User Orientation in the Provision of Online Public Services

Author(s):  
K. Gareis

In the context of e-government strategies, governments typically claim that they utilize Internet technology to improve service provision and to better meet citizens’ needs. However, the development of front-office e-government applications often seems to be guided primarily by supply-side factors. Many observers criticise that in practice, technological possibilities rather than user needs determine the design and provision of most public online services. This situation contrasts sharply with the common political intention that the “user—the individual—has to be placed at the centre of future developments for an inclusive knowledge-based society for all” (CEC, 2004). At the root of this contradiction lies technological determinism: the widespread tendency to assume that certain social outcomes are in some way inherent in a technology. A determinist view implies that it is sufficient to “unleash” a certain technology in order to make its potentials for improving human life come true. It can, however, easily be shown that technological determinism is a myth and that technology, while enabling certain beneficial developments, is in no way a sufficient condition for these (Webster, 2002). Rather, society has to devise policies which effectively strive to use technology to the largest possible benefit of all. There is, thus, no reason to be complacent about the high degree of satisfaction which users show with e-government services (CEC, 2003). A lot of research has shown that users tend to be satisfied with online public services: Lassnig, Markus, and Strasser (2004b) found through representative surveys that over 90% of citizen and over 80% of business users indicate that they would use the online channel for e-government service provision again. At the same time, however, a large percentage of potential users of e-government state that they still prefer to access government services through traditional channels (mostly face to face). Thus, a positive attitude towards online government services seems to exist only among current users, while most nonusers tend to dismiss their usefulness. Such polarisation between users and “e-government refusers” points towards the need for better understanding of facilitators and barriers to uptake. The issue is of special relevance because the main services of public interest (which, of course, need to be defined) must be accessible to every citizen. Additionally, for many services there exists a public interest to have as many users as possible (e.g., education, civil participation). It become clear, therefore, that user orientation must go beyond mere accessibility and also fully address questions of motivation. Recent evidence, from the UK especially (Curthoys & Crabtree, 2003), suggests that online availability of a core set of public services alone is unlikely to lead to strong increases in take-up of e-government. The UK government has set a target of getting all public services online by 2005, but this contrasts with low usage rates: About 70% of services were online, but many of these services were hardly being used at all. Curthoys and Crabtree (2003) suggest that encouraging more citizens to use online services should be made the “unequivocal top priority” by the government in its e-government strategy, even if this means downgrading quantitative targets. What, then, must be done to better cope with the diversity of user needs and preferences in the development of online public services? This article outlines the main challenges related to user orientation of end-user e-government services. Disparities between citizens in the areas of access, competence and motivation appear to be of special relevance in this regard. Against this background, the article suggests a conceptualisation of user orientation of online public services which takes account of all main stages of the service delivery process. This framework may help providers of e-government services in the ex-ante assessment of online services to be developed. The final section includes some conclusions and a brief look into upcoming trends and challenges in the area.

2008 ◽  
Vol 7 (2) ◽  
pp. 221-231 ◽  
Author(s):  
Catherine Needham

The concept of co-production – also called co-creation – is gaining widespread attention as a way to increase user involvement in service provision in the UK. It is usually taken as self-evident that more co-production will improve services. However, it is necessary to be clear about how far and in what ways co-production can improve public services. This article looks at the purported advantages of co-production, and considers how these can best be accessed. A case study workshop involving social housing users and providers, conducted as part of the National Consumer Council-Unison Shared Solutions project, is used to illustrate the need for collective dialogue and deliberation between co-producers rather than purely transactional forms of co-production.


2021 ◽  
Vol 15 (3) ◽  
pp. 518-537
Author(s):  
Tania Arrieta Hernandez

This article examines the changing landscape of public service provision in the UK during austerity. Austerity is presented through the notions of retrenchment, decentralisation and shifts in governance. The analysis shows that retrenchment and decentralisation eroded the capacity of public institutions to protect the provision of vital public services. This is revealed through the reduced provision of non-statutory services and the reinforcement of inequalities in service provision. Shifts in governance have led to mixed outcomes in the quality of services. This article also addresses how austerity influenced many of the problems observed in service provision during the COVID-19 pandemic. Vital public services in the UK faced the pandemic with a diminished resource base, heightened inequalities and significant fragmentation in service provision.


Politik ◽  
2010 ◽  
Vol 13 (3) ◽  
Author(s):  
Jens Olav Dahlgaard ◽  
Lene Holm Pedersen

This paper examines the impact of the major Danish municipal amalgamations of 2007 on the motivational bases for politicians in local government. The focus is narrowed down to Public Service Motivation (PSM), a form of altruistic motivation present in the provision of public services. Two subdimensions of PSM, Public Interest and User Orientation, are used. The analysis shows that Public Interest is unaffected by amalgamation degree, while User Orientation is negatively affected. In other words, the councillors, who have experienced the highest degrees of amalgamation, have the lowest degree of User Orientation. 


2020 ◽  
Vol 25 (12) ◽  
pp. 610-614
Author(s):  
Garry Cooper-Stanton

There are various opportunities and challenges in the delivery of care to those diagnosed with chronic oedema/lymphoedema. Service provision is not consistent within the UK, and non-specialist nurses and other health professionals may be called on to fill the gaps in this area. The latest best practice guidance on chronic oedema is directed at community services that care for people within their own homes in primary care. This guide was developed in order to increase awareness, knowledge and access to an evidence base. Those involved in its creation cross specialist fields (lymphoedema and tissue viability), resulting in the document covering a number of areas, including an explanation of chronic oedema, its assessment and management and the association between chronic oedema and wet legs. The document complements existing frameworks on the condition and its management and also increases the available tools within chronic oedema management in the community. The present article provides an overview of the guidance document and discusses its salient features.


2021 ◽  
pp. 088626052110079
Author(s):  
Alison Gregory ◽  
Emma Johnson ◽  
Gene Feder ◽  
John Campbell ◽  
Judit Konya ◽  
...  

Experiences of sexual violence, childhood sexual abuse, and sexual assault are common across all societies. These experiences damage physical and mental health, coping ability, and relationships with others. Given the breadth and magnitude of impacts, it is imperative that there are effective, accessible services to support victim-survivors, ease suffering, and empower people to cope, recover and thrive. Service provision for this population in the United Kingdom is complex and has been hit substantially by austerity. Since positive social support can buffer against negative impacts, peer support may be an effective approach. The aim of this exploratory study was to capture the views and perspectives of professional stakeholders concerning service provision for victim-survivors, particularly perceptions of peer support. In-depth semistructured interviews were conducted in the UK during 2018 with six professional stakeholders, highly experienced in the field of service provision for victim-survivors of sexual violence and abuse. An abductive approach to analysis was used, applying principles from thematic analysis. Our sample comprised four females and two males, and their roles included psychiatrist, general practitioner, service improvement facilitator, and senior positions within victim-survivor organizations. Interviews highlighted models of peer support for this population, good practice and safety considerations, and a lack of uniformity regarding quality and governance standards across the sector. Findings indicated that current funding models impact negatively on victim-survivor services, and that provision is fragmented and insufficient across statutory and not-for-profit sectors. The influence of the medical model upon service provision was evident, which resulted in apprehension around support delivered in less-usual forms—including peer support. Further research is needed to explore the potential of peer support for victim-survivors of sexual violence and abuse.


Author(s):  
Michal Struk ◽  
Eduard Bakoš

Intermunicipal cooperation offers an interesting alternative in cases when municipalities are too small to individually provide public services at an efficient cost level but are reluctant to form a municipal amalgamation in order to benefit from economies of scale. Forming a body consisting of multiple municipalities with a specific focus provides a way to reduce costs on service provision while maintaining municipal sovereignty in other areas. In our paper, we quantify the cost benefits of utilizing intermunicipal cooperation in the field of municipal solid waste management. We examine this using data from a 10-year period from municipalities in the South Moravian Region in the Czech Republic, where high municipal fragmentation results in many dominantly small municipalities that often are not able to provide public services at reasonable costs. This analysis contributes to the literature by conducting a long-term study of the effects of intermunicipal cooperation on public service provision costs. Our results suggest that municipalities participating in intermunicipal cooperation focused on waste management experienced annual cost savings of approximately 13.5% for provision of this service throughout the examined period of 2010–2019 when compared to municipalities that did not cooperate. These long-term results show how beneficial intermunicipal cooperation can be in reducing service costs. In addition to the direct financial benefits, municipal representatives stated that intermunicipal cooperation often brings other qualitative and non-financial benefits such as better service quality, the possibility to share infrastructure, and relief from administrative and managerial burdens through the utilization of professional management, which was especially appreciated by the smallest municipalities with limited administrative staff.


2021 ◽  
Vol 10 (5) ◽  
pp. 1067
Author(s):  
Arne Kienzle ◽  
Lara Biedermann ◽  
Evgeniya Babeyko ◽  
Stephanie Kirschbaum ◽  
Georg Duda ◽  
...  

Due to the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) pandemic, a large number of elective knee replacement procedures had to be postponed in both early and late 2020 in most western countries including Germany and the UK. It is unknown how public interest and demand for total knee arthroplasties was affected. Public interest in knee pain, knee osteoarthritis and knee arthroplasty in Germany and the UK was investigated using Google Trend Analysis. In addition, we monitored for changes in patient composition in our outpatient department. As of early March in Germany and of late March in the UK, until the lockdown measures, a 50 to 60% decrease in relative search frequency was observed in all categories investigated compared to the beginning of the year. While public interest for knee pain rapidly recovered, decreased interest for knee osteoarthritis and replacement lasted until the easing of measures. Shortly prior to and during the first lockdown mean search frequency for knee replacement was significantly decreased from 39.7% and 36.6 to 26.9% in Germany and from 47.7% and 50.9 to 23.7% in the UK (Germany: p = 0.022 prior to lockdown, p < 0.001 during lockdown; UK: p < 0.0001 prior to and during lockdown). In contrast, mean search frequencies did not differ significantly from each other for any of the investigated time frames during the second half of 2020 in both countries. Similarly, during the first lockdown, the proportion of patients presenting themselves to receive primary knee arthroplasty compared to patients that had already undergone knee replacement declined markedly from 64.7% to 46.9%. In contrast, patient composition changed only marginally during the lockdown measures in late 2020 in both Germany and the UK. We observed a high level of public interest in knee arthroplasty despite the ongoing pandemic. The absence of a lasting decline in interest in primary knee arthroplasty suggests that sufficient symptom reduction cannot be achieved without surgical care for a substantial number of patients.


BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C Bulley ◽  
C Meagher ◽  
T Street ◽  
A Adonis ◽  
C Peace ◽  
...  

Abstract Background Over the past 20 years Functional Electrical Stimulation (FES) has grown in clinical use to support walking in people with lower limb weakness or paralysis due to upper motor neuron lesions. Despite growing consensus regarding its benefits, provision across the UK and internationally is variable. This study aimed to explore stakeholder views relating to the value of a clinical guideline focusing on service provision of FES to support walking, how people might use it and what should be included. Methods A mixed methods exploration sought the views of key stakeholders. A pragmatic online survey (n = 223) focusing on the study aim was developed and distributed to the email distribution list of the UK Association for Chartered Physiotherapists Interested in Neurology (ACPIN). In parallel, a qualitative service evaluation and patient public involvement consultation was conducted. Two group, and seven individual interviews were conducted with: FES-users (n = 6), their family and carers (n = 3), physiotherapists (n = 4), service providers/developers (n = 2), researchers (n = 1) and distributors of FES (n = 1). Descriptive analysis of quantitative data and framework analysis of qualitative data were conducted. Results Support for clinical guideline development was clear in the qualitative interviews and the survey results. Survey respondents most strongly endorsed possible uses of the clinical guideline as ensuring best practice and supporting people seeking access to a FES service. Data analysis and synthesis provided clear areas for inclusion in the clinical guidelines, including current research evidence and consensus relating to who is most likely to benefit and optimal service provision as well as pathways to access this. Specific areas for further investigation were summarised for inclusion in the first stage of a Delphi consensus study. Conclusions Key stakeholders believe in the value of a clinical guideline that focuses on the different stages of service provision for FES to support walking. A Delphi consensus study is being planned based on the findings.


2015 ◽  
Vol 82 (1) ◽  
pp. 47-68 ◽  
Author(s):  
Tony Bovaird ◽  
Gerry Stoker ◽  
Tricia Jones ◽  
Elke Loeffler ◽  
Monica Pinilla Roncancio

Sign in / Sign up

Export Citation Format

Share Document