Pagrindimas: Lietuvoje vykstant sveikatos priežiūros reformai, didelio visuomenės ir mokslininkų dėmesio sulaukia įvairūs sveikatos priežiūros organizavimo, paslaugų kokybės aspektai, kurie dažniausiai vertinami vykdant pacientų apklausas, tačiau svarbus yra ir medicinos personalo nuomonės tyrimas šiais klausimais dėl realaus požiūrio į tam tikras sistemos funkcionavimo galimybes. Darbo tikslas: Išsiaiškinti kaip Vilniaus miesto medikai vertina dabartinę sveikatos priežiūrą ir paslaugas, analizuojant tam tikrus sveikatos priežiūros organizacinius aspektus, atsižvelgiant į medikų specializaciją, darbovietę ir darbo stažą. Metodika: Anoniminės anketinės apklausos būdu apklausti 297 respondentai (gydytojai ir slaugytojai) dirbantys pirminės sveikatos priežiūros centruose, stacionaruose ir privačiose įstaigose. Tyrimo tikslui ir uždaviniams pasiekti naudotas kiekybinis momentinis sociologinis tyrimas. Anketa sudaryta remiantis viešosios nuomonės ir rinkos tyrimų bendrovės ,,Spinter tyrimai“ 2004 m. atlikto tyrimo, kurio metu siekta išsiaiškinti, kaip medikai vetina sveikatos priežiūros įstaigų restruktūrizaciją ir kt. problemas, klausimynu. Duomenų apdorojimas ir analizė atlikta naudojantis statistiniu paketu SPSS. Skirtumai tarp atitinkamų rodiklių laikomi patikimais, kai klaidos tikimybė p ≤ 0,05. Šią reikšmę programa ieškant ryšio tarp kintamųjų, suskaičiuoja automatiškai. χ2 statistinis kriterijus taikomas tikrinant kokybinių požymių ryšio hipotezes. Taip pat... [toliau žr. visą tekstą] / Background: While the Lithuanian health service reform is being implemented, major attention of the public and of the scienctists is drawn to different health service organization, service quality aspects, which often are being evaluated by implementing polls of the patients. However also is important poll of the medical personnel about these questions regarding the real opinion of particular functional abilities of the system. Purpose of the work: to find out how medics of the Vilnius city treat current health supervision and the services by analyzing particular organizational aspect of the health service, considering specialization, workplace and probation of the medics. Methodology: in the way of the anonymous questionnaire 297 respondents have been questioned (medic doctors and caregivers), working at primary health service centres, stationeries and private institutions. For reaching the purpose and the goal of this survey quantitative instantaneous sociological survey was used. The questionnaire was compounded using questionnaire of public opinion and market survey company ,,Spinter tyrimai“ of year 2004 intended to find out how the medics treat restructurizing of the health service institutions and other problems. Processing of data and analysis was completed using statistical packet SPSS. Differences between appropriate rates are treated as reliable when likelihood of mistake is p ≤ 0,05. The programme figures this value automatically when finds connection... [to full text]

This study attempts to investigate the issues of aging population in the context of Singapore through metaphorical approach and the potential of tapping on the collaborative characteristics of a health service cloud computing system to meet the needs in elderly care, hence allowing active aging. The use of electronic health records (EHR) in various countries, particularly the meaningful use of EHR in USA is examined to understand its current features and usage. By employing conceptual mapping and blending of metaphorical study, the concepts in cloud computing are probed to gain better understanding on the characteristics of the technology. Similarly, with concepts drawn from an eco-system blended with concepts in a health service system, the characteristics of EHR and finally the characteristics of a health service cloud computing system are illustrated. With understanding in aging population, present usage of EHR and potential of cloud computing in Singapore, multi-methods research consisting of intensive interviews and archival document collations are employed. Triangulation amongst the datasets collated using open coding via ATLAS.ti resulted in 6 issues of concern in aging population pertaining to the Singapore context to arise, namely (i) primary care, (ii) familial support, (iii) awareness in health maintenance and transparency in information, (iv) improved efficiency and accuracy in healthcare with seamless transfer of care and (v) intermediate care and (vi) collaboration between stakeholders. Further analysis of the results draws up the possibilities for enhancing meaningful use of health service cloud computing system for active aging, which criteria are: (i) empowerment and ownership, (ii) sustainable homecare and (iii) seamless transfer of care. Finally, a conceptual mapping of health service cloud computing system and the criteria for effective aging give rise to a model framework that is set for active aging. / This study attempts to investigate the issues of aging population in the context of Singapore through metaphorical approach and the potential of tapping on the collaborative characteristics of a health service cloud computing system to meet the needs in elderly care, hence allowing active aging. The use of electronic health records (EHR) in various countries, particularly the meaningful use of EHR in USA is examined to understand its current features and usage. By employing conceptual mapping and blending of metaphorical study, the concepts in cloud computing are probed to gain better understanding on the characteristics of the technology. Similarly, with concepts drawn from an eco-system blended with concepts in a health service system, the characteristics of EHR and finally the characteristics of a health service cloud computing system are illustrated. With understanding in aging population, present usage of EHR and potential of cloud computing in Singapore, multi-methods research consisting of intensive interviews and archival document collations are employed. Triangulation amongst the datasets collated using open coding via ATLAS.ti resulted in 6 issues of concern in aging population pertaining to the Singapore context to arise, namely (i) primary care, (ii) familial support, (iii) awareness in health maintenance and transparency in information, (iv) improved efficiency and accuracy in healthcare with seamless transfer of care and (v) intermediate care and (vi) collaboration between stakeholders. Further analysis of the results draws up the possibilities for enhancing meaningful use of health service cloud computing system for active aging, which criteria are: (i) empowerment and ownership, (ii) sustainable homecare and (iii) seamless transfer of care. Finally, a conceptual mapping of health service cloud computing system and the criteria for effective aging give rise to a model framework that is set for active aging.