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134 Uppsatser om Rental doctors - Sida 7 av 9
Jämförelse av statistiska metoder för rangordning inom sjukvården
There has been an increasing interest for ranking of Swedish health care and a lot of emphasis has been placed on the creation of indicators in order to rank hospital units. However, essays on to what extent the choice of statistical method affects the final result of the ranking of health care units have not been given the same attention. For this particular reason, the main objective of this essay has been to investigate whether the choice of statistical model has a significant impact or not on the final result, by using five different, more or less common, statistical approaches: bar charts (with and without confidence intervals), control charts, logistic regression, multi-level analysis using shrunken residuals. The analyzed material in the essay comprises 24119 patients that all have been prescribed some form of the lipid-reducing medicine statin. According to directives given by Region Skåne, doctors are encouraged to prescribe a particular type of statin medicine, namely Simvastatin, which has been proved to be equally effective, but significantly cheaper than other statin medicines.
Prehospital omvårdnad av patienter med akuthjärtinfarkt som transporteras direkt till PCI : ? intervjustudie med sjuksköterskor i ambulans
The prehospital management of patients with acute myocardial infarction (AMI)now includes 12-lead electrocardiogram transmission directly from the ambulance to hospital.If the ECG shows ST-elevated myocardial infarction the patient should be transported directlyto a hospital with capability for percutaneous coronary intervention (PCI). Aim: The aim of this study was to describe how ambulance nurses experienced the prehospital management of patients with AMI who are transported by ambulance directly to hospital for PCI. Method: Semi structured interviews were conducted with eight ambulance nurses. Data were analysed using qualitative content analysis. The categories that emerged were: Use ofcompetence, Responsibility and Insufficiency. Result: The result showed that the ambulance nurses felt secure when they cared for patients transported directly to PCI. The nurses assessed the patient and decided how he or she should be cared for.
En studie om fastighetstaxeringssystem : -Vad kan Sverige lära av England och Wales
According to the client, land survey of Sweden, there is no current information regarding other well developed property tax systems. This information is necessary in order to analyze the effectiveness and develop the Swedish system. The purpose of this study is to contribute with improvement proposals to the development of the Swedish property tax system through a survey of the English and Welsh property tax system.Methods used are: (1) a literature review where the English and Welsh valuation methodology and organization regarding property taxation is studied; (2) an interview with the client at the land survey of Sweden regarding existing problems with the Swedish property tax system; (3) An interview with a contact person of the Valuation Office Agency regarding the English and Welsh property tax system.In England and Wales there are two different property taxes for municipals, Council Tax and Rating. All domestic properties are included in Council Tax and commercial properties or part of commercial properties is included in Rating. Council Tax is based on the properties market value and Rating is based on the commercial property or part of the properties current rental value.
Överläkare i ortopedi och kirurgi : Likvärdiga arbeten med lika löner?
This investigation is a pilot survey whose main purpose is to investigate with work evaluation and attitude analysis whether the orthopedists and surgeons work can be equaled, why the wages differences exists between women and men, and also which preventive measures the organization can use to even out the wages differences between the genders. In relation with the investigation I have applied the reflexive way of thinking to establish which difficulties come up in the work of gender-equality.The result?s from work evaluation displays that the works are equivalent but the salaries are not, which can depend on value discrimination,gender discrimination and the organization theory.Wages differences between women and men depend on, according to the informers, partly by historical explanation and partly by the old directors who was allowed to retain regular salary when theypost transformed. The common point of view is that men have a larger work experience and therefore a higher salary.The managements attitude towards gender-equality issues is of absolute importance in order to achieve and bring a change within the organization.The measure positive special treatment is proposed to be used as an improving method to achieve (gender)equality between the posts and to even out the wages difference between the sexes.To establish whether or not gender discrimination exist in the investigated organization there needs to be done a whole lot supplementary studies like a complete wage (salary) mapping which includes all supplements and more interviews among the organizations all occupation groups..
Interaktion med närstående till kritiskt sjuka patienter. : Vilka svårigheter finns?
Background:When the patient is critically ill the family is in a vulnerable position. The nurse's role is to support and help the family to find meaning in the difficult situation and to provide realistic hope. Balancing between the patient's and the family's needs is difficult. Knowledge about how nurses experience difficulties in the interaction with family is required in order to grant good care too critically ill patients and their family-members.Aim:To describe nurses' perceived difficulties in the interaction with family-members of critically ill patients.Method:The study is a qualitative literature-based study based on qualitative research. Results: The analysis resulted in four main themes; difficult disunion, environmental constraints, interpersonal difficulties and communicative difficulties.
Aspekter på återhämtning vid utmattningssyndrom samt hanteringen i återhämtningsprocessen : En kvalitativ undersökning i Kalmar län
The conception of exhaustion was first used in the end of 1960 and was then used in a psychological context directed towards the working life. Eventually was the conception devided into two main categories: mental and somatic symtoms. Today research of exhaustion is mainly aiming towards recovering and returning to working life.This work sets out to analyse the importance and effects of social networks such as family, friends and professional relations in helping people who suffer from exhaustion to recover. The study is based on interviews with eith people who have suffered from exhaustion but today are recovered. To my aid I have used tree different questions: What part have the social network of family and friends ment to the recovery? What part has the professional relationships with doctors, therapists and curators ment to the recovery? How have you changed your life in order to maintain balance?The interviews pointed out the importance of the social relationships as support, feedback and understanding that the process takes time.
Logistikeffektivitet : hos företag utan egen produktion
This report is about logistic efficiency in companies without own production. The authors have interviewed employees working at two companies, Telias store in Skärholmen and Orion Diagnostica AB. The purpose of the report is to find out which logistic functions the two companies are using to create efficiency.Today?s markets are more global. Different parts of a product can be made in different parts of the world.
Radon i flerbostadshus : Kartläggning av fastighetsförvaltarnas egenkontroll avseende radon
Radon is a hazardous substance that cannot be perceived by our senses. It has long been known that exposure to high radon levels for a long period of time will ultimately cause lung cancer. The Swedish Radiation Safety Authority estimates that 500 people die annually due to this. Although most of them are smokers, even non-smokers suffer from lung cancer caused by radon. The statutory value for radon in homes today is 200 Bq/m³.
Utveckling av vården genom eHälsa : En kvalitativ studie av hur ?min journal på nätet? formar framtidens vård
Today is what you could call a golden age for technological development in health care. Technology is given a bigger role in healthcare and serves not only as a support for health professionals in their daily work but also as a tool for the patient. With the help of eHealth services, patients are becoming more involved in their own care. This improves patient?s knowledge about their health, which in turn contributes to higher motivation to perform self-care.
Kv. Draken : En studie i kostnadseffektivt byggande
Den bostadspolitik som förts de senaste två decennierna har gett oss en alltmer segregerad stadskärna i Stockholm. Byggsubventionernas avveckling på 90-talet har lett till en historiskt låg byggtakt och ett byggande som ensidigt riktat sig till resursstarka grupper i samhället.Parallellt med detta har stora delar av hyresbeståndet ombildats till bostadsrätter vilket medfört att många relativt billiga hyreslägenheter i äldre fastigheter har försvunnit ur beståndet. Dessa är svåra att ersätta med nyproduktion, då dessa är dyrare.Kärnproblemet är förstås att det är dyrt att bygga hus och om man antar att den nuvarande bostadspolitiken består är det ytterst angeläget att utveckla kostnadseffektiva byggmetoder för att möjliggöra lägenheter med överkomliga hyror som kan bidra till att motverka boendesegregationen på sikt.Vårt förslag består av ett bostadshus i Stadshagen. Fastigheten är indelad i två byggnadskroppar som länkas samman via ett system av loftgångar kopplade till ett trapphus. Husen är uppbyggda av volymelement som staplats på en platsgjuten sockel.
Hälsofrämjande patientsamtal : fyra läkares röster om kompetens och förhållningssätt
SammanfattningSyftet med studien var att undersöka hur relationen mellan läkare och patient tas i uttryck i hälso- och sjukvårdsorganisation med hälsofrämjande inriktning. Undersökningens fokus har varit på samtalet mellan läkare och patient. Huvudsyftet har varit att försöka få syn på det hälsopromotiva inslaget i samtalet mellan läkare och patient.Studiens metod bygger på fyra kvalitativa intervjuer som inspirerats av fenomenologisk ansats som sedan bearbetats och analyserats samt en deltagande observation. Studiens resultat bygger på kategorier som funnits utifrån forskningsfrågorna; Vad innebär det att arbeta hälsofrämjande i samtalet? I vilken mån tar läkare upp frågan om livsstil och levnadsvanor i samtalet med patient? Och Vilken kompetens har läkare inom samtalsmetodik? Resultatet tyder på att det finns en brist på kunskap om vad hälsopromotion är. Respondenterna blandar ihop begreppen kring de salutogena och patogena perspektivet.
När man inte vet - Patienters upplevelser av att vårdas för ospecifik buksmärta på kirurgiska akutvårdsavdelningar
Introduction: To become acute ill and to be forced to seek treatment involves a difficult but also a vulnerable time for the individual. This acquires a good relationship between the nurse and the patient. At a surgical emergency ward patients with different diagnoses and trauma are treated. What distinguishes this specific type of ward is that care often occurs in a rapid rate and as a patient the environment may be experienced as stressed. The relationship with the nurse at the ward establishes a foundation for how the patient experiences the health care.
Värdeförändringar på bostadshyresfastigheter vid reformerad hyresreglering Dagens situation och Alternativa modeller
Den nuvarande bostadshyresmarknaden i Stockholm är allt annat än välfungerande. Det låga utbudet av hyresrätter har bland annat resulterat i långa bostadsköer, en omfattande svart hyresmarknad och inlåsningseffekter. I skenet av denna illa fungerande hyresmarknad reser sig frågan om det inte är på tiden att reformera alternativt frångå det nuvarande bruksvärdesystemet, till förmån för en ny alternativ hyressättningsmodell. En modell som förhoppningsvis reducerar de negativa effekterna vi idag ser på hyresmarknaden.Rapporten har som utgångspunkt att beskriva dagens hyressystem samt redogöra för potentiella hyresmodeller. Nuvarande hyressystem och de potentiella modellerna är alla relativt väl utredda ur ett hyresmässigt perspektiv.
Med ryktet som insats: - En fallstudie i tre svenska storföretags ryktesarbete
The purpose of this thesis is to gain understanding of how companies proactively can manage their reputation. The thesis analyzes three multinational companies in Sweden and uses two theoretical approaches - the reputation risk view and the reputation strengthening view - to gain an overall perspective of how companies work with their reputation. It focuses on investigating which key areas of reputation risk the focal companies identify and how they manage the reputation risks within these areas. Moreover, it examines which stakeholders the companies believe are most critical from a reputation point of view and in what ways the companies work with strengthening their reputation among those stakeholders. In order to find a general approach, the thesis investigates the similarities and differences that exist between the respective companies in the study.
I mötet mellan två världar: En studie om förändrade chefsroller i sjukvården
Swedish healthcare has experienced increased economic pressure during the last decades and organizations have faced many changes. Managers and their roles in organizations have also been affected by the changes. Traditionally, managers in the healthcare sector are highly specialized doctors with a strong medical background. In the thesis, we study a big private healthcare company with an ambition to lead the development in the sector. In order to accomplish its goal, the company is trying to change the organization of managers.