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Malignant tumor (cancer) had become the leading cause among the top ten leading causes of death in Taiwan since 1982. The department of health in Taiwan start to pay attention on cancer prevention until 21th century, and published ¡§The Law of Cancer Control and Prevention¡¨ at 2003, it purpose is to communicate cancer prevention information and activities from each medical centers to the public effectively, it essence is alike the concept of healthcare marketing. This research will review the monthly pamphlet published by the medical centers in southern Taiwan, to know how they construct their communication model, and distinguish if they had promote their merit prevention cancer or health services by the monthly pamphlets. With the integration of ¡§National Cancer Control and Prevention Five Year Plan¡¨ extended from the law of cancer control and prevention, this research shows that different medical centers pay attention on different hierarchy of prevention and cancer type, also different communication model and service have been promoted. But article on the monthly pamphlet are not requisite responsibility to the medical doctors in different medical centers. Although, research on the readers of the pamphlet were worthy, through the understanding of readers, the effectiveness of healthcare marketing through monthly pamphlet can be distinguish.

Thesis (M.S. in Management)--Naval Postgraduate School, March 2003. / Thesis advisor(s): Lee Edwards, Kathryn M. Kocher. Includes bibliographical references (p. 125-130). Also available online.

Thesis (M.H.A.)--University of Michigan, 1979.

Thesis (M.H.A.)--University of Michigan, 1979.

Class of 2012 Abstract / Specific Aims: The goal of this project was to assess perceptions of medication reconciliation from medical professionals who perform them. Specific areas of interest included the perceived: amount of time spent on medication reconciliation; process complexity; and effectiveness of the current process. Opinions concerning the use of alternative processes were also solicited. Methods: This prospective qualitative study involved four focus group sessions at one tertiary referral teaching hospital in Tucson, Arizona. Nurses involved in admissions medication reconciliation in the emergency department were invited to participate, and their perceptions were categorized and summarized. Main Results: Participants reported a range of times to complete the medication reconciliation from zero to greater than 20 minutes. According to the participants, the time spent on each patient depended on patients’ medication knowledge and the complexity of their regimens. Participants wanted the medication list entry screen to be easier to use, and they also suggested patients’ medication lists from previous visits and from outpatient clinics associated with the medical center be easily accessible. Participants felt that emergency triage may not be the most ideal time in which to perform medication reconciliation, and they expressed concerns about accuracy of these medication lists. While some were interested in the possibility of using a patient medication database and expected that it would improve accuracy and save time, others were less open to a perceived additional step. Concusions: Participants provided suggestions for changes in the current medication reconciliation process that they feel could improve patient satisfaction and increase efficiency.

Class of 2013 Abstract / Specific Aims: The objective of this study was to compare the use of amikacin 1 year before the national drug shortage and 1 year during drug shortage in order to evaluate the impact of the drug shortage on prescribing amikacin at an academic medical center. Methods: All patients admitted to an academic medical center between January 1, 2008 to December 31, 2008 before the shortage and January 1, 2011 to December 1, 2011 during the shortage who were prescribed amikacin were evaluated. Data collected included demographic information, type of infection, aminoglycoside therapy prescribed, laboratory data, culture and susceptibility data, therapy outcomes, and potential complications of aminoglycoside therapy. Appropriateness of amikacin therapy was based on each subject’s clinical condition, culture and susceptibility results, and availability of an alternative antibiotic agent. The use of amikacin was considered inappropriate in subjects with Gram-negative organisms that had either tobramycin or gentamicin minimum inhibitory concentrations of less than or equal to 2 mcg/mL. Main Results: A total of 11 subjects in 2008 and 17 subjects in 2011 who were prescribed amikacin were evaluated. The median and range duration of amikacin therapy was 2.2 days and 0-17 days in 2008. In 2011, the median and range duration of amikacin therapy was 4.6 days and 0-38 days. In 2008 and 2011, 27% and 47% were subjects with cystic fibrosis and/or a history of solid organ transplant, respectively. In 2008 73% of amikacin orders were classified as appropriate while 59% of amikacin orders were classified as appropriate in 2011. Ototoxicity was reported in one subject who received amikacin in both 2008 and 2011. Conclusion: Despite restrictions for ordering amikacin implemented during a nationwide shortage, the percentage of appropriate orders for amikacin was lower during the shortage compared to before the shortage at an academic medical center.

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BACKGROUND:Translational medicine is attracting much attention worldwide and many translational research organizations (TROs) have been established. In China, translational medicine has developed rapidly, but faces many challenges. This study was aimed at exploring these challenges faced by emerging TROs in China.METHOD:A qualitative, multiple case study approach was used to assess the challenges faced by TROs in China. Data were collected between May and August 2012.RESULTS:Eight cases were identified. Overall, four themes that characterized TROs in China emerged from analyses: 1. objectives, organizer, and funding resources, 2. participating partners and research teams, 3. management, and 4. achievements. All TROs had objectives related to translating basic discovery to clinic treatment and cultivating translational researchers. In terms of organizer and funding resources, 7 out of 8 TROs were launched only by universities and/or hospitals, and funded mostly through research grants. As for participating partners and multidisciplinary research teams, all but one of the TROs only involved biomedical research institutions who were interested in translational research, and characterized as clinical research centers / 7 out of 8 TROs involved only researchers from biomedicine and clinical disciplines and none involved disciplines related to education, ethnicity, and sociology, or engaged the community. Current management of the TROs were generally nested within the traditional research management paradigms, and failed to adapt to the tenets of translational research. Half of the TROs were at developmental stages defined as infrastructure construction and recruitment of translational researchers.CONCLUSIONS:TROs in China face the challenge of attracting sustainable funding sources, widening multidisciplinary cooperation, cultivating multi-disciplinary translational researchers and adapting current research management to translational research. Greater emphasis should be placed on increasing multidisciplinary cooperation, and innovating in education programs to cultivate of translational researchers. Efforts should be made to reform research management in TROs, and establish sustainable funding resources.

This thesis’s networked public sphere - the Civic Superstructure - transforms the public sphere by reconsidering the pace and purview of the civic. Contemporary public institutions are typically disconnected and isolated islands dispersed throughout the city. Our fast-paced, plugged-in lifestyle, however, is evermore inconsistent with such inconvenient geographical dispersal. By incorporating isolated public institutions into a networked system, this project provides a connective layer across an existing site and takes advantage of the interstitial zones between private institutions to offer the civic realm in places where you least expect it. This sprawling network acts as a platform for accessing public services and information, while also providing a new common space for the public to meet, to learn, to play and even to protest — in short, to be a public, even in this most unlikely of places rendered newly civic through a combination of digital and physical access.