The dissertation deals with the links between health care systems and health outcomes in the so-called 'transition' countries. The main questions to be addressed are: ''Do health care systems and their transitions influence health outcomes in the transition area and i f they do - how?" The combination o f qualitative techniques and econometric methods allowed for a creation o f the structural classifications o f the health care systems in transition and produced important findings. Firstly, health care transitions, and especially their structural component, are found to be significant in determining health status in the CEE and CIS countries. Secondly, however, the socio-economic determinants o f health were established to also play a major role in determining health inequalities in the transition area. Powered by TCPDF (www.tcpdf.org)

In response to the striking health and social inequalities existing across communities within a large Southern Ontario City the McMaster University School of Nursing has partnered with the local family health team, municipal government, and other community partners to evaluate a pilot program designed to enhance health and social outcomes within a specific priority neighbourhood. The innovative pilot program is a nursing-based system navigation role, grounded concurrently in the community and a local Primary Care Practice. The role is uniquely designed as the nurse provides navigation for individuals and families while functioning as a networker to facilitate improved service integration at a systems level. This study serves as a narrative person-centered evaluation of the program, emphasizing the impact on the lives of community members. This study employed the Three-Dimensional Narrative Inquiry Space method as described by Clandinin and Connelly (2000) to explore the experience of nine community residents utilizing navigation services through the Community Nurse Navigator/Networker (CNN). Programs tell a story; therefore, the collection and analysis of participants’ life stories, in conjunction with field notes, observations, and documents, created a common narrative of the experience of navigation in a community setting. A thematic analysis of participants’ life stories was conducted to present a common narrative of community members’ experience of navigation. The major finding of this study was the positive experience residents shared interacting with the CNN. Participants valued the development of a therapeutic relationship through social interactions, the significance of place on the impact of the CNN role, and the effect of the navigation role to address health disparities over time. Study findings have implications for continued development of the CNN role and other community-based nurse navigation roles in priority neighbourhoods to address health inequities. / Thesis / Master of Science in Nursing (MSN)

THESIS (D.N.P. (Doctor of Nursing Practice))--School of Nursing, University of San Francisco, 2010. / Bibliography: leaves 59-73.

Iniciei a escrita desta pesquisa inspirada na obra de James Cowan “O Sonho do Cartógrafo: meditações de Fra Mauro na Corte de Veneza do Século XVI”, com a intenção de, assim como Fra Mauro, o cartógrafo veneziano que buscava através de seus informantes desenhar o mapa perfeito que contemplasse a dimensão da criação, traçar o Mapa da Reforma Psiquiátrica, no Brasil, os des(encontros) da loucura com as cidades. Para tanto, parti em busca das experiências de (des)institucionalização da loucura, nas cinco regiões do território brasileiro, através das narrativas dos cuidadores, gestores, usuários e vizinhos sobre a vida nos Serviços Residenciais Terapêuticos. Com esse percurso, tive como objetivo trazer elementos para pensarmos sobre as práticas implicadas nos processos de (des)institucionalização da “loucura” no país. Para iniciar os primeiros traços do mapa e do lugar de onde falamos da loucura, apresentei e discuti situações cotidianas, trazendo as maneiras de agir em relação à “loucura”, vivenciadas em diferentes culturas. Com tais experiências, visei problematizar a sua pretensa universalidade e os jogos de exclusão que (des)configuram os tracejos do mapa da Reforma no País. A seguir, apresento os (Des)caminhos da Construção desta Pesquisa, em que discuto as ferramentas teórico-metodológicas deste estudo. Em um terceiro momento, realizo um traçado dos principais movimentos, conferências e dispositivos legais que delinearam a constituição do Residencial Terapêutico no Brasil, debatendo a partir destes tracejos do mapa possíveis interstícios do morar em um Residencial cadastrado junto ao Sistema Único de Saúde. Na seqüência da tese, ingresso nas práticas vigentes da constituição do Hospital Psiquiátrico tecidas através das narrativas de profissionais, que atuaram nestas instituições e, hoje, trabalham nos Residenciais, e dos usuários que viviam e vivem nesses lugares, buscando analisar e tencionar possíveis tramas que se prolonguem na constituição dos Residenciais Terapêuticos nas cidades. Na continuidade dos traços do mapa, analiso o percurso da chegada dos “escolhidos” para ingressar nos Residenciais Terapêuticos, delineando as diferentes vias que se constituem na vida dos usuários de Saúde Mental em tempos de Reforma Psiquiátrica. Dentre aqueles a quem foi permitida a “volta para casa”, como uma sucateira, catei as narrativas dos usuários, cuidadores e gestores neste atribulado percurso em que se dão os (des)encontros da loucura com as cidades. Para ampliar as formas do mapa, narro momentos de minha passagem por um residencial do sudeste, entremeadas pelas narrativas de outros fazeres que testemunhei nas diferentes regiões do país, dando “visibilidade” as formas de agir e escutar os moradores, chamando a atenção para a possibilidade de delinear outros traços na construção do “Mapa da Reforma” no Brasil. Finalizo meu percurso, com o encontro com Riobaldo, ex-jagunço e fazendeiro personagem de Grande Sertões Veredas e outros atores, numa conversa/pensamento em que busco outros “acabamentos” para possíveis desenhos futuros da Reforma Brasileira. / I started writing this paper inspired by James Cowan’s book “A Mapmaker's Dream: The Meditations of Fra Mauro, Cartographer to the Court of Venice” and, much like Fra Mauro, the Venetian cartographer who, through his informants, sought to draw a perfect map that represented the full breadth of Creation, planning to draw the map of Psychiatric Reform in Brazil, the (mis)understandings between insanity and the cities. To that end, I set off in search of insanity (de)institutionalization experiences across Brazil, gathering accounts by caregivers, managers, users, and neighbors about life in Psychiatric Homes. My goal for that journey was to bring elements for us to think about the practices involved in the country’s “insanity” (de)institutionalization processes. To start outlining the map and the place from where we talk about insanity, I presented and discussed everyday situations, bringing the attitudes toward “insanity” taken by different cultures. Through such experiences I sought to discuss their alleged universal character and the exclusion games that (de)form the traces of the Reform in the Country map. Next, I will present the (By-)Ways taken to Construct this Paper, in which I discuss the theoretical-methodological tools used. Then, I will recap the main movements, conferences, and legal provisions that set up the creation of Psychiatric Homes in Brazil, discussing, based on such draw lines on the map, the possible interstices of living in a Home accredited by the Brazilian federal health system. Moving further along, I approach the practices involved in establishing Psychiatric Hospitals through the accounts of people who used to work at such institutions and now work at the Homes, and the accounts of users who used to live or currently live in those places, in an effort to analyze and contemplate possible webs that extend into the creation of Psychiatric Homes in cities. As I keep on drawing the map, I analyze the journey taken by those “chosen” for admittance to the Psychiatric Homes, and lay out the different pathways traveled by Mental Health users in times of Psychiatric Reform. From those allowed to “go back home”, like a dumpster diver I sifted through the accounts of users, caregivers, and managers along this troubled course on which the (mis)understandings between insanity and the cities take place. To enlarge the shapes on the map, I recount some of my visit to a home in southeastern Brazil, interspersed with chronicles of other doings I have witnessed in the country’s various regions, giving “visibility” to the ways of acting and listening to the residents, drawing attention to the possibility of drawing other traces to put together the “map of Reform” in Brazil. I end my travels as I meet former hired hoad and farmer Riobaldo, a character in Grande Sertões Veredas and other actors, in a talk/thought in which I search for other “finishings” for possible future sketches of the Brazilian Reform.

Iniciei a escrita desta pesquisa inspirada na obra de James Cowan “O Sonho do Cartógrafo: meditações de Fra Mauro na Corte de Veneza do Século XVI”, com a intenção de, assim como Fra Mauro, o cartógrafo veneziano que buscava através de seus informantes desenhar o mapa perfeito que contemplasse a dimensão da criação, traçar o Mapa da Reforma Psiquiátrica, no Brasil, os des(encontros) da loucura com as cidades. Para tanto, parti em busca das experiências de (des)institucionalização da loucura, nas cinco regiões do território brasileiro, através das narrativas dos cuidadores, gestores, usuários e vizinhos sobre a vida nos Serviços Residenciais Terapêuticos. Com esse percurso, tive como objetivo trazer elementos para pensarmos sobre as práticas implicadas nos processos de (des)institucionalização da “loucura” no país. Para iniciar os primeiros traços do mapa e do lugar de onde falamos da loucura, apresentei e discuti situações cotidianas, trazendo as maneiras de agir em relação à “loucura”, vivenciadas em diferentes culturas. Com tais experiências, visei problematizar a sua pretensa universalidade e os jogos de exclusão que (des)configuram os tracejos do mapa da Reforma no País. A seguir, apresento os (Des)caminhos da Construção desta Pesquisa, em que discuto as ferramentas teórico-metodológicas deste estudo. Em um terceiro momento, realizo um traçado dos principais movimentos, conferências e dispositivos legais que delinearam a constituição do Residencial Terapêutico no Brasil, debatendo a partir destes tracejos do mapa possíveis interstícios do morar em um Residencial cadastrado junto ao Sistema Único de Saúde. Na seqüência da tese, ingresso nas práticas vigentes da constituição do Hospital Psiquiátrico tecidas através das narrativas de profissionais, que atuaram nestas instituições e, hoje, trabalham nos Residenciais, e dos usuários que viviam e vivem nesses lugares, buscando analisar e tencionar possíveis tramas que se prolonguem na constituição dos Residenciais Terapêuticos nas cidades. Na continuidade dos traços do mapa, analiso o percurso da chegada dos “escolhidos” para ingressar nos Residenciais Terapêuticos, delineando as diferentes vias que se constituem na vida dos usuários de Saúde Mental em tempos de Reforma Psiquiátrica. Dentre aqueles a quem foi permitida a “volta para casa”, como uma sucateira, catei as narrativas dos usuários, cuidadores e gestores neste atribulado percurso em que se dão os (des)encontros da loucura com as cidades. Para ampliar as formas do mapa, narro momentos de minha passagem por um residencial do sudeste, entremeadas pelas narrativas de outros fazeres que testemunhei nas diferentes regiões do país, dando “visibilidade” as formas de agir e escutar os moradores, chamando a atenção para a possibilidade de delinear outros traços na construção do “Mapa da Reforma” no Brasil. Finalizo meu percurso, com o encontro com Riobaldo, ex-jagunço e fazendeiro personagem de Grande Sertões Veredas e outros atores, numa conversa/pensamento em que busco outros “acabamentos” para possíveis desenhos futuros da Reforma Brasileira. / I started writing this paper inspired by James Cowan’s book “A Mapmaker's Dream: The Meditations of Fra Mauro, Cartographer to the Court of Venice” and, much like Fra Mauro, the Venetian cartographer who, through his informants, sought to draw a perfect map that represented the full breadth of Creation, planning to draw the map of Psychiatric Reform in Brazil, the (mis)understandings between insanity and the cities. To that end, I set off in search of insanity (de)institutionalization experiences across Brazil, gathering accounts by caregivers, managers, users, and neighbors about life in Psychiatric Homes. My goal for that journey was to bring elements for us to think about the practices involved in the country’s “insanity” (de)institutionalization processes. To start outlining the map and the place from where we talk about insanity, I presented and discussed everyday situations, bringing the attitudes toward “insanity” taken by different cultures. Through such experiences I sought to discuss their alleged universal character and the exclusion games that (de)form the traces of the Reform in the Country map. Next, I will present the (By-)Ways taken to Construct this Paper, in which I discuss the theoretical-methodological tools used. Then, I will recap the main movements, conferences, and legal provisions that set up the creation of Psychiatric Homes in Brazil, discussing, based on such draw lines on the map, the possible interstices of living in a Home accredited by the Brazilian federal health system. Moving further along, I approach the practices involved in establishing Psychiatric Hospitals through the accounts of people who used to work at such institutions and now work at the Homes, and the accounts of users who used to live or currently live in those places, in an effort to analyze and contemplate possible webs that extend into the creation of Psychiatric Homes in cities. As I keep on drawing the map, I analyze the journey taken by those “chosen” for admittance to the Psychiatric Homes, and lay out the different pathways traveled by Mental Health users in times of Psychiatric Reform. From those allowed to “go back home”, like a dumpster diver I sifted through the accounts of users, caregivers, and managers along this troubled course on which the (mis)understandings between insanity and the cities take place. To enlarge the shapes on the map, I recount some of my visit to a home in southeastern Brazil, interspersed with chronicles of other doings I have witnessed in the country’s various regions, giving “visibility” to the ways of acting and listening to the residents, drawing attention to the possibility of drawing other traces to put together the “map of Reform” in Brazil. I end my travels as I meet former hired hoad and farmer Riobaldo, a character in Grande Sertões Veredas and other actors, in a talk/thought in which I search for other “finishings” for possible future sketches of the Brazilian Reform.

Iniciei a escrita desta pesquisa inspirada na obra de James Cowan “O Sonho do Cartógrafo: meditações de Fra Mauro na Corte de Veneza do Século XVI”, com a intenção de, assim como Fra Mauro, o cartógrafo veneziano que buscava através de seus informantes desenhar o mapa perfeito que contemplasse a dimensão da criação, traçar o Mapa da Reforma Psiquiátrica, no Brasil, os des(encontros) da loucura com as cidades. Para tanto, parti em busca das experiências de (des)institucionalização da loucura, nas cinco regiões do território brasileiro, através das narrativas dos cuidadores, gestores, usuários e vizinhos sobre a vida nos Serviços Residenciais Terapêuticos. Com esse percurso, tive como objetivo trazer elementos para pensarmos sobre as práticas implicadas nos processos de (des)institucionalização da “loucura” no país. Para iniciar os primeiros traços do mapa e do lugar de onde falamos da loucura, apresentei e discuti situações cotidianas, trazendo as maneiras de agir em relação à “loucura”, vivenciadas em diferentes culturas. Com tais experiências, visei problematizar a sua pretensa universalidade e os jogos de exclusão que (des)configuram os tracejos do mapa da Reforma no País. A seguir, apresento os (Des)caminhos da Construção desta Pesquisa, em que discuto as ferramentas teórico-metodológicas deste estudo. Em um terceiro momento, realizo um traçado dos principais movimentos, conferências e dispositivos legais que delinearam a constituição do Residencial Terapêutico no Brasil, debatendo a partir destes tracejos do mapa possíveis interstícios do morar em um Residencial cadastrado junto ao Sistema Único de Saúde. Na seqüência da tese, ingresso nas práticas vigentes da constituição do Hospital Psiquiátrico tecidas através das narrativas de profissionais, que atuaram nestas instituições e, hoje, trabalham nos Residenciais, e dos usuários que viviam e vivem nesses lugares, buscando analisar e tencionar possíveis tramas que se prolonguem na constituição dos Residenciais Terapêuticos nas cidades. Na continuidade dos traços do mapa, analiso o percurso da chegada dos “escolhidos” para ingressar nos Residenciais Terapêuticos, delineando as diferentes vias que se constituem na vida dos usuários de Saúde Mental em tempos de Reforma Psiquiátrica. Dentre aqueles a quem foi permitida a “volta para casa”, como uma sucateira, catei as narrativas dos usuários, cuidadores e gestores neste atribulado percurso em que se dão os (des)encontros da loucura com as cidades. Para ampliar as formas do mapa, narro momentos de minha passagem por um residencial do sudeste, entremeadas pelas narrativas de outros fazeres que testemunhei nas diferentes regiões do país, dando “visibilidade” as formas de agir e escutar os moradores, chamando a atenção para a possibilidade de delinear outros traços na construção do “Mapa da Reforma” no Brasil. Finalizo meu percurso, com o encontro com Riobaldo, ex-jagunço e fazendeiro personagem de Grande Sertões Veredas e outros atores, numa conversa/pensamento em que busco outros “acabamentos” para possíveis desenhos futuros da Reforma Brasileira. / I started writing this paper inspired by James Cowan’s book “A Mapmaker's Dream: The Meditations of Fra Mauro, Cartographer to the Court of Venice” and, much like Fra Mauro, the Venetian cartographer who, through his informants, sought to draw a perfect map that represented the full breadth of Creation, planning to draw the map of Psychiatric Reform in Brazil, the (mis)understandings between insanity and the cities. To that end, I set off in search of insanity (de)institutionalization experiences across Brazil, gathering accounts by caregivers, managers, users, and neighbors about life in Psychiatric Homes. My goal for that journey was to bring elements for us to think about the practices involved in the country’s “insanity” (de)institutionalization processes. To start outlining the map and the place from where we talk about insanity, I presented and discussed everyday situations, bringing the attitudes toward “insanity” taken by different cultures. Through such experiences I sought to discuss their alleged universal character and the exclusion games that (de)form the traces of the Reform in the Country map. Next, I will present the (By-)Ways taken to Construct this Paper, in which I discuss the theoretical-methodological tools used. Then, I will recap the main movements, conferences, and legal provisions that set up the creation of Psychiatric Homes in Brazil, discussing, based on such draw lines on the map, the possible interstices of living in a Home accredited by the Brazilian federal health system. Moving further along, I approach the practices involved in establishing Psychiatric Hospitals through the accounts of people who used to work at such institutions and now work at the Homes, and the accounts of users who used to live or currently live in those places, in an effort to analyze and contemplate possible webs that extend into the creation of Psychiatric Homes in cities. As I keep on drawing the map, I analyze the journey taken by those “chosen” for admittance to the Psychiatric Homes, and lay out the different pathways traveled by Mental Health users in times of Psychiatric Reform. From those allowed to “go back home”, like a dumpster diver I sifted through the accounts of users, caregivers, and managers along this troubled course on which the (mis)understandings between insanity and the cities take place. To enlarge the shapes on the map, I recount some of my visit to a home in southeastern Brazil, interspersed with chronicles of other doings I have witnessed in the country’s various regions, giving “visibility” to the ways of acting and listening to the residents, drawing attention to the possibility of drawing other traces to put together the “map of Reform” in Brazil. I end my travels as I meet former hired hoad and farmer Riobaldo, a character in Grande Sertões Veredas and other actors, in a talk/thought in which I search for other “finishings” for possible future sketches of the Brazilian Reform.

The work concentrates on functioning of the health care system in Czech republic. By way of introduction the health care system is characterized (health-care facilites, the principles of health care, health care financing and also fees paid for health care consumption). Next chapters analyse income and expenditures of health insurance companies. The key chapter describes some of the problems of health care system and suggests their solutions.

The goal of this master thesis is the analysis of trends in public and private expenditures on health care in the Czech republic, which have a tendency to develop above possibility o public budget in the context of long-term sustainability. This create pressure on the increase of share of private expenditures. In this thesis will be attention also focus on the proportion of public and private expenditures in total expenditures with evaluation of consequences for availability of needed health care for citizen in social deprivation. Part of the thesis will be focus on elasticity of demand for health care in view of the sensitivity, that have citizen in social deprivation to the increase of private expeditures on health care. The thesis will include quest to find a possibility of financing health care from private resources and describe prices of health care in the public system of health service.

The diploma thesis deals with the implementation of a CRM system in a selected company dealing with the sale of medical supplies in the Vysočina region. The theoretical part of the work contains a basic definition of concepts falling into the field of modern technologies of the 21st century. The aim of the theoretical part is to create a means for the reader to search for selected analyzes, which will be used in the next part of the work. These are the Canvas business model, SWOT analysis, risk analysis and other use of tools. The analytical part creates an overview of the use of methods and analyzes in a particular company and shows the direct application in practice. The final part of the work is devoted to the process of implementing a CRM system into business practice with subsequent use in specific internal processes within business activities. This design part describes the internal processes before implementation and then outlines the methodological work after the already implied system into the process.

No description available.