Back to Basics: City Services and 311 Service Requests

2021 ◽  
pp. 0160323X2110642
Author(s):  
Genie N.L. Stowers

With data from service delivery requests in twenty-nine cities, this article reports on a comparative analysis of city service request systems (311 systems) and their operations. The study uses actual 311 service request data available through cities’ open data portals. A typology of thirty service type categories was created. Various hypotheses were tested. As city population increases, the number of service requests also increases. Garbage/recycling is the most commonly requested service, followed by code enforcement requests, parking, pickup of bulk items, and abandoned vehicles. Cities are no longer just using telephones for their users to submit requests but have also now incorporated other service channels. Service resolution times vary across cities and service category but there is some evidence that safety and health types of services receive priority and are resolved more quickly. The article ends with managerial and policy implications.

Author(s):  
Kari White ◽  
Subasri Narasimhan ◽  
Sophie A. Hartwig ◽  
Erin Carroll ◽  
Alexandra McBrayer ◽  
...  

Abstract Introduction Thirty-seven states require minors seeking abortion to involve a parent, either through notification or consent. Little research has examined how implementation of these laws affect service delivery and quality of care for those who involve a parent. Methods Between May 2018 and September 2019, in-depth interviews were conducted with 34 staff members involved in scheduling, counseling, and administration at abortion facilities in three Southeastern states. Interviews explored procedures for documenting parental involvement, minors’ and parents’ reactions to requirements, and challenges with implementation and compliance. Both inductive and deductive codes, informed by the Institute of Medicine’s healthcare quality framework, were used in the thematic analysis. Results Parental involvement laws adversely affected four quality care domains: efficiency, patient-centeredness, timeliness, and equity. Administrative inefficiencies stemmed from the extensive documentation needed to prove an adult’s relationship to a minor, increasing the time and effort needed to comply with state reporting requirements. If parents were not supportive of their minor’s decision, participants felt they had a duty to intervene to ensure the minor’s decision and needs remained centered. Staff further noted that delays to timely care accumulated as minors navigated parental involvement and other state mandates, pushing some beyond gestational age limits. Lower income families and those with complex familial arrangements had greater difficulty meeting state requirements. Conclusions Parental involvement mandates undermine health service delivery and quality for minors seeking abortion services in the Southeast. Policy Implications Removing parental involvement requirements would protect minors’ reproductive autonomy and support the provision of equitable, patient-centered healthcare.


Author(s):  
Jamin Pelkey

Analyzing visual meaning online and curating digitized images are topics of increasing relevance, but many potential methodologies for doing so remain merely implicit, underthematized, or unexplored. The potential for testing and developing semiotic theory through the exploration of visual data online also requires far more careful attention. In response, this paper provides an integrated, reflexive, Peircean account of two case studies featuring research projects focused on visual data drawn primarily from sources online, relying heavily on Google Image Search as a data collection tool. The first study illustrates the comparative analysis of brand mark logos to test and refine a theory of embodied semiotics involving oppositional relations. The second study illustrates the comparative analysis of images depicting the Tibetan Wheel of Life and Yama the monster of death, in order to test the embodied grounding hypothesis for the semiotic square. Issues of hypothesis formation, research parameters, data collection, database construction, operationalization, coding parameters, open data archiving and related issues are addressed in order to further develop and encourage practices of researching visual semiotics online in the context of Digital Humanities scholarship.Keywords: Mixed-methods research. Google Image search. Visual content analysis. Semiotic theory. Semiotic methods. Peircean semiotics.


2012 ◽  
pp. 1282-1304
Author(s):  
Mangala Anil Hirwade

The National e-Governance Plan (NeGP) was approved by the Government of India in the year 2006, comprising of 27 Mission Mode Projects (MMPs) and 8 components. The vision of this programme is –“to make all government services accessible to the common man in his locality, through common service delivery outlets, and ensure efficiency, transparency, and reliability of such services at affordable costs to realise the basic needs of the common man.” The effort has been made to demystify and simplify the process of delivering government services by taking a holistic view of initiatives across the country and proving an enabling ICT based platform. The ultimate objective is to bring government services to citizens’ doorsteps. This article discusses major e-governance initiatives before the launch of NeGP and the status of MMPs under Central and State Government and under integrated service category after the launch of NeGP. It also takes an overview of the number of online services provided to the stakeholders through government portals. A review of recommendations of National Knowledge Commission of India on e-governance is taken along with the actions taken in this direction. Major challenges in implementation of e-governance are also discussed.


ESMO Open ◽  
2020 ◽  
Vol 5 (6) ◽  
pp. e001090
Author(s):  
Grace Chazan ◽  
Fanny Franchini ◽  
Marliese Alexander ◽  
Susana Banerjee ◽  
Linda Mileshkin ◽  
...  

ObjectivesTo report clinician-perceived changes to cancer service delivery in response to COVID-19.DesignMultidisciplinary Australasian cancer clinician survey in collaboration with the European Society of Medical Oncology.SettingBetween May and June 2020 clinicians from 70 countries were surveyed; majority from Europe (n=196; 39%) with 1846 COVID-19 cases per million people, Australia (AUS)/New Zealand (NZ) (n=188; 38%) with 267/236 per million and Asia (n=75; 15%) with 121 per million at time of survey distribution.ParticipantsMedical oncologists (n=372; 74%), radiation oncologists (n=91; 18%) and surgical oncologists (n=38; 8%).ResultsEighty-nine per cent of clinicians reported altering clinical practices; more commonly among those with versus without patients diagnosed with COVID-19 (n=142; 93% vs n=225; 86%, p=0.03) but regardless of community transmission levels (p=0.26). More European clinicians (n=111; 66.1%) had treated patients diagnosed with COVID-19 compared with Asia (n=20; 27.8%) and AUS/NZ (n=8; 4.8%), p<0.001. Many clinicians (n=307; 71.4%) reported concerns that reduced access to standard treatments during the pandemic would negatively impact patient survival. The reported proportion of consultations using telehealth increased by 7.7-fold, with 25.1% (n=108) of clinicians concerned that patient survival would be worse due to this increase. Clinicians reviewed a median of 10 fewer outpatients/week (including non-face to face) compared with prior to the pandemic, translating to 5010 fewer specialist oncology visits per week among the surveyed group. Mental health was negatively impacted for 52.6% (n=190) of clinicians.ConclusionClinicians reported widespread changes to oncology services, in regions of both high and low COVID-19 case numbers. Clinician concerns of potential negative impacts on patient outcomes warrant objective assessment, with system and policy implications for healthcare delivery at large.


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