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"service integration"
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Community-based organizations’ perspectives on improving health and social service integration
Background
Collaborations between health systems and community-based organizations (CBOs) are increasingly common mechanisms to address the unmet health-related social needs of high-risk populations. However, there is limited evidence on how to develop, manage, and sustain these partnerships, and implementation rarely incorporates perspectives of community social service organizations. To address these gaps, we elicited CBOs’ perspectives on service delivery for clients, the impact of the Whole Person Care-Los Angeles (WPC-LA) initiative to integrate health and social care, and their suggestions for improving health system partnerships.
Methods
Using stakeholder engaged principles and a qualitative Rapid Assessment Process, we conducted brief surveys and in-depth semi-structured interviews with 65 key informants from 36 CBOs working with WPC-LA.
Results
Major themes identified by CBOs included: 1) the importance of a holistic, client-centered, continuously engaged approach that is reliant on regional partnerships; 2) benefits of WPC-LA expanding capacity and networks; 3) concerns about communication and redundancy hindering WPC-LA; and 4) a need for more equitable partnerships incorporating their approaches.
Conclusions
CBOs value opportunities for integration with health systems, bring critical expertise to these partnerships, and seek to strengthen cross-sector collaborations. Early, equitable, and inclusive participation in the development and implementation of these partnerships may enhance their effectiveness, but requires policy that prioritizes and incentivizes sustainable and mutually beneficial partnerships.
Journal Article
Towards a Reuse Strategic Decision Pattern Framework – from Theories to Practices
This paper demonstrates our proposed Reuse Strategic Decision Pattern Framework (RSDPF) based on blending ANP and TOPSIS techniques, enabled by the OSM model with data analytics. The motivation, related work, theory, the use and deployment, and the service deployment of the framework have been discussed in details. In this paper, RSDPF framework is demonstrated by the data analysis and interpretations based on a financial service firm. The OSM model allows 3 step of processed to be performed in one go to perform statistical tests, identify linear relations, check consistency on dataset and calculate OLS regression. The aim is to identify the actual, expected and risk rates of profitability. Code and services can be reused to compute for analysis. Service integration of the RSDPF framework has been demonstrated. Results confirm that there is a high extent of reliability. In this paper, we have demonstrated the reuse and integration of the framework supported by the case study of the financial service firm with its data analysis and service to justify our research contributions – reuse and integration in statistical data mining, knowledge and heuristic discovery and finally domain transference.
Journal Article
DAIS: dynamic access and integration services framework for cloud-oriented storage systems
This paper proposes a framework named Dynamic Access and Integration Services (DAIS) framework. The framework provides on-demand and large scale integrated data access in cloud computing environment. The sole motivation of this research paper is to enhance the performance of Cloud-Oriented Storage (COS) systems. DAIS framework consists of two basic modules namely (1) Adjacency COS Overlay Topology (ACOT) and (2) Cloud Storage Resource Discovery (CSRD). ACOT introduces a self-organizing well balanced m-way tree which removes the necessity of centralized approaches and adopts dynamic and scalable data access in cloud computing environment. CSRD module provides data integration mechanism and efficient resource discovery from geographically distributes COS systems. In this paper, Hadoop test-bed setup has been deployed for experiment and results analysis. All input and output data have been collected in the Hadoop Distributed File System (HDFS). In the experiments, performance, bandwidth and energy efficiency of the proposed DAIS framework have been demonstrated and compared with three different approaches like, Static DAIS, P2P and DSSM. To make it energy efficient, measurement unit and its mathematical model have been defined. Energy efficiency results have been compared with two popular approaches HBase and Hadoop-MR, and found better in most of the cases.
Journal Article
How to Integrate HIV and Sexual and Reproductive Health Services in Namibia, the Epako Clinic Case Study
During the past two decades, HIV and Sexual and Reproductive Health services in Namibia have been provided in silos, with high fragmentation. As a consequence of this, quality and efficiency of services in Primary Health Care has been compromised.
We conducted an operational research (observational pre-post study) in a public health facility in Namibia. A health facility assessment was conducted before and after the integration of health services. A person-centred integrated model was implemented to integrate all health services provided at the health facility in addition to HIV and Sexual and Reproductive Health services. Comprehensive services are provided by each health worker to the same patients over time (longitudinality), on a daily basis (accessibility) and with a good external referral system (coordination). Prevalence rates of time flows and productivity were done.
Integrated services improved accessibility, stigma and quality of antenatal care services by improving the provider-patient communication, reducing the time that patients stay in the clinic in 16% and reducing the waiting times in 14%. In addition, nurse productivity improved 85% and the expected time in the health facility was reduced 24% without compromising the uptake of TB, HIV, outpatient, antenatal care or first visit family planning services. Given the success on many indicators resulting from integration of services, the goal of this paper was to describe \"how\" health services have been integrated, the \"process\" followed and presenting some \"results\" from the integrated clinic.
Our study shows that HIV and SRH services can be effectively integrated by following the person-centred integrated model. Based on the Namibian experience on \"how\" to integrate health services and the \"process\" to achieve it, other African countries can replicate the model to move away from the silo approach and contribute to the achievement of Universal Health Coverage.
Journal Article
“Super Service Delivery”: an advanced conceptual model of one-stop service for wide administrative region
The innovative role of “One-Stop Integrated Services” (one-stop service in Indonesia) is now being developed. On the other hand, the problems faced by the community in their efforts to obtain service have not been decomposed precisely. The issue of distance and travel time to the service center (service offices: OSS) and the resulting costs are still burdensome. This situation is very prevalent in communities in districts, cities, and provinces, because Indonesia’s topography is divided into land administration areas and large islands.The aim is to unravel the burden of problems faced by the community of service users in the land administration area and large islands. The authority, main tasks, and functions of the “one-stop integrated service office” can be stretched close to the residents of far-flung communities in remote areas, because the original public service users are there.Technically, the tasks and functions of PTSP services are delegated through sub-district offices in various parts of the region, and may even be delegated to the village offices/village offices. PTSP parties only need to place 1 (one) up to 2 (two) personnel to carry out this task. This technique administratively utilizes government work networks and e-gov networks that are ready and able to mediate recording and transactions in real time. Regional Government Banks can also provide support in the same way to handle the management of super service delivery transactions in various parts of the district.
Journal Article
Teaching, service and community integration as a strategy for reorienting undergraduate health training
The teaching-service-community integration is an important strategy for achieving changes in the training of human resources in health, in order to train professionals with a profile to work in the Brazilian Unified Health System (SUS, as per its Portuguese acronym). This study analyzed how it occurs and what are the contributions of the teaching-service-community integration in the view of professors from the first to the seventh period of Medicine, Nursing and Dentistry programs at a university in northeastern Brazil. This is an exploratory and descriptive study, with a quantitative approach. Data were collected using an interview form and analyzed with the help of SPSS software. The descriptive analysis of the data, the chi-square test and the calculation of the internal consistency of the evaluation scale were used. The study had the participation of 106 professors. Results show that practices were still predominantly performed in university clinics and hospitals, 76 (71.7%). Most professors, 59 (56.7%), consider the teaching-service-community interaction very important for the quality of training and recognize its importance in strengthening SUS, 89 (85.6%). Although there was resistance on the part of some professors to follow-up students in extramural services, most of them, 94 (89.5%), consider the role of professors as essential for changing health practices, especially professors in nursing and dentistry professors that carry out extramural practices (p < 0.01). Interdisciplinary practices were performed more frequently in the first two periods of the three courses and by the nursing course (p = 0.001). In turn, multiprofessional interaction predominates in the practical classes of the nursing course and practices held outside the university domain (p < 0.01). It is evident the need to institutionalize the teaching-service-community interaction, as well as to value initiatives that streamline and make teaching more flexible in multiprofessional and interdisciplinary activities, fundamental for the amendment of training in health.
Journal Article
Artificial noise-aided biobjective transmitter optimization for service integration in multi-user MIMO broadcast channel
This paper considers an artificial noise (AN)-aided transmit design for multi-user MIMO systems with integrated services. Specifically, two sorts of service messages are combined and served simultaneously: one multicast message intended for all receivers and one confidential message intended for only one receiver and required to be perfectly secure from other unauthorized receivers. Our interest lies in the joint design of input covariances of the multicast message, confidential message, and artificial noise (AN), such that the achievable secrecy rate and multicast rate are simultaneously maximized. This problem is identified as a secrecy rate region maximization (SRRM) problem in the context of physical-layer service integration. Since this biobjective optimization problem is inherently complex to solve, we put forward two different scalarization methods to convert it into a scalar optimization problem. First, we propose to prefix the multicast rate as a constant, and accordingly, the primal biobjective problem is converted into a secrecy rate maximization (SRM) problem with quality of multicast service (QoMS) constraint. By varying the constant, we can obtain different Pareto optimal points. The resulting SRM problem can be iteratively solved via a provably convergent difference-of-concave (DC) algorithm. In the second method, we aim to maximize the weighted sum of the secrecy rate and the multicast rate. Through varying the weighted vector, one can also obtain different Pareto optimal points. We show that this weighted sum rate maximization (WSRM) problem can be recast into a primal decomposable form, which is amenable to alternating optimization (AO). Then, we compare these two scalarization methods in terms of their overall performance and computational complexity via theoretical analysis as well as numerical simulation, based on which new insights can be drawn.
Journal Article