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You searched for +publisher:"University College Cork" +contributor:("Kirby, Ann"). Showing records 1 – 2 of 2 total matches.

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University College Cork

1. Fitzgerald, Sarah. Evaluation of complex workplace dietary interventions.

Degree: 2016, University College Cork

Background and aim The workplace has been identified as an ideal setting in which to promote healthy dietary behaviours. However, uncertainty surrounds both the effectiveness and costeffectiveness of workplace dietary interventions and a dearth of evidence exists with regards to evaluating the implementation process of such interventions. The core aim of this thesis was to conduct both a process evaluation and an economic evaluation of the Food Choice at Work (FCW) complex workplace dietary intervention. Methods The FCW study was a pragmatic trial which measured the effectiveness of a complex workplace dietary intervention in ideal settings. Firstly, a cross-sectional analysis which employed a zero-inflated negative binomial (zinb) regression model to examine associations between objective health status outcomes, lifestyle characteristics and absenteeism was conducted. Secondly, a detailed process evaluation addressed the implementation of the complex workplace intervention. Interviews were conducted at baseline (27 interviews) and at 7-9 months follow-up (27 interviews) with a purposive sample of workplace stakeholders (managers, caterers and employees). Data were analysed using a thematic framework. Thirdly, micro-costing methods were employed to estimate the cost of implementing and delivering the complex workplace dietary intervention from an employer’s perspective. Finally, an economic evaluation of the complex workplace intervention was conducted. This consisted of 1) a baseline costutility analysis (CUA) which measured the cost-effectiveness of the interventions in terms of quality-adjusted life-years (QALYs), 2) sensitivity analyses to test the robustness of the QALYs which involved performing cost-effectiveness analyses (CEA) using clinical measures to measure health outcomes and 3) a cost-benefit analysis (CBA) where the monetary value of absenteeism was employed so as to report the net benefit of the interventions relative to the control. Results Central obesity was positively associated with absenteeism and increased the expected rate of absence by 72% (mean number of absences was 2.5 days). Consuming a highquality diet and engaging in moderate levels of physical activity were negatively associated with absenteeism and reduced the expected frequency by 50% and 36% respectively. The process evaluation revealed that managers’ desire to improve company image, stakeholder buy-in, organisational support and stakeholder cohesiveness facilitated the implementation of the interventions. Anticipation of employee resistance towards menu changes, workplace restructuring and target-driven workplace cultures were found to impede intervention implementation. With regards to the cost-analysis, 3 main cost categories were identified 1) set-up costs 2) maintenance costs and 3) physical assessment costs. The combined intervention xvi reported the highest total costs (€47,305), followed by nutrition education (€44,726), environmental modification (€24,474) and the control (€21,412). In the economic evaluation, the baseline… Advisors/Committee Members: Perry, Ivan J., Kirby, Ann, Murphy, Aileen, Geaney, Fiona, HRB.

Subjects/Keywords: Complex workplace dietary intervention; Economic evaluation; Cost-effectiveness; Process evaluation

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Fitzgerald, S. (2016). Evaluation of complex workplace dietary interventions. (Thesis). University College Cork. Retrieved from http://hdl.handle.net/10468/3932

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Fitzgerald, Sarah. “Evaluation of complex workplace dietary interventions.” 2016. Thesis, University College Cork. Accessed October 20, 2019. http://hdl.handle.net/10468/3932.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Fitzgerald, Sarah. “Evaluation of complex workplace dietary interventions.” 2016. Web. 20 Oct 2019.

Vancouver:

Fitzgerald S. Evaluation of complex workplace dietary interventions. [Internet] [Thesis]. University College Cork; 2016. [cited 2019 Oct 20]. Available from: http://hdl.handle.net/10468/3932.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Fitzgerald S. Evaluation of complex workplace dietary interventions. [Thesis]. University College Cork; 2016. Available from: http://hdl.handle.net/10468/3932

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

2. Fox, Aimée. The impact of user charges on patient choice of healthcare services in Ireland.

Degree: 2016, University College Cork

This research assesses the impact of user charges in the context of consumer choice to ascertain how user charges in healthcare impact on patient behaviour in Ireland. Quantitative data is collected from a subset of the population in walk-in Urgent Care Clinics and General Practitioner surgeries to assess their responses to user charges and whether user charges are a viable source of part-funding healthcare in Ireland. Examining the economic theories of Becker (1965) and Grossman (1972), the research has assessed the impact of user charges on patient choice in terms of affordability and accessibility in healthcare. The research examined a number of private, public and part-publicly funded healthcare services in Ireland for which varying levels of user charges exist depending on patients’ healthcare cover. Firstly, the study identifies the factors affecting patient choice of privately funded walk-in Urgent Care Clinics in Ireland given user charges. Secondly, the study assesses patient response to user charges for a mainly public or part-publicly provided service; prescription drugs. Finally, the study examines patients’ attitudes towards the potential application of user charges for both public and private healthcare services when patient choice is part of a time-money trade-off, convenience choice or preference choice. These services are valued in the context of user charges becoming more prevalent in healthcare systems over time. The results indicate that the impact of user charges on healthcare services vary according to socio-economic status. The study shows that user charges can disproportionately affect lower income groups and consequently lead to affordability and accessibility issues. However, when valuing the potential application of user charges for three healthcare services (MRI scans, blood tests and a branded over a generic prescription drug), this research indicates that lower income individuals are willing to pay for healthcare services, albeit at a lower user charge than higher income earners. Consequently, this study suggests that user charges may be a feasible source of part-financing Irish healthcare, once the user charge is determined from the patients’ perspective, taking into account their ability to pay. Advisors/Committee Members: Kirby, Ann, Turner, Brian, Shinnick, Edward.

Subjects/Keywords: Healthcare; Health; User charges

University College Cork or elsewhere. All external references and sources are clearly acknowledged… …College Cork concerning plagiarism. Signed: ______________________ Date… …and identified within the contents. I have read and understood the regulations of University… 

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Fox, A. (2016). The impact of user charges on patient choice of healthcare services in Ireland. (Thesis). University College Cork. Retrieved from http://hdl.handle.net/10468/3056

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Fox, Aimée. “The impact of user charges on patient choice of healthcare services in Ireland.” 2016. Thesis, University College Cork. Accessed October 20, 2019. http://hdl.handle.net/10468/3056.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Fox, Aimée. “The impact of user charges on patient choice of healthcare services in Ireland.” 2016. Web. 20 Oct 2019.

Vancouver:

Fox A. The impact of user charges on patient choice of healthcare services in Ireland. [Internet] [Thesis]. University College Cork; 2016. [cited 2019 Oct 20]. Available from: http://hdl.handle.net/10468/3056.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Fox A. The impact of user charges on patient choice of healthcare services in Ireland. [Thesis]. University College Cork; 2016. Available from: http://hdl.handle.net/10468/3056

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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