Darbo tikslas. Numatyti N poliklinikos Moterų konsultacijos teikiamų akušerinių – ginekologinių paslaugų prieinamumo gerinimo perspektyvas. Uždaviniai. Įvertinti N poliklinikos Moterų konsultacijos teikiamų akušerinių – ginekologinių paslaugų prieinamumą pacienčių požiūriu; numatyti N poliklinikos Moterų konsultacijos teikiamų akušerinių – ginekologinių paslaugų prieinamumo gerinimo priemones. Tyrimo metodika. 2007 m. kovo – balandžio mėn. atlikta Moterų konsultacijos pacienčių anketinė apklausa. Išdalinta 400 anketų. Atsakas – 85,5 proc. Statistinė analizė atlikta naudojant SPSS 12 programinį paketą. Ryšys tarp kokybinių požymių buvo vertinamas pagal chi kvadrato (χ²) kriterijų. Kiekybinių rodiklių palyginimui taikytas Stjudento kriterijus (t). Rodiklių ryšys laikytas statistiškai reikšmingu, kai p<0,05. Rezultatai. 85,4 proc. pacienčių tenkino Moterų konsultacijos darbo laikas. Dauguma pacienčių paprastai neturi problemų patekdamos pas norimą gydytoją. 81,9 proc. pacienčių planiniam vizitui pateko pas gydytoją per 2 dienas. 90,2 proc. besikreipusių skubi pagalba buvo suteikta tą pačią dieną. Registratūroje pacienčių sugaišto laiko vidurkis 8,8 min., prie gydytojo kabineto 19,16 min. Personalo teikiamą dėmesį ir norą padėti dauguma apklaustųjų įvertino gerai. 73,9 proc. pacienčių teigė patenkančios pas gydytoją lengvai ir labai lengvai. Daugumai pakako personalo suteiktos informacijos apie gydymą, profilaktiką ir šeimos planavimą. 63,5 proc. pacienčių, žinančių apmokamų... [toliau žr. visą tekstą] / Aim of the study. To foresee prospects for improvement accessibility of obstetric – gynaecologic service in the Women's health department. Objectives. To estimate the accessibility of service in the Women's health department toward patients attitude; to provide the means for improvement of service accessibility. Methods. A survey was carried out at the Women's health department in March - April in 2007. 400 patients participated in it. Response rate was 85,5 %. Statistical analysis was carried out using SPSS 12 programe. Associations between the qualitative variables were tested by chi squared (χ²) test. The quantitative variables were compared using the Student test (t). p<0,05 was considered as statistically significant. Results. 85,4 % of patients were satisfied with the working time of the department. The majority of patients had no problems with visiting desirable doctor. 81,9 % of patients were waiting for visit less than 2 days. 90,2 % of patients have got the necessary urgent service at the same day. The average of waiting time at the registration room was 8,8 minutes, at the doctors room – 19,16 minutes. The majority of patients were satisfied with the staff attention and efforts to help. 73,9 % of patients evaluated the possibility of consultation as easy and very easy. The majority of patients were satisfied with the information about treatment, prevention and family planning. 63,5 % of patients who knew the costs of services evaluated them as reasonable... [to full text]

To better understand Anglophone elderly experience in accessing health care services in a Francophone area, it is important to look beyond availability of healthcare services near their homes. This study explored factors such as language competence, preference, motivation, reaching and waiting times, as contributors to elderly people's choice. / A questionnaire designed for this study was administered to 199 males and females, aged 55 years and older, recruited from the only Anglophone Seniors' Centre in East-End Montreal. It was found that elderly people with limited French proficiency were more likely to travel out of their area for healthcare services, resulting in significantly longer average travel and waiting times. Of those who would have liked an interpreter, very few were actually able to get one. The most frequently expressed need was for more English or bilingual workers and services. / To improve access and enhance elderly people's quality of life, training and intervention programs need to be developed in collaboration with the government.

This thesis analyses the policy of curative health service delivery in North Darfur State, Sudan. Several authors have analyzed health service delivery issues, mainly focusing on controlling the spread of common diseases. No work has been done that focuses on the health policy aspect and its contribution to improving curative health service delivery, especially in areas affected by conflict since 2003. This study contributes to the body of knowledge on the nature and the evolution of health service delivery systems management, as well as policy implementation, thereby widening the discussion about the further projections of this field of study. The main purpose of this thesis is to investigate how to enhance the effectiveness and efficiency of curative health service delivery systems management, as well as policy implementation, in fostering socio-economic development in North Darfur State. The study focuses on how the national health system and national health policy of Sudan have been managed and implemented in North Darfur State. This thesis identifies the different health sectors, public, private and international NGOs, that provide curative health services in North Darfur State, and the difficulties that have been facing the population in accessing these health facilities. Investigations showed that curative health services are not adequate in the public sector, and that they are very expensive in the private sector. The exception is the NGO sector but it is not guaranteed to be sustainable in providing curative health services to poor and conflict-affected people. This thesis also identifies the mechanisms of health system management and policy implementation, by means of co-ordination and collaboration between the various government sectors, federal, state and district, in a decentralized system working in concert with international NGOs. The results show that there is poor co-ordination between the three levels of government, especially at district level, as well as poor collaboration between government and international NGOs, caused by government‟s lack of human and financial capacity. The potential for improvement in curative health service delivery are explored, particularly at district level. This is essential so that quality curative health services can be delivered to the population, thereby contributing to socio-economic development in North Darfur State. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.

Introduction: Appalachian women have high rates of preterm birth and low birth weight infants. A new format of group prenatal care, known as CenteringPregnancy, decreases the rate of preterm birth and low birth weight when compared with individual care. However, clinics in Appalachia often struggle to recruit women into group care. Theory & Methods: Using critical realism and the middle-range theory of motivation-ease as frameworks, this qualitative study had two research questions: ‘What influences Appalachian women’s choice of traditional prenatal care instead of CenteringPregnancy care?’ and ‘What are Appalachian women’s perceptions of prenatal care and their access to prenatal care?’. Twenty-nine Appalachian women, who had declined CenteringPregnancy care, were interviewed about their perceptions of prenatal care, what facilitated care, and their decision to decline CenteringPregnancy. Verbatim transcripts of these semi-structured interviews, in-depth demographic questionnaires, and field notes were coded and analyzed using conventional (inductive) content analysis. Findings: Two meaning units were identified, information concerning women’s reason(s) for declining CenteringPregnancy and facilitators of prenatal care access. The reasons women provided for declining CenteringPregnancy care fell into three overarching categories, preferred one-to-one care, experienced barriers to Centering, and did not know Centering was an option. The most common reason for declining Centering was a preference for individual care. This category had three subcategories: do not like groups, don’t want to put everything out there with other women, and no need for change from existing care. Women predominately named two facilitators of prenatal care access, insurance and compassionate care. Conclusions: Clinicians should decrease barriers to CenteringPregnancy utilization and should partner with the local community to better market this new model of care. In addition, small modifications in Centering may make the model more appealing and accessible. However, clinicians should continue to provide individual care for women who cannot access group care. Participants stated state-provided insurance greatly facilitated prenatal care which supports the need for ongoing Medicaid funding. Women also stated compassionate care enhanced their ability and desire to get prenatal care. Healthcare providers should renew efforts to provide personalized and unrushed clinical environments to assist women in obtaining needed prenatal care.

Decentralization of health services in Uganda, driven by the structural adjustment programme of the World Bank, was embraced by government as a means to change the health institutional structure and process delivery of health services in the country. Arising from the decentralization process, the transfer of power concerning functions from the top administrative hierachy in health service provision to lower levels, constitutes a major shift in management, philosophy, infrastructure development, communication as well as other functional roles by actors at various levels of health care. This study focused its investigation on ways and levels to which the process of decentralization of health service delivery has attained efficient and effective provision of health services. The study also examined the extent to which the shift of health service provision has influenced the role of local jurisdictions and communities. Challenges faced by local government leaders in planning and raising funds in response to decentralized health serdelivery were examined.

Thesis (Ph. D.)--University of Washington, 2007. / Vita. Includes bibliographical references (leaves 88-109).

Thesis (M.A.)--University of Toronto, 2006. / Source: Dissertation Abstracts International, Volume: 67-07, Section: A, page: 2764. Includes bibliographical references (leaves 282-307).

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 4 uppsatser.

Thesis (Ph.D.)--University of Adelaide, Dept. of Public Health, 2000. / Bibliography: leaves 203-219.