Thesis (doctoral)--Universität Münster, 1934. / At head of title: Zahnklinik der Westfälischen Wilhelms-Universität zu Münster i. W. "Lebenslauf": p. 19. Includes bibliographical references.

Thesis (M. Phil.)--University of Hong Kong, 1994. / Includes bibliographical references (leaves 243-263).

Thesis (D.D.)--Wilhelms-Universität zu Münster i. Westfalen, 1934.

Thesis (doctoral)--Rijksuniversiteit te Groningen. / Limited cataloging. Errata sheet tipped in. Includes bibliographical references.

<p> Estudiar c&oacute;mo las mujeres ejercen el liderazgo educativo es necesario para reconocer su influencia y poder de transformaci&oacute;n en los diversos escenarios laborales. Al analizar los contextos en los cuales se manifiesta su liderazgo se pueden delinear oportunidades para la adaptaci&oacute;n transdisciplinaria en el campo de la salud. </p><p> El enfoque de esta investigaci&oacute;n gir&oacute; en torno a la trayectoria profesional de Judith Danielsen de Lugo, una mujer, educadora en salud y profesora que ocup&oacute; m&uacute;ltiples puestos de liderazgo en Puerto Rico a partir de la d&eacute;cada de los 50. Con tal fin, se indag&oacute; respecto a: c&oacute;mo las acciones de su trayectoria profesional la caracterizan como l&iacute;der al ejercer las dimensiones del liderazgo educativo; los elementos hist&oacute;ricos, sociales y culturales que se desarrollaron a lo largo de su trayectoria profesional; sus contribuciones a la pr&aacute;ctica profesional de la Educaci&oacute;n en Salud y los desaf&iacute;os y cuestionamientos que se plantean con su liderazgo educativo para el desarrollo y el avance de la salud p&uacute;blica en Puerto Rico. </p><p> La investigaci&oacute;n se fundament&oacute; en los est&aacute;ndares de liderazgo educativo establecidos en el 2011 por el <i>Educational Leadership Constituent Council</i> [ELCC]. Estos consisten de las siguientes dimensiones: la did&aacute;ctica, la comunitaria, la administrativa, la pol&iacute;tica, la estrat&eacute;gica y la &eacute;tica. Se adopt&oacute; el m&eacute;todo cualitativo y un dise&ntilde;o biogr&aacute;fico para llevar a cabo la investigaci&oacute;n. Los hallazgos se desprenden del an&aacute;lisis de las entrevistas semi-estructuradas con personas que conocieron a Judith Danielsen de Lugo en vida y en contextos profesionales y del an&aacute;lisis de documentos. Posteriormente, se efectu&oacute; un an&aacute;lisis de contenido de la informaci&oacute;n obtenida. </p><p> Mediante esta investigaci&oacute;n se concluy&oacute; que Judith Danielsen de Lugo desarroll&oacute; acciones profesionales vinculadas a todas las dimensiones que componen el liderazgo educativo. Con sus ejecutorias se ejemplifica que el liderazgo educativo incide y puede ser ejercido exitosamente en m&uacute;ltiples contextos laborales y a nivel transdisciplinario. Por consiguiente, se brindan recomendaciones para la pr&aacute;ctica efectiva del liderazgo educativo y para el desarrollo de investigaciones futuras.</p>

<p> The high incidence of medical and surgical errors in U.S. hospitals and clinics affects patients&rsquo; safety. Not enough is known about the relationship between physician characteristics and medical error rates. The purpose of this quantitative correlational study was to examine the relationship between selected physician characteristics and surgical errors in U.S. hospitals. The ecological model was used to understand personal and systemic factors that might be related to the incidence of surgical errors. Archived data from the National Practitioner Data Bank database of physician surgical errors were analyzed using bivariate and multivariate logistic regression analyses. Independent variables included physicians&rsquo; home state, state of license, field of license, age group, and graduation year group. The dependent variable was surgical medical errors. Physicians&rsquo; field of license and state of license were significantly associated with surgical error. Findings contribute to the knowledge base regarding the relationship between physician characteristics and surgical medical errors, and findings may be used to improve patient safety and medical care.</p>

Engaging in quality improvement (QI) activities can help local and state health departments improve current processes, develop more effective new processes, increase leadership capacity, and prepare for public health accreditation. Public health organizations that have implemented QI processes have seen improvements in health outcome indicators, delivery of the 10 essential services, patient satisfaction, and performance management. Quality improvement is the foundation of the Public Health Accreditation Board‟s (PHAB) program and further pushes health departments, at both the local and state level, to adopt QI activities within their organizations. There are numerous potential benefits associated with accreditation in public health, one of the most important being that accreditation sets a benchmark for public health agencies. It also helps create a platform of continuous quality improvement that should increase efficiency, decrease waste, and improve health outcomes. The purpose of this study was to determine the current status of QI processes in a sample of regional and metro health departments across the state of Tennessee and to assess whether those health departments with a formal QI process demonstrate an increased readiness for public health accreditation compared to those without a formal QI process in place. A survey tool aimed at assessing QI processes and efforts within health departments including the organization‟s: 1) QI culture, 2) QI capacity and competency, 3) QI alignment and spread, and 4) readiness for public health accreditation was used. In addition to the survey tool, respondents were also asked about types of QI processes used within their health department and their associated outcomes. Initial results revealed that the majority of respondents reported high levels of QI maturity in their respective health department sites. However, further analysis of qualitative data indicated that most sites were engaged in quality assurance (QA) practices rather than true QI processes and activities. Overall, study results indicate that further training in QI practices is needed in order to enhance performance and align with PHAB standards. The results from this study could be used to help gauge QI processes and accreditation readiness at appropriate intervals following training and education.

Thesis (MPA.) --University of Limpopo, 2018 / The purpose of the study was to determine the factors that cause extended waiting time in public health care facilities. The study was conducted in the Capricorn District, Limpopo Province.The study was guided by three objectives:  To describe the average waiting time for patients in public health care centres.  To assess the arrangements in place for outpatients in public health care facilities.  The recommend ways to reduce waiting period. This study is significant because those in authority may use it to formulate and/or improve existing policies and strategies that would contribute in reducing long waiting time. The patients, general public and the Department of Health will be the most beneficiaries of the study. This will culminate in the improvement of healthcare services in public clinics.The population of the study was made up of the total number of clinics in Capricorn District, Limpopo Province. The sample size was 10% of the total population of clinics in Capricorn District. Semi structured questionnaire was used during data collection from sampled health care facilities in Capricorn District. The questionnaire was used as a data collection instrument, where managers of the health care facilities were asked to complete it. The study found that shortage of staff, among other factors, was the main cause behind long waiting time in public health care facilities in the district. The study hereby recommends the recruitment and appointment of sufficient staff in order to reduce waiting time is done sooner than later. This will improve access to health care services which is aligned to the objectives of the National Health Insurance in South Africa and the National Development Plan.

The relationship between suspected predictors of current HIV risk, i.e. self-efficacy, social norms, expectancies, alcohol use, past HIV risk, past history sexual abuse, social support, and behavioral intention was investigated in a sample of Latino migrant workers living and working in the United States (N=270) using baseline data from a previous study. A series of multiple regression analyses were performed by adjusting for socio-demographic characteristics such as age, gender, marital status, educational attainment, and length of stay. Zero-inflated Poisson regression analysis showed that self-efficacy was associated with behavioral intention (β= 0.03, p= 0.04) and expectancies was associated with behavioral intention (β= -0.01, p = 0.04). Binary logistic regression analysis showed that past HIV risk was associated with the dependent variable, current HIV risk (β = 0.11, p= 0.01), while behavioral intention was associated with current HIV risk (β= -0.16, p= 0.02). Bayesian path analyses showed behavioral intention to partially mediate the relationship between self-efficacy and current HIV risk (β= 0.24, 95% CI: 0.10, 0.38) and to fully mediate the relationship between AOD use and HIV risk (β= 0.11, 95% CI: -0.05, 0.26). In summary, two socio-psychological factors emerged as significant predictors of HIV risk. Lower levels of behavioral intention and higher levels of past HIV risk were associated with higher current HIV risk. These findings are relevant for informing future studies on Latino migrant workers or similar populations and for planning interventions designed to prevent and/or reduce HIV risk.

The U.S. Public Health Service led human-subject experiments in Guatemala during the late 1940s in which the researchers intentionally infected prisoners, soldiers, and psychiatric patients with venereal disease to study prophylaxis and treatment for syphilis, gonorrhea, and chancroid. The U.S. doctors also conducted a serological study in an attempt to standardize blood testing methods for venereal disease in Central America. This thesis argues that the PHS went to Guatemala not just for the opportunities it presented for research, but also because the organization was seeking to expand its influence in Latin America during this time period. Through experimentation and serological testing in relation to venereal disease, this thesis suggests that the U.S. doctors sought to produce knowledge about venereal disease in Central Americans as part of their goal to augment their role as medical authorities in the region. / text