Published in International journal of health care quality assurance
We explore the relationship between the balanced scorecard (BSC) and neo-bureaucracy by investigating whether the operationalization of the BSC incorporates "neo-bureaucratic" ideas and whether the BSC implemented in a Portuguese Local Health Unit (LHU) demonstrates a neo-bureaucratic approach. We conduct semi-structured interviews with LHU staff a...
Worldwide, more people die from cardiovascular diseases (CVDs) than from any other diseases. Of these deaths, 80% are due to heart attacks and strokes, and about three quarters occur in low-and-middle income countries (LMICs). In the Region of the Americas, CVDs result in 1.9 million annual deaths of which one third occur before the age of 70. Hype...
Background: Advances in medical care and treatment options have extended the life expectancy of millions of youth with chronic conditions. This change in prognosis has led a majority of these youth to eventually transition from pediatric to adult medical care. This transition can be difficult as evidenced by declines in adherence after transitionin...
Background and Objective: Sugar-sweetened beverage (SSB) taxes have been increasing in popularity across the United States and have been implemented in some California cities. Studies have shown SSB taxes reduce the consumption of SSB but also increase the consumption of juice, milk and sugary sweets. Support for an SSB tax is influenced by various...
Purpose: The purpose of this multi-sited, interpretive phenomenological study was to explore the team-based care experience for patients with type 2 diabetes and their primary care teams.Background: Over a decade ago, policy makers began to sound the alarm about an impending workforce crisis in primary care. This crisis endures today, as the supply...
Workplace violence (WPV) perpetrated by patients against healthcare staff is abundant in healthcare settings. Many interpersonal communication skills trainings have attempted to equip staff to be better able to de-escalate patient aggression and prevent WPV. Nurses have received the most attention in trainings, as opposed to other types of healthca...
In any given community, there are multiple organizations and sectors – including health care, public health, education, and social services – that have a hand in addressing health, as well as the social and economic determinants of health. Often, these sectors are siloed and not coordinating as well as they could be. This dissertation examines orga...
Objective. Healthcare’s efforts to prevent adverse events include initiatives to encourage adverse event reporting so it becomes possible to explore causes and prevent recurrence. However, the current climate of significant underreporting of adverse events by healthcare providers curtails the opportunity to explore preventable medical errors, impro...
Increased legislation and media coverage regarding health care expenditure has brought issues of health and medicine to the forefront of American dialogue. In my thesis, I explore three different topics which both indirectly and directly address issues of long-term health and health expenditure. In the first chapter of my dissertation, The Impact o...
Background: Health is considered to be a fundamental human right internationally. Many disciplines including nursing, medicine, psychology and sociology have attempted to define health. However, many definitions, including the historical definition offered by the World Health Organization do not take into consideration understandings of disease at ...
