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Дисертації з теми "Older people Medical care"

Автор: Grafiati

Опубліковано: 4 червня 2021

Оновлено: 30 липня 2024

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1

Clay, Olivio J. "Racial differences in health care utilization betwen older African American and Caucasian Medicare beneficiaries." Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2009r/clay.pdf.

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Thesis (Ph. D.)--University of Alabama at Birmingham, 2007.<br>Title from PDF title page (viewed Sept. 21, 2009). Additional advisors: Richard M. Allman, Karlene K. Ball, Monika M. Safford, David E. Vance. Includes bibliographical references (p. 62-72).

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2

Chan, Mee-kie Maggie, and 陳美琪. "Protein-energy malnutrition among Chinese elderly medical patients in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971489.

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3

Carron, Rebecca C. "Development of a nursing model for the implementation of spiritual care in adult primary health care settings." Laramie, Wyo. : University of Wyoming, 2006. http://proquest.umi.com/pqdweb?did=1246570031&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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4

Kung, Francis Tat-yan. "Chronic pain in older people." Connect to thesis Connect to thesis, 2001. http://adt1.lib.unimelb.edu.au/adt-root/public/adt-VU2001.0028/index.html.

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5

Newman, Edward 1957. "An analysis of utilization of health services by the elderly in Canada /." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=42108.

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Population aging in Canada is expected to result in a sharp increase in the use of health services by the aged. The purpose of this thesis, is to enhance the knowledge of the utilization of the health system by the elderly. For this, an analysis of the utilization of three health services was pursued, using data from two health surveys, and two general social surveys in a statistical examination; to describe age-use; identify the major determinants of utilization; and to discover the sources of change in use. The results show that the aged were the highest users of health services among all age groups. Use increased for some services, and decreased for others. Changes in how people were managed by the health system, and to a lesser extent a rise in disease prevalence, were the primary sources of variations in utilization. There was no conclusive evidence of the presence of supplier induced demand. Population aging was not a significant determinant of changes in health service use, but rather factors associated with the management of the elderly by the health system; this includes technological changes in medicine, and changes in treatment patterns.

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6

Carter, Holly R. "The Effects of Age, Sex, and Class Stratification and the Use of Health Care Services among Older Adults in the United Kingdom." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2256/.

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As the population ages, providing health services for the growing number of older people will become an increasingly difficult problem. In countries where the health services are provided by the government, these problems are involved with complicated issues of finance and ethics. This is the case of the National Health Service, the government institution providing health care for the citizens of the United Kingdom. Knowing what social factors influence health care usage can be a link to match usage and funding. Literature has shown that health care utilization can be predicted by social factors, as well as the medical model, and from this orientation social variables were drawn from the 1994 General Household Survey. Social factors were analyzed to determine relationships that exist between certain types of health care use and these factors. Age, sex, and class, the three main factors shown in literature to affect usage, were then analyzed to determine if services are allocated on the basis of these factors or the basis of need from illness and disability. Results of the study show that of the predisposing variables, age, sex, and class, are associated with most types of health care use. From the enabling variables, both source of income and visits from friends and relatives are associated with most types of health care. Of the illness determinants, disability, limiting illness, restricted activity days and eyesight difficulty were all related to health care use. When intervening control variables were introduced, the intervening control variables of difficulty with activities of daily living and difficulty with instrumental activities of daily living had an explanatory effect on the use of home help, district nursing, consultations with a general practitioner at home, consultations with a general practitioner at a surgery or health clinic, and inpatient stays. These services were offered more according to need than the factors of age, sex, and class.

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7

Boone, Amanda Carrie. "Methodology for evaluating and reducing medication administration errors." Master's thesis, Mississippi State : Mississippi State University, 2003. http://library.msstate.edu/etd/show.asp?etd=etd-07202003-190139.

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8

Nguyen, Khang Pramote Prasartkul. "A study on hospital expenditure for aged population in Vietnam /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd368/4638497.pdf.

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9

Wong, Nga-man, and 黃雅敏. "Quality evaluation of geriatric health information on Yahoo! Answers : a cross-cultural comparative study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193007.

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Given the increases on global ageing population, popularity of social Q&A sites and the level of geriatric health concerns from family caregivers, it raises the uncertainty about the quality of health information on social Q&A sites for family caregivers of elderly. The purposes of this study are to evaluate the quality of geriatric health information on social Questions and Answers (Q&A) sites: Yahoo! Answers from registered nurses’ perspective, to identify the structural patterns of questions and answers vary in quality and to discover the cultural aspects in relation to the findings. A total of 60 question-answers set is retrieved from regional Yahoo! Answers sites, including Australia, Canada, UK & Ireland, US, Hong Kong, Mainland China and Taiwan. 126 English answers and 112 Chinese answers are examined. Through a mixed method approach, results show that the overall information quality provided in Chinese group is relatively poorer than those of English. About 40% of questioners form both groups are not capable of judging the best answer among choices. In terms of structural patterns, questioners from both language groups are less capable of asking questions with clear focuses. 4 structural patterns, including Chinese and English answers with good and poor quality, are identified. Furthermore, cultural differences are found to have a significant impact on the level of information quality in social Q&A site. Finally, recommendations to corresponding social sectors are made for improving the current information quality of social Q&A sites in future.<br>published_or_final_version<br>Library and Information Management<br>Master<br>Master of Science in Library and Information Management

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10

曾守衡 and Sau-hang Caroline Tsang. "Characteristics of non-attendance for re-enrollment in elderly health centres in Hong Kong: the role of socio-economic factors and self-perceived health." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31970801.

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11

Palmer, Michael. "Structural models of comorbid anxiety and depression in a primary-care older adult sample effect of medical illness severity, threat, chronicity, and progressiveness on model fits /." Diss., St. Louis, Mo. : University of Missouri--St. Louis, 2007. http://etd.umsl.edu/r2101.

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12

Rochon, Sophie. "Age and presence of chronic conditions, education and the health system reform : impact on utilization of health care services by the Canadian elderly." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=79806.

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Анотація:

This study examines the importance of age, education, and the health system reforms in the mid 1990's on the utilization of five health services: specialists' visits, family doctor visits, non-physician health professional visits, hospital use, and home care services. The analysis focuses on the Canadians 45 and over, and uses data from the National Population Health Survey.<br>Results. Age per se has only a minor effect on utilization; the relative high utilization rates observed among the aged relate to the use of services by people with chronic conditions, whose prevalence is higher among the aged. Education has little impact on use of services among the aged. The reforms had only significant effect for four services. They increased utilization of non-medical health professional consults, and increased probability of consulting a specialist. They reduced length of stay, and decreased the number of visits made to family doctors.

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13

Newman, Nicole Rae. "Cognitively impaired elderly individuals and durable powers of attorney for healthcare." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1795.

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14

Eyde, Kathy Karuza 1953. "FUNCTIONAL CHANGES ASSOCIATED WITH HOSPITALIZATION IN A GROUP OF ELDERLY PATIENTS." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/274577.

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15

Khin, Khin Nyo Aree Jampaklay. "Access to health utilization among people aged 50 and older in KDSS is it equal /." Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd404/4938533.pdf.

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16

Glasson, Janet Barbara. "Improving aspects of quality of nursing care for older acutely ill hospitalised medical patients through an action research process /." View Thesis, 2004. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20050706.140432/index.html.

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17

Groessl, Erik J. "Participation and empowerment : factors related to positive outcomes in a health intervention with older people with osteoarthritis /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 1999. http://wwwlib.umi.com/cr/ucsd/fullcit?p9952668.

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18

Govindan, Indira. "Variations in surgical rates among the elderly population of southwest and central Virginia." Thesis, Virginia Tech, 1987. http://hdl.handle.net/10919/44676.

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<p>The purpose of this study was to examine variations in the surgical rates among the elderly population of hospital service areas of southwest and central Virginia in order to assess whether these variations were influenced by physicians and hospitals. Procedures analyzed were specific to the elderly. Considerable variations in the rates of the selected surgical procedures were found. Some areas were found to be surgically more active than others. The variables that proved to be determinants of surgical rates were availability of general physicians and specialists and hospital occupancy rate. The impact of availability of hospital beds, per capita expenditure and ownership status of facilities were found to be mixed and inconsistent.<br>Master of Urban Affairs

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19

Lam, Yik-tsz, and 林亦子. "To evaluate the mobile clinic for the elderly: a preliminary study on the referrals." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31970151.

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20

李耀玲 and Yiu-ling Elaine Lee. "Needs assessment on the attendants of the mobile health clinic in ShamShui Po." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31970680.

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21

Geoghegan, John. "What do RNs working in hospital aged care units identify as the positive and negative aspects of aged care nursing?" Thesis, View thesis, 2006. http://handle.uws.edu.au:8081/1959.7/19352.

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This study reports the positive and negative aspects identified by registered nurses (RNs) working with older people in public hospital aged care units and was conducted in 4 public hospitals in Sydney, Australia. Qualitative data using questionnaires and telephone interviews was collected from 26 female and 4 male RNs of which 46% (n 14) had worked in an aged care unit for 10 years or more. The participants identified positive perceptions within three major themes: a genuine liking of older people; the stories older people tell and the complexity of the older patient’s illnesses. Positive responses were a focus as it was identified that this was a gap in the literature which required addressing at the time. These findings are significant and have implications for nursing practice for several reasons: Data was collected exclusively from RNs and focused on their positive perceptions about aged care nursing in public hospitals. Participants reported a genuine liking for older people. Patients’ telling their stories was reported by 60% (n 18) of participants as being interesting in their work and meaningful to the patient and should be considered more as a therapeutic process during hospitalisation to assist support and enhance patient outcomes and therapy. The participants reported that aged care nursing is complex, rewarding and requires mature nurses, with current nursing knowledge and skilled in the art of caring for older people. These findings can be used to improve recruitment and retention of RNs within aged care nursing.

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22

Frantz, Allison E. "The impact of the growing elderly population on health care." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1992. http://www.kutztown.edu/library/services/remote_access.asp.

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Анотація:

Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1992.<br>Source: Masters Abstracts International, Volume: 45-06, page: 2940. Abstract precedes thesis as [1] preliminary leaf. Typescript. Includes bibliographical references (leaves 147-158).

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23

Yeung, Ka-lam Karen, and 楊嘉琳. "A comparison of the early stages of health care voucher schemes in United States and Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46943936.

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24

Head, French Janet. "How and in what context do osteopathic medical students learn about interprofessional practice." Diss., Columbia, Mo. : University of Missouri-Columbia, 2007. http://hdl.handle.net/10355/4828.

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Thesis (Ed. D.)--University of Missouri-Columbia, 2007.<br>The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on February 13, 2008) Vita. Includes bibliographical references.

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25

Geoghegan, John. "What do RNs working in hospital aged care units identify as the positive and negative aspects of aged care nursing?" View thesis, 2006. http://handle.uws.edu.au:8081/1959.7/19352.

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Thesis (M.Sc.(Hons) Health) -- University of Western Sydney, 2006.<br>A thesis submitted for examination for the degree of Master of Health Science (Hons) to the University of Western Sydney, College of Health and Science, School of Nursing. Includes bibliography.

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26

Tresidder, Anna Foucek. "The Institutional Context that Supports Team-Based Care for Older Adults." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1517.

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The aging population in the U.S. is dramatically increasing; it is predicted that not only will individuals live longer but also that they will live with multiple chronic diseases that could require high levels of medical and social resources. While the aging population increases, the number of health care providers choosing to specialize in caring for the elderly is decreasing just as dramatically. Teams are believed to be a possible response to more efficiently use the providers available, take advantage of alternative provider types, and integrate a range of health and social services to meet patient needs more effectively. Interdisciplinary teams are the best practice in the care of older adults, who require both medical and social services. However, maintaining functional collaborative teams has been an ever-present challenge to health and social care organizations. Research has found that institutional support is critical for teams to benefit patients and organizations alike. This study examined the role of institutional context in supporting interdisciplinary teams (IDT) in the care of older adults through interviews of the management and staff of the Program for All-Inclusive Care of the Elderly (PACE) in six states. PACE organizations must commit to an interdisciplinary model of care consisting of 11 different disciplines from across the professional spectrum. The research question posed for this study was: What elements of institutional context support the use of interdisciplinary teams in the care of older adults? Due to the standardized team structure used, PACE was selected as the model to see how institutions at macro and micro levels support the work done by PACE teams and possibly highlight where support is still lacking. A case study approach drawing upon qualitative methods was used to examine policy-regulative, cultural-cognitive, normative, relational, and procedural elements of institutional context and the extent to which they support collaborative teamwork. Thirty-two interviews were conducted with administrators and team members from seven PACE programs across the country. For these PACE programs, five elements and 14 categories of support were identified by the interviewees. Policy and regulatory elements constrain and systematize behavior. PACE IDT experience these constraints and systems through regulatory body practices, resource allocation, and quality measurement. Cultural-cognitive elements mediate between an IDT's external environmrder to make sense of what is happening. PACE IDTs create meaning through their interactions with their external environments through interdependence, demographic characteristics, and organizational structure. Normative findings constrain behavior and confer the rights and duties of IDT members, which arise from organizational mission and values, leadership, and professient and the response of the IDT in oonal boundaries. Relational elements emphasize relationships among IDT members and team interaction with the organization's environment. Social constructs within the team affect role definition and communication, which support IDT practice. Procedural support standardizes practices to maintain highly functional teams. In order to support IDT practice, PACE organizations highlighted recruitment and retention, time and space, and training and education as the primary ways to support IDTs. These categories illustrate the complexity of supporting teams and actualizing teamwork in practice. These findings suggest that PACE is succeeding in supporting the IDT model and provides lessons for other organizations that wish to do the same.

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27

Kirchner, Sandra J. "Health promoting lifestyles and medication compliance among older adults." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1125066.

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The point of concentration for this study was to estimate the extent to which health-promoting habits might predict medication-compliant practices among older adults. The purpose was to recognize potentially non-adhering persons, identify attitudes leading to healthy habits, and signal any practices contributing to non-compliant behaviors. Selected were patients who ranged in age from minimum 62, lived independently, self-administered medication regimes, had a chronic ailment that had persisted for at least 12 months, and regularly attended a geriatric clinic sited in the midwestern United States. A non-probability convenience sample (n = 100) was analyzed by a descriptive correlational approach to test self-proclaimed relations between health habits and compliant practices. The instrument used to measure health habits that would enrich life was the Health-Promoting Lifestyle Profile II created and promoted by Walker, Sechrist, and Pender (1995). The tool used to decide levels of medication adherence was a compliance profile created specifically for this study. Demographic information was collected for age, race, marital status, gender, and education. Descriptive statistics were calculated for each variable and Pearson product-moment correlation coefficient was utilized to decide what, if any, real and measurable interrelationships exist between the health-promoting habits and medication-compliant practices among an older population. The t-test was utilized in determining differences in both healthpromoting lifestyle habits and medication-compliant practices between older males and females. The significance level used to evaluate every theory was p < .05. Discovery gave no statistically critical relationship between overall health-promoting lifestyle habits and medication-compliant practices among the constituents of an older populace. Findings gave no significant variance between men and women in either lifestyle habits or compliance practices as a whole, but the HPLP II categories of Interpersonal Relations and Nutrition did mirror a significant difference between genders.<br>Department of Physiology and Health Science

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28

Fitzpatrick, Janet M. "Patient-based outcomes : older adults' perceptions of hospital and recovery experiences /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq54846.pdf.

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29

Allgood-Scott, Jill R. "A study of health care utilization among chronically ill rural older adults." free to MU campus, to others for purchase, 1998. http://wwwlib.umi.com/cr/mo/fullcit?p9901213.

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30

Thomas, Rosemary Hellen. "Access to health care services : East-End Montreal (Quebec) English-speaking elderly experience." Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=111557.

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To better understand Anglophone elderly experience in accessing health care services in a Francophone area, it is important to look beyond availability of healthcare services near their homes. This study explored factors such as language competence, preference, motivation, reaching and waiting times, as contributors to elderly people's choice.<br>A questionnaire designed for this study was administered to 199 males and females, aged 55 years and older, recruited from the only Anglophone Seniors' Centre in East-End Montreal. It was found that elderly people with limited French proficiency were more likely to travel out of their area for healthcare services, resulting in significantly longer average travel and waiting times. Of those who would have liked an interpreter, very few were actually able to get one. The most frequently expressed need was for more English or bilingual workers and services.<br>To improve access and enhance elderly people's quality of life, training and intervention programs need to be developed in collaboration with the government.

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31

Phillips, Jane Louise. "Navigating a palliative approach in residential aged care using a population based focus." View thesis, 2008. http://handle.uws.edu.au:8081/1959.7/33324.

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Thesis (Ph.D.)--University of Western Sydney, 2008.<br>A thesis submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy to the College of Health and Science, School of Nursing, University of Western Sydney. Includes bibliography.

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32

Boxenbaum, Eva. "The partnership metaphor in Quebec health care policy : the decision-making process with cognitively impaired elderly clients in home care." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33063.

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Анотація:

This research evaluates Quebec's health care policy by analyzing how the partnership metaphor is implemented in policy and practice. The partnership construction is identified in 4 interpretive communities within long-term community services to the elderly population. This analysis focuses on the placement decision for cognitively impaired clients in home care. Interpretive policy analysis is employed to examine 3 policy documents and 3 client files, while grounded theory serves to analyze 13 semi-structured interviews with 2 administrators and 3 open triads of client, caregiver, and case manager. The findings show partnership to be an egalitarian, collaborative ideal widely adopted but with little consensus on the pertinent objects and actors. Important differences emerge in how partnership is applied to the placement decision, indicating a too flexible application. Specific restrictions are recommended on the application of the partnership metaphor in order to improve community services and organizational structures in health care.

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33

McCormack, Brendan. "An exploration of the theoretical framework underpinning the autonomy of older people in hospital and its relationship to professional nursing practice." Thesis, University of Oxford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.670229.

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34

Luo, Jia. "Essays on optimal portfolio choice and unemployment insurance." Diss., Restricted to subscribing institutions, 2007. http://proquest.umi.com/pqdweb?did=1428847941&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.

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35

陳慧丹. "澳門長者長期照顧政策規劃之探討". Thesis, University of Macau, 2009. http://umaclib3.umac.mo/record=b2555147.

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36

Maeser, Donna Lee. "In-home health care and hospitalization status." CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1202.

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Анотація:

The purpose of the study was to describe the relationship between in-home health care services for elderly patients who were recently discharged from inpatient care and re-hospitalization rates. The design was descriptive and the hypothesis was that the provision of in-home health care services would mitigate a decline in the health status, of an elderly patient, following discharge from inpatient care and prevent re-hospitalization.

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37

Abo, Yasuyo. "The need for social work intervention for the elderly patients and their family members." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2789.

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Contends that poor discharge planning for elderly patients in American hospitals is the result of reduced lengths of stay which do not give medical social workers adequate time to assess patients' needs. A survey methodology was used to assess social service and community resource needs of hospitalized elderly patients and their family members at Riverside Community Hospital in California. Argues that the results of the survey can be used to improve discharge planning and lead to a more client-centered practice in hospitals.

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38

McNamara, Laurence James. "Just health care for aged Australians : a Roman Catholic perspective /." Title page, contents and abstract only, 1997. http://web4.library.adelaide.edu.au/theses/09PH/09phm1682.pdf.

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39

Hickman, Louise D. "Patients, carers and nurses : collaborators in development of a new model of nursing care for older persons in the acute care setting." Thesis, View thesis, 2007. http://hdl.handle.net/1959.7/uws:48031.

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Globally the population is ageing and as a consequence people are living longer with multiple chronic conditions. A range of factors, including decreased lengths of hospital stay and a greater focus on community based care, has led to an increasing acuity of patients admitted to acute care settings, many with complex care needs. To date, models of nursing care in acute settings have been configured to focus on acute, procedural care and do not meet the unique needs of the older person. In order to ensure optimal health outcomes of older hospitalised people, nursing care needs to be responsive to the priorities and needs of patients and their families. This study sought to collaboratively develop a model of nursing care with nurse clinicians to improve the care of older people in the acute care setting. Model development was driven by an action research framework, using evidence-based principles and a comprehensive needs assessment. A three phased, mixed method design was embedded within the overarching conceptual and philosophical framework of action research. The first phase of the study comprised a needs assessment and allowed appraisal of the needs of patients as perceived by patients, carer’s and nurses, this was performed using the Caring Activity Scale [CAS]. Qualitative data and semi-structured interviews added depth to the survey data and qualified responses by confirming that patients thought that nurses did the best they could within a culture of busyness, while patients strived to maintain and sustain their own independence. Managing the discharge process and carer burden arose mainly from the carer semi-structured interviews only. Data revealed significant differences between patients, carer’s and nurses in relation to priority and satisfaction with care. Patients did not place a large importance on discharge care which contrasted with the focus of nursing initiatives. During the subsequent phases of the study a collaborative approach, using action research principles, was used to develop and implement a model of nursing care. A key feature of this model was the introduction of a team structure with a focus on patient centred care. Significant differences were identified in the pre model and post model patient groups in relation to satisfaction with care, with the post model group more satisfied than the pre group model group. Further, improvements in functional status and medication knowledge were demonstrated among patients cared for under the new model. This study has demonstrated that developing a model of care appropriate to the needs of patients, carer’s and nurses can be achieved through the use of action research principles. Study data illustrates the importance of collaboration, empowerment and change management principles in driving clinical improvement and patient satisfaction with care. The findings also underscore the importance of promoting and educating patients and carers as well as nurses about the importance of discharge planning to optimise post-discharge health outcomes.

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Åkerlind, Charlotta. "eHomecare – for safety and communication in everyday life : The perspectives of older users, relatives and care managers." Doctoral thesis, Mälardalens högskola, Hälsa och välfärd, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-36717.

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The overall aim of this thesis was to examine how eHomecare affects the daily lives of older users and their relatives, with a focus on safety and communication. A further aim was to explore care managers’ perspectives, expectations and experiences of eHomecare and its implementation. Methods: Participants in study one and two were older people with granted eHomecare and eight relatives and, care managers in study three and four. Data were collected through four qualitative studies, using individual interviews in the first and second studies before the introduction and after six months’ use of eHomecare, by individual vignette-based interviews in the third study, and with focus-group interviews in the fourth study. Data were analysed using different qualitative content analyses. Results: The participants described safety as a part of everyday life. eHomecare was found to facilitate a ‘new safety’ for older people and a ‘re-established safety’ for relatives, yet its use raised concerns about ethical considerations and reduced human contact. Participants could attain feelings of togetherness and affection through communication, although this was also considered a vulnerable activity due to physical changes and loss of other people. Used correctly, eHomecare increased communication and thus closeness and participation for the participants. For older participants unable to use the technology as hoped, eHomecare led to disappointment. Care managers expressed that eHomecare can increase older peoples’ everyday life-quality if they receive the right tools at the right time. Care managers, however, have difficulties with eHomecare’s management process. While they struggle with their own attitudes, lack of time and high workloads, their decisions are also influenced by surrounding organisations and the older people’s relatives. Care managers’ own organisations, work situations, relevant stakeholders and society in general can hinder them in managing eHomecare as a new homecare service. Widespread information about eHomecare and opportunities for relevant stakeholders to participate in its implementation are good preconditions for fulfilling the mission of care managers. Conclusions: The findings describe eHomecare from the perspectives of its older users, their relatives and the care managers responsible for managing the service. Used correctly, eHomecare increases possibilities for communication and provides safety. However, care managers have a complex mission when managing the service and they express a need for support and knowledge. The findings can be used clinically to develop older peoples’ utilization of eHomecare and to develop support for the fulfilment of care managers’ mission. Keywords: care managers, content analysis, communication, eHomecare, experiences, information and communication technology, older people, participation, perceptions, relatives, safety, welfare technology

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Brink, F. J. "The development of a financial plan to partly cover the cost of frail care in a retirement village in George." Thesis, Port Elizabeth Technikon, 2002. http://hdl.handle.net/10948/84.

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The world population is ageing, and this is also relevant to South Africa. At the same time the potential support ratio (the number of persons aged 15 to 64 years per one older person aged 65 years or older) is falling, and the dependency burden on potential workers increases. To alleviate the financial burden on the aged, and their families, it has become necessary to develop a financial plan to cover the cost of frail care. The overall purpose of this research is to determine whether any financial plans exist which are relevant. If nothing existed, a plan had to be developed. The research methodology for this study comprised the following steps: Firstly, the demographics of the world and South Africa were researched. The concept of frail (long-term) care in the United States of America and New Zealand was investigated to determine what is available. The subsidisation concept of the South African Government towards caring for the elderly was also investigated. Secondly, a questionnaire was sent to the residents of five retirement complexes in George to determine their interest in such a plan. The records of the frail care unit that these residents utilise were analysed to determine the number of residents needing frail care. A comparative study of the cost of frail care in the Southern Cape was undertaken. Thirdly, two options to partly subsidise the cost of frail care were examined, where the first option covers the running cost, and the second option, subsidising one third of the frail care cost, builds up a sustainable fund after the first five year period. The funds of the second option can then be utilised in the subsequent years to increase the subsidisation portion of frail care cost. The final step of this study entailed the formulation of recommendations to implement the frail care nursing levy as soon as possible, with special attention given to the following: a) It must be compulsory for new residents to join the fund. b) A yearly capital amount of R100 000 or more is needed to sustain the fund. c) A contract must be drafted to set out all the rules and regulations to the residents. d) An attitude change amongst some residents is required. Individuals must realise that the success of this plan depends upon themselves and with the necessary support could make a significant contribution towards their own peace of mind if and when frail care is needed.

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Jaszcar, Allen Dillard. "The social health maintenance organization (S/HMO): can it service the needs of Riverside county's elderly?" CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/905.

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Zhou, Haiyun, and 周海韵. "Risk factors driving ambulatory care sensitive conditions hospitalisation among elderly with chronic obstructive pulmonarydisease or heart disease." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B47055819.

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Ma, Siu-keung Edmond, and 馬紹強. "Evaluation of post-exposure prophylactic use of oseltamivir in controlling influenza outbreaks in residential care homes for theelderly in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B39724220.

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Kuisma, Raija. "Domiciliary physiotherapy in Hong Kong: studyof the outcomes of domiciliary physiotherapy for patients withfractured proximal femur." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31240409.

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Atibaka, Sunday O. "Anthropology of Aging: Assessment of Old Age Needs and Ethical Issues regarding the Use of Assistive Technologies." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1404544/.

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The main goal of this research has been to investigate elderly people's needs, perceptions, fears, hopes, and expectation regarding elderly care, including ethical issues linked to assistive technologies. As faith seems to take an important place in how some elders face the aging process, the spiritual dimension was also included. Therefore, the research was conducted among 15 church congregants. Results show that most respondents fear the physical and mental decay due to aging, often resulting in becoming a burden to someone else, along with abandonment and lack of financial resources. Most ethnic groups perceive that other cultures take better care of their elders than their own. Faith seems to offer a great support, as it gives the confidence that divine power will always be there for them even beyond death. The respondents in this research suggest that guidance should be provided in a more structured way, more focus should go on the youth and the elderly, more activities should be organized and practical information should be shared. Regarding the ethical issues of assistive technologies, they are not well informed about their possibilities but acknowledge their potential usefulness, combined with human care. They don't want technology to be too intrusive in their daily life, but they are willing to sacrifice (part of) their privacy for more (medical) safety. There is a general concern that the access to qualitative care would be depending on financial resources.

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Johansson, Carina, and Helena Vårhall. "ACTION ett IKT-baserat stöd i vård och omsorg : Personalens erfarenheter av att stödja äldre och deras anhöriga via ACTION-tjänsten." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-20274.

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Eftersom andelen äldre som är i behov av vård- och omsorg ökar i samhället kommer även anhörigvårdare att öka och i många fall kan det innebära en tung börda, isolering och ensamhet. ACTION-tjänsten är en form av IKT-baserat anhörigstöd som kan vara ett komplement till andra former av stöd till anhöriga. Med IKT menas Informations och Kommunikations Teknologi. Tidigare forskning om vård- och omsorgspersonalens upplevelser och erfarenheter av att arbeta med ACTION-tjänsten är knapphändig. Syftet med studien var att beskriva vård- och omsorgspersonalens erfarenheter av att stödja äldre och anhöriga som vårdar sina äldre närstående i hemmet, via ACTION-tjänsten. Tio kvalitativa intervjuer genomfördes med vård- och omsorgspersonal som arbetar med ACTION-tjänsten. Intervjuerna analyserades utifrån kvalitativ innehållsanalys. Studien visar att ACTION-personalen upplever det positivt att stödja anhörigvårdare och deras närstående via ACTION-tjänsten. ACTION-personalen tycker att ACTION-programmen är ett bra hjälpmedel för att ge de anhöriga kunskaper och självförtroende och på så vis kunna stärkas i sin roll som anhörigvårdare. Genom kontakt via bildtelefoni skapas en djupare relation mellan personal och anhörigvårdare eftersom att de har möjlighet att pratas vid oftare och de ser varandra vid samtalet. Genom detta upplever personalen att de på ett bra sätt kan ge den individuella vård och stöd som anhörigvårdarna är i behov av. Personalen upplever det också positivt att kunna hjälpa anhörigvårdare att bryta sin isolering genom att skapa sociala kontaktnät mellan ACTION-användarna. I studien framkommer det också att flera av personalen saknar stöd och handledning från kommunledningen. I diskussionen diskuteras resultatens huvudfynd med stöd av tidigare forskning.<br>Program: Specialistsjuksköterskeutbildning med inriktning mot distriktssköterska

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Yi, Yuxiang, and 易宇翔. "Factors affecting adherence to new specialist outpatient appointments among elderly patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B2662798X.

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Le, Sabin De Anna. "An assessment of elderly health care needs and access in three urban San Bernardino communities." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2320.

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This project was an assessment of elderly health care needs and access. Three urban San Bernardino communities in zip codes 92405, 92410, and 92411 were targeted. The assessment was structured according to King's theoretical construction of community as a multilevel interaction between personal, interpersonal and social systems. The components of the assessment included digital photographs, web-based internet assessments, key informant interviews, and community business visits.

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Brännberg, Fogelström Evelynn, and Fanny Hjälm. "Upplevelser av ensamhet bland äldre." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24215.

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Bakgrund: Ensamheten är ett komplext fenomen som förekommer i olika former och samtliga människor kommer troligen att uppleva någon form av ensamhet under livet. Med den stigande åldern följer olika livsförändringar som kan påverkar förekomsten av ensamhet. Närmare 60% av de äldre personerna i Sverige uppger att de känner sig ensamma. Eftersom ensamhet är en personlig upplevelse är det viktigt att sjuksköterskor arbetar personcentrerat för att kunna identifiera patientens enskilda behov och främja hälsan. Syfte: Syftet med denna litteraturstudie var att sammanställa äldre personers upplevelser av ensamhet. Metod: En litteraturstudie med kvalitativ ansats har genomförts, där tio kvalitativa studier från Cinahl och PubMed analyserats med en innehållsanalys. De inkluderade studierna har kvalitetsgranskas för att sedan sammanställas till ett resultat. Resultat: Från innehållsanalysen framträdde fem huvudkategorier; ensamhet ur olika synvinklar, förluster i livet, vikten av sociala relationer, en känsla av utanförskap och existentiella frågor. Ensamheten påverkades av olika livshändelser såsom efter ens partner avlidit, när det sociala nätverket minskades, efter pensionen och när familjemedlemmar prioriterade annat framför de äldre personerna. Resultatet visade på svårigheter med att sätta ord på ensamheten och berätta om den. Konklusion: De äldre personerna upplevde att fenomenet ensamhet både hade en positiv men framförallt en negativ inverkan på välbefinnandet. Det framkom att ensamhet var något mer än att vara ensam, utan den kan förstås som ett mångfacetterat fenomen med högst individuella upplevelser. Det är därför viktigt att sjuksköterskor har kunskap om ensamhet för att få en djupare förståelse för patientens upplevelser och behov.<br>Background: Loneliness is a complex phenomenon that occurs in different forms and all humans are likely to experience some form of loneliness during their lifetime. Life changing events can affect the appearance of loneliness and nearly 60% of the older people in Sweden have described themselves as lonely. Since loneliness is a personal experience it is important that nurses work person-centred to identify the patient’s individual needs and encourage health. Aim: The aim of this literature review was to summarize older peoples experiences of loneliness. Method: A literature review with qualitative approach has been made and 10 studies from Cinahl and PubMed have been analysed using a content analysis. The quality of the included studies has been reviewed and then compiled in a result. Results: From the content analysis five main categories appeared; different point of views of loneliness, losses in life, the importance of social relations, a feeling of abandonment and existential questions. The experience of loneliness was affected by life changing events such as the death of a spousal, decreasing social network, after retirement and at times when family members prioritized otherwise than the older people. The result shows the difficulties in describing loneliness and tell others about it. Conclusion: The older people experienced that the phenomenon of loneliness impacted on the well-being, both in a positive way but especially in a negative way. Loneliness emerged to be more than just being alone, it can be understood as a multifaced phenomenon with individual experiences. Therefore it´s important that the nurses have knowledge about loneliness to gain a deeper understanding for the patients experiences and needs.

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