The challenges of an integrated governance process in healthcare

2015 ◽  
Vol 20 (2) ◽  
pp. 74-81 ◽  
Author(s):  
Lori Delaney
Keyword(s):  
Service Delivery ◽  
Healthcare System ◽  
Service Provision ◽  
Design Methodology ◽  
Delivery Of Healthcare ◽  
Content Type ◽  
System Failures ◽  
Governance Systems ◽  
Governance Process ◽  
Governance Processes

Purpose – Dysfunctional governance processes have contributed to catastrophic healthcare system failures due to discordance between clinical and corporate governance processes. The emergence of an integrated governance approach endeavours to overcome the traditional boundaries between corporate and clinical governance systems, to enhance understanding and transparency in the organisations approach to service provision. The purpose of this paper is to discusses the attributes of an integrated governance approach and its contribution to enhancing service delivery. Design/methodology/approach – The paper provides an overview of the governance approaches and the emergence of integrated governance to improve overall service delivery. Findings – An integrated governance approach erodes the traditional boundaries that exist within the complex healthcare system. This allows for a greater understanding of healthcare strategies and organisational objectives, and the dissemination of these throughout the organisation. Further, enhancing awareness within the clinical setting of the core attributes of the organisation and for the upper echelons of management to have a greater understanding of the clinical issues. Integrated governance acknowledges the contribution of all stakeholders including consumers in safe guarding the delivery of healthcare and its standards. Originality/value – This paper contributes to the discussion and debate regarding governance approaches and how these are situated in enhancing organisational performance.

AI and libraries: trends and projections

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Adetoun A. Oyelude
Keyword(s):  
Language Processing ◽  
Service Provision ◽  
Design Methodology ◽  
Human Robot Interaction ◽  
Human Intelligence ◽  
Library Service ◽  
Robot Interaction ◽  
Content Type ◽  
New Horizons ◽  
Advanced Technologies

Purpose This paper aims to focus on the trends and projection for future use of artificial intelligence (AI) in libraries. AI technologies is the latest among the technologies being used in libraries. The technology has systems that have natural language processing, machine learning and pattern recognition capabilities that make service provision easier for libraries. Design/methodology/approach Systematic literature review is done, exploring blogs and wikis, to collect information on the ways in which AI is used and can be futuristically used in libraries. Findings This paper found that uses of AI in libraries entailed enhanced services such as content indexing, document matching, content mapping content summarization and many others. AI possibilities were also found to include improving the technology of gripping, localizing and human–robot interaction and also having artificial superintelligence, the hypothetical AI that surpasses human intelligence and abilities. Originality/value It is concluded that advanced technologies that AI are, will help librarians to open up new horizons and solve challenges that crop up in library service delivery.

Who is a “Senior”? Looking for a definition in the healthcare system

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Monica Consolandi
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Healthcare System ◽  
Health Care System ◽  
Design Methodology ◽  
Social Role ◽  
Content Type ◽  
The Core ◽  
Starting Point

Purpose Seniors are nowadays at the core of important reflections to understand both how to ensure them a proper quality of life and better recognize their social role, providing them services and proper health care to value them as persons and resources. This paper aims to find a through definition about who is a senior, in the author’s opinion the starting point to help them flourishing. Design/methodology/approach As an example of definitions, an online dictionary and two geriatric text-books are quoted, highlighting qualities and rights referred to seniors especially in the delicate context of the health-care system. Findings The lack of a commonly shared perspective on this delicate kind of patient entails the difficulty to reach a coherent and satisfying definition about who a senior is. Originality/value The lack of a commonly shared definition leads to inevitable misunderstandings and could explain the arduousness of considering seniors in all their aspects. Further investigations are suggested.

Lessons from Thailand: universal healthcare achievements and challenges

2018 ◽  
Vol 45 (2) ◽  
pp. 387-401
Author(s):  
Ravikan Nonkhuntod ◽  
Suchuan Yu
Keyword(s):  
Healthcare System ◽  
Healthcare Utilization ◽  
Design Methodology ◽  
Meta Analysis ◽  
Selection Criterion ◽  
Policy Makers ◽  
Content Type ◽  
Universal Healthcare ◽  
Positive Effect ◽  
Small Positive Effect

Purpose The purpose of this paper is to discuss the successes of Thailand’s healthcare system along with challenges it is facing, examining documents and policies used by those charged with developing and implementing health services. Design/methodology/approach The search pool comprised PubMed and Google Scholar from the period 2001-2015. Selection criterion for inclusion was sources dealing with out-of-pocket (OOP) expenditure and healthcare utilization in Thailand. In total, 33 studies met the criterion of containing sufficient data to be included in the meta-analysis. Findings The authors found a small positive effect size on OOP expenditure and healthcare utilization, obtaining values of 0.1604 (95% CI 0.1320-0.1888, p<0.0001) and 0.2788 (95% CI 0.0917-0.4659, p=0.0035), respectively. Originality/value To review and meta-analyze the literature dealing with the outcomes of Thailand’s healthcare system to understand whether Thailand’s healthcare system is achieving its mandate or not. The results of this paper can help policy makers to understand and evaluate Thailand’s healthcare system.

scholarly journals Online disclosure practices of halal-friendly hotels

2019 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ikram Nur Muharam ◽  
Mehmet Asutay
Keyword(s):  
Service Provision ◽  
Design Methodology ◽  
Online Marketing ◽  
Content Type ◽  
Random Samples ◽  
Halal Food ◽  
Islamic Identity ◽  
Almost All ◽  
Fresh Insight ◽  
Practical Implications

Purpose This research analyses the online disclosure practices of halal-friendly hotels, denoting their service provision within “halal” expectancies. This study aims to discover the halal attributes commonly used in the online marketing practices of halal-friendly hotels. Design/methodology/approach The methods used in this study include a deductive approach through literature, which was then followed by an initial investigation of several random samples that produced 24 points of halal-friendly attributes, and then content analysis to find out the online disclosure practices of 55 halal-friendly hotels. Further insights gathered through analysis of the use of Islamic images and symbols; also, by examining the nexus between the disclosure level and other variables such as halal-friendly certification level, star-level and guest ratings. Findings The results show that most hotels classify themselves as halal-friendly by providing information that articulates Islamic identity or by informing the existence of prayer facilities. Information displayed includes halal food, halal places, alcohol-free policy, prayer facilities and Qibla direction. Furthermore, image analysis shows that almost all hotels use human photographs, and the preferred gender is male; only a few hotels expose Islamic symbols. Most hotels maintain a neutral impression by avoiding “Islamised gender” and not overly emphasising Islamic images. Otherwise, halal-friendly certification level is positively correlated with the disclosure level. Practical implications The results provide a fresh insight regarding the online marketing practices of the halal-friendly hotels and could be used as a benchmark by the practitioners. Originality/value This topic is still unexplored; it shows this research originality.

scholarly journals A review of service quality and service delivery

2018 ◽  
Vol 24 (1) ◽  
pp. 295-328 ◽  
Author(s):  
Zyad M. Alzaydi ◽  
Ali Al-Hajla ◽  
Bang Nguyen ◽  
Chanaka Jayawardhena
Keyword(s):  
Service Quality ◽  
Service Delivery ◽  
Design Methodology ◽  
Quality Measurement ◽  
Quality Performance ◽  
Content Type ◽  
Service Environment ◽  
Informal Controls ◽  
Customer Involvement ◽  
High Level

Purpose The purpose of this paper is to provide researchers with an overview of the service quality and delivery domain, focussing on the inclusion of customer co-production and customer integration. Specifically, this paper concentrates on service quality (including quality measurement), the service environment, controls and their consequences. Design/methodology/approach A comprehensive review of the literature is conducted, analysed and presented. Findings The review shows that service delivery is both complex and challenging, particularly when considering the unique characteristics of services and the high level of customer involvement in their creation. The facilitation, transformation and usage framework identifies how failures can occur at each stage of service delivery, beginning with the characteristics of the service environment, while control theory offers insights into the formal and informal controls that may be applied in the facilitation and transformation stages, which may reduce the likelihood or extent of such failures. Originality/value Despite the fact that it is widely accepted that service quality is an antecedent to customer satisfaction, it is surprising that this customer co-creation aspect has been largely neglected in the extant literature. As such, the role that customer co-production plays in service quality performance has been examined in this paper. It is hoped that this examination will enhance both theoretical and practical understanding of service quality. It would be useful to find modern tools that can help in improving service quality performance.

scholarly journals Immersive information behaviour: using the documents of the future

2015 ◽  
Vol 116 (3/4) ◽  
pp. 112-121 ◽  
Author(s):  
Lyn Robinson
Keyword(s):  
Service Provision ◽  
Design Methodology ◽  
Relevant Literature ◽  
Information Service ◽  
Information Services ◽  
Sensory Interaction ◽  
Content Type ◽  
Research And Practice ◽  
Information Behaviour ◽  
Selective Analysis

Purpose – The purpose of this paper is to present the case for studies of information behaviour in the use of immersive documents. Immersive documents, where unreality is perceived as reality, arise from a combination of rapidly developing technologies and applications: pervasive and networked information, multi-sensory interaction and the creation of participatory texts. Design/methodology/approach – A critical and selective analysis of relevant literature is presented. Findings – Immersive documents are likely to have a significant effect on library/information service provision, as it is to expected that novel information behaviours will emerge as these documents become widely used. Studies of immersive information behaviour and practices will be valuable in planning for how library/information services can best provide access to such documents, and may also guide the development of such documents. They may also contribute to the development of information behaviour research generally, and to better interaction between research and practice. Research limitations/implications – As such documents are not yet in wide use, the conclusions are necessarily speculative. Originality/value – This is the first paper to discuss information behaviour in respect of immersive documents.

Closing the delivery gap

2018 ◽  
Vol 31 (4) ◽  
pp. 327-336
Author(s):  
Kevin Peter Fiori ◽  
Jennifer Schechter ◽  
Sesso Christophe Gbeleou ◽  
Sandra Braganza ◽  
Joseph Rhatigan ◽  
...  
Keyword(s):  
Service Delivery ◽  
Value Chain ◽  
Design Methodology ◽  
Care Delivery ◽  
New Approach ◽  
Content Type ◽  
Continuous Quality ◽  
Practical Implications ◽  
Comprehensive Mapping ◽  
Hiv Aids

Purpose The purpose of this paper is to describe the authors’ experience operationalizing the care delivery value chain (CDVC) as a management and continuous quality improvement (QI) approach to strengthen HIV/AIDS services provided in Northern Togo through addressing gaps across a care continuum. Design/methodology/approach The authors led a series of discussions to develop a CDVC specific to existing HIV/AIDS services in Northern Togo. Using the CDVC framework, 28 specific gaps in service delivery were identified and integrated into a strategic QI plan. Findings At 12 months, 92 percent of delivery gaps had demonstrated improvement. The CDVC framework proved to be valuable in the following ways. First, it facilitated the first comprehensive mapping of HIV/AIDS services in the Kara region of Togo. Second, it enabled the identification of gaps or insufficiencies in the currently available services across the full continuum of care. Third, it catalyzed the creation of a strategic QI plan based on identified gaps. Research limitations/implications This case description is the authors’ experience in one setting and should not be considered comparative in nature. Furthermore, the approach described may not be applicable to all initiatives and/or organizations. As described, the lack of sophisticated and comprehensive data collection systems limited the authors’ ability to collect reliable data on some of the QI initiatives planned. Practical implications The operationalization of the CDVC framework is an effective approach to drive continuous QI. Originality/value Through the operationalization of the CDVC, the authors developed a new approach for assessing existing services, identifying gaps in service delivery and directing continuous QI initiatives in a strategic manner.

Training for event volunteers: factors influencing event managers' resource allocation decision-making

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jacqueline Leigh ◽  
Grant Cairncross ◽  
Matthew Lamont
Keyword(s):  
Decision Making ◽  
Service Provision ◽  
Design Methodology ◽  
Structured Interviews ◽  
Volunteer Training ◽  
Content Type ◽  
Special Events ◽  
The Difference ◽  
Intervening Variables ◽  
Event Managers

PurposeManaging special events which utilise volunteer labour presents unique challenges due to the time-bound and infrequent nature of events, coupled with the non-traditional employment contractual basis associated with volunteers. Having committed, well-trained volunteers can sometimes be the difference between success and failure for an event. This paper explores factors shaping event managers' decision-making in relation to allocating organisational resources towards training for event volunteers.Design/methodology/approachUtilising qualitative methods, a sample of senior event managers practicing within Australia were invited to participate in semi-structured interviews. Their attitudes towards, and factors shaping, their decision-making in relation to allocating organisational resources towards training for event volunteers were analysed and discussed through an interpretive lens.FindingsSix intervening variables which shaped event managers' decisions to resource volunteer training were identified. These six variables both shaped and constrained event managers' decisions to resource and implement volunteer training.Originality/valueThe study highlights factors that need to be considered when considering attaining festival attendance satisfaction with volunteers’ service provision through training. This work also contributes to future discussions about the value of volunteer training to event success.

The future of university or universities of the future: a paradox for uncertain times

2020 ◽  
Vol 34 (7) ◽  
pp. 1143-1153
Author(s):  
Allen Alexander ◽  
Constantine Manolchev
Keyword(s):  
Higher Education ◽  
Service Delivery ◽  
Design Methodology ◽  
Business Models ◽  
University Management ◽  
Content Type ◽  
The Future ◽  
Future Narratives ◽  
Management Issues ◽  
Education Field

PurposeUsing narratives from leading international academics and commentators, the authors chart four, possible, “universities of the future” models and discuss how current university management issues can enable or hinder them.Design/methodology/approachDeploying a Gioia methodology analysis of “University of the Future” narratives, the authors derive 12 categories of institutional properties and, ultimately, four distinct models.FindingsThe authors identify how current, classic and polytechnic institutions can adapt their operations and service delivery in order to transition into future-ready business models.Originality/valueThe authors interpret the opinions and predictions from world-leading experts in the higher education field in order to present the first, to our knowledge, typology of aspirational university models.

Representative and responsive bureaucracy in Nepal: a mismatch or a realistic assumption?

2020 ◽  
Vol 23 (2) ◽  
pp. 141-156
Author(s):  
Ishtiaq Jamil ◽  
Hasan Muhammad Baniamin
Keyword(s):  
Service Provision ◽  
Design Methodology ◽  
Civil Service ◽  
Representative Bureaucracy ◽  
Ethnic Communities ◽  
Content Type ◽  
Secondary Sources ◽  
Realistic Assumption ◽  
The Government ◽  
Factual Data

PurposeThe purpose of this paper is to investigate, firstly, to what extent has Nepal’s bureaucracy become representative in terms of reflecting the country’s demographic composition, and secondly, has the bureaucracy become more responsive to citizens since the implementation of a quota policy in 2007.Design/methodology/approachThis paper relies on factual and perceptual data in analysis. In order to analyze and interpret representative bureaucracy, this paper adopts factual data derived from the secondary sources, especially data generated by the Government of Nepal. Second, the perceptual set of data was collected through two rounds (2008, 2014) of a country-representative survey in Nepal.FindingsThe findings suggest that in terms of representativeness, the bureaucracy is still dominated by high-caste Hindus, while other ethnic communities, except the Newars, are utterly under-represented. Surprisingly, Dalits are represented in higher posts as per their percentage in the population, but they are still underrepresented in the civil service in general. Women’s representation has also increased through participation in the civil service, but they still mostly hold junior or non-gazetted posts. Citizens’ evaluations regarding responsiveness and processes of service provision are also mixed.Originality/valueThis paper is a unique attempt to understand the aspects of representativeness and responsiveness in relation to Nepalese Civil Service.

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