Originally presented as the author's Inaugural-Dissertation--Universität Innsbruck, 2005. / Description based on print version record. Includes bibliographical references and index.

Thesis (Ph. D.)--University of Rhode Island, 2005. / Typescript. Includes bibliographical references (leaves 113-116).

I denna rapport undersöks om styrmän på ett passagerarfartyg upplever att sjukvårdsutbildningen är tillräcklig för uppgiften om sjukvårdsansvarig. Jag valde att undersöka hur de uppfattar sjukvårdsutbildningen och sjukvårdsorganisationen ombord.   Undersökningen utfördes med en kvalitativ metod där åtta styrmän blivit intervjuade för att få insikt i hur sjukvården fungerar på ett svenskt passagerarfartyg. Både andrestyrmän och överstyrmän deltog i undersökningen.   Undersökningen pekar på att sjukvårdsutbildningen anses som tillräcklig men att tidsintervallen mellan certifikatet är för långt för att arbeta som sjukvårdsansvarig på ett passagerarfartyg. Styrmännen skulle vilja att en extra sjukvårdspraktik infördes mellan förnyelse av certifikatet för att skapa en bättre rutin vid sjukvårdsfall. Resultatet pekar på att det bästa vore om en läkare eller sjuksköterska anställdes för att ansvara för sjukvården ombord. / In this thesis examines if officers on a passenger vessel experience that the Medical Care education is enough to be responsible for the medical care. I decided to investigate their opinion on the Medical Care education and the organization onboard.   The study was a qualitative method where eight officers were interviewed to get an insight in how the medical care works on a Swedish passenger vessel. Both second officers and chief officers participated in this study.   The study indicates that the education is enough but that the time interval between the renewals of the Medical Care certificate is too long for the officer responsible for the medical care on a passenger vessel. The officers would like to have one more medical care practice period between the renewals of the certificates to create a better routine with the medical care. The result shows that the best thing would be to hire a nurse or a doctor to be responsible for the medical care onboard.

In light of the competitions of different medical services and the National Health Insurance¡¦s patient-oriented goal, the quality of medical care in the emergency room has been a top priory for improvement in many major medical centers. The purpose of this research is to evaluate the differences of medical quality after adjustment of physician manpower in three emergency departments of three separate hospitals. We will attempt to suggest ways to improve medical quality and make good use of medical resources. This is a retrospective survey using data from three emergency departments of three separate hospitals. The date ranged from March to April of 2002 and March to April of 2003. A total of 66,025 cases were gathered, minus 311 cases with incomplete data, the total valid data were 65,714 cases. The three hospitals A, B, C have 24,010 cases, 17,690 cases, and 24,014 cases, respectively. The result of this study showed that hospital A had increased the number of medical staff when comparing 2003 to 2002 data, however, the quality of care did not improve. Hospital B had increased the number of physicians on duty, decreased the waiting time for the patients, and the number of patients taken care per doctor had been increased too. However, within the 72-hour clinic follow-up patient numbers have increased. Hospital C have decreased the number of physicians on duty, but the waiting time have also decreased. The number of patients being taken care of by physicians, and 72-hour clinic follow-up are all increased. When compare the month between March and April of 2002, the highest ratio of 72-hour clinic follow-up is hospital A, followed by hospital B and C, in descending order. When compare the two study period of March and April of 2002 and 2003, waiting time and the ratio of waiting time in emergency department more than 6 hours is hospital A more than hospital C more than hospital B; the ratio of waiting time less than 2 hours is hospital C more than hospital B more than hospital A. The ratio of waiting time more than 2 hour but less than or equal to 4 hours and waiting time more than 4 hours but less than or equal to 6 hours is hospital A more than hospital B more than hospital C. This study suggests that the hospitals must establish a complete quality indicators, and must conduct periodic evaluation. At the same time, we must incorporate these indicators into our hospital information system and monitoring the effectiveness, in order to promote the quality of care.

Due to under intense competitions and uneven resource allotments, many medical institutes are not only being pushed ahead with their medical technology but also constantly improving their medical management and efficiency for achieving higher medical quality. In Taiwan, it takes ten years to train a doctor; however, it is possible to have a NP (Nursing Practitioner) to substitute partial capacity of a resident; as long as the NP has equivalent working experiences, a short-term training and also to pass exams as well. Therefore, using a qualified NP in medical institutes is a more economical and practical way of utilizing human resource benefits; as far as for the medial caring services it also has a substantive significance. This study is a research that is based on a certain southern teaching medical hospital¡¦s doctors, nurses, patients, medical services and other medical related people.It is divided into two parts to proceed: first, collect information from quality based researching interviews of targeting people in order to study their perspectives toward to the system of NP. Then, a quantifiable survey is being designed according to the result of the interviews and some other verified literature content; therefore, the merit of NP can be proven by the medical hospital¡¦s human resource efficiency trend.Further discussion on whether medical professional personnel attributes can affect theperception of NP; to anticipate an establishment of independent NP system in the future medical system. According to the research results: (1) 51.8% participants of the interviews think that the establishment of independent NP system is not only a demand from hospitals, doctors as well as the patients. It may even promote overall hospitals management efficiency. The demand 28.4% accounts come from doctors; to a certain extent that many participants believe to establish an independent NP system can possible to share an appropriate amount of doctors¡¦ workloads. 47.2% participants believed that the act of NPs in medical system is ¡§Physician Assistant¡¨. In addition, about 50% participant thought that the NPs can substitute residents and they can cut down cost,be economized the use of manpower training time, improve efficiency, promote medical service quality and so on. (2) A remarkable difference in ¡§Expanding System Construction Interface¡¨¡]F=3.495¡Ap=.018¡^is found because the participants come from different age groups. The younger participants are, the lower they score. Thus, it is possibly to say when come to develop nursing care network and community medical caring Expanding System Construction Interface that the younger medical professionals are, the lower understanding and less recognizing they are. (3) According to different seniority of every single interface variance analysis; the differences of seniority medical professionals in ¡§Expanding System Construction Interface¡¨¡]F=4.153¡Ap=.008¡^, after comparing with Scheffe¡¦s method,has scored above an average: above five years > 3-5. In comparison, one who has more seniority has obtained a higher score. (4) Monthly income in the SubstitutionConstruction Interface (F=3.174, p=.046) has a remarkable difference. According to the description of personnel attributes; doctors who have the average monthly income above 120,000NTD have occupied the majority (38.2%). However, in comparing with other categories; to provide resident's immediate supports, as well as others¡¦ understanding and recognizing of the NPs have obtained a lower score. The purpose of this research is to believe that there should be more explicit direction and further related implementation in all the future hospital policy, in order to enable the NPs to make full use of their ability. At the moment, there is a rather vague definition of NPs¡¦ job in Taiwan; in fact, the establishment of NPs¡¦ system has not much explication either. Therefore, while evaluating overseas¡¦ system, method and training, it may not be approved by the present medical professionals without envisaging a thoughtful systematic construction first. However, according to the findings of this research; it is necessary to have a further discussion. It is to suggesting a future specific and comprehensive plan: expanding case acceptance throughout all level of hospitals in Taiwan to promote the result of inference; designing a further discussion survey of focusing on NPs¡¦ beneficial results as for the future research foundation.

Thesis (Ph. D.)--Georgia State University, 2008. / Title from file title page. Upkar Varshney, committee chair; Peter Meso, Yi Pan, Anu Bourgeois, committee members. Electronic text (192 p. : ill. (some col.)) : digital, PDF file. Description based on contents viewed Sept. 23, 2008. Includes bibliographical references (p. 184-192).

Thesis (M. Med. Sc.)--University of Hong Kong, 2001. / Includes bibliographical references (leaves 83-93).

Thesis (Ed.D.) - Simon Fraser University, 2005. / Theses (Faculty of Education) / Simon Fraser University. Includes bibliographical references leaves 322-244. Also issued in digital format and available on the World Wide Web.

Thesis (D. Min.)--Colgate Rochester Crozer Divinity School, 2002. / Abstract. Includes bibliographical references (leaves 130-134).

Thesis (M.S.)--Ohio University, August, 2009. / Title from PDF t.p. Includes bibliographical references.