Search results for "health administration"
showing 10 items of 85 documents
Service quality benchmarking via a novel approach based on fuzzy ELECTRE III and IPA: an empirical case involving the Italian public healthcare conte…
2017
A novel fuzzy-based approach which combines ELECTRE III along with the Importance-Performance Analysis (IPA) is proposed in the present work to comparatively evaluate the service quality in the public healthcare context. Specifically, ELECTRE III is firstly considered to compare the service performance of examined hospitals in a noncompensatory manner. Afterwards, IPA is employed to support the service quality management to point out improvement needs and their priorities. The proposed approach also incorporates features of the Fuzzy Set Theory so as to address the possible uncertainty, subjectivity and vagueness of involved experts in evaluating the service quality. The model is applied to…
Implementation of the norwegian ‘Starting right’ child health service innovation: implementation adjustments, adoption, and acceptability
2021
Abstract Background An increased and/or stable proportion of the child and adolescent population reports symptoms of impaired health, and the symptoms can be identified early. Therefore, structured child- and parent-reported outcome measures need to be implemented in child and school health services for decision support and identification of children at risk. We aimed to (a) qualitatively examine adjustments of active implementation from the pilot implementation of the Norwegian ‘Starting Right’ health service innovation including an online child health assessment tool and practical routines, and (b) measure practitioners´ adoption and parental acceptability. Methods We used a mixed-methods…
A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward
2021
AbstractBackgroundPatient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative…
Low-Flow Anaesthesia
2000
Healthcare reform has placed increasing pressure on anaesthetists to consider the costs of current anaesthesia strategies. Although the cost of anaesthesia constitutes only a small proportion of total healthcare costs, anaesthetic drug expenditures have been a focus of cost-containment efforts. Low-flow anaesthesia is a simple method of reducing the fresh gas flow rate for anaesthetic gases during inhalational anaesthesia. A knowledge of the pharmacokinetic behaviour of inhaled anaesthetics and the use of modern equipment and monitoring technology meet the requirements for safe application of this anaesthetic technique. Millions of patients receive general anaesthesia each year, and thus th…
Certification as support for resilience? Behind the curtains of a certification body — a qualitative study
2020
AbstractBackgroundCertification in healthcare often involves independent private sector bodies performing legally required or voluntary external assurance activities. These certification practices are embedded in international standards founded in traditional beliefs about rational and predictable processes for quality and safety improvement. Certification can affect organizational and cultural changes, support collaboration and encourage improvement that may be conducive to resilient performance. This study explores whether ISO 9001 quality management system certification can support resilience in healthcare, by looking at characteristics in the objectives, methods, and practice of certifi…
Clinical evidence continuous medical education: a randomised educational trial of an open access e-learning program for transferring evidence-based i…
2008
Abstract Background In an effort to ensure that all physicians have access to valid and reliable evidence on drug effectiveness, the Italian Drug Agency sponsored a free-access e-learning system, based on Clinical Evidence, called ECCE. Doctors have access to an electronic version and related clinical vignettes. Correct answers to the interactive vignettes provide Continuing Medical Education credits. The aims of this trial are to establish whether the e-learning program (ECCE) increases physicians' basic knowledge about common clinical scenarios, and whether ECCE is superior to the passive diffusion of information through the printed version of Clinical Evidence. Design All Italian doctors…
The foundations of the new theories in health economics
1997
In health economics, theoretic approaches such as the theory of contracts, the economy of conventions, the theory of transaction costs and the evolutionary theory, have been applied recently. The present paper offers a classification of these different theories focusing on their epistemological foundations. The clarification of their assumptions about individual rationality (substantial or procedural rationality), about coordination modality (by inter-individual contracts or collective rules), about uncertainty (probabilistic risk or cognitive uncertainty), shows oppositions between these theories. Nevertheless, the application of these different theories in health economics shows that they…
Hvordan er den fysiske formen blant norsk ungdom i alderen13 til 15 år?
2007
Masteroppgave i idrettsvitenskap Universitetet i Agder 2007 Hensikt Hovedintensjonen med denne studien var å kartlegge den fysiske formen blant 13 til 15 åringer i Kristiansand kommune. I tillegg ble det sett nærmere på hvilken innvirkning pubertetsutviklingen har på den fysiske formen, hvilken innvirkning fysisk aktivitetsnivå har på fysisk form, samt hvor stor forekomsten av overvekt var for denne aldersgruppe. Metode Alle kommunale ungdomsskoler i Kristiansand kommune ble invitert og takket ja til å delta i prosjektet ”Ung i balanse”. Målgruppen var elever i 8. klasse høsten 2004. Disse elevene ble fulgt over en periode på to år, fra 8. til 10. klasse. Totalt var ca 1100 elever fordelt p…
Kunnskap om fenomenet sosial loffing og gruppeprestasjon
2012
Masteroppgave i idrettsvitenskap- Universitetet i Agder 2012 The aim of this study was to investigate whether knowledge of the social loafing phenomenon affects motivational loss and individual effort reduction in groups. 27 participants aged 17-25 years completed two test sessions, in each of which they performed two maximal cycle time trials; one of relatively short duration (one minute) and one of relatively long duration (three minutes). The participants completed the first test session under individual conditions in which their individual performance was measured. Prior to the second test session, the participants in the intervention group were informed of the social loafing phenomenon…
Sling exercise therapy (SET) for children with impaired motor coordination : achieving distal control through proximal stability - a pilot study
2012
Masteroppgave i idrettsvitenskap- Universitetet i Agder 2012 Purpose: This study examined the effect of an eight week Sling Exercise Therapy (SET) training programme in children and the response to their gross and fine motor coordination skills. Methods: The study was a non-controlled experimental design. An intervention group consisting of 13 boys aged 8 to 12 years identified with motor coordination difficulties trained in an eight week long SET programme designed to strengthen their proximal stabilizing musculature. Pre and post testing were performed using the Movement Assessment Battery for Children (M-ABC-2) and a self developed Grapho-motor Function Test for Children (GFTC) to quanti…