Integrated diabetes care: The Association of British Clinical Diabetologists (ABCD) national survey report

Executive Summary A national survey on integrated diabetes services was carried out by the Association of British Clinical Diabetologists (ABCD) during the COVID-19 pandemic and has provided some very useful insights into the current state of integration to deliver a joined-up diabetes service in the UK. This survey was carried out during the second half of 2020 and explored three main areas: (1) current state of clinical integration between primary and secondary (specialist) diabetes services; (2) the state of IT integration among the diabetes IT systems and hospital-based electronic patient records (EPR) and between hospital and primary care; (3) to ascertain the membership of their views on a ‘one-stop service’ for collecting annual review data for diabetes and the potential barriers to achieve this. The results presented are a summary of the survey, while the full unedited survey report, especially on the qualitative aspects, is available to ABCD members. The survey was mailed to 518 individuals, of which 431 (83.2%) were consultants and 53 (10.2%) were specialist registrars. Of the 83 replies received, 98% were from consultants and the responses represented a total of 73 hospital diabetes services. The findings of this survey revealed that full integration of clinical services among primary care and specialist diabetes teams is uncommon, although there are good examples of clinical integration in different formats. In a number of areas, primary care and specialist diabetes services continue to work in silos despite a universal recognition that integrated services are desirable and are likely to improve quality of care. Clinical leadership, resources and buy-in from those who commission services were deemed important factors to help improve the development of integrated care systems. In hospitals with dedicated diabetes IT systems the information flow from these diabetes systems to the EPR was not universal, raising concerns that vital information about an individual’s diabetes may not be available to other hospital clinical specialities at the time of delivery of care, posing a significant clinical risk. IT integration among primary and specialist diabetes teams in England was only available in certain areas and was mostly based around the use of SystmOne. The survey also identified a diversity of opinions regarding the current arrangements of the Quality Outcome Framework (QOF), where GPs are incentivised to collect data for annual review of routine diabetes care. Many were of the opinion that annual review processes should be performed by clinical teams who are tasked to deliver diabetes care to the individual, while others felt that the status quo should continue with primary care GPs being responsible. A one-stop service for eye screening for diabetes and other annual measurements nearer to people’s homes was identified as an improvement, but several logistic barriers were identified. We recognise the limitations of any survey which expresses opinions of participants. However, we believe the present survey represents a significant proportion of diabetes units in the UK and provides insights into the current state of integrated services in diabetes. There are significant learnings for diabetes communities, and the information can be used to improve and galvanise delivery of integrated diabetes care in the UK.

The enduring relevance of philosophy in the education system. Part 1

The subject of this article are philosophical questions that arise in the process of philosophical reflection on some modern trends in education. At a number of points, these issues intersect with the problems of philosophy of education as a relatively independent philosophical discipline. The article analyzes the actualization of philosophy in modern higher and secondary education. The general reasons for this actualization are revealed (insufficient accuracy in dealing with philosophical concepts; low level of philosophical and methodological culture; the general cultural mission of philosophy is not yet properly understood), as well as some reasons related specifically to higher and secondary education. In both cases, this relevance is considered both by modern science and by reflection on it. Integration projects in education exacerbate the relevance in updating the modern system of secondary and higher education in Ukraine. First of all, it concerns the desire for a harmonious combination of knowledge and competence, the real integration of theoretical and practical components of learning. These positive traits become a serious factor that stimulates the cognitive activity of students and their motivation for research. In the united and contradictory process of knowledge development, integration is accompanied by differentiation, just as analytical activity in general is supplemented by synthetic in a single process of analytical-synthetic activity. At the same time, the underestimation of the analytical side of activity and excessive emphasis on its synthetic, integrative side is not a methodologically justified position, including because it is known from the history of scientific knowledge that a new object in the initial stages of its knowledge, first of all, try somehow dissect, analyze its parts, and only then make a complete picture of it, explain it and understand.

How IT integration and relational ties affect innovation performance: considering the moderating roles of relationship duration and institutional distance

Purpose This study aims to investigate how information technology (IT) integration and relational ties between a firm and its supplier influence its innovation performance and how such relationships are moderated by relationship duration and institutional distance between the firm and its supplier. Design/methodology/approach Based on 153 matched-pair surveys of firms in China, the authors used regression analyses to test their hypotheses. Findings The authors find that IT integration and relational ties with the supplier significantly improve the firm’s innovation performance. Further, the authors find that relationship duration negatively moderates the impact of relational ties on innovation performance. Institutional distance negatively moderates the impact of IT integration, yet positively moderates the impact of relational ties on innovation performance. Originality/value This study provides a more nuanced insight into relational and institutional boundary conditions under which IT integration and relational ties affect innovation performance.

The impact of digitalization and inter-organizational technological activities on supplier opportunism: the moderating role of relational ties

PurposeDigitalization encourages the manufacturer to engage in inter-organizational technological activities (i.e. supplier IT integration and supply visibility) with its major supplier, which influences supply chain (SC) governance. This study tests a moderated mediation model that considers supplier IT integration and supply visibility as mediators between supply-side digitalization and supplier opportunism, and relational ties as a moderator in the relationship between inter-organizational technological activities and supplier opportunism.Design/methodology/approachOrdinary least square (OLS) regression is used to examine data from 200 firms in China describing their supply chain management (SCM) practices and perceived relationships with their major suppliers.FindingsSupply-side digitalization is positively related to supplier IT integration and supply visibility. Supply-side digitalization has a positive indirect effect on supplier opportunism through supplier IT integration but a negative indirect effect through supply visibility. Relational ties weaken the positive effect of supplier IT integration and the positive indirect effect of supply-side digitalization on supplier opportunism. Relational ties also weaken the negative effect of supply visibility and the negative indirect effect of supply-side digitalization on supplier opportunism.Originality/valueThis study enriches understanding of SC governance in the digital age by empirically confirming that digital transformation brings both challenges and opportunities to SC governance and by clarifying the interplay of relational governance and technological activities. In addition, this study contributes to the SC digitalization literature by empirically validating the role of digitalization in promoting inter-organizational technological activities, as well as by revealing its potential dark side.

Complex Analysis of Information Technologies Integration and Adoption into Medical Organizations

Nowadays Information Technologies (IT) are taking more and more stable position in the process of work organization in various companies, and particularly among medical organizations. Present-day scientific society has already begun to research the topic of IT integration particularities into the Health organizations. Current article is focused on this issue. Our team has planned and provided a systematic review to understand which barriers can appear in different medical centers during implementation of the innovative IT into working process. The review has been fulfilled according to the designed protocol based on the actual recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. In the course of the workflow we have explored 2050 articles complied with the requirements. As a result, 23 key publications have been chosen and analyzed in detail. After considering the list of issues and barriers associated with the IT Implementation into hospitals and medical centers have been highlighted and described. We have classified them to notional clusters depending on the reasons of their appearance as well. In addition our team has defined the list of practical recommendations following which the result of the IT integration will be improved, but the risk of a negative outcome in the future can be eliminated.

The impact of digitalisation vision and information technology on organisations' innovation

PurposeBased on the dynamic capability theory (DCT), this study examines the role of digitalisation vision and the impact of key information technology (IT) strategies, such as IT flexibility, IT integration and IT agility, on organisations' process innovation capability and the subsequent impact these may have on innovation performance.Design/methodology/approachData for this study were collected from 153 public listed organisations in Malaysia. The survey questionnaire method was used to collect the data from the organisations' representatives.FindingsResults showed that it is important for organisation to have a strategic digitalisation vision to improve their process innovation capabilities. IT agility and IT integration also had a significant positive relationship with the process innovation capabilities of the organisations, which in turn had a positive impact on innovation performance.Originality/valueDigital transformation and innovation are crucial for organisations to survive in the era of Industry 4.0. However previous studies have not captured the role of digitalisation vision, strategic IT components and its impact on process innovation capabilities. The current study filled up the gap and examined these relationships. The outcome of this study provides valuable insights for managers to understand the importance of digitalisation and the need to focus on key IT strategies. Such insights can be used to improve organisations' process capability which is critical for innovation and performance.

DIGITALIZATION OF CONTAINER TRANSPORT BY RAIL AS A NEW STAGE OF LOGISTICS DEVELOPMENT IN RUSSIA

The work is devoted to solving the problem of the insufficient level of digitalization of logistics industry, in particular, container transportation on Russian railways. The aim of the work is to determine the level of development of IT integration in railway transport based on consideration of one of the most modern trends - cloud services or “marketplaces. Today, in order to maintain positions in the cargo transportation market, it is necessary to develop digital services. Russian rail transportation market has always been conservative. To change it, it is necessary to introduce innovative developments actively: new IT services that are not on the container market yet. The paper proposes to work out the issue of using mathematical modeling of each cell of the transport process, including the collection of transportation video analytics, to create a "transport marketplace" from various data groups based on cloud technology. The implementation of these proposals will help to track cargo, speed up logistics processes and become a new driver for business, thereby saving time and money on paperwork and storage, faster customs operations with cargo.