In this study, the utilization of palliative care services, acute care services, and location of death for clients who were palliative and receiving services from Champlain Community Care Access Centre (CCAC) in Ontario during their last month of life were investigated. An adaptation of Andersen?s Behavioral Model of Health Services Utilization provided context and structure to this study. This is an historical, quantitative descriptive study using chart audits for data collection. The data on CCAC clients who were palliative and who died during the month of July 2009 were tracked during their last month of life. Collection of socio-demographic data, services provided through CCAC, emergency department visits, hospital admissions, and location of death provided the data for this study. The clients who died at home used more CCAC services than those who died at other locations and frequently community palliative care physicians provided their medical care. The findings of this study included: 1) The majority of the clients, who expressed a preference, died in their preferred location. 2) The role of community palliative care physicians was an important component of the services that supported the clients to die in their location of choice. 3) Over 25% of the study sample died in a hospital and the clients used a large number of in-patient hospital days with one quarter of the hospital deaths taking place in an emergency department or an intensive care unit. 4) During the last month of life, 25% of the clients received chemotherapy and/or radiation therapy. 5) The clients who died at home used more CCAC services than those who died in other locations and who used institutional resources. The implications for practice, policy, research, and education are discussed.

This thesis is focused on behavioral modelling of active elements with independent multi-parameter electronic control using comercially available components. In a first part of the thesis, CVDIBA, CVDOBA, CVCC and OC elements are discussed. The functionality is verified by simulations using OrCAD PSpice. Used components are diamond transistor OPA860, variable gain amplifier LMH6505, differencing amplifier AD830, low distortion differential driver AD8138, current conveyor EL2082 and current mode four quadrant multiplier EL4083. Four active elements are further built on PCB and measured. Some applications like low pass filter, high pass filter, all pass filter and reconfigurable filter.

The author of the thesis formulates theoretical starting points, which draws attention to the problems of the health care system. It emphasizes the role of the individual and describes the mechanism by which it is possible to naturally and freely intervene in the health insurance system. A key role in this mechanism is provided by health insurers, which have the potential to moderate the relationship of the insured with the health system. The health insurer can do so by segmenting their insured and product orientation. The construction of the "ideal insured" should contribute to the this segmentation. The construction is based on the active and autonomous approach of the insured, these qualities are highly valued in the theory presented and it is assumed that this approach is desirable in terms of prevention. The author has created a tool to measure this construct. The tool is in the form of a questionnaire that is systematicaly reduced to include as few items as possible so it can be easily used in practice. Practical usability is the primary goal of creating this instrument to measure "ideal insured".