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Is auditing useful in avoiding polypharmacy?Ng, Wing-yiu, George. January 2005 (has links)
Thesis (M. P. H.)--University of Hong Kong, 2005. / Also available in print.
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An evaluation of the medical audit in a community hospital when criteria and paramedical personnel are used submitted to the Program in Hospital Administration ... in partial fulfillment ... for the degree Master of Hospital Administration /Riesser, Lawrence Tweed. January 1969 (has links)
Thesis (M.H.A.)--University of Michigan, 1969.
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An evaluation of the medical audit in a community hospital when criteria and paramedical personnel are used submitted to the Program in Hospital Administration ... in partial fulfillment ... for the degree Master of Hospital Administration /Riesser, Lawrence Tweed. January 1969 (has links)
Thesis (M.H.A.)--University of Michigan, 1969.
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Is auditing useful in avoiding polypharmacy? /Ng, Wing-yiu, George. January 2005 (has links)
Thesis (M.P.H.)--University of Hong Kong, 2005.
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Is auditing useful in avoiding polypharmacy?Ng, Wing-yiu, George., 吳榮耀. January 2005 (has links)
published_or_final_version / Community Medicine / Master / Master of Public Health
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Objective and subjective assessment of chronic disease management in General Practice. To determine the standard of care provided in the management of asthma, gout and hypothyroidism by means of a medical auditHobson, Biano 23 July 2015 (has links)
Asthma, gout and hypothyroidism are common chronic medical disorders encountered in general practice. Optimal disease management according to standard guidelines are fundamental to disease control. This study aimed to objectively and subjectively assess the quality of care provided in a private general practice to patients with asthma, gout and hypothyroidism by means of a practice audit and questionnaire based survey. These tools proved to be an effective measure for the quality of care provided and identified areas needing improvement. Patient’s understanding of the disease process plays an important role in both patient satisfaction ratings and success of disease control. The medical audit identified and highlighted specific areas of care that can be improved. Evidence from the practice audit showed that control for asthma based on the PEFR readings, gout based on the serum uric acid reading and hypothyroidism based on a blood TSH reading, was found at 56.7%, 43.3%, and 66.7 % respectively. In addition acute attacks of asthma and gout occurred in 22.7% and 32.8% respectively. This does not represent good control. Definition of disease control for each condition is placed in the text. The survey revealed overall patient understanding for the disease processes of asthma, gout and hypothyroidism to be 69.6%, 73.3% and 66.8% respectively. The patient survey satisfaction rating for asthma, gout and hypothyroidism was 93.1%, 93.9% and 89.2% respectively. Patient suggestions for improvement included three dominant themes: better assessment of disease control, education about their chronic disease and implementation of a clearer referral process. The study concludes that disease control can be achieved if patients are educated about their chronic disease and regularly followed up to assess disease control based on standard management guidelines. Patients' disease education was a major contributing factor for satisfaction rating bias. The study confirms that in spite of high satisfaction ratings, patients are not optimally managed with substandard disease control. It would be expected that as disease education improves, the quality of care will improve, but satisfaction ratings will decrease.
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Critérios para auditoria do programa de controle médico de saúde ocupacional / Criteria for audit of the occupational health medical control programReis, Felipe Rovere Diniz, 1979- 27 August 2018 (has links)
Orientador: Satoshi Kitamura / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-27T03:38:28Z (GMT). No. of bitstreams: 1
Reis_FelipeRovereDiniz_D.pdf: 865251 bytes, checksum: 7c06c5faa9dbc34f45c77a4e9418b226 (MD5)
Previous issue date: 2015 / Resumo: Para diminuir os custos sociais decorrentes dos riscos relacionados ao trabalho, os Estados criam normas que obrigam o empregador a controlar a saúde ocupacional dos trabalhadores. No Brasil, estas ações devem estar dispostas no Programa de Controle Médico de Saúde Ocupacional, segundo obriga a Norma Regulamentadora nº 07. Para garantir o cumprimento desta norma, tanto o Estado quanto o empregador podem auditar o PCMSO; no entanto, não existem critérios para realizar esta auditoria. O objetivo deste estudo foi verificar a aplicabilidade desta auditoria dentro do modelo brasileiro de controle estatal em saúde ocupacional e propor critérios para sua realização. Para isso, foi feita uma revisão narrativa da literatura, para reconhecer o controle estatal no Brasil, tanto no que se refere às normas referentes à fiscalização em saúde e segurança no trabalho e ao seguro acidente de trabalho quanto às propostas para sua melhoria. Os resultados indicaram que o Estado ao se basear em normas punitivas e reparadoras, através de uma fiscalização pontual e repressora falha tanto em reduzir os gastos com doenças relacionadas ao trabalho quanto em estimular o cumprimento voluntário da lei. Indicaram também que as propostas de melhoria do controle estatal (aumento do número de fiscais, flexibilização da alíquota do seguro acidente de trabalho e a fiscalização programática) seguem o modelo de controle adotado por diversos países desenvolvidos. No entanto, ao contrário destes países, o Brasil ainda não possui incentivos à adoção de Sistemas de Gestão em Saúde e Segurança no Trabalho, os quais no Brasil deveriam contemplar uma auditoria do PCMSO. Desta forma, foram sugeridos 20 critérios para auditoria do PCMSO. Tais critérios podem ser usados para avaliar o cumprimento da NR-07, tanto pela empresa para melhorar seu sistema de gestão da saúde ocupacional e fundamentar um pedido de redução da alíquota do Seguro Acidente de Trabalho, quanto pelo Estado para aumentar a capacidade da fiscalização, fundamentar a redução da alíquota do Seguro Acidente de Trabalho e incentivar a adoção dos Sistemas de Gestão em Saúde e Segurança no Trabalho / Abstract: To reduce the social consequences of the risks related to the work, the States shall establish rules, which require the employer to control the occupational health of workers. In Brazil, these actions are to be arranged in the Medical Control Program of Occupational Health in accord to which requires Regulatory Standard 07. To ensure compliance with this standard, both State and the employer can audit the PCMSO; however, there are no criteria to perform this. The objective of this study was to verify the applicability of this audit within the Brazilian model of state control in occupational health and propose criteria for its realization. For this it was made a narrative review of the literature to recognize state control in Brazil both in regard to relating to supervisory standards in health and safety at work and occupational accident insurance on the proposals for improvement. The results indicated that the State to be based on rules punitive and remedial and through supervision timely and repressive fail both in reduce spending on work-related diseases as well as to encourage voluntary compliance. They also indicated that the state control improvement proposals (increase in tax, easing of workers' compensation insurance rate and programmatic oversight) follow the control model adopted by many developed countries. However, unlike these countries, Brazil yet does not have incentives for adoption of Management Systems Health and Safety at Work. When they are adopted by companies in Brazil, it should include an audit of PCMSO. Thus, were suggested 20 criteria for audit PCMSO. They may be used to assess compliance with NR-07, both the company to improve their occupational health management system and support an application for reduction of social security tax rate, and the State to increase the surveillance capacity, support the reduction of social security tax rate and encouraging the adoption of Occupational Health and Security Management Systems / Doutorado / Epidemiologia / Doutor em Saude Coletiva
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Current good clinical practice (GCP) knowledge among investigators andemployees of pharmaceutical companyLam, Wai-to, Ivy., 林慧桃. January 2004 (has links)
published_or_final_version / Medical Sciences / Master / Master of Medical Sciences
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Methods for quality development of the primary health care structure /Lindström, Kjell, January 2002 (has links) (PDF)
Diss. (sammanfattning) Linköping : Univ., 2002. / Härtill 5 uppsatser.
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Uma investigação do desempenho de métodos de combinação de previsões : simulada e aplicadaMancuso, Aline Castello Branco January 2013 (has links)
A previsão de demanda é uma das principais ferramentas para a eficiência do gerenciamento das organizações, afetando diretamente a lucratividade do negócio. O atual nível competitivo das empresas requer previsões cada vez mais acuradas, sedo estas um diferencial para o sucesso empresarial. Neste contexto, a combinação de previsões se tornou um dos principais métodos empregados no intuito de melhorar a precisão das previsões. Através de uma revisão da literatura sobre as abordagens da combinação de previsões, identificou-se uma carência de estudos comparativos que incorporem modelos de regressão para a combinação de previsões. Assim, o objetivo principal desta dissertação é combinar três previsões individuais (redes neurais, modelos ARIMA e modelos de alisamento exponencial) via média simples, variância mínima e modelos de regressão, comparando as três previsões combinadas com suas previsões individuais. Estas comparações serão avaliadas em duas situações: em séries simuladas (estacionárias) e em uma série de dados reais (não estacionária) de uma empresa que realiza auditorias médicas. As medidas empregadas para a escolha do método mais preciso são MAE, MAPE, RMSE e o coeficiente U de Theil. Os resultados obtidos enfatizam a melhoria das previsões quando estas são combinadas por regressão, tanto para séries convergentes quanto para a série divergente. / Forecasting is a key tool for ensuring the efficiency of management in organizations, directly affecting business profitability. The current competitive corporative level requires increasingly accurate predictions. In this context, the combination of forecasts has improved forecast accuracy. Through a literature review on the approaches of combining forecasts, we identified a lack of comparative studies that incorporate regression models for combining forecasts. Thus, the main objective of this dissertation is to combine three individual forecasts (neural networks, ARIMA models and exponential smoothing models) via simple average, minimum variance and regression models, comparing the three combined forecasts with their individual forecasts. These comparisons are evaluated in two situations: in simulated series (converging) and in series of real data (divergent) from a company that performs medical audits. The measures used to identify the best method are MAE, MAPE, RMSE and Theil’s U coefficient. Results from combined methods improved the predictions in both convergent and divergent series.
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