Добірка наукової літератури з теми "Vagad Region Service Research Organisation"

Health system planners in low- and middle-income countries (LMIC) of the Asia-Pacific region seeking to reorient primary health care (PHC) systems to achieve universal health coverage may be hindered by lack of knowledge of what works in their setting. With limited resources for research available, it is important to identify evidence-based strategies for reorganising PHC delivery, determine where relevant evidence gaps exist and prioritise these for future study. This paper describes an approach for doing this using the best available evidence combined with consultation to establish evidence priorities. We first reviewed PHC organisational interventions in Asia-Pacific LMICs and ascertained evidence gaps. The largest gaps related to interventions to promote access to essential medicines, patient management tools, effective health promotion strategies and service planning and accountability. Evidence from Pacific Island countries was particularly scant. We then engaged an expert panel of 22 PHC stakeholders from seven Asia-Pacific LMICs in a Delphi exercise to identify priority questions for future research. Research priorities were: (1) identifying effective PHC service delivery models for chronic diseases; (2) devising sustainable models of disease integration; (3) optimising task shifting; (4) understanding barriers to care continuity; (5) projecting future PHC needs; and (6) designing appropriate PHC service packages. Notably, stakeholder-determined priorities reflected large, context-dependent system issues, while evidence gaps centred on discrete interventions. Future research on the organisation of PHC services in Asia-Pacific LMICs should incorporate codesign principles to engage researchers and national PHC system stakeholders, and innovative methods that build on existing evidence and account for system complexity.

Introduction. General practitioners (GP) answer calls to the Danish out-of-hours primary care service (OOH) in Denmark, and this is a subject of discussions about quality and cost-effectiveness. The aim of this study was to estimate changes in fee costs if nurses substituted the GPs. Methods. We applied experiences from The Netherlands on nurse performance in the OOH triage concerning the number of calls per hour. Using the 2011 number of calls in one region, we examined three hypothetical scenarios with nurse triage and calculated the differences in fee costs. Results. A new organisation with 97 employed nurses would be needed. Fewer telephone consultations may result in an increase of face-to-face contacts, resulting in an increase of 23.6% in costs fees. Under optimal circumstances (e.g., a lower demand for OOH services, a high telephone termination rate, and unchanged GP fees) the costs could be reduced by 26.2% though excluding administrative costs of a new organisation. Conclusion. Substituting GPs with nurses in OOH primary care may increase the cost in fees compared to a model with only GPs. Further research is needed involving more influencing factors, such as costs due to nurse training and running the organisation.

Purpose This paper aims to examine the contributions of hybrid organisations to wellbeing in small Pacific island countries. Design/methodology/approach The concept and different forms of hybrid organisations are examined, and then the operation and contributions to wellbeing of three Fijian hybrid organisations are considered. Findings Hybrid organisations in this region operate with a commitment to the common good and an ethic of care. Fijian hybrid organisations improve social and economic wellbeing for individuals, families and communities by providing employment, schools and training facilities, financial and support services, sustainable agriculture projects and facilitating networking. These services improve individual and community social and economic wellbeing, build resilience, add to personal and family security, offer opportunities for the future, advance leadership skills and sustain the environment. Commercial activities that support these organisations in their wellbeing endeavours include product sales, service fees, project levies and investment income. Research limitations/implications Generalisability beyond the Pacific region is not assured, as this review only examines hybrid organisations in small Pacific island countries. Practical implications Hybrid organisations offer an alternative pathway to achieve a sustainable enterprise economy, an approach that is more culturally relevant for the Pacific region. Policies to nurture the development of these organisations, and research into the startup, operation, impact and effectiveness of different hybrid organisation models would help to improve wellbeing in this region. International charities and aid agencies could advance the wellbeing of people living in this region by supporting the development of hybrid organisations. External agencies seeking to support hybrid organisation development are advised to consider providing funding through a regional agency rather than engaging directly with national governments. Social implications Developing a robust hybrid organisation sector will improve social and economic wellbeing for people living in small island nations. Originality/value As one of the first studies to examine wellbeing and hybrid organisations, this review adds to hybrid business theory by its consideration of small Pacific island countries. The authors add to existing understandings of how hybrid organisations contribute to social and economic wellbeing for individuals, families and communities. The review identifies each form hybrid organisational form adopts. Each has a central commitment to generating social and economic value but different revenue sources. The review adds valuable new knowledge to the limited scholarship of this region by identifying the philosophical foundations and contributions to wellbeing of these hybrid organisations. A future research agenda and policy development process is proposed to improve wellbeing and advance hybrid organisations in the region.

Introduction. The aim of the study is to find ways to expand teacher efficacy by examining how the teacher’s efficacy varies according to the school organisation culture and the level of the professional learning community. Materials and Methods. Survey methods were used to collect the data from 400 in-service teachers at elementary, middle, and high schools in South Korea, with five schools selected from each region, respectively. This study utilizes the data from 359 teachers. This study used a random sampling method, taking the location of the school into consideration. Descriptive statistics were used to examine the overall trends in school organisation culture. T-test was used to examine differences among research variables depending on the personal background of gender and teacher level, and the F-test and Scheffe tests were used for school level and teaching experience. Results. First, school’s organization culture is transforming and evolving into a more ideal and model culture. As schools increasingly transform into innovative schools, innovative cultures and group cultures gradually form. Second, a school is a type of organization system that elicits responses elicits a variety of responses from the teachers depending on their personal background and characteristics. Third, professional learning communities have a positive effect on teacher efficacy. Therefore, school organisation culture can be seen as a better predictor of teacher ef ficacy than a professional learning community. Discussion and Conclusion. The article is of interest to the managers of the school educat ion system.

Characteristics of the infrastructure supporting the tourist sphere in the regions can be presented in a digitized format reflecting the data pertaining to (1) dichotomous qualitative characteristics, (2) score characteristics as multi-qualitative characteristics, and (3) quantitative characteristics. Thus presented, the data are easily processed and interpreted by the administra-tive, managerial and grass-root regional tourist industry personnel. The options for data organisation presented in the article allow not only to assess the comparative difference between regional tourist destinations and tourist service, but also to carry out an integral comparative analisys of the regions and recreational areas in terms of tourist infrastructure quality. The methodology proposed by the authors has been successfully applied to the context of collective accommodation facilities (CAFs) in a number ofSouthern-Federal-District-located regions. Application of the methodology includes the algorithm of dichotomous, score qualitative and quantitative characteristic processing, as well as a graphic interpretation of the ranking of the dichotomous characteristics of CAFs in the regions targeted by the research. The authors present the results of the analysis of the CAFs quality in the dichotomous, score and qualitative format, and conclude this method of data presentation to be universally applicable to tourist destinations, service and recreational facilities. To substantiate managerial decisions as applied to the research-targeted regions, the authors provide the results of the rating of factors detrimental to the tourist, tourist service and recreational-activity development. The authors claim that the methodology elaborated on in the article can be used for assessing the quality of the service of any regional tourist industry components, as well as an objective comparison and a region-wide analysis of the traveler-oriented service quality.

Within the IT4Anxiety project, the World Health Organisation Collaborating Centre (WHOCC) for research and training in mental health of Lille, is the leader of the work package “identification of needs among the different actors in the mental health field”. The complexity of our object of study - the use of new technologies for people’s mental health - requires undertaking a multi-disciplinary approach, considering both the clinical and the socio-anthropological aspects. A mixed-methods research conducted with pepole people experiencing anxiety, carers and professionnals, aims to describe the use, acceptability and needs of the different categories of actors concerned by the use of new technologies. The quantitative part is a cross-sectional, descriptive, observational study. A anonymous self-administered questionnaire is distributed online and in hard copy in the 5 partner countries (Belgium, France, Germany, the Netherlands and the UK) to the three study populations. It consists of access to digital tools or technological solutions, experience related to these and the contribution and perceived effect of users to e-mental health related projects. The qualitative approach includes a detailed understanding of the potential therapeutic and socio-anthropological changes that these tools can bring. It explores : description of used technologies, the representations and emerging needs in relation to the management of anxiety and the improvement of mental health ; the clinical impact perceived by all stakeholders and the implementation of new ways of living with the tools. This international research will enable a comparative study to be carried out on the dynamics of appropriation of these e-(mental) health devices in different countries of the North-Western European region. Disclosure No significant relationships.

The contribution presents results of the research focused on the adaptation of small and medium-sized enterprises (SMEs) in the service sector to technological, economic, social and environmental conditions of Industry and Society 4.0. The main goals of the research were the analysis and evaluation of the current state, preparedness, motivation and needs of SMEs in the sector of knowledge-intensive services for the timely, purposeful and effective implementation of Industry 4.0 methods and tools in the South-West region of the Czech Republic. The methodological approach is based on a mixed research strategy. Qualitative and quantitative methods such as desk research, explanatory and interpretation methods, questionnaire survey, semi-structured interview and evaluation of data and information were used to achieve the research goals. The results document the high current and future need to increase the knowledge and innovation potential of SMEs, the need for changes in the organisation and content of work, the need for changes in the competencies of employees in the context of robotisation, automation and digitisation of business processes. The results demonstrate barriers to access to sufficient internal and external financial resources, as well as a strong interest of SMEs in cooperation with the academic sector and regional authorities in the development of methodological tools for adaptation to new societal conditions and in the interest of the sustainable existence of these enterprises. The direction of future research is oriented towards the creation of a methodology for the adaptation of SMEs to the conditions of Industry and Society 4.0.

Appropriate feeding practices are fundamental importance for the survival, growth, development and health of the infant and young children. However; exclusive breastfeeding remains a challenge because of many factors. It was suggested that mother's knowledge, attitude and practice determines the effectiveness of exclusive breastfeeding. This research is a cross-sectional study aimed to assesses mother's knowledge, attitude and practice towards optimal breastfeeding among Ginjo Guduru kebele. The survey was conducted from June 29-July30, 2018, from a total of 315 mothers who had children under one (1) year age, 190 mothers were selected using simple random sampling. Structured pre-tested questionnaires, as well as the in-depth interview, was used to collect the data on the socio-economic, demographic characteristics, knowledge attitude and practice towards exclusive breastfeeding. Among mothers studied about 73.94% had good knowledge of effective breastfeeding, 63.99% of mothers had a positive attitude on effective breastfeeding, and 69.69% had a good practice of effective breastfeeding. About 24.06% of mothers had poor knowledge of effective breastfeeding, approximately 36.11% of mothers had a poor level of attitude on effective breastfeeding, and about 31.31% of mothers had a poor practice of effective breastfeeding. Health service delivery staffs Policymakers, administrators and Non-governmental organisation collaborates to draw strategies to enhance the awareness of mothers about effective breastfeeding.

Based on the principle of health equity, the Italian National Health Service is known worldwide for being a universalistic system that guarantees healthcare services for all its population, among which there are undocumented migrants. A commitment for their health needs is further motivated by their lower utilisation rates of healthcare services, which becomes even more crucial when considering chronic conditions such as diabetes that require adherence and continuity of care. However, the need for more official data has resulted in little research documenting these healthcare usage patterns. For this reason, our objective has been to deepen, from the Italian NHS perspective, the quantity, costs, type, preventability and organisation of healthcare services directed to undocumented migrants. We used official healthcare data from the Lombardy Region, which enable the identification of people receiving the STP code (undocumented migrants) and of people with foreign citizenship (documented migrants). After quantifying the average annual amount and expenditure for healthcare services grouped by Italian citizens, documented migrants and undocumented migrants for all clinical conditions (quantity and costs), we performed three primary investigations where we enlightened differences between the three mentioned groups focusing on the diagnosis of diabetes: (i) mapping the types of healthcare services used and their characteristics (type); (ii) quantifying the impact of preventable hospital admissions (preventability); (iii) examining the healthcare patterns linking pharmaceutical prescriptions with hospital accesses (organisation). Our results reveal significant differences among the three groups, such as more urgent hospital admissions, more preventable complications, and a higher recurrence in terms of access and costs to hospital services rather than pharmaceutical prescriptions for undocumented migrants. These findings can represent the leverage to raise awareness toward the emerging challenges of the migrant health burden.

The Home Project was a three-year collaborative research project, established through a partnership between Northern Rivers Performing Arts (NORPA) and the School of Arts and Social Sciences (SASS) at Southern Cross University (SCU). The Home Project’s objective was to raise awareness of homelessness in the Northern Rivers region of New South Wales through creative arts practice and community engagement activities. The broad project aims were to explore questions of home, homelessness and belonging in Northern Rivers’ communities; to address the experiences of individuals affected by homelessness; and, where appropriate, to provide avenues for public dissemination of the stories of individuals who are or have been without a home. This article discusses the activities undertaken in each year of the project, providing a case study of a community engaged research project involving collaboration between university staff and students, a performing arts organisation and a community service provider. We analyse the development of the project over the three years and discuss the emergence of the theme of ‘hospitality’, which came to frame the project in its latter stages as we focused our activities at the Winsome Hotel, a Heritage listed and iconic Australian hotel that now offers low-cost daily lunches and a short-term accommodation service for marginalised men. This focus on the Winsome Hotel and hospitality gave us, as researchers, a new way to think about the provision of services to people without a home.Keywords: Homelessness, hospitality, creative arts practice, community engagement, NORPA, Southern Cross University

This study set out to identify the specific success factors and impacts microfinance has for poor women who predominate in microfinance programs and to articulate policies to raise poor women above subsistence level in India. The study collected data from 200 poor female member of two organisations Vagad Region Service Research Organisation and Self Employed Women’s Cooperative Bank in India. The three data sets from surveys, case studies of selected members and interviews with staff from the respective organisations were triangulated. The results indicate membership of SEWA and VLSSS, gives members access to financial and non- financial products and services which enable them to improve their general standard of living. The poor female members predominate in microfinance because they value access to credit have high repayment rates, invest in the family, and use credit to escape social restrictions. Polices that can assist poor women to rise above subsistence level include providing access to decent health care, vocational training, and functioning education system, investment in public transport and road infrastructure and licences to run a business.