The dissertation employs Andersen and Newman's conceptual framework of health service utilization to examine continuity of care among homeless people. The research context is the Health Care for the Homeless Program which provides free health and medical care to thousands of homeless people in 19 major U.S. cities. The study examines continuity of care for a common illness episode among homeless people, namely peripheral vascular disease of the lower limbs and related disorders. Continuity is modeled as a function of predisposing individual, illness level, and health service system characteristics. The analysis uses multiple regression statistical methods to assess whether and the extent to which individual and health system determinants have net effects on continuity. The findings suggest two related theoretical implications. First, there are multiple sources of continuity. Second, health service system and individual characteristics affect continuity net of each other. The findings also suggest several practical implications including the importance of full-time outreach staff, verbal instructions to return for care, and more extensive weekly hours at each delivery site, just to name a few.

Thesis (Ph. D.)--University of Hong Kong, 1987. / Includes bibliographical references (leaves 360-372).

Translation of national public health policy into local action is poorly understood. This thesis explores this issue using: (a) independent evaluation data of the government-funded Well Men’s Services Pilots Programme (WMS); and (b) an analytical framework derived from ‘rational’ health planning models; particularly the PRECEDE PROCEED (PP) model. A mixed-methods study was conducted, comprising: (i) a review of the health planning literature; (ii) an interpretative documentary analysis of policy documentation and local intervention plans; and (iii) a secondary analysis of 42 semi-structured interviews with local managers and professionals responsible for developing interventions in response to the policy. The research findings (ii&iii) were considered in light of this review. This thesis concluded that rationalist health planning approaches and frameworks are not sufficient to guide the implementation of public health policy to an effective conclusion, and has argued that there is a need to develop new ways of thinking about public health issues that have become ‘policy problems’ deemed in need of intervention and resolution. This new thinking needs to acknowledge the complex and contested nature of health problems. This include accepting: (1) that a range of different perspectives and interpretations of public health policy problems and associated notions of their solutions will reside amongst those individuals and organisations tasked with transforming policy into practice; (2) the inevitability of imperfect and contested evidence; (3) future uncertainties, and; (4) the existence of bureaucratic barriers that will constrain direct engagement of the intended beneficiaries, by policy implementers, in the process of developing interventions.

Thesis (Ph. D.)--University of Chicago, Department of Political Science, December 2000. / Includes bibliographical references. Also available on the Internet.

Thesis (M. Soc. Sc.)--University of Hong Kong, 1986.

Thesis (M.P.A.)--University of Hong Kong, 1991.

Thesis (M.P.A.)--University of Hong Kong, 1991. / Also available in print.

Thesis (M.Soc.Sc.)--University of Hong Kong, 1986. / Also available in print.

Typescript. Includes vita and abstract. Includes bibliographical references (leaves 146-150). Also available online in Scholars' Bank; and in ProQuest, free to University of Oregon users.

Thesis (Ph.D.)--Ohio University, August, 2009. / Title from PDF t.p. Includes bibliographical references.