Real-time service integration of defense information system

This study designs a reference model of the Defense REST API server based on the representational state transfer (REST) architecture style to present the most efficient, stable, and sustainable technical criteria for real-time service integration of defense information systems in Korea. The purpose of this component is to provide evidence to be stipulated as part of the Korean Defense Ministry's instructions and regulations, such as the Defense Interoperability Management Directive and the Interoperability Guide, and to support the development of the National Defense Interworking Technology and Interoperability. As the defense information system was subdivided and developed by the army, navy, air force, or business functions, interworking between information systems has become one of the most important factors. However, despite the need for advanced service integration and interworking, various interconnection service modules based on enterprise application integration (EAI), EAI hubs, and spokes were developed at a level that met local requirements (simple data transmission) without specific criteria for each network or information system. As a result, most of the interconnection modules currently in operation suffer from the absence of a technical spectrum, such as not meeting the military's demands for real-time interconnection and service integration, which increases with time. Therefore, this study seeks to identify the above problems by integrating the defense information system into one service and presenting a reference model of the defense REST API server to meet various real-time interworking requirements, analyze the technical basis, and pursue a model that fits military reality.

The Development of A Self-Appraisal Tool for the Level of Long-Term Care Service Integration

Introduction Taiwan is the fastest aging countries in the world. In 2016, Taiwan implemented Long-Term Care Plan 2.0 (LTC Plan 2.0), aims to provide coordinated and integrated LTC services. However, how to assess the level of integration and which integration mechanisms are better applied are still unclear in the literature. This study intended to address a research question regarding “How can agencies measure their level of service integration?” and, therefore, aimed to develop an integration assessment tool—the Taiwanese Self-Assessment for LTC Systems Integration (TwSASI)- for LTC agencies to use to self-evaluate their current “level” of providing integrating LTC services. Methods TwSASI was first developed base on Connie J. Evashwick’s (2005) framework and literature review, including four domains: inter-entity planning and management, care coordination, integrated information system, and integrated financing, and 11 dimensions with 51 items. Through the Delphi method, with two rounds of investigation and feedback from 26 experts, RAND/UCLA Appropriateness Method (RAM) was used to assess the consensus regarding the dimensions and items developed and refined the tool content accordingly. Results After two rounds of investigation, four domains remained with 10, 11, 4, and 5 items in each domain respectively. All items reached good experts' consensus with medians of the 30 items’ importance, feasibility, and appropriateness all over 8. The Scale Content Validity Index (SCVI) of the 4 dimensions all over than 0.9. Conclusion The TwSASI can be feasible for evaluating the level of LTC service integration in Taiwan. LTC agencies can improve their level of service integration accordingly.

Sivistyksen ja soten yhteistyö kunnissa

Service integration has become essential way of the production of customer friendly and cost-effective municipal services. Recently, there has been also endeavors to extend service integration from social and health sectors to the education sector. This study pursues to increase the general understanding of the expanded service integration and to develop a framework that can be used in evaluating its nature and depth. The empirical data of the study comes from a survey targeted to the leaders in the health, social and education sectors. The focus is on child and family services. While on the general level the analysis indicates a deepening integration of services, the historical boundaries between the different sectors make the service integration difficult. The managers from the health and social sectors hold a more positive view of the current situation compared to their colleagues in education, which reflects longer experience of service integration in these sectors

DETERMINANTS AND STRATEGIES OF MEDICAL TOURISM DEVELOPMENT BY TAKING THE SERVICE INTEGRATION AND TOURISM DESTINATION COMPETITIVENESS APPROACH (A Case Study Razavi Khorasan Province, Iran)

Introduction: Considering the significant position of medical tourism industry in global economy as well as Iran’s capabilities in this industry, the present research was conducted so as to compile the determinants of medical tourism development and present its respective strategies taking the approach of health village expansion and integrated service provision in Health Region No. 9 (Razavi Khorasan province). Methodology: This research was conducted by combining the qualitative and quantitative techniques. Data collection was done by content analysis followed by an interview and a survey administered to a number of key experts. Data were analyzed by MAXQDA-18, Expert Choice11 and Excel software and SOWT, fuzzy DEMATEL and AHP techniques. Findings: In this study, a framework of indexes was compiled and evaluated selected from different aspects taking the approach of service integration and destination competitiveness in the form of health villages. In the next phase, the status quo of Mashhad was categorized into 38 internal and 31 external factors to be prioritized. In the end, considering the identified factors and their interrelationships, the most important strategies were extracted and prioritized. Conclusions: To create a sustainable competitive market and attract more medical tourists, revealed that the respective authorities need to pay due attention to this issue proportionate to the indexes and strategies envisaged in the compilation, designing and implementation of policies and plans related to Mashhad’s medical tourism development in moving towards the creation of competitive advantage in an integrated way and promotion of medical tourism by focusing on the prioritization performed for the healthcare system.

Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study

Background The Australian Nurse Family Partnership Program (ANFPP) is an evidence-based, home visiting program that offers health education, guidance, social and emotional support to first-time mothers having Aboriginal and/or Torres Strait Islander (First Nations) babies. The community-controlled sector identified the need for specialised support for first time mothers due to the inequalities in birthing and early childhood outcomes between First Nations’ and other babies in Australia. The program is based on the United States’ Nurse Family Partnership program which has improved long-term health outcomes and life trajectories for mothers and children. International implementation of the Nurse Family Partnership program has identified interagency service integration as key to program recruitment, retention, and efficacy. How the ANFPP integrates with other services in an Australian urban setting and how to improve this is not yet known. Our research explores the barriers and enablers to interagency service integration for the Australian Nurse Family Partnership Program ANFPP in an urban setting. Methods A qualitative study using individual and group interviews. Purposive and snowball sampling was used to recruit clients, staff (internal and external to the program), Elders and family members. Interviews were conducted using a culturally appropriate ‘yarning’ method with clients, families and Elders and semi-structured interview guide for staff. Interviews were audio-recorded and transcribed prior to reflexive thematic analysis. Results Seventy-six participants were interviewed: 26 clients, 47 staff and 3 Elders/family members. Three themes were identified as barriers and three as enablers. Barriers: 1) confusion around program scope, 2) duplication of care, and 3) tensions over ‘ownership’ of clients. Enablers (existing and potential): 1) knowledge and promotion of the program; 2) cultural safety; and 3) case coordination, co-location and partnership forums. Conclusion Effective service integration is essential to maximise access and acceptability of the ANFPP; we provide practical recommendations to improve service integration in this context.

A Case Study of Publishing Internal APIs to External Users

External service integration and adherence to industry standards has become ever more important for collections data management platforms. External APIs (Application Programming Interfaces), allow for the development of bi-directional data flows critical to service integration. In contrast to service-oriented backend APIs, public APIs must have continually up-to-date, comprehensive documentation that covers common use cases, on-the-fly request validation, and meaningful error messages. OpenAPI (OpenAPI Initiative 2021), a machine-readable API documentation specification can help significantly with testing and maintenance, and libraries can be used to automate common maintenance tasks. Specify 7 is a biological collections data management platform developed by the Specify Collections Consortium (Specify Software Consortium 2021). This presentation summarizes the challenges and lessons learned with publishing the existing backend Specify 7 API to a public-facing external API. Each Specify 7 API is composed of 200 resources. A standard set of CRUD (Create, Read, Update, Delete) operations is provided for each resource for client interaction with a group of service-based endpoints for bulk operations such as file uploads, file-based data imports, and attachment manipulation. To support the migration, we developed a custom library to enhance request validation. Parameter validation is extended through a real-time comparison against the existing schema and data. The library is available to the community under a MIT license on GitHub (https://github.com/specify/open_api_tools/). In this presentation, we will close with an overview of the next steps for the Specify 7 public API. These include: An update to the latest OpenAPI specification, version 3.1. The latest version aims to increase compatibility with the Javascript Object Notation (JSON) Schema specification, and thus would allow us to use JSON Schema (IETF Trust 2021) validation frameworks. An in-depth evaluation of GraphQL for its ability to force all endpoints to be strongly typed and automatic validation of request parameters and response objects. An update to the latest OpenAPI specification, version 3.1. The latest version aims to increase compatibility with the Javascript Object Notation (JSON) Schema specification, and thus would allow us to use JSON Schema (IETF Trust 2021) validation frameworks. An in-depth evaluation of GraphQL for its ability to force all endpoints to be strongly typed and automatic validation of request parameters and response objects.

A Scoping Review Examining the Integration of Exercise Services in Clinical Oncology Settings

Background: Addressing questions surrounding the feasibility of embedding exercise service units in clinical oncology settings is imperative for developing a sustainable exercise-oncology clinical pathway. We examined available literature and provided practical recommendations to inform evidence-based practice, policymaking, and further investigations. Methods: Studies that recruited cancer patients, assessed the co-location of exercise services and cancer treatment units and reported findings on service implementation were included. Evidence from six studies providing data from over 30 programs was integrated using narrative synthesis. Results: Exercise service implementation was relatively modest across the included studies. These services were delivered by physiotherapists, exercise physiologists, and kinesiologists and funded mainly through grants and private donations, with staff salaries accruing as the major expense. Service penetration, adoption, and acceptability were generally low. However, studies recorded high clinician/patient satisfaction. Major barriers to service integration were limited funding, lack of detailed implementation plan, and low organizational buy-in. Common reasons for non-utilization, missed sessions, and dropouts were lack of interest, unwellness, hospital readmission, disease progression, and adverse skeletal events. Conclusion: Implementing exercise services in clinical oncology settings seems an effective approach for increasing access to exercise medicine for individuals on cancer treatment. While this model appears feasible for patients/clinicians, calculated efforts are required to drive uptake. There is no one-size-fits-all approach; hence, sustainable service integration remains a product of many factors, including structures and strategies that reflect the organizational dynamics of the clinical service environment housing the exercise unit.