scholarly journals ROSE – the learning health care system in the Osnabrück-Emsland / ROSE – das lernende Gesundheitssystem in der Region Osnabrück-Emsland

2016 ◽  
Vol 3 (1) ◽  
pp. 14-20
Author(s):  
Ursula Hübner ◽  
Birgit Babitsch ◽  
Stefanie Kortekamp ◽  
Nicole Egbert ◽  
Andrea Braun von Reinersdorff
Keyword(s):  
Rural Areas ◽  
Healthcare Providers ◽  
Feedback Mechanism ◽  
Driving Mechanism ◽  
Lower Saxony ◽  
Local Authorities ◽  
University Of Applied Sciences ◽  
Scientific Results ◽  
Urban And Rural Areas ◽  
The University

AbstractThe University Osnabrück and the University of Applied Sciences Osnabrück and regional partners recently signed a Memorandum of Understanding to establish a Healthcare Campus. The aim of the Healthcare Campus is to develop innovative concepts for delivering patient care in the Osnabrück region. It brings together academia, networks, enterprises, healthcare providers and local authorities. Financed by the State of Lower Saxony, the project „The Learning Healthcare System in the Region Osnabrück Emsland (ROSE)” is a central activity within the Healthcare Campus. This project makes use of the learning paradigm. Providing feedback is the driving mechanism to achieve progress. Research provides the feedback to the healthcare providers and local authorities, in order to optimise the current practice in urban and rural areas of the region. The feedback mechanism is based on data from practice, which play the central role in turning evidence-based-practice into practice-based-evidence and putting translation at the start, not at the end of the project. Both universities coordinate their activities within the ROSE project to attain the goals of the Healthcare Campus Osnabrück. The model with five measures for the implementation is presented. It builds upon the wealth of existing bachelor and masters programs in healthcare and unites research, PhD programs and translation of scientific results into practice.

scholarly journals Bike Station Suitability on University Campus Using Origin–Destination Matrix—A Morgan State University Case Study

Urban Science ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 74 ◽  
Author(s):  
Nashid K. Khadem ◽  
Md Muhib Kabir ◽  
Snehanshu Banerjee ◽  
Mansoureh Jeihani
Keyword(s):  
Rural Areas ◽  
Matrix Analysis ◽  
State University ◽  
University Campus ◽  
Transportation Mode ◽  
University Campuses ◽  
Bike Sharing ◽  
Morgan State University ◽  
Urban And Rural Areas ◽  
The University

In contemporary times, bike sharing programs are gaining importance as an influential transportation mode in both urban and rural areas. They are also used as a vital transportation mode on university campuses which serve as a healthy and environmentally-friendly transportation system. However, having an appropriate location for a bike station is important, so as to maximize the benefits of the service. This study used an origin–destination (O-D) matrix to identify appropriate bike station locations at the Morgan State University campus. The O-D matrix analysis identifies three locations Cumming Hall/University Health Center, Rawling Hall, and Center for Built Environment and Infrastructure Studies as the most appropriate locations to start a pilot, which will serve most of the campus (students, faculty, staff) and connect them to the maximum number of facilities at Morgan State University. The O-D matrix takes into account the occupancy or population of individual buildings based on enrollment over the past four years, the distance to the center of the campus where maximum facilities including the graduate and undergraduate offices are located, and the frequency of the university shuttle connecting most of the buildings. This methodology can be replicated and used on other university campuses and will help further bike sharing programs.

Utilization of Modern Large Scale HAWT Blade Design Techniques for the Development of Small HAWT Blades

2014 ◽  
Author(s):  
G. Pechlivanoglou ◽  
G. Weinzierl ◽  
I. T. Masmanidis ◽  
C. N. Nayeri ◽  
T. P. Philippidis ◽  
...  
Keyword(s):  
Wind Turbine ◽  
Wind Turbines ◽  
Rural Areas ◽  
Large Scale ◽  
Great Majority ◽  
Rotor Blades ◽  
Urban And Rural Areas ◽  
The University ◽  
Large Wind ◽  
Small Capacity

Lately the need for modern medium capacity wind turbines for self-consumption within urban and rural areas has risen again. The great majority however of the large wind turbine manufacturers are not interested in this small profit market. SMART BLADE GmbH in cooperation with the CORE Team of the University of Patras have decided to develop modern, sophisticated rotor blades with state of the art tools from the multi-MW wind turbine industry in order to boost the development of the upcoming modern small capacity wind turbines. The current paper presents the design of a modern 4m wind turbine blade with optimal aerodynamic design aimed at a variable speed hybrid stall operation.

scholarly journals Evaluation of patient satisfaction in hospitals in China 2003–2013: A national longitudinal analysis of population-based survey data

2019 ◽  
Author(s):  
Daisheng Tang ◽  
Ying Lian ◽  
Xuefan Dong
Keyword(s):  
Patient Satisfaction ◽  
Rural Areas ◽  
Policy Development ◽  
National Level ◽  
Healthcare Providers ◽  
Medical Expense ◽  
Medical Quality ◽  
Temporal Variance ◽  
Urban And Rural Areas ◽  
The Impact

Abstract Understanding the perception of patients towards the quality of hospitals is critical to policy development and improvement. However, there remains a dearth of literature examining the impact of the new health reform launched by China's government in 2009 on the changes of the patient satisfaction. Thus, the aim of this paper was to evaluate long-term trends in patient satisfaction to healthcare providers in China from 2003 to 2013. The data from three rounds (2003, 2008, and 2013) of the National Health Service Survey. The unsatisfactory rate, hospital satisfaction assessment and the most dissatisfied items for outpatients and inpatients in urban and rural areas in China were considered Percentages changes from 2003 to 2008, 2008 to 2013, and 2003 to 2013 were calculated to descriptively show the trends of patient satisfaction between these 10 years. Chi-square tests regarding the changes of each item between any two years were carried out to evaluate temporal variance. The results reveal a significant overall improvement in the patient satisfaction of both inpatients and outpatients in urban and rural areas in China from 2003 to 2013, especially for the period between 2008 and 2013. However, the percentage of outpatients who dissatisfied with the waiting time for treatment largely increased between 2008 and 2013. In addition, both inpatients and outpatients tended to pay more attention to the service quality and medical expense. With respect to the patient-physician trust relationship, an overall marked improvement could be identified. The findings of this study are unique in presenting the patient satisfaction at the national level in China, which highlight a need to carry out more national actions focusing on the optimization of visiting mechanism, the deduction of medical costs and the improvement of doctors' service and medical quality.

scholarly journals Preparedness of non-hospital health centers to manage patients with life-threatening emergency conditions: findings from a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Homayoun Sadeghi-Bazargani ◽  
Mehrdad Amir-Behghadami ◽  
Masoumeh Gholizadeh ◽  
Ali Janati ◽  
Farzad Rahmani
Keyword(s):  
Rural Areas ◽  
Work Experience ◽  
Healthcare Providers ◽  
Geographic Area ◽  
Health Centers ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Life Threatening ◽  
New Perspective ◽  
Urban And Rural Areas

Abstract Background Management of Life-threatening Emergency (LTE) patients in urban and rural areas is an important challenge, which can affect pre-hospital mortality rate. Therefore, Non-hospital Health Center (NHHC) must be prepared to manage such emergency cases that may occur in the geographic area where these centers act. The aim of this study was to explore domains related to the preparedness of NHHCs to manage LTE patients through resorting to healthcare providers’ and experts’ perspectives. Methods A qualitative exploratory study was applied using Semi-Structured Interviews (SSIs) and Focus Group Discussions (FGDs). Prior to beginning data collection, the study and its objectives were explained to the participants and their informed consents were obtained. Then, SSIs and FGDs were conducted by two trained researchers using an interview guide, which was developed through literature review and consulting experts. In total, 12 SSIs were done with the providers at different NHHCs in Tabriz. In addition, 2 FGDs were conducted with the specialists in Emergency Medicine (EM) and Primary Health Care (PHC), and the executives of health centers, with over 5 years of work experience, and Emergency Medical Services (EMS) experts. Purposive sampling method was used in this study. All SSIs and FGDs were audio recorded and subsequently transcribed. Framework Analysis was employed to manually analyze the interview transcripts from all the SSIs and FGDs. Results The interview transcripts analysis resulted in the emergence of 3 themes and 11 sub-themes, categorized according to Donabedian’s triple model. 5 sub-themes were related to input, including medical equipment and supplies, environmental infrastructures of the centers, emergency medicines, human resource, and protocols, guidelines and policies. 4 sub-themes were related to process, including providing clinical services, medicine storage capacity, maintenance of equipment, and management process. Finally, 2 sub-themes were related to outcome, which were patients’ satisfaction with the quality of care and improved survival of LTE patients. Conclusions The results of this study can provide a new perspective for health managers and policy makers on how to evaluate the preparedness of NHHCs in managing LTE patients. In addition, it will be used to develop instruments to measure the preparedness of these centers.

scholarly journals Coping with Covid-19: Forging Creative Pathways to Support Educational Continuity Amidst the Pandemic

2021 ◽  
pp. 111-122
Author(s):  
Vidya Yeravdekar ◽  
Nidhi Piplani Kapur
Keyword(s):  
Secondary Schools ◽  
Capacity Building ◽  
Rural Areas ◽  
Teaching And Learning ◽  
Teacher Capacity ◽  
Senior Secondary Schools ◽  
Urban And Rural Areas ◽  
K 12 ◽  
The University ◽  
Teacher Capacity Building

AbstractThe pandemic has forced all educational institutions to grapple with challenges. Throughout this time Symbiosis International University (SIU) in India has been proactive in leading change not only at the university but also in K-12 schools. While the university transitioned to virtual teaching and learning, a methodical approach was laid out in assisting its eight elementary and senior secondary schools in both urban and rural areas, through the Symbiosis Schools Central Directorate (SSCD), to adapt to the needs of a public health crisis. While connectivity challenges continue to haunt schools, especially in rural areas, training and capacity building of K-12 teachers and administrators by university professors and experts has been a saving grace in navigating the pandemic.The focus of this case is understanding the parallels and the partnership between SIU and its K-12 schools. It reflects a bottom-up approach in dealing with the pandemic where Symbiosis Society, the non-profit organization that has established the schools as well as the University, invested in teacher capacity building at its elementary and secondary schools through its Symbiosis Schools Central Directorate (SSCD) in both rural and urban areas to ensure continuity of teaching and learning while adapting to this new normal. The investment in teacher capacity building has enabled the leadership to address the emerging circumstances, stimulate momentum to create or demand needed change at their institutions, inspire peer learning, and foster innovation in strategy and practice for the greater benefit of its stakeholders including students and parents.This case study reflects on SIU experiences in dealing with the dynamic circumstances such as training and capacity building with respect to supporting teachers in developing skills to adapt their content to virtual mode, blended learning, and integrating Collaborative Online International Learning (COIL) into the curriculum. In addition, SIU had to counsel students and parents to adapt to this new way of learning. SIU’s experience encompasses a coordinated approach of working with internal and external stakeholders to develop a response to the crisis, short-to-medium-term strategic planning in the face of uncertainty, exploring technology solutions, partnership management, and effective communication processes with its stakeholders. Special emphasis has been put on ensuring the mental and physical wellbeing of the learner, constant communication and guidance to parents, and virtual activities to promote community engagement to mitigate the loss of physical social interactions at this crucial time.

scholarly journals The Proportion of Rural Applicants to the UNC-Chapel Hill School of Medicine is Close to Parity with the Proportion of College-Educated Young Adults in Rural NC

2021 ◽  
Author(s):  
Julie C. Spero ◽  
Beat Steiner ◽  
Julie S. Byerley ◽  
Gary L. Beck Dallaghan ◽  
Lisa Rahangdale ◽  
...  
Keyword(s):  
Rural Areas ◽  
Health Care Systems ◽  
School Of Medicine ◽  
Rural Counties ◽  
Rural And Urban ◽  
College Completion Rates ◽  
Care Systems ◽  
Urban And Rural Areas ◽  
The University ◽  
College Educated

Abstract Background Over the past 40 years, North Carolina’s physician supply grew faster than the total population, but the maldistribution of physicians between urban and rural areas increased. In rural counties, access-to-care and health disparities remain concerning. Method Descriptive analyses were conducted to compare the number and percentage of rural and urban students from North Carolina (NC) who applied, interviewed, and were accepted to the University of North Carolina’s School of Medicine. The likely pool of rural applicants was based on the number of college-educated 18-34-year-olds by county. Results Roughly 10.9% of NC’s population of college-educated 18-34-year-olds live in rural counties. Between 2017–2019, 9.3% (n = 225) of UNC SOM applicants were from a rural county. Conclusion An increase of just 14 additional rural applicants annually would bring the proportion of rural UNC SOM applicants in alignment with the potential applicant pool in rural NC counties. Addressing NC’s rural physician workforce needs will require multiple strategies that affect different parts of the medical education and health care systems, including boosting college completion rates in rural areas.

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