a).html.

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The continued rise in accident and ill health statistics throughout the member states of the European Union indicate that the standards of occupational health, safety and environmental control require further improvement to minimise the current level of loss. Management systems are regarded as an effective means of reducing this loss by continuously improving standards. Whilst there is much discussion and debate about the possibilities of integrating management systems, at present, there are no national or international published integrated management standards, although some multi-national companies have introduced their own internal integrated standards. The research explored the development of an integrated health, safety and environmental (HSE) management system within a range of industrial organisations. This included the development of tools for successful implementation of integrated systems, specifically for significance review, risk assessment and auditing. Resources and accreditation constraints precluded exhaustive testing of all clauses within the proposed integrated management standard. However, analysis of key aspects of the standard revealed: 1. The introduction and use of separate health, safety and environmental (HSE) management systems improved the standards of risk control within organisations. 2. Organisations perceived that there were clear business advantages in some form of integration of existing standards. 3. The developed integrated HSE standard was technically possible in the area of policy development, process operations, working instructions and documentation. However, the integration of risk assessment and audit tools gave limited advantages compared to existing separate systems. 4. The proposed integrated HSE standard complied with both individual European member states national legislative requirements and European/World-wide management standard criteria. In summary this thesis represents an original contribution to the field of integrated management systems. The thesis also identifies areas of further work that will increase the knowledge base, scope of application of the work carried out.

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Roman, Tamlyn. "Universal health coverage: a systems thinking approach". Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/11976.

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Includes abstract.
Includes bibliographical references.
This dissertation uses a systems thinking approach to investigate how current health system frameworks conceive of universal coverage schemes and the conditions which led to their implementation and sustainability.

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Zhang, Peng. "Multi-agent Systems in Diabetic Health Care". Licentiate thesis, Karlskrona : Blekinge Institute of Technology, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00263.

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This thesis discusses how Multi-agent Systems (MAS) should be designed in the context of diabetic health care. Three fields are touched: computer science, socio-psychology and systems science. Agent Technology is the core technology in the research. Theories from socio-psychology and systems science are applied to facilitate the discussion about computer agents. As the integration of socio-psychology and systems science, Activity Systems Theory is introduced to give a synthesized description of MAS. Laws and models are introduced with benefits on both individual agent and agent communities. Cybernetics from systems science and knowledge engineering from computer science are introduced to approach the design and implementation of the individual agent architecture. A computer agent is considered intelligent if it is capable of reactivity, proactivity and social activity. Reactivity and proactivity can be realized through a cybernetic approach. Social activity is much more complex, since it considers MAS coordination. In this thesis, I discuss it from the perspectives of socio-psychology. The hierarchy and motivation thinking from Activity Systems Theory is introduced to the MAS coordination. To behave intelligent, computer agents should work with knowledge. Knowledge is considered as a run-time property of a group of agents (MAS). During the MAS coordination, agents generate new information through exchanging the information they have. A knowledge component is needed in agent’s architecture for the knowledge related tasks. In my research, I adopt CommonKADS methodology for the design and implementation of agent’s knowledge component. The contribution of this research is twofold: first, MAS coordination is described with perspectives from socio-psychology. According to Activity Systems Theory, MAS is hierarchically organized and driven by the motivation. This thesis introduces a motivation-driven mechanism for the MAS coordination. Second, the research project Integrated Mobile Information Systems for health care (IMIS) indicates that the diabetic health care can be improved by introducing agent-based services to the care-providers and care-receivers. IMIS agents are designed with capabilities of information sharing, organization coordination and task delegation. To perform these tasks, the IMIS agents interact with each other based on the coordination mechanism that is discussed above.

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Begin, Michael P. "Systems Engineering Processes for the Acquisition of Prognostic and Health Management Systems". Thesis, Monterey, California. Naval Postgraduate School, 2012. http://hdl.handle.net/10945/17323.

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Prognostic and Health Management (PHM) systems often experience delayed fielding and lengthened maturation cycles due to their relative immaturity and the fact that they are regarded as non-flight critical systems. The national fiscal crisis and rising debt of the U.S. have each placed increased scrutiny on military systems acquisition and procurement practices. The Defense Department is pushing for greater emphasis on fundamental systems engineering practices earlier in the acquisition phase, with the expectation of fewer schedule slips and budget overruns. The acquisition of PHM systems could also benefit from increased systems engineering rigor early in their development. A 2007 directive from the DoD states that PHM systems be implemented into current weapon systems equipment, and materiel sustainment programs where technically feasible and beneficial. This research examines the definition of PHM requirements and a method for developing a solution neutral architecture for PHM systems. The thesis also identifies software development practices and acquisition processes for military propulsion PHM systems. The conclusion of this research is that the Defense Department can deliver the warfighter a capable PHM system on-time and within budget through the establishment of better procurement and systems engineering practices.

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Wolfe, Ingrid. "Child Health, Health Services and Systems in UK and other European countries". Doctoral thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-35856.

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Background This work in child population medicine describes child health problems, increases knowledge of health services, systems, and wider determinants, and makes recommendations for improvements. Aims To explore trends in UK child health and health service quality and highlight policy lessons from the UK and other European countries To study child health and health services in western Europe and derive lessons from different approaches to common challenges To enhance knowledge on child to adult transition care To describe trends in UK and EU15+ child and adolescent mortality and seek explanations for deteriorating UK health system performance, and make recommendations for improving survival Methods Population level measures of health status and system performance; primary and secondary research on policies and practice for health system assessments. Quantitative: mortality rate trends, excess deaths, DALYs, healthcare processes Qualitative: case reports, system descriptions, analyses Results European child survival has improved, but variably between countries. The UK has not matched recent EU mortality gains. There are 6,000 excess deaths annually in children under 15 years in EU14 countries. There are child survival inequities; countries investing in social protection have lower mortality. Children in the UK, compared with other EU countries, are more likely to be poor than adults. Non-communicable diseases are now dominant causes of child death, disease, and disability. Mortality, processes, and outcomes of healthcare amenable conditions varies between countries. Better outcomes seem to be associated with flexible health care models promoting cooperation, team working, and transition. Conclusions Child health in Europe is improving, but unevenly. Child health systems are not adapting sufficiently to meet needs. Recommendations are made for improving health systems and services.
How do European countries compare when it comes to child health statistics? How do different child health services, systems, and wider determinants impact long term influences for good or harm? Why do some countries seem to do better than others in safeguarding their children’s and young people’s health and wellbeing? And what can we do to make things better for children? This thesis explores some of these difficult but important issues, and despite describing some serious signals of concern about child health, offers recommendations and clear ways forward for countries to ensure healthier futures for children.

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Rosen, Ceruolo Melissa Beth. "Data driven health system". Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/79531.

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Thesis (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, 2013.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 106-110).
Effective use of data is believed to be the key to address systemic inefficiencies in health innovation and delivery, and to significantly enhance value creation for patients and all stakeholders. However, there is no definition for health data. Rather, data in health is an assortment of observations and reports varying from science to clinical notes and reimbursement claims that emerge from practice rather than design. What is health data? In this thesis we try to answer that question by looking at the system of health almost exclusively as a system that generates, transforms, and interprets data. We overview the different meanings data has throughout the health system, we analyze systematically the inefficiencies and trends as they emerge from data, and propose a new architecture for the system of health in which data is not present by accident. The result of this thesis is a new architecture for the system of health that is consistent with its present state but also consistent with a future learning system and a redefinition of value in health care that is patient and information centric.
by Melissa Beth Rosen Ceruolo.
S.M.

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Chen, Wen-Ling, i 陳文玲. "Performances of Quality Improvement Group session Using Group Support System at Bureau of National Health Insurance". Thesis, 2002. http://ndltd.ncl.edu.tw/handle/79676571910673620575.

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碩士
國立中正大學
資訊管理學系
90
Although several laboratory studies have been conducted in Taiwan, virtually there is no attention has been given to how well an operational Group Support System functions in a real-word, organizational setting. This research is to present the results of a Group Support System field experiment study at Bureau of National Health Insurance site. Six Quality Improvement Groups (QIG) of BNHI were randomly assigned to two different types of process, which were GSS session and Non-GSS session. Each team was composed of five members who came from the same department and had to finish three different creative tasks. The performances of QIG session include effectiveness, efficiencies, and user satisfaction. We found that the GSS session had significantly higher efficiencies, including shorter time spent in activities, more number of unique ideas, than Non-GSS session. Also, members of QIG in GSS session had more equally involved to discussion than members in Non-GSS session. However, the satisfactions were no significant differences between GSS and Non-GSS sessions.

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39

Yi, Yang Hsin, i 楊心怡. "Impact of labor dispatch policy on human resource system development :a case study of bureau of health promotion". Thesis, 2011. http://ndltd.ncl.edu.tw/handle/32307852644053517811.

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40

Yeh, Yi-liang, i 葉益良. "The Research of Taiwan Occupational Safety and Health Management System into Military Factories-A Case Study for Factory A of Armament Bureau". Thesis, 2009. http://ndltd.ncl.edu.tw/handle/17818850119164127093.

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碩士
義守大學
工業工程與管理學系碩士班
97
In recent years, it create a wave in each industry of the world and both OHSAS 18001 and ILO-OSH 2001 are regarded as the main trends in the international community at present. In 2007 the guidelines of Taiwan occupational safety and health management system are established based on the merits of the two management system in our country . This research purpose hopes by way of observing in the field, and carry on the discussion by the method of seriousness interview, questionnaire investigation……etc, probe into the direction of improving to correct hygiene administrative system mechanism of occupational safety. The conclusion of the study is as follows: The conclusion of study by proves on the field and depth interview: Implement the hygiene of employment security to audit,filing management,the determination of every manager team,the resources of external support,supported and demanded by top executive. A questionnaire survey for the conclusion of study: 1. It is the strongest for testee that verify cognition in organizing implementation OHSAS 18001 revising and TOSHMS certification,secondly it could let our team understand how importance participated in wholly, that will support them to understand decree rule and other require item,also monitor and improve the health. 2. It is the strongest for testee that motive in organizing implementation OHSAS 18001 revising and TOSHMS certification,secondly it could establish the image of enterprises and creating a safe work environment, avoiding job disaster occurrence,pay attention to the safety and hygiene,decreasing the risk of safety and health. 3. After implement the organizations change of OHSAS 18001 revise and TOSHMS certification that safe hygiene performance can be reached by testee,and whole colleague could find out about company''s safe hygiene policy further,even more understand the manages power and responsibility in hygiene of occupational safety,reduce number of times of the accidental event. 4. In the process of implement the organizations change of OHSAS 18001 revise and TOSHMS certification that the most difficult problems on the testee was increasing large numbers of documents and records in the course,implementation of the work operation that just focus on a very small number of people,and less comprehension about article of content in OHSAS 18001 and TOSHMS.

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Tsai, Tung-yuan, i 蔡東原. "An Assessment Of Medical Utilization Of Diagnosis-Related Groups Payment Systems Of Bureau Of National Health Insurance – An Example of Chronic Pulmonary Obstructive Patients In A Regional Teaching Hospital In Southern of Taiwan". Thesis, 2008. http://ndltd.ncl.edu.tw/handle/18990264672676660500.

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碩士
義守大學
管理研究所碩士班
96
Since 1998, the total cost of medical care service was increasing gradually, resulted in the negative balance of budget of national health insurance in Taiwan and this problem is going to worsen in the future. In order to effectively control the growth of medical expenditure, the medical insurance organizations, the Department of Health, Executive Yuan, adopted the Global Budget System to establish the basis of payment system planned to adopt Diagnosis Related Groups on hospital medical expenditure. This study used the impatient data from a regional teaching hospital in southern of Taiwan. The patients rolled who are more than 17-year-old and admitted to this hospital which was diagnosed as Chronic Obstructive Pulmonary Disease and in charged by a Chest Specialist since 2004 to 2007. Total number of 1,092 patients were including in this study. The finial result of patients post excluded cases of death, transferration or against discharge, there were no difference between the distribution of sex, age, disease severity and length of service in this period of each year, except the total fee of each admission was increased from 35,655 to 49,447 on this period. And the generation of antibiotic agents which initial prescription for this admission were shifted from 1st generation to 2nd generation antibiotic regiment. It is concluded that, although the payment system changed from fee-for-service system to Global budget System on 2002, Self-Management on 2003 and Excellent Program of each hospital on 2004 which implemented by Bureau of National Health Insurance in order to more control the growth of medical care service expenditure, especially the total fee of each impatient charge. But the different result was noted in our study. In the future, the system of payment system of Diagnosis Related Groups will be implanted, and we hope the actual clinical medicine utilization will consider for the quality of medical service.

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Hwang, Lih-Lian, i 黃麗蓮. "A system dynamics approach to the long-term influences of the decision taken by the Bureau of National Health Insurance, beneficiaries, and contracted medical care institutions". Thesis, 2002. http://ndltd.ncl.edu.tw/handle/86227952529581847851.

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Chuang, Yu-Tzu, i 莊玉資. "Implementation and Evaluation of the Registry System of Long-Term Ventilator-Dependent Patients: A Case Study of Some Branch of Bureau of National Health Insurance in Taiwan". Thesis, 2006. http://ndltd.ncl.edu.tw/handle/10126672977933901218.

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碩士
中國醫藥大學
醫務管理學研究所碩士班
94
To understand the flow of patients requiring prolonged mechanical ventilation and to efficiently control them admitted to hospitals. Both can decrease unsuitable utilization of mechanical ventilation and archive the rational growth of medical expenditure. Therefore we have to develop computer-aided system to manage assist hospital administrator for managing efficiently. In view of this, we take “Central Region Branch, Bureau of National Health Insurance” as example to plan and implement the register system of patient with prolonged mechanical ventilation. And we also evaluate effects of the system. 　　After discussion, modification and testing the system many times, the register system is finished and implemented in hospitals successfully at 1 July 2005. Furthermore we evaluate user satisfaction by on-line questionnaires to understand the condition of using the system in hospitals. We collect 50 valid questionnaires and the rate of return is 83.33%. In addition, we estimate the effects for the utilization of mechanical ventilation between before and after using the system. And we use insurance claims data for patients with mechanical ventilation to analysis. The data is analyzed by t-test for independent samples, Chi-square test and One-Way ANOVA besides by descriptive analysis. 　　The result of user satisfaction survey shows that functions of the system are the most satisfied for all users. The second is convenience of system operation. Moreover, for hospitals, Medical Centers are satisfied with the real-time response of system and exception handling of system. Regional hospitals and district hospitals both are satisfied with functions of the system. But hospitals with joining IDS program are satisfied with feedback of indicator information. System automation is for hospitals without joining IDS program. Besides, the result of system implementation shows that we can control the flow of patients with mechanical ventilation in real time and provide the reference information for flow-up in the field. To use the system can not only save time of human operation and of visit patients but archive efforts that hospitals rationally control to receive patients with mechanical ventilation. Furthermore, through setting up security mechanism of network, the system can achieve the efforts of controlling at any time by feedback of related information and indicators in real time. And it also can achieve the security of protection personal data of patients in open networks. 　　The research is found that the effects for the utilization of mechanical ventilation after implementation are better than before. Patient data collected from our register system are all more completed than data from systems of IDS program. It improves the problem of incompletion information of the system of IDS program. In addition, the results also show a weaning rate of patients requiring mechanical ventilation obviously increases after implementation. Among hospitals, for Centers of Medical Sciences and those join IDS program or not, a rate of increasing is statistically significant difference. And a transfer rate also decreases after implementation. For local hospitals and those without joining IDS program among hospitals among hospitals, a rate of decreasing is statistically significant difference. 　　According to the results that the research obtained, we address several suggestions as follows: (1) for Bureau of National Health Insurance, It should be a way toward simplifying operational interface of system to accord with user friendly and to easy use it. And the system could be added more exception handling. (2) The experience and effects in the process of system development and implementation could be as the reference model for building the similar system. And also the system could be popularized other branches or technique can be shared. (3) Hospitals should enhance the internal management. To decrease the mistakes of register can avoid poor quality of information. (4) Researchers could be toward the way of medical quality in the future. It should be more worth that collecting more Medical indicator to be used for clinical analysis.

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Chen, Kuo-jen, i 陳國珍. "An Exploratory Study about users’ intention of Kaohsiung City Government Bureau of Education Physical Education and Health Management System Subsystem -" influenza epidemic reporting system" Based on the Technology Acceptance Model and Information System". Thesis, 2011. http://ndltd.ncl.edu.tw/handle/75866024350106348997.

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碩士
國立屏東教育大學
數位學習教學碩士學位學程
99
The main purpose of this study is through technology acceptance model and information system success model concept, conducted by questionnaire survey and analysis of the user for the " Influenza epidemic reporting system " intended use, user satisfaction and willingness to use. This study also discuss the differences and relatedness of students’ attitudes toward influenza epidemic reporting system among their different backgrounds. According to this study and the results of the questionnaire, some conclusions will be suggested as follows： 1. The users are willing to take advantage of the "Influenza epidemic reporting system". 2. Using attitude of the users toward the "Influenza epidemic reporting system" influences their willingness to use it. The result conforms to theory of technology acceptance model. 3. Users’ satisfaction of the users about the "Influenza epidemic reporting system" influences their willingness to use it. The result conforms to theory of DeLone and McLean’s model of information systems (IS) success. 4. The users of different backgrounds are different from using intention、satisfaction and users’acceptance.

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45

Li, Shu-mei, i 李淑美. "An Evaluation into the Effectiveness of Launching the Independent Management System in Hospitals - A Case Study of Hospitals Under the Authority of the Bureau of National Health Insurance, Tapei Branch". Thesis, 2005. http://ndltd.ncl.edu.tw/handle/19578170467776719073.

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碩士
東吳大學
會計學系
93
Abstract Purpose： The present study aims to evaluate the outcomes of introducing an independent management system which was put in place to launch a global budget scheme in hospitals. The outcome of this scheme was evaluated with reference to (1) the observed commitment shown by each participating hospital to the proposals which they had formulated for the Hospital Excellence Program and (2) the opinions put forward from different sectors after the launch of the scheme. Twenty-five hospitals participated in this study, all of which are under the control of the Bureau of National Health Insurance (Taipei Branch). The changes in (1) the total number of medical service cases and in (2) the total medical resource distribution, before and after applying the scheme were compared. Based on the results of this study, we propose suggestions, that the chief government organisation can refer to, in order to draw up a strategy for strengthening the independent management scheme Method：Data for the current study was collected from 6 medical centres, 10 regional hospitals and 9 district hospitals giving a total of 25 participating hospitals. Average figures for each of the areas examined in this study, from each participating hospital, were obtained from data collected between July and December in the years 2002 and 2003 (before the scheme was implemented) and these figures were compared with data obtained between July and December, 2004 (after implementation of the scheme). A comparison between these two periods thus indicated any differences that were a result of the scheme. The SAS 9.0 and EXCEL 2002 programs were used to perform an analysis of the raw data and to provide descriptive statistics. The WILCOXON Signed Rank Test was then applied to the data in order to examine the differences in (1) the total number of medical service cases of outpatient and hospitalization service, (2) medical resource distribution and the quality of care for acute, rare or critical medicine patients. Results：In the general area of medical service, the number filed cases in both outpatient and hospitalisation service was increased significantly. The study showed that after participation in the scheme the points of medical expenditure in the outpatient service decreased significantly, while points of inpatient cases increased significantly. However, there was still a big gap between the current situation and the target ratio (outpatient service : hospitalization = 45% : 55%). The points of medicine expenditure for outpatient and inpatient service were increased significantly, though it showed a significant decrease within the proportion of the total medical expenditure. It still occupied 28.82% of the total medical expenditure, which is 14% higher than average in OECD countries. In the “encouraged items” of global budget scheme, only outpatient operation cases showed significant increase in the points and occupancy. In the areas of total medical resource distribution and acute and critical medicine expenditure distribution, a comparison among level A, B and C hospitals’ caring system indicated that only hospitals in level A showed a significant decrease in the number of medical care cases, whereas hospitals in levels B and C did not show a difference. In addition, there was no significant difference in the disease variety treated in the different levels of hospitals, that is, the roles and functions of the different levels of hospitals were still ambiguous. In the area of acute and critical medicine patient care, points of medical expenditure and occupancy showed a significant increase. Conclusion：The purpose of this study was to evaluate the hospital independent management system. The results of this study indicate that the structure of outpatient service and hospitalization filed cases were better than before participation in the scheme. The proportion of total medicine expenditure in the outpatient service and hospitalization also showed significant decline after participation. At the same time, there was an obvious improvement in acute and critical medical patient care. Nevertheless, the range of changes was limited. Moreover, after participation, from the functional points of view, the system was barely satisfactory in the area of medical resource distribution. Overall, the outcome of this scheme is unsatisfactory. Key words：global budget scheme、hospital excellence program、hospital independent management system

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Liang, Tien Teng, i 梁添登. "Health Bureau, the". Thesis, 2010. http://ndltd.ncl.edu.tw/handle/x64jtd.

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碩士
國立臺東大學
進修部運動休閒管理碩(假日)
98
The purpose of this study was to explore the Hualien County and Taitung County Health Department, the staff work stress and leisure adjustment, and physical and mental health related conditions. The study sample frame to Hualien County Health Bureau and 13 townships in Taitung County Health Department clinics and 16 cum-Township Public Health Center staff for the study, a comprehensive survey conducted a questionnaire survey and collect information. The total of 613 questionnaires issued, 549 were recovered, recovery rate of 89.55 percent, which removed 26 invalid questionnaires, a total of 523 valid questionnaires, and the valid scale recovery was 85.3%. Based on the research objectives and test hypotheses, this study, canonical correlation and multiple regression Jin Xing Zhu Bu data analysis, the results show: Hualien County and Taitung County Health Ju, Suo personnel, in the face of job stress will be Yi enhance positive emotions leisure Laitiao Zheng physical and mental health is the best choice. Followed by the casual and friendly feel relaxed and casual with style. This study confirms the timely regulation of leisure and health can promote mental health. Work stress and leisure adjustment, and physical and mental health status were significantly correlated between the three, and work stress and leisure adjustment can effectively predict the physical and mental health. Caused by work stress and negative psychological and physical health, adjustment and participation in leisure can be improved and to reconcile the benefits of the final results of this research is based on recommendations.

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Lee-, Shuo-Chan, i 李碩展. "A Study on Legal Personalization of National Health Insurance Bureau". Thesis, 2007. http://ndltd.ncl.edu.tw/handle/85166704817572741767.

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碩士
國立臺灣海洋大學
海洋法律研究所
95
The reorganization of the Bureau of National Health Insurance has long been a controversial issue concerning Taiwan’s national health insurance system . As the government has been pushing organizational reforms over recent years , it has been suggested that the Bureau of National Health Insurance should be established as a legal person. The purpose of this paper is to examine the feasibility of establishing the Bureau of National Health Insurance as a legal person during the restructuring of its administrative organization . Therefore , this paper starts with a discussion of the basic theories regarding the public juridical person system and briefly introduces the public juridical person system in Germany, the non-departmental public body system in the UK and the independent administrative corporation system in Japan. Then, this paper explains the regulatory regimes of the draft for the Administrative Corporation Bill in Taiwan as it serves as the foundation for the establishment of the Bureau of National Health Insurance as an administrative corporation. In addition , the empirical experience of the National Chiang Kai-Shek Cultural Center as the first administrative corporation in Taiwan after re-organization, can also serve as a reference for this paper. Secondly, this paper compares the differences between the administrative corporation system and the current system by examining the workings and legal relationships of the administrative organization after establishment as an administrative corporation . This paper analyzes the benefits of the establishment of administrative corporations and evaluates its feasibility and supporting measures. Finally , this paper makes recommendations by summing up all the analyses. Keywords: Bureau of National Health Insurance legal person Public juridical person Administrative corporation Non-departmental public body National Chiang Kai-shek Cultural Center

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Wu, Ming Tsun, i 吳明村. "A Study of Improvement on Taiwan Highway Bureau''s Pay Systems". Thesis, 1998. http://ndltd.ncl.edu.tw/handle/14229847948576181734.

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Chen, Hsin-Ling, i 陳秀玲. "Study on the Health-Promoting Lifestyle and Leisure Participation of health professionals in Health Bureau Taitung Hospital". Thesis, 2013. http://ndltd.ncl.edu.tw/handle/54483935206008407147.

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碩士
國立臺東大學
身心整合與運動休閒產業學系
101
Study on the Health-Promoting Lifestyle and Leisure Participation of health professionals in Health Bureau Taitung Hospital Advisor: Seam Chang, Ph.D. Graduate: Hsin-Ling Chen M. Ed. Thesis, 2013 ABSTRACT The purpose of this study was to explore the health-promoting lifestyle and leisure participation of the health professionals in Health Bureau Taitung Hospital. The questionnaire on the health-promoting lifestyle and leisure participation of the health professionals in Health Bureau Taitung Hospital wsa adopted, and data were collected from 300 participants in which 273 effective questionnaires were returned, response rate of 91%; according to the content of the questionnaires, the data was analyzed by SPSS/PC 12.0 together with the adopted instruments inclusive of descriptive statistics, t-test, one way ANOVA, Pearson correlation. The main findings of the study are as follows: 1. Interpersonal Support ” was the highest score and “Health Responsibility” was the lowest score of the health-promoting lifestyle among Health Care Professionals in Taitung hospital. 2. Sport was the highest score and Social interaction was the lowest score among Health Care Professionals in Taitung hospital. 3. There were significant differences among the Health Care Professionals’ job, gender, age, education degree, salary status, and years of service in their health-promoting lifestyle. 4. There were significant differences among the Health Care Professionals’ gender, age, education degree, marital status, and years of service in their leisure participation . 5. There was a positive correlation between the Health-Promoting Lifestyle and Leisure Participation of health professionals in Health Bureau Taitung Hospital. Finally, the finding of this study provided substantial suggestions for the government, medical professionals and future researchers. Keywords: Health Care Professionals, health-promoting lifestyle, Participation in Recreational Activities

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Chang, Chi-Ying, i 張琪英. "The Unionization of Atypical Employees in Bureau of National Health Insurance". Thesis, 2001. http://ndltd.ncl.edu.tw/handle/93706089209374582269.

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碩士
國立中山大學
人力資源管理研究所
89
Atkinson proposed a concept of “flexible firm” in 1984, and distinguished workers into three parts: core workers, peripheral workers and external workers. In 1997, Handy considered that organization would be composed of core work team, temporary employees, and flexible workers in the future. Therefore, Work in the organization would be divided into two parts: core work and non-core work. Core workers are responsible for core work, and non-core work are outsourced or distributed to other contractors. Then, atypical employment rises and develops. The use of this kind of employment will become a trend, and companies can save money this way. The purposes of this thesis are: (1) to understand the situation of atypical employment in the Bureau of National Health Insurance (the NHI); (2) to find out the reasons of unionization for temporary workers in the NHI; (3) to understand the restraints on unionization of atypical employees; (4) to provide suggestion to government and government-run companies. According to the results of interviews and analysis, the reason that the NHI continues to employ temporary employees is to stabilize business. The NHI can continue to employ temporary employees since these temporary employees are not included into Labor Standards Law. Three reasons that temporary employees of the NHI can unionize are: (1) work time and worksites of temporary employees of the NHI are fixed; (2) insurance industries are covered by Labor Standards Law, and temporary employees of the NHI are included into Labor Standards Law; (3) organizational system of the NHI is a government-run financial and insurance organization, so it is not limited by the fourth clause of Labor Union Law.

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