Thesis (Ph.D.)--University of Western Sydney, 2007. / A thesis presented to the University of Western Sydney, College of Arts, Social Justice and Social Change Research Centre in fulfilment of the requirements for the degree of Doctor of Philosophy (Social Policy). Includes bibliographies.

Thesis (Ph. D.)--Duke University, 2007.

Thesis (M.P.H.)--Georgia State University, 2008. / Title from file title page. Frances McCarty, committee chair; Derek G. Shendell, co-chair; Ike S Okosun, committee member. Electronic text (140 p. : col. ill., col. maps) : digital, PDF file. Description based on contents viewed July 15, 2008. Includes bibliographical references (p. 103-108).

Thesis (M.Sc.)--University of Alberta, 2009. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Science in Epidemiology, Department of Public Health Sciences. Title from pdf file main screen (viewed on November 6, 2009). Includes bibliographical references.

Thesis (doctoral)--University College London, 1996. / BLDSC reference no.: DX223936.

Diss. (sammanfattning) Umeå : Umeå universitet, 2009. / Härtill 5 uppsatser.

Philosophiae Doctor - PhD (Nursing) / The number of healthcare institutions that has embraced Kangaroo Mother Care (KMC) as an effective and efficient method of neonatal care especially in Edo State, Nigeria has not multiplied even after more than a decade of its recommendation by the World Health Organisation (WHO) in 2003. Nigeria ranks seventh among the ten African countries where newborns have the highest risk of dying with over 700 newborn deaths per10, 000 live births. This is worrisome because Edo State is one of the 36 states in Nigeria that contribute about 6,700 neonatal deaths to the 255,500 mortality rate recorded in Nigeria annually. This has led to a concern about the knowledge and attitude of the key drivers in neonatal care of simplified methods aimed at reducing neonatal mortality despite previous training efforts. The development of a strategy to enhance the early implementation of the WHO KMC guidelines in all healthcare facilities across the state was therefore conceptualized. Strategies to increase implementation are considered important to the success of KMC because reducing neonatal mortality rate is contextual. This research aimed to explore and describe the application of the KMC guidelines by the nurses, administrators and parents of preterm infants in the care of premature babies and to develop strategies to enhance its early implementation in healthcare facilities in Edo State, Nigeria.

No description available.

Made available in DSpace on 2014-06-11T19:28:16Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-04-25Bitstream added on 2014-06-13T19:26:32Z : No. of bitstreams: 1 castro_jf_me_arafcl.pdf: 985996 bytes, checksum: 8315689cc09f48acc433e1177b86d222 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O presente trabalho discute a influência do regime de patentes estabelecido internacionalmente, sobre o problema das doenças denominadas “negligenciadas”, que recebem esta designação por não despertarem interesse da indústria farmacêutica privada para o desenvolvimento de novos medicamentos, pois vitimam principalmente as populações dos países pobres ou em desenvolvimento localizados na região tropical. Esse regime de patentes também dificulta os objetivos dos programas públicos de produção e distribuição de medicamentos, que visam atender às camadas mais pobres da população, necessitadas destes e sem condições próprias de adquiri-los. Para se ter uma melhor compreensão deste contexto foi analisado, principalmente, o acordo TRIPS (Trade- Related Aspects of Intellectual Property Rights) que regulamenta o atual regime de patentes em nível internacional, considerando a postura da Organização Mundial de Saúde (OMS) e dos governos brasileiros em relação a essa questão. O Brasil foi usado como estudo de caso por se caracterizar como um país em desenvolvimento, localizado na região tropical e reconhecido internacionalmente por resultados positivos em relação ao combate às doenças negligenciadas e pela implementação de iniciativas que visam o maior acesso a medicamentos pela sua população / This research discusses the influence of the patent regime in the problem of diseases called neglected, they receive this designation because the private pharmaceutical industry has a lack of interest of to develop new drugs to them. These diseases victimize people in poor countries or developing countries located in tropical regions. This patent regime also hinders the objectives of public programs for the production and distribution of drugs, which aim to garantee better health conditions to poorest of the population. For a better understanding, we analyzed the TRIPS (Trade-Related Aspects of Intellectual Property Rights) which regulates the current patent regime at the international level, and discussed the behavior of the World Health Organization (WHO) and of Brazilian governments in relation to this issue. Brazil was used as a case study because it is characterized as a developing country, located in tropical region and with positive results internationally recognized in his strategies to combating neglected diseases and in the implementation of initiatives aimed at increase access to medicines for its population

Submitted by Rubia Fernanda Toledo de Oliveira null (rubia_rfto@hotmail.com) on 2017-09-17T21:12:17Z No. of bitstreams: 1 DISSERTAÇÃO MESTRADO FINAL.pdf: 12884115 bytes, checksum: 32c6d00d52407caf9fc15e460b7d8e17 (MD5) / Made available in DSpace on 2017-09-19T18:44:23Z (GMT). No. of bitstreams: 1 oliveira_rft_me_guara.pdf: 12884115 bytes, checksum: 32c6d00d52407caf9fc15e460b7d8e17 (MD5) Previous issue date: 2017-08-14 / Approved for entry into archive by Monique Sasaki (sayumi_sasaki@hotmail.com) on 2017-09-19T18:44:23Z (GMT) No. of bitstreams: 1 oliveira_rft_me_guara.pdf: 12884115 bytes, checksum: 32c6d00d52407caf9fc15e460b7d8e17 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O setor de saúde no Brasil vive uma crise que se traduz por baixa qualidade, ineficiência e iniquidade. Um conjunto de fatores como, problemas ligados à demora no atendimento, insegurança do paciente, erro médico e aos crescentes custos do processo de atenção à saúde, tem constituído um obstáculo importante para que avanços maiores e mais consistentes sejam conseguidos. Uma forma de melhorar esta situação é o setor de saúde examinar seus processos operacionais e prestar cuidados de forma mais eficiente e eficaz. Nesse contexto a aplicação de conceitos, métodos e ferramentas Lean destaca-se como uma alternativa para a reestruturação dos processos de saúde, denominado por Lean Healthcare. Neste sentido a presente dissertação tem como objetivo analisar a aplicação dos conceitos e ferramentas do Lean Healthcare na melhoria do atendimento em uma unidade de Assistência Médica Especializada (AME). Se tratando dos métodos abordados, foi utilizada a técnica de pesquisa-ação, obtendo resultados desejados não apenas na solução dos problemas imediatos, mais também no aprendizado. Como resultado, uma série de melhorias foram sugeridas com base nos mapeamentos, observações in loco e entrevistas, destacando uma potencial diminuição no tempo de permanência do paciente dentro da unidade em até 18% em um dos processos, caso seja implantado. Possíveis dificuldades encontradas para uma implantação do Lean, assim como, seus benefícios e vantagens também foram apresentadas. / The health sector in Brazil is experiencing a crisis that translates into poor quality, inefficiency and inequity. A number of factors, such as delayed care delivery, patient insecurity, medical error, and the rising costs of the health care process, have been a major obstacle to greater and more consistent advances. One way to improve this situation is for the health sector to examine its operational processes and provide care more efficiently and effectively. In this context the application of Lean concepts, methods and tools stands out as an alternative to the restructuring of health processes, called Lean Healthcare. In this sense, the present dissertation aims to analyze the application of the concepts and tools of Lean Healthcare in the improvement of care in a unit of Specialized Medical Care (AME). When dealing with the methods discussed, the research-action technique was used, obtaining desired results not only in the solution of immediate problems, but also in learning. As a result, a number of improvements were suggested based on the mapping, on-site observations and interviews, highlighting a potential decrease in patient stay time within the unit by up to 18% in one of the procedures, if implemented. Possible difficulties encountered for a Lean deployment, as well as its benefits and advantages were also presented.