Photocopy of typescript. / Thesis (Ph. D.)--University of Hawaii at Manoa, 1979. / Bibliography: leaves 109-112. / x, 112 leaves ill. 29 cm

Thesis (D.P.H.)--University of Hawaii at Manoa, 1994. / Includes bibliographical references (leaves 119-129). / Microfiche. / x, 129 leaves, bound 29 cm

Thesis (D.P.H.)--University of Hawaii at Manoa, 1995. / Includes bibliographical references (leaves 176-183). / Microfiche. / xv, 183 leaves, bound ill. 29 cm

Thesis (Ph. D.)--University of Hawaii at Manoa, 2005. / Includes bibliographical references. / Also available by subscription via World Wide Web / vii, 188 leaves, bound ill. (some col.) 29 cm

Thesis (Ph. D.)--University of Hawaii at Manoa, 2004. / Includes bibliographical references (leaves 172-201). / Also available by subscription via World Wide Web / xii, 201 leaves, bound ill. 29 cm

Bibliography: leaves 463-496. / ix, 497 leaves ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / This thesis explores the dimensions of the actions of consumers, governments and service providers influential in contributing to the climate of reform in the health care area in Australia and the subsequent developments. There are clearly defined consumer models of complaints-handling for the health area, ascertainable from examination of the broader context of the development of the consumer movement and consumer organisations ; and specifically drawing on the common elements from the contribution of the consumer movement in health. A consumer model for complaints-handling at the local level is proposed. / Thesis (Ph.D.)--University of Adelaide, Dept. of Community Medicine, 1997?

Includes one computer disk in Work 6 format. / System requirements for accompanying computer disk: Mackintosh or IBM-compatible computer. Other requirments: Microsoft Word 6 or compatible Word Processor. / Bibliography: leaves 241-270. / xiii, 270, [47] leaves ; 30 cm. + 1 computer disk (3 1/2 in.) / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (Ph.D.)--University of Adelaide, Graduate School of Management, 1999

Bibliography : leaves 375-403. / vi, 403 leaves ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Examines the response to a number of outsiders and marginal social groups, such as Jews, Chinese, and Southern and Eastern Europeans predominantly in England and Australia, and considers the role that public health played in arguments for their exclusion and control. Measures the strength of the public health case, arguing that a health threat was generally not a real issue but, more typically, a badge which labelled the outsider as dangerous to the community. / Thesis (Ph.D.)--University of Adelaide, Dept. of Community Medicine, 1993

The pattern of medical practice that emerged in Victoria, following the introduction of a national system of publicly subsidised voluntary hospital and medical insurance by the Liberal-Country Party Coalition government in the early 1950s, was dominated by the provision of individualised, curative medical services based upon a reductionist model of disease. Older adults, classified officially as aged according to age of eligibility for the Age Pension introduced in 1909 by the Commonwealth government, were prominent in this pattern of practice. The number of adults over the age of sixty-five increased over the early decades of the twentieth century, and the technical advances made in postwar medicine led to a growing clinical engagement with the degenerative diseases associated with old age. / The growing medical involvement with old age , the basis of the specialist fields of medical practice that proliferated throughout the 1960s, was recognised as such only in relation to the work of general practitioners. Specialist practitioners defined their clinical engagement with old age in terms of pathologies of bodily organs or systems. In contrast, the special role of the GP in relation to elderly patients was defined in terms of that practitioners personal knowledge of patients as individuals. Formal designation of the general practitioner as specialist in caring for the sick aged was confined to the Pensioner Medical Service, a component of the national system of remuneration for medical services. Within this pattern of medical practice infirm old people, whose afflictions could not be readily resolved by curative medical services, occupied a residual category outside the field of active medical practice. When poverty compounded the difficulties experienced by these infirm old people they were categorised as a social problem to which the appropriate response was the provision of adequate infirmary beds through the charitable efforts of local communities. (For complete abstract open document)

Despite the expansion of research into chronic nonmalignant pain, a majority of reported studies are based on patient populations of specialised pain management clinics, which may not adequately represent older people with chronic nonmalignant pain in the general community. Therefore, the overall aim of the present thesis was to fill some gaps in this knowledge base. / The findings of the present thesis support the notion that older people who attend multidisciplinary pain management centres are probably not representative of those with pain who live in the general community but do not attend specialised treatment centres. Indeed a conceptual framework developed from the findings suggest that less than 3 percent of a random community sample of older people with chronic pain share the profile of those who attend a multidisciplinary pain management centre. The majority (86 percent) of the community sample were found to have mild chronic pain that can be adequately managed in the community. However, about 11 percent of the community sample have moderate chronic pain, and it is probable that additional community-based pain management services can improve the management of pain. / Development of instruments to measure the perceived helpfulness and use of pain management strategies by community-dwelling older people with chronic pain is another area that has not received adequate attention. A preliminary survey questionnaire was developed to measure the use and perceived helpfulness of pain management strategies in community dwelling older people. The findings have provided new insight from the user’s perspective regarding the relative effectiveness of different pain management strategies, and highlighted the potential clinical application of strategies that are less commonly used, such as TENS (transcutaneous electrical nerve stimulation), and relaxation techniques that are beneficial for specific subgroups of older people with chronic pain. / The evaluation of the efficacy of a community-based intervention program that provides free choice of intervention for improving outcomes for older people with chronic pain showed that the program was successful in reducing pain and improving level of physical activity for those who completed the program when they were compared with matched subjects who did not participate. The findings also suggest that an educational seminar can have a positive impact that empower participants to make a more informed choice regarding interventions for managing pain. However, the long-term effect of the program has not been established. Therefore, further research will be needed to evaluate whether this approach is a viable alternative clinical option for effective, accessible, and low cost pain management for the general community of older people with chronic pain. / The pain management service model was developed based on a synthesis of the findings. The model was based on a targeted approach that focuses on community-based interventions designed to improve access and outcomes for the majority of community-dwelling older people with chronic non-malignant pain who do not use specialised pain management services. / Overall, the findings of the present thesis have enhanced our understanding of the management of chronic non-malignant pain in community-dwelling older people, which has important implications for the development of services, and has generated hypothesis for future research that may contribute to improve outcomes for older people with chronic non-malignant pain.