scholarly journals Flexible assertive community treatment teams can change complex and fragmented service systems: experiences of service providers

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kristin Trane ◽  
Kristian Aasbrenn ◽  
Martin Rønningen ◽  
Sigrun Odden ◽  
Annika Lexén ◽  
...  
Keyword(s):  
Health Service ◽  
Assertive Community Treatment ◽  
Service Providers ◽  
Service System ◽  
Service Systems ◽  
Community Treatment ◽  
Integrative Health ◽  
Service Models ◽  
Study Team ◽  
Group Interviews

Abstract Background Implementing innovative health service models in existing service systems is complicated and context dependent. Flexible assertive community treatment (FACT) is a multidisciplinary service model aimed at providing integrated care for people with severe mental illness. The model was developed in the Netherlands and is now used in several countries, such as Norway. The Norwegian service system is complex and fragmented, with challenges in collaboration. Limited research has been performed on FACT teams and other new integrative health service models as part of such systems. However, such knowledge is important for future adjustments of innovation processes and service systems. Our aim was to explore how FACT teams are integrated into the existing formal public service system, how they function and affect the system, and describe some influencing factors to this. We sought to address how service providers in the existing service system experience the functioning of FACT teams in the system. Methods Five focus group interviews were undertaken 3 years after the FACT teams were implemented. Forty service providers representing different services from both levels of administration (primary and specialist healthcare) from different Norwegian regions participated in this study. Team leaders of the FACT teams also participated. Service providers were recruited through purposeful sampling. Interviews were analysed using thematic text analysis. Results The analysis revealed five main themes regarding FACT teams: (1) They form a bridge between different services; (2) They collaborate with other services; (3) They undertake responsibility and reassure other services; (4) They do not close all gaps in service systems; and (5) They are part of a service system that hampers their functioning. Conclusions The FACT teams in this study contributed to positive changes in the existing service system. They largely contributed to less complex and fragmented systems by forming a bridge and undertaking responsibility in the system and by collaborating with and reassuring other services; this has reduced some gaps in the system. The way FACT teams function and needs of the existing system appear to have contributed positively to these findings. However, complexity and fragmentation of the system partly hamper functioning of the FACT teams.

Network Management and Service Systems

2015 ◽  
Vol 28 (1) ◽  
pp. 38-56 ◽  
Author(s):  
Rainer Alt ◽  
Clemens Eckert ◽  
Thomas Puschmann
Keyword(s):  
Network Management ◽  
Service Providers ◽  
Service System ◽  
Financial Service ◽  
Service Systems ◽  
Service Science ◽  
Support Network ◽  
Value Chains ◽  
Dynamic Configuration ◽  
Oriented Research

Service science views companies as service system entities that interact with other entities to create value. In today's networked value chains competition is no longer among companies, but among networks that may be regarded as service ecologies. Following service science each entity comprises a dynamic configuration of resources and structures, thus a variety of design aspects needs alignment within these ecologies. To manage service ecologies this article suggests to link insights from network management with service science. A multi-dimensional framework consistently describes the organizational aspects of network management among service system entities as well as the required processes to align activities between service system entities and the possible information systems to support network management. The framework emerged from a design-oriented research project based on eleven interviews with managers from financial service providers in Germany and Switzerland.

Service Systems as Digital Products

2010 ◽  
pp. 206-217
Author(s):  
Hsin-Lu Chang ◽  
Michael J. Shaw ◽  
Feipei Lai
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Service System ◽  
New Technology ◽  
Service Systems ◽  
University Hospital ◽  
Digital Products ◽  
Remote Healthcare ◽  
Innovation Model ◽  
Health Service System

In this research, the authors study service systems and assess one emerging service innovation model: services as digital products. The focused area of application is to make the remote healthcare platform developed at National Taiwan University Hospital (the U-Health Service System) a comprehensive and effective “Service System as a Digital product”—made possible by new technology but in need of service designs and innovations. In addition to studying service delivery and innovation for the U-Health Service System, our research aims to stimulate attention toward the promising research opportunities for information systems scholars in several domains: (1) the development of service systems as digital products, (2) the development of service value models based on service processes, service delivery, service metrics and service outcomes, (3) the development of service metrics and the fit between service models, perceived value, and service metrics, and (4) the management of service systems and how to make them sustainable operationally and economically.

Challenges Faced by Service Providers in the Delivery of Assertive Community Treatment

2004 ◽  
Vol 23 (1) ◽  
pp. 115-127 ◽  
Author(s):  
Terry Krupa ◽  
Shirley Eastabrook ◽  
Peter Beattie ◽  
Richard Carriere ◽  
Dianne McIntyre ◽  
...  
Keyword(s):  
Assertive Community Treatment ◽  
Service Providers ◽  
Community Treatment

Doing More Than Act: The Dutch Fact Model, Flexible Assertive Community Treatment

2016 ◽  
Vol 33 (S1) ◽  
pp. S481-S482
Author(s):  
R. Keet
Keyword(s):  
The Netherlands ◽  
Assertive Community Treatment ◽  
Rural Areas ◽  
Service Providers ◽  
Mental Illnesses ◽  
Community Treatment ◽  
Time Service ◽  
Competing Interest ◽  
The Uk ◽  
Model Transition

Background/objectivesAssertive community treatment (ACT) has become the standard for integrated care for people with severe mental illnesses. Limitations of ACT are the lack of flexibility, the limited feasibility in rural areas, the limited population and the time-unlimited nature. These limitations can be overcome by flexible assertive community treatment (Flexible ACT), developed in the Netherlands and introduced in several European countries.MethodsThree studies were done between 2006 and 2015 on the results of the introduction of Flexible ACT, two in The Netherlands and one in the UK.ResultsThe outcomes in the Netherlands data show the effectiveness of Flexible ACT. Remission of schizophrenia increased form 19% to 31%. Bed use was reduced and quality of life increased. Effectiveness of FACT was also shown in the UK, where total patient time in hospital declined by half, even though the average time service providers spent with patients also declined. Collected data of the digitalized boards show that the board is used in accordance with the FACT model. Transition rate to primary care is 5–10% per year.Discussion/conclusionThe introduction of Flexible ACT has been shown to benefit patients with severe mental illness and indicate the ability of to allocate human resources in mental health care more efficiently. Introduction to other countries will be accompanied by research on the effectiveness and feasibility within other cultures.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

scholarly journals Rethinking Service Systems and Public Policy: A Transformative Refugee Service Experience Framework

2020 ◽  
pp. 074391562096281
Author(s):  
Silke Boenigk ◽  
Raymond Fisk ◽  
Sertan Kabadayi ◽  
Linda Alkire ◽  
Lilliemay Cheung ◽  
...  
Keyword(s):  
Public Policy ◽  
Nonprofit Organizations ◽  
Service Providers ◽  
Service System ◽  
Well Being ◽  
Research Literature ◽  
Service Systems ◽  
Policy Makers ◽  
Service Experience ◽  
Research Questions

The global refugee crisis is a complex humanitarian problem. Service researchers can assist in solving this crisis because refugees are immersed in complex human service systems. Drawing on marketing, sociology, transformative service, and consumer research literature, this study develops a Transformative Refugee Service Experience Framework to enable researchers, service actors, and public policy makers to navigate the challenges faced throughout a refugee’s service journey. The primary dimensions of this framework encompass the spectrum from hostile to hospitable refugee service systems and the resulting suffering or well-being in refugees’ experiences. The authors conceptualize this at three refugee service journey phases (entry, transition, and exit) and at three refugee service system levels (macro, meso, and micro) of analysis. The framework is supported by brief examples from a range of service-related refugee contexts as well as a Web Appendix with additional cases. Moreover, the authors derive a comprehensive research agenda from the framework, with detailed research questions for public policy and (service) marketing researchers. Managerial directions are provided to increase awareness of refugee service problems; stimulate productive interactions; and improve collaboration among public and nonprofit organizations, private service providers, and refugees. Finally, this work provides a vision for creating hospitable refugee service systems.

scholarly journals Expectations of adolescents to receive reproductive health information and services from health service system: A qualitative study in Bangladesh

2018 ◽  
Vol 7 (2) ◽  
pp. 19-26
Author(s):  
Samiha Yunus ◽  
Sabrina Sharmin ◽  
Nafisa Lira Huq ◽  
Fariha Haseen ◽  
Md Ali Imam ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Qualitative Study ◽  
School Health ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Service System ◽  
Rural Adolescents ◽  
To Receive ◽  
Health Service System

Adolescents, aged 10-19 years, constitute one fifth of Bangladesh's total population of 158 million. Similar to adolescents elsewhere, Bangladeshi adolescents also have special sexual and reproductive health (SRH) information and service needs; however, these needs are not adequately addressed by the existing health service system. The present study was conducted to identify adolescents’ expectations of and preferences for receiving SRH information and services. This qualitative study was conducted in six purposively selected areas of Bangladesh using 20 Key Informant Interviews (KII) during September-November 2012. Key informants aged between 15 to 19 years were leaders of youth organizations or class monitors in school. Informants were unmarried and married, males and females, and from rural and urban areas. This study identified that there is a strong need for SRH services for adolescents. Irrespective of their residence and gender, adolescents preferred health service providers to be qualified medical doctors, who are experienced, well-trained and polite. Availability of doctors, maintaining privacy and treatment through counseling were mentioned as their priorities. Both urban and rural adolescents recommended establishing adolescent friendly environment in every government and NGO health service facility. They also asked for gender specific service provider for female and male adolescents. Urban adolescents expressed the need for school health program with provision of school health clinics. On the other hand, rural adolescents recommended for community health workers to raise awareness on adolescent sexual and reproductive health (ASRH) issues with parents and families. The adolescents also expected to receive SRH information through mass media, school curriculum, and booklets on adolescent SRH, and peer educator. Addressing the expectations of adolescents will open a new skylight to policy makers to design highly accessible health services for adolescents in BangladeshSouth East Asia Journal of Public Health Vol.7(2) 2017: 19-26

Getting pre-exposure prophylaxis (PrEP) to the people: opportunities, challenges and examples of successful health service models of PrEP implementation

Sexual Health ◽  
2018 ◽  
Vol 15 (6) ◽  
pp. 481 ◽  
Author(s):  
Iryna B. Zablotska ◽  
Jared M. Baeten ◽  
Nittaya Phanuphak ◽  
Sheena McCormack ◽  
Jason Ong
Keyword(s):  
Health Service ◽  
Service Providers ◽  
Special Issue ◽  
Effective Strategies ◽  
Health Service Providers ◽  
The People ◽  
The World ◽  
Service Models ◽  
Prep Implementation ◽  
Exposure Prophylaxis

Pre-exposure prophylaxis (PrEP) with antiretrovirals could prevent millions of infections, yet effective strategies to get PrEP delivered are just being defined. This editorial introduces a series of 17 articles which form a special issue of Sexual Health focused on the opportunities and challenges for health service providers engaged in PrEP prescribing. All pieces presented here share useful lessons from PrEP pioneers; more than that, they should serve as catalysts to accelerate PrEP implementation around the world.

Preliminary Discussions on Several Characteristics of Service Value

2010 ◽  
Vol 1 (3) ◽  
pp. 50-62 ◽  
Author(s):  
Chao Ma ◽  
Zhongjie Wang ◽  
Xiaofei Xu
Keyword(s):  
Service System ◽  
System Development ◽  
Service Innovation ◽  
Service Design ◽  
Service Systems ◽  
Central Position ◽  
Service Engineering ◽  
Service Value ◽  
Service Models ◽  
Service Mode

Service is defined as a provider-to-client co-production that creates and captures value while sharing risks. Value plays a central position in the lifecycle of services, for example, new values are defined in service mode, designing service models to support the proposed values, and developing service systems to deliver values to customers and providers. It is also necessary to make clear what kinds of characteristics service value has. In this paper, the authors make a classification on service values and discuss characteristics of service value, that is, transitivity, decomposability, partition, transformation, and dependency. The authors illuminate these characteristics by presenting several practical examples, as well as introducing value-aware service engineering and methodology (VASEM). Results of this paper will provide references to value-oriented service innovation, service design and service system development in SSME domain.

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