Productivity Analysis of Public Services

Author(s):  
Aki Jääskeläinen ◽  
Paula Kujansivu ◽  
Jaani Väisänen

Productivity is a key success factor in any organization. In order to improve productivity, it is necessary to understand how various factors affect it. The previous research has mainly focused on productivity analysis at macro level (e.g. nations) or in private companies. Instead, there is a lack of knowledge about productivity drivers in public service organizations. This study aims to scrutinize the role of various operational (micro level) factors in improving public service productivity. In particular, this study focuses on child day care services. First, the drivers of productivity are identified in light of the existing literature and of the results of workshop discussions. Second, the drivers most conducive to high productivity and the specific driver combinations associated with high productivity are defined by applying methods of data mining. The empirical data includes information on 239 day care centers of the City of Helsinki, Finland. According to the data mining results, the factors most conducive to high productivity are the following: proper use of employee resources, efficient utilization of premises, high employee competence, large size of day care centers, and customers with little need for additional support.

2016 ◽  
Vol 24 (1) ◽  
pp. 34-42 ◽  
Author(s):  
Tulio Konstantyner ◽  
Thais Cláudia Roma de Oliveira Konstantyner ◽  
Maysa Helena Aguiar Toloni ◽  
Giovana Longo-Silva ◽  
José Augusto de Aguiar Carrazedo Taddei

PEDIATRICS ◽  
1993 ◽  
Vol 91 (2) ◽  
pp. 460-463
Author(s):  
David E. Nelson ◽  
Jeffrey J. Sacks ◽  
David G. Addiss

The authors analyzed data from a national survey of 2003 directors of licensed child day-care centers to determine employee smoking policies, measure compliance with state and local employee smoking regulations for child day-care centers and state clean indoor air laws, and to estimate the extent of exposure to environmental tobacco smoke in these settings. Forty states regulated employee smoking in child day-care centers, but only three states required day-care centers to be smoke-free indoors. More than 99% of licensed child day-care centers had employee smoking policies that complied with the appropriate state or local smoking regulations. Nearly 55% of centers were smoke-free indoors and outdoors, and 26% were smoke-free indoors only. The best predictors of more stringent employee smoking policies were location in the West or South, smaller size, independent ownership, or having written smoking policies. Despite the presence of strong smoking policies at the majority of licensed child day-care centers, more than 752000 children in the United States are at risk for environmental tobacco smoke exposure in these settings. Health care professionals and parents should insist that child day-care centers be smoke-free indoors and, preferably, smoke-free indoors and outdoors.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 991-994
Author(s):  
Jonathan B. Kotch ◽  
Ann H. Faircloth ◽  
Kristen A. Weigle ◽  
David J. Weber ◽  
Richard M. Clifford ◽  
...  

The growing use of child day-care centers (CDCCs) has produced a significant rise in morbidity due to infectious diseases which carry such consequences as discomfort, disability, and parental anxiety.1,2 Haskins conservatively estimated the cost of day-care illnesses among children to be $1.8 billion.3 To this must be added the cost of parents' and care givers' excess illness attributable to CDCCs. No published study describes a successful intervention to reduce the risk of upper respiratory disease in CDCCs. Although many research groups have advocated hand washing and diapering hygiene as a means of reducing the spread of enteric disease in CDCCs,4-11 there are only two controlled studies in the literature. In their pioneering work, Black et al showed the incidence of diarrhea in CDCCs following a rigorously monitored hand-washing program to be nearly twice that in intervention centers.12 Bartlett et al monitored the impact of hand washing in randomly assigned CDCCs and found no intervention effect. However, rates of diarrhea were significantly lower among children in the actively monitored centers regardless of intervention status.13 These studies share several limitations: the sources of incidence data were not blinded to center intervention status, the analyses did not statistically control for potential confounders, and non-independence of multiple diarrhea episodes in the same child were not accounted for. The purposes of our study were to develop a feasible, multicomponent hygienic intervention and to carefully measure its impact while controlling for sources of bias. Use of trade names is for identification only and does not constitute endorsement by the Public Health Service, the Centers for Disease Control and Prevention, or any of the other co-sponsors of this conference.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (4) ◽  
pp. 598-598
Author(s):  
NEAL R. WEINBERG

To the Editor.— Dr Sterne's commentary (Pediatrics 1987;79:445-446) on day care for sick children presented a succinct summary of the dilemmas faced by working parents and the current options available to them when their children are ill. I am in full agreement that ideally there should be liberalized parental leave policies as well as improved understanding and acceptance of certain minor illnesses by existing day-care centers. However, because of the cost, it is doubtful that corporations can or will pay for home care services, which are twice as costly as an infirmary model, or will they be willing to grant additional paid days off to parents.


2015 ◽  
Vol 15 (1) ◽  
pp. 17-31 ◽  
Author(s):  
Dixis Figueroa Pedraza ◽  
Daiane de Queiroz ◽  
Jacqueline Santos da Fonsêca Almeida Gama

Objetivos: levantar evidências sobre o perfil do consumo alimentar de crianças brasileiras assistidas em creches. Métodos: foi realizada uma busca por estudos observacionais nas bases de dados PubMed, LILACS e SciELO. Foram selecionados artigos publicados entre 1990 e 2013, utilizando os termos “food consumption” AND “child day care centers”. Resultados: foram identificados 58 artigos, dos quais 21 artigos foram considerados relevantes para o presente trabalho: 18 estudos transversais e três longitudinais. A sistematização dos estudos destaca: i) a concentração geográfica no Sudeste do país; ii) a apropriação da pesagem direta de alimentos e dos valores de referência das Dietary Reference Intakes na avaliação do consumo de alimentos; iii) um panorama preliminar, com ênfase no Sudeste, do consumo deficitário de legumes, frutas e vegetais, e da inadequação da ingestão dietética de ferro; iv) a restrição dos resultados à ingestão média devido à insuficiência do uso de métodos apropriados ao estabelecimento de padrões alimentares. Conclusões: apesar da escassez e dispersão espaço-temporal dos estudos, as semelhanças metodológicas possibilitam sugerir um panorama em que predomina a ingestão dietética deficitária do grupo de frutas, legumes e verduras, e de alimentos ricos em ferro; bem como a ingestão excessiva de alimentos protéicos e de alto teor de sódio.


2011 ◽  
Vol 22 (2) ◽  
pp. 87
Author(s):  
Soon Ok Yang ◽  
Shin-Jeong Kim ◽  
Myung Soon Kwon ◽  
Seung-Hee Lee ◽  
Sung-Hee Kim

2013 ◽  
Vol 41 (6) ◽  
pp. 497-502 ◽  
Author(s):  
Tizza P. Zomer ◽  
Vicki Erasmus ◽  
Ed F. van Beeck ◽  
Aimée Tjon-A-Tsien ◽  
Jan Hendrik Richardus ◽  
...  

2014 ◽  
Vol 32 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Maysa Helena de A. Toloni ◽  
Giovana Longo-Silva ◽  
Tulio Konstantyner ◽  
Jose Augusto de A. C. Taddei

Objective: To identify the age of introduction of petit suisse cheese and instant noodles in the diet of infants attending nurseries of public day care centers and to compare the nutritional composition of these foods with the healthy recommended diet (breast milk and salt meal) for this age, in order to estimate nutritional errors. Methods: Cross-sectional study of 366 children (from nine to 36 months old) who attended day care centers, whose mothers were interviewed about the age of introduction of those foods. The means of the nutrients indicated on the labels of the most consumed brands were considered. For the calculation of the percent composition of breast milk and salt meal, Tables of Food Composition were used. To assess the nutritional adequacy, we used the Dietary Reference Intakes by age group. The percentage of adequacy evaluation of the petit suisse cheese and the instant noodles nutritional compositions was made by comparing them with those of the human milk and the salt meal, respectively. Results: The petit suisse cheese and the instant noodles were consumed by 89.6 and 65.3% of the children in the first year of life. The percentages of adequacy for carbohydrates were more than twice and the percentages for sodium were 20 times higher than those found in the recommended foods. Conclusions: Both industrialized products are inappropriate for infants, emphasizing the need for adoption of norms that can inform health professionals, educators and parents about the risks of consumption.


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