Analysis Of Service Provision Research Articles

The selective collection of municipal solid waste and other factors determining cost efficiency. An analysis of service provision by spanish municipalities

In recent years, concerns about the increasing generation of municipal solid waste, together with related health and environmental issues and regulatory changes, have motivated significant alterations in the provision of waste management services, such as the introduction of selective collection (by type of waste). However, these changes may impact on service costs and/or efficiency. The present study was undertaken to analyse the efficiency of the waste management service in Spain, using data from 283 municipalities for the period 2005–2015. The analysis consists of two phases: first, the application of panel data order-m frontiers, that allows to obtain a homogeneous estimation of efficiency based on the input–output relationship at the production process (Surroca et al., 2016), and second, the use of bootstrapped truncated regression, considering different municipal sizes. The results obtained show that cost efficiency is increased with selective collection and by certain political and socio-economic factors of the local governments, concretely with the government by a progressive party, coalition governments, a greater financial independence, a greater tourist and industrial activity and a greater proportion of women and of foreign-born residents in the municipality. We also show that municipal direct provision is the least efficient management form for this service. The main contribution made by this study is to examine the influence of different elements of service output (i.e., selection by type of waste vs. non-selection) on cost efficiency.

Situational analysis of service provision for adolescents with mental and neurological disorders in in two districts of Ghana

BackgroundPrevalence among adolescents with mental disorders are about 20% worldwide. In 2012, Ghana enacted the Mental Health Act, Act 846 to regulate mental health care, but did not include specific programmatic details of service provision nor any measurable indicators for adolescent mental health. Currently no service programmes focused on adolescents and no aggregated data exists documenting prevalence of mental and neurological disorders among adolescents. In the Brong Ahafo region, mental health providers carry out simultaneous programmes to diagnose, treat, and counsel patients. There is a need to investigate how these service programmes are currently functioning as measured by World Health Organisation guidelines. This study therefore, investigated quality of service provision for adolescents with mental disorders in Kintampo North and South districts of central Ghana.MethodsMixed method approach of quantitative and qualitative data collection, organization, and analysis was implored. Quantitative method data collection used case registers to identify mental and neurological disorders among adolescents. Qualitative methods used in-depth interviews of service providers, primary caregivers, and users of healthcare on the services available to treat mental and neurological disorders among adolescents. A combination of quality standards tools was used to assess services.ResultsEpilepsy was the most common treated disorder among adolescents receiving services at the four facilities in the two districts. Providers and stakeholders had limited or no training in adolescent mental health. Validated diagnostic tools were not being used to rule out differential diagnosis; medication procurement was a challenge to consistent treatment. Data collection and analysis was not standardized. Providers, stakeholders, patients, and their primary caregivers reported challenges with funding, transportation logistics, and stigma against people with mental and neurological disorders.ConclusionThere are few mental health service providers for people living with mental disorders in the two Kintampo districts, with no specific services for adolescents. The Mental Health Act 846 of 2012 is an important milestone in mental health care but there are not specific plans for its implementation. Community sensitization, education in mental health and neurological disorders, and advocacy against stigma are all successful programmes that have the potential to be scaled up.

How to best manage time interaction with patients? Community pharmacist workload and service provision analysis.

Primary health care disease management models are rooted in multidisciplinary participation; however, implementation of services is lagging behind desires and predictions. Barriers like workload and lack of demand have been described. The aim of this research is to observe the workload and work patterns of Portuguese community pharmacists, and relate it with the demand of pharmaceutical services. A time-and-motion observational study was performed to describe community pharmacists' workload in a sample of four pharmacies in the metropolitan Lisbon area. A reference list of activities to be observed was developed by reviewing other studies of community pharmacy work. This study took place during a weekday's 8-h shift, focusing on pharmacists' activities. Data to be collected included the type and duration of the activity, who performed it and where. To estimate the demand of pharmaceutical care services, "thematic-patient scenarios" were developed. These scenarios were based on the defined daily dose and package size of the most consumed medicines in Portugal, combined with data obtained from the four pharmacies' information systems on the day the observational study took place. Between 67.0% and 81.8% of the registered activities were pharmacist-patient interactions. These interactions summed 158.44min, with a mean duration of 3.98min per interaction. On average, participant pharmacies' professionals handled 4.2 prescriptions and 0.9 over-the-counter (OTC) consultations per hour. About one third of the day was spent performing administrative and non-differentiated tasks. About 54.92min were registered as free time, 50% of which were "micro pauses" with 1min or less. The most dispensed therapeutic subgroup was antihypertensive drugs, while the dispensation of antidiabetics was characterized by a high number of packages sold per interaction. From the developed scenarios, one can estimate that a chronic patient may visit the pharmacy 4-9 times per year, depending on the condition presented. Workload results are very similar to findings from studies in other countries, which may be an indication of uniformity of community pharmacy practice across countries. The amount of time a pharmacist has at the counter to interact with a patient during a year renders disease management or therapeutic management non-viable. Also, the perception of "lack of time," many times reported as a barrier for service provision, must be called into question, since substantial available time was found. However, to turn this available time into usable time, redesign of work processes and new role definition are necessary. Both better management and new communication channels should be developed to address this gap and increase patient follow-up services.

An Analysis of Service Provision and Visitor Impacts Using Participant Observation and Photographic Documentation: The National Cherry Blossom Festival

Using participant observation and photographic documentation, a study of the National Cherry Blossom Festival was conducted to evaluate service provision and impacts on National Mall and Memorial Parks (National Mall) resources. Specifically, the researchers examined the adequacies of National Park Service facilities and services to meet festival visitors' needs as well as assessed human impacts on the natural and cultural resources in the National Mall. The study results suggested that the nature of this cultural event led to intense, concentrated consumption and usage of facilities, services, and natural resources, making it difficult for management to keep up with visitor demand and risking long-term degradation of the natural resources. Detailed recommendations set forth a plan of action to protect the natural resources while not overly constraining visitor behaviors. Managers of large and small cultural festivals around the globe subject to these same carrying capacity issues can benefit from the recommendations put forth in this study. Additionally, the participant observation and photographic documentation methods applied in this study can be utilized in evaluating visitor behaviors and impacts in festival and event contexts.

Improving access to online multilingual resources by adopting the My Language Portal in the City of Greater Dandenong Libraries

This paper reports on the implementation of ‘My Language Portal’ in the City of Greater Dandenong Libraries (CGDL), Melbourne, Victoria, through the development of a ‘My Language Portal Project Plan’ in 2006. It discusses how the aims of the designers of My Language Portal (MLP) are fulfilled in the exceptional, changing demographics of Dandenong. It provides a rationale for the adoption of MLP, by evaluating census and library statistics, and through local assessment of usability features. Wide consultation led to the creation of a user guide in the form of a fact sheet for users of CGD Libraries, and collaborations with IT and marketing staff are strongly recommended to facilitate smooth implementation. MLP offers a powerful online multilingual resource that bridges the inevitable gap in collections caused by an inability to immediately provide inhouse appropriate resources for recently-arrived and diverse migrant communities. Analysis of service provision in Dandenong highlights the need for extra resources, for improved information literacy training, and marketing, and for increasing the number of public access terminals.

Population size and functional efficiency in public library authorities: the statistical evidence

Regression analysis is used to analyse the available statistical evidence on the range, cost and usage of UK public libraries to determine whether any gen eral relationship exists between the pop ulation size served by a public library authrority and its functional efficiency, while recognizing that some aspects of the impact of size require a more quali tative assessment. Examines the perfor mance of the smallest authorities against the UK national average. The statistical analysis of service provision over the 1980s is based on the returns made by the chief librarians to the annual Public Library Statistics (Actuals) produced by CIPFA's (Chartered Institute of Public Finance and Accountancy) Statistical Information Service. The general mea sures of service used in the study consist of: total number of service points; lend ing limit (maximum number of items allowable on loan); issue period; and opening hours (including mobile libraries). Results provide some confir mation of diseconomies of scale in small library authoritites, which incur greater per capita expenditure than larger author ities. Concludes that size is not the only factor determining the scope and range of services. The research was supported by a grant from the British Library, Research and Development Department.

Psychiatric rehabilitation and caring for people: A systematic analysis of service provision

The legislation on implementing Community Care in the United Kingdom has generated a great deal of debate. In this paper the concept of case management is discussed and is placed in the context of viewing psychiatric rehabilitation as a systemic process.

Economies of Scale in Residential Care

The rapid growth in the British public sector since the turn of the century, and particularly since the end of the last war, has been most noticeably experienced in the social services. By 1974, expenditure on the health, welfare, education, housing, and income maintenance services accounted for almost half of total expenditure, having grown at an average rate of exactly ten per cent per annum since 1951. Unfortunately, this growth has not been accompanied by an increased awareness of the need for socio‐economic monitoring and analysis of service provision. Only since the oil crisis of 1973, as cutback has followed cutback, and as central and local government administrators have been faced with the problem of increasing, or at least maintaining, output levels whilst input supplies have steadily fallen, has attention been focused upon efficiency and effectiveness.