Search results for " evaluation."
showing 10 items of 1351 documents
Implementation of the eHealth Project in Latvia: Project audit perspective
2016
In order to improve effectiveness of provision of healthcare service, the project implemented by the Ministry of Health- ”E-health in Latvia” is a step towards the right direction. It will provide the possibility for patients to ensure a greater control over their health issues, by maintaining healthy habits, lifestyle, increase substantiation of adoption of decisions and speed of service in the healthcare industry, ensuring quality and accessible information; patients will receive more quality services and in a shorter period of time for issuance of prescription drugs. Nevertheless, the policy prepared by the Ministry of Health in the area of e-Health will not be implemented in the planned…
Micro-Economical Aspects of Public Projects: Impact Factors for Project Efficiency and Sustainability
2015
Project management approach in the public administration becoming gradually applied tool for implementation of different public programs and activities. Latvia has several methodological documentations to evaluate the possible benefits from infrastructure but still there is need for improvements as the only clear defined methodology is for transport sectors and those which have been provided by the European commission, but not always have been practically used in local municipalities’ project evaluations. Public projects, and planning for such projects, generally have the following characteristics: • Such projects are inherently risky due to long planning horizons and complex interfaces. • …
Project Management in the Port Development Project in Latvia
2016
Paper analyse case study of performance and compliance audit in the port development project in Latvia. Author has participated in the audit process evaluating project management application practical approach in the project implemented by the Riga Freeport Authority and co-funded by the Cohesion Fund “Development of Infrastructure on Krievu Island for the Transfer of Port Activities from the City Centre”. Despite the mass media reports that the Riga Freeport Authority has successfully completed the project, only the construction phase of the project has been completed. During the following two years the stevedore activity must be transferred to the newly built port infrastructure on Krievu…
Prevalence and 30-Day Mortality in Hospitalized Patients With Covid-19 and Prior Lung Diseases.
2021
Patients with pre-existing respiratory diseases in the setting of COVID-19 may have a greater risk of severe complications and even death.A retrospective, multicenter, cohort study with 5847 COVID-19 patients admitted to hospitals. Patients were separated in two groups, with/without previous lung disease. Evaluation of factors associated with survival and secondary composite end-point such as ICU admission and respiratory support, were explored.1,271 patients (22%) had a previous lung disease, mostly COPD. All-cause mortality occurred in 376 patients with lung disease (29.5%) and in 819 patients without (17.9%) (Previous lung disease is a risk factor for mortality in patients with COVID-19.…
On the influence of using binary and distributed information for 2D hydraulic model calibration and uncertainty evaluation
2013
Floods are considered the most frequent natural disaster world-wide and may have serious socio economic impacts in a community. In order to accomplish flood risk mitigation, flood risk analysis and assessment are required to provide information on current or future flood hazard and risks. Hazard and risk maps involve different data, expertise and effort, depending also on the end-users. More or less advanced deterministic approaches can be used, but intuitively probabilistic approaches seem to be more correct and suited for modelling flood inundation given typical uncertainties. Two very important matters remain open for research: the calibration of hydraulic models (oriented towards the es…
Developing a programme theory for the Systemic Practice Model in children's social care : Key informants' perspectives
2021
Vague programme descriptions are known to impede implementation and evaluation. Yet social work change programmes often fail to describe in detail how they aim to provide better outcomes for children and families. This study focused on the Systemic Practice Model (SPM), which is a Finnish adaptation of Reclaiming Social Work, a practice model developed in England. The SPM aims to deliver systemic practice in children's social care and has recently been widely disseminated across Finland. However, research has found both considerable variation in its delivery and a lack of clarity about what it is. This study, applying realist evaluation, aimed to formulate a programme theory based on the pe…
Key indicators and information systems for the evaluation and planning of birthing hospital services
2016
The evaluation, monitoring and management of hospital of birth services requires the availability of a set of information and tools able to orient decision making process, in order to ensure an adequate level of quality of services provided. Given the complexity of birth-related services, a set of indicators related with the multiple dimensions of healthcare quality are required; these include: volume of activity, complexity of birth, territorial distribution and residents-hospital distance, infrastructures, and inter-hospital transfers. The present Paper proposes an integrated system of indicators for the promotion and improvement of birth-related services in the Sicily region, which takes…
Assessment of a reconciliation and information programme for heart transplant patients
2010
Abstract Introduction The objective is to assess a pharmaceutical care programme for heart transplant patients upon patient admission and discharge. Material and methods Observational study of heart transplant patients, performed during the first quarter of 2007. Upon admission, the patient was interviewed regarding home treatments, adherence, allergies, and adverse effects, his/her prescriptions were compared with the last discharge report (drug reconciliation). At time of discharge, treatment was checked against the last hospital prescription (reconciliation) and an informative report was drawn up and personally delivered to the patient. Subsequently, a satisfaction questionnaire was carr…
Pelvic girdle pain affects the whole life—A qualitative interview study in Norway on women’s experiences with pelvic girdle pain after delivery
2014
Background The aim of this study was to explore how pelvic girdle pain after delivery influences women’s daily life in Norway. Knowledge about living with post-partum pelvic girdle pain is lacking. Method A phenomenological–hermeneutical design with qualitative semi-structured interviews was used. A strategic selection procedure was chosen to recruit participants from physiotherapy clinics and a regional hospital in Norway. Five women with clinically verified pelvic girdle pain after delivery were included. Data were imported into NVivo9 and analysed in three steps: naïve reading, structural analysis and comprehensive understanding of the text. Results Three themes influencing the women’s d…
High-energy devices in different surgical settings: lessons learnt from a full health technology assessment report developed by SICE (Società Italian…
2022
Background The present paper aims at evaluating the potential benefits of high-energy devices (HEDs) in the Italian surgical practice, defining the comparative efficacy and safety profiles, as well as the potential economic and organizational advantages for hospitals and patients, with respect to standard monopolar or bipolar devices. Methods A Health Technology Assessment was conducted in 2021 assuming the hospital perspective, comparing HEDs and standard monopolar/bipolar devices, within eleven surgical settings: appendectomy, hepatic resections, colorectal resections, cholecystectomy, splenectomy, hemorrhoidectomy, thyroidectomy, esophago-gastrectomy, breast surgery, adrenalectomy, and p…