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Showing 121 to 129 of 129 (0.102 seconds)Spelling suggestions: "subject:"world health organization"" "subject:"orld health organization""
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Un modèle systémique d’analyse de changement dans les organisations : le cas de l’analyse de l’implantation du projet PATH de l’OMS Europe en FranceYordanov, Yassen 08 1900 (has links)
L’objectif de la thèse est d’approfondir la compréhension des enjeux liés au processus d’introduction du changement dans les organisations. Ce sujet semble important vu les enjeux majeurs auxquels sont actuellement confrontées les organisations pour implanter des changements jugés nécessaires. Notre recherche aborde l’analyse du changement dans les organisations selon une approche systémique. Cette approche a été développée dans le cadre de la thèse et propose de voir l’implantation du changement jugé nécessaire dans les organisations, non comme des initiatives isolées et déconnectées de l’environnement, mais plutôt comme des processus émergents ou programmés permettant autant le changement de l’organisation que le changement et l’évolution de l’environnement dans une perspective de co-évolution des organisations et de leur environnement. Au niveau des organisations, cette approche systémique amène à se pencher sur la question des possibilités réelles des organisations de produire les changements jugés nécessaires. Elle cherche à comprendre pourquoi, malgré les possibilités réelles des organisations de créer des conditions favorables à l’acceptation et à l’implantation du changement et de l’innovation, les organisations ne s’engagent pas à créer de telles conditions et par conséquent ont des difficultés à produire le changement. Dans le cadre de la recherche, nous avons étudié le changement des pratiques professionnelles et managériales dans le contexte hospitalier français suite à l’introduction d’une innovation d’amélioration de la performance hospitalière, et notamment le projet PATH de l’OMS Europe. Il s’agissait pour nous d’analyser la dynamique de l’implantation de PATH dans la production des effets et le degré d’implantation de PATH, tout en faisant ressortir les facteurs contextuels qui permettent d’expliquer les variations dans le degré d’implantation et les effets. Les résultats de notre recherche soutiennent la proposition qu’il est probablement possible de prédire le niveau d’atteinte des objectifs poursuivis par un changement à partir de la connaissance des capacités collectives de l’organisation pour produire le changement et la façon dont elles ont été mobilisées pour atteindre les objectifs poursuivis. Ils envoient un signal fort aux établissements de santé qui voudraient réussir l’implantation des pratiques novatrices d’amélioration de la performance hospitalière qu’ils doivent s’occuper du contexte dans lequel les efforts de l’implantation sont pratiqués et que ces efforts ne sauraient être entrepris tant que des conditions favorables à l’acceptation et à la réalisation du changement ne sont pas mises en place. Les conditions favorables se matérialiseraient dans les établissements par la mise en place de structures favorisant le travail en groupe multi professionnels, de formations relatives à l’implantation de l’innovation, de coordination de l’action collective, d’implication des utilisateurs finals de l’innovation dans tous le processus d’implantation et de soutien du leadership médical et administratif. / The objective of the thesis is to look further into the comprehension of the issues related to the process of introduction of the change into the organizations. This subject seems important in view of the major challenges currently facing the organizations to implement changes considered to be necessary. Our research approaches the analysis of the change in the organizations according to a systemic approach. This approach was developed within the framework of the thesis and proposes to see the introduction of the change considered to be necessary in the organizations, not like isolated and disconnected initiatives from the environment, but rather like emergent or programmed processes allowing the change of the organization as much that the change and the evolution of the environment in a context of co-evolution of the both entities. To the level of the organizations, this systemic approach for analysing the change in the organizations brings to consider the question of the real possibilities of the organizations to produce changes deemed necessary. She seeks to understand why, despite the real possibilities of the organizations to create favourable conditions for the acceptance and to the implementation of the change and of the innovation, the organizations are not committed to create such conditions and consequently have difficulties in produce the change. Within the framework of research, we studied the change of the professional and managerial practices in the French hospital context following the introduction of a hospital performance improvement innovation: the WHO Europe’s project PATH. Our objectives were to analyse the dynamics of the implementation of PATH in the production of effects and the degree of implementation of PATH, and to identify the contextual factors that allow explaining the variations in the degree of implementation and the effects. The results of our research support the proposal which it is probably possible to predict the level of achievement of objectives pursued by the change from the knowledge of the collective capacities of the organization to produce the change and the way in which they were mobilized to achieve the objectives pursued. They send a signal to the hospitals which would like to introduce innovative hospital performance improvement practices that they must deal with the context in which the implementation efforts are practiced and that these efforts could not be undertaken as long as favourable conditions for the acceptance and for the implementation of the change are not put in place. These favourable conditions are materialized in hospitals by structures supporting multidisciplinary group work, by training related to the implementation of the innovation, by a coordination of the collective action, by the end-users of the innovation implication in all the implementation processes and by the medical and management leadership support. / Thèse de doctorat effectuée en cotutelle au Département d’administration de la santé
Faculté de médecine, Université de Montréal et à l’École doctorale Biologie-Santé
Faculté de médecine, Université de Nantes, France
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Primary health care challenges in Ekurhuleni Metropolitan MunicipalityNdhambi, Mshoni Angeline 01 February 2013 (has links)
OBJECTIVE/ METHOD
The study examined implementation challenges faced by primary health care workers within the Ekurhuleni Metropolitan Municipality in Gauteng South Africa. Data collection was based on semi-structured interviews carried out on a purposive sample (n=19) of frontline clinicians working within the district as primary health care practitioners.
RESULTS
Participants confirmed that work within the primary health care service disproportionately focussed on curative and rehabilitative functions of their roles with little prioritisation of preventive and promotive interventions. Primary identified reasons included, institutional culture that prioritised short-term curative approaches. Clinicians also cited a range of other organisational barriers, such as – poor strategic planning, and a lack of understanding of health promotion and illness prevention.
CONCLUSIONS
Although the challenges that exist in implementing primary health care are clearly understood, clinicians perceive the solutions for these as being within the control of policy makers and those with power within the organisation. / Health Studies / M.A. (Public Health)
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Factors influencing the financing of South Africa's National Health InsuranceGani, Shenaaz 06 1900 (has links)
With the advent of the new National Health Act, health care in South Africa is at a critical point as this will be the first time in history that a National Health Insurance is being implemented in this country. Globally National Health Insurance has been around for more than a hundred years, however some countries with long established national health schemes are currently grappling with funding issues surrounding their health systems. South Africa should take note of these issues as it embarks on this journey.
The objective of this study was to perform a literature review on how South Africa’s National Health Insurance can be funded taking cognisance of the history of the country and experiences of other countries.
It is imperative for each country to achieve optimal health care funding to ensure the success and long-term sustainability of National Health Insurance. The analysis of the problems experienced by other countries revealed that balancing the three main funding options namely, allocated from the national revenue fund, user charges and or donations or grants from international organisations, is critical as the funds needed in a system to achieve coverage at an affordable cost is dependent on the current state of health care in a country. Considering South Africa’s history and current inequality in society and health care it is clear that the majority of funding for the National Health Insurance should be supplied by the national revenue fund. The required funds can either be raised by increasing existing taxes or introducing a new tax specifically aimed at financing the National Health Insurance. The use of user charges is important however, although not purely for a revenue collection point, but from a cost control point of view as well. Some studies have revealed that the lack of user charges results in a misuse of the system. / Financial Accounting / M. Phil. (Accounting Science)
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Análise por grupos focais do instrumento de avaliação de qualidade de vida – WHOQOL/BREF traduzido para a língua brasileira de sinais (WHOQOL/LIBRAS) / Analysis for focus group of instrument of assessing of the quality of life- WHQOL/BREF translated into Brazilian Sign LanguageDuarte , Soraya Bianca Reis 28 November 2011 (has links)
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Previous issue date: 2011-11-28 / Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG / INTRODUCTION: there are several forms of expression, understanding and interpretation of the concept of disability, as well as a multitude of indicators that interfere significantly to the conceptual composition of the theme. In recent decades, the biological view of disability has been expanded due to the inclusion of socio-anthropological aspects. In the case of the deaf, the need to have their story considered through this approach is relevant to the appropriate care by the Health Professionals.
OBJECTIVE: to analyze the Brazilian Sign Language (Libras) version of the WHOQOL-BREF instrument for assessing quality of life in focal groups.
METHODS: transversal type descriptive and exploratory qualitative research using the technique of focal groups in three groups distributed as follows: 1) deaf people; 2) deaf people families; and 3) Libras interpreters. Two meetings were held with three focal groups. The first aimed to explain all the details of the research, delivery of a DVD, signing of the Term of Free and Informed Consent and application of a sociodemographic questionnaire. The second aimed to discuss and analyze the Libras version of the WHOQOL-BREF. Data were analyzed based on the technique of analysis of categorial and thematic content proposed by Bardin.
RESULTS:100% of the participants of the three Focal Groups (GFs) understood and considered the questions relevant to the QOL of the deaf. In the category of suggestion, GF1 came with 76.94%, GF2 presented 65.39% and GF3 came with 73.08% of the questions that needed changes.
CONCLUSIONS: the scarcity of scientific research on the use of focal groups with deaf people was considered a challenging factor. This study showed that the technique of focal groups with deaf people will have better success if it consists of a maximum of six members per group. / INTRODUÇÃO: há diversas formas de manifestação, compreensão e interpretação do conceito de deficiência, assim como uma multiplicidade de indicadores que interferem significativamente para a composição conceitual do tema. Nas últimas décadas, a visão biológica da deficiência vem sofrendo ampliações devido à inclusão dos aspectos socioantropológicos. No caso dos surdos, a necessidade de ter sua história analisada neste enfoque é relevante para o atendimento adequado por parte dos profissionais de Saúde.
OBJETIVO: analisar a versão em Língua Brasileira de Sinais (Libras) do instrumento de avaliação de qualidade de vida WHOQOL-BREF em grupos focais.
MÉTODOS: pesquisa qualitativa de tipologia transversal descritivo-exploratória utilizando a técnica de grupo focal em três grupos assim distribuídos: 1) pessoas surdas; 2) familiares de surdos; 3) intérpretes da Libras. Foram realizadas duas reuniões com três grupos focais. A primeira teve o objetivo de explicar todos os detalhes da pesquisa, entregar um DVD, obter assinatura do Termo de Livre Consentimento e aplicação do questionário sociodemográfico. A segunda objetivou discutir e analisar a versão em Libras do WHOQOL-BREF. Os dados foram analisados com fundamentação na técnica de análise de conteúdo categorial temática proposta por Bardin.
RESULTADOS: 100% dos participantes dos três grupos focais compreenderam e consideraram as questões relevantes para a qualidade de vida dos surdos. Na categoria de sugestão, o GF1 apresentou sugestões em 76,94% das questões, o GF2 apresentou 65,39% e o GF3 apresentou 73,08% de sugestões para as questões que precisavam de alterações.
CONCLUSÕES: a escassez de produção científica sobre a utilização de grupos focais com pessoas surdas foi considerada fator desafiador. Este estudo evidenciou que a técnica de grupos focais com pessoas surdas terá maior êxito se composta por, no máximo, seis integrantes por grupo.
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POROVNANIE ŠTRUKTÚRY ÚMRTNOSTI PODĽA VEKU V REGIÓNOCH SVETOVEJ ZDRAVOTNÍCKEJ ORGANIZÁCIE / COMPARISON OF MORTALITY STRUCTURE BY AGE IN THE REGIONS OF THE WORLD HEALTH ORGANIZATIONSabó, Martin January 2017 (has links)
The presented diploma thesis deals with the comparison of mortality structure by age and includes 194 member countries of the World Health Organization. The aim of the thesis is to confront mortality development in these countries with the help of individual mortality characteristics. At the beginning of this thesis are defined demographic terms and indicators, data sources and calculation methodology. The databases of the World Health Organization and the World Bank were used as the main source of data and all countries were divided into six world regions. The second chapter is devoted to selected types of mortality, namely neonatal and infant, under-five mortality, maternal mortality and adult mortality. After that, the work focuses on life expectancy of 0 and 60 years of age divided per sex. The last chapter is devoted to the optimum retirement age in selected countries. Conclusion connects of the all above well, and we can find there comprehensive information about difference of mortality practically all over the world.
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Vztahy zdravotníků a jejich pacientů / Relations of medical staff and their patientsŠtěpánová, Pavlína January 2013 (has links)
This diploma thesis is called "Relations of Medical Staff and Their Patients." The first part of this diploma thesis deals with patients' rights, their genesis, and the legislative base. It also includes disordered patients, whose patient's rights should not be forgotten during their hospitalization. A large part of my thesis consists of psychological, economic, legal and organizational system limits of the realization of these rights. This means relationship between a doctor and his patient, the source of health care funding, above standard medical care and the privatization of hospitals. The final part of this thesis focuses on the interaction between health professionals in social work and the patients. This thesis is enriched by an interview with the leader of social workers of a hospital in Prague, discussing new patients' right: right on a social worker.
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The prevalence of HBV, HTLV, HIV and concurrent infections in blood recipients of the South African National Blood Service (SANBS)Willemse, Reynier 12 1900 (has links)
M. Tech. (Department of Biotechnology, Faculty of Applied and Computer Sciences), Vaal University of Technology. / Background: Currently, the South African National Blood Services are not testing for HTLV and HTLV screening is not mandated by the WHO or by regulatory standards in South Africa. Looking at the uniquely high prevalence of HIV and HIV / HBV co-infections in the South African population and taking into account the literature that suggests that most of these infected patients will be receiving blood, exposing these patients to an additional burden like HTLV can result in an increased disease progression of HIV to AIDS and a poor prognosis in these infected patients.
Study design and methods: A blinded cross-sectional study was performed. 7015 specimens were collected from all blood transfusion laboratories across South Africa excluding the Western Cape Blood Transfusion Service laboratories. The specimens collected were tested using the ABBOTT Alinity S® Immunochemiluminescent autoanalyser. All test results were confirmed with the Roche Cobas® E801 and E411 auto analyser.
Results: Over all prevalence for HIV was 39.39% (N=2763), HBV 7.57% (n=531) and HTLV 0.70% (N=49). Concurrent infection for HIV/HBV 4.92% (N=345), HIV/HTLV 0.36% (N=25), HBV/HTLV 0.09% (N=6) and HIV/HBV/HTLV 0.07% (N=5).
Conclusion: This study confirmed an overall high prevalence of HIV and HBV infections among patients receiving blood products from the SANBS. Compared to the general population, the HIV prevalence in blood recipients was two-fold higher. Patients receiving a blood transfusion from the SANBS have high rates of HIV, HBV and HTLV which should be taken into consideration when determining donor screening strategies.
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Forecasting Models to Predict EQ-5D Model Indicators for Population Health ImprovementPathak, Amit January 2016 (has links)
No description available.
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Relationen mellan WHO:s globala aidsprogram och ickestatliga organisationer : Kan bristen på samarbete förklaras utifrån new interdependence approach eller medlemsstaternas agerande? / Relations Between WHO Global Programme on AIDS and NGOs : Can the lack of cooperation be explained by new interdependence approach or the actions of member states?Tengdelius, Daniel January 2023 (has links)
This thesis aims to understand why the World health organization’s Global programme on aids (WHO GPA) does not appear to be able to collaborate with non-governmental actors (NGO), even though booth WHO GPA and NGO`s appears to value and seek cooperation. The purpose of this thesis is to examine whether the lack of cooperation between WHO GPA and NGO: s can be explained using new interdependence approach or if the actions of WHO´s member states v. The selected case in this thesis is WHO GPA which existed from 1987 to 1995 and represents the first anti-aids program supported by UN and its member states. WHO GPA is therefore active in a policy area where a lot of interactions with NGO: s could be expected. To analyse the apparent lack of cooperation between WHO GPA and relevant NGO: s, this article will apply the theories new interdependence approach and neorealism. To explain the research questions, how does the interaction between WHO GPA and NGO: s appear within the global effort against the aids pandemic, what role did member states have in limiting or enable formal cooperation between WHO GPA and NGO:s and finally how the theory new interdependence approach can explain the interactions between the WHO GPA and NGO: s. To answer the research questions this thesis will apply a qualitative text analysis on material from WHO GPA, for example annual reviews, as well as previous research articles and books that concerns the WHO GPA. The analysis concludes that the interaction between WHO GPA and NGO: s, can be explained with the fact that informal cooperation does appear but not formal cooperation. This appears to be because while booth WHO GPA and NGO: s seeks support and cooperation, the interactions between them is still affected by mistrust. The member state’s role in limiting or enabling cooperation can be answered two levels, globally where powerful states have strong informal powers to control WHO GPA. When NGO: s are granted formal representation, the selection of NGO: s is not representative of the larger NGO community and not in response to cooperation between WHO GPA and NGO:s. Recipient states does also appear to hinder cooperation between NGO:s, WHO GPA and national aids programmes, because of rivalry between the state and NGO over limited aid. Finally, new interdependence approach appears to explain to lack of formal cooperation, because of a lack of distinct resources. However, it cannot explain the cases where NGO: s achieved official representation as the result of cross-national layering.
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