scholarly journals Physiotherapy managers’ views of musculoskeletal physiotherapy service provision in Ireland: a qualitative study

2017 ◽  
Vol 19 (01) ◽  
pp. 77-87 ◽  
Author(s):  
Helen P. French ◽  
Rose Galvin
Keyword(s):  
Primary Care ◽  
Service Delivery ◽  
Service Provision ◽  
Urban Areas ◽  
Resource Constraints ◽  
Early Stage ◽  
Future Research ◽  
Structured Interviews ◽  
Physiotherapy Service ◽  
Stage Of Development

Aim Integrated multidisciplinary primary healthcare is still in a relatively early stage of development in Ireland, with significant restructuring occurring in the past decade. Musculoskeletal physiotherapy services traditionally provided in acute hospital settings have been relocated into the primary care setting where the physiotherapist works as part of the multidisciplinary team. This study aimed to explore physiotherapy managers’ experiences of managing musculoskeletal physiotherapy services in primary care to gain an insight into the opportunities and challenges in service delivery, changing roles and ongoing professional development needs of staff. Participants Qualitative design using semi-structured interviews with primary care physiotherapy managers in the Republic of Ireland was employed. Results Five interviews took in a mix of rural and urban areas nationally. The relationship with the GP was an important one in musculoskeletal physiotherapy services in primary care. Physiotherapists were well skilled but opportunities for professional and career development were restricted. Methods of optimising resources in the face of staffing restrictions were identified. Whilst there were many examples of innovations in service delivery, various barriers negatively impacted on optimal service including resource constraints and national strategy. Conclusions A number of factors that impact on musculoskeletal service delivery in primary care from the perspective of physiotherapy managers were identified in this study. Future research should explore the views of other stakeholders to provide a more thorough understanding of the relevant issues affecting musculoskeletal physiotherapy service provision in primary care in Ireland.

scholarly journals Learning health systems in primary care: a systematic scoping review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Danielle M. Nash ◽  
Zohra Bhimani ◽  
Jennifer Rayner ◽  
Merrick Zwarenstein
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Health Systems ◽  
Scoping Review ◽  
Early Stage ◽  
Point Of Care ◽  
The United States ◽  
Stage Of Development ◽  
Integrated Health ◽  
Google Search

Abstract Background Learning health systems have been gaining traction over the past decade. The purpose of this study was to understand the spread of learning health systems in primary care, including where they have been implemented, how they are operating, and potential challenges and solutions. Methods We completed a scoping review by systematically searching OVID Medline®, Embase®, IEEE Xplore®, and reviewing specific journals from 2007 to 2020. We also completed a Google search to identify gray literature. Results We reviewed 1924 articles through our database search and 51 articles from other sources, from which we identified 21 unique learning health systems based on 62 data sources. Only one of these learning health systems was implemented exclusively in a primary care setting, where all others were integrated health systems or networks that also included other care settings. Eighteen of the 21 were in the United States. Examples of how these learning health systems were being used included real-time clinical surveillance, quality improvement initiatives, pragmatic trials at the point of care, and decision support. Many challenges and potential solutions were identified regarding data, sustainability, promoting a learning culture, prioritization processes, involvement of community, and balancing quality improvement versus research. Conclusions We identified 21 learning health systems, which all appear at an early stage of development, and only one was primary care only. We summarized and provided examples of integrated health systems and data networks that can be considered early models in the growing global movement to advance learning health systems in primary care.

scholarly journals Primary Care Networks and Starfield’s 4Cs: A Case for Enhanced Chronic Disease Management

2021 ◽  
Vol 18 (6) ◽  
pp. 2926
Author(s):  
Chuan De Foo ◽  
Shilpa Surendran ◽  
Geronimo Jimenez ◽  
John Pastor Ansah ◽  
David Bruce Matchar ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Early Stage ◽  
Healthcare Delivery ◽  
Stage Of Development ◽  
Facilitators And Barriers ◽  
Design Options ◽  
First Contact

The primary care network (PCN) was implemented as a healthcare delivery model which organises private general practitioners (GPs) into groups and furnished with a certain level of resources for chronic disease management. A secondary qualitative analysis was conducted with data from an earlier study exploring facilitators and barriers GPs enrolled in PCN’s face in chronic disease management. The objective of this study is to map features of PCN to Starfield’s “4Cs” framework. The “4Cs” of primary care—comprehensiveness, first contact access, coordination and continuity—offer high-quality design options for chronic disease management. Interview transcripts of GPs (n = 30) from the original study were purposefully selected. Provision of ancillary services, manpower, a chronic disease registry and extended operating hours of GP practices demonstrated PCN’s empowering features that fulfil the “4Cs”. On the contrary, operational challenges such as the lack of an integrated electronic medical record and disproportionate GP payment structures limit PCNs from maximising the “4Cs”. However, the enabling features mentioned above outweighs the shortfalls in all important aspects of delivering optimal chronic disease care. Therefore, even though PCN is in its early stage of development, it has shown to be well poised to steer GPs towards enhanced chronic disease management.

The magic bullet for rural development? Exploring the impacts of community telecenters in Bangladesh

2021 ◽  
pp. 026666692199750
Author(s):  
Noore Alam Siddiquee ◽  
Md Gofran Faroqi
Keyword(s):  
Service Delivery ◽  
Rural Areas ◽  
Early Stage ◽  
Rural Livelihoods ◽  
Value Added ◽  
Magic Bullet ◽  
Government Information ◽  
Individual Interviews ◽  
Stage Of Development ◽  
Marginalized Groups

This paper explores the impacts of Bangladesh’s Union Digital Centers (UDCs) as government information and service delivery hubs in rural areas. Drawing on user-surveys and semi-structured individual interviews it demonstrates that the UDCs have produced generally positive yet modest impacts on governance of service delivery. It shows that the UDCs are at an early stage of development, and that they offer only a limited set of services. While they helped extend ICT-enabled services to sections of population that would otherwise have missed them, the UDCs do not have much to do with rural livelihoods and empowerment of the poor and marginalized groups. These findings point to current inadequacies and pitfalls of the UDC approach to development. We argue that enhanced viability and effectiveness of the UDC experiment would warrant embedding more value-added governmental services and further strengthening of their capacity, mandate, and connectivity with government agencies at various levels, among others.

scholarly journals Mujeres empresarias en el uso de la web 2.0: discursos de un preludio / Entrepreneur Women in the Use of Web 2.0: Speeches of a Prelude

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Mª del Rosario Rodríguez Díaz ◽  
Mª José González Río ◽  
Mª Ángeles Rebollo Catalán
Keyword(s):  
Social Networks ◽  
Web 2.0 ◽  
Online Social Networks ◽  
Early Stage ◽  
Strategic Communication ◽  
Management Tool ◽  
Structured Interviews ◽  
Redes Sociales ◽  
Stage Of Development ◽  
On Line

ABSTRACTThis paper presents the main results of an investigation whose purpose is to investigate the adoption of on-line social networks in SMEs run by women. The base assumption is that the use of networks as a strategic communication element is still at an early stage of development, far from being an established practice. Our interest in this study is to determine the willingness and motivations of entrepreneurs in using these networks, as well as utilities and difficulties they have faced. Our goal is to visualize the change of attitude and competences that entrepreneurs are imprinting on their businesses within the competitive environment they operate in. Ultimately, we are interested in studying the perception of women-entrepreneurs regarding the adoption of online social networks to the extent where they are, as an additional management tool. We find ourselves facing a new field of knowledge on which there are very few references and very little research has been carried. Hence, this study has a primarily qualitative and exploratory purpose. To obtain the needed information we held semi-structured interviews to fourteen Andalusian entrepreneurs, coming from different business fields. The main findings were that just less than a half of them used them, or implemented them in their companies, as communication tools. The others, depending on to the size of their business, adopted them as an extension of the personal use in which they had been started.RESUMENEste trabajo presenta los principales resultados de una investigación cuya finalidad es conocer la adopción de las redes sociales on-line en las pymes dirigidas por mujeres. Se parte de la base de que el uso de redes, como elemento estratégico de comunicación, se encuentra todavía en una fase incipiente de desarrollo, lejos aún de ser una práctica consolidada. Nuestro interés en este trabajo es conocer la predisposición y motivaciones de las empresarias hacia el uso estas redes, así como las utilidades y dificultades a las que han de enfrentarse. Nos interesa visibilizar el cambio actitudinal y competencial que las empresarias están imprimiendo en sus empresas dentro del marco competitivo en el que se encuentran. En definitiva, nos interesa estudiar la percepción que tienen las empresarias sobre el uso de las redes sociales online en la medida en que están insertas, como una herramienta más de gestión empresarial. Nos situamos ante un nuevo ámbito de conocimiento sobre el que apenas existen referencias bibliográficas ni se ha realizado apenas investigación; de ahí que la investigación tenga una finalidad fundamentalmente exploratoria y de carácter cualitativo. Para la obtención de la información se realizaron catorce entrevistas semi-estructuradas entre empresarias andaluzas de distintos sectores de actividad. Entre los principales resultados encontramos que algo menos de la mitad de ellas las utilizan, o están implantadas en sus empresas, como herramientas de comunicación. El resto, y relacionado con el tamaño de sus negocios, las utilizan como una prolongación del uso personal en el que se iniciaron.

E-Learning Localized

2011 ◽  
pp. 168-186
Author(s):  
Meng-Fen (Grace) Lin ◽  
Mimi Miyoung Lee
Keyword(s):  
Early Stage ◽  
Future Research ◽  
Prototype System ◽  
Educational Materials ◽  
Stage Of Development ◽  
The World ◽  
History Of ◽  
E Learning ◽  
English Speaking ◽  
China Region

The power of Internet provides unprecedented opportunities for learners to obtain diverse content and for educators to quickly distribute resources. In the increasing globalized learning environment, OpenCourseWare (OCW) is one of the recent movements to utilize the Internet in making educational materials freely available to the world. However, the fact that these materials are offered mainly in English poses challenges to the non-English speaking population in many parts of the world. In response to such concern in the Great China Region, a localization project called the Opensource OpenCourseWare Prototype System (OOPS) was born in Taiwan in February, 2004 (Lin & Chu, 2005). OOPS aims to break the language barrier and deliver the openly-accessible English educational materials to the Chinese-speaking audience in their native language. This chapter presents the detailed background and history of this project, and highlights three challenges that OOPS has faced in its early stage of development. They are: (1) access to materials, (2) issues about translation, and (3) complexity of intra-cultural communication. Based on the first author’s direct experience with the project, suggestions and implications for future research are also offered.

scholarly journals Barriers to implementing the International Integrated Reporting Framework

2017 ◽  
Vol 25 (4) ◽  
pp. 461-480 ◽  
Author(s):  
John Dumay ◽  
Cristiana Bernardi ◽  
James Guthrie ◽  
Matteo La Torre
Keyword(s):  
Financial Reporting ◽  
Early Stage ◽  
Academic Research ◽  
General Concept ◽  
Future Research ◽  
The European Union ◽  
Integrated Reporting ◽  
Content Type ◽  
Stage Of Development ◽  
Reporting Framework

Purpose This paper is motivated by the call for feedback by the International Integrated Reporting Council (IIRC) from all stakeholders with knowledge of the International Integrated Reporting Framework (<IRF>) and specifically of the enablers, incentives and barriers to its implementation. The paper synthesises insights from contemporary accounting research into integrated reporting (IR) as a general concept and <IR> as espoused by the IIRC in the <IRF> (IIRC, 2013). The authors specifically focus on possible barriers and emphasise the specific issues the authors feel could be rectified to advance the <IRF>, along with the areas that may potentially hinder its wider adoption and implementation. Design/methodology/approach The paper draws upon and synthesises academic analysis and insights provided in the IR and <IR> academic literature as well as various directives, policy and framework pronouncements. Findings The flexibility and lack of prescription concerning actual disclosures and metrics in the <IRF> could allow it to be used for compliance, regardless of the other benefits lauded by the IIRC. Thus the authors see forces, both external and internal, driving <IR> adoption, with one prominent example being the European Union Directive on non-financial reporting. Because of the different ways in which IR is understood and enacted, there are numerous theoretical and empirical challenges for academics. The authors paper highlights potential areas for further robust academic research and the need to contribute to <IR> policy and practice. Research limitations/implications The paper provides the IIRC, academics, regulators and reporting organisations with insights into current practice and the <IRF>. The authors highlight the need for further development and evidence to help inform improvements both from a policy and a practice perspective. A key limitation of the authors’ work is that the authors draw upon a synthesis of the existing literature which is still in an early stage of development. Originality/value The paper provides the IIRC with several insights into the current <IRF> and specifically with the enablers, incentives and barriers to its implementation. Also, it provides academic researchers with a number of important observations and an agenda upon which the authors can build their future research.

Blockchain security research: theorizing through bibliographic-coupling analysis

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lurdes D. Patrício ◽  
João J. Ferreira
Keyword(s):  
Early Stage ◽  
Research Area ◽  
Data Encryption ◽  
Bibliographic Coupling ◽  
Future Research ◽  
Coupling Analysis ◽  
Content Type ◽  
Future Research Agenda ◽  
Blockchain Technology ◽  
Stage Of Development

PurposeThe continuous presence and intensity of the Internet of things (IoT) in our lives and the risk of security breaches in traditional transactional and financial platforms are the major cause of personal and organizational data losses. Blockchain emerges as a promised technology to ensure higher levels of data encryption and security. Thus, this study aims to develop a systematic literature review analyzing the previous literature and to purpose of a framework to better understand the process of blockchain security.Design/methodology/approachThe 75 articles reviewed were obtained through the Scopus database and a bibliographic-coupling analysis was developed to identify the main themes of this research area, via VOSviewer software.FindingsThe results enable the categorization of the existing literature revealing four clusters: 1) feasibility, 2) fintech and cryptocurrency, 3) data trust and share and 4) applicability. Blockchain technology is still in its early stage of development and counting on researchers in security and cryptography to take it further to new highs, to allow its applicability to different areas and in long-term scenarios.Originality/valueThis systematic literature creates a base to reduce the blockchain security literature gap. In addition, it provides a framework that enables the scientific community to access the main subjects discussed and the articulation between concepts. Furthermore, it enhances the state-of-the-art literature on blockchain security and proposes a future research agenda.

Locating the locale of local food: The importance of context, space and social relations

2014 ◽  
Vol 30 (6) ◽  
pp. 563-576 ◽  
Author(s):  
Brídín E. Carroll ◽  
Frances Fahy
Keyword(s):  
Social Relations ◽  
Rural Areas ◽  
Urban Areas ◽  
Food System ◽  
Local Food ◽  
Social Contexts ◽  
Spatial Proximity ◽  
Future Research ◽  
Structured Interviews ◽  
Urban And Rural Areas

AbstractLocalization is one process/outcome that is proffered as key to the ‘grand challenges’ that currently face the food system. Consumers are attributed much agency in this potential transformation, being encouraged from all levels of society to exert their consumer muscle by buying local food. However, due to the social construction of scale it cannot be said that ‘local food’ is a definite entity and consumers understand the term ‘local food’ differently depending on their geographic and social context. As such, the research upon which this paper is based aimed to provide a nuanced understanding of how consumers in the particular spatial and social contexts of urban and rural Ireland understood the concept of ‘local food’. A specific objective was to test the theory that these consumers may have fallen into the ‘local trap’ by unquestioningly associating food from a spatially proximate place with positive characteristics. A three-phase mixed methodology was undertaken with a sample of consumers dwelling in urban and rural areas in both Dublin and Galway, Ireland: 1000 householders were surveyed; 6 focus group discussions took place; and 28 semi-structured interviews were carried out. The results presented in this paper indicate that for most participants in this study, spatial proximity is the main parameter against which the ‘localness’ of food is measured. Also, it was found that participants held multiple meanings of local food and there was a degree of fluidity in their understandings of the term. The results from the case study regions highlight how participants’ understandings of local food changed depending on the food in question and its availability. However, the paper also indicates that as consumers move from one place to another, the meaning of local food becomes highly elastic. The meaning is stretched or contracted according to the perceived availability of food, greater or lesser connections to the local producer community and the relative geographic size of participants’ locations. Our analysis of findings from all three phases of this research revealed a difference in understandings of local food among participants resident in urban and rural areas: participants dwelling in rural areas were more likely than those in urban areas to define local food according to narrower spatial limits. The paper concludes with an overview of the practical and theoretical significance of these results in addressing the current dearth of research exploring the meaning of local food for consumers and suggests avenues for future research.

scholarly journals Awareness of ADHD in primary care: stakeholder perspectives

2019 ◽  
Author(s):  
Blandine French ◽  
Elvira Perez-Vallejos ◽  
Kapil Sayal ◽  
David Daley
Keyword(s):  
Primary Care ◽  
Future Research ◽  
Care Pathways ◽  
Clear Understanding ◽  
Structured Interviews ◽  
Multiple Stakeholders ◽  
Adhd Assessment ◽  
Hyperactivity Disorder ◽  
Stakeholder Perspectives ◽  
Key Issues

Abstract Background: Attention Deficit Hyperactivity Disorder (ADHD) is underdiagnosed in many European countries and the process of accessing care and diagnosis is complex and variable. In many countries, general practitioners (GPs) refer on to secondary care where individuals receive an assessment and, if appropriate, a diagnosis and access to care. It is therefore essential that GPs have a clear understanding of the disorder and its care pathways. While previous studies have highlighted potential barriers in GPs’ ADHD awareness, this qualitative study aims to further explore individual stakeholders’ experiences. Methods: Semi-structured interviews explored the views of multiple stakeholders- GPs (n=5), healthcare specialists (n=5), patients (adults with ADHD n=5) and parents (n=5) with experience of the presentation and management of ADHD in primary care. These interviews were analysed using thematic analyses and following principles of grounded theory. Results: Stakeholders described ADHD assessment, diagnosis and treatment as an intricate process. Many factors affected this process such as complex pathways, lack of services, limited GP recognition and knowledge, and communicative difficulties between and within multiple stakeholders. Conclusion: This analysis underlines the significant impact that receiving (or not) a diagnosis can have, and further explores muddled ADHD care pathways, highlighting key issues around GP identification and the shortage of adult services. Implications for practice and future research are discussed, suggesting a strong need for more commissioned pathways and GP specific educational programs.

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