Thesis (Ph. D.)--University of Missouri-Columbia, 2003. / Typescript. Vita. Includes bibliographical references (leaves 54-57). Also available on the Internet.

Thesis (Ph. D.)--University of Missouri-Columbia, 2003. / Typescript. Vita. Includes bibliographical references (leaves 54-57). Also available on the Internet.

Thesis (Ph. D.)--University of Texas at Austin, 2002. / Vita. Includes bibliographical references. Available also from UMI Company.

Not available / text

Thesis (Ph. D.)--UCLA, 2007. / Vita. Includes bibliographical references (leaves 131-137).

Thesis (M.Med.(Community Health))--University of Pretoria, 2004. / Summary in English and Afrikaans. Includes bibliographical references ( leaves 102-113). Also available online.

Thesis (Ph. D.)--UCLA, 2008. / Vita. Description based on print version record. Includes bibliographical references.

Thesis (PhD. (Nursing Science)(Faculty of Health Sciences))--University of Pretoria, 2006. / Summary in English. Includes bibliographical references.

D.Cur. / Like in many countries, Namibia is experiencing social and economic health care problems related to care provision at state health facilities. The Namibian State has acknowledged that it can no more afford to provide care for all the sick people alone, especially at its health facilities. It is now calling upon the society to take up the responsibility of caring for their sick people at home. Although this call is genuine and necessary, one cannot help to always wonder about the expectations of stakeholders involved in home care provision in rural Namibia. The purpose of the study was to develop and describe a model for capacity building to facilitate quality home care in rural Namibia. To achieve this the following specific objectives were formulated: 1) to explore and describe the expectations of the stakeholders involved in home care situation in rural Northern Namibia; 2) to assess the status of available resources in relation to quality home care; 3) to analyse the concept capacity as a management process and conceptualise the whole study into existing theoretical frameworks to facilitate home care in rural Namibia and 4) to develop and describe practical guidelines for the implementation of the model. A qualitative case study design was used to carry out the study. Explorative, descriptive, theory generative and inductive strategies were utilised. Face to face interviews were conducted with thirty stakeholders in home care using an interview guide. Purposive and Snowballing/networking sampling were used to identify the stakeholders involved with home care. Observations were also made with regard to the status of the resources, its availability and accessibility to the stakeholders. From the empirical phase, various expectations were expressed related to resources, namely, physical structures, knowledgeable human resources, financial and logistics, information, safe water supply, transport and communication means, support systems and mechanisms at home and community levels, food and nutrition. It was clear that resources were lacking as well as the support systems for home care.

Over 1 million Americans are diagnosed with cancer in a given year and currently there are approximately 12 million cancer survivors in the United States. With improved detection strategies and medical advances, the number of cancer survivors continues to rise, making survivorship care an increasingly important phase along the continuum of cancer care. The purpose of the current study was to investigate the emerging field of survivorship care, including care planning and follow-up, in survivors of different types of cancer. We quantitatively evaluated the post-treatment care received by 123 cancer survivors, including the use of survivorship care plans and the impact of these care plans and subsequent follow-up on a variety of behavioral health outcomes. We qualitatively assessed survivorship care providers' (n = 8) perspectives on comprehensive survivorship care and experiences delivering post-treatment services. The majority of participants (54%) are receiving a moderate level of survivorship care, including minimal receipt of a written care plan (31%) and some amount of referrals for mental health, diet, and physical activity (28%). Results suggest significantly lower general psychological distress (F [1, 104] = 8.316, p = .005) and higher coping self-efficacy (F [1, 104] = 6.627, p = .011) for those who received some form of written care plan versus those who did not. These results imply that written care plan documents have the potential to lead to higher psychosocial functioning for survivors of cancer. The qualitative data provide initial evidence supporting the value of SCPs for patients and providers. Critical barriers to implementation of comprehensive survivorship care and SCPs, from the providers' perspective, include the fragmented healthcare system and resources. The current study is an important step toward increasing knowledge of and potential intervention targets to improve cancer survivorship experiences – from both the patients' and providers' perspectives. Future directions include developing a standardized system for delivering survivorship care and SCPs, and increasing the evidence base to examine the impact of SCPs on short- and long-term patient-reported and clinical outcomes, increase the focus on patient-centered care, and explore the impact of SCPs delivered to vulnerable groups of survivors. / Ph. D.