Thesis equivalent (M.P.H.)--University of Michigan, 1947.

Thesis (M.S.P.H.)--University of Michigan, 1941.

Thesis equivalent (M.P.H.)--University of Michigan, 1947.

Thesis equivalent (M.P.H.)--University of Michigan, 1946.

Thesis (M.S.P.H.)--University of Michigan, 1941.

Thesis (M.Soc.Sc.)--University of Hong Kong, 1983. / Also available in print.

Need assessment methods grew out of the Community Mental Health Centre movement. Developed during a time of rapid expansion of service, there was a focus on providing services matched to the unique needs of a community. In the following years need assessment further developed as a technology and a search began for a "best model'. This paper argues that a "best model' is illusionary, a "best fit' being a more desirable goal. As fiscal constraints have reduced the resources available to consumption Ministries such as Health, need assessment has been increasingly used an allocative tool. Users of the tool, it is argued, must therefore choose their model with care and an understanding of the values and concepts inherent in each model is seen as necessary for intelligent choice. Finally, an examination of the British Columbia mental health context offers an analysis of some of the factors which have and will affect the use of need assessment in this Province / Medicine, Faculty of / Population and Public Health (SPPH), School of / Graduate

In the 1970’s the Government of the Northwest Territories was seeking to involve communities in the decisionmaking process about the allocation, priority setting and program and facilities design issues in the sphere of health services. As a result of this desire, relationships were being forged which emphasized a sense of partnership between government at different levels and community groups. In fact, considerable bureaucratic effort was put into the determination of how the communities should provide their participation. This eventually became known, informally at least, as the "community participation methodology". During a forty-one month period (March, 1977 to August, 1980) this methodology was implemented and eventually culminated in the construction of a senior citizens' home in the community of Fort Providence. It is the concern of this thesis to examine that methodology by asking the following question: "How useful and applicable is the Northwest Territories' community participation approach in the planning and development of facilities, specifically for the elderly?" In addressing this question several issues had to be considered. First, what were the objectives of the participants and were they compatible? What were the potential obstacles to the participation process and were they reckoned with? How did the participation process actually occur if, in fact, it did occur? In other words, the efforts of the bureaucrats had to be analyzed in terms of what they hoped to accomplish, how they attempted to accomplish their goal(s) and what they actually achieved. Another problem faced by this examination was the question of theoretical framework. The thesis was a retrospective examination which meant the planners' concepts had to be discussed in terms of theoretical concepts to determine if there is a theoretical basis for the applied concepts and whether or not these strategies were appropriate to this example. It was suggested that the theories of John Foskett, Edmund Burke and Sherri Arnstein were in support of the bureaucrats' efforts. The findings of the examination were that the participants' objectives were compatible; the planners were cognizant of the potential constraints inherent in this project and endeavoured to eliminate or minimize the consequences of these constraints; and, the methodology was successful in achieving participation. With respect to the participation, the thesis concludes that the participation achieved was actually only tokenism and that true participation did not really occur. This then throws the question of utility and applicability of the methodology into doubt. The thesis concludes that everything worked this time because the assumptions of the participants were the same. The thesis closes, however, with a suggestion that the basic assumptions concerning health care are changing. / Medicine, Faculty of / Population and Public Health (SPPH), School of / Graduate

The main objective of this thesis is to present concepts and knowledge involved in manpower planning, health manpower planning, hospital manpower planning, and the development of manpower and staffing guidelines in hospitals. Along with this objective, it was felt necessary that this thesis offer a good review of approaches or techniques used in manpower planning, health manpower planning, and the development of manpower and staffing guidelines in hospitals. It was also felt that to receive the proper attention, a list of criteria or functions that are necessary to develop such guidelines be given. All of the foregoing was accomplished through a review of the literature and case studies which the author has found helpful. It is the main conclusion of this thesis that both manpower and health manpower planning have received wide respect and recognition. Hospital manpower planning for the development of staffing guidelines in hospitals has not been so fortunate. This type of planning is still in the embryo or infancy stage. Although it has not received the attention as manpower or health manpower planning, recognition for the importance of developing staffing guidelines is growing rapidly. / Medicine, Faculty of / Population and Public Health (SPPH), School of / Graduate

Thesis (M.A.)--Ohio State University. / Includes bibliographical references. Available online via OhioLINK's ETD Center.