Thesis (M.Tech.: Chiropratic)- Dept.of Chiropractic, Durban Institute of Technology, 2006 xvii, 148 leaves / Chiropractors and homeopaths belong to the same paradigm i.e. the biopsychosocial. Due to this fact, there has been a perception that there will automatically be a good referral relationship between these two. This was therefore assumed to be true in the South African context; however until now there has never been any quantifiable evidence as to what the interprofessional ties are between these two professions in this context. This study looked into the current status quo of the factors affecting referrals between chiropractors and homeopaths practicing in the greater Durban Metro area and looks towards future studies which may enhance the interprofessional relationship.

Thesis (M.Sc. (Public Health))--Mahidol University, 1982.

Thesis advisor: Elizabeth Altmaier, Daniel Tranel. Includes bibliographic references (p. 142-155).

Made available in DSpace on 2015-12-03T18:35:06Z (GMT). No. of bitstreams: 1 Maria_Cristina_Lourenco_dos_Santos.pdf: 684113 bytes, checksum: b7fc34240e66cc7fb121e746793f6f3e (MD5) Previous issue date: 2008-08-19 / This work aims to report the result of a search relating to the Fiscal Council of a Health Plan corporation, in a medical work cooperative system, in S??o Paulo state, considering two periods of time: before and after of hiring a specialized technical advice for assisting this inspection and control organ. The intention was to analyze what the extent this advice has contributed to the performance of the Fiscal Council. For this, were used the data based on minutes of the organ meetings occurred in the years 2003 to 2004 (before) and 2005 to 2006 (after), an interview with the contracted technical adviser and also the data achieved through a questionnaire applied to two groups of Council members, before and after the technical advice, for knowing how it was developed and its results. The search is a case study of incorporated type, supported by a protocol, being used for that an information triangulation with the document analysis, the interview with the adviser and the questionnaire data. It was used the Cluster Analysis to identify and group the differences and similarities of the groups of council members opinions. The results pointed out the hiring of an independent technical advice contributed for the Fiscal Council performance, providing good Corporate Management practices. / Este trabalho relata o resultado da pesquisa com o Conselho Fiscal de uma operadora de planos de sa??de, na modalidade cooperativa de trabalho m??dico, no Estado de S??o Paulo, considerando dois momentos de tempo: antes e ap??s a contrata????o de uma assessoria especializada para assistir este ??rg??o de fiscaliza????o e controle. O objetivo foi analisar em que medida esta assessoria contribuiu para a atua????o do Conselho Fiscal. Foram usadas como fontes de coleta de informa????es as atas de reuni??es do ??rg??o entre os anos de 2003 a 2004 (antes) e 2005 a 2006 (ap??s), uma entrevista com o assessor contratado, e os dados colhidos com um question??rio aplicado aos dois grupos de Conselheiros, antes e ap??s a assessoria, para um levantamento sobre como a assessoria foi desenvolvida, e seus resultados. A pesquisa ?? um estudo de caso do tipo incorporado, apoiado em um protocolo, e para a qual realizou-se a triangula????o das informa????es obtidas na an??lise documental, entrevista realizada e os dados obtidos com o question??rio. Foi usada a An??lise de Clusters para identificar e agrupar diferen??as e similaridades de opini??es entre os grupos de Conselheiros. Os resultados apontaram que a contrata????o da assessoria contribuiu na atua????o do Conselho Fiscal, proporcionando boas pr??ticas de Governan??a Corporativa.

The health care industry is currently experiencing many changes. Managed care is altering the way health care is delivered through advances in technology and new approaches in financing. As part of this transition, importance will be placed on patients becoming better consumers and participants in determining their health care service needs. The focus of this study is on the non-compliant patient and the many factors that revolve around this topic.

Made available in DSpace on 2015-12-03T18:32:49Z (GMT). No. of bitstreams: 1 Jose_Mario_Roncari.pdf: 1862231 bytes, checksum: 9162114a0b54c1d6220026d2a5ed4329 (MD5) Previous issue date: 2003-10-29 / The health sector in Brazil has suffered several changes, mainly in the last forty years, resulted from the incapacity of the public power to manage in an efficient manner the policies and resources, from the privatization trends of the sector motivated by this incapacity and from the high demand for health services. In this scenario, many organizations have surged managing the health services. The health services nonetheless have become a highly attractive business due to their particular demand, to the inexistent further requirements to the inroad of companies into the sector and to the absence of regulating mechanisms by the Brazilian public power. This work thoroughly analyzes the Unimed issu, a non-centralized organization composed by medical help cooperatives, which act in the private health sector, also characterized as complementing health sector and which presents characteristics of competitive conglomerating behavior, following cooperative economical and cultural patterns and that is placed with a marking and highly encompassing position in the ntional demand. The study presents bibliographic and documental analysis and develops the case study as a methodological basis to charracterize the main critical factors of its strategy in the competitiveness with other agents / O setor de Sa??de no Brasil sofreu diversas altera????es, principalmente nos ??ltimos quarenta anos, reflexo da incapacidade do poder p??blico em gerir de maneira eficaz as pol??ticas e recursos, da tend??ncia de privatiza????o do setor motivada por essa incapacidade e da alta demanda por servi??os de sa??de. Nesse cen??rio surgiram diversas organiza????es, empresariando os servi??os de sa??de. Os servi??os de sa??de por sua vez se tornaram um neg??cio altamente atrativo em virtude, da pr??pria demanda, da inexist??ncia de maiores exig??ncias para ingresso de empresas no setor e da aus??ncia de mecanismos reguladores por parte do poder p??blico brasileiro.Esse trabalho analisa detalhadamente o caso Unimed, uma organiza????o descentralizada formada por cooperativas de trabalho m??dico, que atuam no mercado de sa??de privado, tamb??m caracterizado como de sa??de suplementar e que possui caracter??sticas de conduta concorrencial conglomerativa, seguindo padr??es econ??micos e culturais cooperativistas e que se posiciona com participa????o marcante e de alta abrang??ncia na demanda nacional. O estudo apresenta an??lise bibliogr??fica, documental e desenvolve o estudo de caso como base metodol??gica para caracterizar os principais fatores cr??ticos de sua estrat??gia na concorr??ncia com outros agentes.

Indiana University-Purdue University Indianapolis (IUPUI) / Nurse-physician collaboration has received much attention over the past decade in the USA. The release of three reports from the Institute of Medicine implicated poor communication and collaboration among nurses and physicians as a major contributing factor to the incidence of sentinel events and medical errors. Despite the growing awareness of the imperative related to collaboration between nurses and physicians to ensure patient safety, the problem of poor nurse-physician collaboration remains endemic throughout the country. Indian nurses, along with many other internationally educated nurses, comprise 12-15.2% of the nursing workforce in the USA. Little is known about how Indian nurses culture potentially influences their ability to effectively collaborate with physicians to ensure patient safety. The purpose of this study is to understand Indian nurses’ attitudes and perceptions about nurse-physician collaboration. Hermeneutic interpretive phenomenology as influenced by the work of Martin Heidegger guided this study through the use of interviews via Skype. The overall experience of the Indian nurses was of one experiencing a dramatic positive change in nurse-physician collaboration in the USA as compared to India. Four themes emerged describing this phenomenon: Respect/feeling heard, Being Trusted, Assurance of Accountability, and Finding Freedom. Indian nurses practicing in the USA find a freedom that empowers them to collaborate with physicians for patient safety. They, as all nurses may, benefit from continuing educational opportunities that demonstrate ways to collaborate more fully.