Variations in the delivery of primary diabetes care in Malaysia Lessons to be learnt and potential for improvement

2019 ◽  
Author(s):  
Feisul Mustapha ◽  
Jens Aagaard-Hansen ◽  
Shiang Cheng Lim ◽  
Nazrila Hairizan Nasir ◽  
Tahir Aris ◽  
...  

Abstract Background The paper describes variations in the organisation of clinical services for diabetes patients in ten public primary health clinics in Malaysia with the view to learn from current innovations and improve diabetes service provision. Methods This study combined the use of secondary data and a qualitative multi-case study approach applying observations in ten randomly selected MOH health clinics in Kuala Lumpur and Selangor, and semi-structured interviews of the Family Medicine Specialists from the same clinics. Results Although there are specific Ministry of Health guidelines for diabetes care, some clinics had introduced innovations for diabetes care such as the novel ‘personalised care’, ‘one-stop-centre’ and utilisation of patients’ waiting time for health education. Analysis showed that there was room for improvement in terms of task shifting to free precious time of staff with specialised functions, streamlining appointments for various examinations, increasing continuity of consultations with same doctors and monitoring of performance. Conclusion We contend that there is a potential for increased effectiveness and efficiency of primary diabetes care in Malaysia without increasing the resources – a potential that may be tapped into by systematic learning from on-going innovation.

2020 ◽  
Vol 7 ◽  
pp. 233339282091874
Author(s):  
Feisul Idzwan Mustapha ◽  
Jens Aagaard-Hansen ◽  
Shiang Cheng Lim ◽  
Nazrila Hairizan Nasir ◽  
Tahir Aris ◽  
...  

Background: The article describes variations in the organization of clinical services for diabetes patients in 10 public primary health clinics in Malaysia with the view to learn from current innovations and improve diabetes service provision. Methods: This study combined the use of secondary data and a qualitative multicase study approach applying observations in 10 randomly selected Ministry of Health (MOH) health clinics in Kuala Lumpur and Selangor and semistructured interviews of the family medicine specialists from the same clinics. Results: Although there are specific MOH guidelines for diabetes care, some clinics had introduced innovations for diabetes care such as the novel ‘personalized care’, ‘one-stop-centre’ and utilization of patients’ waiting time for health education. Analysis showed that there was room for improvement in terms of task shifting to free precious time of staff with specialized functions, streamlining appointments for various examinations, increasing continuity of consultations with same doctors, and monitoring of performance. Conclusion: We contend that there is a potential for increased effectiveness and efficiency of primary diabetes care in Malaysia without increasing the resources – a potential that may be tapped into by systematic learning from ongoing innovation.


2022 ◽  
pp. 504-528
Author(s):  
Muhammad Arslan

Family-owned businesses (FOBs) play an important role in the economy of a country through the creation of jobs. However, most FOBs lack strategies regarding succession planning in both developed and developing economies. This study explores the strategies that are used by FOBs to prepare future leaders. Drawing on qualitative research design, this study employed a multiple case study approach and selected 13 cases by employing a purposive sampling technique from the FOBs of Pakistan. Semi-structured interviews were conducted with the successors of FOBs. The findings reveal that succession planning is pivotal for the development of business and the successful transition of FOB from one generation to another. Most of the respondents fully understand the importance of succession planning for the sustainability of the business. However, in some cases, socioemotional aspects of generational succession planning require strategies that concurrently focus on successor suitability, the consensus of the family, mode of transition, leadership, and challenges faced by the FOBs.


2021 ◽  
pp. 95-120
Author(s):  
Azilah Kasim ◽  
Chin Tong Lim ◽  
Adnan Hisham ◽  
Shamsul Shamsuddin

The introduction of ride-sharing alternative to taxis brought a refreshing alternative to consumers because it promises a comfortable and reliable service of ride sharing. However, Uber i.e. the first ride-sharing service offered in Malaysia in particular, has caused uneasiness among the conventional taxi concessionaires. This paper took a case study approach to understand the reasons behind this issue within the context of Kuala Lumpur, Malaysia using document analysis and semi structured interviews. The findings suggest that high quality ride experience that ride- sharing services such as Uber offer have caused much disruption to traditional taxi drivers’ livelihood. Hence, government assistance to improve traditional taxi service is essential to help their continued survival. A few managerial implications are proposed at the end of this paper.


2019 ◽  
Vol 11 (1) ◽  
pp. 96
Author(s):  
Mufaro'ah Ismail ◽  
Titin Sumarni ◽  
Ika Kurnia Sofiani

This study aims to determine the effect of failure in parenting for early childhood and factors that inhibit or support parents in parenting. This research is a correlation study with product moment correlation analysis. The method in this study is to use a case study approach, instruments or tools used to obtain data through the dissemination and filling of questionnaires by parents, direct interviews with parents and documentation as secondary data so that the data obtained is more complete. After going through a fairly long process of data collection, processing and analysis, it can be seen that there are significant effects of gadgets in parenting for early childhood. The presentation was permissive parenting 88.31%, democratic parenting 61.65% and authoritarian parenting 50.04%. With the analysis that the three parenting styles above are influenced by gatget in the process of parenting parents to early childhood but the most strongly influenced are parents with permissive parenting. The factors that hinder parenting are many 5-year-olds who use gadgets, 5-year-olds can already be friends and choose friends, 5-year-olds have their own desires, and global technological developments. The factors that hinder parents in parenting are many 5-year-olds who use gadgets, 5-year-olds can play with friends and choose friends, 5-year-olds have their own desires, and increasingly sophisticated technology. Supporting factors for parents in parenting are good cooperation in the family, having the same commitment, consistency in caring for children, parents providing educational tools in accordance with the age of the child, and parents providing time to play with children. The solutions for parents, children and early childhood education institutions in caring for children should not be affected by gadgets. For parents, it is better to do and multiply positive activities. 


2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Rian Andrianus Manik ◽  
Mayarni Mayarni

AbstractOnline Single Submission is an information technology-based licensing system innovation that integrates regional and central licensing in accordance with the mandate of Government Regulation Number 24 of 2018 concerning Electronically Integrated Business Licensing Services. The purpose of this study was to determine whether the OSS program was running. The use of this OSS program is to shorten the licensing bureaucracy. This research is descriptive with a case study approach and the data needed are primary and secondary data derived from observations, interviews, and documentation which are analyzed by researchers so as to obtain accurate and clear data. The results of this study indicate that the OSS program at the Office of Investment and One Stop Services in Rokan Hulu Regency has been running effectively. The accuracy of the program targets was in accordance with the expectations set before the program was launched. The socialization of the program has not yet been effectively carried out. The achievement of program objectives is in accordance with the initial purpose of this program, the community has felt the convenience offered by OSS. Program monitoring is still not fully effective but has started to lead to improvements.Keywords: Effectiveness; Online Single Submission; Program  AbstrakOnline Single Submission merupakan inovasi sistem perizinan berbasis teknologi informasi yang mengintegrasikan perizinan di daerah dan pusat sesuai amanat Peraturan Pemerintah Nomor 24 Tahun 2018 tentang Pelayanan Perizinan Berusaha Terintegrasi Secara Elektronik. Tujuan penelitian ini adalah untuk mengetahui apakah program OSS berjalan efektif atau tidak. Penggunaan program OSS ini untuk mempersingkat birokrasi perizinan. Penelitian ini bersifat deskriptif dengan pendekatan studi kasus serta data yang diperlukan ialah data primer dan sekunder yang berasal dari observasi, wawancara, dokumentasi yang dianalisis oleh peneliti  sehingga mendapatkan data yang akurat dan jelas. Hasil penelitian ini menunjukan bahwa program OSS di Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Rokan Hulu sudah berjalan efektif. Ketepan sasaran program sudah sesuai dengan harapan yang ditetapkan sebelum program ini diluncurkan. Untuk sosialisasi program masih belum efektif dilakukan. Pencapaian tujuan program sudah sesuai dengan tujuan awal program ini dibuat, masyarakat sudah merasakan kemudahan yang ditawarkan OSS. Untuk pemantauan program masih belum sepenuhnya efektif tetapi sudah mulai mengarah kepada perbaikan.    Kata Kunci:  Efektivitas; Online Single Submission; Program


Author(s):  
Charlotte Kate Sinden

This research examines environmental sustainability in the UK university context. Universities are prioritising sustainability commitments with many declaring a Climate Emergency, as well as recognising the importance of educating students about climate change. This research used a case-study approach in which semi-structured interviews were coupled with secondary data analysis, and suggests universities are pivotal for greater environmental sustainability. The results reiterate the urgent need to significantly improve environmental performance and educate people in the field of sustainability, whilst presenting the challenges and realities faced in doing so. It is recommended that in order to achieve optimum sustainability solutions a cohesive approach is required to embed a common sustainability narrative for all.


Author(s):  
Muhammad Arslan

Family-owned businesses (FOBs) play an important role in the economy of a country through the creation of jobs. However, most FOBs lack strategies regarding succession planning in both developed and developing economies. This study explores the strategies that are used by FOBs to prepare future leaders. Drawing on qualitative research design, this study employed a multiple case study approach and selected 13 cases by employing a purposive sampling technique from the FOBs of Pakistan. Semi-structured interviews were conducted with the successors of FOBs. The findings reveal that succession planning is pivotal for the development of business and the successful transition of FOB from one generation to another. Most of the respondents fully understand the importance of succession planning for the sustainability of the business. However, in some cases, socioemotional aspects of generational succession planning require strategies that concurrently focus on successor suitability, the consensus of the family, mode of transition, leadership, and challenges faced by the FOBs.


2021 ◽  
pp. 097300522199143
Author(s):  
Sneha Kumari ◽  
Nisha Bharti ◽  
K. K. Tripathy

Indian agriculture has always been less profitable. Several factors contribute to the low profitability in agriculture, but less value addition, weak value chain system and weak market linkage are some of the most important factors. Producer companies are helping small farmers to emerge in the market. The farmer producer organisations (FPOs) linked with the producer companies are the best example of collective actions. The collective actions for the agriculture value chain (AVC) have resulted in a decrease in the cost and an increase in revenue. FPO and producer company find a good place in the underpinning theory of collective action theory. This study examines various successful examples of strengthening AVC through cooperatives and tried to identify various factors responsible for the success of these collectives. This study has adopted a case study approach. Three successful cases, that is, Vasundhara Agriculture Horticulture Producer Company Ltd: a multi-state FPO, Abhinav Farms Club and Sahyadri Farmer Producer Company have been selected for the case study based on their successful interventions for strengthening the agriculture value chain. Primary and secondary data has been collected through telephonic interviews from the board of directors, chairman and the members of the FPO. Both primary and secondary data have been collected to compare the three cases for AVC models. The data has been analysed using a comparative case study approach. The parameters of AVC have been identified using the Delphi technique. The study has found that collective actions have helped the farmers to strengthen the agriculture value chain. The study also concluded that leadership played an important role in defining the success of the FPOs. The study brings out future directions to excel in AVC through collectives.


2021 ◽  
Vol 13 (6) ◽  
pp. 3132
Author(s):  
Leo Aldianto ◽  
Grisna Anggadwita ◽  
Anggraeni Permatasari ◽  
Isti Raafaldini Mirzanti ◽  
Ian O. Williamson

Covid-19 has had a significant impact on the disruption of the global economic sector, including for startup businesses. This encourages entrepreneurs to carry out a continuous innovation process to become more ambidextrous and continue to innovate in an effort to futureproof their business. The paper aims to provide a business resilience framework by exploring capability (innovation ambidexterity, dynamic capability, and technology capability), behavior (agile leadership), and knowledge (knowledge stock) in startup businesses. This study uses a literature review synthesis to gain a greater understanding of startup resilience and its implementation. This study also uses a case study approach in building a framework by obtaining data from semi-structured interviews with three startups owners in Indonesia. This preliminary research has identified four propositions that will be used to develop questionnaires and data collection instruments. Thus, this study provides new insights on how startups can overcome contradictory pressures for business resilience in anticipating, dealing with, and emerging from business turbulence due to the Covid-19 pandemic by considering the factors proposed in this study. The implications and recommendations of this study are also discussed in detail.


2019 ◽  
Vol 12 (3) ◽  
pp. 326-337 ◽  
Author(s):  
Caroline Doyle

PurposeThis paper aims to focus on how a public policy designed to address a social problem ultimately became the place brand.Design/methodology/approachThis paper uses a qualitative case study approach focusing on the city of Medellín, Colombia. It draws from fieldwork conducted in Medellín over 2014 and 2015, including semi-structured interviews with an array of local stakeholders.FindingsThe paper concludes that local governments should be aware that the policymaking process can become part of their branding. It also shows the importance of the continual involvement of stakeholders in the place brand process to ensure it is a sustainable brand.Originality/valueThere are limited studies which focus on how a public policy designed to address a social problem ultimately becomes the place brand. This paper shows how a public policy, social urbanism, became the branding of Medellín.


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