scholarly journals Understanding Healthcare Social Enterprises: A New Public Governance Perspective

2021 ◽  
pp. 1-22
Author(s):  
YANTO CHANDRA ◽  
LIANG SHANG ◽  
MICHAEL J. ROY
Keyword(s):  
Health Services ◽  
Service Provision ◽  
Health Sector ◽  
Social Enterprises ◽  
Three Dimensions ◽  
Healthcare Sector ◽  
Access To Health Services ◽  
Public Governance ◽  
Health Service Provision ◽  
New Public

Abstract In recent years ‘social enterprises’ have become important partners in the delivery of key public services such as healthcare. However, little is known about how healthcare social enterprises contribute to public service provision in the health sector. We analyzed 172 social enterprises from four continents involved in healthcare to assess the types of interventions, processes, and roles they play responding to rapidly evolving healthcare systems. We found that they are engaged broadly in three dimensions of health service provision: improving access to health services; improving the quality of health services; and building public health capacity. We contribute to social policy theory by enhancing understanding of the micro-level interventions of social enterprises in the healthcare sector and articulating new dimensions of NPG that include co-innovation, co-lobbying, and co-integration in the context of healthcare.

scholarly journals Policy Implementation And The Promotion Of Service Delivery Within The Public Health Sector In South Africa

2014 ◽  
Vol 13 (2) ◽  
pp. 201
Author(s):  
Melody Brauns ◽  
Malcolm Wallis
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Health Services ◽  
Rural Areas ◽  
Health Sector ◽  
Policy Framework ◽  
Healthcare Sector ◽  
Access To Health Services ◽  
The Public ◽  
The Government

The South African healthcare sector stands at the threshold of major restructuring in an attempt to address inadequacies as a result of fragmentation of health services in apartheid South Africa. The level of health services, particularly in rural areas, has decreased and has led to reduced quality and productivity of health services. For individuals residing in rural communities, access to health services can be arduous. Delivery of essential services has to meet the needs of marginalised people who live in remote areas. The health sector is reputed to be good at formulating policies, discussing ideas, making recommendations, and spending resources, but poor on implementing policies. The government insists that the policy framework is transparent and well-defined and that what is needed is effective implementation. Regrettably, the transition of policy into practice is more complex than the perceived judgement of government. Critical concerns regarding issues about how policy can be effectively implemented and who should be responsible for implementation is one of major concern.

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

scholarly journals Enhancing GDPR compliance through data sensitivity and data hiding tools

2021 ◽  
Vol 27 (7) ◽  
pp. 650-666
Author(s):  
Xabier Larrucea ◽  
Micha Moffie ◽  
Dan Mor
Keyword(s):  
Health Services ◽  
Data Hiding ◽  
Industry 4.0 ◽  
Health Sector ◽  
Healthcare Sector ◽  
Sensitive Information ◽  
Sensitive Data ◽  
Architectural Model ◽  
Data Sensitivity

Since the emergence of GDPR, several industries and sectors are setting informatics solutions for fulfilling these rules. The Health sector is considered a critical sector within the Industry 4.0 because it manages sensitive data, and National Health Services are responsible for managing patients’ data. European NHS are converging to a connected system allowing the exchange of sensitive information cross different countries. This paper defines and implements a set of tools for extending the reference architectural model industry 4.0 for the healthcare sector, which are used for enhancing GDPR compliance. These tools are dealing with data sensitivity and data hiding tools A case study illustrates the use of these tools and how they are integrated with the reference architectural model.

scholarly journals New Public Management and Governance: Quo Vadis?

2020 ◽  
Vol 10 (3) ◽  
pp. 430
Author(s):  
Vasilios P. Andrikopoulos ◽  
Amalia Α. Ifanti
Keyword(s):  
Public Service ◽  
Service Provision ◽  
Public Management ◽  
New Public Management ◽  
Public Governance ◽  
Sector Reform ◽  
Organizational Conditions ◽  
Governance Regime ◽  
New Public ◽  
Quo Vadis

This paper seeks to provide an overview of the literature regarding contemporary public management and administration. For this purpose, New Public Management and New Public Governance principles and methods are explored, since they remain the dominant approaches to public management and governance regime. A systematic examination of the relevant discourse was carried out. Data analysis revealed that the theoretical schemes continue to emphasize the priority of management over public service. As a result, the New Public Service approach is revisited focusing primarily on the reinterpretation and reorientation of public service provision. This study enriches our theoretical and practical understanding by providing important reflections and insights about the organizational conditions of public sector reform that is proceeding nowadays.

Optimizing the performance evaluation system of cadres in universities based on common values: A mixed study

2020 ◽  
pp. 002072092094059
Author(s):  
Yuming Zhang ◽  
Weidong Wu
Keyword(s):  
Performance Evaluation ◽  
Evaluation System ◽  
Team Building ◽  
Three Dimensions ◽  
Public Governance ◽  
Operation System ◽  
Performance Evaluation System ◽  
Innovative Methods ◽  
New Public ◽  
Positive Effect

The performance evaluation of cadres in universities, is of positive effect in promoting the team building of cadre groups and the development of higher education. From the perspective of new public governance, this paper employs qualitative-quantitative mixed methods to study how to optimize the theoretical and practical system of cadre evaluation in universities. According to the finding, this paper proposes a set of performance evaluation with three dimensions: value system, index system and operation system. This paper also puts forward some innovative methods and concepts, such as the logic of value construction, the scoring model based on covariant relationship, the construction of organizational culture based on co-governance, and the application of evaluation results based on double norms.

Factors Influencing Health Service Provision In Pastoral Communities In Kenya: A Case Study Of Wajir County

GIS Business ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. 138-154
Author(s):  
AHMED ABDIKADIR ORE ◽  
DR. EMMANUEL AWUOR ◽  
JUSTER GATUMI NYAGA
Keyword(s):  
Health Service ◽  
Health Services ◽  
Human Resource ◽  
Service Provision ◽  
Research Study ◽  
Human Resource Practices ◽  
Health Service Provision ◽  
Pastoral Communities ◽  
Quality Of Health Services

The study seeks to find out factors affecting health service provision in pastoral communities, it                   is focusing Wajir County. The County Government is mandated to provide services including the                     health services which have been enabled by devolution functions such as transfer of funds.              However, Counties especially within the patrol communities have been faced with myriad of                       challenges in obtaining the standard services from the County offices such as medical and                         education services. Some of the mentioned causes of poor  services to the community from the                literature has been leaders  who are not objective in practicing the best human resource practices, poor communication facilities in the County thus community are not able to access the needed services in timely manner and lot of corruptions in the County offices. In addition, there is lack of proper structures or systems put in place to account for the resources allocated. From the past studies in the related fielded also present a methodological gap where most analysis is based on County reports lacking quantitative analysis while others uses only descriptive statistics to analyze the data.  This study thus, fills the gap by looking at broad construct which give a broader picture of the health service provision. In addition, this study combines both descriptive and inferential statistics to determine the relationships between the study variables.  The study therefore hypothesizes that: There is no relationship between devolved resource allocation and quality of health services provision (H01) and there is no relationship between human resource practices and quality of health services provision (H02); Research study was anchored on institutional theory. Descriptive survey was used; The findings of the research will be used by other researcher’s  as a reference to what they will do in future not forgetting that it was used as a source of literature review to their studies. 65 respondents were chosen through random sampling that was stratified. The research questionnaires were administered by the researcher himself to the respondents. Focus group discussion was also done to the community members. Data was analyzed through f(n) and descriptive statistics and presented using tables and graphs. The research study established that resource allocation and human resource practices have a great influence in the provision of health services. The study recommends that Governor   of Wajir County should develop and formulate guidelines, governing structure and strategic plans for effective implementation of county resources and revenue that will enable provision of quality healthcare.

scholarly journals Health Empowerment: Health Service Strategies to Poor Community Around Conserved Forest

2019 ◽  
Vol 4 (8) ◽  
pp. 45-53
Author(s):  
Muria Herlina
Keyword(s):  
High School Students ◽  
Health Services ◽  
Health Sector ◽  
Community Empowerment ◽  
Access To Health Services ◽  
School Students ◽  
Health Empowerment ◽  
Access To Health ◽  
School Senior ◽  
Service Strategies

This research was done in Central Bengkulu District, in suburbs of Semidang Bukit Kabu within conserved forest area. Poverty and isolation were the causes of low access to health services. This weakness requires a strategy through health empowerment. This research purpose was to explore the benefits of community empowerment activities in health as healthy house renovation, doctors visiting to village and free medical treatment and integrated service for elderly by Community Economic Zone (CEZ)-CSR PT. Pertamina. It uses qualitative method to produce descriptive data on public health phenomena related to forests society. There were 11 informants selected by purposive sampling. The data was collected by observation, in-depth interviews and FGD. The research found that informants were elementary school-senior high school students, aged 21-57 years, and came from the Rejang and Serawai tribes, work as coffee plantation farmers, oil palm plantation cultivators and coal vehicle drivers. Their income was IDR 150,000 up to IDR 275,000 per week. The family member were 4-6 person, most of them had semi-permanent and permanent houses, legacy from parent or rent. Diseases often found were hypertension, rheumatic, malaria/typhoid, diabetes, dyspepsia, respiratory diseases, dermatitis, and common cold. The research found that most of them supported the health empowerment program, with various phenomena and meanings from informants. The poor in conserved forest areas need health services through community empowerment in health sector.

scholarly journals Burden on caregivers of people with schizophrenia: Comparison between Germany and Britain

2007 ◽  
Vol 190 (4) ◽  
pp. 333-338 ◽  
Author(s):  
Christiane Roick ◽  
Dirk Heider ◽  
Paul E. Bebbington ◽  
Matthias C. Angermeyer ◽  
Jean-Michel Azorin ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Provision ◽  
Regression Models ◽  
Male Gender ◽  
Healthcare Sector ◽  
Family Burden ◽  
Patient Contact ◽  
Health Service Provision ◽  
National Differences ◽  
Mental Health Service Provision

BackgroundBurden on the relatives of patients with schizophrenia may be influenced not only by patient and caregiver characteristics, but also by differences in mental health service provision.AimsTo analyse whether family burden is affected by national differences in the provision of mental health services.MethodPatients with schizophrenia and their key relatives were examined in Germany (n=333) and Britain (n = 170). Differences in family burden in both countries were analysed with regression models controlling for patient and caregiver characteristics.ResultsFamily burden was associated with patients' symptoms, male gender, unemployment and marital status, as well as caregivers' coping abilities, patient contact and being a patient's parent. However, even when these attributes were controlled for, British caregivers reported more burden than German caregivers.ConclusionsNational differences in family burden may be related to different healthcare systems in Germany and Britain. Support for patients with schizophrenia may be shifted from the professional to the informal healthcare sector more in Britain than in Germany.

scholarly journals Technology push without a patient pull

2019 ◽  
Vol 53 (9) ◽  
pp. 1701-1732 ◽  
Author(s):  
Debbie Isobel Keeling ◽  
Ko de Ruyter ◽  
Sahar Mousavi ◽  
Angus Laing
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Survey Methodology ◽  
Social Issues ◽  
Building Blocks ◽  
Online Services ◽  
Health Service Provision ◽  
Content Type ◽  
Services Delivery

PurposePolicymakers push online health services delivery, relying on consumers to independently engage with online services. Yet, a growing cluster of vulnerable patients do not engage with or disengage from these innovative services. There is a need to understand how to resolve the tension between the push of online health service provision and unengagement by a contingent of health-care consumers. Thus, this study aims to explore the issue of digital unengagement (DU) (i.e. the active or passive choice to engage or disengage) with online health services to better inform service design aligned to actual consumer need.Design/methodology/approachAdopting a survey methodology, a group of 486 health services consumers with a self-declared (acute or chronic) condition were identified. Of this group, 110 consumers were classified as digitally unengaged and invited to write open-ended narratives about their unengagement with online health services. As a robustness check, these drivers were contrasted with the drivers identified by a group of digitally engaged consumers with a self-declared condition (n= 376).FindingsDU is conceptualized, and four levels of DU drivers are identified. These levels represent families of interrelated drivers that in combination shape DU: subjective incompatibility (misalignment of online services with need, lifestyle and alternative services); enactment vulnerability (personal vulnerabilities around control, comprehension and emotional management of online services); sharing essentiality (centrality of face-to-face co-creation opportunities plus conflicting social dependencies); and strategic scepticism (scepticism of the strategic value of online services). Identified challenges at each level are the mechanisms through which drivers impact on DU. These DU drivers are distinct from those of the digitally engaged group.Research limitations/implicationsAdding to a nascent but growing literature on consumer unengagement, and complementing the engagement literature, the authors conceptualize DU, positioning it as distinct from, not simply a lack of, consumer engagement. The authors explore the drivers of DU to provide insight into how DU occurs. Encapsulating the dynamic nature of DU, these drivers map the building blocks that could help to address the issue of aligning the push of online service provision with the pull from consumers.Practical implicationsThis paper offers insights on how to encourage consumers to engage with online health services by uncovering the drivers of DU that, typically, are hidden from service designers and providers impacting provision and uptake.Social implicationsThere is a concern that there will be an unintentional disenfranchisement of vulnerable segments of society with a generic policy emphasis on pushing online services. The paper sheds light on the unforeseen personal and social issues that lead to disenfranchisement by giving voice to digitally unengaged consumers with online health services.Originality/valueOffering a novel view from a hard-to-reach digitally unengaged group, the conceptualization of DU, identified drivers and challenges inform policymakers and practitioners on how to facilitate online health service (re)engagement and prevent marginalization of segments of society.

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