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Articles 1 - 30 of 65
Full-Text Articles in Health and Medical Administration
National Longitudinal Survey Of Public Health Systems: Comparative Report Of 2012 Results, Glen Mays
National Longitudinal Survey Of Public Health Systems: Comparative Report Of 2012 Results, Glen Mays
Glen Mays
The third wave of the National Longitudinal Survey of Public Health Systems was fielded in 2012 in a nationally-representative cohort of local communities. The survey measures the availability of 20 recommended public health activities in the community, the range of organizations that participate in performing each activity, and the perceived effectiveness of each activity. Prior waves of the survey were fielded in 1998 and 2006. Local health officials report data for this survey and receive a customized report of results that compare data for their community with national norms and with "peer groups" of similar communities. This document provides an …
Complex Adaptive Systems As A Model For Evaluating Organisational Change Caused By The Introduction Of Health Information Systems, Kieren Diment Mr, Ping Yu, K. Garrety
Complex Adaptive Systems As A Model For Evaluating Organisational Change Caused By The Introduction Of Health Information Systems, Kieren Diment Mr, Ping Yu, K. Garrety
Dr Ping Yu
This paper documents the preliminary development of a framework for evaluating organisational change processes during the implementation of an electronic nursing documentation system in residential aged care facilities. It starts with a brief outline of organisational change processes. This is followed by a more detailed exposition of the principles underlying complex adaptive systems (CAS) theory, where we explain how mathematical concepts can be used to illuminate qualitative research approaches. Finally we present some preliminary findings on the facilitators and barriers for the introduction of the electronic documentation system, explained with reference to the CAS theory, based on analysis of interviews …
Public Health Return On Investment: Making The Case, Glen Mays
Public Health Return On Investment: Making The Case, Glen Mays
Glen Mays
Fiscal pressures and policy imperatives have created a need for rigorous economic analyses of public health programs and policies. ROI analyses can reveal whether the benefits of public health strategies justify their costs, who realizes these benefits and costs, and under what circumstances.
Comparative Effectiveness Research And Patient-Centered Outcomes Research In Public Health Settings: Design, Analysis And Funding Considerations, Glen Mays
Glen Mays
The principles and methods of CER and PCOR have developed primarily with therapeutics in mind, but they must also be applied to the study of public health programs, policies, and delivery systems. This session surveys the emerging field, and provides examples of CER/PCOR methods applied in public health settings using practice-based research networks (PBRNs).
A Human Centered Geovisualization Framework To Facilitate Visual Exploration Of Telehealth Data: A Case Study, Ashish Joshi, Chiehwen Ed Hsu
A Human Centered Geovisualization Framework To Facilitate Visual Exploration Of Telehealth Data: A Case Study, Ashish Joshi, Chiehwen Ed Hsu
Chiehwen Ed Hsu
Background: Public health data is typically organized by geospatial units. Routine geographic monitoring of health data enables an understanding of the spatial patterns of events in terms of causes and controls. GeoVisualization (GeoVis) allows users to see information hidden both visually and explicitly on a map. Despite the applicability of GeoVis in public health, it is still underused for visualizing public health data. Objective: The objective of this study is to conduct user analysis by examining the various kinds of users that are involved with the telehealth program, their expertise and skills and their perception towards the utilization of GeoVis …
Data Acquisition Plan For The Public Health Multi-Network Practice And Outcome Variation (Mprove) Study, Glen Mays
Glen Mays
This brief details the steps to be followed in obtaining and compiling data on the core (and optional) measures of public health service delivery for the MPROVE study. MPROVE data will need to be obtained from several different sources. Data for some measures already exist in administrative records, surveillance systems, or other sources maintained by the local and state public health agencies that participate in your PBRN. For other measures, it may be necessary to obtain data from other agencies that collaborate with the public health agencies in your PBRN. In still other cases, it may be necessary to undertake …
Developing A Nursing Management Degree Programme To Meet The Needs Of Irish Nurse Managers, Pauline Joyce
Developing A Nursing Management Degree Programme To Meet The Needs Of Irish Nurse Managers, Pauline Joyce
Pauline Joyce
Background The study is placed within the context of the Irish health care system, which has undergone tremendous change, at the dawn of the new millennium, in particular from the nursing management and leadership viewpoint. Aim of the study The aim of this study is to explore nurses' expectations of the content and delivery of nursing management degree programme. Methods This is an on-going action research study. Data has been collected using a focus group interview, questionnaire, document analysis and a reflective diary. Data was analysed using thematic analysis and SPSS as appropriate to qualitative and quantitative data respectively. To …
Leading And Leadership: Reflections On A Case Study., Pauline Joyce
Leading And Leadership: Reflections On A Case Study., Pauline Joyce
Pauline Joyce
Aim: The aim of this case study was to explore if observing leaders in the context of their day-to-day work can provide an insight into how they lead in particular circumstances. Background: The study was carried out in small organisation which was set up five years ago. Methods: A case study methodology was used. Data was collected by field notes of non-participant and participant observations. Follow-up interviews were transcribed and analysed to contextualise the observations. A reflective diary was used by the researcher to add to the richness of the data. Results: The data demonstrates how the leader responded in …
Evaluation Of Postgraduate Healthcare Professionals' Learning In An Outcomes-Based Curriculum., Pauline Joyce
Evaluation Of Postgraduate Healthcare Professionals' Learning In An Outcomes-Based Curriculum., Pauline Joyce
Pauline Joyce
This study evaluated learning of postgraduate healthcare professionals. Their experiences, as insider stakeholders, are placed within the perspectives of their lecturers and external examiner, as external stakeholders.
Shaping The Future Of Nursing Education In Ireland, Pauline Joyce
Shaping The Future Of Nursing Education In Ireland, Pauline Joyce
Pauline Joyce
This paper presents core principles of curriculum design. These principles were used as categories following analysis of submissions made to the Nursing Education Forum in Ireland between 1999/2000. This forum was established following a Commission on Nursing, set up to examine the future of nursing in Ireland. The transition from curriculum design to curriculum development is considered and a summary of curriculum activities is outlined. The paper concludes by presenting questions to focus further discussion.
Action Learning- A Process Which Supports Organisational Change Initiatives, Pauline Joyce
Action Learning- A Process Which Supports Organisational Change Initiatives, Pauline Joyce
Pauline Joyce
This poster outlines how action learning sets were used to support organisational change initiatives as part of a Master’s programme. Evaluations were carried out from the students’ perspectives (n= 102) via the ALSE tool1. Focus groups (two) were held with thirteen facilitators, who were all healthcare professionals at a senior level in their own organisations. Data was analysed by Microsoft Excel for the survey and via content analysis for the focus group meetings. Students communicated with their facilitators and members by email or chat rooms at least once between meetings. They were focused on progressing their change projects and came …
Leadership And Organisational Effectiveness – Lessons To Be Drawn From Education?, Pauline Joyce
Leadership And Organisational Effectiveness – Lessons To Be Drawn From Education?, Pauline Joyce
Pauline Joyce
Aim The aim of this paper is to present findings of a case study on organisational effectiveness in an education setting and draw similarities with a healthcare setting, focusing on the school principal and nurse leader. Background The study was carried out in a primary school setting and focuses on a principal (as leader). The school, which will be named St Senan’s for the case study, is a typical tall structure has a staff of 30 (teachers and special needs’ assistants) and a student number of 117. Methods A case study methodology was used. Data was collected by interviewing the …
Crossing The Threshold Into Reflective Practice., Pauline Joyce
Crossing The Threshold Into Reflective Practice., Pauline Joyce
Pauline Joyce
Encouraging reflective practice across postgraduate programmes for health professionals is challenging. Assessing reflections and determining the level of reflective practice reached can be difficult. Understanding reflection as a threshold concept may be useful to help meet the pedagogical challenges of such a valuable skill.
Final Set Of Public Health Delivery Measures Selected For The Multi-Network Practice And Outcome Variation Examination (Mprove) Study, Glen Mays
Glen Mays
The Multi-Network Practice and Outcome Variation Examination Study (MPROVE) engages public health practice-based research networks (PBRNs) in the collection and analysis of measures of public health delivery across a large number of local practice settings in order to examine the causes and consequences of practice variation in public health. This document summarizes the final set of measures selected for the MPROVE study, including measures of the reach, volume, intensity, and quality of public health delivery in three domains of activity: chronic disease prevention, communicable disease control, and environmental health protection.
The Evolving Relationships Between Hospital, Physician And Patient In Modern American Healthcare, Craig B. Garner, David Mccabe
The Evolving Relationships Between Hospital, Physician And Patient In Modern American Healthcare, Craig B. Garner, David Mccabe
Craig B. Garner
This article investigates the ways in which the relationships between patient, provider and hospital have evolved in the past fifty years, while paying special attention to the influence of modern health care reform on all parties involved. Using Medicare as the primary standard, the nation’s health care system is examined both historically and in light of recent changes that seek to transition its structure from one that is cost based to an approach that emphasizes performance. It is only through understanding the roots of our health care program that we can make informed decisions designed to improve its future impact …
Virtual Community Health Promotion, Richard Crespo
Virtual Community Health Promotion, Richard Crespo
Richard Crespo
The “wiki” and open-source phenomena are transforming the way knowledge is generated and shared around the world. The word wiki is from the Hawaiian term wiki-wiki, which means to do something quickly (1). The term became prominent because of the online encyclopedia Wikipedia (www.wikipedia.org), which now has more than 2 million articles contributed by tens of thousands of people. People in so many fields are using Internet communities that the term wiki has come to refer to an online group that collectively works on a project. In the business world, the wiki concept is called wikinomics (1). Even U.S. spy …
The University Of Massachusetts Medical School, A History: Integrating Primary Care And Biomedical Research, Ellen S. More
The University Of Massachusetts Medical School, A History: Integrating Primary Care And Biomedical Research, Ellen S. More
Ellen S. More
The University of Massachusetts Medical School was chartered in 1962 and opened in 1970, one of the cohort of medical schools founded in response to fears of a physician shortage. In Massachusetts, this translated into a call for more opportunities for the state’s students to attend an affordable school where, it was hoped, they would deliver primary care to the people of their home state. Yet, the original dean and faculty, most of whom were recruited from Boston medical schools, were equally devoted to basic research and tertiary care medicine. This book tells the story of the school’s successful efforts …
Medical Malpractice Reform: A Societal Crisis Or Fear Marketing?, Phil Rutsohn, Andrew Sikula Sr.
Medical Malpractice Reform: A Societal Crisis Or Fear Marketing?, Phil Rutsohn, Andrew Sikula Sr.
Andrew Sikula, Sr.
This paper explores the primary issues surrounding the malpractice crisis currently facing the healthcare system and asks the question ‘is it truly a crisis or is it an effective marketing campaign waged by interested parties?’ The authors discuss the primary issues presented by both the supporters of tort reform and the opposition to tort reform. As is true for many issues in healthcare, final analysis suggests that tort reform is needed or not needed depends on the analysts' role in the system. The authors argue that the evidence suggests malpractice reform will produce desired results if the goal is to …
Public Health Return-On-Investment Template - Demonstration Version, Glen Mays
Public Health Return-On-Investment Template - Demonstration Version, Glen Mays
Glen Mays
The Public Health Return on Investment (ROI) Template is designed to help public health organizations estimate the economic returns from investments made in strategies that enhance public health service delivery, including quality improvement (QI) interventions. Depending on data availability, the template can be used to support retrospective analyses of actual investments as well as prospective analyses of potential future investments. The tool is designed to analyze economic returns realized through one ore more of the following pathways: (1) Reductions in routine operating costs; (2) Increases in revenue streams; (3) Increases in the outputs produced through agency services/functions; (4) Reductions in …
Estimating Scale And Scope Effects In Public Health Delivery: Implications For Regionalization, Glen P. Mays, Rachel A. Hogg, Rick Ingram, Kristina Rabarison
Estimating Scale And Scope Effects In Public Health Delivery: Implications For Regionalization, Glen P. Mays, Rachel A. Hogg, Rick Ingram, Kristina Rabarison
Glen Mays
OBJECTIVES: The nation's public health delivery system comprises nearly 3000 local public health agencies that vary widely in capabilities. Economic pressures, workforce shortages, and new national accreditation standards are leading these agencies to explore mechanisms for pooling resources to enhance delivery and improve population health. METHODS: A longitudinal cohort design is used to analyze changes in the availability and perceived effectiveness of services delivered by local public health providers. A stratified random sample of the nation's 3000 local public health agencies (n=497) were surveyed in 1998 and again in 2006 and 2011 (70% response) to measure the availability of 20 …
Selecting Measures Of Public Health Service Delivery: Results From A Delphi Survey For The Mprove Study, Glen Mays
Glen Mays
This database contains detailed, sortable results from the expert panel Delphi survey used to rate candidate measures of public health service delivery to be used in the Multi-Network Practice and Outcome Variation Examination Study (MPROVE), conducted by the Public Health Practice-Based Research Networks (PBRN) Program.
Selecting Measures Of Public Health Delivery: Results Of A Delphi Survey For The Mprove Study, Glen Mays
Selecting Measures Of Public Health Delivery: Results Of A Delphi Survey For The Mprove Study, Glen Mays
Glen Mays
The Multi-Network Practice and Outcomes Variation Examination Study (MPROVE) supports six participating public health practice-based research networks (PBRNs) in selecting a common set of service delivery measures for use in analyzing geographic variation in delivery across local communities. This report presents results from an expert panel Delphi survey used to rate candidate measures on a set of selection criteria, in order to select the final set of measures for study.
Inventory Of Public Health Service Delivery Measures: The Mprove Study, Glen Mays
Inventory Of Public Health Service Delivery Measures: The Mprove Study, Glen Mays
Glen Mays
This database contains a searchable inventory of measures of public health service delivery that have been recommended as candidates for use in the MPROVE study of geographic variation in local public health service delivery.
Factors Associated With The Process Of Adaptation Among Pakistani Adolescent Females Living In United States., Salma Khuwaja, Chiehwen Ed Hsu
Factors Associated With The Process Of Adaptation Among Pakistani Adolescent Females Living In United States., Salma Khuwaja, Chiehwen Ed Hsu
Chiehwen Ed Hsu
This study explored post-migration experiences of recently migrated Pakistani Muslim adolescent females residing in the United States. In-depth, semi-structured interviews were conducted with thirty Pakistani Muslim adolescent females between the ages of 15 and 18 years living with their families in Houston, Texas. Data obtained from the interviews were evaluated using discourse analysis to identify major reoccurring themes. Participants discussed factors associated with the process of adaptation to the American culture. The results revealed that the main factors associated with adaptation process included positive motivation for migration, family bonding, social support networks, inter-familial communication, aspiration of adolescents to learn other …
Many Schools Unprepared For Next Pandemic, Chiehwen Ed Hsu
Many Schools Unprepared For Next Pandemic, Chiehwen Ed Hsu
Chiehwen Ed Hsu
Worked with the media to evaluate a school-based pandemic preparedness study. Take home message: Not much, really. However, the CDC should carefully review its promotion of yet-to-be-proven effective syndromic surveillance systems - and the mega $ associated with the investment - until they are proven otherwise effective.
Reinventing The 21st Century Public Health Workforce: Directions From Practice-Based Research, Glen P. Mays
Reinventing The 21st Century Public Health Workforce: Directions From Practice-Based Research, Glen P. Mays
Glen Mays
Compelling opportunities exist for incorporating practice-based research to into the design, implementation, and evaluation of public health workforce training and development programs. Public Health Training Centers (PHTCs) can collaborate with practice-based research networks (PBRNs) to discover and disseminate evidence-based strategies for workforce development.
Contrasting Views Of Physicians And Nurses About An Inpatient Computer-Based Provider Order-Entry System, Todd W. Gress, Michael Weiner, David R. Thiemann, Mollie Jenckes, Stephanie L. Reel, Steven F. Mandell, Eric B. Bass
Contrasting Views Of Physicians And Nurses About An Inpatient Computer-Based Provider Order-Entry System, Todd W. Gress, Michael Weiner, David R. Thiemann, Mollie Jenckes, Stephanie L. Reel, Steven F. Mandell, Eric B. Bass
Todd W. Gress
Objective: Many hospitals are investing in computer-based provider order-entry (POE) systems, and providers’ evaluations have proved important for the success of the systems. The authors assessed how physicians and nurses viewed the effects of one modified commercial POE system on time spent patients, resource utilization, errors with orders, and overall quality of care. Design: Survey. Measurements: Opinions of 271 POE users on medicine wards of an urban teaching hospital: 96 medical house officers, 49 attending physicians, 19 clinical fellows with heavy inpatient loads, and 107 nurses. Results: Responses were received from 85 percent of the sample. Most physicians and nurses …
Patterns Of Interaction In Public Health Pbrns: Insights From Network Analysis, Rachel Hogg, Glen P. Mays
Patterns Of Interaction In Public Health Pbrns: Insights From Network Analysis, Rachel Hogg, Glen P. Mays
Glen Mays
This report presents data from a network analysis survey conducted with public health practice-based research networks (PBRNs) to examine patterns of interaction among researchers and public health practitioners who participate in the networks. These data provide a baseline for tracking the types and frequencies of interaction that occur within networks, and reveal opportunities for promoting more productive patterns of engagement in applied public health research. Over time, these types of data can reveal how and under what circumstances PBRNs facilitate the production and application of research about public health services and delivery systems. The analysis includes data on more than …
Communicating H1n1 Risk To College Students: A Cross-Sectional Survey Study, Francisco G. Soto Mas, Chiehwen Ed Hsu
Communicating H1n1 Risk To College Students: A Cross-Sectional Survey Study, Francisco G. Soto Mas, Chiehwen Ed Hsu
Chiehwen Ed Hsu
Objective: To assess the H1N1 risk communication needs of college students. Participants: Students at a major university in the southwestern U.S. Method: Data were collected in early spring 2010 through a 24-item, self-administered survey. Outcome variables included knowledge, behavior and intention. Results: A total of 483 students participated. Most reported trying to prevent H1N1 influenza though specific behaviors. Many lacked knowledge about symptoms and treatment, a few (10%) had been vaccinated, and half had no intention to get vaccinated or practice self-isolation. Gender and age were significantly associated with the three outcome variables. Intention was the most significant contributor of …
Designing Human Centered Geovisualization Application - The Sanaviz - For Telehealth Users: A Case Study., Ashish Joshi, Chiehwen Ed Hsu
Designing Human Centered Geovisualization Application - The Sanaviz - For Telehealth Users: A Case Study., Ashish Joshi, Chiehwen Ed Hsu
Chiehwen Ed Hsu
No abstract provided.