检索结果-内蒙古大学图书馆

Best practice organisational effectiveness in NHS Trusts. Allington NHS Trust case study.

Journal of management in medicine 1999年第4-5期13卷 298-307页

作者： Zairi, M. Whymark, J. Cooke, M. European Centre for TQM University of Bradford Management Centre United Kingdom

Measuring organisational effectiveness in a health care delivery context is a challenging task. Although there are numerous performance assessment models, audit tools and managerial diagnostic tools, they all tend to fall short in their attempts to closely scrutinize how health care organisations deploy their capabilities to deliver optimum quality in service provision and what performance levels they achieve as a result of their approach. The project reported here attempted to address the aforementioned issues. It set out to examine health care providers from an integrated perspective and to assess the key drivers of effective organisational performance using an adapted model based on the 7s' principles. The research project culminated into a major report highlighting best practices found to be inherent in 18 well performing health care providers. This paper reflects the experience of one of a series of Trusts whose approach to organisational effectiveness was closely examined.

关键词：社区卫生服务/组织和管理效率组织英格兰组织状况研究质量指标卫生保健公费医疗全面质量管理/方法人类

来源：评论

学校读者我要写书评

暂无评论

Reducing falls and resulting hip fractures among older women

引用

Home care provider 2000年第4期5卷 134-141页

作者： Stevens, J.A. Olson, S. Division of Unintentional Injury Prevention National Center for Injury Prevention and Control United States

Scope of the problem: Fall-related injuries are the leading cause of injury, deaths, and disabilities among people older than 65. The most serious fall injury is hip fracture; half of all older adults hospitalized for hip fracture never regain their former level of function. In 1996, a total of 340,000 hospitalizations for hip fracture occurred among this population, and 80% of these admissions occurred among women. From 1988 to 1996, hip fracture hospitalization rates for women older than 65 years increased 23%. Etiologic or risk factors: Risk factors for falls include increasing age, muscle weakness, functional limitations, environmental hazards, use of psychoactive medications, and a history of falls. Age also is a risk factor for hip fracture. Women older than 85 are nearly eight times more likely than women age 65 to 74 to be hospitalized for hip fracture. White women over 65 are at higher risk for hip fracture than black women. Other risk factors for hip fracture include lack of physical activity, osteoporosis, low body mass index, and a previous hip fracture. Recommendations for prevention: Because approximately 95% of hip fractures result from falls, minimizing fall risk is a practical approach to reducing these serious injuries. Research demonstrates that effective fall prevention strategies require a multifaceted approach with both behavioral and environmental components. Important elements include education and skill-building to increase knowledge about fall risk factors, exercise to improve strength and balance, home modifications to reduce fall hazards, and medication assessment to minimize side effects (eg, dizziness and grogginess). Program and research needs: Coordination needs to be improved among the diverse federal, state, and local organizations that conduct fall prevention activities. The effectiveness of existing fall prevention programs among specific groups of women (eg, those over 85 or living with functional limitations) needs careful evalu

关键词：事故预防意外跌倒/预防和控制意外跌倒/统计学和数值数据社区卫生服务/组织和管理髋骨折/流行病学髋骨折/预防和控制一级预防研究危险因素美国/流行病学老年人老年人 80以上女(雌)性人类

来源：评论

学校读者我要写书评

暂无评论

Assessing public health capacity to support community-based heart health promotion: the Canadian Heart Health Initiative, Ontario Project (CHHIOP)

引用

HEALTH EDUCATION RESEARCH 1998年第4期13卷 607-622页

作者： Elliott, SJ Taylor, SM Cameron, R Schabas, R McMaster Univ Dept Geog Hamilton ON L8S 4K1 Canada Univ Waterloo Hlth Behav Res Grp Waterloo ON N2L 3G1 Canada Ontario Minist Hlth Publ Hlth Branch N York ON M2M 4K5 Canada

This paper presents initial findings of the Canadian Heart Health Initiative, Ontario Project (CHHIOP). CHHIOP has two primary objectives. The programmatic objective is to coordinate and refine a system for supporting effective, sustained community-based heart health activities. This paper addresses the scientific objective: to develop knowledge of factors that influence the development of predisposition and capacity to undertake community-based heart health activities in public health departments. A systems theory framework for an ecological approach to health promotion informs the conceptualization of the key constructs, measured using a two-stage longitudinal design which combines quantitative and qualitative methods. This paper reports the results of the first round of quantitative survey data collected from all health departments in Ontario (N = 42) and individuals within each health department involved in heart health promotion (n = 262). Results indicate low levels of implementation of heart health activities, both overall and for particular risk factors and settings. Levels of capacity are also generally low yet predisposition to undertake heart health promotion activities is reportedly high. Analyses show that implementation is positively related to capacity but not predisposition, while predisposition and capacity are positively related, Overall, results suggest predisposition is a necessary but not sufficient condition for implementation to occur;capacity-related factors appear to be the primary constraint, These findings are used to inform strategies to address CHHIOP's programmatic objective.

关键词：因果律社区卫生服务/组织和管理健康知识态度实践卫生计划实施/组织和管理健康促进/组织和管理心脏病/病因学心脏病/预防和控制安大略规划制订方案评价公共卫生工作人类

来源：评论

学校读者我要写书评

暂无评论

HIMs in practice: community health services.

引用

Health information management : journal of the Health Information Management Association of Australia 1999年第2期29卷 91-92页

作者： Stilianos, V. Boucher, K. West Moreton District Health Service Qld Australia

What is community health? A perfectly reasonable question for two newly graduated HIMs taking on positions in community health settings.

关键词：社区卫生服务/组织和管理信息管理信息系统病案昆士兰

来源：评论

学校读者我要写书评

暂无评论

Measuring community mobilization in the Seattle Minority Youth Health Project

引用

EVALUATION REVIEW 1998年第6期22卷 699-716页

作者： Cheadle, A Wagner, E Anderman, C Walls, M McBride, C Bell, MA Catalano, RF Pettigrew, E Univ Washington Sch Publ Hlth Dept Hlth Serv Seattle WA 98195 USA Grp Hlth Cooperat Puget Sound Ctr Hlth Studies MacColl Inst Healthcare Innovat Seattle WA 98121 USA Univ Washington Sch Publ Hlth Dept Epidemiol Seattle WA 98195 USA Univ Washington Ctr Hlth Educ & Res Seattle WA 98195 USA Duke Univ Ctr Comprehens Canc Durham NC USA Univ Washington Sch Social Work Seattle WA 98195 USA Univ Washington Social Dev Res Grp Seattle WA 98195 USA

This article assesses the validity and reliability of the approach used to measure community mobilization in the Seattle Minority Youth Health Project(MY Health), a neighborhood-based-program to prevent drug use, violence, teen pregnancy, and sexually transmitted diseases (STDs). Two constructs were measured: neighborhood cooperation in solving problems, and sense of pride and identification with the neighborhood. The convergent validity of the measurement approach was assessed by comparing several independent measures of community mobilization generated from surveys of hey neighborhood leaders, youth and parents. For the neighborhood cooperation construct, correlations were uniformly positive across measures from different surveys and statistically significant about a quarter of the time. The correlations for the neighborhood pride construct were weaker and generally not statistically significant. Interrater reliability was low for all of the surveys, possibly reflecting varying ideas about what community mobilization meant among survey respondents.

关键词：青少年保健服务/组织和管理社区卫生服务/组织和管理社区网络/组织和管理社区和机构的关系健康促进/组织和管理健康调查少数民族方案评价问卷调查可重复性结果样本大小市区人口华盛顿青少年成年人女(雌)性人类男(雄)性妊娠

来源：评论

学校读者我要写书评

暂无评论

Church-based telephone mammography counseling with peer counselors

引用

JOURNAL OF HEALTH COMMUNICATION 2000年第2期5卷 175-188页

作者： Derose, KP Fox, SA Reigadas, E Hawes-Dawson, J RAND Corp Santa Monica CA 90407 USA Claremont Grad Univ Dept Psychol Claremont CA USA RAND Corp Survey Res Grp Santa Monica CA USA

Little is published about step-by-step implementation of telephone counseling interventions to promote community-based health activities. This article describes the authors' experience of implementing a church-based telephone mammography counseling intervention with peer counselors representing three principal racial or ethnic groups: African American, Latino, and Angle (White). Twenty-six women from 12 churches in the Los Angeles area were recruited and trained to deliver the counseling annually over a two-year period to 570 women participants who were recruited from participating churches (n = 15). The counseling sessions were conducted from church-based telephone centers in key geographic locations in our program area. Training and supervision proved challenging: most of the Latino counselors had fewer than seven years of education and spoke only Spanish while most of the other counselors had at least some college and spoke only English. Culturally specific and small group interactions, role plays, and a more modular approach to training were the most effective ways to enhance counselors' skills. Latina participants' mammography adherence rates were lowest, and their barriers reflected their low socioeconomic status;as Latina counselors shared basic information about mammograms and where to obtain them at little or no cost, the counseling exchanges tended to be nonconflictive and supportive. Black and White participants were generally more knowledgeable and adherent with screening guidelines than Latinas. We found that it was possible to implement this intervention with diverse groups and conclude with lessons learned that,nay inform others considering such a strategy.

关键词：乳腺肿瘤/放射摄影术社区卫生服务/组织和管理咨询/方法洛杉矶乳房X线摄影术/利用同侪集群宗教电话成年人女(雌)性人类

来源：评论

学校读者我要写书评

暂无评论

CITIZEN PARTICIPATION, SOCIAL-ORGANIZATION, AND CULTURE - NEIGHBORHOOD HEALTH-CENTER FOR CHICANOS

引用

HUMAN ORGANIZATION 1977年第2期36卷 124-134页

作者： HESSLER, RM UNIV MISSOURI COLUMBIAMO 65201

Examines the relationship between neighborhood health centers and the cultural dynamics of several Chicano barrios in the United States. Consumer participation in health care decision making; Cultural factors in the o... 详细信息

关键词：社区卫生中心/组织和管理社区卫生服务/组织和管理用户参与文化特征文化决策团体结构西班牙裔美国人人员选用美国人类

来源：评论

学校读者我要写书评

暂无评论

The community's role in preventive health management: An empowerment model

引用

Journal of Health and Social Policy 1993年第1期5卷 93-105页

作者： Cottrell, R. Ciaramitaro, B. Binghampton's Project Vision Inc. Memphis TN 38112 557 Lester Street United States

No abstract available for this article.

关键词：非洲裔美国人美国疾病控治中心社区卫生服务/组织和管理用户参与健康教育/组织和管理领导密西西比模型组织管理规划技术贫困预防卫生服务/组织和管理规划制订美国人类

来源：评论

学校读者我要写书评

暂无评论

A comparative analysis of agencies providing home health services

引用

Home Health Care Services Quarterly 1985年第1期6卷 45-64页

作者： Balinsky, Warren New School for Social Research NY 10011 66 Fifth Avenuexs United States

This study analyzed hospital-based and community-based home health care agencies by means of a small purposive comparative case analysis. The results revealed that hospital-based agencies were different from community-based agencies in terms of agency organization, management, personnel, revenues and expenditures. The voluntary community-based agencies examined were free-standing, single purpose agencies providing the lion's share of direct services to the home health care population. The hospital-based agencies (and public community-based agencies) examined were components oHargcr organizational structures. Hospital-based agencies concentrate their activities on case finding, case management, and the coordination of patient services, as well as the direct provision of medical therapy and social services. The type of home health agency, community-based or hospital-based, of those examined has been found to define this agency's primary function. This also determined its personnel/staffing pattern and consequently, to a large extent, its expenditure pattern. Additionally, most revenues for certified home health agencies are derived from cost-based reimbursement methodologies of public funding sources. Therefore, agency surpluses or shortages are primarily associated with personnel expenditures and therefore with agency mission and agency type. This study concludes with a discussion of some trends and events that are likely to affect the home health care agencies of the future. © 1985 by The Haworth Press, Inc. All rights reserved.

关键词：社区卫生服务/组织和管理数据收集家庭医疗保健服务/组织和管理纽约所有权志愿卫生机构/组织和管理

来源：评论

学校读者我要写书评

暂无评论

The Relationship of Farm Residency Status to Demographic and Service Characteristics of Agricultural Injury Victims in Central Wisconsin

引用

The Journal of Rural Health 1995年第2期11卷 98-105页

作者： Stueland, Dean Cleveland, David A. Rothfusz, Ron R. Zoch, Tom Jr., Peter Stamas Department of Emergency Medicine Marshfield Clinic Marshfield Wisconsin 54449‐5777 1000 N. Oak Ave. United States

Abstract: This study performed a surveillance of a defined population in central Wisconsin during a two‐year period that included six months of follow‐up. The study included those who worked and lived on farms and those who only worked on farms. The injury rate for farm residents was 3.15 injuries per 100 persons per year. However, 195 of the 510 injuries (38.2%) involved persons who were not farm residents. For nonfarm residents, 88.7 percent of the victims were male, whereas for farm residents 79 percent of the victims were male. More than one half of the farm residents who were injured were the owners and an additional 21 percent were juvenile children. Of those aged 18 to 29 years, 51.3 percent were nonfarm resident victims and 15.2 percent were farm resident victims. Of nonfarm residents, 41.1 percent were married;of farm residents, 65.3 percent were married. More than one half of all injured nonfarm residents were seen within two hours of injury while one quarter of the injured farm residents were seen more than 24 hours after the injury. Only 4 percent of the injured farm residents were self‐insured, but 15 percent of the nonfarm residents were self‐insured. However, the time of injury, actual injuries, diagnoses rendered, and services received were similar for injured farm residents and injured nonfarm residents. Effective attempts to intervene on agricultural injuries will need to consider different risk factors for injuries for nonfarm residents as compared to farm residents. Copyright © 1995, Wiley Blackwell. All rights reserved

关键词：事故职业/预防和控制事故职业/统计学和数值数据农业/统计学和数值数据卫生服务范围/统计学和数值数据卡方分布社区卫生服务/组织和管理综合保健/组织和管理数据收集人口统计学保险健康/统计学和数值数据居住特征/统计学和数值数据农村卫生病人转送/方法病人转送/统计学和数值数据威斯康星/流行病学创伤和损伤/流行病学成年人老年人儿童人类中年人

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：