scholarly journals Parents' burdens of service for children with ASD – implications for service providers

2020 ◽  
Vol 31 (5) ◽  
pp. 1015-1039
Author(s):  
Anu Helkkula ◽  
Alexander John Buoye ◽  
Hyeyoon Choi ◽  
Min Kyung Lee ◽  
Stephanie Q. Liu ◽  
...  

PurposeThe purpose of this investigation is to gain insight into parents' perceptions of benefits vs burdens (value) of educational and healthcare service received for their child with ASD. Parents are the main integrators of long-term educational and healthcare service for their child with ASD.Design/methodology/approachDesign/methodology/approach included (1) a sentiment analysis of discussion forum posts from an autism message board using a rule-based sentiment analysis tool that is specifically attuned to sentiments expressed in social media and (2) a qualitative content analysis of one-on-one interviews with parents of children diagnosed with ASD, complemented with interviews with experienced educators and clinicians.FindingsFindings reveal the link between customized service integration and long-term benefits. Both parents and service providers emphasize the need to integrate healthcare and educational service to create holistic long-term care for a child with ASD. Parents highlight the benefits of varied services, but availability or cost are burdens if the service is not publicly provided, or covered by insurance. Service providers' lack of experience with ASD and people's ignorance of the challenges of ASD are burdens.Practical implicationsEnsuring health outcomes for a child with ASD requires an integrated service system and long-term, customer-centric service process because the scope of service covers the child's entire childhood. Customized educational and healthcare service must be allocated and budgeted early in order to reach the goal of a satisfactory service output for each child.Originality/valueThis is the first service research to focus on parents' challenges with obtaining services for their child with ASD. This paper provides service researchers and managers insight into parents' perceptions of educational and healthcare service value (i.e. benefits vs. burdens) received for their child with ASD. These insights into customer-centric perceptions of value may be useful to research and may help service providers to innovate and provide integrated service directly to parents, or indirectly to service providers, who serve children with ASD.

2016 ◽  
Vol 8 (3) ◽  
pp. 452-472 ◽  
Author(s):  
Robert Crawford

Purpose This paper aims to provide an insight into the emergence of the global advertising industry by undertaking a comparison of the respective entries of the advertising agencies J. Walter Thompson and McCann Erickson into the Australian market in the 1930s and 1960s. Design/methodology/approach This study undertakes a comparison of the strategies and initiatives implemented by J. Walter Thompson and McCann Erickson as documented in the agencies’ respective archival collections as well as industry press reports. Findings The similarities between J. Walter Thompson and McCann Erickson reveal that globalisation of the advertising industry was both driven and restricted in even parts by profitability and pragmatism. Originality/value The experiences of the J. Walter Thompson and McCann Erickson agencies in establishing their Australian operations offer a unique, long-term view of the emergence and development of a global advertising industry.


2010 ◽  
Vol 38 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Andy Appleyard

PurposeThis paper seeks to provide an overview of recent developments within the British Library's document supply service and offer an insight into future plans.Design/methodology/approachThe paper takes the form of a general review.FindingsThe British Library Document Supply Centre (BLDSC) has made tremendous gains in optimising the service in its current guise. As with similar organisations, challenges are presenting themselves that require a completely new look at the way the business model is designed. Although the long‐term plan is not completely formed, this paper aims to give an insight into current thinking.Originality/valueThe paper spells out the improvement strategy that the BL has adopted for document supply in the light of the worldwide decline.


2014 ◽  
Vol 15 (4) ◽  
pp. 232-236 ◽  
Author(s):  
Lee Hooper ◽  
Diane K Bunn

Purpose – The purpose of this paper is to consider whether dehydration in older people should be used as a marker of lack of quality in long-term care provision. Design/methodology/approach – The piece examines the assumed relationship between dehydration and the quality of care, and then considers the factors that can lead to dehydration in older people. Findings – Even with the best care, older people, in the absence of a sense of thirst, and for fear of urinary accidents, difficulties getting to the toilet or choking, may choose to drink less than would be ideal for their health. While good care supports older people to minimise these problems, it also respects older people making their own decisions around when, what and how much to drink. It appears that dehydration may sometimes be a sign of good care, as well as arising from poor care. Social implications – Residential care homes should not be stigmatised on the basis of their residents being dehydrated, but rather helped to explore whether they are achieving an appropriate balance between care and quality of life for their residents. Originality/value – This discussion may be of use to those living in, working in, managing or assessing residential care.


2017 ◽  
Vol 20 (1) ◽  
pp. 35-51 ◽  
Author(s):  
Gbenga Oduntan

Purpose A new republic has just begun in Nigeria in 2015 with the election of two anti-corruption crusaders as President and Vice president, respectively. Although very few empirical studies exist on the subject of corruption within the justice system in Nigeria the intolerable popular impression is that the machinery of justice in Nigeria is quite notoriously corrupt. The aim of this paper is to identify strategies and mechanisms that will enhance the professionalism, effectiveness, integrity, accountability and transparency of the organisations within Nigeria’s administration of justice system both at the federal and state levels including Ministries of Justice, the Police, the Prison Service, immigration, customs and even the Bar. Design/methodology/approach Literature research is used to examine the problem. The author looks at corruption in the context of Nigerian laws. He tabulates the offences within the scope of the prohibition against corruption in Nigeria, as well as the incidences of corruption within the various sections of the criminal justice system. The prescriptive recommendations are divided into short-, medium- and long-term measures. Findings That corruption is actually prevalent in all areas of the Nigerian justice system. It is crucial that an impression must be made by the new administration in this area within a very short frame of time to arrest the situation and to reverse the damage caused so far. Research limitations/implications Word limit has not enabled us to go into deeper analysis. Lack of objective studies done from within the Nigeria justice sector itself on the manifestation of corruption. Originality/value Very original analysis based on unique insight into the issue as academics, lawyers and practitioners within Nigerian anticorruption institutions.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 708-708
Author(s):  
Sarah Canham ◽  
Joe Humphries ◽  
Victoria Burns ◽  
Tamara Sussman ◽  
Christine Walsh

Abstract Montréal, Calgary, and Vancouver have seen a dramatic increase in homelessness among adults aged 50+. In order to identify ‘promising practices’ that promote aging-in-the-right-place for older people experiencing homelessness (OPEH) in Montréal, Calgary, and Vancouver, we conducted an environmental scan and three World Café workshops with 99 service providers and OPEH. We identified 53 promising practices managed or operated by 42 providers which we categorized across a shelter/housing continuum: 1) Emergency/transitional/temporary shelter/housing; 2) Independent housing with offsite supports; 3) Supported independent housing with onsite, non-medical supports; 4) Permanent supportive housing with onsite medical support and/or specialized services; 5) Long-term care; and 6) Palliative care/hospice. Study findings provide a template for existing solutions to the diverse shelter/housing needs of OPEH and insight into the gaps in shelter/housing and services that would support OPEH to age-in-the-right place. Policy and practice implications for scaling promising practices will be discussed. Part of a symposium sponsored by the Environmental Gerontology Interest Group.


Kybernetes ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yong-Hai Li ◽  
Jin Zheng ◽  
Shan-Tao Yue ◽  
Zhi-Ping Fan

PurposeIn recent years, electronic word-of-mouth (e-WOM) concerning travel products reflected in online review information has become an important reference for tourists to make their product purchase decisions, while for travel service providers (TSPs), monitoring and improving the e-WOM of their travel products is always an important task. Therefore, based on the online review information, how to capture e-WOM of travel products and find out specific ways to improve the e-WOM is a noteworthy research problem. The purpose of this paper is to develop a method for capturing and analyzing e-WOM toward travel products based on sentiment analysis and stochastic dominance.Design/methodology/approachSpecifically, online review information of travel products is first crawled and preprocessed. Second, sentiment strengths of online review information toward travel products concerning each feature are judged. Then, the matrix of structured online review information toward travel products is formed. Further, the matrix of e-WOM comparisons between any two travel products is constructed, and e-WOM ranking concerning each travel product is determined. Finally, trade-off chart models are constructed to conduct the e-WOM improvement analyses concerning the travel products.FindingsAn empirical study based on the online review information toward six travel products crawled from the Tuniu.com website is given to illustrate the use of the proposed method.Originality/valueThe proposed method can not only realize the real-time e-WOM monitoring to travel products but also be useful for TSPs to improve the e-WOM of their travel products.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Martin Powell

PurposeMany governments stress the importance of “learning from abroad”. An analysis of official documents over a period of some 20 years examines learning from abroad in the case of funding long-term care in England through the lens of prospective policy transfer.Design/methodology/approachThe paper analyses the eight “official” documents in England that examined funding LTC from 1999 to 2019. It uses interpretive content analysis in a deductive approach that focuses on both manifest and latent content.FindingsOnly four of the eight documents gave more than a token level of attention to other nations, and of the remaining four, none fully satisfied the criteria or followed the recommendations of prospective policy transfer. Moreover, a rather limited pool of lessons from other nations is examined. Much of the material is rather descriptive, with limited explicit attention towards goals, problems, settings and policy performance, and a clear recommendation explicitly associated with a clear lesson or policy recommendation is rare.Originality/valueThis is the first analysis of the eight official documents that have discussed funding long-term care in England.


2018 ◽  
Vol 48 (1) ◽  
pp. 103-121 ◽  
Author(s):  
King Lun Tommy Choy ◽  
Kai Yuet Paul Siu ◽  
To Sum George Ho ◽  
C.H. Wu ◽  
Hoi Yan Lam ◽  
...  

Purpose This paper aims to maintain the high service quality of the long-term care service providers by establishing a knowledge-based system so as to enhance the service quality of nursing homes and the performance of its nursing staff continually. Design/methodology/approach An intelligent case-based knowledge management system (ICKMS) is developed with the integration of two artificial intelligence techniques, i.e. fuzzy logic and case-based reasoning (CBR). In the system, fuzzy logic is adopted to assess the performance through the analysis of the long-term care services provided, nurse performance and elderly satisfaction, whereas CBR is used to formulate a customized re-training program for quality improvement. A case study is conducted to validate the feasibility of the proposed system. Findings The empirical findings indicate that the ICKMS helps in identification of those nursing staff who cannot meet the essential service standard. Through the customized re-training program, the performance of the nursing staff can be greatly enhanced, whereas the medical errors and complaints can be considerably reduced. Furthermore, the proposed methodology provides a cost-saving approach in the administrative work. Practical implications The findings and results of the study facilitate decision-making using the ICKMS for the long-term service providers to improve their performance and service quality by providing a customized re-training program to the nursing staff. Originality/value This study contributes to establishing a knowledge-based system for the long-term service providers for maintaining the high service quality in the health-care industry.


2017 ◽  
Vol 72 (3) ◽  
pp. 288-302 ◽  
Author(s):  
Jens Kr. Steen Jacobsen ◽  
Antonio Miguel Nogués-Pedregal

Purpose The purpose of this paper is to outline and interpret social circles and networks of long-term visitors to Costa Blanca (Spain) and to analyse how the long-termers relate to Spanish nationals and compatriots in their (temporary) residence areas. Design/methodology/approach En route airport questionnaire survey to departing passengers. Findings The study indicates a presence of translocalism among many of the polyglot long-termers not tied to their native soil and having manifold links across national borders. Most of them socialise within compatriot leisurescape settings. Language skills are determinant. Many long-termers are “dual citizens”, feeling at home both here and there. Research limitations/implications Airport surveys can reach a broad range of people but must be kept simple because of time constraints. The different labels used by researchers to describe international mobility might not be comprehensive. Practical implications The paper is of interest to local authorities, planners, property developers and tourism destination service providers. Social implications The study confirms that some persons may be physically “in” a foreign culture while socially “outside” of that culture, or in society but not of it. Originality/value The research uniquely encompasses all types of long-termers in various locations, based on an airport survey. It offers new insights into patterns of social circles and language proficiencies of diverse international long-term arrivals in Mediterranean Spain.


2015 ◽  
Vol 18 (3/4) ◽  
pp. 69-79
Author(s):  
Hendrik Cramer ◽  
Hans Voordijk ◽  
Geert Dewulf

Purpose – The purpose of this paper is to provide new insights into barriers to sustaining and scaling-up housing and community-care innovations related to changing the long-term care (LTC) system. Design/methodology/approach – Two housing and community-care experiments were studied. The 11 barriers and four core themes identified to the scaling-up of these experiments were analysed using the three theoretical concepts from the transitions literature: shielding, nurturing, and empowering innovations. Findings – The barriers included shielding through subsidies without having organizational or political commitment, nurturing networks that underestimated the size of the housing and community-care innovations, and a failed empowerment because of regulatory uncertainty – not knowing the rules of tomorrow and ignoring the reality that it takes time to spread the lessons learnt in experiments. Research limitations/implications – Housing and community-care innovations need to pay less attention to subsidies and focus more on learning from the experiments, spreading the ideas, and creating commitment from policymakers so that the innovations become empowered. Originality/value – Empirical insights into the barriers to sustaining and scaling-up housing and community-care innovations into the LTC system are provided and propositions for future transition programmes formulated.


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