Thesis (Ph.D.)--University of Nebraska-Lincoln, 2008. / Title from title screen (site viewed Sept. 18, 2008). PDF text: ix, 185 p. : ill. ; 1 Mb. UMI publication number: AAT 3304202. Includes bibliographical references. Also available in microfilm and microfiche formats.

Thesis (M.S.)--Indiana University, 2009. / Department of Geography, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Jeffrey Wilson, James J. Brokaw, Owen Dwyer, Terrell W. Zollinger. Includes vitae. Includes bibliographical references (leaves 41-45).

Thesis (Ph. D.)--University of Missouri-Columbia, 1999. / Typescript. Vita. Includes bibliographical references (leaves 121-129). Also available on the Internet.

Thesis (Ph. D.)--University of Missouri-Columbia, 1999. / Typescript. Vita. Includes bibliographical references (leaves 121-129). Also available on the Internet.

Class of 2009 Abstract / OBJECTIVES: Truck drivers one of the most vital components of a country’s economy, and also one of the most medically underserved populations. To date, few studies have explored the healthcare needs of over the road truck drivers. The objective of this study is to determine if a need exists for the creation of a healthcare education program for over the road truck drivers and if retail pharmacy could be an effective setting for such a program. METHODS: A needs assessment analysis was used to examine available literature concerning the healthcare of over the road truck drivers. A multi-question survey was designed to illicit the feasibility of initiating a healthcare education program to over the road truck drivers in a retail pharmacy setting. This survey was administered to third year pharmacy interns, and 67 completed surveys were collected. RESULTS: Statistics from the selected literature showed over the road truck drivers had increased health risks and barriers to receive proper healthcare. Sixty-two percent of the pharmacy interns felt they could help provide healthcare education to over the road truck drivers, but 71% of interns felt that management wanted to have as little time as possible expended providing education and counseling. CONCLUSIONS: Over the road truck drivers are at increased risk of healthcare problems due to the demands of the profession and a healthcare education program is warranted to help

INTRODUCTION: Street medicine programs utilize a nontraditional healthcare model to provide care to populations experiencing homelessness. Through street medicine programs, clinicians take to the streets to offer services to individuals who are living unsheltered. Many street medicine programs offer health professional students the opportunity to volunteer and provide care to this vulnerable population. AIM: This exploratory study aimed to answer the following question: what influence does volunteering with a street medicine program have on the career trajectories of student volunteers who ultimately choose to work with medically underserved populations (MUPs)? METHODS: This study used an exploratory mixed methods approach to answering the research question. The core ideas that emerged from the qualitative data collected from street medicine student volunteers were used to inform the development of a web-based survey administered to a broader, national sample of street medicine student volunteers. The survey included closed- and opened- ended questions, as well as demographic questions. The Health Professionals’ Attitude Towards the Homeless Inventory (HPATHI; Buck et al., 2005) questionnaire was embedded into the survey to measure students’ attitudes towards the population experiencing homelessness before and after volunteering with a street medicine program. RESULTS: The results suggested that 15 (65.22%) of the 23 participants who completed the web-based survey reported that volunteering with a street medicine program influenced their decision to ultimately work with MUPs. Of the 19 participants who provided qualitative feedback, 7 (36.84%) mentioned that their decision to work with MUPs was influenced by their increased exposure and awareness to the barriers and needs of MUPs while volunteering with a street medicine program. Additionally, 6 (31.58%) participants mentioned that their previous decision to work with MUPs was reinforced while volunteering with a street medicine program. CONCLUSION: Volunteering with a street medicine program appears to help motivate students to work with MUPs. Incorporating opportunities to volunteer with a street medicine program into current health professional school curriculum has the potential to impact a greater network of students, as well as influence decisions regarding the students’ careers.

The dissertation aims to examine the potential for diabetes self-management education (DSME) technology interventions to be used by underserved adults in routine clinical practice and issues regarding its use that may be unique to this population. In Chapter One, the problems of providing sufficient access and appropriate DSME to underserved adults with type 2 diabetes mellitus (T2DM) is introduced and their significance is described. In Chapter Two, a systematic review of the literature and meta-analysis synthesizes data from 3,257 subjects that participated in 13 randomized controlled trials that examined the effect of health information technology (HIT) DSME interventions on glycemic control in medically underserved adults. Chapter Three presents the general and technology-related characteristics of the urban, underserved sample of adults with type 2 diabetes mellitus from eight federally qualified health centers who participated in the Mobile Diabetes Detective (MoDD) randomized controlled trial. It also describes the technology training required to support use and engagement during the MoDD intervention period. In Chapter Four, the potential for broad dissemination of a novel HIT DSME intervention, MoDD, into everyday clinical practice is examined using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation and Maintenance). In Chapter Five the findings of these studies are summarized and the overarching conclusions are presented, which include the strengths, limitations and implications for practice, policy and future.

Orientador: Manoel Henrique Salgado / Banca: Regina Celia Baptista Belluzzo / Banca: Jose de Souza Rodrigues / Resumo: A área de saúde pública e privada, segmento de serviços, em 2012 consumiu 8% (oito por cento) do Produto Interno Bruto Brasileiro, apesar desse volume de recursos direcionados para a área da saúde, em comparação com outros países, o investimento deveria receber um aporte adicional de um terço do valor atual. No cenário atual, faltam recursos compatíveis com a necessidade da população (que envelhece), e sobram queixas dos usuários, prinicipalmente pela demora no atendimento e na falta de atenção dos agentes envolvidos. A saúde suplementar (setor privado) que iniciou suas atividades no Brasil na década de 50, atendendo as necessidades dos funcionários de algumas empresas multinacionais que se instalavam no país, atende hoje 46 milhoes de beneficiários. Com menor número de usuários e com mais recursos, o setor privado recebe menos reclamações que o setor público, mas as reclamações existem e em número considerável, pelas mesmas causas do setor público. O modelo SERVQUAL desenvolvida e posteriormente aperfeiçoada por Parassuraman, Zeithaml e Berry (1990), permite a mensuração da qualidade dos serviços prestados. A medição proposta pelos autores começa na expectativa do cliente, antes do consumo, e a sua percepção após a utilização, bem como a visão dos gestores, dos fucionários e ainda o impacto da comunicação midiática ada empresa na expectativa do cliente. O presente trabalho tem como objetivo: avaliar a qualidade hospitalar em dois hospitais de Bauru com a adaptação do model SERVQUAL. A pesquisa foi realizada em dois momentos: no momento da venda do plano, antes do uso (questionário de expectativa) e, no momento do uso (questionário de percepção), comparando sua expectativa (antes do uso) e a percepção (após o uso). Seguindo a metodologia proposta pelos autores, foram... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The public and private health area services segment in 2010 consumed 8% (eight percent) of the Brazilian Gross Domestic Product, despite this volume of resources allocated to the health sector, compared with other countries, the investment should receive an additional one third of the current value. In the current scenario, there is a lack resources compatible with the needs of the population (aging), and abound complaints from users, mainly by delays in care and the lack of attention of the agents involved. The supplimental health (private sector) that began operations in Brazil in the 50s, meeting the needs of employees of some multinational companies settled in the country, today serves 46 million beneficiaries. With fewer users and more resources, the private sector receives fewer complaints than the public sector, but there area complaints and in a considerable amount, for the same reasons the public sector. The SERVQUAL model developed and subsequently refined by Parasuraman, Zeithml and Berry (1190), permits the measurement of service quality. The measure proposed by the authors starts on customer expectation, before consumption, and their perception after use, as well as the vision of managers, employees and even the impact of media communication company in customer expectation. The present sudy aims: to assess hospital quality in two hospitals in Bauru with the adaptation of SERVQUAL model. The research was conducted in two stages: at the time of the plan sale, before use (expectation questionnaire), and at the time of use (perception questionnaire), comparing their expectation (before use) and perception (after use). Following the methodoloy the methodology proposed by the authours, gaps were identified in questions and dimensions of quality. In summary, the adaptation of the model SERVQUAL questionnaires... (Complete abstract click electronic access below) / Mestre

In the U.S., the number of persons who cannot afford health care continues to rise. Providing a "safety net" for such persons is becoming increasingly important. Medical professional volunteerism provides access to health care for people who have little or no access to health care otherwise. At a not-for-profit free health clinic in Tampa, Florida, hundreds of physicians have volunteered their time in an attempt to reduce the health care gap in their community. The clinic sees thousands of persons who have very limited options in regards to their health care. This study investigates the reasons physicians volunteer and the barriers physicians face when providing free medical service. Through a survey, shadowing sessions, and focused in-depth videotaped interviews with volunteer physicians concerning the risks, rewards, experiences, and barriers of professional volunteering, a greater understanding of this important topic was obtained. This applied visual anthropological project was developed in collaboration with the free clinic in order to provide a product which would be of use to the organization at the end of the research process. This research led to an enhanced understanding of this population as well as recommendations in volunteer physician recruitment strategies.

Made available in DSpace on 2014-06-11T19:30:21Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-08-10Bitstream added on 2014-06-13T20:20:49Z : No. of bitstreams: 1 moraes_dr_me_bauru.pdf: 1880980 bytes, checksum: affa937103ac1050d5bb99900a872e2c (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A área de saúde pública e privada, segmento de serviços, em 2012 consumiu 8% (oito por cento) do Produto Interno Bruto Brasileiro, apesar desse volume de recursos direcionados para a área da saúde, em comparação com outros países, o investimento deveria receber um aporte adicional de um terço do valor atual. No cenário atual, faltam recursos compatíveis com a necessidade da população (que envelhece), e sobram queixas dos usuários, prinicipalmente pela demora no atendimento e na falta de atenção dos agentes envolvidos. A saúde suplementar (setor privado) que iniciou suas atividades no Brasil na década de 50, atendendo as necessidades dos funcionários de algumas empresas multinacionais que se instalavam no país, atende hoje 46 milhoes de beneficiários. Com menor número de usuários e com mais recursos, o setor privado recebe menos reclamações que o setor público, mas as reclamações existem e em número considerável, pelas mesmas causas do setor público. O modelo SERVQUAL desenvolvida e posteriormente aperfeiçoada por Parassuraman, Zeithaml e Berry (1990), permite a mensuração da qualidade dos serviços prestados. A medição proposta pelos autores começa na expectativa do cliente, antes do consumo, e a sua percepção após a utilização, bem como a visão dos gestores, dos fucionários e ainda o impacto da comunicação midiática ada empresa na expectativa do cliente. O presente trabalho tem como objetivo: avaliar a qualidade hospitalar em dois hospitais de Bauru com a adaptação do model SERVQUAL. A pesquisa foi realizada em dois momentos: no momento da venda do plano, antes do uso (questionário de expectativa) e, no momento do uso (questionário de percepção), comparando sua expectativa (antes do uso) e a percepção (após o uso). Seguindo a metodologia proposta pelos autores, foram... / The public and private health area services segment in 2010 consumed 8% (eight percent) of the Brazilian Gross Domestic Product, despite this volume of resources allocated to the health sector, compared with other countries, the investment should receive an additional one third of the current value. In the current scenario, there is a lack resources compatible with the needs of the population (aging), and abound complaints from users, mainly by delays in care and the lack of attention of the agents involved. The supplimental health (private sector) that began operations in Brazil in the 50s, meeting the needs of employees of some multinational companies settled in the country, today serves 46 million beneficiaries. With fewer users and more resources, the private sector receives fewer complaints than the public sector, but there area complaints and in a considerable amount, for the same reasons the public sector. The SERVQUAL model developed and subsequently refined by Parasuraman, Zeithml and Berry (1190), permits the measurement of service quality. The measure proposed by the authors starts on customer expectation, before consumption, and their perception after use, as well as the vision of managers, employees and even the impact of media communication company in customer expectation. The present sudy aims: to assess hospital quality in two hospitals in Bauru with the adaptation of SERVQUAL model. The research was conducted in two stages: at the time of the plan sale, before use (expectation questionnaire), and at the time of use (perception questionnaire), comparing their expectation (before use) and perception (after use). Following the methodoloy the methodology proposed by the authours, gaps were identified in questions and dimensions of quality. In summary, the adaptation of the model SERVQUAL questionnaires... (Complete abstract click electronic access below)