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Health Management - Science topic

Explore the latest questions and answers in Health Management, and find Health Management experts.
Questions related to Health Management
Methodology of the evaluation of the impact of health technologies / investments / on the "quasi" healthcare market
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Theoretical model the impact of health technologies / investments / the "quasi" healthcare market in Bulgaria in the period of reform, ie a model of multi-criteria analysis of the production function na Cobb-Douglas of technical progress
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I am MPH student currently writing my thesis for final degree. I am conducting a systematic review, topic: Leadership training methods for health managers and it's effectiveness..Any help assistance shall be highly appreciated. Thanks
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Is published monthly?
How much does it cost?
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Template of Cost breakdown structure for a Healthcare/Health management project.
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There are 2 methods but step method is the best.  Here is you tube that will assist you...
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I have been asked to write an article for Health Management Forum (Canadian Association of Health Leaders): http://hmf.sagepub.com/. The focus is “emerging leaders”; for background: https://lnkd.in/eyYgmnB
I am seeking three case studies, 300 to 500 words, one from a country in each of Asia, Africa, Middle East. Any or all of three areas are of interest: 1. mentoring relationships, 2. educational events, 3. knowledge exchange networks. Please email me for more information; deadline is end of June 2016. I'll be pleased to ensure recognition in the paper of people who help. Thanks.
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This question is now closed.
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Hi all
I've lost the link to a paper that showed healthcare managers need repeated evidence of improvement program effectiveness, if they are to support the program.
Has anyone seen / read similar literature? I'd be very grateful for the link.
Many thanks
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Yes, management support or lack thereof is well documented in the literature, There needs to be "buy-in" from not only management, but also employees. In your business case, which defines the problem, you should lay out the evidence, including any potential monetary loses because of poor quality. 
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My question:
– Do you know of any research concerning possible uses of drones for regional development?
I am looking for research conerning transport, health, culture, recreation, service.
In relation to regional development, political issues, case studies, explorative research...
Thanks in advance!
Best regards,
Carlos Viktorsson
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Thank you all for your answers! Will look into them.
Best regards,
Carlos
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I am planning to search this subject in my thesis. I need more source. With your advice I can shape my  contents, specially about promoting (advance) for health worker. What do you advice for this, I am planning to start with 'promotion and promotion systems'. Thanks for helping.
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Hi Merve - the attached few articles may assist. They relate to nursing - but the principles are 'generic' in terms of workplace health promotion and the workplace as a health-promoting setting.
Good luck with your project,
Dean
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Hello!
I am looking for information about health conditions and job related health problems of prision security workers and prison health workers.
I will be gratefull in receiving any help.
Thanks in advance.
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Dear All,
I am conducting a study on assessing Health management issue in which I have to take data from Doctor, Pharmacist and also from Patient record. I have to use 3 different sets of questionnaire for data collection. This type of approach is usually used in Data or Method Triangulation Method.
I searched a lot but I didn't find how to calculate the sample size for triangulation studies. Do I need to calculate sample size for each group separately or can I assign some quota so that get equal number of responses from each cohort and can validate the finding?
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The point of triangulation is to compare the results of different studies, so each study should be complete in its own terms. If all three of your interviews are qualitative, then the classic recommendation is to achieve saturation in order to have faith in your results, and you would need to do that in each sub-population.
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Why nasopharynx carriage with S.pneumoniae is early in developing countries?
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Dear Dr. Diego M.E.,
See this file may be useful for you.
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In the theories of Nicholas Humphrey*, it was stated that during most of the evolution of humans, 100,000-10,000 years ago life was 1) more dangerous and 2) society was more oppressive than nowadays. 
1) His model suggests that the placebo-effect is possible, because during this dangerous period the saving of the metabolic resources by the health management system, slower but less expensive self-healing processes were adaptive. In safety modern societies, most of us have the resources to use the expensive and quick healing processes, but we need cues to apply them, 'the snake oil, the psychoanalysis, the orgone box, or whatever it is encourages us to do so'. 
2) Analogously, conforming the societal norms was more important in our ancestors, but nowadays, in our less oppressive and developing modern society, if we receive the proper cues, we can afford more mental freedom and self-expression. 
However, If we take a counter-hypothesis, and state that during the evolution of humans in the hunter-gatherer tribes, life was more safe and society was more supportive, than we arrive to the conclusions, that 1) in individuals of civilized societies, health management system switches to more ancient, slower but cheaper healing reactions, because it senses lack of support and good perspectives. This can be set back by social support or positive expectations - a possible explanation of the placebo-effect. 2) in individuals of civilized societies, self-management system switches to more ancient, self-oppressing, agressive or anxious behavior. This can be set back by cues, e.g. social support or self-esteem, leading to free self-expression and authenticity. Both highly demaning but quick healing reactions and authenticity were adaptive result of our evolution, but the more scarce resources and less support in civilization decreased them, and so we use most of the time more ancient strategies for self-management.  These conclusions also fit to what we experience. 
Now the question is, how can we compare the hunter-gatherer tribal and civilized lifestyle, regarding the amount of resources, safe-danger, and social support-oppression? What scientific results do we have no this topic?
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 Dear Soumitra, thanks for your answer, I suspect my question touched an important topic for you, and I would like to get in a dialogue with you. Could you help me process your comment by writing me in 3-5 key sentences what is your answer to my question? 
Best regards,
Benedek
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We are being told that we should eat dairy products regularly. But the China study Shows the opposite. The more animal products we eat the more chronic deseases we develop, no matter of our genetic Disposition.
Do you have/know any new papers on this subject, wich are not sponsored directly or indirectly by members of this industry sector?
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I'm a supporter of plant-based diets, but Campbell's "China Study" is full of methodological errors and therfore of low scientific value. Take a look at this: http://rawfoodsos.com/the-china-study/
However, there are some evidences that link dairy products with breast and prostata cancer:
1) Qin LQ, Xu JY, Wang PY, Kaneko T, Hoshi K, Sato A. Milk consumption is a risk factor for prostate cancer: meta-analysis of case-control studies. Nutr Cancer. 2009;48(1):22–27
2) Dong JY, Zhang L, He K, Qin LQ. Dairy consumption and risk of breast cancer: a meta-analysis of prospective cohort studies. Breast Cancer Res Treat. 2011;127(1):23–31
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this method can be  fast, precise, specific snd senzitive. It can be  simple and it must be done in home.
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Dear Blazenka.
Please, search by Luis Fernando Onuchic or Ita Pfeferman Heilberg in Research gate.
Best regards,
Renato Ferraz
Problem with Yap Ab on kidney lysates. Available from: https://www.researchgate.net/post/Problem_with_Yap_Ab_on_kidney_lysates#592c6c3b615e27b096485d68 [accessed May 29, 2017].
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My patient has 14 drugs and they are so toxic. However, yesterday, one of my classmates from the same master who taught us how to treat severely sick patients. She told me that the US patients can get up to 20-30 prescription drugs. Her sister-in-law is an example.
Please let me know what is the maximum drug's record that you know and where you are located. Thanks.
Years ago, I read the US has the world #1 higher drug prescription record. Now, I doubt that it's not the No. 1, maybe times on the other county's record.
If western medicine field keeps doing like this, you can image how soon that the medical cost can let the US stable sit on the #1 medical cost country but may be sacrificed the other fields.
That's no wonder I can hear organ failures, more and more often after cancer patients got more popular.
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Dear Frieda Mah
You are very lucky; you can choose your favorite job.
For me I am too weak to change anything, I have to earn my life, so I have to fit the world I live.
Liu
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These terms are often used interchangeably, but many see differences between them.  How do you define them?  What are the contours that differentiate them?
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Dear Dr. Oglesby,
                            It appears to us from some of our researches jointly and severally that the unit of measurement or medical incidence (Mallick (1998), Mallick, Hamburger, Mallick (2017)) in any public health research has to be population which will define the causality necessary for any "applied genetic or genomics" determined population health biostatistics or String Theoretic analysis of public health management or population health management. You can take a look at some of our research on www.researchgate.net/Soumitra K. Mallick if you wish to.
Soumitra K Mallick
for Soumitra K Mallick, Nick Hamburger, Sandipan Mallick
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Hello. I heard about Rehabilitative Balloon Swallowing Treatment for dysphagia related to upper esophageal sphinter dysfunction or propulsion deficiency.
But in my research, there are only 2 teams that are working on this.
Do you use this technique ? If yes, what are you thinking about tolerance and results ?
Thank you for sharing your experience.
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It should always be noted in such projects that the preparation of the working medium is much more complex and expensive than in the "normal" EDM.
Also the production according to small powder diameter must be inserted into the cost calculation.
Furthermore, it must be noted that the systems, which must be worn and renewed with the medium (liquid / powder). The scientific investigation is the one side, the economic application the other.
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My dear Academic Friends, I'm working on "architectural design" area, I don't know anything about any researching of engineering area.
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Dear Daniel,
Thank you for sharing the special issue on the Population Health Management, a research area of my interest. What is the impact factor of this journal and how open it is to research on public health not directly focusing pharmaceutical topics?
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Can you help with a detailed understanding on how to go about developing a mobile-based recommender and status reporting system for poultry health management
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The aim of this research will be to develop a model that can report the health status of poultry birds and make intelligent predictions(Recommendation) for possible solution (cure/prevention).
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Great!I will be help you maybe
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Prognostics and Health Management (PHM) is a new engineering discipline. would you please give me some information about the future of this discipline in industry?
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While Prognostics Health Management is an established discipline in engineering, I don't see its application on human being in near future. I would be happy if you explain your intention further. Of course it can be very well applied to the equipment's used in hospitals
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Public health management
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Strict regulations and their implementation.
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Looking forward to developing a research topic in the area of administrative/ management of non-medical staff in government owned health institutions.
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I'm sorry, but I have trouble with a question like this; and you then might wonder why I'm posting an "answer" at all. The reason is that I think, Anthony Nkwankwo, that if you want useful help from the ResearchGate community, you might have said something like the following: "I would like to develop a research topic in the area of administrative management of non-medical staff in government owned health institutions. Here are three possibilities I've considered:............... What do you think would be the pros and cons of these that should lead me to prioritize one of these?" Or something like that.
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abdominal obesity is risk factor for certain diseases
what is causes and how can be avoided and reduced? 
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Dear Amar,
Here are 6 evidence-based ways to lose belly fat.
1. Don’t Eat Sugar… and Avoid Sugar-Sweetened Beverages Like The Plague
Added sugar is extremely unhealthy.
Studies show that it has uniquely harmful effects on metabolic health.
Sugar is half glucose, half fructose… and fructose can only be metabolized by the liver in any significant amount.
When you eat a lot of refined sugar, the liver gets flooded with fructose, and is forced to turn it all into fat.
Numerous studies have shown that excess sugar, mostly due to the large amounts offructose, can lead to increased accumulation of fat in the belly.
Some believe that this is the primary mechanism behind sugar’s harmful effects on health… it increases belly fat and liver fat, which leads to insulin resistance and a host of metabolic problems.
Liquid sugar is even worse in this regard. Liquid calories don’t get “registered” by the brain in the same way as solid calories, so when you drink sugar-sweetened beverages, you end up eating more total calories.
Studies show that sugar-sweetened beverages are linked to a 60% increased risk of obesity in children… per each daily serving.
Make a decision to minimize the amount of sugar in your diet, and considercompletely eliminating sugary drinks.
This includes sugar-sweetened beverages, fruit juices, various sports drinks, as well as coffees and teas with sugar added to them.
Keep in mind that none of this applies to whole fruit, which are extremely healthy and have plenty of fiber that mitigates the negative effects of fructose.
The amount of fructose you get from fruit is negligible compared to what you get from a diet high in refined sugar.
Btw… if you want to cut back on refined sugar, then you must start reading labels. Even foods marketed as health foods can contain huge amounts of sugar.
Bottom Line: Excess sugar consumption may be the primary driver of belly fat accumulation, especially sugary beverages like soft drinks and fruit juices.
2. Eating More Protein May be The Best Long-Term Strategy to Reduce Belly Fat
Protein is the most important macronutrient when it comes to losing weight.
It has been shown to reduce cravings by 60%, boost metabolism by 80-100 calories per day and help you eat up to 441 fewer calories per day.
If weight loss is your goal, then adding protein to your diet is perhaps the single most effective change you can do.
Not only will it help you lose… it can also help you avoid re-gaining weight if you ever decide to abandon your weight loss efforts.
There is also some evidence that protein is particularly effective against belly fat.
One study showed that the amount and quality of protein consumed was inversely related to fat in the belly. That is, people who ate more and better protein had much less belly fat.
Another study in Denmark showed that protein, especially animal protein, was linked to significantly reduced risk of belly fat gain over a period of 5 years.
This study also showed that refined carbs and vegetable oils were linked to increased amounts of belly fat, but fruits and vegetables linked to reduced amounts.
Many of the studies showing protein to be effective had protein at 25-30% of calories. That’s what you should aim for.
So… make an effort to increase your intake of unprocessed eggs, fish, seafood,meats, poultry and dairy products. These are the best protein sources in the diet.
If you struggle with getting enough protein in your diet, then a quality protein supplement (like whey protein) is a healthy and convenient way to boost your total intake.
If you’re a vegetarian, check out this article on how to increase your protein intake.
Bonus tip: Consider cooking your foods in coconut oil… some studies have shownthat 30 mL (about 2 tablespoons) of coconut oil per day reduces belly fat slightly.
Bottom Line: Eating enough protein is a very effective way to lose weight. Some studies suggest that protein is particularly effective against belly fat accumulation.
3. Cut Carbs From Your Diet
Carb restriction is a very effective way to lose fat.
This is supported by numerous studies… when people cut carbs, their appetite goes down and they lose weight.
 Over 20 randomized controlled trials have now shown that low-carb diets lead to 2-3 times more weight loss than low-fat diets.
This is true even when the low-carb groups are allowed to eat as much as they want, while the low-fat groups are calorie restricted and hungry.
Low-carb diets also lead to quick reductions in water weight, which gives people near instant results… a major difference on the scale is often seen within a few days.
There are also studies comparing low-carb and low-fat diets, showing that low-carb diets specifically target the fat in the belly, and around the organs and liver.
What this means is that a particularly high proportion of the fat lost on a low-carb dietis the dangerous and disease promoting abdominal fat.
Just avoiding the refined carbs (white breads, pastas, etc) should be sufficient, especially if you keep your protein high.
However… if you need to lose weight fast, then consider dropping your carbs down to 50 grams per day. This will put your body into ketosis, killing your appetite and making your body start burning primarily fats for fuel.
Of course, low-carb diets have many other health benefits besides just weight loss. They can have life-saving effects in type 2 diabetics, for example.
Bottom Line: Studies have shown that low-carb diets are particularly effective at getting rid of the fat in the belly area, around the organs and in the liver.
4. Eat Foods Rich in Fiber… Especially Viscous Fiber
Dietary fiber is mostly indigestible plant matter.
It is often claimed that eating plenty of fiber can help with weight loss.
This is true… but it’s important to keep in mind that not all fiber is created equal.
It seems to be mostly the viscous fibers that can have an effect on your weight.
These are fibers that bind water and form a thick gel that “sits” in the gut.
This gel can dramatically slow the movement of food through your stomach and small bowel, and slow down the digestion and absorption of nutrients. The end result is a prolonged feeling of fullness and reduced appetite.
One review study found that an additional 14 grams of fiber per day were linked to a 10% decrease in calorie intake and weight loss of 2 kg (4.5 lbs) over 4 months.
In one 5-year study, eating 10 grams of soluble fiber per day was linked to a 3.7% reduction in the amount of fat in the abdominal cavity, but it had no effect on the amount of fat under the skin.
What this implies, is that soluble fiber may be particularly effective at reducing the harmful belly fat.
The best way to get more fiber is to eat a lot of plant foods like vegetables and fruit. Legumes are also a good source, as well as some cereals like oats.
Then you could also try taking a fiber supplement like glucomannan. This is one of the most viscous dietary fibers in existence, and has been shown to cause weight loss in many studies.
Bottom Line: There is some evidence that soluble dietary fiber may lead to reduced amounts of belly fat, which should cause major improvements in metabolic health.
5. Aerobic Exercise is Very Effective at Reducing Belly Fat
Exercise is important for various reasons.
It is among the best things you can do if you want to live a long, healthy life and avoid disease.
Getting into all of the amazing health benefits of exercise is beyond the scope of this article, but exercise does appears to be effective at reducing belly fat.
However… keep in mind that I’m not talking about abdominal exercises here. Spot reduction (losing fat in one spot) is not possible, and doing endless amounts of crunches will not make you lose fat from the belly.
In one study, 6 weeks of training just the abdominal muscles had no measurable effect on waist circumference or the amount of fat in the abdominal cavity.
That being said, other types of exercise can be very effective.
Aerobic exercise (like walking, running, swimming, etc) has been shown to cause major reductions in belly fat in numerous studies.
Another study found that exercise completely prevented people from re-gaining abdominal fat after weight loss, implying that exercise is particularly important during weight maintenance.
Exercise also leads to reduced inflammation, blood sugar levels and all the other metabolic abnormalities that are associated with central obesity.
Bottom Line: Exercise can be very effective if you are trying to lose belly fat. Exercise also has a number of other health benefits.
6. Track Your Foods and Figure Out Exactly What and How Much You Are Eating
What you eat is important. Pretty much everyone knows this.
However… surprisingly, most people actuallydon’t have a clue what they are really eating.
People think they’re eating “high protein,” “low-carb” or whatever… but tend to drastically over- or underestimate.
I think that for anyone who truly wants to optimize their diet, tracking things for a while is absolutely essential.
It doesn’t mean you need to weigh and measure everything for the rest of your life, but doing it every now and then for a few days in a row can help you realize where you need to make changes.
If you want to boost your protein intake to 25-30% of calories, as recommended above, just eating more protein rich foods won’t cut it. You need to actually measure and fine tune in order to reach that goal.
Hoping this will be helpful,
Rafik
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Are there shifts being seen in recent occupational safety and health (OSH) research in comparison to traditional OSH research focuses of past decades? What are some of the causes for such shifts, and what are the emerging trends in the field?
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Worker participation is also considered as a major shift. Worker can assist in the formation and implementation of the OSH management plan, enhance commitment etc.
This is the EU-OSHA guide:
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EMS is Environmental Management System ISO-14001 series
and OHSAS is Occupational Health and Safety Series
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Hafiz, I don't understand your question. Could you kindly elaborate as to the basis for your question? It is too vague.
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Health is the fundamental right of every citizen and it's very important that the government and international organisations provide basic healthcare whenever its needed.
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At this time, I do not believe we can isolate one element at a time...it diverts focus, energy, and resources. There is a fundamental lack of health literacy at the participant level. In the US especially at this time, it is critical to engage one community at a time, enlisting the participation of all stakeholders including participants, and the specific health drivers affecting that community. The tools, human capital, and technology exist to facilitate this transformation towards more preventive and chronic condition management through healthy lifestyle behavior change, however. It begins with education, consistently, and continually from all stakeholders all the time. There is no one pill or widget that will satisfy all the requirements. Identify the needs of your community and for population health management's sake, identify the elements that both practitioners and participants will recognize and participate within for successful impact and ultimately outcome. Respectfully, Ken
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I am doing research on managing hospital mergers,especially hospital managers.
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Sorry, I forgot: As a second idea I would search with the key word "Management of Hospital Mergers" in Google Scholar. Your will find there a bonanza as well.
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Is it a safer option than just 'warehousing' patients in an ED? In comparison, what are some limitations?
When demands for urgent and emergent care continue to mount and no Emergency Department (ED) care spaces are available for these emergent and urgent patients and all usual actions for rapid admissions to inpatient beds have been maximized, the Over Capacity Protocol should be initiated. This protocol is intended to ensure systematic actions are undertaken to ensure admitted patients being cared for in the ED will be appropriately admitted to an inpatient unit. The protocol may be extended to other areas of the hospital, for example critical care, as required. (Fraser Health).
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I am not an expert in healthcare only an interested researcher in understanding and solving problems in this critical area.  My expertise lies in something called “theory of constraints (TOC)”.  While it sounds horribly complex TOC is quite simple and easily applied.  In TOC we use the five focusing steps to continually improve a system‘s ability to produce goal units (in your case treated patients).  The five focusing steps are one of three processes on ongoing improvement (buffer management, frequently used in healthcare, and the change question sequence are the other two processes.). These five focusing steps are:
1. IDENTIFY the system's constraint(s).
2. Decide how to EXPLOIT the system's constraint(s).
3. SUBORDINATE everything else to the above decision.
4. ELEVATE the system's constraint(s).
5. WARNING!!!! If in the previous steps a constraint has been broken, go back to step 1, but do not allow INERTIA to cause a system's constraint.
I recently coauthored (Cox, Robinson, Maxwell; Sept/Oct 2014) an article in the Journal of Family Practice Management illustrating the application of these steps to an 11-provider practice.  I recommend this article if you want to see how to apply this focusing process in healthcare.  It is a quite simple example; just common sense. 
In your case the market (the patients coming into the emergency room) is the constraint most of the time.  Normally you are able to treat incoming patients in a standard manner.  BUT then you occasionally have overloads where you use up the protective capacity of the emergency department and a backup of untreated patients occurs.  Some of this backup occurs because there is no place to offload treated patients immediately so that the provider can move to the next untreated patient.  This situation might be caused by the hospital’s focusing on minimizing staffing in hospital wards to save money.   The TOC solution would be to add a space buffer behind the constraint (between the emergency department and the specialized wards (the UK system calls this department an assessment ward, a holding area as such).  Treated patients are released to this space buffer where trained staff (maybe some removed from the specialized wards) manage patient care until the treated patients are transferred to the wards.  This approach allows emergency department providers to focus on incoming patients instead of managing already treated patients until they can be transferred to wards thus increase the capacity of the emergency room. In academic terms this space buffer aggregates the statistical fluctuations of the various wards thus having less deviations (reduced standard deviation at the assessment ward than at the sum of the specialized wards).  
Several presentations of the TOC basic concepts and applications of the concepts in various industries are available on the TOCICO (Theory of Constraints International Certification Organization) website for free viewing.  See specifically the healthcare portal web link listed below:
There are seven videos available on this link for free viewing.  An annotated bibliography of healthcare presentations is available on this link also.  
Another related link to TOC in healthcare is provided by Alex Knight (also describes his work on the TOC link above) .  Alex has been implementing TOC in emergency rooms, hospitals and the healthcare supply chain for two decades.  He has been able to move hospitals as measured by responsiveness from the bottom of 500 hospitals to the top 10 in a matter of a few months.  He recently authored a novel (Pride and Joy) describing the application of TOC in hospitals (Similar to Eli Goldratt’s The Goal did in manufacturing in the 1980’s). Alex’s consulting organization provides significant educational materials on TOC in healthcare.  This link below is to articles on applying TOC in healthcare.  On the left of this page below are links to case studies (mostly hospitals) and testimonials.
More generally TOC is a management philosophy that focuses attention on the constraint (the leverage point) in any system and how to increase system throughput.  It is not a cost-cutting approach and provides better responsiveness and healthcare.    
I hope this is helpful.  Jim
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Health information management
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Output being, admitted patients who are boarded in the ED until an inpatient unit is available.
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From the hospital organization point of view you can divide the elective patients from the emergency/urgent patients assigning to these a certain number of beds (about 10% of the total hospital beds).
If hospital space constrain doesn't permit so, check the LoS and the BOR (and benchmark them) to see if is a inefficiency or a structural problem. Tthe last one can't be solve easly, the first is a EBM/GL approach problem.
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I am looking for the criteria used for the reimbursement for services (reimbursement of the costs of special activities that must be in place without economical criteria such as Emergency Unit and pre-transplant organ collection) in parallel with the reimbursement for activity (exams, visit, DRG).
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This will depend on the country and in countries like the US will depend on what insurance one has. So you would need very specific information to look up the answer for one person.
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Can anyone share their corporate Mental Health Management Framework if they have one? I am looking for something that is easy to understand, operationalize and that has had positive results.
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We have developed a program that can 1. assess, 2. Provide an intervention 3. reassess and 4. report. We have recently published on the same.
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From time to time, I meet cases of bilateral choanal adenoids causing mouth breathing, snoring +/- disturbed sleep according to severity. I found that both x-ray of postnasal space and flexible fibreoptic nasal scope can preoperatively diagnose this unusual type of adenoids. Surgical technique varies according to size & extension of this adenoid. If it is limited at choana but bulged intranasally, then I use an endonasal approach to remove it by depriding (preferable to me) or by suction diathermy (vallylab). If it is limited at choana but bulged into nasopharynx, then it can be removed through nasopharynx under mirror vision using suction diathermy (vallylab). If it is prominent intranasal & into nasopharynx, then combined approach can be used. I found that choanal adenoids is preoperatively misdiagnosed by geniors as classic nasopharyngeal adenoids hypertrophy if they depends on endoscope alone. Also, x-ray alone when revealed empty nasopharynx does not mean absent choanal adenoids in case of presence of symptoms (mouth breathing, snoring +/- disturbed sleep). Also, choanal adenoids is perioperatively misdiagnosed by geniors as inferior turbinate tail hypertrophy. So, to diagnose choanal adenoids, you would put it in your consideration & you would request x-ray with endoscopic examination. This is my own experience regarding choanal adenoids management. Would you add your experience?
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That is good experience. For  diagnosis, xray lateral view nasopharynx, or better CT scan both coronal and axial is sufficient. Also endoscopic examination, is very helpful in preoperative diagnosis. To treat : endoscopic endonasal surgery is the gold standered for both choanal and nasopharyngeal adenoids, may be assisted with palatal retraction a d digital palpation to cobfirm complete removal.
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can any one help me to know which type of management field can study in case of person has MSc in biochemistry ?
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Its depends on what goal do you want to achieve.
If you are up to managing operational of bio lab then you can attend operational management as it typical of bio graduate.
If you want to know how to handle and assess team of people than you can go to human resources management.
If you want to know how to market product go to marketing management.
If you want to have knowledge in strategic planning go to strategic management.
It go back to your interest and what do you want to have or achieve.
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Where I work we have allied health discipline advisors for physiotherapy, occupational therapy, dietetics, speech pathology and social work- these are strategic leadership and support roles. These roles are all newly established, and we are planning to take advantage of this by researching the impact of the advisor roles at 1 and 2 years post commencement.
I have looked at the literature and am unable to identify any research on advisor roles in any of the allied health disciplines. Is anyone aware of literature in this area?
Any suggestions would be a great help.
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Definitely David, research about impact is always important, and there are also many variations within practice, in both countries. It would be great to read about the protocol for what you will evaluate and why...
sharon
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We are interested in estimating blood volume in healthy individuals. Since 1962 the "standard" formula used to predict blood volume is that presented by Nadler (Surgery 1962;51:224-32). This formula, however, has been criticized as being inaccurate for current estimates since today's populations have far more adiposity. and fat tissue requires less vascularization. Thus , the argument is that for heavy, short people particularly their blood volumes are over estimated. This is important when trying to determine what the appropriate volumes should be for say donating blood or blood products. Has anyone seen new formulas or modifications to the Nadler formula to deal with this problem?
Thanks.
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1. I am not convinced that "accurately" and "estimate" should be used in the same sentence.
2. No, I haven't seen any new formulas for this particular problem, but it is an issue similar to predicting plasma concentrations of drugs when using exponential-based algorithms in syringe pumps. It relates to the ratio of fat to total body weight. There have been a number of ways of dealing with this that are accessible to internet search.
However, it boils down to how "accurate" you want your "estimate" to be. Bearing in mind that your lab blood Hb can be as much as 10 to 15% inaccurate, there doesn't seem to be a lot of point in obsessing about more accurate estimates of blood volume.
If you're stuck in a rural clinic and you can only measure height and weight, and the latter is going to give you a misleading answer, you're really only left with height.
What you are sort of saying is that blood volume does not relate to weight when the body weight is outside the "ideal" range of body weight, which varies with height. What you need to use to calculate blood volume outside this range is not the patient's actual weight, but what it should be.
Just roughly eyeballing the ideal body weight charts based on the Quetelet  formula, and extracting the weight ranges associated with "normal" BMIs in the range of 18.5 to 25 (heights 1.5 to 2 m) also gives you an average weight within that range.  Using these average weights with the Nadler formula gives you the average blood volume for each height. Linear regression on the data (R2 0.9996) gives you an approximate relationship of (6100 x body height in metres) - 5500. 
Applying the process to the outer ranges of normality for weight suggests that using the average weight for each height will be =/- 15% accurate for the range.
Is that an "accurate" enough "estimate" for you?. 
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Many times employees on the bottom level are there to work because they want to feed their families.  they choose a work field that they are at least a little familiar with through their hobbies or through the volunteer work they were able to become acquainted with while they were minors.  Many times, these same employees fail to see the big picture regarding things like employee safety and risk management.  They don't see the chemicals as something that could mean their babies will come out deformed or that will keep them from having babies at all.  they aren't thinking that a ladder dance could potential knock their back out of commission for a lifetime of work sitting in a chair.  They don't' think that interrupting the process line to re-sew a "handmade" doll another way for their own artwork while showing off late at work in the middle of the evening will effect the supply chain, or even the process metrics at all. Still, these employees are trained before they start their work because its a requirement.  How much of the risk management process involves employee engagement, and how should employee engagement be defined in regards to the risk/safety/health management process?
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Neumann (2007) studied the problem from a different facet. . For instance, the problem is also about safety and continuity of human activities. I am not very sure that work of Neumann can be helpful for you. But anyway, you can find this author work at
may be it is helpful for you.
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Soil health management  increases crop yield you know! But, to how much extent by this alone, keeping others as recommended?support with reviews you know?
My point is, if soil health of two categories, i.e. Low yield plots and high yield plots in all the villages in India is done and compared, is it possible to find out soil parameters controlling the yield in that particular area? So that low yield obtaining farmer can take up GAP as that of high yield obtaining farmers. is this sufficient to achieve second green revolution ? Please answer if interested to rise production!
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Hi Rajakumar,
I think 1st you have to check low yield and high yield soil parameters, such as pH,N,P,K, microbial flora (pathogenic and beneficial ).
accordingly improve that parameters in low yield plots,
so it may help to manage health of soil and fertility.
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As part of a 4 year RCT project being conducted in Ghana (West Africa) we sought to investigate three dimensions of healthcare quality care (client, health professional and technical perspectives) and how these are associated in the context of a national health insurance scheme (NHIS) which is barely 10 years old. Implications of the findings to health service utilization and (re)enrolment decisions into Ghana's NHIS are particularly explored. Ongoing analysis of our data reveals rather "puzzling" results which stimulated the idea to seek experiences and opinions of fellow researchers interested in the topic area. Sharing scientific findings on similar studies will prove beneficial to fine tune our thoughts on the topic.
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It gets even worse...how do you feel confident that patients responding as 'satisfied' in a survey are actually 'satisfied' in the common garden variety sense of the term? In the mid-1990's, several key publications reviewed the major methodological challenges of patient satisfaction surveys:
Carr-Hill, R. A. (1992). The measurement of patient satisfaction. Journal of Public Health, 14(3), 236-249.
Williams, B. (1994). Patient satisfaction: a valid concept? Social Science & Medicine, 38(4), 509-516.
Sitzia, J., & Wood, N. (1997). Patient satisfaction: a review of issues and concepts. Social Science & Medicine, 45(12), 1829-1843.
When you look at the problems with measuring patient satisfaction, it is no wonder we get 'puzzling' results, never mind the truth that others have pointed out between technical definitions of 'quality care' and patient understandings.
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Is there any literature that finds a decrease in body temperature, mainly in mammals, from either capture stress or handling stress?
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one of the symptoms of shock (traumatic stress?) in humans is "...cool, clammy skin..." , which indicates that the phenomenon certainly exists.
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I would like to know the changes in statin prescription rates and cholesterol treatment guidelines over time (i.e. from the introduction of statins until the present time in the United States and Europe). I am especially interested in the context of secondary prevention of embolic stroke. Are you aware of any published data or do you know where I can find out-dated versions of cholesterol treatment guidelines? Thank you for your suggestions.
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Each organissation develops their own clinical guidelines. Depending on your research you should target each country and the national organisation in charge of developing the guidelines. For Spain you can find the information on this website: :http://portal.guiasalud.es/web/guest/guias-practica-clinica. they collect all the different clinical guidelines developed by the different regional governments (17 in Spain), so usually if they exist you can find them on this website, if not I;m afraid that you should contact each autonomous community  one by one.
You could contact Guia Salud (through the website)and ask if they keep track of old guidelines.
For European Countries having different regional health governments (Germany, Italy) you will probably face the same problems of non-centralised information.
For UK, they use the guidelines of NECP , ATP III, as mentioned ,through the NIH you can find them easily on their website, the one I found is from 2002 and I also  found an 2004 update in an interesting  article: http://www.nhlbi.nih.gov/files/docs/guidelines/atp3upd04.pdf    ,page 237
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In Uganda, there is little policy regarding herbal medicine, and yet 65% of the population has a history of using of herbs at the hospital.
Many times when these herbs are used, they are not refined - no measure is used to calculate the actual dose. Remedies are usually prepared by individuals who might not have had formal education in that area.
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It could be a matter of pointing to the right research, and emphisising the need for patient-centred models of care. This is an excerpt from a report written by our firm, MAAP:
COMPLIMENTARY AND ALTERNATIVE MEDICINE: Children's Memorial Hospital in Chicago, Mayo Clinic, Duke University Medical Center, and the University of California, San Francisco and all the top 18 ‘honour roll’ hospitals in the US News Best American Hospitals list offer optional and additional complimentary and alternative medicine of some sort now including acupuncture, massage, reiki, yoga and other therapies (Moisse 2011). The driver for these services is primarily consumer demand, but as models of care progress toward better patient–centredness, consumer demands only get more salient. Therapists are most often nurses, but may also be specialist therapists or physicians (Cotton, Luberto et al. 2013).
Although many health professionals still think of such approaches as some kind of voodoo, an increasing number recognise their importance on the basis of real evidence. A recent study in US and Canadian paediatric hospitals showed that more than half the children (n=519, av age 10 yrs) who received alternative therapies reported very significant reductions in pain (average reductions of 34%), more than 75% showed very significant responses (-70%) in observed pain measurements (children are frequently too young to be able to express themselves fluently). Most of the children being treated were suffering from pain associated with cancer or cystic fibrosis (Cotton, Luberto et al. 2013).
Recommendations: • Provide specialisation and space (where required) for complimentary and alternative therapies. • Encourage a hospital culture that accepts the ethnic, personal and cultural needs and choices of patients.
reference: Smith, Mungo, Golembiewski, Jan, & Hyunh, Alison. (2013). Westmead Health Precinct: An International Review of Optimal Sizing of Children’s & Acute Hospitals. Report prepared for: NSW Health Infrastructure. Sydney. 
citations: 
Cotton, S., Luberto, C. M., Bogenschutz, L. H., Pelley, T. J., & Dusek, J. (2013). Integrative Care Therapies and Pain in Hospitalized Children and Adolescents: A Retrospective Database Review. J Altern Complement Med. doi: 10.1089/acm.2013.0306
Moisse, Katie. (2011). U.S. News and World Report Ranks Nation's Children's Hospitals. ABC News.
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I am trying to find out level of cartilage destroying enzymes which is associated with crepitus sound with pain.
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Interesting questation.
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i am looking for fault detection ,diagnosis and prognastics for uav.model based methods  in simulink/matlab
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How can one ensure the quality and authenticity of data entered in the sleep logs (maintained for at least 14 days) especially for those who are not literate like many senior citizens? Is there any other tool like sleep log/sleep diary to elicit sleep patterns (except actigraphy and polysomnography) in a community based survey?
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Hello!
it depends on the content of the tool that you have selected. Basically the tool is made considering the target population. If the illiterate population has to be included, a picture based tool could be useful. The numbers of hours of sleep one had had could be marked in the specified box or space denoting the 
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I need to pick up some point of view that would help me answer this question.  I am looking into the study of Legal Studies and would like to use some help here.
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Health management - as any profession encompassing multiple disciplines and integrating technology, people and physical space - is not only complicated but fraught with occasions to be exposed to various legal liabilities. Successful health managers need the ability to manage health risk well. They must anticipate the most likely health problems and protect the clients'  interests in such a way that their health (plus status) can be guaranteed and safe (confidential), yet productive for business purposes. The Health managers must therefore know the major legal rules of risk avoidance, including knowledge of possible legal obstacles.Legal Concepts for health Managers inform them of their legal responsibilities and help them avoid unnecessary exposure to liability. I hope this will guide you further.
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I am currently an MPH student and I'm looking for practicum in the Spring. My concentration is in Global Health, but I am interested to work in an environment where I can strengthen my skills in grant writing, program planning, implementation and evaluation. Also, I am looking for organizations that deal with health policies, health management and public health leadership. 
Thank you.
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it has to do with the filed of "logistics" and the gaps in customers' expectations when it comes to health management 
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Dear Natasa,
For building concepts the paper, published in American Marketing Association in 1985, may help you, http://www.jstor.org/stable/1251430?seq=1#page_scan_tab_contents
Note that the work is not related to health care management. Nonetheless, you can go over the article to gain some ideas.
Unfortunately, I dont find any articles that narrate SQG model including health cards system.
I recommend you to follow the below article dealing with `Measurement of traveler expectations versus service gaps — The case of general aviation services in Aruba` .  You can implement the same in healthcare logistics.
Hope this helps you to look forward.
Regards,
Syed
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I want to do the survey on one of professional societies which is so restricted for any improvements; e.g education and promotion. I want to learn their emotions. It is Ok for any study designs for now. Could you please answer any related research for it?
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There are many available article on health management and opinion of health professessional, for example are the attached documents
Health systems across the European Union  are managed in very different
ways. This report focuses on the role of local and regional authoritieswithin these systems in terms of power and responsibility, from the issuing of
legislation to policy development, implementation and funding.
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Why clinicians are meant for only one job description? I think these professionals are think within the box whereas we the non-clinicians think outside the box meaning we can think broad.
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The big difference is the focus of the education. The health management students focus on the management of health systems and health organisations which is fundamentally different from medical professions whose focus is on treatment/care of patients and/or research. Medical professions are often highly specialized in one or a few closely related fields. Health management professionals are broader trained.
I think the confusion comes from the fact that both groups are highly educated. If you compare it to other industries, the difference becomes much more clear: the management of big construction companies are often trained managers in the field of general management or finance. Very few CFO's in construction companies are craftsmen like carpenters.