scholarly journals Service-Specific Surveying to Support Person-Centered HCBS for Older Adults and Their Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 75-76
Author(s):  
Caitlyn Walsh ◽  
Jessica Tice

Abstract The Florida Department of Elder Affairs (DOEA) annually surveys clients receiving state funded home and community-based services (HCBS) to measure their satisfaction with services. Historically, the same survey instrument was used each year, to afford question-level comparisons across time. However, in 2015 internal contradictions were identified between individual-level satisfaction ratings and qualitative statements made by the respondents later in the survey. The high rates of satisfaction typical in survey responses were also contradicted by findings from a comprehensive program evaluation which revealed high percentages of clients who terminated their services and many caregivers reporting strain and varying types of personal crisis. To address these issues, the annual Client Satisfaction Survey and methodology was redesigned to be more specific regarding details about the delivery of direct services, and the sampling methodology was revised to constrain to the recipients of discreet service types. The results from these new service-level surveys will be presented for each of three direct services: case management, personal care, and homemaker. Findings revealed differences across regions in the state, and highlighted the frustration experienced by HCBS clients with high worker turnover and low training for special conditions, such as Alzheimer’s or related dementia. Complaints and suggestions collected from clients and caregivers were shared with program managers for consideration in changes to policies, training, and other areas of service improvement toward becoming more person-centered. Overall, this service-oriented approach to surveying has yielded more actionable results and has been adopted by DOEA as the preferred method for all client-level surveying.

2018 ◽  
Vol 14 (4) ◽  
pp. 13-29 ◽  
Author(s):  
Anugamini Priya Srivastava ◽  
Yatish Joshi

The purpose of this article is to examine the role of technology leadership in knowledge-sharing behaviour through the intervening role of internet self-efficacy and information technology support for knowledge management. The sample for the study was taken from randomly selected hotels operating in different regions of Uttarakhand, India. The findings suggest that the positive relationship between group-level technology leadership and individual level knowledge sharing behaviour. Further, the results indicated that IT support for knowledge management moderates the mediating role of internet self-efficacy such that when IT support for knowledge management is high, the effect of internet self-efficacy on knowledge sharing behaviour improves. The study adds value to knowledge management and leadership literature and provides a way to encourage knowledge sharing behaviour in the service-oriented industry.


2018 ◽  
Vol 50 (4) ◽  
pp. 1217-1243 ◽  
Author(s):  
Daniel Q. Gillion ◽  
Jonathan M. Ladd ◽  
Marc Meredith

This article argues that the modern American partisan gender gap – the tendency of men to identify more as Republicans and less as Democrats than women – emerged largely because of mass-level ideological party sorting. As the two major US political parties ideologically polarized at the elite level, the public gradually perceived this polarization and better sorted themselves into the parties that matched their policy preferences. Stable pre-existing policy differences between men and women caused this sorting to generate the modern US partisan gender gap. Because education is positively associated with awareness of elite party polarization, the partisan gender gap developed earlier and is consistently larger among those with college degrees. The study finds support for this argument from decades of American National Election Studies data and a new large dataset of decades of pooled individual-level Gallup survey responses.


2020 ◽  
Vol 47 (4) ◽  
pp. 39-48
Author(s):  
Andrii NAKONECHNYI ◽  
Natalia KOLISNICHENKO

In the paper the advantages of the service-oriented architecture of e-government and its prospects for Ukraine are revealed. Service-oriented e-government is governed by a service-oriented architecture. Service-oriented architecture is the functionality of software as services aiming to establish compatibility in their provision. The model of service-oriented e-government architecture is divided into five layers (levels), arranged from bottom to top: operational level, semantic level, service level, process level, presentation level. The practice of service-oriented e-government in foreign countries is studies: USA, Canada, and Great Britain. These countries implement the so-called Anglo-American model of informatization of the state, which is based on: removal of redundant functions of government, delivery of public services to citizens, meeting the needs of citizens through information technology. This model promotes the development of transactions, payment for services via the Internet. Foreign experience shows that a key feature of government activities is to ensure the success of the implemented actions, as well as to control the quality and scope of services. Therefore, when developing e-government projects, the governments take their efforts to get the corresponding positive consequences in the availability of services: providing quality services to citizens and businesses; increasing revenues; easing the financial burden on federal and local governments, primarily by reducing documents and electronic services on the Internet. The trends of the model implementation in Ukraine are studies. The evolution of the issue included the Program «Electronic Ukraine», the realization of the E-Government Information System. The further steps are analyzed based on the information from the official website of the Ministry of Digital Transformation of Ukraine which provides the cases of service-oriented state (Popular services). The projects of the Ministry on Digital State digitize many services, update their legal framework, streamline the activity of state registers, and provide technical capabilities and data protection. It is concluded that service-oriented architecture of e-government is characterized by the features of its implementation based on such principles as: information-centric approach; the principle of a common platform, which focuses on creating an open information environment and common technological infrastructure for more effective collaboration of all participants and users of e-government; the principle of user orientation (all e-government activities are aimed at meeting the needs of service consumers); the principle of security and confidentiality.


Author(s):  
Mohd Farhan Md Fudzee ◽  
Jemal H. Abawajy

It is paramount to provide seamless and ubiquitous access to rich contents available online to interested users via a wide range of devices with varied characteristics. Recently, a service-oriented content adaptation scheme has emerged to address this content-device mismatch problem. In this scheme, content adaptation functions are provided as services by third-party providers. Clients pay for the consumed services and thus demand service quality. As such, negotiating for the QoS offers, assuring negotiated QoS levels and accuracy of adapted content version are essential. Any non-compliance should be handled and reported in real time. These issues elevate the management of service level agreement (SLA) as an important problem. This chapter presents prior work, important challenges, and a framework for managing SLA for service-oriented content adaptation platform.


Author(s):  
V. Pouli ◽  
C. Marinos ◽  
M. Grammatikou ◽  
S. Papavassiliou ◽  
V. Maglaris

Traditionally, network Service Providers specify Service Level Agreements (SLAs) to guarantee service availability and performance to their customers. However, these SLAs are rather static and span a single provider domain. Thus, they are not applicable to a multi–domain environment. In this paper, the authors present a framework for automatic creation and management of SLAs in a multi-domain environment. The framework is based on Service Oriented Computing (SOC) and contains a collection of web service calls and modules that allow for the automatic creation, configuration, and delivery of an end-to-end SLA, created from the merging of the per-domain SLAs. This paper also presents a monitoring procedure to monitor the QoS guarantees stipulated in the SLA. The SLA establishment and monitoring procedures are tested through a Grid application scenario targeted to perform remote control and monitoring of instrument elements distributed across the Grid.


2010 ◽  
pp. 2164-2187
Author(s):  
Wei Zhao ◽  
Jun-Jang Jeng ◽  
Lianjun An ◽  
Fei Cao ◽  
Barret R. Bryant ◽  
...  

Multisourced and federated business operations and IT services are the backbone of today’s enterprise. However, in most companies, there exists a natural gap and disconnection between the decision and evaluation at the business level and the execution and metrics at the IT level. This disconnection can lead to end-user dissatisfaction, diminished profit, and missed business objectives. In this chapter, we study the problem of this disconnection and provide the following frameworks and techniques toward bridging the gap: (a) We provide a model-transformation framework that effectively transforms business-level decisions documented as businessprocess models into IT-level executable representations based on service-oriented infrastructure, (b) a framework is described that is able to monitor and synthesize IT-level performance and metrics to meet service-level agreements between business management and end users, and (c) techniques and experiments are discussed that enable dynamic adaptation of IT infrastructure according to business decision changes.


Author(s):  
Elarbi Badidi ◽  
Mohamed El Koutbi

The services landscape is changing with the growing adoption by businesses of the Service Oriented Architecture (SOA), the migration of business solutions to the cloud, and the proliferation of smartphones and Internet-enabled handheld devices to consume services. To meet their business goals, organizations increasingly demand services, which can satisfy their functional and non-functional requirements. Service Level Agreements (SLAs) are seen as the means to guarantee the continuity in service provisioning and required levels of service. In this paper, we propose a framework for service provisioning, which aims at providing support for automated SLA negotiation and management. The Service Broker component carries out SLA negotiation with selected service-providers on behalf of service-consumers. Multi-rounds of negotiations are very often required to reach an agreement. In each round, the negotiating parties bargain on multiple SLA parameters by trying to maximize their global utility functions. The monitoring infrastructure is in charge of observing SLA compliance monitoring using measurements obtained from independent third party monitoring services.


Author(s):  
Marco Massarelli ◽  
Claudia Raibulet ◽  
Daniele Cammareri ◽  
Nicolò Perino

This chapter gives a solution to design Service Oriented Architectures which defines and manages Service Level Agreements to enforce Quality of Services and achieves adaptivity at runtime. The validation of this proposed approach is performed through an actual case study in the context of the multimedia application domain.


2019 ◽  
Vol 78 (5) ◽  
pp. 595-606 ◽  
Author(s):  
Kate Winskell ◽  
Gaëlle Sabben ◽  
Ken Ondeng’e ◽  
Isdorah Odero ◽  
Victor Akelo ◽  
...  

Objective: mHealth interventions often favour individual-level effects. This is particularly problematic in contexts where social support and shifts in social norms are critical to sustained behaviour change. Mobile digital games represent a promising health education strategy for youth, including in low-resource settings. We sought to better understand the interpersonal and social interactions that can be elicited by digital games for health. Design: We piloted Tumaini, a smartphone game rooted in interactive narrative designed to prevent HIV among young Africans (aged 11–14), in a randomised controlled feasibility study and analysed reports of the household dynamics surrounding gameplay. Following a 16-day intervention period, phone gameplay log files were downloaded, and intervention arm participants ( n = 30) completed a gameplay experience survey; eight focus group discussions were held, four with intervention arm participants ( n = 27) and four with their parents ( n = 22). Setting: This study took place in Kisumu, Kenya, in Spring 2017. Method: Descriptive statistics were computed from survey responses and log files. Focus group transcripts were labelled, analysed thematically and compared demographically using MAXQDA software. Results: Data from log files, surveys and focus groups indicate that the game generated considerable interaction and dialogue with parents, siblings and friends and served as a catalyst for children to act as advocates for healthful decisions about sex, both within the family and beyond. The game showed a high level of acceptability with parents. Conclusion: Serious digital games using a smartphone platform can generate considerable household interaction. Games can model and facilitate these exchanges, maximising multi-level effects. An additional app for parents could reinforce these effects.


Sign in / Sign up

Export Citation Format

Share Document