Home About us Contact
|
Home About us Contact | ||
|
|
||
Health Managers (health + managers)
Selected AbstractsCosts and determinants of privately financed home-based health care in Ontario, CanadaHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 2 2008Denise N. Guerriere PhD Abstract The Canadian context in which home-based healthcare services are delivered is characterised by limited resources and escalating healthcare costs. As a result, a financing shift has occurred, whereby care recipients receive a mixture of publicly and privately financed home-based services. Although ensuring that care recipients receive efficient and equitable care is crucial, a limited understanding of the economic outcomes and determinants of privately financed services exists. The purposes of this study were (i) to determine costs incurred by families and the healthcare system; (ii) to assess the determinants of privately financed home-based care; and (iii) to identify whether public and private expenditures are complements or substitutes. Two hundred and fifty-eight short-term clients (< 90 days of service utilisation) and 256 continuing care clients (> 90 days of utilisation) were recruited from six regions across the province of Ontario, Canada, from November 2003 to August 2004. Participants were interviewed by telephone once a week for 4 weeks and asked to provide information about time and monetary costs of care, activities of daily living (ADL), and chronic conditions. The mean total cost of care for a 4-week period was $7670.67 (in 2004 Canadian dollars), with the overwhelming majority of these costs (75%) associated with private expenditures. Higher age, ADL impairment, being female, and a having four or more chronic conditions predicted higher private expenditures. While private and public expenditures were complementary, private expenditures were somewhat inelastic to changes in public expenditures. A 10% increase in public expenditures was associated with a 6% increase in private expenditures. A greater appreciation of the financing of home-based care is necessary for practitioners, health managers and policy decision-makers to ensure that critical issues such as inequalities in access to care and financial burden on care recipients and families are addressed. [source] Factors influencing implementation of occupational safety and health management systems by enterprises in PolandHUMAN FACTORS AND ERGONOMICS IN MANUFACTURING & SERVICE INDUSTRIES, Issue 3 2006Daniel Podgórski Implementing legal regulations in occupational safety and health (OSH) as well as other actions aimed at improving working conditions in industry in many countries run in parallel with promoting nonobligatory OSH management systems (OSH MS). To define a scientific basis for working out a set of guidelines for promoting OSH MS, a survey was conducted in 40 companies. This research aimed to identify motivational factors for decisions to introduce OSH MS. Four groups of professionals who participated in the decision-making process related to implementing OSH MS were interviewed: (a) the most senior managers of the enterprise, (b) representatives of top management for implementation and maintenance of OSH MS, (c) safety and health managers, and (d) workers' safety representatives. The results indicate the need for: (1) improving the efficiency of programs promoting implementation of OSH MS; (2) considering the role of economic incentives in promoting these systems; (3) developing and promoting training packages related to OSH management, adjusted particularly to the needs of employees and their representatives to increase their involvement in OSH activities; and (4) modifying legal solutions establishing a system of differentiated premium rates for social insurance against occupational accidents and diseases. © 2006 Wiley Periodicals, Inc. Hum Factors Man 16: 255,267, 2006. [source] Effectiveness of health management departments of universities that train health managers in Turkey,INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, Issue 4 2007Sevgul Karagoz Abstract In this research, it was aimed to examine the effectiveness of health management departments of universities that train health managers in Turkey. The study was taken on hand as comparative in respect to positions (lecturers and students) and variables of universities. Organisational effectiveness was attempted to describe in nine dimensions by being inspired from Cameron's study. Factor analysis was used for construction validity of the scale developed by the researcher. For internal consistency and reliability, Cronbach Alpha reliability coefficient and item total correlation were applied. A questionnaire was applied on total 207 persons in health management departments that form up the population in Turkey. In analysis of data were descriptive statistics and t -test used. According to research findings, at university level, lecturers found their departments more effective than their students. The highest effectiveness was perceived at Baskent University (private). In total belonging to each dimension, the perceptions of lecturers realised on a higher level compared to those of students. It was found that the effectiveness, which was the highest dimension, was the organisational health and the ability to acquire source the lowest dimension. Effectiveness level was found to be moderate in general total. Copyright © 2006 John Wiley & Sons, Ltd. [source] | ||||||||||