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.

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

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)

Indiana University-Purdue University Indianapolis (IUPUI) / Purpose: This study examines whether Indiana physicians’ choices to practice in medically underserved and rural areas of Indiana are associated with select physician characteristics. Methods: Physician data were gathered from the American Medical Association Physician Masterfile. Analysis was limited to primary care physicians currently practicing, whose birth city and/or state were known (if American born) and whose current practice location could be matched to an Indiana ZIP Code. The underserved and rural areas and physician data were mapped using ArcGIS. Chi square and logistic regression analyses were performed to identify significant associations between the physician characteristics and choice of practice location. Results: In instances where a physician was born in a county that fell below its state’s median income level in the decade of birth, there is a significant likelihood of future choice to practice in underserved and rural areas. Attending a medical school in the Midwest and region of birth (subdivided by state) were proven to have no predictive value. Conclusions: This result, when compared with other studies that have found physician hometown to be a predictive factor, seems to confirm and strengthen the argument that factors in a physician’s past, including social and economic setting of his or her upbringing, influence choice to practice in underserved and/or rural areas.

As the cost for health care delivery increases, so does the demand for access to care. However, individuals in a rural community often do not have access to the care they need. Shortages of rural health care professionals are an ever-increasing problem. The Affordable Care Act of 2010 sought to increase health care access by focusing on team-based care delivery. Thus, the need to educate health care students in the fundamentals of team-based practice has led to an increased emphasis on Interprofessional Education (IPE). While past research focused on urban IPE, a literature gap exists for the effects of a rural team-based educational experience on practice location decisions. This study examined how rural IPE influenced health profession students' perspectives of what it means to be a member of a rural health care team and explored what factors go into making decisions of where to live and provide care. Motivational Theory provided the framework for a mixed methods approach with data from student reflective journaling and a post-experience Q sort. Analysis yielded important understandings about the impact of rural IPE. Accordingly, having a rural IPE experience provided positive motivation for returning after graduation. Further, the time spent in rural IPE generated understandings of what it means to live and provide care to a rural community. One important new discovery gained is the clinical setting is not where most IPE took place. As a result, social interactions with fellow students and community members achieved the goals of rural IPE. Despite these influential findings, noted barriers to genuine rural IPE persisted. In the end, students, educators, and rural health care professionals need to be aware of the multiple factors that guide decisions of where to live and provide care.

This project was an assessment of elderly health care needs and access. Three urban San Bernardino communities in zip codes 92405, 92410, and 92411 were targeted. The assessment was structured according to King's theoretical construction of community as a multilevel interaction between personal, interpersonal and social systems. The components of the assessment included digital photographs, web-based internet assessments, key informant interviews, and community business visits.