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1
Capdevielle, D. "Coordinations motrices interpersonnelles dans la schizophrénie : un marqueur phénotypique ?" European Psychiatry 29, S3 (November 2014): 581. http://dx.doi.org/10.1016/j.eurpsy.2014.09.283.
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Les coordinations motrices interpersonnelles représentent la manière que nous avons de coordonner nos mouvements avec ceux d’autres personnes. Elles entrent dans le cadre de la communication non verbale qui tient un rôle majeure dans les interactions sociales. La qualité (synchronisation) des coordinations motrices est corrélée au sentiment d’affiliation, de cohésion, au ressenti positif qui émerge entre les individus [1]. Les pathologies schizophréniques sont associées à des troubles des interactions sociales. De plus, il a été démontré qu’il existe des troubles moteurs dans cette pathologie. Mais aucune étude n’avait évalué l’altération des coordinations motrices interpersonnelles des patients souffrant de schizophrénie. Notre objectif a été de déterminer si les coordinations sociales motrices étaient altérées chez des patients souffrant de schizophrénie. Pour cela, nous avons utilisé le paradigme des pendules. Nos résultats ont permis de mettre en évidence une différence comportementale en situation de coordination interpersonnelle intentionnelle et non intentionnelle chez les patients. Ces altérations pourraient être associées à un déficit du couplage visuo-moteur en situation de coordination intentionnelle mais aussi aux ressources attentionnelles mobilisées au cours de la coordination intentionnelle [2]. Suite à ces premiers résultats, nous nous sommes intéressés aux coordinations sociales motrices des apparentés sains de premier degré des patients souffrant de schizophrénie. L’objectif de cette étude était de déterminer si les troubles des coordinations motrices interpersonnelles, observés dans la schizophrénie, pouvaient être considérés comme de potentiels candidats phénotypiques de la pathologie. Nos résultats, toujours obtenus avec le paradigme des pendules, montrent la présence de déficits similaires, aux patients affectés de schizophrénie, chez les parents de premier degré, mais avec une intensité moindre [3]. Ces résultats, suggérant que les coordinations interpersonnelles, pourraient être un phénotype intermédiaire dans la schizophrénie ouvrent de nouvelles perspectives pour le diagnostic précoce de la maladie.
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Couturier, Yves, Dominique Gagnon, and Louise Belzile. "Les compétences procédurales requises à la coordination dédiée." Phronesis 1, no. 2 (May 2, 2012): 15–23. http://dx.doi.org/10.7202/1009057ar.
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Le présent article réfléchit aux compétences requises dans les métiers de services aux personnes dédiés à coordonner les services dans les situations cliniques complexes en raison de leur multidimensionnalité et leur chronicité. Toute activité humaine exige, pour sa bonne effectuation, la coordination des interdépendances entre les acteurs concernés. La coordination des interdépendances se réalise en mode ordinaire, dans les activités de tous les jours, mais aussi en mode dédié, c’est-à-dire à travers une pratique qui a pour mandat principal de les gérer de manière consciente, volontaire et imputable pour les situations d’intervention dont la complexité est grande. Ce passage de la forme ordinaire à la forme dédiée de coordination engage une transformation des compétences et des savoirs professionnels mobilisés dans le geste professionnel. En outre des compétences et des savoirs relatifs à la maîtrise des objets cliniques disciplinaires, le gestionnaire de cas, soit la figure professionnelle qui incarne le mieux cette modalité de coordination, doit mobiliser des compétences et des savoirs procéduraux (évaluation, planification, communication, négociation, activation de réseaux, etc.) requis à la maîtrise des interfaces entre systèmes techniques et acteurs professionnels et organisationnels, en posant l’interdépendance des actants comme objet premier de son action professionnelle. Pour cela, il doit effectuer cette dernière dans une temporalité conjuguant le temps du projet organisationnel au temps clinique.
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Lapointe, Jonathan, Étienne Minvielle, and Claude Sicotte. "Usages des technologies de l'information et de communication pour la coordination des soins en cancérologie : État des connaissances. Quelles recommandations pour une implantation efficace ?" Journal de gestion et d'économie médicales 31, no. 5 (2013): 273. http://dx.doi.org/10.3917/jgem.135.0273.
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SEBBAN, YAËL. "Jeux dialogiques et processus discursif. Conséquences du débat entre Habermas et Brandom." Dialogue 59, no. 2 (June 2020): 305–44. http://dx.doi.org/10.1017/s0012217320000207.
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RÉSUMÉDans cet article, nous soutenons que Habermas réduit, dans l'essai critique sur Brandom inclus dans Vérité et justification (2001), la communication à sa forme étroitement dialogique et, ce faisant, tend à ignorer que le processus discursif est avant tout, pour Brandom, le produit d'une coordination partagée de différentes perspectives individuelles contribuant à faire avancer ce jeu de production et de demande de raisons. Nous proposons, d'une part, de procéder à une analyse critique de la position de Habermas, et d'autre part, de rendre justice à Brandom en soulignant la spécificité du processus communicatif discursif.
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Guézennec, P., J. L. Roelandt, and R. Chabane. "Les CLSM, outil de décloisonnement au service des usagers et des territoires." European Psychiatry 30, S2 (November 2015): S90. http://dx.doi.org/10.1016/j.eurpsy.2015.09.387.
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La complexité des troubles psychiques et le passage d’une logique hospitalière à une logique territoriale nécessitent une coordination des actions locales entre les différents acteurs (sanitaire, social, éducatif, logement, insertion professionnelle, judiciaire, culturel, sportif).Aucun acteur ne peut prendre en charge l’ensemble des dimensions de la santé mentale et c’est la coopération de l’ensemble des acteurs d’un territoire local qui pourra améliorer l’environnement des usagers en santé mentale et de leur famille ainsi qu’un repérage précoce.Le conseil local de santé mentale (CLSM) qui est un lieu de concertation et de coordination entre les élus locaux d’un territoire, la psychiatrie publique, les usagers et les aidants constitue une des réponses pour la coordination. Il a pour objectif de définir des politiques locales et des actions permettant l’amélioration de la santé mentale de la population.Le CLSM est une démarche singulière à chaque territoire, tant dans sa constitution que par les priorités qu’il s’octroie, et c’est aussi cette diversité qui fait sa force.D’une quinzaine de CLSM opérationnels en 2005, à une trentaine en 2010 et plus de 120 créés en 2015 et une soixantaine en cours de création, les CLSM se déploient lentement mais surement sur l’ensemble du territoire national.Un des cinq objectifs stratégiques du CLSM définis par le CCOMS est de favoriser l’insertion sociale et l’empowerment des usagers. Pour cela, plusieurs actions concrètes sont développées (formations, mise en place de protocoles, création d’outils communs ou de structures…) autour de l’habitat, de l’insertion professionnelle, de l’accès aux droits, etc.Cette communication présentera les objectifs et les éléments essentiels à l’opérationalité d’un CLSM mais également par les leviers qui permettent à cette démarche d’être un outil de démocratie sanitaire et d’empowerment.
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Tanti, Marc. "Technologies d’exploitation du big data dans les organisations et transformations organisationnelles : une étude de cas au sein du Service de santé des armées françaises." Documentation et bibliothèques 63, no. 4 (December 5, 2017): 46–58. http://dx.doi.org/10.7202/1042310ar.
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L’exploitation des données sanitaires du big data via des technologies de collecte, de visualisation et de communication a permis au Service de santé des armées françaises de créer une valeur stratégique. Par exemple, après le tsunami de 2004 en Asie, cette exploitation a permis d’anticiper les épidémies pour les forces envoyées en soutien humanitaire. Plus récemment, dans le contexte de l’épidémie d’Ebola en Afrique, des vies humaines ont pu être préservées. L’appropriation de tels outils a également entraîné des bouleversements dans l’organisation et la culture organisationnelle, notamment un décloisonnement spatio-temporel des activités et un gain de coordination.
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Cerutti, Simona. "Travail, mobilité et légitimité Suppliques au roi dans une société d’Ancien Régime (Turin, XVIIIe siècle)." Annales. Histoire, Sciences Sociales 65, no. 3 (June 2010): 569–611. http://dx.doi.org/10.1017/s0395264900040798.
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RésuméAux travailleurs salariés est réservée une position marginale dans la classification sociale des villes d’Ancien Régime, qui est justifiée moins par le caractère « vil » du travail matériel que par leur prétendue extranéité à la vie urbaine. Cet article interroge les fondements de cette classification, en s’appuyant sur une source particulière: des centaines de suppliques que des artisans de l’État savoyard adressèrent au roi, pendant le XVIIIe siècle, pour lui demander le privilège d’exercer leur métier sans pour autant présenter les réquisits nécessaires. Les informations contenues dans la source ouvrent la voie à une recherche plus vaste, faisant ressortir notamment une des principales fonctions remplies par les corps de métier, à savoir la recherche, pour ses propres membres, d’une « bonne mesure » de la mobilité qui permette à la fois des formes de coordination sociale et de sauvegarde d’espace de mouvement individuel. Après la reconstitution de ce contexte de la mobilité, l’article revient aux textes, pour analyser sous un jour nouveau les thèmes apparemment figés de la « forme supplique ». Cette analyse permet d’interroger à nouveaux frais les contenus de la communication entre sujets et autorité politique, et de questionner la pertinence des catégories de « clientélisme » et de « paternalisme ».
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Giguere, Anik M. C., Paule Lebel, Michèle Morin, Françoise Proust, Charo Rodríguez, Valerie Carnovale, Louise Champagne, et al. "What Do Clinical Supervisors Require to Teach Residents in Family Medicine How to Care for Seniors?" Canadian Journal on Aging / La Revue canadienne du vieillissement 37, no. 1 (January 9, 2018): 32–49. http://dx.doi.org/10.1017/s0714980817000460.
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RÉSUMÉNous avons évalué les besoins de formation des cliniciens qui supervisent les résidents dans les cliniques d’enseignement de médecine familiale au Québec. Nous avons utilisé une méthodologie mixte comprenant: un balayage environnemental des programmes de formation des Départements de médecine familiale, un consensus d’experts pour sélectionner des situations cliniques prioritaires pour les soins aux aînés, un questionnaire pour connaître la perception des superviseurs de leurs besoins de formation, et des entrevues pour comprendre les raisons des besoins. Partant du balayage, les experts ont identifié 13 situations cliniques prioritaires. Les 352 participants au sondage (taux de réponse : 36 %) ont rapporté des besoins plus importants pour gérer les symptômes comportementaux et psychologiques de la démence, la polymédication, la dépression, et les troubles cognitifs. Les entrevues ont révélé que ces situations cliniques étaient parfois complexes à diagnostiquer et à gérer en raison de leurs aspects psychosociaux, de la communication avec les patients et les familles, et de la coordination des équipes interprofessionnelles. Les superviseurs ont également rapporté des besoins plus important en milieu soins de longue durée et à domicile par rapport aux soins ambulatoires, dû à la complexité des soins aux aînés dans ces milieux et à la présence de proches aidants.
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Bonneau, Claudine, and Lucie Enel. "Caractériser le méta-travail des nomades numériques : un préalable à l’identification des compétences requises." Section 2 – Les nouveaux espaces et les nouvelles temporalités : flexibilisation, invisibilité et brouillage des frontières, no. 81 (February 19, 2019): 138–55. http://dx.doi.org/10.7202/1056308ar.
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Le travail mobile ne peut pas être simplement exécuté « n’importe où, n’importe quand », puisqu’il implique aussi du méta-travail afin de mobiliser les ressources nécessaires à son accomplissement, et de faire face aux contraintes liées à l’environnement et aux contextes temporel et social dans lesquels il s’insère. Bien que la littérature antérieure issue des champs de la sociologie du travail, de la communication et du travail coopératif assisté par ordinateur ait déjà documenté certaines formes de méta-travail, telles que le travail d’articulation, aucun écrit ne s’est penché sur les particularités associées au nomadisme numérique, qui est une forme extrême de travail mobile permettant aux professionnels d’allier leur intérêt pour le voyage à la possibilité de travailler à distance. Dans cet article, nous présentons cinq formes de méta-travail que nous avons catégorisées en fonction de trois finalités, soit : 1) rendre le site et le mode de travail nomade effectif ; 2) assurer la coordination avec les autres et la continuité du travail à travers différents lieux, moments et projets ; et 3) fonctionner en terre étrangère et voyager. Pour chaque forme de méta-travail, nous détaillons les activités individuelles et interactionnelles impliquées. Bien que le méta-travail ne soit pas exclusif à ce type de travailleurs, il revêt un caractère « cumulatif » pour les nomades numériques, ce qui en accroît l’intensité, et soulève des questions relatives à l’invisibilité et à la responsabilité des activités qui y sont associées.
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Bourret, Christian, and Claudie Meyer. "La culture de l’information comme levier de changement dans le système de santé français. Le rôle des nouvelles organisations d’interface ou une approche coopérative autour de dynamiques de proximité." Articles 44, no. 1 (March 31, 2015): 21–47. http://dx.doi.org/10.7202/1029301ar.
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L’État-providence, notamment à travers ses systèmes de santé, est en crise dans tous les pays développés. Des réponses ont été recherchées autour de nouveaux usages de l’information et de la communication. En France, avec la question spécifique des cloisonnements, les nouvelles organisations d’interface constituent de nouveaux espaces d’innovation et de coopération entre la médecine de ville et le secteur hospitalier. Nous aborderons la question de l’organisation du parcours de soins du patient avec le dilemme traçabilité / sécurité des données. En nous appuyant sur la notion de situation, nous envisagerons ensuite de nouvelles pratiques informationnelles pour une approche d’information "durable" favorisant les interactions et la coopération. Nous montrerons l’évolution de la coopération : de la coordination par les procédures à de nouveaux services intégrés autour du patient. Une nouvelle culture de l’information peut devenir un levier d’intelligence organisationnelle et d’amélioration continue avec la participation de tous les acteurs y compris les patients, avec la question centrale de la confiance, entre tous les acteurs et envers les outils développés.
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Miele, C., C. Lambrinidis, and M. Lacambre. "Les CRIAVS : des structures de service public destinées aux professionnels confrontés à la prise en charge des auteurs de violences sexuelles." European Psychiatry 29, S3 (November 2014): 625. http://dx.doi.org/10.1016/j.eurpsy.2014.09.117.
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Les centres ressource pour les intervenants auprès des auteurs de violences sexuelles (CRIAVS) se sont développés depuis la circulaire DHOS/DGS/O2/6C no 2006-168 du 13 avril 2006. Présent dans chaque région en France, les CRIAVS accompagnent les professionnels dans la prise en charge des auteurs de violences sexuelles.La prise en charge de ces problématiques suscite des résistances chez les professionnels confrontés, et ce pour plusieurs raisons : les représentations que nous avons de cette population, les lacunes en matière de formation, mais aussi et surtout la complexité des dispositifs judiciaires qui s’offrent comme cadre à ces prises en charge (soins pénalement ordonnées) dans lesquelles le professionnel peut rencontrer des difficultés à définir ses droits, ses devoirs, mais aussi ses missions vis-à-vis de son patient. En outre, les professionnels soignants (psychiatres, psychologues) peuvent aussi être sollicités sur des missions d’ordre judiciaire : l’expertise ou la coordination médicale des injonctions de soin. Ainsi, la prise en charge, ou plutôt les prises en charges des auteurs de violences sexuelles posent de nombreuses questions cliniques, éthiques, légales et institutionnelles que les CRIAVS ont pour mission d’éclairer afin de soutenir l’ensemble des institutions et professionnels qui en ferait la demande. Or si ces structures sont aujourd’hui bien implantées et actives au plan régional et national (constitution de la Fédération française des CRIAVS), il est néanmoins nécessaire d’en promouvoir l’existence et d’en expliciter les missions afin de rendre l’accès à ses services le plus fluide possible.C’est pourquoi la Fédération française des CRIAVS propose une communication à destination des professionnels de la santé mentale, public privilégié de nos actions, comme invitation à se saisir de l’expertise des professionnels qui y exercent et se mettront volontiers à leur service.
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Navarro, N., A. Pham-Van, K. Parera, C. Jung, and F. Olivier. "Recensement des services d’hospitalisation à domicile psychiatriques en France en 2015." European Psychiatry 30, S2 (November 2015): S140. http://dx.doi.org/10.1016/j.eurpsy.2015.09.276.
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L’hospitalisation à domicile (HAD) est une alternative à l’hospitalisation à temps complet classique, dans laquelle des soins intensifs sont effectués au domicile du patient. La circulaire DHOS du 4 février 2004 a, plus particulièrement, défini les modalités de l’HAD en psychiatrie : « elle prépare, raccourcit, prend le relais, évite ou remplace l’hospitalisation classique ». Il est important que l’HAD s’intègre dans l’organisation des soins psychiatriques et du secteur déjà existant. Elle renforce la diversité de l’offre de soin, facilite souvent l’accès au suivi psychiatrique et la continuité du parcours de soins. Les structures d’HAD sont disséminées sur l’ensemble du territoire français et leur nombre s’accroît régulièrement sans que puissent se coordonner les différentes équipes de psychiatrie porteuses de ce projet. En effet, à ce jour, il est difficile de trouver des données centralisées concernant les différents services d’HAD psychiatriques en France. Cette communication présente les résultats d’une enquête téléphonique réalisée en 2015 à partir du service d’HAD psychiatrique du centre hospitalier de Montauban (82). Il présente la répartition et la localisation des services d’HAD psychiatrique en France en 2015. Ce recensement a pour but de donner ainsi une vision simple et globale de l’implantation des structures d’hospitalisation à domicile en psychiatrie, avec le projet ultérieur de faciliter les échanges des pratiques dans ce domaine et peut-être de proposer une coordination nationale.
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Baker, G. Ross, Virginia Flintoft, Anne Wojtak, and Regis Blais. "Contributing causes to adverse events in home care and potential interventions to reduce their incidence." Healthcare Management Forum 31, no. 5 (August 22, 2018): 178–85. http://dx.doi.org/10.1177/0840470418782261.
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The increasing complexity of home care services, pressures to discharge patients quicker, and the growing vulnerabilities of home care clients all contribute to adverse events in home care. In this article, home care staff in six programs analyzed 27 fall- and medication-related events. Classification of contributing causes indicates that patient and environmental factors were common in fall events, while organization and management factors along with patient, task, team, and individual factors were common in medication-related events. Home care settings create specific challenges in identifying and mitigating risks. Some factors, such as variations in home environments, are difficult to address. However, changing care coordination structures and communication methods could ameliorate other factors, including poor communications among staff and limited team and cross-sector communication and coordination. Ensuring that medication ordering and administration processes are optimized for home environments would also contribute to safer care.
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Wankmüller, Christian, and Gerald Reiner. "Identifying Challenges and Improvement Approaches for More Efficient Procurement Coordination in Relief Supply Chains." Sustainability 13, no. 4 (February 18, 2021): 2204. http://dx.doi.org/10.3390/su13042204.
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Coordinating humanitarian organizations in the procurement of urgently needed relief items is complex and characterized by decentralization and isolated decision-making. The decentralized coordination of associated tasks often results in the duplication of efforts and redundant/incorrect relief items supplies into single disaster regions, having negative impacts on the most vulnerable ones. This paper devotes attention to the challenges that exist in the coordination of procurement activities in relief supply chains and asks for improvement approaches to facilitate more efficient demand satisfaction in disaster situations. Therefore, the authors apply multiple case study research including expert interviews with procurement agents and heads of logistics from international non-governmental organizations (NGOs), humanitarian start-ups and military logistics centers. Results indicate that a lack of incentives to cooperate, poor communication, unclear division of competences and noncompliance to standards and regulations constitute substantial challenges in procurement coordination. Moreover, expert interview results show that social media integration, procurement flexibility, cluster and collaborative coordination have potential to support improving the coordination of NGOs’ procurement activities. By presenting several theoretical propositions, this paper complements already existing literature and provides a reference point for future research. Practitioners can benefit from findings as they are provided with a guide that allows redesigning certain processes in procurement coordination.
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Beesley, Vanessa L., Monika Janda, Elizabeth A. Burmeister, David Goldstein, Helen Gooden, Neil D. Merrett, Dianne L. O'Connell, et al. "Association between pancreatic cancer patients' perception of their care coordination and patient-reported and survival outcomes." Palliative and Supportive Care 16, no. 5 (July 3, 2017): 534–43. http://dx.doi.org/10.1017/s1478951517000608.
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AbstractObjective:People with pancreatic cancer have poor survival, and management is challenging. Pancreatic cancer patients' perceptions of their care coordination and its association with their outcomes have not been well-studied. Our objective was to determine if perception of care coordination is associated with patient-reported outcomes or survival.Methods:People with pancreatic cancer who were 1–8 months postdiagnosis (52 with completed resection and 58 with no resection) completed a patient-reported questionnaire that assessed their perceptions of care coordination, quality of life, anxiety, and depression using validated instruments. Mean scores for 15 care-coordination items were calculated and then ranked from highest (best experience) to lowest (worst experience). Associations between care-coordination scores (including communication and navigation domains) and patient-reported outcomes and survival were investigated using general linear regression and Cox regression, respectively. All analyses were stratified by whether or not the tumor had been resected.Results:In both groups, the highest-ranked care-coordination items were: knowing who was responsible for coordinating care, health professionals being informed about their history, and waiting times. The worst-ranked items related to: how often patients were asked about visits with other health professionals and how well they and their family were coping, knowing the symptoms they should monitor, having sufficient emotional help from staff, and access to additional specialist services. For people who had a resection, better communication and navigation scores were significantly associated with higher quality of life and less anxiety and depression. However, these associations were not statistically significant for those with no resection. Perception of cancer care coordination was not associated with survival in either group.Significance of results:Our results suggest that, while many core clinical aspects of care are perceived to be done well for pancreatic cancer patients, improvements in emotional support, referral to specialist services, and self-management education may improve patient-reported outcomes.
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Zhang, Lanyong, Lei Zhang, and Sheng Liu. "Role-based collaborative task planning of heterogeneous multi-autonomous underwater vehicles." International Journal of Advanced Robotic Systems 16, no. 3 (May 1, 2019): 172988141985853. http://dx.doi.org/10.1177/1729881419858536.
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The multi-autonomous underwater vehicles (Multi-AUVs) cluster is an important means to solve the marine tasks effectively. The heterogeneous Multi-AUVs are constrained by cooperative relationship, and a model of multi-autonomous underwater vehicles role-based collaborative task planning is proposed. The Multi-AUVs are set to different roles depending on the functional properties. To analyze the accountability of each role, and to ensure the reliability, the desired behavior and the estimate state of each role are described in the model. Task allocation needs to be implemented dynamically in path planning, for the existing of the cooperative relationships and the demand of tasks changes. Role-based task assessment and allocation methods are proposed to achieve dynamic adjustment of roles according to task requirements. Due to poor underwater communication conditions, the implicit coordination framework is implied to the coordinate information interaction to compensate the large delays in underwater communications and the reliance between Multi-AUVs. To adapt to the implicit collaborative framework and poor communication conditions, a variable communication radius (contract network) is proposed. The simulation result shows that the proposed method has well performance.
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Powers, James S., Lovely Abraham, Ralph Parker, Nkechi Azubike, and Ralf Habermann. "The GeriPACT Initiative to Prevent All-Cause 30-Day Readmission in High Risk Elderly." Geriatrics 6, no. 1 (January 6, 2021): 4. http://dx.doi.org/10.3390/geriatrics6010004.
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Background: Suboptimal care transitions increases the risk of adverse events resulting from poor care coordination among providers and healthcare facilities. The National Transition of Care Coalition recommends shifting the discharge paradigm from discharge from the hospital, to transfer with continuous management. The patient centered medical home is a promising model, which improves care coordination and may reduce hospital readmissions. Methods: This is a quality improvement report, the geriatric patient-aligned care team (GeriPACT) at Tennessee Valley Healthcare System (TVHS) participated in ongoing quality improvement (Plan, Do, Study, Act (PDSA)) cycles during teamlet meetings. Post home discharge follow-up for GeriPACT patients was provided by proactive telehealth communication by the Registered Nurse (RN) care manager and nurse practitioner. Periodic operations data obtained from the Data and Statistical Services (DSS) coordinator informed the PDSA cycles and teamlet meetings. Results: at baseline (July 2018–June 2019) the 30-day all-cause readmission for GeriPACT was 21%. From July to December 2019, 30-day all-cause readmissions were 13%. From January to June 2020, 30-day all-cause readmissions were 15%. Conclusion: PDSA cycles with sharing of operations data during GeriPACT teamlet meetings and fostering a shared responsibility for managing high-risk patients contributes to improved outcomes in 30-day all-cause readmissions.
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Verger, Sebastià, Francisca Negre, María Fernández-Hawrylak, and Berta Paz-Lourido. "The Impact of the Coordination between Healthcare and Educational Personnel on the Health and Inclusion of Children and Adolescents with Rare Diseases." International Journal of Environmental Research and Public Health 18, no. 12 (June 17, 2021): 6538. http://dx.doi.org/10.3390/ijerph18126538.
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Rare diseases produce multiple impacts for the people who suffer from them, but they also have repercussions for their families, education and healthcare. The objective of this study is to analyze the coordination between healthcare and education professionals who intervene with children and adolescents with rare diseases. It is a qualitative study designed with a critical paradigm, and it was carried out through focus group discussions. A total of 50 people participated in the study, including healthcare professionals, teachers and families. The results suggest that poor communication and coordination negatively impact minors with rare diseases, placing an extra burden on their families, who take on an intermediary role in communication. Participants in the study recognized coordination as an area for improvement as it can compromise equitable social and health services and inclusive education. Other measures must also be put into action at the public administration level not only to establish protocols for intersectoral coordination, but also to increase the knowledge and awareness of staff involved in health and education interventions for children with rare diseases.
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Bonilla-Enriquez, Gladys, and Santiago-Omar Caballero-Morales. "Communication Interface for Mexican Spanish Dysarthric Speakers." Acta Universitaria 22 (March 1, 2012): 98–105. http://dx.doi.org/10.15174/au.2012.348.
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Dysarthria is a motor speech disorder due to weakness or poor coordination of the speechmuscles. This condition can be caused by a stroke, cerebral palsy, or by a traumatic braininjury. For Mexican people with this condition there are few, if any, assistive technologies to improve their social interaction skills. In this paper we present our advances towards the development of a communication interface for dysarthric speakers whose native language is Mexican Spanish. We propose a methodology that relies on (1) special design of a training normal-speech corpus with limited resources, (2) standard speaker adaptation, and (3) control of language model perplexity, to achieve high Automatic Speech Recognition (ASR) accuracy. The interface allows the user and therapist to perform tasks such as dynamic speaker adaptation, vocabulary adaptation, and text-to-speech (TTS) synthesis. Live tests were performed with a mildly dysarthric speaker, achieving accuracies of 93%-95% for spontaneous speech.
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Hsiao, Jennifer L., Elana E. Evan, and Lonnie K. Zeltzer. "Parent and child perspectives on physician communication in pediatric palliative care." Palliative and Supportive Care 5, no. 4 (October 25, 2007): 355–65. http://dx.doi.org/10.1017/s1478951507000557.
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ABSTRACTObjective:Despite growing recognition of the importance of communication with children with life-limiting illnesses and their families, there has been limited research that includes the child's perspective. The purpose of the current study was to identify the aspects of physician communication that children with life-limiting illnesses and their parents perceived to be facilitative or obstructive in pediatric palliative care.Methods:This qualitative study reports on the first 20 parent and child pairs of pediatric oncology and cardiology patients (mean age 14.25 years, range 9-21 years) with a poor prognosis (physician reported likely <20% chance of survival beyond 3 years) from two children's hospitals and one pediatric hospice in Los Angeles, California. Perspectives on physician communication were elicited from children's and parents' individual narratives, recorded, coded, and analyzed using qualitative grounded theory methodology.Results:Both children and parents identified five domains of physician communication deemed to be highly salient and influential in quality of care. These included relationship building, demonstration of effort and competence, information exchange, availability, and appropriate level of child and parent involvement. Parents identified coordination of care as another important communication domain. The characteristics of physicians that were deemed most harmful to satisfying communication included having a disrespectful or arrogant attitude, not establishing a relationship with the family, breaking bad news in an insensitive manner, withholding information from parents and losing their trust, and changing a treatment course without preparing the patient and family.Significance of results:The six positive communication domains are areas for clinicians to recognize and monitor in communicating with children and families in the pediatric palliative care setting. Knowledge of the qualities of communication that are satisfying to and valued by children and their parents have the potential to lead to more effective communication around the difficult decisions faced by physicians, parents, and children with life-threatening conditions.
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Shattuck, Lawrence G., and David D. Woods. "Communication of Intent in Distributed Supervisory Control Systems." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 41, no. 1 (October 1997): 259–63. http://dx.doi.org/10.1177/107118139704100159.
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Distributed supervisory control systems are characterized by remote supervisors who work through multiple local actors to control a dynamic process. Coordination normally occurs through the use of predetermined plans and procedures. However, these plans and procedures can be underspecified and brittle when an actor is confronted with an unanticipated situation. In these instances, the local actor must adapt the plan in a manner consistent with the intent of the remote supervisor. This research investigated the communication of intent in military C2 systems by using a mixed-fidelity simulation. US army battalion commanders and subordinate company commanders developed operations orders using their standard planning procedures. Anomalies were introduced that forced them to rely on the senior commander's intent rather than the written plan. In spite of an embedded procedure for communicating intent in the military domain, in most instances, company commanders failed to follow their battalion commander's intent. Explanations for the poor performance and methods for imparting presence and communicating intent are discussed. Implications of the study extend to other types of distributed supervisory control systems in which machine agents can function as either remote supervisor or local actor.
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Solen, I., A. Hasman, J. Troost, H. J. Tange, and M. J. van der Meijden. "Two Patient Care Information Systems in the Same Hospital: Beyond Technical Aspects." Methods of Information in Medicine 42, no. 04 (2003): 423–27. http://dx.doi.org/10.1055/s-0038-1634240.
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Summary Objectives: To compare two clinical workstations in one hospital with respect to technical, organizational, cultural and human factors. One clinical workstation was a GUI to the HIS. The other was an electronic patient record for stroke. Methods: Data were collected by means of in-depth interviews with end-users of both clinical workstations. The interviews were audio taped and transcribed for analysis. Results: End users assessed both clinical workstations as user friendly. Coordination between health care workers was perceived to be enhanced. However, in both situations poor communication between management, implementers and users resulted in uncertainty and skepticism about future perspectives. Furthermore, it appeared that inpatient and outpatient settings needed clinical workstations with different requirements for an optimal fit between work practices and information system. Conclusions: Regardless of the domain and content of a workstation, it can support coordination between disciplines. The communication concerning the information technology strategy deserves much attention. Finally, the requirements for inpatient and outpatient workstations differ.
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Bickell, Nina A., Rebeca Franco, Alexandra Moss, Zoe Lawrence, and Ann Scheck McAlearney. "Implementing an innovation to improve coordination of care in breast cancer." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 52. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.52.
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52 Background: Underuse of adjuvant breast cancer treatments delivered by different specialists may be worsened by fragmented care and improved by effective coordination. To improve care coordination and adjuvant treatment delivery, we assessed the challenges to and feasibility of implementing a web-based Tracking and Feedback (T&F) innovation in hospitals serving predominantly minority breast cancer patients. Methods: We interviewed 67 key informants [Clinical (n = 39), Administrative (n = 14), Clerical (n = 11), Other (IT, Social Work) (n = 3)] from 8 inner-city hospitals to better understand how organizational characteristics might impact coordination of care and implementation of the T & F innovation. We used the constant comparative method of qualitative data analysis and standard techniques to code the data. Results: We found considerable variability across hospitals’ abilities to coordinate and track care. All sites have multi-disciplinary Tumor Board meetings and active Quality Improvement departments. Yet, in several sites, specialty care remains siloed, quality improvement efforts focus on inpatient care and communications systems across outpatient specialties are poor. All hospitals have electronic medical records but they are not integrated and are unable to track requested referrals. Many physicians rely on follow-up appointments to ascertain treatment receipt but sites vary in their ability to address “no-shows.” Several rely on staff to manually identify and follow up “no-shows,” but many of these staff are overwhelmed with ever increasing tasks and responsibilities. While quality was important, several interviewees felt they were bucking an inflexible system and devised ways to work around the obstacles. Perceived successful coordination factors included strong clinical leadership, designated accountabilities, and flexibility of staff. Conclusions: As care integration is encouraged by federal law, specialty care silos and rigid communication systems still pose barriers to change. Our results suggest that a web-based T&F innovation must be tailored to individual hospital characteristics, and flexible to permit modification of care processes at the organization level. Clinical trial information: NCT01544374.
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Marler, Will. "Mobile phones and inequality: Findings, trends, and future directions." New Media & Society 20, no. 9 (April 7, 2018): 3498–520. http://dx.doi.org/10.1177/1461444818765154.
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Smartphones are more prevalent than computers in the digital age, particularly in poor and minority communities. Is it the effect to reduce or perpetuate socioeconomic disparities? This article reviews two decades of research investigating whether mobile phones contribute to enhancing the status of disadvantaged populations. Conclusions on the nature and extent of the mobile effect vary across areas of inquiry, including digital inequality, social networks, and coordination and mobility. Advantages accrue in particular areas, such as strengthening core ties, promoting particular Internet activities, and enhancing daily coordination and safety. Device limitations and structural inequalities overwhelm the mobile effect in many arenas, though new conditions emerge with changes in mobile technology and digital habits. Future research will benefit from closer attention to how mobile affordances, user motivation and habituation, popular mobile uses, and the particular conditions of disadvantage shape outcomes for marginalized populations.
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Mohd, S., M. S. Fathi, and A. N. Harun. "HUMANITARIAN AID DISTRIBUTION FRAMEWORK FOR NATURAL DISASTER MANAGEMENT." ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLII-3/W4 (March 6, 2018): 343–49. http://dx.doi.org/10.5194/isprs-archives-xlii-3-w4-343-2018.
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<p><strong>Abstract.</strong> Humanitarian aid distribution is associated with many activities, numerous disaster management stakeholders, enormous effort and different processes. For effective communication, humanitarian aid distribution activities require appropriate and up-to-date information to enhance collaboration, and improve integration. The purpose of this paper is to develop a humanitarian aid distribution framework for disaster management in Malaysia. The findings of this paper are based on a review of the humanitarian aid process and interviews with disaster management stakeholders. Findings reveal that, poor coordination and lack of good communication among disaster management stakeholders are the major issues within the humanitarian aid distribution process in developing countries. These issues could have adverse consequences for the objectives and success of the humanitarian aid distribution activities in disaster management. Therefore, to reduce these issues, a humanitarian aid distribution framework is proposed to support appropriate deliveries, improve the monitoring process, facilitate team coordination, improve government inter-agency collaboration and improve communication among disaster management stakeholders. The proposed humanitarian aid distribution framework sets out to overcome the food redundancy problem, the uneven distribution of food supply to disaster victims and food insecurity issues in developing countries. It is anticipated that this research will establish a systematic humanitarian aid distribution system by enhancing its process, improving its efficiency and maximising its effectiveness.</p>
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Burt, Susan. "Extending the Vision of Short-Term Medical Teams." Journal of Doctoral Nursing Practice 10, no. 2 (2017): 144–48. http://dx.doi.org/10.1891/2380-9418.10.2.144.
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Short-term medical teams (STMTs), serving for a week or two, often do not partner with the local health care system. As a result, nationals receive poor care coordination and duplication of medical services (Green, Green, Scandlyn, & Kestler, 2009). This article offers a care model and collaboration alternatives to support coordinated care. Experience: An STMT composed of 15 health care professionals provided care at a local camp in rural Guatemala. The pre-trip preparation included securing supplies and communicating with another STMT that visits the camp each year. Results: The Guatemala medical team treated 494 patients and dispensed 989 medications. Despite communication with a previous STMT, possible duplication of services occurred with an absence of medical follow-up. Analysis: Evaluation of the STMT’s experience involved analyzing the number of people seen and medications dispensed, reflecting on conversations with local health care providers and patient. Discussion: The STMT’s goal was to provide care to people living in poverty. Unfortunately, team members learned that their unfamiliarity with the local medical system resulted in duplication of services. If sustainable care is to occur, future teams should use a care model and collaborate with the local health care professionals.
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Odai-Afotey, Ashley, Andrea Kliss, Janet Hafler, and Tara B. Sanft. "Defining the patient experience in medical oncology." Journal of Clinical Oncology 36, no. 30_suppl (October 20, 2018): 167. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.167.
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167 Background: The relationship between the physician and patient is directly associated with positive patient satisfaction. High patient satisfaction is associated with improved health outcomes, treatment adherence, and quality of life. The goal was to explore patients’ perceptions on their hospital experience, focusing on quality of care. Methods: A mixed-methods study design with a sample of 58 patients at Yale New Haven Hospital. Data were from patient interviews and observation of rounds. Results: Two themes emerged: patient experience and patient communication with physicians. Within patient experience positive factors identified were feeling attended to (45.9%), nurses (43.2%), staff (27.0%), doctors (27.0%), facility (10.8%) and coordination of care (8.1%). Negative factors were low quality of life (82.8%), lack of physician emotional support, attentiveness and availability (24.1%), and poor coordination of care (20.7%). Within physician communication positive factors included effectively engaging the patient (27.5%) and attending to patient needs (7.5%). Negative factors were nature of distilling information (17.5%), lack of coordination of care (15.0%), inadequate involvement of the patient and/or family (12.5%), use of medical jargon (10.0%), and inability to elicit patients’ perspective (7.5%). The quantitative data supported qualitative results of overall satisfaction with 72.4% of patients (n = 58) rating their experience as an ‘A’. Areas of dissatisfaction (an ‘A’ rating < 70% of time) included describing team member roles, explaining next steps in care or treatment to the patient and/or family, and meeting patients’ needs. Conclusions: Our findings, demonstrate that physician attentiveness or lack thereof defines the quality of patient experience, is an important theme in communication and that patients perceive their needs are not being fully addressed. Agreement in themes from mixed-method approach shows effectiveness of methods in exploring patients’ perceptions on quality of care. The study intends to inform clinical and operational practices physicians can incorporate into their patient relationships. These data are being used to design a faculty development program to address physician communication.
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Moorthy, Ravichandran, and Ganesan Jeyabalan. "Inter-agency cooperation in river management as a precondition for realizing water ethics principles in Malaysia: the case of the Gombak River." Water Policy 14, no. 5 (June 5, 2012): 746–57. http://dx.doi.org/10.2166/wp.2012.162.
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This paper looks at how water ethics manifest in the coordination among agencies involved in river management in Malaysia. The study employs the case of the Gombak River, the most polluted river in Malaysia which runs through some densely populated urban centers. More specifically, the paper examines inter-agency coordination issues between the Department of Environment (DOE), Drainage and Irrigation Department (DID) and Selayang Municipal Council (MPS) in managing river pollution. Research data were gathered through scientific testing of water quality and levels of pollution at several points along the Gombak River, and by expert interviews with officers from related agencies involved in managing the river. The study reveals two major findings: first, that the river is significantly polluted and that the levels of pollution upstream are less than those downstream; and second, that despite numerous pieces of legislation already in place, there is a lassitude in the enforcement efforts due to poor inter-agency communication and coordination. As such, it is imperative that the agencies involved in river management undertake cohesive measures to ensure that the river is managed well and its water quality controlled. The study recommends that a more structured coordination mechanism between these agencies be put in place.
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Yasir, Yasir, Nurjanah Nurjanah, and Chelsy Yesicha. "A Model of Communication to Empower Fisherman Community in Bengkalis Regency." MIMBAR, Jurnal Sosial dan Pembangunan 33, no. 2 (December 16, 2017): 226. http://dx.doi.org/10.29313/mimbar.v33i2.2135.
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Fishermen are generally still poor and use traditional way. The aim of this research is to understand the empowerment of communication pattern, to explain the media used, and to describe the model of government communication in empowering fishermen in Bengkalis. This research uses qualitative method. The research result shows that the patterns of communication are through mentoring and counseling, socialization and establishment of vocational schools of fishery, providing tools and capital facilities, building fishing villages, and development of villages’ tourism. The media used are website and release in the print media, billboards and banners, calendars and posters, and making a film. The model of communication in empowering fishermen relies on Marine and Fisheries Departments, especially Field Officers (PPL) and by coordinating with others departments such as academician, police, universities and society.
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Fakhri, Muhammad Reza, and Sri Marini. "THE INTERNAL COMMUNICATION IN HOTEL FRONT OFFICE DEPARTMENT." Journal : Tourism and Hospitality Essentials Journal 9, no. 1 (May 2, 2019): 45. http://dx.doi.org/10.17509/thej.v9i1.16989.
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This study aimed to find out the internal communication of front office department at Kytos Hotel Bandung. Communication is the important key in directing and coordinating of establishment. Poor communication of front office department will be impact to customer satisfaction and will decrease the revenue of the hotel. Problems arised in this research: 1) 1. How is the downward communication of front office department at Kytos Hotel Bandung?; 2) How is upward communication of front office department at Kytos Hotel Bandung?; and 3) How is horizontal communication of front office department at Kytos Hotel Bandung. The purpose of this research is to find out the downward communication, upward communication and horizontal communication of front office department at Kytos Hotel Bandung. The method used is a quantitative method. Observation, interviews, documentation, and questionnaires are used as a technique data collection. While the data analysis technique uses a Likert scale. Based on the results of the study, it can be seen that vertical communication (upward communication and downward communication) and horizontal communication performed by front office department at Kytos Hotel Bandung are still in the less category.
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An, Chengchuan, Yao-Jan Wu, Jingxin Xia, and Zhenbo Lu. "Investigating Impacts of Communication Loss on Signal Performance with Use of Event-Based Data." Transportation Research Record: Journal of the Transportation Research Board 2645, no. 1 (January 2017): 38–49. http://dx.doi.org/10.3141/2645-05.
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Reliable communication in a traffic signal network is essential for responsive traffic management. However, communication malfunctions often go unnoticed by transportation agencies because of unfamiliarity with the potential problems and inefficiencies that can arise from poor communication quality. Therefore, this paper focuses on the critical effects of communication loss on data quality and signal coordination. On the basis of regionwide event-based data collected in the city of Tucson, Arizona, a data quality control method with criteria specifying the completeness of event-based data was proposed and implemented. The quantified analysis provides a better understanding of data completeness than is possible by simply scanning real-time monitoring states. The proposed method provides an effective tool that will enable practitioners to diagnose problems with missing data and to evaluate the health and capability of a communication network for event-based data collection. A further investigation of how signal performance is affected by communication loss found unexpected changes in traffic progression, a situation identified by using a statistical analysis method and evaluated by monitoring control delay. The evaluation results for test cases found significant increases in the control delays between 27% and 720% when communication losses occurred. This study provides an innovative data-driven approach that supports smarter asset management of signal communication networks and ultimately will enhance signal performance.
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Léger, Juliane, Anne Forhan, Sophie Dos Santos, Béatrice Larroque, Emmanuel Ecosse, Marie-Aline Charles, and Barbara Heude. "Developmental milestones at one year for the offspring of mothers with congenital hypothyroidism: a population-based study." European Journal of Endocrinology 178, no. 5 (May 2018): 471–80. http://dx.doi.org/10.1530/eje-17-0855.
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Objective Maternal thyroid dysfunction during pregnancy is associated with neurodevelopmental impairment in the offspring. No data are currently available for the offspring of patients treated early for congenital hypothyroidism (CH). The aim of this study was to investigate motor and language milestones at one year of age in a population-based registry of children born to young women with CH. Design and methods We assessed 110 children born to mothers with CH, and 1367 children from the EDEN French population-based birth cohort study prospectively, at the age of one year, with identical questionnaires. Outcomes were assessed in terms of scores for childhood developmental milestones relating to mobility, motor coordination, communication, motricity and language skills. Results After adjustment for confounding factors, children born to mothers with CH were found to have a higher risk of poor motor coordination than those of the EDEN cohort (OR: 4.18, 95% CI: 2.52–6.93). No differences were identified for the other four domains investigated. Children born to mothers with gestational diabetes have a higher risk of low motor coordination score than their peers (OR: 2.10, 95% CI: 1.21–3.66). Children born to mothers with TSH ≥ 10 IU/L during the first six months of pregnancy were more likely to have low motricity or communication skills scores than those born to mothers with lower TSH concentrations (56% vs 21% for each score, P < 0.04). Conclusions Maternal CH may have slight adverse effects on some developmental milestones in the child at one year of age, particularly for children born to mothers with uncontrolled hypothyroidism. However, it remains unclear whether these adverse effects modify subsequent neurodevelopment.
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Bradshaw, Corey J. A. "Opportunities to improve the future of South Australia’s terrestrial biodiversity." Rethinking Ecology 4 (April 9, 2019): 45–77. http://dx.doi.org/10.3897/rethinkingecology.4.32570.
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It is unequivocal that the poor condition of South Australia’s terrestrial biodiversity is continuing to decline overall – much like elsewhere in Australia. This decline is mainly due to the legacy of vegetation clearing and habitat modification since European colonisation, the destructive influence of invasive species (especially predators like cats and foxes) on its native fauna and flora, and impotent or broken legislation to prevent further damage. The struggle to maintain our remaining biodiversity, and our intentions to restore once-healthy ecosystems, are rendered even more difficult by the added influence of rapid climate disruption. Despite the pessimistic outlook, South Australians have successfully employed several effective conservation mechanisms, including increasing the coverage of our network of protected areas, doing ecological restoration projects, reducing the densities of feral animals across landscapes, encouraging private landholders to protect their biodiversity assets, releasing environmental water flows to rivers and wetlands, and bringing more people in touch with nature. While these strategies are certainly stepping in the right direction, our policies and conservation targets have been hampered by arbitrary baselines, a lack of cohesion among projects and associated legislation, unrepresentative protected areas, and inappropriate spatial and time scales of intervention. While the challenges are many, there are several tractable and affordable actions that can be taken immediately to improve the prospect of the State’s biodiversity into the near future. These include coordinating existing and promoting broader-scale ecological restoration projects, establishing strategic and evidence-based control of invasive species, planning more representative protected-area networks that are managed effectively for conservation outcomes, fixing broken environmental legislation, avoiding or severely limiting biodiversity-offset incentives, expanding conservation covenants on private land, coordinating a state-wide monitoring network and protocol that tells the South Australian community how effective we are with our policies and actions, expanding existing conservation investment and tapping into different funding schemes, and coordinating better communication and interaction among government and non-governmental environment agencies. Having a more transparent and defensible link between specific conservation actions and targeted outcomes will also likely improve confidence that conservation investments are well-spent. With just a little more effort, coordination, funding, and foresight, South Australia has the opportunity to become a pillar of biodiversity conservation.
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Okado, Izumi, Kevin Cassel, Ian Pagano, and Randall F. Holcombe. "Mixed-methods research to evaluate a novel patient-centered cancer care coordination instrument." Journal of Clinical Oncology 37, no. 27_suppl (September 20, 2019): 280. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.280.
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280 Background: Effective care coordination (CC) is a critical component of high-quality cancer care; however, efforts to improve cancer care coordination are hampered by limited patient-centered measures. This mixed-methods research reports on patients’ feedback and the utility of a novel care coordination instrument (CCI) designed to assess cancer care coordination. Methods: 7 focus group discussions were conducted with 68 cancer patients receiving active therapy to evaluate validity of the CCI. Subsequently, the CCI was modified and administered to additional 200 cancer patients derived from community-based private and hospital clinics. The CCI is a 29-item, multiple-choice questionnaire and includes subscales that evaluate CC in 3 domains (Communication, Navigation, Operational) across 4 areas of CC (patient-physician; between providers; during inpatient-to-ambulatory care transitions; during transitions across phases of care). Results: Qualitative analysis of focus group discussions demonstrated that the CCI has good face and content validity. Content analysis identified the following themes: Survey, Education/Knowledge, Navigator, Communication, Support, Access, Providers, and Team. Questions with unclear wording or high proportions of not applicable or missing responses were refined or removed. Results of the revised survey indicated that the CCI is able to distinguish patient- and practice characteristics associated with optimal/poor CC. Specifically, cancer types (leukemia, myeloma) and having a patient navigator predicted high overall patients’ ratings of CC ( p < .05). Marginally significant differences were found for practice setting ( p = .085). A multiple regression model with all predictors entered simultaneously revealed that the presence of a family/friend caregiver significantly predicted better CC ( p < .001); however, the benefits of a patient navigator were no longer significant. Conclusions: This study demonstrates the utility of the CCI for assessing patients’ perspectives of cancer CC. Use and integration of this instrument in oncology practices/clinics can identify areas of potential interventions for CC improvement and lead to a better quality of care.
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Mukhi, Shamir, Jeff Aramini, and Amin Kabani. "Contributing to Communicable Diseases Intelligence Management in Canada: CACMID Meeting, March 2007, Halifax, Nova Scotia." Canadian Journal of Infectious Diseases and Medical Microbiology 18, no. 6 (2007): 353–56. http://dx.doi.org/10.1155/2007/386481.
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In the spring of 2003, the Public Health Agency of Canada (then, Health Canada) partnered with several provincial/territorial and regional public health stakeholders to improve pan-Canadian public health surveillance, communications and response through the application of new technologies. This resulted in the creation of the Canadian Network for Public Health Intelligence (CNPHI), a comprehensive framework of applications and resources designed to fill critical gaps in Canada's national public health infostructure. Over the past four years, the CNPHI has evolved into Canada's only pan-Canadian public health information management system. With over 2000 registered users, the current CNPHI environment consists of more than 30 integrated applications and systems that can be loosely categorized into four functional groups: data exchange; data analysis and integration; communication, collaboration and coordination; and knowledge management. Despite poor data repositories, legacy information management systems, and the lack of standards and agreements, the CNPHI has demonstrated that much can be accomplished in these areas. Over the next decade, significant barriers impeding additional advances will be bridged through the implementation of the Electronic Health Record, and through ongoing efforts to address gaps in standards, and data- and information-sharing agreements. Together with new technologies coming on-line, opportunities to further enhance public health surveillance and response will be limited only by one's imagination.
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Cheng, Xiao Rong, and Xin Yan Tang. "Information Collection System of Electrical Equipment." Advanced Materials Research 722 (July 2013): 217–22. http://dx.doi.org/10.4028/www.scientific.net/amr.722.217.
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Zig Bee is a focus on low-power, low-cost, low-complexity, low-rate short-range wireless network communication technology; it can well solve the high cost and poor real-time of wired data acquisition system. This paper presents a program to build environmental remote monitoring system based on Zig Bee wireless sensor network. The program uses TI's wireless RF transceiver chip CC2530 and the amount of the external circuit to design the hardware circuit of the sensor nodes and the coordinator node, and then design application software for sensor nodes and coordinator nodes on the basis of the Zig Bee protocol stack. The test results prove that the system can effectively monitor long-term stability of the environment of electrical equipment.
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Chirico, Francesco, Angelo Sacco, Gabriella Nucera, and Nicola Magnavita. "Coronavirus disease 2019: the second wave in Italy." Journal of Health Research 35, no. 4 (February 1, 2021): 359–63. http://dx.doi.org/10.1108/jhr-10-2020-0514.
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PurposeThis paper describes how Italy addressed the first Coronavirus disease 2019 (COVID-19) wave and analyzes the possible causes of the current second wave.Design/methodology/approachDescriptive analysis of critical points and differences in the containment strategies between the first and the second waves in Italy.FindingsItaly's strict lockdown has been credited with getting the initial major outbreak under control. Furthermore, the way Italy handled the first wave was considered a lesson for other countries. On the contrary, a decentralized and highly bureaucratic political system with low coordination and political conflicts between government, regions and stakeholders led to a relaxation of individual health behaviors, poor and conflicting communication to the general public, poor management of the public transport and the reopening of schools and companies after the summer, that in turn generated the second wave, which is showing signs of becoming worse than the first.Originality/valueThis is a commentary piece.
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Martchenke, Julie, Jeff Rusteen, and James E. Pointer. "Prehospital Communications During the Loma Prieta Earthquake." Prehospital and Disaster Medicine 10, no. 4 (December 1995): 225–31. http://dx.doi.org/10.1017/s1049023x00042084.
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AbstractIntroduction:On 17 October 1989, the Loma Prieta Earthquake shook the San Francisco Bay area, home to more than 6 million people. This study examined the effectiveness and function of emergency medical services (EMS) communications after this event.Methods:The six Bay area counties most affected by the Loma Prieta Earthquake were surveyed using a 156-part questionnaire. This study examined the functioning of the primary 9-1-1 county dispatch centers. Paramedics involved in a set of defined activities during the period after the earthquake also were surveyed. Emergency medical services directors also were questioned by telephone using an interview tool developed for this purpose. All areas concerning disaster response were not queried. Ten specific areas were considered, including: 1) preparation for disaster; 2) the impact of the earthquake; 3) reconnaissance; 4) call volume; and 5) others.Results:Coordination among the various agencies responsible for disaster response and mitigation needs more study. Uniform response plans for medical mutual aid need development. Government support similar to police and fire department arrangements for mutual aid are not in place. Additional planning and training for disasters at all levels need reassessment. The communication-center personnel indicated that they did not call for more resources, but instead accepted volunteers at dispatch centers and extra assistance. Once engaged, however, most communications centers (CCs) had great difficulty tracking and controlling all the units under their jurisdiction. In some large urban counties, some ambulances were idled awaiting calls but lost their communications centers, while other ambulance personnel were trying to handle multiple patients and requests for services.Conclusions:Significant help from a state or federal agency likely will be unavailable for a substantial period after a catastrophic regional event. Important coordination among EMS agencies for disaster response is poor or absent. Although fatalities and casualties were limited compared to what could have occurred, great confusion reigned for varying periods of time after the earthquake. Communications among local agencies, counties, and the state were problematic. Information flow to hospitals was cited frequently as a problem, making it difficult for hospitals to prepare adequately. Medical mutual-aid help was disorganized and inadequately controlled. The training of personnel and the method of recall for disaster response need to be examined.
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Eze, Emmanuel Chidiebere, Onyinye SOFOLAHAN, Adesoji Anthony ADEGBOYEGA, and Kenneth John SAIDU. "Factors Limiting the Full-scale Adoption of Process and Product Innovation in the Nigerian Construction Industry." SEISENSE Journal of Management 2, no. 3 (May 14, 2019): 67–81. http://dx.doi.org/10.33215/sjom.v2i3.145.
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Purpose- The aim of this study is to assess the factors limiting the full-scale adoption of process and product innovation by construction organizations in Nigeria with a view to suggesting probable ways of eliminating them
Design/Methodology- The study adopted a questionnaire survey approach in which data were collected from the participants using simple random sampling techniques in the study area. Frequency, percentage, mean item score, and Independent sample T-test was used to analyze the gathered data.
Findings- It was found that poor funding, poor support and commitment from management, fragmented nature of the construction business, poor coordination and communication among project participants, lack of qualified and experienced staff and the unwillingness of clients to pay for innovative ideas are the factors limiting innovations in construction.
Practical Implications- The outcome of this study will give the management of construction-based organizations an insight into the major limiting factors of innovation, so that appropriate strategies for overcoming them could be developed at the conception stage of construction projects.
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Sellick, Scott M., Karen Charles, Joanne Dagsvik, and Mary L. Kelley. "Palliative Care Providers’ Perspectives on Service and Education Needs." Journal of Palliative Care 12, no. 2 (June 1996): 34–38. http://dx.doi.org/10.1177/082585979601200207.
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To obtain the information necessary for coordinated regional program development, we examined (a) the multidisciplinary viewpoint of palliative care service provision and (b) the continuing education needs reported by non-physician service providers. Of 146 surveys distributed to care providers from multiple settings, 135 were returned. Respondents cited these problems: fragmented services, poor pain and symptom control, lack of education for providers, lack of public awareness, problems with the continuity and coordination of care, lack of respite, and lack of hospice beds. Stress management for caregivers, pain management, communication skills, and symptom assessment were rated as priorities in continuing education. Lectures, small group discussions, practicum, and regular medical centre rounds were the preferred learning formats, while costs and staff shortages were cited as educational barriers.
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Joseph, R. N., and C. M. Bannister. "Problems with Interhemispheric Transfer of Information in Complete or Partial Agenesis of the Corpus Callosum." Neurorehabilitation and Neural Repair 15, no. 3 (September 2001): 197–202. http://dx.doi.org/10.1177/154596830101500307.
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Objective: We assessed the presence of poor interhemispheric communication in agenesis of the corpus callosum (ACC) and hydrocephalus. Methods: With spe cially designed tests, nine children with ACC were investigated and compared with 11 controls to see the degree of impairment present. Two subjects with a stretched cor pus callosum due to hydrocephalus also were tested. A subject with the corpus callo sum divided was tested for comparison. Results: Significant differences were found in tests of coordination and stereognosis both with ACC patients and the calloso tomy subject. No impairments were found in the hydrocephalics. Conclusions: When compared with controls, ACC patients perform poorly in several tests. The calloso tomy patient also showed evidence of impairment similar to that of the ACC patients.
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Furner, Christopher P. "Cultural Determinants of Information Processing Shortcuts in Computer Supported Groups." International Journal of Information Systems and Social Change 4, no. 3 (July 2013): 17–32. http://dx.doi.org/10.4018/jissc.2013070102.
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Organizations are constantly engaged in actions. If an organization does not take actions, it cannot remain solvent, and if the organization consistently exercises poor judgment in the actions that it takes, it is destined to fail. Organizations do not have minds, and they do not make decisions, they are institutions that empower individual agents to make decisions on their behalf, and empower other individuals to carry out the actions associated with these decisions. These decision making agents can be individuals or groups. The complex nature of organizational decisions creates information overload for individual agents, causing them to engage in a number of information processing shortcuts, which threaten the quality of their decisions. While groups can overcome some of the problems associated with information overload, they are prone to their own shortcomings related to communication and coordination. Decision Support Systems (DSS) and Group Support Systems (GSS) respectively have been employed in an attempt to overcome some of these shortcuts and shortcomings and studies have had mixed results but generally indicate that these technologies are effective (Chan & Limsuwan, 2012). However information processing researchers have not explored the potential moderators between a) information overload and information processing shortcuts or b) communication and coordination problems and group shortcomings. The study proposed in this paper is a first attempt at those ends: a) first we build hypotheses linking cultural factors to information processing shortcuts, both individual and group; b) then we outline a study to test these relationships; c) finally, we validate an instrument to test these hypotheses.
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Abedi, Mohammad, Norshakila Rawai, Mohamad Syazli Fathi, and Abdul Karim Mirasa. "Cloud Computing Information System Architecture for Precast Supply Chain Management." Applied Mechanics and Materials 773-774 (July 2015): 818–22. http://dx.doi.org/10.4028/www.scientific.net/amm.773-774.818.
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The precast construction industry is associated with a lot of activities, vast effort, many parties and numerous processes. The parties involved in the precast supply chain including the planning, design, manufacturing, transportation, installation and construction should have efficient communication and access to precise and latest information contributing to the enhanced collaboration, sustainability and improving the integration. The aim of this study is to explore the collaboration tools with proposing the cloud system architecture for the precast supply chain management. The research findings are according to the comprehensive review of the literature on supply chain management, precast construction industry and cloud computing. Findings demonstrates the major problems within the precast supply chain phases comprised of poor planning, ineffective communications among designers and manufacturers, incompetent employees and damage to raw materials, large size and heavy precast components and the poor on-site coordination. These major problems within the precast supply chain phases could contribute to negative consequences on the efficiency, productivity and effectiveness of precast delivery. Therefore, to mitigate and overcome these major problems within the precast construction, the cloud computing implementation as the valuable alternative could be delivered to enhance the efficiencies and effectiveness of the collaboration systems. This research propose and establishes the concepts of valuable collaborative tools, for instance the Cloud Computing Information Systems (CCIS), for assisting the processes, activities, information and networks within the precast supply chain management through increasing the opportunities to attain higher competitive advantages. Initially, it is anticipated that this research will result to the enhanced collaboration in order to deliver more competitive advantages and increase the opportunities for the globalisation of the construction industry. Secondly, it proposes an effective technique to establish innovative visions, enhanced productivity, increased effectiveness, improve integration and sustainability leading to efficient collaboration within the construction industry.
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Ceric, Anita, and Ivona Ivic. "Network analysis of interconnections between theoretical concepts associated with principal–agent theory concerning construction projects." Organization, Technology and Management in Construction: an International Journal 13, no. 1 (January 1, 2021): 2450–64. http://dx.doi.org/10.2478/otmcj-2021-0025.
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Abstract Communication risks and asymmetric information among project participants are often associated with poor performance in construction projects. Communication and coordination are prominent issues in recent research on construction management, with little actual theoretical foundation. The purpose of this study is to investigate the extent to which principal–agent (P–A) theory and its implications are used in construction management research. In the archives of the top seven construction management journals, 148 scientific papers mentioning P–A theory were found. The keywords were analysed to determine the connections between them. Network analysis (NA) of the interconnected keywords was used to illustrate the most common relations between P–A theory and construction management. The findings of this study indicate that the most important elements associated with P–A theory in construction management are contracts, governance, partnership, transaction costs, information systems, incentives, risk management, and trust. However, some keywords are often used without considering related theoretical concepts. This study introduces a new perspective on P–A theory research in the field of construction management.
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Liu, Ya, Hefeng Tong, Xuan Zhao, Lei Gao, and Yidan Jiao. "Analysis of Science Popularization Policies Issued by Chinese Central Government Organs and People's Organizations from 2011 to 2015." Cultures of Science 2, no. 2 (June 2019): 109–27. http://dx.doi.org/10.1177/209660831900200204.
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This study explores the external features and content of 254 policy files promulgated by Chinese central government organs and people's organizations from 2011 to 2015. The study shows that policy is a powerful means to promote science popularization in China. The China Association for Science and Technology (CAST) takes the lead in policymaking. Science popularization policies cover a wide range of subjects, and diversified tools have been adopted to support policy implementation. Some problems remain and need to be tackled, such as the unbalanced distribution of policymakers, poor adaptability of policy to development and insufficient dissemination. On the basis of our analysis, we propose suggestions for future science popularization policymaking, including enhancing the awareness of policymakers, strengthening coordination and cooperation, meeting the needs of the times, and enriching channels of communication.
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Muhamad Tamyez, Puteri Fadzline, Natalie Christiane Isabella Gerth, Abdul Rahman Zahari, and Mohd Nizam Abdul Rashid. "Analyzing The Critical Factors for Humanitarian Response on Flood-Related Disaster." International Journal of Industrial Management 10 (March 5, 2021): 99–112. http://dx.doi.org/10.15282/ijim.10.1.2021.6057.
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Every year, thousands of people in Malaysia have to be moved out and be relinquished from their homes due to heavy rainfall and poor irrigation system that led to a flood situation especially on monsoon season. Thus, the current study aims to concentrate on the two central aspects of disaster management in the context of flood disaster management in Kuantan, Pahang by the means of a mixed-method approach. The effectiveness of communication mechanisms in the case of floods is assessed with quantitative analysis using descriptive design. On another note, this study also takes a closer look at the underlying logistical framework found in flood disaster contexts and identifies its critical success factors via a qualitative research technique. Using thematic analysis, in-depth semi-structured interviews are analysed to arrive at conclusions regarding the critical success factors. Findings on the effectiveness of disaster communication indicated that the communication between authorities, agencies, non-government organizations and flood victims are still in need of improvement particularly related to emergency updates and increasing community awareness on the right actions for upcoming floods. The study also proved that coordination, communication, knowledge, and preparedness are the critical success factors for humanitarian response in the case of flood management. It is vital to protect the communities from flood disaster; hence, a clear and precise standard operating procedure needs to be in place and must be integrated among all related agencies which will benefit the stakeholders.
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Gomarn, Pittayaporn, and Jakrapong Pongpeng. "Causes of construction delay from contractors and suppliers in Thailand's oil and gas platform projects." MATEC Web of Conferences 192 (2018): 02008. http://dx.doi.org/10.1051/matecconf/201819202008.
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Construction project delays caused by contractors and suppliers are the top problems in Thailand's oil and gas industries. Recognizing this importance and their relationships between factors can help reduce the risk of delays in construction projects. Therefore, this study set out to confirm factors and inspect relationships between delay factors of contractors and suppliers. A 16 item questionnaire survey was distributed to 134 managers, engineers, and supervisors in oil and gas platform construction projects in Thailand. A confirmatory factor analysis (CFA) was performed by the use of Amos Version 20 software program. The analysis results showed that delays caused by the contractors and suppliers had high relationships, due to high regression weighs. The delays caused by the contractors included seven factors which included poor site management and supervision (17%), lack of safety rules and regulations (16%), poor communication and coordination with others (15%), poor procurement system management (15%), defective components and mistakes during construction (14%), supplier payments lateness (13%), and poor planning and scheduling (10%). The delays caused by the suppliers included six factors which included the supply of unqualified and unskilled personnel (22%), supply of low efficiency equipment (20%), late delivery of materials and equipment (20%), supply of low quality materials (16%), late supply of workers (16%), and price escalation (5%).
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Bezabih, Afework, Mekonnen Wereta, Znabu Kahsay, Zewditu Getahun, and Alessandra Bazzano. "Demand and Supply Side Barriers that Limit the Uptake of Nutrition Services among Pregnant Women from Rural Ethiopia: An Exploratory Qualitative Study." Nutrients 10, no. 11 (November 5, 2018): 1687. http://dx.doi.org/10.3390/nu10111687.
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Despite poverty reduction and increased promotion of improved nutrition practices in the community, undernutrition in Ethiopia remains a concern. The present study aimed to explore the demand and supply side barriers that limit the uptake of nutrition services among pregnant women from the rural communities of the Tigray Region, Northern Ethiopia. A community-based qualitative study was conducted in December through January 2017. A total of 90 key informant in-depth interviews and 14 focus group discussions were undertaken. Study participants were purposively selected for specific characteristics, along with health professionals deployed at various levels of the health system, including health posts, health centers, woreda health offices, and the regional health bureau. Study participants were asked to identify the barriers and implementation challenges that limit access to nutrition services for pregnant women. Participants’ responses were transcribed verbatim, without editing the grammar, to avoid losing meaning. The data were imported to ATLAS.ti 7 (qualitative data analysis software) for coding and analyzed using a thematic content analysis approach. The study findings indicated that the dietary quality of pregnant women in the study area remains poor and in some cases, poorer quality than pre-pregnancy. Across study sites, heavy workloads, food taboos and avoidances, low husband support, lack of economic resources, lack of awareness, low educational level of women, poor dietary habits, increased expenditure for cultural and religious festivities, “dependency syndrome”, low physical access to health facilities, poorly equipped health facilities, focus on child health and nutrition, poor coordination among nutrition specific and sensitive sectors, and limited sources of nutrition information were identified as the demand and supply side barriers limiting the uptake of nutrition services during pregnancy. In conclusion, the community would benefit from improved social behavior change communication on nutrition during pregnancy and multi-sectoral coordination among nutrition-specific and nutrition-sensitive sectors.
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Malebranche, Mary, Apostolos Sarivalasis, Solange Peters, Patrice Mathevet, Jacques Cornuz, and Patrick Bodenmann. "Primary Care-Led Transition Clinics Hold Promise in Improving Care Transitions for Cancer Patients Facing Social Disparities: A Commentary." Journal of Primary Care & Community Health 11 (January 2020): 215013272095745. http://dx.doi.org/10.1177/2150132720957455.
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Transitions in care are key junctions during which care coordination, communication, and individualized support are required to ensure optimal health outcomes for patients. This is particularly true for patients who face social disparities, such as poverty, limited health literacy, or belonging to a racial or ethnic minority, who are particularly at risk for experiencing poor care transitions. Interdisciplinary primary care-led transition clinics are an intervention that have shown promise in improving care transitions for diverse patient populations, including those that face social disparities, but their role in improving transitions in cancer care remains largely untapped. In this commentary we highlight why the time-limited support of an interdisciplinary primary care-led transition clinic that targets socially vulnerable cancer patients holds the promise of achieving more equitable healthcare access, healthcare quality, and ultimately more equitable health outcomes for cancer patients.
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Pogodina, T. V. "Specific Features of the Technological Development of Russia under Conditions of the Evolving Digital Economy." Economics, taxes & law 11, no. 2 (November 6, 2018): 52–57. http://dx.doi.org/10.26794/1999-849x-2018-11-2-52-57.
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The subject of the research is the key stages, specifics and branches of the digital economy; foreign experience in the development of the digital economy and the utilization of the digital economy models and trends in the USA and China; technological platforms in Russia used in medicine, biotechnologies, data communication and aerospace technologies. The purpose of the research was to identify problems associated with insufficient upgrading of technological platforms as evidenced by the decreasing share of organizations implementing technological innovations in various activities. Based on the analysis, the factors contributing to the development of regional innovation systems have been identified and assessed in the context of the Russian federal districts. It is concluded that the insufficient development of the national innovation system is largely due to the poor coordination of regional innovation systems, the lack of interlinks and the underdeveloped technological base.