9 ABSTRACT This diploma thesis summarizes the theoretical knowledge about the healthcare organization and its management, it also presents history and theories of leadership, the specifics of leadership in the healthcare organization and describes the generations of employees. The main goal of the work focuses on leadership education and training, personal characteristics of leaders, and new tools that are used in leadership. The aim of the thesis is to find current trends in the management of people in healthcare organizations in the Czech Republic. The diploma thesis uses the method of the in-depth interview with the subsequent thematic analysis of acquired data. An in-depth interview was conducted with six respondents; managers of small and medium-sized healthcare organizations. The thematic analysis examines the education and leadership of healthcare organizations, deals with the styles and tools used in leadership in recent years, and also shows whether and what kind changes in leadership are anticipated by senior executives in future years when a new generation of workers is emerging. The results of the analysis show that the education of managers of healthcare organizations in the field of management is still inadequate. Leaders seek to bring the leadership to a democratic line, but they still use...

Federal support and funding for human embryonic stem cell (hESC) research in the United States lags behind stem cell programs in many countries because of the divisive debate over hESC research and the continually evolving federal policies that have hindered research efforts. The purpose of this phenomenological study was to explore the perceptions of stem cell researchers, stakeholders, and investors in the United States about the effects of the current federal stem cell policy on stem cell research in the United States, the moral disagreement with stem cell research, and their recommendations to improve stem cell research policy in the United States. Rogers's diffusion of innovation theory and Kingdon's agenda-setting theory served as the theoretical frameworks for this study. Data were collected through telephonic semistructured interviews with a snowball sample of 21 participants. Data were analyzed using Attride-Stirling's 6 steps of thematic coding. Findings indicated the need to educate laypersons and legislators, involve the public in the stem cell research policy debate, increase federal funding, and exclude religious considerations from political discussions. The implications for positive social change are directed at stem cell policymakers to focus attention and resources on creating a cohesive federal hESC funding policy to ensure that stem cell research improves in the United States with the goal of developing treatments for conditions that are currently untreatable.

Non-communicable diseases are on the increase worldwide, causing more than 36 million deaths each year. Evidence of the link between the role of nutrition and reducing non-communicable diseases is predominant in the literature. The factors influencing intervention strategies/policies and activities, however, need attention. AIM: The study aims to examine the factors that influence nutrition interventions within the United Arab Emirates’ healthcare system. METHOD: This research adapts an interdisciplinary approach where a triangulation mixed methodology is applied. Both qualitative and quantitative methods are used, through the analysis of ten interviews with policy makers, four case studies and 161 questionnaires. Furthermore, the research framework, which emerged from the literature search and qualitative analysis, is tested and validated by rigorous quantitative analysis using SPSS. The statistical analysis, using factor analysis, MANCOVA and ranking analysis aims to provide solid support for the resulting factors. MAIN FINDING: The study identifies five factors that influence nutrition interventions in a healthcare system, and could enhance the effectiveness of nutrition interventions. The factors are 1) quality and processes, 2) training and use of technology, 3) senior management involvement and responsibility, 4) patient diversity, and 5) multidisciplinary teams. CONCLUSION: This study contributes to the emerging literature on management in nutrition interventions and the theory and importance of preventative measures in relation to nutrition. This study provides a roadmap for policy makers to adopt in order to enhance the role of nutrition interventions in healthcare settings. / Culture Department of the Emirates’ Embassy and Ministry of Higher Education (UAE)

No description available.

India, the world’s largest democracy and second most populous country, is in the midst of an economic boom with gross domestic product growth averaging nearly 8% over the past several years despite a worldwide recession. The World Health Organization (WHO) has predicted that trauma case related deaths in India will move from ninth position up to the third position by 2020. The organization structure for an improved national trauma system in India will depend on a national inclusive strategy supported by resources and funding within a service quality framework to win public trust. This must include an integrated nationally coordinated approach to the organization of pre-hospital care facilities, hospital networking and communication systems, and the organization of in-hospital care.

Despite much interest in service quality and various other service quality measures, scholars appear to have overlooked the overall concept of quality. More specifically, previous research has yet to integrate the effect of the customer network and customer knowledge into the measurement of quality. In this work, it is posited that the evaluation of quality is based on both the delivered value from the provider as well as the value developed from the relationships among customers and between customers and providers. This research examines quality as a broad and complex issue, and uses the “Big Quality” concept within the context of routine healthcare service. The last few decades have witnessed interest and activities surrounding the subject of quality and value co-creation. These are core features of Service-Dominant (S-D) logic theory. In this theory, the customer is a collaborative partner who co-creates value with the firm. Customers create value through the strength of their relations and network, and they take a central role in value actualization as value co-creator. I propose to examine the relationship between quality and the constructs of value co-creation. As well, due to the pivotal role of the decision-making process in customer satisfaction, I will also operationalize the value co-creation construct. Building upon the “Big Quality” concept, this study suggests a new approach by extending the quality concept to include the value-creation concept in Service Dominant Logic. This study identifies the associated constructs and determinants of Big Quality in routine healthcare management service, and examines the relationship among the associated quality constructs, customer satisfaction, and customer commitment. This study employed an online survey methodology to collect data. In data analysis, I used the variance-based structural equation modeling (PLS-SEM) approach to confirm the factor structure, proposed model, and test the research hypotheses. The results show that the customer’s participation in in-role and extra-role behaviors are positively associated with their perceived quality, satisfaction, and commitment level. The major contribution of this study to decision sciences and the service quality literature is the development of a comprehensive framework explaining the importance of value co-creation within the context of healthcare quality. Finally, this work examines perceived service quality as a key factor of customer satisfaction and the relationship of Big Quality with commitment level in healthcare service management.

Os princípios e as diretrizes organizativas do SUS, combinados ao modelo estipulado de financiamento da assistência à saúde, conduzem ao surgimento de falhas de mercado, que geram barreiras à apropriada gestão do sistema e, por conseguinte, impedem a concretização dos objetivos do SUS e, potencialmente, acarretam o aprofundamento das iniquidades em saúde na população. As características estruturais e a heterogeneidade de atores no âmbito da rede de serviços do SUS, tendo em vista as configurações diversas assumidas pelas sub-redes regionalmente definidas, cujos gestores apresentam certo grau de autonomia decisória e mantêm interações entre si segundo regras preestabelecidas, impõem dificuldades analíticas que não permitem que as características globais do sistema público de saúde brasileiro sejam apreendidas a partir de uma análise simplista da soma de seus agentes componentes, à medida que sua configuração global é resultado da evolução das interações ocorridas em seu interior. Propõe-se a utilização de métodos quantitativos baseados em dinâmica de agentes inseridos em redes sociais como alternativa ao emprego de métodos quantitativos retrospectivos baseados em estimativas parciais. A modelagem baseada em agentes apresenta significativas vantagens à compreensão da organização, heterogeneidade e dinâmica estrutural da rede de serviços do SUS, assim como possibilita uma busca pela minimização dos efeitos das falhas de mecanismos de mercado no sistema de saúde brasileiro / The principles and organizational guidelines of SUS, combined to set model of health care financing not only the emergence of market failures, which generate barriers to proper management of the system and therefore prevent the achievement of the goals and SUS, potentially, lead to the deepening of health inequities in the population. The structural characteristics and the heterogeneity of actors under the public health network, in view of the different configurations assumed by regionally defined subnets, whose managers have a certain degree of decision-making autonomy and maintain interactions with each other according predetermined rules, impose difficulties analytical that do not allow the global characteristics of the public system of Brazilian health are seized from a simplistic analysis of the sum of its components agents, as its overall configuration is the result of the evolution of interactions occurring inside. It is proposed the use of quantitative methods based on dynamic inserted agents in social networks as an alternative to the use of retrospective quantitative methods based on partial estimates. The modeling based on agents has significant advantages to understand the organization, heterogeneity and structural dynamics of the public health network, as well as enables a search for minimizing the effects of failures of market mechanisms in the Brazilian health system

Equipamentos urbanos, como hospitais, apresentam uma dinâmica de renovação espacial acelerada. A operação diária de vazão dos diversos fluxos (pessoas, material, equipamentos e cadáveres) ali existentes é bastante complexa sob vários aspectos, e sua organização passa pela competência e excelência de suas instituições. A questão fundamental é eleger quais aspectos notáveis que emergem da análise da arquitetura dos hospitais verticalizados, selecionados de grande porte pela abordagem da Avaliação Pós-Ocupação, quanto ao aspecto do fluxo de usuários, material, equipamentos e cadáveres, objetivando subsidiar eventuais rearranjos de configurações internas desses hospitais. A pesquisa está centrada, por meio de estudo de caso, na comprovação ou não de que o estudo antecipado dos fluxos em hospitais-núcleo, isto é, aqueles que sofrerão ganho de área por expansões futuras, na fase de pré-projeto, definem o partido arquitetônico de suas ampliações, transformando seus ambientes em mais amigáveis com seus usuários. A fase de pré-projeto é a primeira etapa no processo do projeto arquitetônico e contempla o levantamento de dados, o programa de necessidades e o estudo de viabilidade arquitetônica. Para tanto, foram considerados referenciais teóricos e discutidos os fluxos tendo, como exemplos, projetos hospitalares verticalizados brasileiros e internacionais. Elaborou-se uma aplicação pautada nesse arcabouço teórico e metodológico, utilizando alguns instrumentos da Avaliação Pós-Ocupação (APO) no decorrer do uso desses hospitais complexos. Os hospitais-núcleo de crescimento espontâneo foram estudados do ponto de vista de seu projeto, construção, modificações e uso, e os hospitais-núcleo com estudo antecipado dos fluxos foram estudados também do ponto de vista de seus pré-projetos. Observou-se de que modo ocorre o uso dos ambientes pelos seus usuários, levando-se em conta seus aspectos satisfatórios e aqueles a serem melhorados. Objetivou-se demonstrar como o estudo dos fluxos pode contribuir em diversos temas na elaboração de projetos hospitalares verticalizados complexos e ser adotado na gestão da qualidade desse tipo de ambiente da saúde. / Urban equipment, such as hospitals, has an accelerated spatial renewal dynamic. The daily flow of the various streams (people, material, equipment and corpses) there is quite complex in several aspects, and its organization passes through the competence and excellence of its institutions. The fundamental question is to select the remarkable aspects that emerge from the analysis of the architecture of the verticalized hospitals, selected in large measure by the post-occupation evaluation approach, regarding the flow aspect of users, material, equipment and corpses, aiming to subsidize possible rearrangements of configurations Hospitals. The research is centered, through a case study, on whether or not the anticipated study of the flows in core hospitals, that is, those that will gain area gain by future expansions, in the pre-project phase, define the Architectonic of its enlargements, transforming its environments in more friendly with its users. The pre-design phase is the first step in the architectural design process and includes data collection, the needs program and the architectural feasibility study. In order to do so, we considered the theoretical references and discussed the flows having, as examples, Brazilian and international vertical hospital projects. An application based on this theoretical and methodological framework was developed, using some instruments of the Post-Occupational Assessment (APO) in the course of the use of these complex hospitals. Spontaneous growth core hospitals were studied from the point of view of their design, construction, modifications and use, and core hospitals with early flow studies were also studied from the standpoint of their pre-projects. It was observed how the use of the environments occurs by its users, taking into account its satisfactory aspects and those to be improved. The objective of this study was to demonstrate how the study of the flows can contribute in several subjects in the elaboration of complex vertical hospital projects and be adopted in the quality management of this type of health environment.

Equipamentos urbanos, como hospitais, apresentam uma dinâmica de renovação espacial acelerada. A operação diária de vazão dos diversos fluxos (pessoas, material, equipamentos e cadáveres) ali existentes é bastante complexa sob vários aspectos, e sua organização passa pela competência e excelência de suas instituições. A questão fundamental é eleger quais aspectos notáveis que emergem da análise da arquitetura dos hospitais verticalizados, selecionados de grande porte pela abordagem da Avaliação Pós-Ocupação, quanto ao aspecto do fluxo de usuários, material, equipamentos e cadáveres, objetivando subsidiar eventuais rearranjos de configurações internas desses hospitais. A pesquisa está centrada, por meio de estudo de caso, na comprovação ou não de que o estudo antecipado dos fluxos em hospitais-núcleo, isto é, aqueles que sofrerão ganho de área por expansões futuras, na fase de pré-projeto, definem o partido arquitetônico de suas ampliações, transformando seus ambientes em mais amigáveis com seus usuários. A fase de pré-projeto é a primeira etapa no processo do projeto arquitetônico e contempla o levantamento de dados, o programa de necessidades e o estudo de viabilidade arquitetônica. Para tanto, foram considerados referenciais teóricos e discutidos os fluxos tendo, como exemplos, projetos hospitalares verticalizados brasileiros e internacionais. Elaborou-se uma aplicação pautada nesse arcabouço teórico e metodológico, utilizando alguns instrumentos da Avaliação Pós-Ocupação (APO) no decorrer do uso desses hospitais complexos. Os hospitais-núcleo de crescimento espontâneo foram estudados do ponto de vista de seu projeto, construção, modificações e uso, e os hospitais-núcleo com estudo antecipado dos fluxos foram estudados também do ponto de vista de seus pré-projetos. Observou-se de que modo ocorre o uso dos ambientes pelos seus usuários, levando-se em conta seus aspectos satisfatórios e aqueles a serem melhorados. Objetivou-se demonstrar como o estudo dos fluxos pode contribuir em diversos temas na elaboração de projetos hospitalares verticalizados complexos e ser adotado na gestão da qualidade desse tipo de ambiente da saúde. / Urban equipment, such as hospitals, has an accelerated spatial renewal dynamic. The daily flow of the various streams (people, material, equipment and corpses) there is quite complex in several aspects, and its organization passes through the competence and excellence of its institutions. The fundamental question is to select the remarkable aspects that emerge from the analysis of the architecture of the verticalized hospitals, selected in large measure by the post-occupation evaluation approach, regarding the flow aspect of users, material, equipment and corpses, aiming to subsidize possible rearrangements of configurations Hospitals. The research is centered, through a case study, on whether or not the anticipated study of the flows in core hospitals, that is, those that will gain area gain by future expansions, in the pre-project phase, define the Architectonic of its enlargements, transforming its environments in more friendly with its users. The pre-design phase is the first step in the architectural design process and includes data collection, the needs program and the architectural feasibility study. In order to do so, we considered the theoretical references and discussed the flows having, as examples, Brazilian and international vertical hospital projects. An application based on this theoretical and methodological framework was developed, using some instruments of the Post-Occupational Assessment (APO) in the course of the use of these complex hospitals. Spontaneous growth core hospitals were studied from the point of view of their design, construction, modifications and use, and core hospitals with early flow studies were also studied from the standpoint of their pre-projects. It was observed how the use of the environments occurs by its users, taking into account its satisfactory aspects and those to be improved. The objective of this study was to demonstrate how the study of the flows can contribute in several subjects in the elaboration of complex vertical hospital projects and be adopted in the quality management of this type of health environment.

Os princípios e as diretrizes organizativas do SUS, combinados ao modelo estipulado de financiamento da assistência à saúde, conduzem ao surgimento de falhas de mercado, que geram barreiras à apropriada gestão do sistema e, por conseguinte, impedem a concretização dos objetivos do SUS e, potencialmente, acarretam o aprofundamento das iniquidades em saúde na população. As características estruturais e a heterogeneidade de atores no âmbito da rede de serviços do SUS, tendo em vista as configurações diversas assumidas pelas sub-redes regionalmente definidas, cujos gestores apresentam certo grau de autonomia decisória e mantêm interações entre si segundo regras preestabelecidas, impõem dificuldades analíticas que não permitem que as características globais do sistema público de saúde brasileiro sejam apreendidas a partir de uma análise simplista da soma de seus agentes componentes, à medida que sua configuração global é resultado da evolução das interações ocorridas em seu interior. Propõe-se a utilização de métodos quantitativos baseados em dinâmica de agentes inseridos em redes sociais como alternativa ao emprego de métodos quantitativos retrospectivos baseados em estimativas parciais. A modelagem baseada em agentes apresenta significativas vantagens à compreensão da organização, heterogeneidade e dinâmica estrutural da rede de serviços do SUS, assim como possibilita uma busca pela minimização dos efeitos das falhas de mecanismos de mercado no sistema de saúde brasileiro / The principles and organizational guidelines of SUS, combined to set model of health care financing not only the emergence of market failures, which generate barriers to proper management of the system and therefore prevent the achievement of the goals and SUS, potentially, lead to the deepening of health inequities in the population. The structural characteristics and the heterogeneity of actors under the public health network, in view of the different configurations assumed by regionally defined subnets, whose managers have a certain degree of decision-making autonomy and maintain interactions with each other according predetermined rules, impose difficulties analytical that do not allow the global characteristics of the public system of Brazilian health are seized from a simplistic analysis of the sum of its components agents, as its overall configuration is the result of the evolution of interactions occurring inside. It is proposed the use of quantitative methods based on dynamic inserted agents in social networks as an alternative to the use of retrospective quantitative methods based on partial estimates. The modeling based on agents has significant advantages to understand the organization, heterogeneity and structural dynamics of the public health network, as well as enables a search for minimizing the effects of failures of market mechanisms in the Brazilian health system