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Employer’s Guide to Medical Tourism Benefit Design

為了解決Consider的問題，作者Todd, Maria K. 這樣論述：

Health travel, domestic and international, for the group health benefit sector is an established cost containment option that was for years, used primarily by reinsurers and case management firms and limited to rare, high-cost, tertiary care. Through the use of cost-saving benefit design incentives,

employers are testing the receptiveness of plan participants and encouraging plan members to consider a narrow network of high-performance healthcare providers in targeted locations that may be located further from home. In addition to foreign medical tourism, this has given rise to another emergin

g market - domestic medical tourism. Unlike foreign medical tourism, patients don't leave the country. Instead they travel to another city with the U.S. to have procedures for upt to 75% less than they would pay if they were treated closer to home. Large employers such as Wal-Mart, Lowe's and Pepsi

Co are offering employees and dependents heart, spine and transplant surgeries at large medical facilities such as John Hopkins and the Cleveland Clinic, regardless of where they are located in the U.S. This book addresses how to design and launch a health travel benefit pilot program, plan funding

options, quality, safety and logistic considerations, provider selection criteria, and bundled case rate contracting in the USA and abroad. The author also includes many worksheets, checklists and forms to use when designing a health travel benefit program.

Consider進入發燒排行的影片

強化資訊通信系統的安全機制設計之研究

為了解決Consider的問題，作者林㒥祥 這樣論述：

隨著資訊技術的發展，迄今資訊安全已是全球性的問題，國家對資訊基礎建設的依賴越來越重，隨著網路興起使近年來網路上不斷發生資安事件，除了嚴重影響個人及企業，對國防資訊通信系統的安全也是一大隱憂，隨著各系統介接整合，單一身分認證機制的防護不足，機敏資訊易遭竊取、偽冒或破解等重要議題，使得如何強化資訊網路安全性，已成為當前國軍重視考量之課題。為提升系統的安全性，本研究設計將區塊鏈及智能合約導入訊息交換系統，利用其不可竄改及條件執行、去中心化等特性，由智能合約管控，直至設定條件滿足後，由智能合約驗證身分並自動執行電子訊息交換，設計出適用於強化資通系統之安全機制，不僅符合機密性、完整性、不可否認性等基礎

安全需求外，並能抵禦常見之竊聽及偽冒等網路攻擊手段，更可建立運算速度快，耗費資源少之保護機制，兼顧效能、成本與安全性，有效地防杜機敏訊息失竊風險。

The Battle of the Somme 1916: Developing the Offensive – July to Mid September

為了解決Consider的問題，作者Cave, Nigel/ Sheldon, Jack 這樣論述：

After the initial anticipation of great results for the Allied offensive that opened on 1 July, the French and the British had to consider their next moves. Haig made the fateful decision to reinforce perceived success at the center and south of the British line (although Joffre, rightly, wished

to continue the pressure at Thiepval). The result was a series of minor (if expensive) operations to provide a suitable base line for the next major British assault along the Bazentin Ridge, running approximately from east of Longueval to west of Bazentin le Petit Wood. Thus Ovillers, Mametz Wood an

d Tr nes Wood became prominent in Britain's military history. The French soon began to appreciate that the great success south of the river on 1 July was not going to achieve much more unless the front was extended southwards (impractical, given pressure at Verdun and limited manpower resources); or

if advances could be made north of the river that would outflank the Germans to the south. Meanwhile Falkenhayn continued to believe in the imminence of British offensive action further north, in French Flanders, despite the fact that he was reassured time and again that there was no evidence for t

his and that in any case such an eventuality could be contained with reduced resources. Eventually the offensive in Verdun was halted, in late August Falkenhayn was removed after he had presided over increasing friction at the highest level on the Somme front amongst senior commanders; Ludendorff an

d Hindenburg took over and the genius of German defensive measures, Lo berg, arrived on the scene. This book covers actions at Ovillers, Pozi res (notably involving the Australians) Mametz, Delville Wood (South Africa's first great war time action in Europe), the bitter fighting at High Wood, all le

ading up to the great attack on the Somme on 15 September. This was the third such major effort by the British army and the first time since 1 July that the Allies had attacked simultaneously in strength. The book then looks at aspects of the fighting associated with this attack, in particular the r

ole of the New Zealand Division and of the Guards Division around Les Boeufs. It then concentrates on the Anglo French boundary area (Guillemont and Combles) before considering French activity at Maurepas, Cl ry, Biaches and La Maisonette and the extension of the French front on 3 September, with fi

ghting at Soy court, Lihons and Vermandovillers. The book ends with a review of the situation both sides found themselves in mid September, before the action continued its relentless grind at extraordinary cost in men and materiel.

以疾病不確定感理論發展整合性心動健康網路照顧模式提升心房顫動病人因應策略之成效探討

為了解決Consider的問題，作者謝慧玲 這樣論述：

正文目錄正文目錄『表』目錄 IV『圖』目錄 V『附錄』目錄 VII中文摘要 VIII英文摘要 X第一章 緒論 1 第一節 研究背景、動機及重要性 1 第二節 研究目的 7第二章 文獻查證 8 第一節 心房顫動疾病簡介 8 第二節 疾病不確定感理論 15 第三節 疾病不確定感相關研究 22 第四節 整合性健康網路照顧模式的發展及運用 31第三章 研究架構與假設 36 第一節 研究架構 36 第二節 研究假設 37 第三節 名詞界定 38第四章 研究方法與過程 43 第一節 研究設計 43 第二節 研究對象及場所 45 第三節 研究工具 46

第四節 研究工具之信效度檢定 52 第五節 研究過程 59 第六節 研究倫量 63 第七節 資料處理與統計分析 64第五章 研究結果 66 第一節 心房顫動病人的基本屬性68 第二節 心房顫動病人的症狀困擾、疾病知識、社會支持、疾病不確定感、因應策略及心理困擾之前後測情形 76 第三節 介入「整合性心動健康網路照顧模式」對於心房顫動病人症狀困擾、疾病知識、社會支持、疾病不確定感、因應策略及心理困擾之成效 85第六章 討論 107 第一節 心房顫動病人的基本屬性現況分析 108 第二節 介入「整合性心動健康網路照顧模式」對於改善心房顫動病人症狀困擾之成效 111

第三節 介入「整合性心動健康網路照顧模式」對於改善心房顫動病人疾病知識之成效 113 第四節 介入「整合性心動健康網路照顧模式」對於改善心房顫動病人社會支持之成效 115 第五節 介入「整合性心動健康網路照顧模式」對於改善心房顫動病人疾病不確定感之成效 117 第六節 介入「整合性心動健康網路照顧模式」對於改善心房顫動病人因應策略之成效 119 第七節 介入「整合性心動健康網路照顧模式」對於改善心房顫動病人心理困擾之成效 121 第八節 研究限制 124第七章 結論與建議 125 第一節 結論 125 第二節 建議 127參考文獻 129附錄 141『表』目錄表1. 資料處理

與分析 65表2. 心房顫動病人之人口基本屬性 70表3. 心房顫動病人的疾病特性 74表4. 心房顫動病人症狀困擾、疾病知識、社會支持、疾病不確定感、因應策略及心理困擾之前測與後測結果 83表5. 以 GEE 方法探討整合性心動健康網路照顧模式於心房顫動病人症狀困擾改變之成效 86表6. 以 GEE 方法探討整合性心動健康網路照顧模式於心房顫動病人疾病知識改變之成效 89表7. 以GEE方法探討整合性心動健康網路照顧模式於心房顫動病人社會支持改變之成效 92表8. 以GEE方法探討整合性心動健康網路照顧模式對於心房顫動病人疾病不確定感之改變成效 95表9. 以GEE方法探討整合性心動健康網路

照顧模式對於心房顫動病人因應策略改變之成效 98表10. 以GEE方法探討整合性心動健康網路照顧模式對於心房顫動病人心理困擾改變之成效 103『圖』目錄圖1. 不確定感理論架構 21圖2. 研究架構圖 36圖3. 研究設計 44圖4. 流程圖 67圖5. 兩組在第三版症狀頻率-嚴重程度評估量表之症狀頻率次量表平均分數於前測、後測第一個月、第三個月與第六個月的變化 87圖6. 兩組在心房顫動知識量表平均分數於前測、後測第一個月、第三個月與第六個月的變化 90圖7. 兩組在醫療社會支持量表平均分數於前測、後測第一個月、第三個月與第六個月的變化 93圖8. 兩組在中文版Mishel疾病不確定感量表平

均分數於前測、後測第一個月、第三個月與第六個月的變化 96圖9. 兩組在簡易因應量表之應對因應策略次量表平均分數於前測、後測第一個月、第三個月與第六個月的變化 99圖10. 兩組在簡易因應量表之迴避因應策略次量表平均分數於前測、後測第一個月、第三個月與第六個月的變化 100圖11. 兩組在醫院焦慮憂鬱量表平均分數於前測、後測第一個月、第三個月與第六個月的變化 104圖12. 兩組在醫院焦慮憂鬱量表之焦慮次量表平均分數於前測、後測第一個月、第三個月與第六個月的變化 105圖13. 兩組在醫院焦慮憂鬱量表之憂鬱次量表平均分數於前測、後測第一個月、第三個月與第六個月的變化 106『附錄』目錄附錄一

心房顫動病人基本屬性量表 附錄一附錄二 第三版症狀頻率-嚴重程度評估量表之症狀頻率次量表 附錄二附錄三 心房顫動知識量表 附錄三附錄四 醫療社會支持量表 附錄四附錄五 中文版Mishel疾病不確定感量表 附錄五附錄六 簡易因應量表 附錄六附錄七 醫院憂鬱焦慮量表 附錄七