Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 38 for “"Primary care services"”.
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Patterns, predictors and outcomes of patient transfer in public sector chronic primary care services
Background: To maintain long-term care, patients with chronic conditions may require transfers between health facilities, jeopardising continuity of care. High levels of geographic mobility in low-and middle-income countries mean that patients may require transfers between primary health care (PHC) …
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Reducing Preventable Emergency Department Visits by Improving Patient Care Access to Primary Care
<p>Abstract</p> <p>Inadequate access to primary care creates a concern to receive comprehensive medical care. Improving access to a consistent source of care can help to obtain high quality of care, continuity of care, and reduce preventable emergency department (ED) visits. The aim of this project …
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Barrier to Utilization of Primary Healthcare Resources in Children Two Years of Age and Under
… of health: well-baby, acute and chronic care. The purpose of this study was to identify socio-demographic, need, and health system factors associated with under-utilization of primary care services using Aday's model. The proportion of children who met the American Academy of Pediatrics …
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Children's Primary Health Care Services: A Social-Cognitive Model of Sustained High Use
… ultimately drive and maintain children's health care use. Eighty-seven primary caretakers of children ages 4 to 9 years completed measures of child health and behavior, parental stress and functioning, and social cognitive measures related to parenting and health care use. Primary care use data …
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Health Care and Policy Interventions to Improve the Health of Patients Experiencing Homelessness
… is associated with reduced access to outpatient primary care services and increased rates of emergency department (ED) visits, which are costly and inefficient for both health systems and patients. In the context of mounting emphasis on value-based reimbursement structures, health systems and …
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The Role of Psychologists in Primary Care: An Integrative Curriculum
… have been service providers in the health care sector for many years. They are consistently recognized as valued members of health care teams but are not frequently included as primary care providers. Integrated primary care services that include psychologists are a positive step toward …
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District health systems development : functional integration at joint primary health care facilities in the Western Cape
… start of the democratic government in 1994. The Primary Health Care approach has been accepted as a way of delivering cost effective, efficient and accessible comprehensive health care at the primary care level. The district health system has been promoted as the best model for the delivery of …
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Factors contributing to clinical output among general practitioners and family physicians
… Implications exist for the supply of physician services as gender, age, payment method, and practice size have been found to influence physician output, and therefore the availability of primary care services. Methods. The study employed self-reported data obtained from 1006 Canadian general and …
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A comparison of quality of and satisfaction with life between people with an intellectual disability and those without
… questions were added to assess the quality of primary care services. The aims were to investigate the relationship between objective and subjective measures of quality of life, and between the two groups of people. Research report (2) explored how closely carers were able to estimate the …
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Increasing Access to Primary Care Using NP’s: The Framework for an Academic Based Nurse-managed Center in California
<p>The dynamics of health care delivery and the role of health care providers is a changing canvas in the United States. The implementation of the Affordable Care Act (ACA), sets a goal to increase access to health care. The systems that support the ACA are constantly under scrutiny as failing to …
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The future of primary care : an engineering system approach to fix the U.S. health care system
The ailing U.S. health care system faces two tremendous challenges: a rising health care bill and a growing number of uninsured individuals. Several policies have been enacted to tackle these challenges but they are short-term patchwork solutions rather than long-term holistic solutions needed to …
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Development And Validation Of A Medical Home Model For Persons With Spinal Cord Injuries In An Acute Rehabilitation Outpatient Specialty Center
<p>Abstract</p> <p>Background:</p> <p>Primary care is difficult for patients with spinal cord injuries to find. As such, these patients typically turn to rehabilitation centers and clinics that do not provide primary care services.</p> <p>Purpose:</p> <p>The purpose of this project was to develop a …
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Investigating prevalence and healthcare use of children with complex healthcare needs using data linkage. A study using multi-ethnic data from an ongoing prospective cohort: the Born in Bradford project
… The impact children with complex healthcare needs have on the healthcare system is significant and requires a multidisciplinary response. Congenital anomaly (CA) is a group of conditions requiring complex and variable input from primary and secondary healthcare. This thesis explores the …
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Measuring Accessibility to Primary Care Physicians in the Nashville Metropolitan Statistical Area
<p>The growing concern for the shortage of primary care physicians (PCPs) prompted a government legislation to designate areas where shortage in the delivery of primary care services occurs. The implemented systems (e.g., HPSA, MUA, and MUP) analyze utilization of health services within confined …
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Reducing The Emergency Room Revolving Door Syndrome For The Poor, Uninsured And Chronically Ill Patient: Pilot Recommendations From A Process Improvement Evaluation
… illegal immigration status), and without a primary care provider (un-empaneled) to enroll with an affiliated primary care clinic and receive free healthcare – related services.1 Despite the launch of this initiative in October 2014, 35 percent of MHLA enrollees did not follow-up with a …
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An Evidence Based Web Intervention to Facilitate Nurse Practitioner Participation in the Policy Making Process Related to Scope of Practice
… the past 40 years showing the safe and quality care APRNs provide independently. Numerous well-respected, non-nursing organizations support the removal of state laws that impede the ability of APRNs to practice to the full extent of their education and training, particularly in light of the …
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United Kingdom National Health Services: a case study of workforce transformation in an integrated care organisation using actor-network theory
… changes including the most recent one; bringing care as close as possible to patients home have affected the services provided as well as those who provide them. One of the local acute health care organisations has chosen to integrate with the community and primary care services in response to …
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The paediatric journey to and through the emergencydepartment: the parent’s experience
… to moderate illness requiring access to health care. Most childhood illnesses can be managed in the community, and a variety of primary care services are available with patients being encouraged to attend the one most suitable for their needs. Yet the number of children visiting the emergency …
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Primary care buildings: government policy, implementation and community involvement in facility planning and design
… from acute hospitals into an expanded network of primary care services provided from local and community based settings. This had implications for the architecture of primary care, as new and extended facilities were required. Controversially however, instead of developing a centrally planned …
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Modeling Multi-level Incentives in Health Care: A Multiscale Decision Theory Approach
Financial incentives offered by payers to health care providers and patients have been identified as a key mechanism to lower costs while improving quality of care. How to effectively design incentive programs that can align the varying objectives of health care stakeholders, as well as predict …
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