scholarly journals An Improved Decision Support Method for Resilience Assessment Based on Multi-Viewpoint Modeling and Functional Analysis of Interconnected Systems

2021 ◽  
Vol 13 (3) ◽  
pp. 54-70
Author(s):  
Blazho Nastov ◽  
Daouda Kamisoko ◽  
Vincent Chapurlat
Keyword(s):  
Decision Support ◽  
Well Being ◽  
Quality Of Services ◽  
Critical Infrastructures ◽  
Modeling Methods ◽  
Failure Propagation ◽  
Cascade Effects ◽  
Decision Support Method ◽  
Resilience Assessment

Critical infrastructures provide services that are essential to the functioning and well-being of society. Failure to provide these services is unacceptable. This is a problem when considering the unpredictable nature of the environment (leading to crisis, natural disasters, terrorist attacks) and internal failures. The concern is even greater due to the interconnected and interdependent nature of critical infrastructures, which might lead to failure propagation, causing domino and cascade effects. The resilience of a system is the ability to reduce the magnitude and/or duration of disruptive events or their consequences, allowing a satisfactory level of performance and quality of services. Improving critical infrastructures' resilience before any disruption occurs can reassure society's vital needs. The goal of the paper is to define an improved decision support method for resilience by combining resilience assessment and multi-viewpoint modeling methods.

scholarly journals Cross-Sector Partnerships in Human Services: Insights and Organizational Dilemmas

2018 ◽  
Vol 47 (4_suppl) ◽  
pp. 119S-138S ◽  
Author(s):  
Michal Almog-Bar ◽  
Hillel Schmid
Keyword(s):  
Mixed Method ◽  
Human Services ◽  
Well Being ◽  
Organizational Characteristics ◽  
Added Value ◽  
Quality Of Services ◽  
Joint Decision ◽  
The Government ◽  
Business Sectors

The article presents a mixed-method study of 15 cross-sector partnerships (CSPs) in human services. The study sought to examine the activities, organizational characteristics, and relationships among organizations from the government, nonprofit, and business sectors at three interrelated stages of the partnership: inputs, processes, and outcomes. The findings indicate that socialization prior to entering CSPs is an important component of building the partnership and attaining its espoused goals. Power struggles inhibit the achievement of goals in CSPs, whereas joint decision making and reaching a consensus contribute to achieving goals and added value in terms of improving the quality of services and clients’ well-being. The article presents insights and highlights the dilemmas that CSPs face with regard to their operation and processes. The implications of these dilemmas for establishing and managing effective CSPs as well as for nonprofit policy are discussed.

Implementing the clinical standards of the National Institute for Health and Care Excellence (NICE) bipolar clinical guideline

2016 ◽  
Vol 33 (S1) ◽  
pp. S20-S21 ◽  
Author(s):  
M. Tremblay ◽  
S. Palin
Keyword(s):  
Bipolar Disorder ◽  
Clinical Guideline ◽  
Well Being ◽  
Quality Of Services ◽  
Treatment As Usual ◽  
Clinical Standards ◽  
Actual Service ◽  
Competing Interest ◽  
The Uk

In the UK, the National Institute for Health and Care Excellence (NICE) sets standards for interventions to drive improvement in the quality of services delivered. The actual update of clinical guidelines remains patchy and difficult to ascertain.NICE most recent guideline on the management of bipolar disorder in adults will be reviewed. A concept tool to facilitate adherence to NICE clinical standards will be presented along with detailed outcomes of its pilot application in a naturalistic treatment setting, which drove the average concordance from 32% for a team providing treatment as usual, to 92% for a team supporting their practice with the tool. This presentation will also address additional impacts of its use including allowing drawing key clinical characteristics of an index population of individuals suffering from bipolar disorder, supporting education and auditing the actual service delivery.The usefulness of the tool to shape clinical practice according to NICE evidence-based standards will be outlined. Its versatility and limitations will be debated. The discussion of the findings will include epidemiological considerations as well as implications for mental and physical well-being.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Qualité des soins dispensés en unités de courte durée gériatriques : la perspective des aidants familiaux

2002 ◽  
Vol 21 (3) ◽  
pp. 393-403 ◽  
Author(s):  
Danièle Roberge ◽  
Francine Ducharme ◽  
Paule Lebel ◽  
Raynald Pineault ◽  
Jacynthe Loiselle
Keyword(s):  
Well Being ◽  
Measurement Scale ◽  
Quality Of Services ◽  
Quality Information ◽  
Second Phase ◽  
Technical Quality ◽  
Information Communication ◽  
Measurement Scales ◽  
Qualité Des Soins

ABSTRACTUntil now, family caregivers have been involved very little in the processes of assessing the quality of care delivered to a hospitalized relative. This study is the second phase of a broader research project whose aim is to develop measurement scales intended for elderly patients and their caregivers on their perceptions of the quality of services delivered in Geriatric Assessment Units. More specifically, the goal of this phase of the research is to document the criteria that caregivers use to judge the quality of these services: these criteria should constitute the content of the measurement scale that is intended for them. Four focus groups, bringing together 21 caregivers, allowed for the identification of 31 criteria of quality. These criteria have been classified according to six dimensions of quality: information, communication, attitude of staff, technical quality, continuity, and physical resources. The study highlights the dual concerns of participants: the well-being of the patient and support for caregivers. It shows that caregivers consider themselves to be clients of geriatric services.

Analysis of Customer Satisfaction with the Quality of Services of an Inspection Body

2020 ◽  
pp. 4-13
Author(s):  
T.I. Gordeeva
Keyword(s):  
Quality Management ◽  
Customer Satisfaction ◽  
Information Technologies ◽  
Customer Orientation ◽  
Quality Management System ◽  
Well Being ◽  
The Body ◽  
Quality Of Services ◽  
Laboratory Test Results

Introduction: One of the basic principles of quality management is customer orientation. The most convenient method of monitoring and measuring customer satisfaction is a customer survey. Literature review showed a lack of information on the analysis of consumer assessment of the quality of services in the field of ensuring sanitary and epidemiological well-being of the population. The purpose of the study was to substantiate measures for optimization of the quality management system (QMS) based on the analysis of consumer (customer) satisfaction with the quality of services for the conduct of sanitary and epidemiological expert examinations (hereinafter referred to as examinations) rendered by the Inspection Body of the Moscow Center for Hygiene and Epidemiology, Federal Budgetary Health Institution, with the exception of its branch offices in administrative districts, including those rendered for provision of government services by Moscow Rospotrebnadzor Office. Materials and methods: A special questionnaire was developed to study customer satisfaction with the quality of services rendered by the Inspection Body and the total of 510 questionnaires was analyzed in 2019 using statistical, sociological, and logical methods of research. The results of the survey showed that the customers were generally satisfied with the quality of services provided by the body. The data on priority factors determining the customer’s choice of an institution for conducting expert examinations were collected. The need to optimize the information component of the official website about the services was identified. The importance of developing remote interaction with customers, including that through the official website, was established. Introduction of a systematic monitoring of customer satisfaction including electronic questionnaire-based surveys was proposed. The expediency of optimizing the procedure for preparing expert opinions based on the results of laboratory tests, which would improve the quality and shorten the time for conducting examinations, was established. Conclusions: The survey of customer satisfaction with the quality of expert services rendered by the Inspection Body of the Moscow Center for Hygiene and Epidemiology revealed the determinants for choosing the institution, the necessity to develop information technologies for interaction with customers, and the factors showing the importance of improving the QMS procedure for conducting expert examinations of laboratory test results.

scholarly journals A Clampdown on Service Refusals by Bangkok Taxis

2019 ◽  
Vol 16 (1) ◽  
pp. 38-50
Author(s):  
Kridsda Nimmanunta ◽  
Thunyarat (Bam) Amornpetchkul
Keyword(s):  
Real World ◽  
Real Option ◽  
Social Issues ◽  
Well Being ◽  
Quality Of Services ◽  
Taxi Drivers ◽  
Economic Decisions ◽  
Real World Applications ◽  
Versatile Tool

One of Bangkok’s most perennial problems was the misbehaviour of taxi drivers. In only 4 months, from October 2015 to January 2016, the Department of Land Transport under the Ministry of Transport (MOT) of Thailand received almost 15,000 complaints regarding the quality of services provided by Bangkok’s taxi drivers. The number one complaint was passenger refusal. Anybody taking a taxi, particularly during rush hour, was likely to get frustrated with some taxi drivers, who got flagged down but refused to go to the requested destinations. Several attempts had been made by the MOT to resolve the issue of taxi drivers refusing passengers, including imposing fines and suspending taxi drivers, allowing fare raise to improve taxi drivers’ well-being, hoping to provide higher quality services and to abide by the laws and regulations. So far, the results had been unsatisfactory. This case aims to show the beauty and usefulness of real options in real-world applications by looking at one of Bangkok’s most perennial problems of taxi drivers refusing passengers. A real option is a powerful framework for business, finance and economic decisions. Not only that, but it is also a versatile tool for resolving social issues.

Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim
Keyword(s):  
Quality Of Life ◽  
Patient Autonomy ◽  
Positive Association ◽  
Well Being ◽  
Negative Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
People With Dementia ◽  
Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

Ego Psychoanalytic Rorschach Interpretation

2017 ◽  
Vol 38 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Irving B. Weiner
Keyword(s):  
Differential Diagnosis ◽  
Sequence Analysis ◽  
Treatment Planning ◽  
Well Being ◽  
Adjustment Difficulties ◽  
Behavioral Features ◽  
Defensive Style ◽  
Cognitive Slippage ◽  
Interpretive Process

Abstract. This article concerns the utility of ego psychoanalytic perspectives in Rorschach interpretation. Psychoanalytic ego psychology focuses on how people cope with events in their lives and how effectively they can meet challenges to their sense of well-being. The way people deal with experienced distress constitutes their defensive style and determines to a large extent what kind of person they are. Adequate defenses against anxiety promote comfortable and productive adjustment, whereas ineffective defenses typically cause adjustment difficulties and susceptibility to psychological disorders. In Rorschach assessment, the nature and effectiveness of a person’s defensive style can often be identified with a sequence analysis that integrates the structural, thematic, and behavioral features in the protocol. In particular, the sequential quality of responses, especially preceding and following instances of cognitive slippage, can help identify causes of upsetting concerns, defensive efforts to alleviating these concerns, and the adequacy of these defensive efforts in restoring equanimity. This interpretive process is illustrated with attention to implications for differential diagnosis and treatment planning in the Rorschach protocol of a 20-year-old suicidal woman.

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