Medarbetaren utgör en allt viktigare komponent i dagens tjänstesamhälle och det görs mycket investeringar i humankapitalet. Problemet som vi ser är att mäta om dessa insatser är lönsamma då det i dagsläget endast tillämpas icke-finansiella mått. Eftersom det är väl känt att sjukfrånvaro kostar företagen stora summor pengar årligen satsas det mycket resurser på aktiviteter för medarbetarna och deras hälsa i syfte att hålla dessa kostnader nere, men det saknas tydliga bevis på att detta samband förekommer. För att få svar på vår problemformulering; Hur vet företagen att de "mjuka" insatserna som görs idag leder till ett bättre finansiellt resultat i framtiden när de är så svåra att mäta i monetära termer? har vi genomfört intervjuer med personer från fyra olika organisationer samt den före detta ansvarige för Health Management-programmet vid Högskolan i Kalmar. Med anledning av att vi valt att tillämpa verbala analyser samt på grund av problemformuleringen har vi i uppsatsen använt oss av en kvalitativ strategi. Det vi funnit är att mätbarhetsproblematiken beror på att utfallen från de medarbetarrelaterade aktiviteterna är svåra att renodla från andra externa faktorer, att det föreligger en tidsfördröjning mellan insats och resultat samt att det kan finnas en etisk aspekt mot att lägga sig i personalens livsstil. Dock uppgav flera av våra respondenter att de inte har något behov av att mäta resultatet av investeringarna finansiellt. Deras argument för att satsa resurser på medarbetarna är att de tror och hoppas att det ska bidra till ökad produktivitet och därmed vara lönsamt för verksamheten. Endast en av intervjupersonerna uttryckte en önskan om att kunna mäta de medarbetarrelaterade insatserna monetärt för att se om de genererar lönsamhet.

With the rapid changes in society, improvement of living standards, and better and better living conditions, people are gradually more and more attention to the concept of self-health and preventive medicine are deeply rooted tendency, so the concept of ¡yregular health checks¡z in the general population gradually has formed at heart. Health management is aimed at preventive measures, and let us understand the physical health status of ourselves. Before clinical symptoms of the disease has occurred, people can find the earlier detection of diseases to avoid environmental factors or to take the intervention of treatment in order to maintain the health status of individuals or control the disease continues to progress. But most people still do not understand their own physical condition. Knowledge of self-care is still so inadequate that we always wait until the sick before going to see doctors. Health management not only updates the concept, but also finds the right approach, especially in science and accurate health information. To understand what their needs is effectively continuing carrying out health management. This study investigated the innovative business model which combined cloud services and Theoretical meridian (meridian treatment apparatus has been commercialized). There are four elements linked with each other on a map of Application innovation. 1. The proposition of customer value. 2. Profit formula. 3. The key resources (assets). 4. Key processes, frameworks, and the practical implementation of the program. So that people can be measured at home (endpoint) at any time by simply operating through the Internet after uploading meridian instrument, and soon there will be a preliminary report for his physical energy to do health management. People will no longer be limited to wait for few days to receive health reports to learn about their physical and mental conditions after going to hospitals to have medical examinations which cost a lot of money. The health management platform not only brings convenience to people with the technology industry for traditional Chinese medicine to bring innovative business opportunities, but more importantly continues to let people develop good habits of self-health management and preventive health care concepts for long-term waste of medical resources. It also brings opportunity to human-beings to improve the concepts of the right medication. The advent of digital home applications is expected to be a pioneer. It can be self-health management platform and also a trading platform (the health care food, beauty products, health equipment, etc...). This will not only be opportunities but also reduce the social costs of innovation.

Women who live in Vancouver’s Downtown Eastside experience some of the most devastating health problems among residents of British Columbia. While crack cocaine use has been associated with many of these problems, we lack an understanding of how women who use crack cocaine experience these health problems and what they do to manage them. Informed by tenets of intersectionality and social geography, a critical ethnographic approach was used to examine the scope of health concerns experienced by women who are street-involved and use crack cocaine, the strategies they used to manage their health, and the social, economic, political, personal, and historical contexts that influenced these experiences. Data were collected over a seventeen month period and included a cross sectional survey (n=126), participant observations, and interviews (n=53). The women described experiencing poor physical and mental health throughout their lives; many of which were preventable. Respiratory problems, anxiety, sadness and insomnia were the most frequent concerns reported. They endured severe economic deprivation, unstable and unsanitary housing, and relentless violence and public scrutiny across a variety of contexts including their homes and on the street. These experiences were further influenced by structural and interpersonal relations of power operating within the health care, legal, and welfare systems. The women engaged in a several strategies to mitigate the harmful effects of factors that influenced their health including: (a) managing limited financial resources; (b) negotiating the health care system; (c) managing substance use; and (d) managing on your own. These strategies were influenced by the types of concerns experienced, perceptions of their most pressing concern, the nature of interpersonal relations with health care providers, and the limited social and economic resources available. Changes in the organizational policies and practices of the welfare, legal, and health care systems are needed to improve women’s health. Possible strategies include increased access to welfare and safe, affordable housing, safer alternatives to income, and improved collaboration between illness prevention and law enforcement programming. New approaches are required that build on women’s considerable strengths and are sensitive to ways in which gender, race, and class can disrupt opportunities to access services.

Two cases from public health care levels were compared on practises used to manage working capital with two cases from the same levels of health care in private health sector. The objective was to establish whether the practises in public health sector comply with the efficient management of working capital principles and whether it was practically feasible to apply the methods in health care provision. Primary and secondary data was collected. Staffs at an operational and administrative level were interviewed at both the primary and the Secondary health care. It was found that principles of working capital practiced in private sector are mostly consistent with working capital theories and could actually be implemented effectively in public health sector without risking patient health. Inefficiencies were identified in the public sector at both an operational and administrative level especially at a secondary health care level. Finally the study makes recommendations on how to address such inefficiencies. / Thesis(MBA)-University of Natal, Durban, 2003.

This study examines the way people use online resources within their personal healthcare practices to better understand how individuals manage their health issues in the age of the Internet. It specifically addresses the extent to which the Internet is used as an information database and associated patterns of use, whether the Internet represents a source of support or enables a supportive encounter and the implications of using the Internet as part of the health management across relationships with medical professionals and oneself. Using a sequential mixed methods design, the data was gathered within a larger multidisciplinary research project conducted in East York, Ontario. An initial quantitative analysis of 350 surveys describes Internet usage. The qualitative analysis of the 86 follow-up interviews of people recounting their personal health management processes demonstrated the importance of social networks, subjective health status and Internet user-style. The facile ability to engage with health information is transforming definitions and experiences of health and relationships with medical professionals. Examining medical encounters mindful of the aspects of trust, power, knowledge and privilege reveals an evolution to the doctor-patient relationship brought about by both information and personal empowerment. Using the Internet reinforces primary relationships and points to the development of new relationships that are sought at moments of meaningful life events or circumstances. New types of connections are being built across the Internet based on shared experiences, health concerns and health identities. Applying Actor Network Theory furthers an understanding of how search engines and online resources can emerge as actors in health information seeking and health management processes. Internet use is now a part of everyday life and is no longer limited to affluent early adopters as the gaps between those with access diminish in urban Canada. While its use is becoming intrinsically linked to health management it is not a panacea for improving health outcomes. As the populations’ collective health knowledge increases, so does the presumption that health management is a personal imperative. This notion that the achievement of good health is an individual responsibility or the theory of Healthism, frames the interpretation of the large percentage of the sample indicating they are striving to become healthier. Social workers need to acknowledge the place of the Internet within its practice and to balance the emphasis on individualized health management with the perspective that health outcomes reflect community mores. It is important for social workers to treat the Internet as a medium of relationships and for social workers to become knowledgeable about what these connections can provide in terms of support and information and what the limitations and risks of these relationships can be.

This study examines the way people use online resources within their personal healthcare practices to better understand how individuals manage their health issues in the age of the Internet. It specifically addresses the extent to which the Internet is used as an information database and associated patterns of use, whether the Internet represents a source of support or enables a supportive encounter and the implications of using the Internet as part of the health management across relationships with medical professionals and oneself. Using a sequential mixed methods design, the data was gathered within a larger multidisciplinary research project conducted in East York, Ontario. An initial quantitative analysis of 350 surveys describes Internet usage. The qualitative analysis of the 86 follow-up interviews of people recounting their personal health management processes demonstrated the importance of social networks, subjective health status and Internet user-style. The facile ability to engage with health information is transforming definitions and experiences of health and relationships with medical professionals. Examining medical encounters mindful of the aspects of trust, power, knowledge and privilege reveals an evolution to the doctor-patient relationship brought about by both information and personal empowerment. Using the Internet reinforces primary relationships and points to the development of new relationships that are sought at moments of meaningful life events or circumstances. New types of connections are being built across the Internet based on shared experiences, health concerns and health identities. Applying Actor Network Theory furthers an understanding of how search engines and online resources can emerge as actors in health information seeking and health management processes. Internet use is now a part of everyday life and is no longer limited to affluent early adopters as the gaps between those with access diminish in urban Canada. While its use is becoming intrinsically linked to health management it is not a panacea for improving health outcomes. As the populations’ collective health knowledge increases, so does the presumption that health management is a personal imperative. This notion that the achievement of good health is an individual responsibility or the theory of Healthism, frames the interpretation of the large percentage of the sample indicating they are striving to become healthier. Social workers need to acknowledge the place of the Internet within its practice and to balance the emphasis on individualized health management with the perspective that health outcomes reflect community mores. It is important for social workers to treat the Internet as a medium of relationships and for social workers to become knowledgeable about what these connections can provide in terms of support and information and what the limitations and risks of these relationships can be.

Women who live in Vancouver’s Downtown Eastside experience some of the most devastating health problems among residents of British Columbia. While crack cocaine use has been associated with many of these problems, we lack an understanding of how women who use crack cocaine experience these health problems and what they do to manage them. Informed by tenets of intersectionality and social geography, a critical ethnographic approach was used to examine the scope of health concerns experienced by women who are street-involved and use crack cocaine, the strategies they used to manage their health, and the social, economic, political, personal, and historical contexts that influenced these experiences. Data were collected over a seventeen month period and included a cross sectional survey (n=126), participant observations, and interviews (n=53). The women described experiencing poor physical and mental health throughout their lives; many of which were preventable. Respiratory problems, anxiety, sadness and insomnia were the most frequent concerns reported. They endured severe economic deprivation, unstable and unsanitary housing, and relentless violence and public scrutiny across a variety of contexts including their homes and on the street. These experiences were further influenced by structural and interpersonal relations of power operating within the health care, legal, and welfare systems. The women engaged in a several strategies to mitigate the harmful effects of factors that influenced their health including: (a) managing limited financial resources; (b) negotiating the health care system; (c) managing substance use; and (d) managing on your own. These strategies were influenced by the types of concerns experienced, perceptions of their most pressing concern, the nature of interpersonal relations with health care providers, and the limited social and economic resources available. Changes in the organizational policies and practices of the welfare, legal, and health care systems are needed to improve women’s health. Possible strategies include increased access to welfare and safe, affordable housing, safer alternatives to income, and improved collaboration between illness prevention and law enforcement programming. New approaches are required that build on women’s considerable strengths and are sensitive to ways in which gender, race, and class can disrupt opportunities to access services.

Background Information: Outdoor music festivals (OMFs) are complex events to organise with many exceeding the population of a small city. Minimising public health impacts at these events is important with improved event planning and management seen as the best method to achieve this. Key players in improving public health outcomes include the environmental health practitioners (EHPs) working within local government authorities (LGAs) that regulate OMFs and volunteer organisations with an investment in volunteer staff working at events. In order to have a positive impact there is a need for more evidence and to date there has been limited research undertaken in this area. The research aim: The aim of this research program was to enhance event planning and management at OMFs and add to the body of knowledge on volunteers, crowd safety and quality event planning for OMFs. This aim was formulated by the following objectives. 1.To investigate the capacity of volunteers working at OMFs to successfully contribute to public health and emergency management; 2.To identify the key factors that can be used to improve public health management at OMFs; and 3.To identify priority concerns and influential factors that are most likely to have an impact on crowd behaviour and safety for patrons attending OMFs. Methods: This research program has involved a series of five exploratory research studies exploring two main themes within public health management for OMFs, event planning capacity and volunteer capacity. Four studies used a cross-sectional design and survey methodology to collect self-report data from each cohort while the remaining study utilised case methods. The study participants were recruited from Australian and European OMFs. For volunteer capacity, data have been collected from volunteers at two internationally recognised OMFs. One had formal training for their volunteers and the other did not. For planning capacity, data have been collected on consumer concerns regarding OMFs, priority factors that influence crowd behaviour and safety and leadership in event planning. Results (volunteer capacity): The first studies assessed the public health and emergency management capacity of volunteers working at two OMFs. Volunteer training was provided at one event but not at the other. Comparatively, the participants from the OMF where training was provided reported noticeably better awareness of and involvement in public health and emergency management at that event. Additionally, this awareness was improved with experience volunteering at the study festivals. These studies highlighted the benefits of volunteer training and retention. Results (event planning capacity): The next three studies focused on event planning capacity with the first being a case study on event planning leadership. The purpose of this study was to demonstrate that the event licensing programs managed by LGAs could improve health outcomes for OMFs. A European OMF, the Glastonbury Festival, was chosen for this study. After problems in 2000, it was highly likely that the event would never be held again unless public health and safety was improved. This study documents the progression from that 2000 event through to the 2004 event that was considered the safest event yet. The LGA EHPs working through the event licensing programs had engineered these changes. The next study focused on consumer priority concerns associated with attending OMFs. A wide range of public health issues were identified as high concern including access to drinking water, toilets, safe food and personal protection issues such as females being grabbed or losing valuables. Safety in the mosh pit was a particular concern for almost half of the participants in the study. Also mosh pit safety was identified with other concerns such as females being grabbed, needing first aid, being struck by thrown items, crowd sizes, losing valuables and alcohol-related behaviour. Making safety in the mosh pit the most important public health issue for these study participants. The final study focused on identifying the main influences on crowd behaviour and safety at OMFs, particularly mosh pits. This study follows on from the consumer study. The study participants were skilled event security guards, specialising in OMFs and considered the performers, the music and group mentality as the most common motivators for changes in mosh pit behaviour. They also considered that generally (1) crowd composition, (2) drugs and particularly alcohol, (3) the type of performance, (4) venue configuration, and (5) activities of security staff were highly influential on crowd behaviour and safety at OMFs. Conclusion: Results from this research program have added to the body of evidence on public health management for OMFs. Findings support capacity building and retention for volunteer staff working at OMFs. Also this research has provided evidence on quality event planning, crowd behaviour and safety that can support EHPs working with OMFs. All of these studies have been published in peer-reviewed journals in order to communicate these findings to volunteer organisations and EHPs involved with OMFs. Where to from here? There remains considerable opportunity for research on a variety of topics related to public health management for OMFs. Some specific areas where further work is recommended are: othe development and evaluation of a pilot training program (web-based) for Australian volunteers working at OMFs (this training package is currently under development); othe development of a national code of practice for the event management industry; oresearch into festival patrons' risk perceptions and the impacts of those choices; oevaluation of the planning and management approaches used by specific OMFs; and oadditional detailed investigations of event characteristics such as crowd mood and its impacts on public health safety at OMFs.

Thesis (D.P.H.)--University of Michigan.

Thesis (D.P.H.)--University of Michigan.