Background: Alzheimer???s disease and related dementias (ADRD) are often improperly or under-diagnosed in primary care; yet, it is expected that community-based care will be an increasingly important source of support for ADRD patients. In Ontario, primary care has continued to expand its services to include health team models, such as family health teams (FHTs) to provide multidisciplinary collaborative care for patients. Within such teams, memory clinic teams have also been implemented, which are clinic days set up typically once or twice a month to provide interprofessional collaborative care specifically for ADRD patients by trained health care providers (HCPs). Objective: Little is known about the experience of HCPs who work in primary care memory clinic team settings to provide care for ADRD patients. This study explored these experiences. Specifically, questions were asked around the rewards, challenges and motivations with working in the memory clinic structure and providing support to ADRD patients. Methods: A phenomenological approach was used. One-on-one semi-structured interviews were completed with 12 interprofessional team members in two primary care memory clinic teams. Interviews were transcribed and analyzed using Colaizzi???s (1978) method of analysis. Results: Overall, seven subthemes were found which describe the HCP experience. The first two subthemes describe experiencing the journey with the patient and caregiver. HCPs want to support patients while maintaining the patient???s dignity. They also balance emotional dilemmas with responsibilities. The next two subthemes describe experiencing the journey with the team. HCPs feel valued and connected to their team members. The memory clinic structure offers unique care provider experiences. Lastly, three subthemes were found which describe the personal and professional rewards of the experience. HCPs found thrilling complexities within the patient population in the memory clinic and that working in the clinic they are able to experience ongoing learning opportunities. HCPs also described that the memory clinic offers personal and professional fulfillment. Discussion: HCPs described an overall positive experience working in the memory clinic to support ADRD patients. HCPs take pride in being able to support patients and caregivers. Knowing that they are making a difference and doing good work are motivations to continue to work with complex populations, such as ADRD patients. HCPs enjoy working in close proximity to one another, respect their team members, and enjoy learning from each other. Team members motivate each other to stay and work with the ADRD population in primary care memory clinics. HCPs reap many rewards associated with working in a ???tight-knit??? memory clinic team setting for ADRD patients. As the number of HCPs working in team settings continues to grow in Canada, it is important to look at the experiences of these teams to understand the rewards, challenges and motivations of team members. Conclusions: These findings provide more context in understanding how to motivate future HCPs to work with more complex populations such as ADRD patients. Future research should address the outcomes of these clinics by exploring patient and family caregiver experiences with specialized teams, as it is important to gain their experiences to enhance the care practices for these individuals.

South Africa has the highest Tuberculosis (TB) incidence in the world. In 2006 it was estimated that in South Africa, with only 0.7% of the world population; some 28% of HIV positive adults had TB. To treat one patient with ordinary TB costs the Health Department approximately R310 and a patient with multi-drug TB (MDR-TB) more than R2000. TB has added to the burden of a country which is struggling to cope with the HIV/AIDS pandemic. TB is one of the national health priorities of the Department of Health (DoH). KwaMsane Clinic is located at Mtubatuba, in the UMkhanyakude district. The uMkhanyakude district has the highest prevalence of HIV and the highest number of cases of TB in South Africa. The UMkhanyakude district stretches from the Umfolozi River, which is south of Mtubatuba, to the Mozambique and Swaziland borders. The clinic is a Primary Health Care centre and is open 24 hours a day. UMkhanyakude has a population estimated at 614,046. According to the DoH National Tuberculosis Management Guidelines (2009), the greatest challenge that the TB programme faces are inadequate financial and human resources for TB control, resulting in poor case detection, increasing numbers of multi-drug resistance TB, extensively dry-resistance TB and poor quality data collection and data analysis. The study set out to identify the challenges that KwaMsane clinic faces in terms of TB management. It was found that the problem facing KwaMsane clinic’s effectiveness was largely due to two factors. The first is the delay in patient diagnosis and the second is the negative nurse/patient ratio which affects the workload and compromises levels of service delivery. The population was sufficiently small, but statistically adequate and all 31 employees were surveyed. Of these, 61% or 19 of the employees agreed that there is a delay in patient diagnosis. The recommendations for KwaMsane clinic include more effective recruiting of staff; attracting and retaining qualified and experienced health personnel; equipment and resources need to be more available; and the clinic management should ensure that they have enough personnel to cope with high number of patients More research is needed on issues such as recruiting attracting and retaining qualified and experienced health personnel; provision of skills training for clinic management and other health personnel to improve service delivery; management of information systems at primary health care clinics for record keeping and data analysis; and integrating TB and HIV/AIDS management. / Thesis (MBA)-University of KwaZulu-Natal, Durban, 2011.

South Africa's water resources are, in global terms, scarce and extremely limited (DWAF, 2004). Groundwater is a valuable source of potable water in South Africa. It was found that most of the health facilities in the Limpopo Province depend on groundwater as sole source of potable water. Groundwater quality is to a great extent influenced by the dominant land use in the vicinity of an aquifer. It is therefore important to carefully manage possible pollution sources of anthropogenic origin. This may be seen as pro–active water quality management that may result in significant saving on water treatment. This aim of this study is to obtain a regional view of the water quality situation at clinics and other health facilities in the Limpopo Province. It was found that the general water quality at health facilities in the Province is questionable. It is of concern to note that 56% of health facilities use water that is unacceptable for human consumption. Water quality may be managed by introducing appropriate treatment options to treat the water to ideal water quality standards. This dissertation explores some treatment options used at health facilities in the Province. The efficiency of these treatment systems is also investigated. / Thesis (M.Sc. (Geography and Environmental Studies))--North-West University, Potchefstroom Campus, 2011.

This research seeks to unravel the definition of sexual addiction amongst adolescents from the perspectives of professional social workers, working with these types of issues. This has been conducted through a qualitative study based on semi-structured interviews with social workers in various youth clinics in Stockholm. The results gathered from the interviews are presented and then analyzed through discourse analysis using the social constructionism as our theoretical framework. The primary results gathered, conclude that sexual addiction amongst adolescents is to be defined within the personal contact between the client and the social worker in order to build an individual case discourse. The results also depicts that shame and anxiety are the driving forces for the phenomenon. Furthermore, inconsistency was discovered regarding the terminology of the phenomenon amongst the social workers. It is important to note that the adolescent years are time of rapid change and, thus, the behavior resembling sexual addiction may not be permanent. The results are then discussed and compared to previous research.

South Africa's water resources are, in global terms, scarce and extremely limited (DWAF, 2004). Groundwater is a valuable source of potable water in South Africa. It was found that most of the health facilities in the Limpopo Province depend on groundwater as sole source of potable water. Groundwater quality is to a great extent influenced by the dominant land use in the vicinity of an aquifer. It is therefore important to carefully manage possible pollution sources of anthropogenic origin. This may be seen as pro–active water quality management that may result in significant saving on water treatment. This aim of this study is to obtain a regional view of the water quality situation at clinics and other health facilities in the Limpopo Province. It was found that the general water quality at health facilities in the Province is questionable. It is of concern to note that 56% of health facilities use water that is unacceptable for human consumption. Water quality may be managed by introducing appropriate treatment options to treat the water to ideal water quality standards. This dissertation explores some treatment options used at health facilities in the Province. The efficiency of these treatment systems is also investigated. / Thesis (M.Sc. (Geography and Environmental Studies))--North-West University, Potchefstroom Campus, 2011.

Health and safety is of the utmost importance for any company or institution to be successful. There is quite a negative perception regarding the health and safety of rural hospitals and clinics. Rural hospitals are most of the time overcrowded due the large amount of patients that has no medical aid, thus increases the risk for health and safety issues. Patients sit in long queues for hours to receive medical attention and their medication and are therefore exposed to all kinds of diseases, which is a high risk for these patients’s health. The employees working in these rural areas are also exposed to life-threatening diseases on a daily basis and have a good chance of being infected. Employees leave the public sector because of these unsafe working conditions and find themselves either working in the private sector or may even immigrate to foreign countries for better and safer working conditions. During this research done, there were a few shortcomings identified for the management to improvement on and to ensure a safe working environment. There are quite a lot of negativities surrounding the patients and employees in these rural hospitals, because patients get raped by nurses, babies get stolen from maternity wards, doctors are attacked by patients and much more horrific incidents happening in these hospitals. Cultural differences are also a main concern for management, because there are a lot of different races working together in the same department and not everyone has the same beliefs and ways in doing tasks. These cultural differences may lead to clashes amongst employees and result in a negative working environment. This quantitative research was done in selected rural hospitals, due to cost and time consumption. Only 80 employees (doctors, nurses and pharmacists) participated in the research done and the research was not an in-depth research, but enough evidence was compiled to make the necessary assumptions that all is not well in the public sector. With the new National Health Insurance (NHI) to be implemented from 2012, there may a lot of changes in the rural hospitals for the better. Hospitals all over the country are being upgraded and the working conditions are being attended to by the government which may attract more health professional to rural hospitals and clinics. / Thesis (MBA)--North-West University, Potchefstroom Campus, 2012

Background: The overall quality of care has been defined in terms of a set of seven core attributes taken from contemporary conceptual frameworks for assessing primary healthcare systems. Attributes are assessed using sub-attribute questions picked from previously developed and validated national level survey instruments. Data has been collected through structured questionnaire survey utilizing Likert items and scale to capture respondents’ perceptions of care. Both descriptive and nonparametric statistical methods have been used for data analysis. Information on demographic factors helped to understand the response patterns across different cohort groups. Key objectives: 1) To determine the perception of patients and physicians regarding the overall quality of care and its constituent elements delivered through the primary healthcare clinics in Winnipeg. 2) To compare the perceptions about different quality of care attributes as expressed by participating patients and physicians. Results: Both patients and physicians have positive views about the overall quality of care (median score >=4 on a 1-6 scale). Regarding individual attributes, “Interpersonal communication” and “Respectfulness” received the highest average score (5) and long-term health management received the lowest score (2). Patient and physician responses were found to be statistically different for access, comprehensiveness and long-term health management. The long wait time for seeing a doctor appeared to be a widely shared concern – only 43% of the patients urgently needing to see a doctor could get a same-day appointment; for non-urgent cases, less than 3% got a same-day appointment. Patients with higher educational levels appeared to be more critical about the quality of care; conversely, patients in good health rated the quality of care attributes more favourably. Conclusion: Patients and physicians are generally satisfied with the overall quality of care. However, patients have identified issues related to access, comprehensiveness of care and long-term health management. Patients concerns were found to be consistent with national level results. Long wait time was also flagged as a key concern. Primary healthcare clinics should proactively seek patient feedback to identify issues and improve their quality of service.

This thesis explores how fertility clinics engage in various textual and visual strategies to locate nature and kinship in the context of the assisted conception technologies they offer. In particular, competing paradigms of modern technology solving problems of the body versus the “naturalness” of having a baby means that fertility clinics must mobilize particular understandings of nature and technology to bridge this gap. Additionally, fertility clinics draw upon culturally meaningful themes such as “birds and bees” to structure relationships among assisted conception technology participants. I argue that fertility clinic websites are public sites of discourse through which clinics both attempt to attract potential clients and shape understanding of assisted conception technology by offering particular explanations as real and natural.

Thesis (M.P.H.)--University of Michigan, 1974.

Thesis (M.S.)--University of Wyoming, 2007. / Title from PDF title page (viewed on Feb. 19, 2009). Includes bibliographical references (p. 44-47).