Remote Management of the European Neighbourhood Policy

The European Union’s neighbourhood is complex and still far from being stable. In Ukraine, significant progress has occurred in many areas of transition; however, much work remains to be done, especially in the field of regional development and governance where many legacies of the Soviet model remain. At the crossroads between East and West, Ukraine presents an interesting case of policy development as an expression of European Union (EU) external governance. This paper asks the question: why was the relationship between the EU and Ukraine fairly unsuccessful at promoting stability in the region and in Ukraine? What was missing in the European Neighbourhood Policy (ENP) in Ukraine that rendered the EU unable to prevent a conflict on the ground? By identifying security, territorial, and institutional challenges and opportunities the EU has faced in Ukraine, this paper underlines the most important factors accounting for the performance of its external governance and crisis management in Ukraine. Full text available at: https://doi.org/10.22215/rera.v12i2.1310

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Technology-enabled remote management of diabetes foot disease and potential for reduction in associated health costs: a pilot study

Journal of Foot and Ankle Research ◽

10.1186/s13047-020-00444-6 ◽

2021 ◽

Vol 14 (1) ◽

Cited By ~ 1

Author(s):

Fiona Main ◽

Ania Zubala ◽

Jane Gorman ◽

Sandra Jones ◽

Jenny Hall ◽

...

Keyword(s):

Health Economic ◽

Pilot Study ◽

Cost Savings ◽

Economic Assessment ◽

Remote Access ◽

Limb Amputation ◽

Health Economic Analysis ◽

Remote Management ◽

Integrated Pathway ◽

Foot Disease

AbstractDiabetes-related foot disease, particularly when associated with amputation, affects quality of life and has a significant impact on health care costs. A pilot study using enhanced technology to facilitate remote access and video conferencing from rural locations to the diabetes MDT through a new service pathway confirmed high levels of patient satisfaction with 89% of foot ulcers improved or stable and only two minor amputations. A health economic analysis suggested potential for significant cost savings if this was scaled up regionally. Further evaluation of an integrated pathway, impact on lower limb amputation rates and full health economic assessment is recommended.

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Remote management of covid-19 using home pulse oximetry and virtual ward support

BMJ ◽

10.1136/bmj.n677 ◽

2021 ◽

pp. n677

Author(s):

Trisha Greenhalgh ◽

Matthew Knight ◽

Matt Inda-Kim ◽

Naomi J Fulop ◽

Jonathan Leach ◽

...

Keyword(s):

Pulse Oximetry ◽

Remote Management

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Business Model Scenarios for Remote Management

Journal of theoretical and applied electronic commerce research ◽

10.3390/jtaer2030022 ◽

2007 ◽

Vol 2 (3) ◽

pp. 62-79

Author(s):

Olivier Braet ◽

Pieter Ballon

Keyword(s):

Business Model ◽

Customer Value ◽

Organizational Design ◽

End User ◽

Critical Dimensions ◽

Modeling Methodology ◽

Investment Appraisal ◽

Remote Management ◽

Design Choice ◽

Model Scenarios

This article critically appraises business model challenges in implementing remote management functionalities. Remote management is believed to create new service opportunities and foster convergence between previously dissociated islands of end user devices. Conflicting business logics from disparate industries, however, run counter to this attempt at centralization. We introduce a generic business modeling methodology that aims to move beyond traditional ICT investment appraisal techniques by combining four critical dimensions of design. We develop four business model scenarios based on the organizational design choice of ‘degree of vertical integration’ and the product design choices of ‘degree of product modularity’ and ‘distribution of intelligence’ and offer a description of the effect of these design choices on the intended customer value.

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Acceptability of remote prescribing and postal delivery services for contraceptive pills and treatment of uncomplicated Chlamydia trachomatis

BMJ Sexual & Reproductive Health ◽

10.1136/bmjsrh-2020-200687 ◽

2020 ◽

pp. bmjsrh-2020-200687

Author(s):

Tom Nadarzynski ◽

Ynez Symonds ◽

Robert Carroll ◽

Jo Gibbs ◽

Sally Kidsley ◽

...

Keyword(s):

Online Survey ◽

Home Delivery ◽

Transmitted Infection ◽

Sexually Transmitted ◽

Sti Testing ◽

Contraceptive Pills ◽

Remote Management ◽

Delivery Services ◽

The Cost ◽

To Receive

ObjectivesThe digitalisation of sexual and reproductive health (SRH) services offers valuable opportunities to deliver contraceptive pills and chlamydia treatment by post. We aimed to examine the acceptability of remote prescribing and ‘medication-by-post’ in SRH.Study designAn online survey assessing attitudes towards remote management was distributed in three UK SRH clinics and via an integrated sexually transmitted infection (STI) postal self-sampling service. Logistic regressions were performed to identify potential correlates.ResultsThere were 1281 participants (74% female and 49% <25 years old). Some 8% of participants reported having received medication via post and 83% were willing to receive chlamydia treatment and contraceptive pills by post. Lower acceptability was observed among participants who were: >45 years old (OR 0.43 (95% CI 0.23–0.81)), screened for STIs less than once annually (OR 0.63 (0.42–0.93)), concerned about confidentiality (OR 0.21 (0.90–0.50)), concerned about absence during delivery (OR 0.09 (0.02–0.32)) or unwilling to provide blood pressure readings (OR 0.22 (0.04–0.97)). Higher acceptability was observed among participants who reported: previously receiving medication by post (OR 4.63 (1.44–14.8)), preference for home delivery over clinic collection (OR 24.1 (11.1–51.9)), preference for home STI testing (OR 10.3 (6.16–17.4)), ability to communicate with health advisors (OR 4.01 (1.03–15.6)) and willingness to: register their real name (OR 3.09 (1.43–10.6)), complete online health questionnaires (OR 3.09 (1.43–10.6)) and use generic contraceptive pills (OR 2.88 (1.21–6.83)).ConclusionsPostal treatment and entering information online to allow remote prescribing were acceptable methods for SRH services and should be considered alongside medication collection in pharmacies. These methods could be particularly useful for patients facing barriers in accessing SRH. The cost-effectiveness and implementation of these novel methods of service delivery should be further investigated.

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