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Bright, Felicity AS, Nicola M. Kayes, Christine Cummins, Linda M. Worrall und Kathryn M. McPherson. „Co-constructing engagement in stroke rehabilitation: a qualitative study exploring how practitioner engagement can influence patient engagement“. Clinical Rehabilitation 31, Nr. 10 (01.02.2017): 1396–405. http://dx.doi.org/10.1177/0269215517694678.
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Objective: To explore how practitioner engagement and disengagement occurred, and how these may influence patient care and engagement. Design: A qualitative study using the Voice Centred Relational Methodology. Data included interviews, focus groups and observations. Setting: Inpatient and community stroke rehabilitation services. Subjects: Eleven people experiencing communication disability after stroke and 42 rehabilitation practitioners. Interventions: Not applicable. Results: The practitioner’s engagement was important in patient engagement and service delivery. When patients considered practitioners were engaged, this helped engagement. When they considered practitioners were not engaged, their engagement was negatively affected. Practitioners considered their engagement was important but complex. It influenced how they worked and how they perceived the patient. Disengagement was taboo. It arose when not feeling confident, when not positively impacting outcomes, or when having an emotional response to a patient or interaction. Each party’s engagement influenced the other, suggesting it was co-constructed. Conclusions: Practitioner engagement influenced patient engagement in stroke rehabilitation. Practitioner disengagement was reported by most practitioners but was often a source of shame.
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Dudding, Carol. „Reimbursement and Telepractice“. Perspectives on Telepractice 3, Nr. 2 (September 2013): 35–40. http://dx.doi.org/10.1044/teles3.2.35.
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Whether in our professional or private lives, we are all aware of the system wide efforts to provide quality healthcare services while containing the costs. Telemedicine as a method of service delivery has expanded as a result of changes in reimbursement and service delivery models. The growth and sustainability of telehealth within speech-language pathology and audiology, like any other service, depends on the ability to be reimbursed for services provided. Currently, reimbursement for services delivered via telehealth is variable and depends on numerous factors. An understanding of these factors and a willingness to advocate for increased reimbursement can bolster the success of practitioners interested in the telehealth as a service delivery method.
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Lowes, Rebecca, Angela Duxbury und Andrew Garth. „The evolving roles of Operating Department Practitioners in contemporary healthcare: A service evaluation“. Journal of Perioperative Practice 30, Nr. 3 (16.09.2019): 46–56. http://dx.doi.org/10.1177/1750458919861913.
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A mixed method study was undertaken to capture quantitative and qualitative data in relation to the contemporary roles and skills of Operating Department Practitioners. The data provide evidence that Operating Department Practitioners take opportunities to widen their knowledge skills and practice, with over 37% of the sample completing a mentorship qualification and 14% having completed or studying towards a postgraduate or Master’s Degree. The study provides evidence of the development in the roles of the Operating Department Practitioner and suggests that Operating Department Practitioners offer an eclectic mix of skills which are delivered in a variety of clinical settings. It is recognised that Operating Department Practitioners have the potential to further improve patient safety and service delivery in roles other than those historically associated with the profession.
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Jennings, Natasha, Matthew Lutze, Stuart Clifford und Michael Maw. „How do we capture the emergency nurse practitioners’ contribution to value in health service delivery?“ Australian Health Review 41, Nr. 1 (2017): 89. http://dx.doi.org/10.1071/ah15155.
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The emergency nurse practitioner is now a well established and respected member of the healthcare team. Evaluation of the role has focused on patient safety, effectiveness and quality of care outcomes. Comparisons of the role continue to focus on cost, with findings based on incomplete and almost impossible to define, recognition of contribution to service delivery by paralleled practitioners. Currently there is no clear definition as to how nurse practitioners contribute to value in health service delivery. Robust and rigorous research needs to be commissioned taking into consideration the unique hybrid nature of the emergency nurse practitioner role and focusing on the value they contribute to health care delivery.
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Cason, Jana, und Janice A. Brannon. „Telehealth Regulatory and Legal Considerations: Frequently Asked Questions“. International Journal of Telerehabilitation 3, Nr. 2 (20.12.2011): 15–18. http://dx.doi.org/10.5195/ijt.2011.6077.
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As telehealth gains momentum as a service delivery model in the United States within the rehabilitation professions, regulatory and legal questions arise. This article examines the following questions:1. Is there a need to secure licenses in two states (i.e., where the practitioner resides, and where the client is located), before engaging in telehealth?2. Do state laws differ concerning if and how telehealth can occur?3. Do any states expressly disallow telehealth?4. Can services delivered through telehealth be billed the same way as services provided in-person?5. If practitioners fulfill the requirements to maintain licensure (e.g., continuing education obligations) in their state of residence, do they also need to fulfill the requirements to maintain licensure for the state in which the client resides?6. Will professional malpractice insurance cover services delivered through telehealth?7. Does a sole practitioner need to abide by HIPAA regulations?Responses to these questions are offered to raise awareness of the regulatory and legal implications associated with the use of a telehealth service delivery model
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Cortis, Natasha, Ciara Smyth, Kylie valentine, Jan Breckenridge und Patricia Cullen. „Adapting Service Delivery during COVID-19: Experiences of Domestic Violence Practitioners“. British Journal of Social Work 51, Nr. 5 (01.07.2021): 1779–98. http://dx.doi.org/10.1093/bjsw/bcab105.
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Abstract COVID-19 rapidly altered patterns of domestic and family violence, increasing the complexity of women’s needs, and presenting new barriers to service use. This article examines service responses in Australia, exploring practitioners' accounts of adapting service delivery models in the early months of the pandemic. Data from a qualitatively enriched online survey of practitioners (n = 100) show the ways services rapidly shifted to engage with clients via remote, technology-mediated modes, as physical distancing requirements triggered rapid expansion in the use of phone, email, video calls and messaging, and many face-to-face interventions temporarily ceased. Many practitioners and service managers found that remote service delivery improved accessibility and efficiency. Others expressed concerns about their capacity to assess risk without face-to-face contact, and were unsure whether new service modalities would meet the needs of all client groups and reflect best practice. Findings attest to practitioners' mixed experiences during this period of rapid service innovation and change, and underline the importance of monitoring emerging approaches to establish which service adaptations are effective for different groups of people, and to determine good practice for combining remote and face-to-face service options in the longer term.
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Kirk, Shelley, Liz Beddoe und Shirley Anne Chinnery. „An investigation of the nature of termination of pregnancy counselling within the current system of licensed facilities“. Aotearoa New Zealand Social Work 30, Nr. 3 (08.12.2018): 31–44. http://dx.doi.org/10.11157/anzswj-vol30iss3id511.
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Introduction: Termination of pregnancy (ToP) service delivery in Aotearoa New Zealand occurs within a multi-dimensional system which is influenced and shaped by various philosophical, political and economic discourses, and is comprised of interconnected components. One component is the provision of counselling for women seeking a termination of pregnancy. This study aimed to explore how service managers and social work practitioners perceived how ToP services, particularly the counselling component therein, were being delivered nationally.Methods: A concurrent, multi-level, mixed-methods research design was employed in the study. Two purposively selected sample groups comprising: 1) service managers responsible for the oversight of ToP service delivery; and 2) ToP counselling practitioners were recruited from 19 District Health Boards (DHBs) across Aotearoa New Zealand. Service managers (20) participated in interviews with a focus on capturing information about operational systems that supported or hindered the delivery of ToP and counselling services, while 26 social work and counselling practitioners participated in an electronic survey questionnaire. Qualitative data were thematically analysed and quantitative data were descriptively analysed using descriptive statistics.Findings: Results from this mixed-methods study were integrated at the level of interpretation and linkage between the methods showed that practice within ToP licensed facilities varied markedly. Specifically, nine practice and systemic variations were identified that had implications for women receiving ToP services. Existing variations across licensed facilities were signalled as disconnects between components of the service delivery system.Conclusions: Recommendations that address variations and systemic disconnects are offered to the New Zealand Abortion Supervisory Committee and Ministry of Health. Further research is suggested to obtain the perspective of service users as this was one limitation of this small exploratory study.
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Muñoz, Sarah-Anne. „Health Service Provision through Social Enterprise“. International Journal of Entrepreneurship and Innovation 12, Nr. 1 (Februar 2011): 39–53. http://dx.doi.org/10.5367/ijei.2011.0014.
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This paper discusses the role of social enterprise (SE) – the use of business practice to achieve a social goal – in UK health services delivery. Such SE activity has increased in recent years along with the rise in public sector commissioning of health and care services. SE has been identified as an organizational model with the potential to deliver socially and economically sustainable health and social care services. This paper presents evidence from workshops held with SE practitioners and public sector procurement professionals, during which they discussed the current and potential role of SE in health services delivery. The paper reflects on the opportunities for, but also the potential pitfalls of, greater SE involvement in the health and social care sector from the point of view of both SE practitioners and public sector procurement professionals. It demonstrates that SE-type businesses are viewed by both SE practitioners and public sector professionals as suited to working in certain areas of health and social care provision, but as falling short of what is needed in others, particularly in terms of capacity and expertise.
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Haghshenas, Abbas, Patricia M. Davidson und Arie Rotem. „Negotiating norms, navigating care: findings from a qualitative study to assist in decreasing health inequity in cardiac rehabilitation“. Australian Health Review 35, Nr. 2 (2011): 185. http://dx.doi.org/10.1071/ah09786.
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Purpose. People from culturally and linguistically diverse backgrounds (CaLDBs) have lower rates of participation in cardiac rehabilitation (CR). Systematically evaluating barriers and facilitators to service delivery may decrease health inequalities. This study investigated approaches for promoting cultural competence in CR. Methods. A qualitative study of 25 health practitioners was undertaken across three CR programs using a purposive sampling strategy. Interviews and participant observation were undertaken to identify factors to promote culturally competent care. Results. Three key foci were identified for implementing cultural competence approaches: (1) point of contact; (2) point of assessment; and (3) point of service. Based upon study findings and existing literature, a conceptual model of cultural competency in CR was developed. Conclusion. Culturally competent strategies for identifying and tailoring activities in the CR setting may be a useful approach to minimise health inequities. The findings from this study identified that, in parallel with mainstream health services, CR service delivery in Australia faces challenges related to cultural and ethnic diversity. Encouragingly, study findings revealed implementation and integration of culturally competent practices in rehabilitation settings, in spite of significant odds. What is known about the topic? Cultural competence can improve the ability of health systems and health providers to deliver appropriate services to diverse populations in order to reduce disparities and improve health outcomes. What does this paper add? Description of cardiac rehabilitation practitioners’ interaction and views on interacting with patients from culturally and linguistically diverse backgrounds. An empirically derived model of cultural competence identifying key points of intervention. What are the implications for practitioners? This model improves practitioner’s ability to address diverse needs of individuals from culturally and linguistically diverse backgrounds and improve equity in health care delivery in Australia.
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Leynes, Evelyn A. „QUALITY STUDENT SERVICES DELIVERY FOR MINDORO AND MARINDUQUE STATE COLLEGES“. International Journal of Research -GRANTHAALAYAH 7, Nr. 6 (30.06.2019): 93–106. http://dx.doi.org/10.29121/granthaalayah.v7.i6.2019.763.
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This study looked into the profile of the program implementers in terms of age, sex, and educational attainment, number of years as service practitioners and trainings and seminars attended. Likewise it also covered the assessment on the different institutional programs and services which include admission services, guidance and counseling services, scholarship and financial assistance, food services, health services, library services and student housing. The integration of innovative practices in the delivery of quality student services were also determined. Research design was descriptive with the questionnaire as the main data gathering instrument complemented by interview and focus group discussion. Respondents of the study were 84 program implementers and 331 student leaders in the three state colleges in Mindoro and Marinduque (MIMA) provinces including their satellite campuses. Profile description of the program implementers revealed majority were female, middle –aged between 25-35 years of age, masteral degree holders with at most ten years in service as student service implementers. Attended trainings were relatively few. Further, the program implementers assessed the quality services delivery for admission, guidance and counselling services, scholarship and financial assistance were delivered to a great extent while health, food and library services were rated moderate extent. Housing services were delivered to a slight extent. On the other hand, student leaders rated the quality services delivery of all areas was to a moderate extent. Significant differences in the assessments between program implementers and student leaders were noted in most areas except for student housing services where both concurred delivery to a slight extent. More so, the innovative practices to achieve quality student service delivery were delivered to a moderate extent. Based on the findings, a management plan for quality student service delivery for Mindoro and Marinduque state colleges was prepared. It was recommended that the management plan be reviewed for enhancement and tried for implementation to achieve quality student service delivery.
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Hyde, Abbey, Jean Nee, Michelle Butler, Jonathan Drennan und Etaoine Howlett. „Preferred Types of Menopause Service Delivery“. International Journal of Healthcare Delivery Reform Initiatives 3, Nr. 1 (Januar 2011): 1–12. http://dx.doi.org/10.4018/jhdri.2011010101.
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This article analyses what a sample of women experiencing menopause say they would like in terms of a quality menopause health service. Thirty-nine women who defined themselves as currently or recently menopausal were interviewed in depth, and data were analysed using a qualitative strategy known as thematic networks analysis. In terms of the structure of a menopause service, the dominant picture emerging was that women wanted an integrative menopause service where General Practitioners would act as a gateway to both biomedical treatments and complementary and alternative medicine. In addition, participants recommended that practitioners be knowledgeable about the wider (psychosocial) issues associated with menopause, and well versed in a range of therapies. In terms of process issues, participants wanted a service where their experiences were listened to and taken seriously. Given the tension between biomedicine and complementary and alternative medicine over the status of knowledge and diverse approaches to what counts as evidence about whether or not a therapy works, at least some aspects of what participants want from a menopause service may be very difficult to realise.
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Lederman, Oscar, Bonnie Furzer, Kemi Wright, Grace McKeon, Simon Rosenbaum und Rob Stanton. „Mental Health Considerations for Exercise Practitioners Delivering Telehealth Services“. Journal of Clinical Exercise Physiology 10, Nr. 1 (01.03.2021): 20–28. http://dx.doi.org/10.31189/2165-7629-10.1.20.
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ABSTRACT In Australia, exercise practitioners (i.e., clinical professionals specializing in exercise assessment and delivery) are increasingly recognized as core mental health team members. In response to the COVID-19 pandemic, exercise practitioners, like other mental health professions, have had to adapt methods of clinical service delivery to ensure social distancing and reduce risk of community transmission. As such, telehealth interventions have rapidly replaced most face-to-face services. To date, evidence surrounding the application of telehealth exercise interventions for people living with mental illness is scarce, and currently there is no consensus or recommendations on how exercise practitioners can provide telehealth services for this population. As such, the aim of this article is to draw on existing research and expert opinion to provide practical and service-based guidance for exercise practitioners delivering telehealth services to people with mental illnesses. Specifically, we explore the potential benefits of telehealth exercise interventions, the various challenges and considerations of telehealth exercise among those with mental illness, and some practical solutions to guide exercise practitioners in delivering telehealth services.
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Leask, Calum F., und Heather Tennant. „Evaluation of an unscheduled care model delivered by advanced nurse practitioners in a primary-care setting“. Journal of Research in Nursing 24, Nr. 8 (23.07.2019): 696–709. http://dx.doi.org/10.1177/1744987119852380.
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Background Considering new models of delivery may help reduce increasing pressures on primary care. One potentially viable solution is utilising Advanced Practitioners to deliver unscheduled afternoon visits otherwise undertaken by a General Practitioner (GP). Aims Evaluate the feasibility of utilising an Advanced Nurse Practitioner (ANP) to deliver unscheduled home visits on behalf of GPs in a primary care setting. Methods Following a telephone request from patients, ANPs conducted unscheduled home visits on behalf of GPs over a six-month period. Service-level data collected included patient-facing time and outcome of visits. Practice staff and ANPs participated in mind-mapping sessions to explore perceptions of the service. Results There were 239 accepted referrals (total visiting time 106.55 hours). The most common outcomes for visits were ‘medication and worsening statement given’ (107 cases) and ‘self-care advice’ (47 cases). GPs were very satisfied with the service (average score 90%), reporting reductions in stress and capacity improvements. Given the low referral rejection rate, ANPs discussed the potential to increase the number of practices able to access this model, in addition to the possibility of utilising other practitioners (such as paramedics or physiotherapists) to deliver the same service. Conclusions It appears delivering unscheduled care provision using an ANP is feasible and acceptable to GPs.
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Masiongale, Tedd. „Ethical Service Delivery to Culturally and Linguistically Diverse Populations: A Specific Focus on Gay, Lesbian, Bisexual, and Transgender Populations“. Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse (CLD) Populations 16, Nr. 1 (März 2009): 20–30. http://dx.doi.org/10.1044/cds16.1.20.
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Abstract Purpose: Shifting demographics amid a growing population have given rise to a culturally and linguistically diverse client base. Professionals' recognition and understanding of effective service delivery with individuals from culturally and linguistically diverse groups is improving. Cultural competence is emerging as a necessary skill set for practitioners to deliver clinically competent services with diverse communities including the gay, lesbian, bisexual, and transgender (GLBT) population. Method: Current literature and Internet sources were used to gather demographic information analyze policy documents related to ethical service delivery and explore current trends and recommendations for appropriate service delivery with a specific focus on the GLBT population. Results and Conclusions: The demographic makeup of the U.S. population is rapidly changing. Professionals, especially those outside urban areas, are only beginning to understand and adapt their clinical practices to adequately serve the GLBT population. Despite some resistance to change and political maneuvering, which could be construed to contradict ethical service delivery, professionals are realizing that ethical service delivery that embraces a recognition of their own culture and that of the individuals they serve results in greater functional outcomes.
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Watters, Liam, Miriam Gannon und Denis Murphy. „Attitudes of general practitioners to the psychiatric services“. Irish Journal of Psychological Medicine 11, Nr. 1 (März 1994): 44–46. http://dx.doi.org/10.1017/s0790966700016074.
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Structural AbstractObjective: General practitioners play a crucial role in the delivery of psychiatric treatment to patients who have many similarities to those attending the general psychiatric services. The purpose of this study was to elicit attitudes of general practitioners to an existing local service. Methods: We used an anonymous questionaire hand delivered to 54 general practitioners with practices in the catchment area of one of Dublin's psychiatric hospitals. Results: We received responses from 40 of the GP's indicating a high level of psychiatric morbidity in the primary care setting, a moderate level of satisfaction with psychiatric service, a low level of knowledge of the catchment area system, limited interest in taking on an increased role in the care of psychiatric patients and a high popularity rating for the community psychiatric nurse. Conclusions: This study confirms previous estimates of psychiatric morbidity in general practice, a need for improved communication between psychiatrists and general practitioners to identify more realistic expectations on both sides of the equation, and a huge potential for the expanding community psychiatric services to improve liaison between general practitioners and psychiatrists and yield considerable patient and doctor gains.
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Reinbergs, Erik J., und Sarah A. Fefer. „Addressing trauma in schools: Multitiered service delivery options for practitioners“. Psychology in the Schools 55, Nr. 3 (25.01.2018): 250–63. http://dx.doi.org/10.1002/pits.22105.
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Healy, Karen E., und Gabrielle A. Meagher. „Practitioner perspectives on performance assessment in family support services“. Children Australia 26, Nr. 4 (2001): 22–28. http://dx.doi.org/10.1017/s1035077200010440.
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This paper reports some results of a study of practitioners’ perspectives on performance assessment in the field of family support services. Existing empirical work on performance assessment emphasises the perspectives offunders and/or service users. However, practitioners are a key stakeholder in both service delivery and assessment, and consideration of how this group approaches and appropriates performance assessment can maximize its effectiveness, and ensure the incorporation of their practice-based knowledge about service delivery and outcomes. We find that family support workers are committed to understanding the effectiveness of their work, and use a variety of means to attempt to evaluate their own effectiveness. However, these means are rarely systematic, andare unlikely to provide data useful for measures of service economy and efficiency. This may be because their practice consists of processes to which conventional evaluation techniques are ill-suited. The challenge for providers of social services is to find ways to assess the caring work at the heart of their practice in ways which are ‘legible’ to all stakeholders, including government flinders.
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Savrikar, Shriram. „The untold story of plight of Ayurveda in pre and post-independent India“. Journal of Healthcare Ethics & Administration 6, Nr. 1 (18.08.2020): 26–34. http://dx.doi.org/10.22461/jhea.1.71625.
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India will exceed WHO recommended Doctor: population ratio of 1:1000 in 2024 with only MBBS doctors. Thereafter 8 lac registered ISM&H doctors will become surplus. They will have no place to go and no means to survive. Otherwise also as a doctor they were never a part of modern medicine oriented public health care sector. Occasionally whenever they are entertained in this sector, care is taken to keep their status and wages lower than that of a nursing personnel. Delivery of Ayurveda services was never allowed through public health care sector since pre-independence. The script of this neglect was written by Bhore committee in 1946. The Indian administrators in post-independent India, followed the same script. Outside the government, in absence of clear policy on permission or prohibition to practice modern medicine, and without any appropriate training, Ayurveda practitioners, facing occasional prosecutions, continued to practice modern medicine. Today their fate remains undecided. Still 50000+ ISM&H graduates come out every year from Universities to try their luck. This is totally unethical on the part of every responsible Indian and the concerned authorities. This is amounting to mass unemployment and frustration among this youth power. Prohibition on delivery of Ayurveda service through public health service, keeping ambiguity on the issue of permission or prohibition of practice of modern medicine by Ayurveda practitioner, allowing exposure of people to Ayurveda practitioners for receiving modern medicine treatment, when the Ayurveda practitioner is not trained for delivery of such service and allowing exponential increase in number of ISM&H practitioners to the tune of 52000 every year in absence of assured survival means; all these activities are extremely unethical on the part of government authorities. Immediate steps need to be taken to stop these unethical practices and save this deterioration and plight of Ayurveda.
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Davies, Laura. „Are young fathers “hard to reach”? Understanding the importance of relationship building and service sustainability“. Journal of Children's Services 11, Nr. 4 (19.12.2016): 317–29. http://dx.doi.org/10.1108/jcs-03-2016-0007.
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Purpose This paper explores service provision for young fathers through analysis of data from the three-year ESRC funded project Following Young Fathers. The purpose of this paper is to explore the idea that young fathers are a “hard to reach” group. It begins with a discussion of literature and research evidence on this theme. The empirical discussion draws on data collected in interviews and focus groups with practitioners, service managers and those working to develop and deliver family support services. Design/methodology/approach The ESRC Following Young Fathers study used qualitative longitudinal methods to research the perspectives of fathers under the age of 25, mapping the availability of services to support them and investigating professional and policy responses to their needs. The strand reported on here focussed on the perspectives of a range of practitioners, service managers and those involved in developing and commissioning services. Findings The research findings, and those of other projects discussed in the paper, challenge the idea that young fathers are “hard to reach”, suggesting that we should, conversely, consider that many services are actually hard to access. Thus, increasing young fathers’ engagement requires better understanding of their often complex needs and a reshaping of service design and delivery to account for them. The paper highlights how the configuration, funding and delivery of services can inhibit young fathers’ use of them, and identifies ways in which they could be made more accessible. Originality/value The ESRC Following Young Fathers Study filled an important gap in knowledge about the lives of young fathers, developing understandings of their experiences and support needs. The strand reported on here draws on research with practitioners to provide an in-depth discussion of how services currently support young fathers, and how they could be better configured to address their often complex and diverse needs.
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Ramessur, Vinaysing, Dinesh Kumar Hurreeram und Kaylasson Maistry. „Service quality framework for clinical laboratories“. International Journal of Health Care Quality Assurance 28, Nr. 4 (11.05.2015): 367–81. http://dx.doi.org/10.1108/ijhcqa-07-2014-0077.
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Purpose – The purpose of this paper is to illustrate a service quality framework that enhances service delivery in clinical laboratories by gauging medical practitioner satisfaction and by providing avenues for continuous improvement. Design/methodology/approach – The case study method has been used for conducting the exploratory study, with focus on the Mauritian public clinical laboratory. A structured questionnaire based on the SERVQUAL service quality model was used for data collection, analysis and for the development of the service quality framework. Findings – The study confirms the pertinence of the following service quality dimensions within the context of clinical laboratories: tangibility, reliability, responsiveness, turnaround time, technology, test reports, communication and laboratory staff attitude and behaviour. Practical implications – The service quality framework developed, termed LabSERV, is vital for clinical laboratories in the search for improving service delivery to medical practitioners. Originality/value – This is a pioneering work carried out in the clinical laboratory sector in Mauritius. Medical practitioner expectations and perceptions have been simultaneously considered to generate a novel service quality framework for clinical laboratories.
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Setino, Rebecca, und Intaher Marcus Ambe. „Supply chain management practices in state-owned enterprises environment“. Risk Governance and Control: Financial Markets and Institutions 6, Nr. 4 (2016): 380–91. http://dx.doi.org/10.22495/rcgv6i4c3art3.
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The South African government’s supply chain management (SCM) system is not adequately implemented in state-owned enterprises (SOEs). There are weaknesses in the SOEs SCM enablers, strategies, policy implementation and poor enforcement of government SCM rules and regulations. This is resulting in governance and compliance failures, waste and fraudulent activities. Also, top management of SOEs still do not see SCM as strategic enough to deserve their attention, and therefore, there is little support from senior management, thus making it even more difficult for SCM practitioners to execute their day-to-day functions, let alone deliver the letter and spirit of the relevant legislation. In most SOEs Senior SCM practitioners have not been involved in the corporate strategy development. This has led to supply chain and organisational strategies being misaligned. The misalignment has resulted in service delivery backlog, high levels of corruption and continuous strikes across the country for better services. Given the massive expenditure and the financial challenges facing government, an effective public-sector SCM becomes a primary requirement. Government leaders should be more strategic around using SCM as a tool to improve service delivery. This article explores supply chain practices in SOEs. It is based on a conceptual review of SCM practices in the South African SOE environment and suggests that the supply chain and organisational strategies of SOEs must be aligned to ensure efficient delivery of public services.
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Kromberg, JGR, J. Parkes und S. Taylor. „Genetic Counselling as a Developing Healthcare Profession: A Case Study in the Queensland Context“. Australian Journal of Primary Health 12, Nr. 1 (2006): 33. http://dx.doi.org/10.1071/py06006.
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Given a dearth of empirical and baseline data regarding genetic counselling in Australia, this study examined genetic counselling services in Queensland from January 1998 to December 1999. Secondary analysis was conducted with data from the Queensland Clinical Genetics Service (QCGS). During the study period, 8007 clients were seen in 4817 counselling sessions in urban and regional settings, with general practitioners (GPs) constituting the second largest referral source of clients. Genetic counsellors contributed to 80% of clinical genetic sessions as sole and co-counsellors, and counselled across 79 different disorders. Prenatal diagnosis counselling constituted the greatest workload with demands for cancer counselling increasing. Counsellors also provided educational and information services to individuals, families, general practitioners, health professionals and the community. The ratio of counsellors per head of population was less than national recommendations. Thus, although the existing model of genetic service delivery in Queensland demonstrates accessibility, the service in general is underutilised. As developments in genetic technology continue, this profession is expected to grow further and has the potential to contribute to service delivery at the primary health care level.
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Henneker, Kim E., und Kirk Reed. „Knowing the people planning: measuring change in mental health services“. Australian Health Review 36, Nr. 2 (2012): 213. http://dx.doi.org/10.1071/ah10871.
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This article describes the underlying philosophy of knowing the people planning (KPP) and gives an example of a practical approach to measure people’s recovery in terms of consumer identified outcomes leading to the improvement in the effectiveness of mental health and addiction services in Hawke’s Bay. KPP provided a valuable approach to planning service delivery by measuring key variables of service delivery based on consumer determined key features and a means to describe the quality improvements implemented in services in Hawke’s Bay. Practitioners were directly involved; the key was to identify gaps and work with stakeholders to create solutions to facilitate better and improved recovery outcomes. What is known about the topic? Outcomes specifically related to the effect of recovery oriented mental health services on the population, are not widely measured. Within the current health environment, it is essential outcomes are described and measured in terms of the effect on the population and the outcomes related to sustaining people’s recovery from mental illness. The purpose of the KPP approach is to provide evidence for change in service delivery and to determine if enhanced investment is making any differences to the end product experienced by consumers accessing services in terms of recovery outcomes. KPP outcome data are designed to enable services to effectively plan for and fund services to make a practical difference to those who access them. What does this paper add? KPP provides a framework and approach to measure consumer desired outcomes that make a practical difference to consumers lives such as paid employment; housing; social support; and access to primary healthcare. This article provides an example of KPP in action that led to significant changes which enabled services to better meet consumer needs. What are the implications for practitioners? KPP is a simple and effective tool that enables quantitative data to be collected and analysed. Practitioners contribute to data collection and the data can then be used to directly affect service design and investment. The KPP process allows practitioners to know the people they are working with and to identify and address consumer needs, which in turn leads to an improved service, creating a more satisfying working environment. KPP also develops a means to measure the effectiveness of practice.
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Wyss, Dominik, Sally Lindsay, William L. Cleghorn und Jan Andrysek. „Priorities in lower limb prosthetic service delivery based on an international survey of prosthetists in low- and high-income countries“. Prosthetics and Orthotics International 39, Nr. 2 (13.12.2013): 102–11. http://dx.doi.org/10.1177/0309364613513824.
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Background:Prosthetic services, including the provision of an appropriate prosthesis, are a crucial part of the rehabilitation process for individuals with lower limb amputations. However, globally there exist unique challenges in the delivery of prosthetic services that are limiting rehabilitation outcomes and consequently the well-being and socio-economic status of individuals with lower limb amputations.Objectives:The objective of this work was to explore the issues related to the provision of appropriate prosthetic technologies and to compare these across different economies of the world.Study design:Cross-sectional survey.Methods:An online survey was developed and distributed to prosthetic practitioners providing services in countries around the world. An open-coding thematic content analysis procedure was applied to extract key themes from the data.Results:The response codes defined three overall themes of lower limb prosthetic delivery, and several key differences between higher and lower income countries emerged. Namely, a higher emphasis on part/material availability, practitioner training and durability in lower income countries was found. High costs were an issue raised by practitioners in all countries.Conclusion:Practitioners around the world share many of the same concerns; however, some lower income countries face important and pressing issues that limit their ability to provide adequate prosthetic services.Clinical relevanceThis work highlights the most crucial service and technology-related needs, as perceived by trained prosthetic practitioners, of populations requiring lower limb prosthetic treatment around the world. Additionally, the results may be used to prioritize prosthetic-related health-care initiatives led by other researchers, governments and organizations working to improve services internationally.
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McWilliam, R. A., und Donald B. Bailey. „Predictors of Service-Delivery Models in Center-Based Early Intervention“. Exceptional Children 61, Nr. 1 (September 1994): 56–71. http://dx.doi.org/10.1177/001440299406100106.
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This study examined the perceptions of early childhood intervention professionals toward the integration of special services into regular classrooms, rather than through segregated, pullout approaches. A mail survey of occupational therapists, physical therapists, special educators, and speech-language pathologists asked (a) what practitioners perceived as their typical and ideal practices and (b) what influenced their choices of service-delivery models. Multiple-regression analyses were used to determine how choice of models for different situations predicted the extent to which respondents used integrated practices. Results showed that special educators were most likely to use and favor integrated services, followed by occupational therapists, speech-language pathologists, and physical therapists.
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Alden, Sarah Louise. „Welfare reform and the street level bureaucrat in homelessness services“. International Journal of Sociology and Social Policy 35, Nr. 5/6 (08.06.2015): 359–74. http://dx.doi.org/10.1108/ijssp-10-2013-0102.
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Purpose – Lipsky’s street level bureaucrat conceptual framework is employed to assist in understanding the ways in which statutory frontline homelessness practitioners are engaging with the current welfare reform agenda. The paper aims to discuss these issues. Design/methodology/approach – Draws the street level bureaucrat framework. A national baseline survey of homelessness practitioners was followed by targeted qualitative interviews involving 12 local authorities in England. Findings – Homelessness practitioners are facing a twofold crisis due to an increase in service users and corresponding decrease in feasible housing options or resources to tackle this. It was reported that effective service provision for all who required it was becoming increasingly difficult, which in turn fostered an environment in which unlawful gatekeeping practices could thrive. Further, it was found that a service user’s position may be additionally weakened due to the new powers conferred in the Localism Act. Research limitations/implications – Qualitative data were limited to North East Authorities due to limited research resources. Social implications – The current austere climate is negatively impacting upon the delivery of statutory homelessness provision. Differing implementation of the Localism Act will lead to inequitable service outcomes. Originality/value – Application of the street level bureaucrat implementation framework to English homelessness services, a national survey of English frontline service delivery in an austere climate.
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Bail, Kasia, Paul Arbon, Marlene Eggert, Anne Gardner, Sonia Hogan, Christine Phillips, Nicole van Dieman und Gordon Waddington. „Potential scope and impact of a transboundary model of nurse practitioners in aged care“. Australian Journal of Primary Health 15, Nr. 3 (2009): 232. http://dx.doi.org/10.1071/py09009.
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Aged care is a growing issue in Australia and other countries. There are significant barriers to meeting the health needs of this population. Current services have gaps between care and lack communication and integration between care providers. Research was conducted in the Australian Capital Territory to investigate the potential role of the aged care nurse practitioner in health service delivery in aged care settings. A multimethod case study design was utilised, with three student nurse practitioners (SNP) providing care to aged care clients across three sectors of health service delivery (residential aged care facilities, general medical practices and acute care). Data collection consisted of in-depth interviews and journal entries of the SNP, as well as focus groups and surveys of multidisciplinary staff and patients over the age of 65 years in the settings frequented by the SNP. The aged care SNP were found to cross professional and organisational boundaries, cross intra- as well as interorganisational boundaries and to contribute to more seamless patient care as members of a multidisciplinary aged care team. The aged care nurse practitioner role consequently has the potential to function in a networked rather than a hierarchical manner, and this could be a key element in addressing gaps in care across care locales and between disciplines.
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Greenburg, David. „The Tenth Annual Report to Congress: One More Ride on the Merry-Go-Round?“ Exceptional Children 56, Nr. 1 (September 1989): 10–13. http://dx.doi.org/10.1177/001440298905600103.
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The U.S. Department of Education's Tenth Annual Report to Congress on the Implementation of the Education of the Handicapped Act contains improvements, but most infirmities of previous reports on progress toward meeting the goals of Public Law 94–142. Major criticisms include (a) continued overdependence on reporting numbers of students without descriptions of evolutions in service delivery, and (b) a lack of information about service delivery which includes the perspective of practitioners in local school districts where the service delivery occurs. The report further prompts even more questions about the Office of Special Education Programs (OSEP) monitoring findings and reinforces the need for improved communication between local practitioners and those who form national public education policy.
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Brophy, Lisa, Craig Hodges, Kieran Halloran, Margaret Grigg und Mary Swift. „Impact of care coordination on Australia's mental health service delivery system“. Australian Health Review 38, Nr. 4 (2014): 396. http://dx.doi.org/10.1071/ah13181.
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Care coordination models have developed in response to the recognition that Australia’s health and welfare service system can be difficult to access, navigate and is often inefficient in caring for people with severe and persistent mental illness (SPMI) and complex care and support needs. This paper explores how the Australian Government’s establishment of the Partners in Recovery (PIR) initiative provides an opportunity for the development of more effective and efficient models of coordinated care for the identified people with SPMI and their families and carers. In conceptualising how the impact of the PIR initiative could be maximised, the paper explores care coordination and what is known about current best practice. The key findings are the importance of having care coordinators who are well prepared for the role, can demonstrate competent practice and achieve better systemic responses focused on the needs of the client, thus addressing the barriers to effective care and treatment across complex service delivery systems. What is known about the topic? Care coordination, as an area of mental health practice in Australia, has not been well defined and the evidence available about its effectiveness is uneven. Even so, care coordination is increasingly identified as having the potential to deliver a more person-centred response to the health and social needs of people with severe and persistent mental illness (SPMI), as well as enhance the responsiveness of Australia’s mental health service delivery system. The introduction of Partners in Recovery (PIR), a new Australian Government initiative based on coordinated care approaches, provides the impetus to investigate the hoped for mental health system enhancements and related improved client outcomes. What does this paper add? This paper offers a rationale for care coordination, referred to in the PIR model as support facilitation, as a primary enabler for enhanced person-centred, cost-effective and sustainable mental health service delivery. The paper discusses support facilitation as an integral practice platform for supporting the successful implementation and sustainability of the PIR initiative. It also addresses issues that may be encountered in establishing the roles and functions of various components of the initiative’s care coordination model. What are the implications for practitioners? The key implications for PIR support facilitation practitioners are to reconsider their function and roles within a mental health service delivery system that places care coordination at its centre. This paper establishes that any model of care coordination requires well-trained and enthusiastic practitioners with a sophisticated appreciation of current barriers to care. Practitioners will be required to value partnerships as a means of addressing barriers that impact on the establishment and maintenance of robust, system-wide responses that are genuinely consumer focused.
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Fogaca, Janaina Lima, Sam J. Zizzi und Mark B. Andersen. „Walking Multiple Paths of Supervision in American Sport Psychology: A Qualitative Tale of Novice Supervisees’ Development“. Sport Psychologist 32, Nr. 2 (01.06.2018): 156–65. http://dx.doi.org/10.1123/tsp.2017-0048.
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There is limited evidence for what characteristics of supervision delivery facilitate novice supervisees’ development. The aim of this study was to investigate the relationship between supervision-delivery approaches and the perceptions of service-delivery competence development in novice practitioners. The authors interviewed 9 supervisor–supervisee dyads before and after the academic term in which the supervisees had their first applied experiences. Supervisees also completed reflective journal entries regarding their supervisory experiences and development. Data analysis included constant comparative analysis and triangulation of qualitative results with a practitioner-skills inventory. Different approaches to supervision delivery seemed to contribute similarly to novice supervisees’ development. Supervisees developed in more areas when the dyads had consistent meetings, close supervisory relationships, feedback, and frequent opportunities for self-reflection and when supervisors adapted the delivery to the supervisees’ developmental levels. In addition, factors in supervisees’ background, practice, and supervision that contributed to perceptions of service-delivery competence are discussed.
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Kusyana, Dewa Nyoman Benni, und Komang Ary Pratiwi. „SKALA PENGUKURAN KUALITAS LAYANAN: SEBUAH KAJIAN LITERATUR“. WIDYA MANAJEMEN 1, Nr. 2 (01.08.2019): 21–39. http://dx.doi.org/10.32795/widyamanajemen.v1i2.354.
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Service quality measurement techniques along with dimensions of service quality have become a major issue in the marketing literature over the past few decades. The increasing importance of quality services, both practitioners and scholars began to focus on service delivery. Measurement of service quality is now seen as an important measurement tool for companies to understand the needs and desires of customers by analyzing customer satisfaction and experience with the services provided. Although until now there has been no agreement on a particular model that should be used to measure service quality, the fact is there are several effective models that can be used by both practitioners and scholars that have been produced by researchers. Until now, researchers believe and agree that service quality is multilevel or multidimensional. This study focuses on various types of service quality models that existed until year of 2000. The methodology used is conducting a review of service quality literature. The limitation of this literature review is that the existing service quality model was developed before 2000 because after 2000 the development of quality services was focused on the quality of electronic services.
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Pikkarainen, Minna, Tero Huhtala, Laura Kemppainen und Juha Häikiö. „Success factors for data–driven service delivery networks“. Journal of Innovation Management 7, Nr. 4 (08.01.2020): 14–46. http://dx.doi.org/10.24840/2183-0606_007.004_0003.
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Data is becoming a more and more important resource for future innovations. Companies are currently considering how to leverage personal data in preventive healthcare and in other sectors. However, there are many challenges hindering the development of data-driven businesses in extant business networks. The purpose of this paper is to explore the success factors of data-driven service delivery networks in the context of preventive healthcare. The results are examples of the benefits and challenges of data availability and usage, based on a qualitative case study, in which a network of actors is integrating resources to solve the needs of their end customers. The results underline the success factors for service delivery networks, creating a baseline for human-centric, personalized and preventive healthcare solutions. The study enriches the theoretical perspective of data, services and service delivery networks by continuing discussion on how big data resources become cooperative assets not only in a firm but also on the network level. This study has multiple implications for practitioners trying to navigate the turbulent waters of the changing business environment and evolving service delivery network of preventive healthcare. Especially small and medium size of firms could use the identified success factors when planning new data-driven services in their networks. Our analysis brings new perspective between a firm and the actors in its network, particularly in the preventive healthcare sector wherein data needs to be shared between actors via consent of the individuals.
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Fogaca, Jana L., Jack C. Watson und Sam J. Zizzi. „The Journey of Service Delivery Competence in Applied Sport Psychology: The Arc of Development for New Professionals“. Journal of Clinical Sport Psychology 14, Nr. 2 (01.06.2020): 109–26. http://dx.doi.org/10.1123/jcsp.2019-0010.
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A fundamental issue in applied sport psychology is the development of competent professionals who can provide effective and ethical services to clients. The current study uses a qualitative longitudinal design to track the development of five novice sport psychology practitioners in their first year of practice. The research team analyzed and integrated data from surveys, interviews, and journals to understand the participants’ experiences and compare them to previous literature on practitioner development. Participants reported increased confidence and flexibility over time, and reduced their perceived anxiety and dependence on supervision. These changes were similar in nature to what has been reported for counseling trainees, but seemed to happen more quickly. These findings highlight important developmental characteristics of first year sport psychology practitioners, which can help graduate programs to tailor their supervision and training to their students’ needs.
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Clough, Cynthia. „School-Based Occupational Therapy Practitioners’ Service Delivery Decision Making: A Qualitative Study“. American Journal of Occupational Therapy 72, Nr. 4_Supplement_1 (01.11.2018): 7211505112p1. http://dx.doi.org/10.5014/ajot.2018.72s1-po5007.
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Tod, David, James Hardy, David Lavallee, Martin Eubank und Noora Ronkainen. „Practitioners’ narratives regarding active ingredients in service delivery: Collaboration-based problem solving“. Psychology of Sport and Exercise 43 (Juli 2019): 350–58. http://dx.doi.org/10.1016/j.psychsport.2019.04.009.
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Miller, David R., Khyber Alam, Susan Fraser und James Ferguson. „The delivery of a minor injuries telemedicine service by Emergency Nurse Practitioners“. Journal of Telemedicine and Telecare 14, Nr. 3 (März 2008): 143–44. http://dx.doi.org/10.1258/jtt.2008.003013.
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Barrett, Jessica A. „Multicultural Social Justice and Human Rights: Strategic Professional Development for Social Work and Counseling Practitioners“. Journal for Social Action in Counseling & Psychology 3, Nr. 1 (01.04.2011): 117–23. http://dx.doi.org/10.33043/jsacp.3.1.117-123.
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Social work and counseling practitioners routinely provide services to clients of diverse cultural backgrounds. Multidimensional issues related to human diversity, social justice and human rights often prevent practitioners from providing competent and effective services to all populations. It is vital that these professionals focus on individual leadership development from a multicultural social justice perspective. The concept of social justice challenges existing structures and when paired with the human rights paradigm can significantly impact competent and ethical service delivery and practice. A focus on professional development among students, new professionals, and experienced practitioners can aid individuals in implementing human rights and social justice strategies within individual practice, organizations and communities.
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Dahl-Popolizio, Sue, Heidi Carpenter, Melissa Coronado, Nicholas J. Popolizio und Connor Swanson. „Telehealth for the Provision of Occupational Therapy: Reflections on Experiences During the COVID-19 Pandemic“. International Journal of Telerehabilitation 12, Nr. 2 (08.12.2020): 77–92. http://dx.doi.org/10.5195/ijt.2020.6328.
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During the COVID-19 pandemic of 2020, healthcare professionals worldwide abruptly shifted from an in-person to a telehealth service delivery model. Many did so without advanced training or preparation. This cross-sectional study explored how occupational therapy practitioners (OTPs) used telehealth during the COVID-19 pandemic, and whether they found it to be an effective service delivery model that should be a permanent option for providing occupational therapy services. An online survey was disseminated; it included Likert scale questions, multiple option questions, and open-ended questions regarding telehealth use during the COVID-19 pandemic. Of the 230 respondents, 176 (77%) support telehealth as a substitute for in-person services; 179 (78%) support telehealth as a permanent option for occupational therapy service delivery. This information lends support to the uninterrupted use of telehealth by OTPs when government emergency orders in response to COVID-19 expire.
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O'Donoghue, Lynette, Nikki Percival, Alison Laycock, Janya McCalman, Komla Tsey, Christine Armit und Ross Bailie. „Evaluating Aboriginal and Torres Strait Islander health promotion activities using audit and feedback“. Australian Journal of Primary Health 20, Nr. 4 (2014): 339. http://dx.doi.org/10.1071/py14048.
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Indigenous primary health care (PHC) services have been identified as exemplary models of comprehensive PHC; however, many practitioners in these services struggle to deliver effective health promotion. In particular, practitioners have limited capacity and resources to evaluate health promotion activities. Best practice health promotion is important to help address the lifestyle and wider factors that impact on the health of people and communities. In this paper, we report on the acceptability and feasibility of an innovative approach for evaluating the design of health promotion activities in four Indigenous PHC services in the Northern Territory. The approach draws on a popular continuous quality improvement technique known as audit and feedback (A&F), in which information related to best practice is gathered through the use of a standardised audit tool and fed back to practitioners. The A&F approach has been used successfully to improve clinical service delivery in Indigenous PHC; however, the technique has had limited use in health promotion. The present study found that facilitated participatory processes were important for the collection of locally relevant information and for contributing to improving PHC practitioners’ knowledge and understanding of best practice health promotion.
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Srivastava, Shefali. „Exploring Enablers of Value Co-Creation in the Healthcare Service Delivery“. International Journal of Service Science, Management, Engineering, and Technology 12, Nr. 1 (Januar 2021): 111–26. http://dx.doi.org/10.4018/ijssmet.2021010107.
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The paper identifies the enablers of value co-creation (VCC) in the healthcare context which in result enhances service delivery capability. A 45-item questionnaire was circulated among service providers in the healthcare system, including doctors, nurses, and system staff all over India. A cross-sectional research design was used to assess the research's framework. A total of 294 valid responses were received. Validity and reliability analyses were performed using SPSSv23 and AMOSv22, and the hypotheses were tested using structural equation modeling. Results reveal that organizational orientation, technology integration and internal service quality (ISQ) are the enablers of value co-creation in healthcare services context from the internal customer perspective. Future researchers may explore the inter-relationships among the enablers of VCC process. The study provides practitioners with suggestions to facilitate service delivery capability by leveraging organizational orientation, technology integration, and ISQ in the VCC process.
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Brown, A. Lisa, und Kathleen M. Saura. „Vocational Rehabilitation Needs of Individuals Dually Diagnosed with Substance Abuse and Chronic Mental Illness“. Journal of Applied Rehabilitation Counseling 27, Nr. 3 (01.09.1996): 3–10. http://dx.doi.org/10.1891/0047-2220.27.3.3.
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Individuals who have a dual diagnosis of substance abuse and chronic mental illness pose unique challenges in the delivery of vocational rehabilitation services. Barriers to service provision include an underestimation of prevalence; agency classifications that require a separation of disability conditions into primary and secondary disability; a lack of counselors’ awareness of the unique needs of this population; and the impact of negative attitudes and stigma on vocational success. Although individuals with dual diagnosis can benefit from rehabilitation services and stable employment, changes in the traditional service delivery system are recommended. To address the unique needs of this population, rehabilitation practitioners are encouraged to seek specialized training and continuing education through regional training programs and interagency consultation.
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Venter, Marius. „From lip-service to service delivery in local Economic development: Guidelines to set up an agency for action“. Journal of Economic and Financial Sciences 7, Nr. 3 (31.10.2014): 721–36. http://dx.doi.org/10.4102/jef.v7i3.235.
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The Constitution of South Africa imposes a burden on municipalities to engage in local economic development. Municipal local economic development practitioners are often in doubt regarding the various mechanisms available to them to implement local economic development. This article provides insight into the processes and issues surrounding the use of an external mechanism (a private company owned by the municipality) as a local economic development agency. The lessons learnt from the Overstrand Local Economic Development Agency are compared with findings of an international study of the Organisation for Economic Co-operation and Development on 16 local economic development agencies. The article provides guidelines to local economic development practitioners to follow before, during and after the establishment of a local economic development agency.
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Kirby, Michael, und Colm Cooney. „Setting up a new old age psychiatry service“. Psychiatric Bulletin 22, Nr. 5 (Mai 1998): 288–90. http://dx.doi.org/10.1192/pb.22.5.288.
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The views of general practitioners (GPs) on the priorities for a new old age psychiatry service were obtained. Most GPs identified dementia patients with behavioural or psychiatric disturbance as being the greatest priority for an old age psychiatry service. There was less consensus on the priorities for delivery of the service, but hospital-based services such as in-patient and day hospital facilities remain high on the GPs' priority list. There was a widely-based desire for results of assessments to be communicated by telephone, followed later by letter. These findings have been taken into account in the development of our new service.
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Fallon, Karen A. „AAC in the Schools: Current Issues and Future Directions“. Perspectives on Augmentative and Alternative Communication 17, Nr. 1 (April 2008): 6–12. http://dx.doi.org/10.1044/aac17.1.6.
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Abstract For students with complex communication needs, positive educational outcomes are heavily dependent on support services that facilitate access to AAC technologies, the acquisition of literacy skills, and access to the academic curriculum within supportive classroom communities. Although the AAC research literature documents continuous progress in the quality and effectiveness of school-based services, by many indicators the field has a distance to go in pursuit of excellence in AAC service delivery. In reflecting upon the current state of school-based practice, several important factors emerge as critical to the success of students who require AAC, including the expertise of practicing professionals, effective collaborations of service-delivery teams, and the availability of empirical studies to guide practitioners. This article examines key issues affecting AAC service delivery in the schools and discusses critical clinical and research needs in the areas of personnel preparation, collaborative team building, and the provision of quality AAC services. Suggestions for the development and refinement of best practices are also explored in a discussion of future directions for school-based AAC services.
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Hodges, Vanessa G., und Betty J. Blythe. „Improving Service Delivery to High-Risk Families: Home-based Practice“. Families in Society: The Journal of Contemporary Social Services 73, Nr. 5 (Mai 1992): 259–65. http://dx.doi.org/10.1177/104438949207300501.
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Practitioners constantly seek innovative ways to improve service delivery to high-risk children and families who are isolated and unlikely to seek help at an agency. Home-based practice is rapidly becoming an alternative to practice in office settings. The authors describe the enhanced assessment and intervention opportunities afforded through home-based practice. Intervention and personal management skills needed to conduct effective home-based practice are described and illustrated.
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de la Riva Agüero, Renzo. „Exploring Administrative Capacity and Local Governance in the Peruvian Waste Sector: Implications for Complex Service Delivery in the Global South“. State and Local Government Review 53, Nr. 2 (Juni 2021): 122–41. http://dx.doi.org/10.1177/0160323x211026862.
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Municipalities in the Global South confront significant implementation challenges for the delivery of services, especially as service complexity increases. Waste management, which includes services of different complexity such as simple waste collection and complex waste disposal, is a useful sector to study. This article conducts an exploratory case study in four Peruvian municipalities to learn about the relationship between administrative capacity, political influence, and civil society participation and the performance of two waste services. The findings highlight the need to more closely consider service-specific administrative capacity in future research on performance, particularly when analyzing more complex services. Accounting for service complexity may also be important for practitioners when planning measures to strengthen administrative capacity.
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Mitchell, Geoffrey K., Letitia Burridge, Jianzhen Zhang, Maria Donald, Ian A. Scott, Jared Dart und Claire L. Jackson. „Systematic review of integrated models of health care delivered at the primary–secondary interface: how effective is it and what determines effectiveness?“ Australian Journal of Primary Health 21, Nr. 4 (2015): 391. http://dx.doi.org/10.1071/py14172.
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Integrated multidisciplinary care is difficult to achieve between specialist clinical services and primary care practitioners, but should improve outcomes for patients with chronic and/or complex chronic physical diseases. This systematic review identifies outcomes of different models that integrate specialist and primary care practitioners, and characteristics of models that delivered favourable clinical outcomes. For quality appraisal, the Cochrane Risk of Bias tool was used. Data are presented as a narrative synthesis due to marked heterogeneity in study outcomes. Ten studies were included. Publication bias cannot be ruled out. Despite few improvements in clinical outcomes, significant improvements were reported in process outcomes regarding disease control and service delivery. No study reported negative effects compared with usual care. Economic outcomes showed modest increases in costs of integrated primary–secondary care. Six elements were identified that were common to these models of integrated primary–secondary care: (1) interdisciplinary teamwork; (2) communication/information exchange; (3) shared care guidelines or pathways; (4) training and education; (5) access and acceptability for patients; and (6) a viable funding model. Compared with usual care, integrated primary–secondary care can improve elements of disease control and service delivery at a modestly increased cost, although the impact on clinical outcomes is limited. Future trials of integrated care should incorporate design elements likely to maximise effectiveness.
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Ratna, Catriona Planel, Roubina Juwaheer und Sharmila Pudaruth. „Assessing the Impact of Technology Adoption on Human Touch Aspects in Healthcare Settings in Mauritius“. Studies in Business and Economics 13, Nr. 2 (01.08.2018): 164–78. http://dx.doi.org/10.2478/sbe-2018-0028.
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AbstractThis paper investigates the impact of technology adoption on human touch aspects in healthcare settings in Mauritius. Unstructured interviews, focus group discussions and overt observations were carried out in two phases with 27 healthcare professionals and 42 healthcare customers in the private sector over a period of five months as part of an exploratory study, followed by a pilot study where a survey was carried out among 31 participants who have also been exposed to private healthcare services in Mauritius. Survey findings have depicted that technology implementation in healthcare settings can represent a direct threat to human touch aspects. Although the outcome of service remains very important, the delivery of same service in terms of how, when and by whom it was delivered has been seen to be as important. Healthcare customers are normally in a vulnerable state requiring appropriate human touch in the service delivery. Moreover, they also expect fast, efficient and effective services which eventually create a pressing need for consequent use of technology. Therefore, the balance between technology and human touch aspects was found to be a determinant of service quality enforcement and customer satisfaction for healthcare customers. This paper demonstrates that implementing technology in healthcare nowadays is inevitable for proper service delivery, however, it is imperative to preserve human touch aspects at all times during health service encounters. This pioneer study also acts as a guide for health care practitioners to derive the best strategies to maintain a good equilibrium between technology adoption and human touch aspects in all healthcare services in the context of developing state such as Mauritius.
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Clark, Shannon, Rhian Parker, Brenton Prosser und Rachel Davey. „Aged care nurse practitioners in Australia: evidence for the development of their role“. Australian Health Review 37, Nr. 5 (2013): 594. http://dx.doi.org/10.1071/ah13052.
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Aim To consider evidence surrounding the emerging role of nurse practitioners in Australia with a particular focus on the provision of healthcare to older people. Methods Methods used included keyword, electronic database and bibliographic searches of international literature, as well as review of prominent policy reports in relation to aged care and advanced nursing roles. Results This paper reports on evidence from systematic reviews and international studies that show that nurse practitioners improve healthcare outcomes, particularly for hard to service populations. It also maps out the limited Australian evidence on the impact of nurse practitioners’ care in aged care settings. Conclusions If Australia is to meet the health needs of its ageing population, more evidence on the effectiveness, economic viability and sustainability of models of care, including those utilising nurse practitioners, is required. What is known about the topic? Australia, like many industrialised countries, faces unprecedented challenges in the provision of health services to an ageing population. Attempts to respond to these challenges have resulted in changing models of healthcare and shifting professional boundaries, including the development of advance practice roles for nurses. One such role is that of the nurse practitioner. There is international evidence that nurse practitioners provide high-quality healthcare. Despite being established in the United States for nearly 50 years, nurse practitioners are a relatively recent addition to the Australian health workforce. What does this paper add? This paper positions a current Australian evaluation of nurse practitioners in aged care against the background of the development of the role of nurse practitioners internationally, evidence for the effectiveness of the role, and evidence for nurse practitioners in aged care. Recent legislative changes in Australia now mean that private nurse practitioner roles can be fully implemented and hence evaluated. In the face of the increasing demands of an ageing population, the paper highlights limitations in current Australian evidence for nurse practitioners in aged care and identifies the importance of a national evaluation to begin to address these limitations. What are the implications for practitioners? The success of future healthcare planning and policy depends on implementing effective initiatives to address the needs of older Australians. Mapping the terrain of contemporary evidence for nurse practitioners highlights the need for more research into nurse practitioner roles and their effectiveness across Australia. Understanding the boundaries and limitations to current evidence is relevant for all involved with health service planning and delivery.
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Goldkind, Lauri, und Lea Wolf. „Selling Your Soul on the Information Superhighway: Consenting to Services in Direct-to-Consumer Tele-Mental Health“. Families in Society: The Journal of Contemporary Social Services 101, Nr. 1 (03.11.2019): 6–20. http://dx.doi.org/10.1177/1044389419872125.
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Direct-to-consumer tele-mental health services—therapy delivered by video conference, email, and text message—is a burgeoning model of service delivery. The practice of on-demand digital psychotherapy presents ethical questions, as new economic models, service delivery systems, and therapeutic models are introduced. Virtual therapy, now offered on a subscription basis by third-party providers, requires users to accept Terms of Service (ToS) agreements to access services. This article describes the results of a survey in which participants ( n = 579) were asked to compare the values of the Human Rights Framework with the language of one tele-mental health platform’s ToS user agreement. Findings suggest that those clients with prior experience with a mental health professional will find the ToS agreements to be the most ethically compromised. Similarly, employed and better educated individuals also found the ToS to be ethically suspect. The most vulnerable of the groups we surveyed, individuals who hold less education and those who are unemployed, may be at most risk for signing consent to a system they do not understand. The study provides one example of the ethical questions that emerge from the introduction of a new model of for-profit service provision in mental health. Recommendations for consumers and practitioners are suggested.