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Foot muscular tone in type 1 diabetes mellitus patients and its correction using functional electrical stimulation.

作者:Ričardas Kerpė,
畢業學校:Kaunas University of Medicine
出版單位:Network of Lithuanian Academic Libraries
核准日期:2007-04-25
類型:Dissertation
權限:restricted.Release the entire work for campus access only..I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third p....

英文摘要

The increasing expectations of the society, changes in the demographic structure of the population, and development of new health care technologies and costs related to it caused the appearance of control mechanisms for health care costs in most countries. In-patient care usually uses 45 – 75 per cent of all expenses designated for health care; therefore it is not incidental that primary attention is being given to in-patient health care and it’s financing. It is partially determined by increasing expenses and the perception that the resources allocated are not always being properly and efficiently used. Therefore the necessity of reformation of inpatient health care and searching for new, more expedient structures and more effective ways of service provision appeared in most countries. There are a lot of ways in which traditional in-patient health care can be reformed; however, most of them have one or several major goals:
- to increase the efficiency of the inpatient service providers;
- to improve the hospitalisation and discharge of the patients and to more rationally use the resources;
- to change the structure of the in-patient health care institutions (hospitals) in order to provide in-patient services more efficiently.
In recent years, especially when reforming in-patient health care, more and more attention has been devoted to evaluation of the activities of hospitals. While evaluating the indicators of the activities of a hospital, it is usually limited to its main function – provision of services. Service provision is the basis of any health care organisation and the subject of evaluation of the activities of the hospital. Traditionally the activities of health care organisations have been evaluated according to the volumes of the services, and the number of patients treated is the most popular indicator of the activities of hospitals. Despite the fact that modern models of evaluation of health care organisations include many different aspects and dimensions (such as the quality of the services, capability to obtain the necessary resources, capability to react to the needs of the society, efficiency, productivity, culture of the organisation, etc.), evaluation of the activities of health care institutions according to the number in-patient cases remains one of the main indicators, because in most health care systems funding for health care organisations is based on the number of in-patients treated or services provided.



 

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