107,676 research outputs found
FORTRAN program flow chart is automatically produced
Computer under control of the flo-tran program automatically produces and updates flowcharts of fortran program source decks fed to it. The flowcharts are produced on either 35mm film or paper
Signing and Signifyin\u27: Negotiating Deaf and African American Identities
For individuals who are both African American and Deaf finding a place to belong is a process of navigating their many cultural identities. In this paper I explore the following questions: where do individuals who are African American and Deaf find and make community? To which communities do they perceive they belong? Is their primary identity African American, Deaf or something else? Does belonging to one community negate membership in another? Does the presence of African American Deaf individuals have an impact on either community or are they forced to create an entirely new one for themselves
An Administrative View of Model Uncertainty in Public Health
Dr. Carrington reviews several ways to deal with model uncertainty, including those failing to acknowledge any use of models. He then evaluates six such methods with regard to, e.g., transparency and cost of execution
Achieving patient-focused maintenance services/systems
Purpose – The purpose of this paper is to identify and investigate the contribution made from the
estates services to the quality of the patient experience from the perspective of all estates staff ranging
from front-line staff to directors of estates and facilities. The work is exploratory in nature owing to no
known earlier studies in this area.
Design/methodology/approach – A postal questionnaire is distributed to a non-random
self-selecting group of National Health Service (NHS) estates staff – therefore those staff working
in the areas of maintenance, engineering, building, gardening and general office estates management.
A total of 920 questionnaires are distributed to the 46 NHS trusts. There are 202 responses, which is a
return rate of 22 per cent.
Findings – It is clear that overall estates staff consider their job/service to be important to the patient
experience, 94 per cent of respondents indicate they did. This is further confirmed by 82 per cent of
estates line managers considering their job to be important to the patient experience. In terms of how
estates feel they contribute to the patient experience, there is a range of responses, however the main
reason highlighted is the recognition that the hospital could not function without the service being
provided, i.e. the maintenance of essential services, water, power and the general infrastructure.
Estates departments perhaps need on patient awareness of the services they provide and the
importance of them in making the hospital function.
Research limitations/implications – The results presented provide a useful insight into how
estates departments in the NHS perceive their contribution to the patient experience. However, they are
not without limitations. First, the sample size is relatively small; and second non-random sampling
techniques are used.
Originality/value – The findings suggest a number of avenues for future work. The most obvious
would be to investigate the level of awareness from patients regarding estates services in the NHS
Equity of access to adult hospice inpatient care within north-west England.
There is a growing debate about the question of equity of access to hospice and palliative care services. Even countries with relatively well developed palliative care systems are considered to have problems of access and inequity of provision. Despite these concerns, we still lack a relevant evidence base to serve as a guide to action. We present an analysis of access to adult hospice inpatient provision in the north-west region of England that employs Geographical Information Systems (GIS). Measures of the possible demand for, and supply of, hospice inpatient services are used to determine the potential accessibility of cancer patients, assessed at the level of small areas (electoral wards). Further, the use of deprivation scores permits an analysis of the equity of access to adult inpatient hospice care, leading to the identification of areas where additional service provision may be warranted. Our research is subject to a number of caveats�it is limited to inpatient hospice provision and does not include other kinds of inpatient and community-based palliative care services. Likewise, we recognise that not everyone with cancer will require palliative care and also that palliative care needs exist among those with nonmalignant conditions. Nevertheless, our methodology is one that can also be applied more generally
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