Thesis (Ph.D.)--University of Wisconsin-Madison, 1999. / Includes bibliographical references (leaves 226-234).

Thesis (M.S.)--University of Wisconsin--Madison. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 40-41).

Thesis (M. Arch.)--University of Hong Kong, 1999. / Includes special report study entitled: Heaven on earth. Includes bibliographical references.

There is no abstract available for this dissertation.

Thesis (M. Sc.) (Hons.)--University of Western Sydney, Hawkesbury, 1994. / Includes bibliographical references (p. 279-289).

Thesis (Ph.D.)--University of California, San Francisco, 2004. / Bibliography: leaves 453-484. Also available online.

Thesis (M.Arch.)--University of Hong Kong, 1999. / Includes special report study entitled : Heaven on earth. Includes bibliographical references. Also available in print.

No description available.

Thesis advisor: Andrea Vicini / Thesis advisor: James Keenan / In this thesis, I am going to explore some of the significant legal and medical activities that have had a great influence on the healthcare delivery in the United States of America, focusing on the care of people that are severely sick or those whose death is imminent. Then I will discuss how the application of virtues, particularly the cardinal virtues, can inspire people not to neglect the needs of patients whenever some helpful procedures could be done, and also to enable people to desist from engaging in medical procedures that could be deemed futile. Patients and their caregivers can all benefit from cultivating virtue and hence create a way of life that respects the human dignity of patients and also uses the available resources prudently for the sake of the common good. Ultimately, I hope to suggest some theologically sound proposals that are helpful to a patient, the patient’s family and the rest of the country’s health system, with a particular focus on an ethical way of delivering healthcare services. I will show how the developments in the Western world can be applied to develop some protocols of healthcare delivery that could be helpful to Kenya. It is my belief that the universal applicability of virtues can ensure that healthcare activities uphold the human dignity of patients, provide respect for healthcare work, and also use a country’s limited resources prudently. / Thesis (STL) — Boston College, 2016. / Submitted to: Boston College. School of Theology and Ministry. / Discipline: Sacred Theology.

Fewer patients are able to die at home than would wish to do so. A literature review showed that palliative home care patients are more likely to die at home than others. However, findings may be due to case mix differences, as variables which are positively associated with home death, are also positively associated with access to palliative home care. The thesis investigated the impact of a hospice at home (HAH) service on place of death. An observational, case control study compared 121 patients referred to HAH with 206 patients not referred. Multivariate logistic regression analysis showed that HAH care was strongly positively associated with home death. However, case mix effects could not be discounted. A randomised controlled trial (RCT) compared 186 patients allocated to HAH care with 43 controls. Analysis was intention to treat. Intervention patients were not significantly more likely to die at home than control patients (67% versus 58%). The RCT suffered loss of power and dilution of the treatment effect. Post hoc multivariate logistic regression analysis showed a positive association between actual HAH input and home death. However, this association was no stronger than that between less intensive home care services and home death. Concerns about case mix effects remained. Content analysis of professional and family carers' explanations of endstage inpatient admissions for RCT patients suggested such admissions were mainly perceived to result from factors unrelated to insufficient home care. While some patients may have benefited from added home support, this may not have affected place of death. Additional home care introduced on top of good existing provision, among patients who are already likely to die at home, may have little impact on home deaths. Careful consideration of service aims, target group, other health service context is required before introduction of further hospice at home services.