Search results for "servi"

Unmet needs in emergency department patients as an important aspect of the increasing number of hospitalizations

2017

Background. Unmet needs in the medical care of high-need patients may increase costs due to the use of emergency departments (EDs) instead of primary care. Objectives. To establish the possible correlation between the unmet needs of patients and the number of hospitalizations, and the probability of influence of the former aspect on the latter, and to analyze the level of satisfied needs of ED patients in relation to sociodemographic data. Material and methods. An original questionnaire and a modified version of the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) were used to assess the level of satisfaction of the social, medical, psychological and environmental needs of 15…

Modeling of medical activity heterogenity to improve the hospital management by diagnosis-related groups

1998

Since the early 1980s healthcare systems in the industrialized nations have been undergoing radical reform aimed at curbing overspending of hospital expenditure. After a discussion of the limits of a prospective payment due to heterogeneity of costs within DRGs, we demonstrate the ability of anovel statistical model to identify high cost patients. We derive from this statistical model an economic heuristic in order to account for high cost patients in budget allocation and a Structural and Contingent method is proposed as a budgeting tool. Economic analysis based on this modeling of DRG heterogeneity further reveals the potential for improving the equity and the efficiency of the prospectiv…

Strategical behaviours in French ambulatory care (a theoretical and empirical study)

1991

Specifying agency relationships between the different actors in ambulatory care - the patient, the physician, the insurance and public authorities - allows to render an account of the complexity and the specificity of the health system. After a presentation of the normative approach of the agency theory, we will focus on two agency relationships : the Relationship between the insurance and insured people and the relationship between the patient and the physician. The driving part of supply appears through the analysis of the relationship between the physician and the others : he is the agent of both the patient and public authorities. The issue is then the hypothesis of supplier induced dem…

How the unbanked cope with financial exclusion: Evidence from Pakistan

2016

This article investigates both the coping strategies employed by low-income unbanked consumers in Pakistan and the consequences of those strategies. Qualitative data were gathered from low-income unbanked consumers through in-depth interviews. The findings suggest that unbanked consumers utilize their respective social networks and various market and personal resources to cope with financial exclusion. The utilization of social network resources to cope with financial exclusion typically enabled participants to fulfill their obligations in a positive manner and enhanced solidarity and trust among group members, whereas the use of market and personal resources tended to produce more negative…

From Embodied to Disembodied Practices of Care: Discussing Welfare State Transformation in Finland

2013

From Embodied to Disembodied Professionalism? Discussing the Implications of Medico-Managerial Management in Welfare Service Work

2013

Welfare service work is traditionally understood to comprise embodied, situational and social practices of care that are central to a worker’s professional self-image. Over the past few decades, public management reforms have called for reassessment of welfare service workers’ professional accountability through practices of medico-managerial service management. These practices promote the production of transparency and accountability in welfare services work through checking-based trust and disembodied professional practices. This article argues that the changes in the nature of trust toward welfare service professionals have implications for care work cultures and workers’ professional ag…

Naiseus resurssina hyvinvointityössä

2012

[Johdantoa] Sukupuoli on keskeinen työelämää organisoiva tekijä. Tästä huolimatta tulemme harvoin ajatelleeksi sukupuolen merkitystä arkisissa työelämän käytännöissä, toiminnassamme, puheissamme ja käytöksessämme. Sukupuolen merkitys työelämää järjestävänä elementtinä vaihtelee työelämän kentältä toiselle eikä siitä useinkaan haluta puhua suoraan. nonPeerReviewed

Living on a knife's edge: Temporal conflicts in welfare service work

2012

This article considers the temporal variations of social and health care workers’ agency from the point of view of the social structures and practices of the contemporary Finnish public service sector. It finds that the contemporary Finnish public sector increasingly operates according to market principles and economic framing of time, contrary to the relational understanding of time in care practices. To maintain their sense of self as skilled professionals, workers actively reassess and adjust their identities according to the exigencies of the contemporary working life, but not without difficulties. The results of the interview study reflect the intuitive, habitual and innovative nature …

Innovative and Applied Research in Biology: Proceedings, Vol. 3/2021

2021

The collection contains SCIENTIFIC articles on the topics of the LU 79 conference reports. The main focus is on innovative and applied research in biology and interdisciplinary fields.

Status and Prospects of Kanki : An Open Source Cross-Platform Native iRODS Client Application

2016

The current state of development of project Kanki is discussed and some prospects for future development are laid out with reflection on the results of the research IT infrastructure project at the University of Jyväskylä. Kanki is a crossplatform native iRODS client application which was introduced to the iRODS community at the iRODS Users Group Meeting in 2015, and later released as open source. A total of 9 releases have been made, from which the latest 6 have been available in addition to the source code as pre-built binary packages for x86-64 CentOS Linux 6/7 and OS X 10.10+. The Kanki build environment at the University of Jyväskylä is running out of Jenkins continuous integration for…