Zeitschriftenartikel: „Registry of social service providers“

1

Surya, Ida. „Examining Public Satisfaction of Lombok Tengah Regency Civil Registry Service office Administrative Service Based on Government System“. Jurnal Ilmiah Wahana Bhakti Praja 10, Nr. 2 (14.01.2021): 333–42. http://dx.doi.org/10.33701/jiwbp.v10i2.1403.

Der volle Inhalt der Quelle

Annotation:

ABSTRACT. Public service is something that needed by the public. So in this regard, the government as an official public body has the duty and responsibility to provide the best service to the public itself. But the efforts made as a public service provider do and work, certainly not able to provide satisfaction to the public itself. Satisfaction with a service is one of the rights that obtained by someone. "In accordance with the Universal Declaration of Human Rights, ideals about free human beings, who enjoy civil and political freedom, and freedom from fear and poverty can only be achieved, if conditions are created where everyone can enjoy civil rights and its politics and economic, social and cultural rights”. To obtain input/information about public satisfaction in the field of population administration and civil registration services in Lombok Tengah Regency, researchers tried to conduct research, with survey methods, in order to obtain input from the public how about public services performed by public service providers in Lombok Tengah District, in the area of population administration and civil registration services.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

2

Macauda, Mark M., James F. Thrasher, Jessie E. Saul, Paula Celestino, K. Michael Cummings und Scott M. Strayer. „A Good Idea May Not Be Good Enough: Stakeholder Buy In to QuitConnect, a National Smokers’ Registry“. American Journal of Health Promotion 32, Nr. 5 (01.06.2017): 1187–95. http://dx.doi.org/10.1177/0890117117708841.

Der volle Inhalt der Quelle

Annotation:

Purpose: To examine interest and concerns among those who fund and operate state-run smoking cessation helplines (quitlines) about the concept of creating a centralized smokers’ registry that could be used to reengage smokers after they receive initial quitline support services. Design: We conducted 3, hour-long focus groups with stakeholders, covering the perceived benefits and barriers to creating a smokers’ registry. Setting: The focus groups were conducted via telephone. Participants: Three groups participated: quitline service providers (n = 14), quitline funders (n = 9), and national quitline partners (n = 8). Method: Data collection: Focus groups were recorded, transcribed, and coded for major relevant themes. Analysis Strategies: We used a grounded theory approach. Results: Stakeholders were generally positive about the concept of a centralized smokers’ registry (ie, QuitConnect), especially with its potential to link relapsed smokers to ongoing research studies designed to help smokers achieve abstinence from tobacco. However, stakeholders expressed concern about QuitConnect duplicating services already offered by state quitlines. Conclusion: Despite a common goal, many state quitline stakeholders had strong reservations about the creation of a centralized smokers’ registry unless they could see clear evidence that the registry added value and was not duplicative of their existing services.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

3

Petrovskaya, Yuliya A. „MODERNIZATION OF THE SOCIAL SERVICE SYSTEM IN THE CONTEXT OF INNOVATIVE DEVELOPMENT OF THE RUSSIAN FEDERATION: MECHANISMS AND BARRIERS“. Вестник Пермского университета. Философия. Психология. Социология, Nr. 2 (2019): 230–40. http://dx.doi.org/10.17072/2078-7898/2019-2-230-240.

Der volle Inhalt der Quelle

Annotation:

The most important condition for the successful innovative development in Russia is acceptance of the introduced reforms by the population and their understanding that these transformations entail improvement of the quality of life and growth in the level of social well-being. The quality and accessibility of social services are important components of social welfare. The system of social services currently existing in our country needs modernization which would include increasing the availability of social services, development of competition for the quality of their provision and extension of the range of services rendered to citizens. The subject matter under research in this paper is mechanisms and barriers of the social service system modernization in the context of the principal directions of Russia’s innovative development. There appear to be two main mechanisms of modernization: inclusion in the social services system of such entities as socially oriented non-profit organizations and development of social entrepreneurship that could extend the range of social services available to the population and compete for the quality of their provision. Special attention is paid to the analysis of interaction between governmental and non-governmental social service entities. The empirical research combines quantitative and qualitative methodology, since a number of phenomena (e.g. social entrepreneurship) represent an exception rather than a rule, and therefore they are of particular interest. Among the main barriers to the modernization of the social service system, there are both administrative barriers and the ideas and beliefs prevailing among the population (distrust of NGOs; low level of awareness of social entrepreneurship; reluctance of managers to register their organizations as providers of social services; low civil activity of the population in the regions of the Republic; concentration of non-governmental social service entities in the territory of the Petrozavodsk city, with the problem of access to social services being most acute in rural areas).

APA, Harvard, Vancouver, ISO und andere Zitierweisen

4

Jones, Marion E., Micheal L. Shier und John R. Graham. „Social exclusion and self-esteem: The impact of the identity – bureaucracy nexus on employed people experiencing homelessness in Calgary, Canada“. Journal of International and Comparative Social Policy 29, Nr. 2 (Juni 2013): 134–42. http://dx.doi.org/10.1080/21699763.2013.821951.

Der volle Inhalt der Quelle

Annotation:

This article argues that homelessness in Calgary, Canada is entrenched, in part, due to a systemic cycle of exclusion and defensive tactics carried out by those who are homeless and employed. A major proportion of this systemic exclusion occurs via a number of societal institutions: the provincial welfare structure in place to assist those in need; the provincial registry system for identification and licensing; the banking system, employment service providers; and the civil society organizations that provide shelter. Through one-to-one interviews with employed people experiencing homelessness in Calgary (n = 61) we found four identifiers that contribute to maintaining the adverse situation facing those who find themselves homeless: security of, and access to, replacement identification; access to banking; access to a mailing address; and accessibility to stable, permanent employment. Without access to these elements re-establishing social inclusion and navigating the transition to stable housing and non-vulnerable employment is far more difficult.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

5

Horne, Christopher S. „Assessing and Strengthening Evidence-Based Program Registries’ Usefulness for Social Service Program Replication and Adaptation“. Evaluation Review 41, Nr. 5 (08.01.2016): 407–35. http://dx.doi.org/10.1177/0193841x15625014.

Der volle Inhalt der Quelle

Annotation:

Background: Government and private funders increasingly require social service providers to adopt program models deemed “evidence based,” particularly as defined by evidence-based program registries, such as What Works Clearinghouse and National Registry of Evidence-Based Programs and Practices. These registries summarize the evidence about programs’ effectiveness, giving near-exclusive priority to evidence from experimental-design evaluations. The registries’ goal is to aid decision making about program replication, but critics suspect the emphasis on evidence from experimental-design evaluations, while ensuring strong internal validity, may inadvertently undermine that goal, which requires strong external validity as well. Objective: The objective of this study is to determine the extent to which the registries’ reports provide information about context-specific program implementation factors that affect program outcomes and would thus support decision making about program replication and adaptation. Method: A research-derived rubric was used to rate the extent of context-specific reporting in the population of seven major registries’ evidence summaries ( N = 55) for youth development programs. Findings: Nearly all (91%) of the reports provide context-specific information about program participants, but far fewer provide context-specific information about implementation fidelity and other variations in program implementation (55%), the program’s environment (37%), costs (27%), quality assurance measures (22%), implementing agencies (19%), or staff (15%). Conclusion: Evidence-based program registries provide insufficient information to guide context-sensitive decision making about program replication and adaptation. Registries should supplement their evidence base with nonexperimental evaluations and revise their methodological screens and synthesis-writing protocols to prioritize reporting—by both evaluators and the registries themselves—of context-specific implementation factors that affect program outcomes.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

6

Eisen, S., W. True, J. Goldberg, W. Henderson und C. D. Robinette. „The Vietnam Era Twin (VET) Registry: Method of Construction“. Acta geneticae medicae et gemellologiae: twin research 36, Nr. 1 (Januar 1987): 61–66. http://dx.doi.org/10.1017/s0001566000004591.

Der volle Inhalt der Quelle

Annotation:

AbstractA Vietnam Era (1964-1975) Twin Registry of American male-male veterans born between 1939 and 1955 has been developed to provide a study sample for research evaluating the impact of Vietnam service on the medical and psychosocial aspects of health. In preparation for developing the Registry, several alternative sources of twins and methods for identifying twins were investigated. A computerized database of veterans discharged from the military after 1967 was selected as the source because it contains about 50% of the total Vietnam era veteran population, is reasonably unbiased, and provides a feasible method for identifying twins. Twins were identified using an algorithm which involved matching entries on the database for same last name, different first name, same date of birth, and similar social security number. Twin status was confirmed by review of military records. The registry, now complete, is composed of 7,400 twin pairs. It will be an important resource for future research projects.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

7

Afrizal, Sandra Hakiem, Achmad Nizar Hidayanto, Putu Wuri Handayani, Besral Besral, Evi Martha, Hosizah Markam, Meiwita Budiharsana und Tris Eryando. „Evaluation of integrated antenatal care implementation in primary health care“. Journal of Integrated Care 28, Nr. 2 (07.03.2020): 99–117. http://dx.doi.org/10.1108/jica-07-2019-0031.

Der volle Inhalt der Quelle

Annotation:

PurposeThis study was aimed to evaluate the implementation of an integrated antenatal care (ANC) scheme through a retrospective document study using a checklist for measuring the adequacy of the cohort ANC register documented by midwives in an urban area and to describe the barriers for the midwives during the ANC record process.Design/methodology/approachAn exploratory descriptive study using a sequential mixed method was utilised where a quantitative method was employed by collecting secondary data of 150 entries of the cohort ANC register and followed by in-depth interviews among midwives and community health workers.FindingsThe results show that the cohort registry indicators for integrated care such as laboratory and management were poorly recorded. Several barriers were found and categorised during the implementation of the integrated ANC, namely (1) governance and strategy, (2) process of care, (3) organisation and management support.Research limitations/implicationsThe contribution of this present research is that it provides empirical data of the integrated ANC implementation in primary health care (PHC) which has the responsibility to deliver an integrated level of care for ANC using a cohort registry for pregnancy registration monitoring which facilitates the continuity and quality of care.Practical implicationsPractical implication of the finding is that functional integration such as the clinical information system to facilitate an efficient and effective approach during the implementation of integrated ANC in primary care should be considered to support the clinical, professional, organisational, system and normative integration.Originality/valueSince only limited studies have been conducted to assess the quality of the cohort ANC registry and to investigate the barriers against integrated ANC implementation in Indonesia, the research findings are valuable information for the national and local governments to improve the ANC service in Indonesia.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

8

Woodward, Kerry, Michael Polonsky, Julie Green, Julianne Abood und Andre Renzaho. „Settlement Service Literacy and the Relationship Between Service Utilisation and Wellbeing Among Newly Arrived Migrants: A Mixed Methods Systematic Review Protocol“. Social Science Protocols 3 (02.02.2020): 1–7. http://dx.doi.org/10.7565/ssp.2020.2801.

Der volle Inhalt der Quelle

Annotation:

Background: Settlement service literacy refers to the ability of migrants to access, understand and critically navigate settlement services. In Australia, increasing numbers of culturally and linguistically diverse migrants require settlement services to assist their transition. However, there are barriers to migrant’s ability to utilise settlement services which are related to their level of settlement service literacy. This review aims to shed light on how settlement service literacy influences new migrant’s utilisation of settlement services, and the consequences that it has for health, well-being and sense of belonging. Methods: The review will follow the guidelines laid out by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Literature searches will be undertaken in CINAHL, EMBASE, PubMed, PsycINFO, Scopus, Web of Science, Sociological Abstracts, SocIndex, ProQuest Social Science Database, and Google Scholar. Grey literature and relevant government bodies, non-government organisations, service providers and research institutes will also be searched. Studies included will report primary data (qualitative and quantitative) on new migrant’s (under five years) ability to utilise settlement services in high income countries. Studies that meet the inclusion criteria will be imported to Covidence, two researchers will screen the studies in a two part process (title and introduction scan; and full text) for relevance. Data extracted will include general publication information (author, country, year, and publication), type of study, participants, type of settlement service, measured outcomes, and the study aims, methods and results. Finally, data will be synthesised using a narrative approach. Discussion: The review will provide insight into the relationship between settlement service literacy and service utilisation and wellbeing for new migrants. The review will also provide data to inform settlement service policy to better cater for the needs of migrants. Systematic review registration:This protocol has been submitted to international prospective register of systematic reviews and meta-analysis (PROSPERO) and is currently under review.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

9

Johnson, Mark R. D., Anthea Wright, Moira-Anne Jeffcoat und Raewyn Petherick. „Local Authority Occupational Therapy Services and Ethnic Minority Clients“. British Journal of Occupational Therapy 59, Nr. 3 (März 1996): 109–14. http://dx.doi.org/10.1177/030802269605900304.

Der volle Inhalt der Quelle

Annotation:

An audit was conducted of all current cases on the register of a metropolitan district occupational therapy office by the physical disability team. The ethnic origin, language and religion of clients was established from the records and by direct enquiry. An analysis performed of presenting problems, service response and response times demonstrated that there were significant variations between ethnic groups in the use made of the service. No evidence was found of a systematic bias against the interests of ethnic minority groups in general, but a number of questions were raised. In particular, Asian clients were more likely to be referred by certain channels, to require major works and to waft longer for action. The implications for service providers should be explored. There is also evidence of ethnic-specific needs. The existing literature relating to ethnicity and occupational therapy, most of which is based on the American experience, is of slight value to consideration of the needs of ethnic minority groups or service providers in the United Kingdom. Social factors, including poverty and housing conditions, affect both needs and outcomes. Future research using Improved ethnic monitoring data and the baseline Information of the 1991 census of population will enlarge the debate and permit service Improvements.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

10

Ivanova, Maria M., und Olga I. Borodkina. „Development of the ecosystem of social entrepreneurship in the Northwestern region of Russia*“. Вестник Пермского университета. Философия. Психология. Социология, Nr. 4 (2020): 622–36. http://dx.doi.org/10.17072/2078-7898/2020-4-622-636.

Der volle Inhalt der Quelle

Annotation:

The article deals with the concept of the social entrepreneurship ecosystem and analyzes existing practices of social entrepreneurship in the northwestern region of Russia. Social entrepreneurship is designed to solve social problems through the use of sustainable economic instruments; social business results in social transformations associated with improving the quality of life of individual social groups and citizens. The state, the social capital, the market for social services and the infrastructure support were identified as the main elements and subjects of the ecosystem. The research is based on federal and regional statistics on the development of the non-governmental sector and social entrepreneurship, data from registers of social service providers, as well as regulatory legal acts on social entrepreneurship. Data analysis was carried out for all the main subjects of the northwestern region (St. Petersburg, Leningrad region, Kaliningrad region, etc.). The study results show that the legal foundations for the development of social entrepreneurship have been developed. There are various measures of state support, including state subsidies, loans, with a fairly wide regional diversity observed. At the same time, at present the non-governmental sector of social services does not fully meet the existing needs. This is reflected in the insufficient number of socially oriented nonprofit organizations and social entrepreneurs, and in the relatively small proportion of the population involved in the non-governmental sector of social services. However, we should note the active development of the infrastructure for training social entrepreneurs, which includes accelerators, a business incubator, information and consulting support for social entrepreneurs.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

11

Kelly, Maria, Katie M. O'Brien und Ailish Hannigan. „Using administrative health data for palliative and end of life care research in Ireland: potential and challenges“. HRB Open Research 4 (26.05.2021): 17. http://dx.doi.org/10.12688/hrbopenres.13215.2.

Der volle Inhalt der Quelle

Annotation:

Background: This study aims to examine the potential of currently available administrative health and social care data for palliative and end-of-life care (PEoLC) research in Ireland. Objectives include to i) identify data sources for PEoLC research ii) describe the challenges and opportunities of using these and iii) evaluate the impact of recent health system reforms and changes to data protection laws. Methods: The 2017 Health Information and Quality Authority catalogue of health and social care datasets was cross-referenced with a recognised list of diseases with associated palliative care needs. Criteria to assess the datasets included population coverage, data collected, data dictionary and data model availability, and mechanisms for data access. Results: Nine datasets with potential for PEoLC research were identified, including death certificate data, hospital episode data, pharmacy claims data, one national survey, four disease registries (cancer, cystic fibrosis, motor neurone and interstitial lung disease) and a national renal transplant registry. The ad hoc development of the health system in Ireland has resulted in i) a fragmented information infrastructure resulting in gaps in data collections particularly in the primary and community care sector where much palliative care is delivered, ii) ill-defined data governance arrangements across service providers, many of whom are not part of the publically funded health service and iii) systemic and temporal issues that affect data quality. Initiatives to improve data collections include introduction of i) patient unique identifiers, ii) health entity identifiers and iii) integration of the Eircode postcodes. Recently enacted general data protection and health research regulations will clarify legal and ethical requirements for data use. Conclusions: Ongoing reform initiatives and recent changes to data privacy laws combined with detailed knowledge of the datasets, appropriate permissions, and good study design will facilitate future use of administrative health and social care data for PEoLC research in Ireland.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

12

Jemar, G. N., D. Barros, C. Cisneros, M. Salech und V. Gizzi. „Suicide prevention program in the argentine federal penitentiary service“. European Psychiatry 41, S1 (April 2017): s888. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1801.

Der volle Inhalt der Quelle

Annotation:

Suicide configures failure in the mental health care of persons deprived of their liberty in terms of detection of risk factors, prevention, specific planning in terms of addressing thoughts of death or autolytic planning, trends, impulses and moods. The factors that unite in this catastrophe are multiple and depend not only on mental health care, but also on the circumstances that led to the deprivation of liberty, the family and the care of social continence and the intimate relationship of the person with its existence. Also, security personnel who take care of people in confinement contexts have a preponderant role in suicide preference. Structuring the personality distorted, immature or insufficient, circumstances that lead to vulnerability and threaten the preservation of life in the context of constant stress and loneliness. The transdisciplinary work experience provides us with constant review and dynamic concepts and practices to predict, diagnose and prevent risky behaviors prone to the symptoms of self-injury or self-harm of patients. In this sense, we propose interdisciplinary interviews of entry, registry for the detection of risk factors, specific treatment in patients at risk. The transdisciplinary confluence is a tool to be implemented to quantify the results and propose to reduce the incidence of suicide in people in a confinement context.Disclosure of interestThe authors have not supplied their declaration of competing interest.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

13

Parrado, Salvador. „Failed policies but institutional innovation through “layering” and “diffusion” in Spanish central administration“. International Journal of Public Sector Management 21, Nr. 2 (29.02.2008): 230–52. http://dx.doi.org/10.1108/09513550810855672.

Der volle Inhalt der Quelle

Annotation:

PurposeThis paper aims to show that the Spanish central administration, as a representative of the Napoleonic tradition, has undergone considerable managerial changes in non‐autonomous and semi‐autonomous agencies characterised by their direct involvement in service delivery in spite of the failure of macro‐changes and radical reforms of public administration.Design/methodology/approachThis paper provides case studies of “paths” of changes in three organisations.FindingsThrough “layering” and “diffusion” of institutions as social mechanisms included in the historical new institutionalism account for innovation, specific organisations like the tax agency, social security and property registry have become more managerial in a state dominated by public law.Research limitations/implicationsMore in‐depth case studies would make possible generalisation of how small changes can produce similar impacts or results than reform efforts at the macro‐level.Originality/valueThe use of historical neo‐institutionalism and the exam of mechanisms as “layering” and “diffusion” for explaining change is presented.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

14

Smith, Toby O., Oluseyi F. Jimoh, Jane Cross, Louise Allan, Anne Corbett, Euan Sadler, Mizanur Khondoker, Jennifer Whitty, Jose M. Valderas und Christopher Fox. „Social Prescribing Programmes to Prevent or Delay Frailty in Community-Dwelling Older Adults“. Geriatrics 4, Nr. 4 (27.11.2019): 65. http://dx.doi.org/10.3390/geriatrics4040065.

Der volle Inhalt der Quelle

Annotation:

The increasing incidence of frailty is a health and social care challenge. Social prescription is advocated as an important approach to allow health professionals to link patients with sources of support in the community. This study aimed to determine the current evidence on the effectiveness of social prescribing programmes, to delay or reduce frailty in frail older adults living in the community. A systematic literature review of published (DARE, Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, CINAHL, NICE and SCIE, National Health Service (NHS) Economic Evaluation Database) and unpublished databases (OpenGrey; WHO Clinical Trial Registry; ClinicalTrials.gov) were searched to July 2019. Studies were eligible if they reported health, social or economic outcomes on social prescribing, community referral, referral schemes, wellbeing programmes or interventions when a non-health link worker was the intervention provider, to people who are frail living in the community. We screened 1079 unique studies for eligibility. No papers were eligible. There is therefore a paucity of evidence reporting the effectiveness of social prescribing programmes for frail older adults living in the community. Given that frailty is a clinical priority and social prescribing is considered a key future direction in the provision of community care, this is a major limitation.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

15

Thomson, Rachael, Magde Noor und Asma Elsony. „Applying an ecological framework to examine the multiple levels of influence affecting the utilisation of private sector adult asthma services in Khartoum, Sudan: a mixed methods study“. F1000Research 9 (12.10.2020): 1227. http://dx.doi.org/10.12688/f1000research.25417.1.

Der volle Inhalt der Quelle

Annotation:

Background: Asthma is the third most common cause of hospital visits in Sudan. Sudan has a pluralistic health care system, with a strong and varied private sector. While research examining public sector asthma services exists, very little is known about which asthma services are available in the private sector. Methods: An explanatory sequential mixed-method social ecological approach was used to examine influencing factors of asthma service utilisation in the private sector, considering five levels: policy, organisational, community, familial, individual environment. Quantitative research involved surveying private healthcare facilities to describe asthma services. Qualitative research involved in-depth interviews with asthma patients to explore facility decision-making. Nine private chest clinics, 44 pharmacies, and 21 private hospitals offering asthma services in Khartoum were studied - 46 female and 28 male health providers were surveyed; 7 male and 7 female asthma patients were interviewed. Results: At the health policy level, there is no current asthma management policy for the private sector. At the organisational and health systems level, the survey found low rates of diagnostic equipment available, little asthma-specific training, and little use of asthma treatment cards, guidelines, and registers. At the community level, high levels of stigma from the community were felt by most of the patients interviewed. At the familial level, asthma was often viewed as a hereditary condition, and, as a long-term condition, there were worries about marriage potential and impact on jobs/future activities. At the individual level, patients sought frequent, short-term care at private facilities for acute attacks. The severity of the disease and the major impact it had, particularly on younger adults’, was striking. Conclusions: Applying an ecological framework to examine asthma care management enables review of all levels of service provision: inclusive health policy, government commitment, high quality service delivery, uninterrupted affordable drug supply, community involvement, and patient empowerment.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

16

Thomson, Rachael, Magde Noor und Asma Elsony. „Applying an ecological framework to examine the multiple levels of influence affecting the utilisation of private sector adult asthma services in Khartoum, Sudan: a mixed methods study“. F1000Research 9 (28.01.2021): 1227. http://dx.doi.org/10.12688/f1000research.25417.2.

Der volle Inhalt der Quelle

Annotation:

Background: Asthma is the third most common cause of hospital visits in Sudan. Sudan has a pluralistic health care system, with a strong and varied private sector. While research examining public sector asthma services exists, very little is known about which asthma services are available in the private sector. Methods: An explanatory sequential mixed-method social ecological approach was used to examine influencing factors of asthma service utilisation in the private sector, considering five levels: policy, organisational, community, familial, individual environment. Quantitative research involved surveying private healthcare facilities to describe asthma services. Qualitative research involved in-depth interviews with asthma patients to explore facility decision-making. Nine private chest clinics, 44 pharmacies, and 21 private hospitals offering asthma services in Khartoum were studied - 46 female and 28 male health providers were surveyed; 7 male and 7 female asthma patients were interviewed. Results: At the health policy level, there is no current asthma management policy for the private sector. At the organisational and health systems level, the survey found low rates of diagnostic equipment available, little asthma-specific training, and little use of asthma treatment cards, guidelines, and registers. At the community level, high levels of stigma from the community were felt by most of the patients interviewed. At the familial level, asthma was often viewed as a hereditary condition, and, as a long-term condition, there were worries about marriage potential and impact on jobs/future activities. At the individual level, patients sought frequent, short-term care at private facilities for acute attacks. The severity of the disease and the major impact it had, particularly on younger adults’, was striking. Conclusions: Applying an ecological framework to examine asthma care management enables review of all levels of service provision: inclusive health policy, government commitment, high quality service delivery, uninterrupted affordable drug supply, community involvement, and patient empowerment.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

17

Early, Frances, Patricia Wilson, Christi Deaton, Ian Wellwood, Terry Dickerson, James Ward, Lianne Jongepier et al. „Developing an intervention to increase REferral and uptake TO pulmonary REhabilitation in primary care in patients with chronic obstructive pulmonary disease (the REsTORE study): mixed methods study protocol“. BMJ Open 9, Nr. 1 (Januar 2019): e024806. http://dx.doi.org/10.1136/bmjopen-2018-024806.

Der volle Inhalt der Quelle

Annotation:

IntroductionChronic obstructive pulmonary disease (COPD) is a progressive lung disease associated with breathlessness, inability to exercise, frequent infections, hospitalisation and reduced quality of life. Pulmonary rehabilitation (PR), providing supervised exercise and education, is an effective and cost-effective treatment for COPD but is significantly underused. Interventions to improve referral and uptake have been tested and some positive results reported. However, interventions are diverse and no clear recommendations for practice can be made. This study aims to understand the challenges to referral and uptake in primary care, where most referrals originate, and to develop a flexible toolkit of resources to support referral and uptake to PR in primary care in the UK.Methods and analysisThis is a mixed methods study informed by normalisation process theory and burden of treatment theory. In the first phase, general practitioners, practice nurses and PR providers will be invited to complete an online survey to inform a broad exploration of the topic areas. In phase 2 interviews and focus groups will be conducted with patients, healthcare professionals (HCP) in primary care, PR providers and commissioners to gain an in-depth understanding of the issues and needs. Toolkit development in phase 3 will draw together the learning from phases 1 and 2 and employ an iterative development process to build the toolkit jointly with patients and HCPs. It will be tested in primary care for usability and acceptability.Ethics and disseminationThe study has ethical and Health Research Authority approval (Research Ethics Committee reference number 17/EE/0136). It is registered with the International Standard Registered Clinical/Social Study Number (ISRCTN) registry (trial ID:ISRCTN20669629, assignment date 20 March 2018, trial start date 1 April 2016). Dissemination will be aimed at patients, carers/families, service providers, commissioners and national interest groups. Methods will include conferences, presentations, academic publications and plain English reports and will be supported by the British Lung Foundation.Trial registration numberISRCTN20669629; Pre-results.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

18

Rotondi, Luca, Marta Zuddas, Pasquale Marsella und Paola Rosati. „A Facebook Page Created Soon After the Amatrice Earthquake for Deaf Adults and Children, Families, and Caregivers Provides an Easy Communication Tool and Social Satisfaction in Maxi-Emergencies“. Prehospital and Disaster Medicine 34, Nr. 02 (April 2019): 137–41. http://dx.doi.org/10.1017/s1049023x19000086.

Der volle Inhalt der Quelle

Annotation:

Although international and Italian conventions have issued numerous communication protocols to assist people with disabilities during earthquakes or other maxi-emergencies, no tailored strategies exist to create and disseminate information online to deaf people. On August 24, 2016, a devastating earthquake destroyed Amatrice in Central Italy. This natural disaster underlined the lack of information on disabled people possibly involved and the lack of tailored, online communication tools. Having various registries listing disabled residents in the earthquake area might have benefitted emergency procedures. To access information easily and expedite risk management, the authors developed an online information tool for deaf persons, their families, and caregivers. Within hours after the earthquake, they published a Facebook page (Facebook, Inc.; Menlo Park, California USA) including a video provided with subtitles, Italian sign language, and service numbers. Those who accessed the Facebook page spread the information to other social media. Although no registry yet specifies figures, the annual incidence of approximately three to five/1,000 new deaf persons diagnosed in Italy implies that around 5.4% of the total 43,507 Italian deaf people live in the earthquake territory, and presumably 1.3% are younger than 18 years of age. The Facebook page obtained unexpectedly numerous accesses and satisfaction from deaf adults and families with deaf children, as well as hearing family relatives and caregivers. A total of 60% deaf and 10% hearing people asked for more information. Despite limitations, the effort to develop a page for deaf people and their families, via a world-wide social media, permits fast access, outlines safety precautions during maxi-emergencies, and disseminates essential information designed for deaf people on civil protection services. The Facebook page provides a replicable example for developing similar, user-friendly, online tools for disabled groups to disseminate important safety information after earthquakes or other maxi-emergencies.Rotondi L, Zuddas M, Marsella P, Rosati P. A Facebook page created soon after the Amatrice Earthquake for deaf adults and children, families, and caregivers provides an easy communication tool and social satisfaction in maxi-emergencies. Prehosp Disaster Med. 2019;34(2):137–141

APA, Harvard, Vancouver, ISO und andere Zitierweisen

19

Hiltunen, Anna-Maria, Iiris Hörhammer, Katariina Silander, Jaakko Kaikuluoma und Miika Linna. „Integrating health service delivery for geriatric patients after hospital admission—A register study on the outcomes and costs“. Health Services Management Research 33, Nr. 1 (26.11.2019): 24–32. http://dx.doi.org/10.1177/0951484819887668.

Der volle Inhalt der Quelle

Annotation:

After a care episode in a hospital, elderly patients often face delays in transitions to permanent residence. Poor care coordination burdens both the patients and the healthcare system. Whereas different models for coordinating geriatric patients’ care and discharge planning have been developed, evidence on their cost-effectiveness remains scant. In this study, we evaluated the associations of an integrated care model on health and social care costs and service utilization among geriatric patients admitted to a hospital in a Finnish city with c. 68,000 citizens. Elderly patient cohorts admitted before (N = 709) and after (N = 364) the implementation of the integrated care model were compared restrospectively. The new model consisted of changes in regional care criteria, discharge planning, coordination between inpatient facilities, and the daily work of nursing staff. Patients treated in the new model spent, on average, 7.4 days less in institutionalized care during one year, and the total annual cost of care decreased by 967€ per patient. A regionally coordinated care pathway from hospital admission to permanent residence may improve the cost-effectiveness of elderly care. Coordination and monitoring of outcomes at regional level is essential to avoid fragmentation of care and suboptimization among different care providers serving the elderly.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

20

Picker, Vanessa, Eleanor Carter, Mara Airoldi, James Ronicle, Rachel Wooldridge, Jo Llewellyn, Lilly Monk et al. „Social Outcomes Contracting (SOC) in Social Programmes and Public Services: A Mixed-Methods Systematic Review Protocol“. Social Science Protocols 4 (05.09.2021): 1–21. http://dx.doi.org/10.7565/ssp.v4.5430.

Der volle Inhalt der Quelle

Annotation:

Background: Across a range of policy areas and geographies, governments and philanthropists are increasingly looking to adopt a social outcomes contracting (SOC) approach. Under this model, an agreement is made that a provider of services must achieve specific, measurable social and/or environmental outcomes and payments are only made when these outcomes have been achieved. Despite this growing interest, there is currently a paucity of evidence in relation to the tangible improvement in outcomes associated with the implementation of these approaches. Although promising, evidence suggests that there are risks (especially around managing perverse incentives).[1] The growing interest in SOC has been accompanied by research of specific programmes, policy domains or geographies, but there has not been a systematic attempt to synthetise this emerging evidence. To address this gap, this systematic review aims to surface the best evidence on when and where effects have been associated with SOC. Methods: This mixed-methods systematic review protocol has been prepared using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA-P) guidelines (Additional File 2) (Shamseer et al., 2010). The review aims to consult policymakers throughout the evidence synthesis process, by adopting a user-involved research process. This will include the establishment and involvement of a Policy Advisory Group (PAG). The PAG will consist of a large, diverse, international group of policy makers who are or have been actively involved in funding and shaping social outcomes contracts (Additional File 3). The following electronic databases will be searched: ABI/INFORM Global, Applied Social Sciences Index & Abstracts (ASSIA), Scopus, International Bibliography of the Social Sciences (IBSS), PAIS Index, PolicyFile Index, Proquest Dissertations and Theses, ProQuest Social Science, Social Services Abstracts, Web of Science, Worldwide Political Science Abstracts and PsycINFO. We will also conduct a comprehensive search of grey literature sources. Studies will be imported into Covidence and screened (after de-duplication) independently by two reviewers, using explicit inclusion/exclusion criteria. We will conduct risk of bias and quality assessment using recommended tools and we will extract data using a pre-piloted, standardised data extraction form. If meta-synthesis cannot be conducted for the effectiveness component, we will carry out a descriptive narrative synthesis of the quantitative evidence, categorised by type of intervention, type of outcome/s, population characteristics and/or policy sector. The qualitative studies will be synthesised using thematic content analysis (Thomas and Harden 2008). If possible, we will also analyse the available economic data to understand the costs and benefits associated with SOC. Finally, we will conduct a cross-study synthesis, which will involve bringing together the findings from the effectiveness review, economic review and qualitative review. We recognise that the proposed conventional effectiveness review method may lead to inconclusive or partial findings given the complexity of the intervention, the likely degree of heterogeneity and the under-developed evidence base. We see a traditional systematic review as an important foundation to describe the evidence landscape. We will use this formal review as a starting point and then explore more contextually rooted review work in future. Discussion: We will use the systematic review findings to produce accessible and reliable empirical insights on whether, when, and where (and if possible, how) SOC approaches deliver improved impact when compared to more conventional funding arrangements. The outputs will support policymakers to make informed decisions in relation to commissioning and funding approaches. Systematic review registration: This systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO), on 20th November 2020 and was last updated on 21 January 2021: (registration number PROSPERO CRD42020215207). [1] A perverse incentive in an outcomes-based contract is an incentive that has unintended and undesirable results. For instance, a poorly designed welfare-to-work scheme could create incentives for service providers to prioritise clients who are easier to help and to ‘park’ those who are harder to assist (NAO 2015).

APA, Harvard, Vancouver, ISO und andere Zitierweisen

21

Kit Teng, Phuah, Ting Jenn Ling und Kelly Wong Kai Seng. „Understanding Customer Intention to Use Mobile Payment Services in Nanjing, China“. International Journal of Community Development and Management Studies 2 (2018): 049–60. http://dx.doi.org/10.31355/22.

Der volle Inhalt der Quelle

Annotation:

NOTE: THIS ARTICLE WAS PUBLISHED WITH THE INFORMING SCIENCE INSTITUTE. Aim/Purpose.............................................................................................................................................................................. This study examines the factors that influence customer intention to use mo-bile payment service in Nanjing, China. It also gains a deeper understanding and better insight of Chinese consumer behavior. Background.............................................................................................................................................................................. Mobile payments services represent a tremendously interesting paradox in the world of telecommunications. Although, they are convenient, quick and easy but there is not still enough evidence on how successful this practice is. In Nanjing, China, consumer intention to use mobile payment is still questionable and remains as a skeptical consideration. Methodology.............................................................................................................................................................................. A survey was conducted in Nanjing, China where 612 respondents were interviewed by self-administrated survey. The modified Theory of Reasoned Action (TRA) and Technology Acceptance Model (TAM) were applied in this study. Descriptive analysis, exploratory factor analysis and multiple regressions were used to accomplish the objective. Contribution.............................................................................................................................................................................. This research provides an insight to the mobile telecommunication industry, marketers, decision makers and academics on the factors that encourage consumers to use mobile payment. Findings.................................................................................................................................................................................... Four factors that influence the consumer behavioral intention were deter-mined in this study (perceived risk, perceived usefulness, subjective norm and attitude). The results of multiple regression indicate that all four variables significantly influence consumer intention to use mobile payment in Nanjing, China, however subjective norm has relatively high impact as compared to others. Recommendations for Practitioners........................................................................................................................................ In order to build a positive expression of the brand, mobile service providers are suggested to enhance the persuasion of the application. As customers provide their privacy information to register for the mobile payment services, providers should strengthen their security system. This not only shapes consumer trust but also prevent privacy leakage. Secondly, mobile payment application providers can imply policies for protecting customer rights from potential risk to increase their agreement of the application. These will lead to unexpected losses financially. Recommendation for Researchers............................................................................................................................................ It is recommended to make a comparison study between two Mobile payment platforms by examining constructs such as usefulness, ease of use, perceived risk as well as security risk, financial risk, social risk and time risk between Alipay and Wechat payment system in China. Impact on Society........................................................................................................................................................................ Various forms of mobile payment have been adopted by Chinese consumers due to convenience, speed and ease of use. Even though mobile payment does not replace physical payment cards but it has been acting as a substitute for paper-based payment method and it is driving demand and consumer usage. However, there the potential for data to leak creates some level of insecurity and skepticism for Chinese costumers. Future Research............................................................................................................................................................................ To have an in depth understanding about the consumer intention to use mobile payment, it is recommended to determine the current customers’ satisfaction level by adopting the SERQUAL model. Qualitative and quantitative research with focus group will be a good approach to get a deeper understanding on the factors that influence consumer to use mobile payment services rather than others payment methods. It is also important to get more information regarding customer satisfaction towards the mobile payment platform.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

22

Magembe, Caroline, und Reuben Njuguna. „Service Characteristics and Service Quality of Organizations within the Telecommunications Sector; A Case of Safaricom Public Limited in Nakuru County“. International Journal of Current Aspects 3, Nr. V (07.10.2019): 57–75. http://dx.doi.org/10.35942/ijcab.v3iv.61.

Der volle Inhalt der Quelle

Annotation:

Safaricom Public Limited Company faces diverse challenges regarding service quality aspects. The communication authority of Kenya ensures that the quality of service amongst the mobile service providers in Kenya is in compliance with Kenya Information and Communication Act of 1998. While the other telecommunication players like Airtel and Telkom Kenya improved in their service quality, Safaricom failed to register any service quality improvement. Safaricom further failed to meet the minimum service quality on eight of the ten regions that were checked by Communication Authority of Kenya. Safaricom has consistently performed poorly and below the minimum set quality threshold in relation to service quality for the four years preceding 2016 financial years in its performance. This study therefore sought to examine the influence of service characteristics on service quality of Safaricom Public Limited Company in Nakuru County. The study was guided by the following specific objectives: to examine the role of service intangibility, service inseparability, service perishability and service variability on the service quality of Safaricom public limited company in Nakuru County. This study adopted expectancy theory and servqual methods in meeting its objectives. This study used descriptive research design to guide the study in meeting its objectives. The study targeted the customers who enter into Safaricom Public Limited Company shop in Nakuru County in any particular day. A sample size of 95 customers was used. This study used structured questionnaires to obtain data from respondents of the study. This study used subject matter experts who comprises of the research supervisor and the four managers from the Safaricom Public Limited Company. Cronbach’s Alpha test of internal consistency was used to test the reliability of the questionnaire using the data obtained from the pilot study carried out using 10 respondents from Airtel Kenya. The filled questionnaires were checked for completeness and then coded and entered into Statistical Package for Social Sciences (SPSS) for analysis. Both descriptive and inferential statistics were used in the analysis of data. The entire analysis was presented in form of tables. The study revealed that the multiple regression model used in this study was statistically significant in predicting the level of service quality at Safaricom Public Limited in Nakuru County. In respect to this, it was found that quality of service at Safaricom Public Limited in Nakuru County could be significantly be predicted using service variability, service perishability, service intangibility, and service inseparability as predictor variables. It was also revealed that 77.6% of the variability in service quality at Safaricom Public Limited in Nakuru County is due to changes that occur in service variability, service perishability, service intangibility, and service inseparability. The model was found to be accurate in its prediction due to a small standard error of the estimate of 0.11327. The study findings and recommendations are of great importance to Safaricom Public Limited Company in understanding what needs to be addressed in order to improve the quality of service they offer to their customers. This study will also benefit customers of Safaricom Public Limited Company in receiving quality services as a result of readdressing the previous methods of service delivery. Future researchers and academicians stand to benefit from this study as it lays the foundation on which their studies was based.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

23

Broglia, Emma, Abigail Millings und Michael Barkham. „Counseling With Guided Use of a Mobile Well-Being App for Students Experiencing Anxiety or Depression: Clinical Outcomes of a Feasibility Trial Embedded in a Student Counseling Service“. JMIR mHealth and uHealth 7, Nr. 8 (15.08.2019): e14318. http://dx.doi.org/10.2196/14318.

Der volle Inhalt der Quelle

Annotation:

Background Anxiety and depression continue to be prominent experiences of students approaching their university counseling service. These services face unique challenges to ensure that they continue to offer quality support with fewer resources to a growing student population. The convenience and availability of mobile phone apps offer innovative solutions to address therapeutic challenges and expand the reach of traditional support. Objective The primary aim of this study was to establish the feasibility of a trial in which guided use of a mobile phone well-being app was introduced into a student counseling service and offered as an adjunct to face-to-face counseling. Methods The feasibility trial used a two-arm, parallel nonrandomized design comparing counseling alone (treatment as usual, or TAU) versus counseling supplemented with guided use of a mobile phone well-being app (intervention) for 38 university students experiencing moderate anxiety or depression. Students in both conditions received up to 6 sessions of face-to-face counseling within a 3-month period. Students who approached the counseling service and were accepted for counseling were invited to join the trial. Feasibility factors evaluated include recruitment duration, treatment preference, randomization acceptability, and intervention fidelity. Clinical outcomes and clinical change were assessed with routine clinical outcome measures administered every counseling session and follow-up phases at 3 and 6 months after recruitment. Results Both groups demonstrated reduced clinical severity by the end of counseling. This was particularly noticeable for depression, social anxiety, and hostility, whereby clients moved from elevated clinical to low clinical or from low clinical to nonclinical by the end of the intervention. By the 6-month follow-up, TAU clients’ (n=18) anxiety had increased whereas intervention clients’ (n=20) anxiety continued to decrease, and this group difference was significant (Generalized Anxiety Disorder–7: t22=3.46, P=.002). This group difference was not replicated for levels of depression: students in both groups continued to decrease their levels of depression by a similar amount at the 6-month follow-up (Physical Health Questionnaire–9: t22=1.30, P=.21). Conclusion Supplementing face-to-face counseling with guided use of a well-being app is a feasible and acceptable treatment option for university students experiencing moderate anxiety or depression. The feasibility trial was successfully embedded into a university counseling service without denying access to treatment and with minimal disruption to the service. This study provides preliminary evidence for using a well-being app to maintain clinical improvements for anxiety following the completion of counseling. The design of the feasibility trial provides the groundwork for the development of future pilot trials and definitive trials embedded in a student counseling service. Trial registration ISRCTN registry ISRCTN55102899; http://www.isrctn.com/ISRCTN55102899

APA, Harvard, Vancouver, ISO und andere Zitierweisen

24

Kontto, J., H. Tolonen und A. H. Salonen. „What are we missing? The profile of non-respondents in the Finnish Gambling 2015 survey“. Scandinavian Journal of Public Health 48, Nr. 1 (17.05.2019): 80–87. http://dx.doi.org/10.1177/1403494819849283.

Der volle Inhalt der Quelle

Annotation:

Aims: Population-based gambling surveys provide important information about gambling frequency, problems, attitude and opinions of the general population. This information can be used by social and health care professionals, service providers and policy makers. However, low response rates may cause biased findings. The aim was to define the profile of non-respondents in the Finnish Gambling 2015 survey. Methods: The survey sample ( N = 7400) was obtained from the national Population Information System and the survey was conducted using computer-assisted telephone interviews (response rate 62%). The study sample including individuals aged 18–74 was linked to administrative registers to obtain socio-demographic information (sex, age, marital status, education, socio-economic status, net income, residential area) about the respondents and the non-respondents. Register-based information was used to build a non-respondent profile for the survey. Results: The non-response was more prevalent among women, 18- to 24-year-olds, non-married, individuals with primary education, unemployed (vs. self-employed and students) and residents in urban areas. When net income was added to the model, the associations of women and unemployed (vs. self-employed) with non-response became non-significant, while the non-response was more prevalent among the lowest quintile of net income. Conclusions: Socio-economic position was associated with lower response rate which may cause bias while studying gambling behaviour of socio-economically vulnerable individuals. Obtaining additional auxiliary information through record linkage to administrative registers and use of more sophisticated methods for controlling bias caused by non-response, such as multiple imputation, would offer information about the impact of non-response to the results related to gambling and gambling problems.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

25

Kocur-Bera, Katarzyna, und Agnieszka Dawidowicz. „Land Use versus Land Cover: Geo-Analysis of National Roads and Synchronisation Algorithms“. Remote Sensing 11, Nr. 24 (17.12.2019): 3053. http://dx.doi.org/10.3390/rs11243053.

Der volle Inhalt der Quelle

Annotation:

Technological progress in Earth surface observation provides a vast range of information on the land and methods of its use. This enables property owners, users and administrators to monitor the state of the boundaries of the land they own/administer. The land cover, monitored directly on the ground, is not always consistent with the land use entered in the Land and Property Registry (LPR). Discrepancies between these data are often found in former communist countries. One of the reasons for this was the rapid process of land privatisation, which took place in Poland, without updating information on the plot geodetic boundaries. The study examined and compared the land use (entered in the LPR) with the land cover (on the ground) for national roads (acr. LU-LC). The most frequent discrepancies were selected, using CLC2018, digital orthophotomaps (using the Web Map Service (WMS) browsing service compliant with Open Geospatial Consortium (OGC) standards), cadastral data, statistical modelling and an updated survey of the right-of-way. Subsequently, six algorithms were proposed to synchronise the land use and land cover when the right-of-way was used by unauthorised persons, and two algorithms for cases of unauthorised use of land by the road administrator. Currently, it is difficult to synchronise the land cover with the land use from the administrative, legal and social points of view. The results of analyses show that full synchronisation of land use and land cover is complicated and time-consuming, although desired.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

26

Knighting, Katherine, Gerlinde Pilkington, Jane Noyes, Brenda Roe, Michelle Maden, Lucy Bray, Barbara Jack et al. „Respite care and short breaks for young adults aged 18–40 with complex health-care needs: mixed-methods systematic review and conceptual framework development“. Health Services and Delivery Research 9, Nr. 6 (Februar 2021): 1–268. http://dx.doi.org/10.3310/hsdr09060.

Der volle Inhalt der Quelle

Annotation:

Background The number of young adults with complex health-care needs due to life-limiting conditions/complex physical disability has risen significantly over the last 15 years, as more children now survive into adulthood. The transition from children to adult services may disrupt provision of essential respite/short break care for this vulnerable population, but the impact on young adults, families and providers is unclear. Aim To review the evidence on respite care provision for young adults (aged 18–40 years) with complex health-care needs, provide an evidence gap analysis and develop a conceptual framework for respite care. Design A two-stage mixed-methods systematic review, including a knowledge map of respite care and an evidence review of policy, effectiveness, cost-effectiveness and experience. Data sources Electronic databases and grey/unpublished literature were searched from 2002 to September 2019. The databases searched included Cumulative Index to Nursing and Allied Health Literature, MEDLINE, EMBASE, PsycINFO, Applied Social Sciences Index and Abstracts, Health Management Information Consortium, PROSPERO, Turning Research into Practice, COnNECT+, British Nursing Index, Web of Science, Social Care Online, the National Institute for Health Research Journals Library, Cochrane Effective Practice and Organisation of Care specialist register, databases on The Cochrane Library and international clinical trials registers. Additional sources were searched using the CLUSTER (Citations, Lead authors, Unpublished materials, Scholar search, Theories, Early examples, Related projects) approach and an international ‘call for evidence’. Methods and analysis Multiple independent reviewers used the SPICE (Setting, Perspective, Intervention/phenomenon of interest, Comparison, Evaluation) framework to select and extract evidence for each stage, verified by a third reviewer. Study/source characteristics and outcomes were extracted. Study quality was assessed using relevant tools. Qualitative evidence was synthesised using a framework approach and UK policy was synthesised using documentary content analysis. GRADE-CERQual (Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative Research) was used to assess confidence in the evidence. Logic models developed for each type of respite care constituted the conceptual framework. Results We identified 69 sources (78 records) from 126,267 records. The knowledge map comprised the following types of respite care: residential, home based, day care, community, leisure/social provision, funded holidays and emergency. Seven policy intentions included early transition planning and prioritising respite care according to need. No evidence was found on effectiveness and cost-effectiveness. Qualitative evidence focused largely on residential respite care. Facilitators of accessible/acceptable services included trusted and valued relationships, independence and empowerment of young adults, peer social interaction, developmental/age-appropriate services and high standards of care. Barriers included transition to adult services, paperwork, referral/provision delay and travelling distance. Young adults from black, Asian and minority ethnic populations were under-represented. Poor transition, such as loss of or inappropriate services, was contrary to statutory expectations. Potential harms included stress and anxiety related to safe care, frustration and distress arising from unmet needs, parental exhaustion, and a lack of opportunities to socialise and develop independence. Limitations No quantitative or mixed-methods evidence was found on effectiveness or cost-effectiveness of respite care. There was limited evidence on planned and emergency respite care except residential. Conclusions Policy intentions are more comprehensively met for young people aged < 18 years who are accessing children’s services. Young adults with complex needs often ‘fall off a cliff’ following service withdrawal and this imbalance needs addressing. Future work Research to quantify the effectiveness and cost-effectiveness of respite care to support service development and commissioning. Development of a core set of outcomes measures to support future collation of evidence. Study registration This study is registered as PROSPERO CRD42018088780. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 9, No. 6. See the NIHR Journals Library website for further project information.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

27

Nawabi, Farah, Adrienne Alayli, Franziska Krebs, Laura Lorenz, Arim Shukri, Anne-Madeleine Bau und Stephanie Stock. „Health literacy among pregnant women in a lifestyle intervention trial: protocol for an explorative study on the role of health literacy in the perinatal health service setting“. BMJ Open 11, Nr. 7 (Juli 2021): e047377. http://dx.doi.org/10.1136/bmjopen-2020-047377.

Der volle Inhalt der Quelle

Annotation:

IntroductionPregnancy is a vulnerable period that affects long-term health of pregnant women and their unborn infants. Health literacy plays a crucial role in promoting healthy behaviour and thereby maintaining good health. This study explores the role of health literacy in the GeMuKi (acronym for ‘Gemeinsam Gesund: Vorsorge plus für Mutter und Kind’—Strengthening health promotion: enhanced check-up visits for mother and child) Project. It will assess the ability of the GeMuKi lifestyle intervention to positively affect health literacy levels through active participation in preventive counselling. The study also explores associations between health literacy, health outcomes, health service use and effectiveness of the intervention.Methods and analysisThe GeMuKi trial has a hybrid effectiveness–implementation design and is carried out in routine prenatal health service settings in Germany. Women (n=1860) are recruited by their gynaecologist during routine check-up visits before 12 weeks of gestation. Trained healthcare providers carry out counselling using motivational interviewing techniques to positively affect health literacy and lifestyle-related risk factors. Healthcare providers (gynaecologists and midwives) and women jointly agree on Specific, Measurable, Achievable Reasonable, Time-Bound goals. Women will be invited to fill in questionnaires at two time points (at recruitment and 37th−40th week of gestation) using an app. Health literacy is measured using the German version of the Health Literacy Survey-16 and the Brief Health Literacy Screener. Lifestyle is measured with questions on physical activity, nutrition, alcohol and drug use. Health outcomes of both mother and child, including gestational weight gain (GWG) will be documented at each routine visit. Health service use will be assessed using social health insurance claims data. Data analyses will be conducted using IBM SPSS Statistics, version 26.0. These include descriptive statistics, tests and regression models. A mediation model will be conducted to answer the question whether health behaviour mediates the association between health literacy and GWG.Ethics and disseminationThe study was approved by the University Hospital of Cologne Research Ethics Committee (ID: 18-163) and the State Chamber of Physicians in Baden-Wuerttemberg (ID: B-F-2018-100). Study results will be disseminated through (poster) presentations at conferences, publications in peer-reviewed journals and press releases.Trail registrationGerman Clinical Trials Register (DRKS00013173). Registered pre-results, 3rd of January 2019, https://www.drks.de

APA, Harvard, Vancouver, ISO und andere Zitierweisen

28

Howarth, Emma, Theresa HM Moore, Nicky J. Welton, Natalia Lewis, Nicky Stanley, Harriet MacMillan, Alison Shaw, Marianne Hester, Peter Bryden und Gene Feder. „IMPRoving Outcomes for children exposed to domestic ViolencE (IMPROVE): an evidence synthesis“. Public Health Research 4, Nr. 10 (Dezember 2016): 1–342. http://dx.doi.org/10.3310/phr04100.

Der volle Inhalt der Quelle

Annotation:

BackgroundExposure to domestic violence and abuse (DVA) during childhood and adolescence increases the risk of negative outcomes across the lifespan.ObjectivesTo synthesise evidence on the clinical effectiveness, cost-effectiveness and acceptability of interventions for children exposed to DVA, with the aim of making recommendations for further research.Design(1) A systematic review of controlled trials of interventions; (2) a systematic review of qualitative studies of participant and professional experience of interventions; (3) a network meta-analysis (NMA) of controlled trials and cost-effectiveness analysis; (4) an overview of current UK provision of interventions; and (5) consultations with young people, parents, service providers and commissioners.SettingsNorth America (11), the Netherlands (1) and Israel (1) for the systematic review of controlled trials of interventions; the USA (4) and the UK (1) for the systematic review of qualitative studies of participant and professional experience of interventions; and the UK for the overview of current UK provision of interventions and consultations with young people, parents, service providers and commissioners.ParticipantsA total of 1345 children for the systematic review of controlled trials of interventions; 100 children, 202 parents and 39 professionals for the systematic review of qualitative studies of participant and professional experience of interventions; and 16 young people, six parents and 20 service providers and commissioners for the consultation with young people, parents, service providers and commissioners.InterventionsPsychotherapeutic, advocacy, parenting skills and advocacy, psychoeducation, psychoeducation and advocacy, guided self-help.Main outcome measuresInternalising symptoms and externalising behaviour, mood, depression symptoms and diagnosis, post-traumatic stress disorder symptoms and self-esteem for the systematic review of controlled trials of interventions and NMA; views about and experience of interventions for the systematic review of qualitative studies of participant and professional experience of interventions and consultations.Data sourcesMEDLINE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, EMBASE, Cochrane Central Register of Controlled Trials, Science Citation Index, Applied Social Sciences Index and Abstracts, International Bibliography of the Social Sciences, Social Services Abstracts, Social Care Online, Sociological Abstracts, Social Science Citation Index, World Health Organization trials portal and clinicaltrials.gov.Review methodsA narrative review; a NMA and incremental cost-effectiveness analysis; and a qualitative synthesis.ResultsThe evidence base on targeted interventions was small, with limited settings and types of interventions; children were mostly < 14 years of age, and there was an absence of comparative studies. The interventions evaluated in trials were mostly psychotherapeutic and psychoeducational interventions delivered to the non-abusive parent and child, usually based on the child’s exposure to DVA (not specific clinical or broader social needs). Qualitative studies largely focused on psychoeducational interventions, some of which included the abusive parent. The evidence for clinical effectiveness was as follows: 11 trials reported improvements in behavioural or mental health outcomes, with modest effect sizes but significant heterogeneity and high or unclear risk of bias. Psychoeducational group-based interventions delivered to the child were found to be more effective for improving mental health outcomes than other types of intervention. Interventions delivered to (non-abusive) parents and to children were most likely to be effective for improving behavioural outcomes. However, there is a large degree of uncertainty around comparisons, particularly with regard to mental health outcomes. In terms of evidence of cost-effectiveness, there were no economic studies of interventions. Cost-effectiveness was modelled on the basis of the NMA, estimating differences between types of interventions. The outcomes measured in trials were largely confined to children’s mental health and behavioural symptoms and disorders, although stakeholders’ concepts of success were broader, suggesting that a broader range of outcomes should be measured in trials. Group-based psychoeducational interventions delivered to children and non-abusive parents in parallel were largely acceptable to all stakeholders. There is limited evidence for the acceptability of other types of intervention. In terms of the UK evidence base and service delivery landscape, there were no UK-based trials, few qualitative studies and little widespread service evaluation. Most programmes are group-based psychoeducational interventions. However, the funding crisis in the DVA sector is significantly undermining programme delivery.ConclusionsThe evidence base regarding the acceptability, clinical effectiveness and cost-effectiveness of interventions to improve outcomes for children exposed to DVA is underdeveloped. There is an urgent need for more high-quality studies, particularly trials, that are designed to produce actionable, generalisable findings that can be implemented in real-world settings and that can inform decisions about which interventions to commission and scale. We suggest that there is a need to pause the development of new interventions and to focus on the systematic evaluation of existing programmes. With regard to the UK, we have identified three types of programme that could be justifiably prioritised for further study: psycho-education delivered to mothers and children, or children alone; parent skills training in combination with advocacy: and interventions involving the abusive parent/caregiver. We also suggest that there is need for key stakeholders to come together to explicitly identify and address the structural, practical and cultural barriers that may have hampered the development of the UK evidence base to date.Future work recommendationsThere is a need for well-designed, well-conducted and well-reported UK-based randomised controlled trials with cost-effectiveness analyses and nested qualitative studies. Development of consensus in the field about core outcome data sets is required. There is a need for further exploration of the acceptability and effectiveness of interventions for specific groups of children and young people (i.e. based on ethnicity, age, trauma exposure and clinical profile). There is also a need for an investigation of the context in which interventions are delivered, including organisational setting and the broader community context, and the evaluation of qualities, qualifications and disciplines of personnel delivering interventions. We recommend prioritisation of psychoeducational interventions and parent skills training delivered in combination with advocacy in the next phase of trials, and exploratory trials of interventions that engage both the abusive and the non-abusive parent.Study registrationThis study is registered as PROSPERO CRD42013004348 and PROSPERO CRD420130043489.FundingThe National Institute for Health Research Public Health Research programme.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

29

Garstang, Joanna, Nutmeg Hallett, Gabrielle Cropp, Davina Kenyon-Blair, Clare Morgans und Julie Taylor. „Child abuse in children living with special guardians, a service evaluation of child protection medical examinations“. BMJ Paediatrics Open 5, Nr. 1 (Juli 2021): e001103. http://dx.doi.org/10.1136/bmjpo-2021-001103.

Der volle Inhalt der Quelle

Annotation:

ObjectiveTo determine difference in frequency of referral for child protection medical examination (CPME) in children subject to special guardianship order (SGO), subject to child protection plan (CPP) or neither.DesignService evaluation analysing data from CPME reports.SettingAcute and community healthcare providers in Birmingham UK, during 2018.PatientsAll children aged 0–18 years requiring CPME.Main outcome measuresDetails were obtained from CPME reports on: age, SGO status, CPP status, reason for CPME, injuries sustained, presence of non-accidental injury.Population data were obtained from the local children’s safeguarding board and national statistics.ResultsReports were available for 292/298 (98%) CPME, relating to 288 children. 5 children were subject to SGO, 39 were subject to CPP, none subject to both. Non-accidental injury was substantiated in 189/288 (66%). The child population was 288 000. 1665 children were subject to CPP and approximately 750 subject to SGO. The relative risk (RR) for children subject to SGO requiring a CPME compared with children not subject to SGO or CPP is 7.86, p<0.0001 with 95% CI (3.26 to 19.02). The RR for children subject to a CPP requiring CPME compared with children not subject to SGO or CPP is 27.65, p<0.0001 with 95% CI (19.78 to 38.63).ConclusionsThis is a small study and findings need interpreting cautiously. Children subject to SGO may potentially be at higher risk of abuse than the general population despite living with carers who have passed social care parenting assessments. There is no register of children subject to SGO so professionals may be unable to offer families additional support. SGO families should be offered enhanced support and monitoring routinely. Children subject to CPP are not being adequately protected from further abuse.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

30

Cnaan, Ram A., Jill W. Sinha und Charlene C. McGrew. „Congregations as Social Service Providers“. Administration in Social Work 28, Nr. 3-4 (09.06.2004): 47–68. http://dx.doi.org/10.1300/j147v28n03_03.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

31

Bowden, Nicholas, Hiran Thabrew, Jesse Kokaua, Richard Audas, Barry Milne, Kirsten Smiler, Hilary Stace, Barry Taylor und Sheree Gibb. „Autism spectrum disorder/Takiwātanga: An Integrated Data Infrastructure-based approach to autism spectrum disorder research in New Zealand“. Autism 24, Nr. 8 (17.07.2020): 2213–27. http://dx.doi.org/10.1177/1362361320939329.

Der volle Inhalt der Quelle

Annotation:

New Zealand has few estimates of the prevalence of autism spectrum disorder and no national registry. The use of administrative data sources is expanding and could be useful in autism spectrum disorder research. However, the extent to which autism spectrum disorder can be captured in these data sources is unknown. In this study, we utilised three linked administrative health data sources from the Integrated Data Infrastructure to identify cases of autism spectrum disorder among New Zealand children and young people. We then investigated the extent to which a range of mental health, neurodevelopmental and related problems co-occur with autism spectrum disorder. In total, 9555 unique individuals aged 0–24 with autism spectrum disorder were identified. The identification rate for 8-year-olds was 1 in 102. Co-occurring mental health or related problems were noted in 68% of the autism spectrum disorder group. The most common co-occurring conditions were intellectual disability, disruptive behaviours and emotional problems. Although data from the Integrated Data Infrastructure may currently undercount cases of autism spectrum disorder, they could be useful for monitoring service and treatment-related trends, types of co-occurring conditions and for examining social outcomes. With further refinement, the Integrated Data Infrastructure could prove valuable for informing the national incidence and prevalence of autism spectrum disorder and the long-term effectiveness of clinical guidelines and interventions for this group. Lay abstract New Zealand has few estimates of the prevalence autism spectrum disorder and no national registry or data set to identify and track cases. This hinders the ability to make informed, evidence-based decisions relating to autism spectrum disorder. In this study, we utilised linked health and non-health data to develop a method for identifying cases of autism spectrum disorder among children and young people in New Zealand. In addition, we examined rates of co-occurring mental health, neurodevelopmental and related conditions among this cohort and compared these to the general population. The method identified almost 10,000 children and young people with autism spectrum disorder in New Zealand. Co-occurring mental health or related problems were found in over 68% of this group (nearly seven times higher than the general population), and around half were identified with multiple co-occurring conditions. The most frequently identified conditions were intellectual disability, disruptive behaviours and emotional problems. We have developed a useful method for monitoring service and treatment-related trends, number and types of co-occurring conditions and examining social outcomes among individuals with autism spectrum disorder. While the method may underestimate the prevalence of autism spectrum disorder in New Zealand, it provides a significant step towards establishing a more comprehensive evidence base to inform autism spectrum disorder–related policy.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

32

Campbell, Andrew, Brad Ridout, Krestina Amon, Pablo Navarro, Brian Collyer und John Dalgleish. „A Customized Social Network Platform (Kids Helpline Circles) for Delivering Group Counseling to Young People Experiencing Family Discord That Impacts Their Well-Being: Exploratory Study“. Journal of Medical Internet Research 21, Nr. 12 (20.12.2019): e16176. http://dx.doi.org/10.2196/16176.

Der volle Inhalt der Quelle

Annotation:

Background It has often been reported that young people are at high risk of mental health concerns, more so than at any other time in development over their life span. The situational factors that young people report as impacting their well-being are not addressed as often: specifically, family discord. Kids Helpline, a national service in Australia that provides free counseling online and by telephone to young people in distress, report that family discord and well-being issues are one of the major concerns reported by clients. In order to meet the preferences that young people seek when accessing counseling support, Kids Helpline has designed and trialed a custom-built social network platform for group counseling of young people experiencing family discord that impacts their well-being. Objective In this exploratory study, we communicate the findings of Phase 1 of an innovative study in user and online counselor experience. This will lead to an iterative design for a world-first, purpose-built social network that will do the following: (1) increase reach and quality of service by utilizing a digital tool of preference for youth to receive peer-to-peer and counselor-to-peer support in a safe online environment and (2) provide the evidence base to document the best practice for online group counseling in a social network environment. Methods The study utilized a participatory action research design. Young people aged 13-25 years (N=105) with mild-to-moderate depression or anxiety (not high risk) who contacted Kids Helpline were asked if they would like to trial the social networking site (SNS) for peer-to-peer and counselor-to-peer group support. Subjects were grouped into age cohorts of no more than one year above or below their reported age and assigned to groups of no more than 36 participants, in order to create a community of familiarity around age and problems experienced. Each group entered into an 8-week group counseling support program guided by counselors making regular posts and providing topic-specific content for psychoeducation and discussion. Counselors provided a weekly log of events to researchers; at 2-week intervals, subjects provided qualitative and quantitative feedback through open-ended questions and specific psychometric measures. Results Qualitative results provided evidence of user support and benefits of the online group counseling environment. Counselors also reported benefits of the modality of therapy delivery. Psychometric scales did not report significance in changes of mood or affect. Counselors and users suggested improvements to the platform to increase user engagement. Conclusions Phase 1 provided proof of concept for this mode of online counseling delivery. Users and counselors saw value in the model and innovation of the service. Phase 2 will address platform issues with changes to a new social network platform. Phase 2 will focus more broadly on mental health concerns raised by users and permit inclusion of a clinical population of young people experiencing depression and anxiety. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12616000518460; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370381

APA, Harvard, Vancouver, ISO und andere Zitierweisen

33

Burcham, Sandra, und Jacqueline Matthews. „Earlier access to palliative medicine: An experience of integration into a community oncology practice.“ Journal of Clinical Oncology 34, Nr. 26_suppl (09.10.2016): 92. http://dx.doi.org/10.1200/jco.2016.34.26_suppl.92.

Der volle Inhalt der Quelle

Annotation:

92 Background: A growing body of evidence supports the integration of palliative care as a standard for comprehensive cancer care. Through our experience as an inpatient palliative care provider, with 50% of our population having advanced cancer, we recognized the value proposition to provide continuity in the outpatient setting. Innovative Care Solutions developed a partnership with a large, community oncology program late 2015 for a palliative care multidisciplinary team to be embedded into one location of their practice. Methods: A full-time palliative licensed independent social worker (LISW) was dedicated to educate and engage screening process development. Utilizing the NCCN Distress Thermometer, referrals for care provision were then directed by the LISW to the most appropriate palliative care provider. The LISW addressed communication, goals of care discussions and advance directives. Identification of symptoms, including high level distress or mental health needs, were scheduled to see the palliative physician or advanced practice nurse, available two half days per week within the cancer center. Results: In the first quarter of service, the LISW screened a total of 85 patients, with 54 requiring PC interventions. Complex symptom needs were identified in seventeen percent, thirty percent were seen for psychosocial needs, and twenty percent were seen for completion of an advance directive. Thirty-six percent were seen for medical decision making. Conclusions: Integrating palliative care services in a community-based oncology practice has realized numerous positive patient outcomes and opportunities for further design. Using an evidenced based screening tool, identification of needs in an early access model appear to enable the patient to improve adherence to the medical plan care and avoid ER utilization. Symptom management has shown improved quality of life scores and PPS, and patient’s seen for psychosocial needs are able to explore aspects of person, as opposed to illness, that has improved overall well-being. Further program design will focus on integration of screening for all patients with advanced solid tumor, recurrent/refractory, and formalization of quality data tracking benchmarked to a web-based registry.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

34

Carter, Marcia Jean, Claire M. Foret, Daniel D. McLean und William P. Callahan. „Using Computers to Link Social Service Providers“. Journal of Physical Education, Recreation & Dance 62, Nr. 4 (April 1991): 34–36. http://dx.doi.org/10.1080/07303084.1991.10609834.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

35

Khairova, S. M., V. A. Kovalev, B. G. Khairov und A. V. Shimohin. „Selecting Service Providers with Neural Networks: Evidence from Car Service Providers“. Industrial Engineering & Management Systems 18, Nr. 3 (30.09.2019): 454–62. http://dx.doi.org/10.7232/iems.2019.18.3.454.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

36

Sierra, Jeremy J., und Shaun McQuitty. „Service providers and customers: social exchange theory and service loyalty“. Journal of Services Marketing 19, Nr. 6 (Oktober 2005): 392–400. http://dx.doi.org/10.1108/08876040510620166.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

37

Ness, A., N. Symonds, M. Siarkowski, M. Broadfoot, K. McBrien, E. S. Lang, J. Holroyd-Leduc und P. Ronksley. „PL04: Effectiveness of hospital avoidance interventions among elderly patients: a systematic review“. CJEM 20, S1 (Mai 2018): S6. http://dx.doi.org/10.1017/cem.2018.62.

Der volle Inhalt der Quelle

Annotation:

Introduction: Overuse of acute care services, particularly emergency department (ED) use, is an important topic for healthcare providers and policy makers within Canada and abroad. Prior work has shown that frail elderly patients with complex medical needs and limited personal and social resources are heavy users of ED services and are often admitted when they present to the ED. Updated information on the most effective strategies to avert ED presentation and hospital admission focused specifically on elderly patients is needed. Methods: This systematic review addressed the question: what interventions have demonstrated effectiveness in decreasing ED use and hospital admissions in elderly patients? Comprehensive literature searches were conducted in databases including Ovid Medline, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials with no language or date restrictions. Citations were limited to interventional studies. Grey literature and reference list searches, as well as communication with experts in the field were performed. Consensus or a third reviewer resolved any disagreements. Original research regarding interventions conducted in populations 65 years or older with acute illness, either living in community or facility-living were included. Primary outcomes were ED visits and hospital admissions. Secondary outcomes included: mortality, cost, and patient-reported outcomes such as health-related quality of life and functional status. Results: Forty-three relevant studies were identified including 22 randomized controlled trials (RCT), 2 cluster-RCT, 2 trials with non-random allocation, 4 before-after studies, 6 quasi-experimental studies, and 7 cohort studies. Intervention settings included: home visits (22), long-term care (7), outpatient or primary care clinics (8), and ED (3) or inpatient (3). Data characterization revealed that home-based, outpatient and/or primary care-based strategies reduced ED visits and hospitalizations, particularly those which included comprehensive geriatric assessments, home visits or regular face-to-face contact and interdisciplinary teams. Hospital-based models generally showed no difference in ED or inpatient service utilization. There was, however, considerable variability across individual studies with respect to reporting of outcomes, statistical analyses performed, and overall risk of bias. Conclusion: Various interventional strategies have been studied to avert ED presentation and hospital admission for frail elderly patients. More rigorous methodology and standardization of outcome measures is needed to quantitatively assess the effects of these programs.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

38

Önal, H. Inci. „Archives as Builders of Civic Partnerships“. Atlanti 26, Nr. 2 (25.10.2016): 181–88. http://dx.doi.org/10.33700/2670-451x.26.2.181-188(2016).

Der volle Inhalt der Quelle

Annotation:

Archives and archivists can participate in rekindling civic engagement from many venues. The implementation of a modern civil registration service is at the heart of providing better archival public services. The modernisation of civil registration system in Turkey culminated in 2000 with the introduction of the Central Civil Registration System or MERNIS, as is known by its abbreviations in Turkish, set up after long and arduous work. This paper describes the process of establishing, extending, and improving MERNIS services through national and international cooperation and collaboration. The focus of this paper provides examples of using archives by the public agencies accessing MERNIS are as follows: Economic and financial; planning and investment; security; military service; health services; education; social security; electoral registers; justice. As a result, it was found out that access to central civil registration system and archival databases to citizens eager to find and use vital services within their communities.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

39

Tymoshchuk, Viktor. „On decentralization of powers to provide administrative services“. Yearly journal of scientific articles “Pravova derzhava”, Nr. 32 (2021): 366–76. http://dx.doi.org/10.33663/0869-2491-2021-32-366-376.

Der volle Inhalt der Quelle

Annotation:

Introduction. The formation of public administration in Ukraine is simultaneously influenced by many factors. These are both the service view of the state and the development of the doctrine of administrative services, and the implementation of decentralization reform, in particular the consolidation of territorial communities, as well as digitalization. In this context, it becomes an urgent task to assess the effectiveness of policy on decentralization of powers, its positives, risks, prospects. Aim of the article. The purpose of the article is to study the issue of decentralization of powers on the example of administrative services, the reasons for slowing down this policy in recent years, determining the conditions for optimal organization. Tasks: to determine the content of decentralization of powers and its types; to distinguish decentralization of powers with other mechanisms of division of powers; show the factors that motivate Ukraine to the policy of decentralization (delegation) of powers in the field of administrative services; propose the optimal mechanism of delegation of powers; outline the most pressing tasks for the delegation of the following groups of services. Results. Ukraine's experience in delegating powers to local self-governments (LCGs), in particular, in the registration of real estate, business, residence has been successful. Services have become closer to citizens territorially, queues and reasons for domestic corruption have disappeared, the speed of service delivery, their integration into a single office (CNAP) and opportunities for service according to the model of life situations have improved. Delegation of powers of local self-government bodies allows to use motivation and flexibility of local self-government bodies, initiative and responsibility of citizens. Although there are risks of different LCGs capacity and quality of services. But it is better for the state to help local self-government bodies and "insure" them. It is also important to ensure the integrity of the mechanism of delegation of powers, ie to provide for the preservation of centralized state registers, methodological assistance from the state for local self-government, professional departmental control over the implementation of delegated powers. The reasons and peculiarities of decentralization of residence registration powers should be analyzed separately. But this experience is also quite successful. After all, he also improved the service for consumers, promoted electrification in the field. Decentralization of powers is not an alternative or opposition to digitalization. These are two equally important strategic directions of public policy. Conclusions. In a modern democratic and decentralized state, it is necessary to make maximum use of the motivation and flexibility of local self-government bodies, in particular, to delegate to them the authority to provide basic administrative services. It is important to ensure the integrity of the delegation mechanism, and to provide local self-government bodies with resources to perform delegated powers. During 2021, priority in the delegation of powers should be given to the areas of registration of civil status and administrative services of a social nature.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

40

Leung, T. T. F. „Accountability to Welfare Service Users: Challenges and Responses of Service Providers“. British Journal of Social Work 38, Nr. 3 (11.10.2006): 531–45. http://dx.doi.org/10.1093/bjsw/bcl351.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

41

Serbetcioglu, Cemre, und Aysu Göçer. „Examining social media branding profiles of logistics service providers“. Journal of Business & Industrial Marketing 35, Nr. 12 (27.04.2020): 2023–38. http://dx.doi.org/10.1108/jbim-09-2019-0399.

Der volle Inhalt der Quelle

Annotation:

Purpose The purpose of this paper is to examine the social media profiles of logistics service providers, and understand how they use social media for elevating their services and differentiating their brands across industrial partners. Design/methodology/approach A content analysis was conducted on 3,215 social media posts, which were gathered from the official Facebook, Twitter, Instagram and LinkedIn pages of seven logistics service providers operating in Turkey. Findings The results demonstrated that logistics service providers engage with multiple social media channels with different branding motives, and that each company has a unique social media profile. The benchmarking analysis also revealed the branding strategies commonly pursued by the companies, and also indicated the alternative themes that differentiate their brands across their competitors. Research limitations/implications The findings contribute to the literature on the utilization of social media by business-to-business companies, particularly for logistics service providers, and recommend a frame of benchmarks for practitioners in the development of more effective social media branding strategies in services context. Originality/value Studies explaining the social media engagement of business-to-business companies in service sector are lacking, and also, the services branding literature in the context of social media is rather scarce. This study investigates the social media profiles of logistics service providers and explores how they use social media for branding their services.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

42

Stone, Melissa M., und Miriam M. Wood. „Governance and the Small, Religiously Affiliated Social Service Provider“. Nonprofit and Voluntary Sector Quarterly 26, Nr. 4_suppl (Dezember 1997): S44—S61. http://dx.doi.org/10.1177/08997640972640041.

Der volle Inhalt der Quelle

Annotation:

Religiously affiliated providers of social services are becoming increasingly important in the transformation of social welfare policy in the United States. This article focuses on governance issues and challenges facing these small service providers. Using perspectives from the organization and management literatures and examples from prior research, the article makes three general observations. First, predictable patterns of governance exist, depending on the types of structural relationships religiously affiliated agencies have with their religious bases. Second, governance will be affected by particular characteristics of both small and religious organizations. Third, growth presents critical challenges to the ability of these providers to maintain their indigenous religious cultures. Hypotheses are offered to stimulate further research in each of these areas.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

43

Cuskelly, Monica. „Editorial: Challenges for Service Providers“. International Journal of Disability, Development and Education 47, Nr. 2 (Juni 2000): 117–18. http://dx.doi.org/10.1080/713671107.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

44

Dudenhöffer, Sarah, und Christian Dormann. „Customer-related social stressors and service providers' affective reactions“. Journal of Organizational Behavior 34, Nr. 4 (17.09.2012): 520–39. http://dx.doi.org/10.1002/job.1826.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

45

J. Biederman, Donna, Tracy R. Nichols und Elizabeth W. Lindsey. „Homeless women's experiences of social support from service providers“. Journal of Public Mental Health 12, Nr. 3 (16.09.2013): 136–45. http://dx.doi.org/10.1108/jpmh-11-2012-0021.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

46

Jiang, Baojun, Jian Ni und Kannan Srinivasan. „Signaling Through Pricing by Service Providers with Social Preferences“. Marketing Science 33, Nr. 5 (September 2014): 641–54. http://dx.doi.org/10.1287/mksc.2014.0850.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

47

Chinman, Matthew, Bret Kloos, Maria O'Connell und Larry Davidson. „Service providers' views of psychiatric mutual support groups“. Journal of Community Psychology 30, Nr. 4 (31.05.2002): 349–66. http://dx.doi.org/10.1002/jcop.10010.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

48

Bagnato, Domenica. „The network information systems directive (EU) 2016/1148: internet service providers and registraties“. Central and Eastern European eDem and eGov Days 338 (15.07.2020): 111–22. http://dx.doi.org/10.24989/ocg.v.338.9.

Der volle Inhalt der Quelle

Annotation:

The NIS Directive [1] defines critical infrastructures and operators of essential services. It also calls for organizational measures to ensure these infrastructures are protected from cybercrime and terrorism. This also includes the establishment of a national framework for emergency response. The list of essential services in Annex II does contain certain elements of Internet infrastructures, such as Domain Name Servers and Internet Exchange Points. However, in a truly remarkable omission, the Directive does not include Internet Service Providers (ISP) [2]. Since operators of essential services are subject to stringent security requirements, it would be helpful to include them as operators of essential services. This seems even more appropriate as many other Annex II infrastructures, such as banking, health and transport, heavily rely on a working Internet infrastructure, which is largely dependent on ISPs. This paper discusses the omission in the NIS Directive of the ISPs and the incomplete list and codependent registries namely, the IP address space registry and the Autonomous System registry and their necessity in supporting the root Domain Name System.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

49

OLAGUNJU, Alex Tolu, Olubukola Olugasa und Olalekan Moyosore Lalude. „Social Media and the Liabilities of Internet Service Providers in Nigeria“. Society & Sustainability 3, Nr. 1 (27.01.2021): 1–9. http://dx.doi.org/10.38157/society_sustainability.v3i1.173.

Der volle Inhalt der Quelle

Annotation:

Social media has been the vehicle for the dynamic progression of globalization. The purpose of social media encompasses many ends. Some of which allow for liabilities for third-party users, or in some circumstances, liabilities for Internet Service Providers. There are many complications in determining the liabilities of Internet Service Providers and third-party users. This paper examined the nature of Internet Service Providers (ISP), social media, and the activities of third-party users in Nigeria. It also interrogated the various instances where third party use of social media might affect ISP liability. This paper further explored the judicial and legal framework of some jurisdictions to see how they view the liabilities of internet service providers. The paper concluded that internet service providers should be held accountable for the content that is published on their platforms as it affects greatly the lives of concerned users offline.

APA, Harvard, Vancouver, ISO und andere Zitierweisen

50

Orfield, Gary. „Cutback Policies, Declining Opportunities, and the Role of Social Service Providers: The "Social Service Review" Lecture“. Social Service Review 65, Nr. 4 (Dezember 1991): 516–30. http://dx.doi.org/10.1086/603872.

Der volle Inhalt der Quelle

APA, Harvard, Vancouver, ISO und andere Zitierweisen

Zeitschriftenartikel zum Thema „Registry of social service providers“

Geben Sie eine Quelle nach APA, MLA, Chicago, Harvard und anderen Zitierweisen an