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Healthcare in a major university setting poses unusual challenges and great opportunities. Two traditionally challenging areas in patient distribution are the initial intake of allergy/immunization patients and the triage of outpatients in the general medical clinic. The authors describe the use of the FOCUS-PDCA quality improvement (QI) problem-solving process for each situation. After identifying major problems, the health center established cross-functional teams of experts representing the allergy/immunization and general medical clinics. The teams analyzed the problems with a flow chart and undertook studies to further elucidate causes and potential solutions. They listed potential solutions in order of priority and submitted them to the student health center director for review and initiation. Each team then used the PDCA (plan-do-check-act) cycle to put approved solutions into effect. Permanent improvements made in each area resulted in a more effective and efficient patient distribution system, favorable staff comment, and greater patient satisfaction. 相似文献
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Using structural equation modeling analyses weexamined the correlation in levels of depressionsymptoms within couples to determine whether theunderlying mechanism is due to common stressors,empathic reactions, or crossover via social interaction.The analyses were based on two waves of data collectionfrom a sample of 354 male Vietnam veterans, Era veterans(veterans who served elsewhere during the period of the Vietnam War), and nonveterans andfrom their wives or committed partners. The resultsdemonstrated that the correlation in depression symptomswithin couples is due primarily to common stressors and crossover via negative social interaction.Common stressful life events increase depression in bothspouses, and this in turn increases social undermining,which further increases depression. 相似文献
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Sarah A. Sayger MD James S. Westman PhD 《Journal of American college health : J of ACH》2013,61(6):303-308
Abstract Healthcare in a major university setting poses unusual challenges and great opportunities. Two traditionally challenging areas in patient distribution are the initial intake of allergy/immunization patients and the triage of outpatients in the general medical clinic. The authors describe the use of the FOCUS-PDCA quality improvement (QI) problem-solving process for each situation. After identifying major problems, the health center established cross-functional teams of experts representing the allergy/immunization and general medical clinics. The teams analyzed the problems with a flow chart and undertook studies to further elucidate causes and potential solutions. They listed potential solutions in order of priority and submitted them to the student health center director for review and initiation. Each team then used the PDCA (plan-do-check-act) cycle to put approved solutions into effect. Permanent improvements made in each area resulted in a more effective and efficient patient distribution system, favorable staff comment, and greater patient satisfaction. 相似文献
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To investigate the shape of the relationship between stress resulting from excessive demand and performance, 306 officer cadets in the Israel Defence Forces completed stress questionnaires during their training. Stress was consistently negatively related to various measures of performance. The prediction derived from the inverted-U hypothesis, that those whose ability exceeded demand and those who felt that demands taxed their ability would perform worse than those whose ability matched their demands, was not supported. Until all the requisite conditions for testing the inverted-U hypothesis are met, the authors propose relegating it to the laboratory. 相似文献
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This note describes how the theory of measurable multiattribute value functions was used to evaluate the proposals of three competing subcontractors for a program-planning project undertaken by Los Alamos National Laboratory. The purpose of the program-planning project was to develop a methodology for the evaluation of alternative long-range strategies for the achievement of controlled thermonuclear fusion. A measurable multiattribute value function was developed based on eleven criteria. Eight judges made evaluations on each of these criteria, and their judgments were synthesized to identify the winning subcontractor. While we emphasize details associated with this specific application, we expect the problem structure and methodology to be amenable to other contractor-and proposal-evaluation efforts after only minor modifications. 相似文献
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Corporations are increasingly forced to widen their agendas to include social and environmental concerns, or corporate social responsibility (CSR). This development has been recorded in the current academic debate, and the views regarding its implications for business, the state, and civil society diverge. However, there is agreement within the CSR and corporate governance literatures that there is a lack of thorough empirical studies of these effects. Based on a case study of the multinational wind energy company Suzlon Energy's CSR projects in rural India, this article contends that CSR projects implemented through cross‐sector partnerships can help to build the capacities of civil society organizations (CSOs). Although the risk of corporate steering of the civil society agenda is reduced when CSR prioritizes community needs over business imperatives, CSOs tend to bear the highest costs in partnerships, through credibility losses and insecurity concerning project terms and funding, reinforcing the importance of critical cooperation and complementary core competencies in cross‐sector partnerships. The results have implications for the strategies of corporations, CSOs, and governments as well as for the planning of national and international development aid. 相似文献
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To expand work‐family conflict (WFC) research to specific occupations, this study investigated how work and family generic and occupation‐specific stressors and support variables related to family interfering with work (F → W) and work interfering with family (W → F) among 230 Israeli high school teachers. Further expanding WFC research, the authors assessed WFC effects on burnout and vigor. Results indicated that W → F conflict was related to generic variables and more so to distinctive teaching characteristics (e.g., investment in student behavior and parent‐teacher relations). Both W → F and F → W predicted burnout, whereas only F → W predicted vigor. Implications for WFC research and occupational health programs are discussed. 相似文献
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We hypothesized that employees' emotionaldistress would be affected by the degree to which theirpayment was contingent upon individual performance.Respondents were 2747 blue-collar employees in 21factories in Israel. They completed questionnaires oncompany time. We found that, in comparison with thosewho were paid only according to time worked, being on aperformance-contingent pay system was associated with higher levels of depression and somaticcomplaints, but not of anxiety. As expected, theseeffects were partially mediated by the extent to whichthe respondents' work was monotonous. 相似文献
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The report describes the development of a mathematical model of the progress of patients with Wilm's Tumour using the methodology developed by Jackson & Aspden [1, 2]. The model incorporates two prognostic factors which are shown to influence patient progress. These are the stage of the tumour and the age of the patient at presentation. The model proved adequate to represent an initial set of patient data, and comparison runs were performed with data from a later time period. These runs highlighted changes in patient progress between the two groups and illustrated the usefulness of the model in this type of analysis. The analysis also underlined the poor prognosis of patients over 5 years old who relapsed. 相似文献
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