Service Hierarchy Research Articles

Defining, measuring and managing healthcare quality using unstructured physician review comments

PurposePhysician review websites (PRW) and Medicare requirements are pressing administrators to measure, monitor and improve healthcare service delivery. Healthcare service attributes linked to patient satisfaction have received increased attention. Text analysis provides an alternative methodology to capture contemporaneous data on service delivery attributes. A Kano analysis based on these service attributes can help administrators prioritize service delivery and ultimately improve patient satisfaction.Design/methodology/approachHealthcare service attributes were defined from 4,000+ comments on a PRW using latent content text analysis. The resulting 15 attributes were validated by medical professionals using a q-sort methodology and analyzed using a Kano methodology.FindingsThe 15 attributes cover three domains of healthcare service – clinic operations, competency and care. The Kano analysis yields a hierarchy, or pyramid, of healthcare service attributes: (1) must-be’s: establish service operational capabilities and benchmark peer performance; (2) satisfiers: establish and increase trust through: (a) clinical competence, (b) careful management of young patients and (c) delivery of appropriate care and treatment (3) delighters: use service-dominant logic to provide patient-centered care.Originality/valueThis research bridges the gap between the “what” and “how” that is frequently missing in text analysis of online reviews. We provide a methodology coupled with a Kano analysis, a widely used quality improvement tool, which results in a hierarchy of service attributes that can guide administrators and researchers.

Collaborative governance in integrated healthcare networks: insights from the cancer program in Québec (Canada)

Context: The challenge of modernizing health services delivery for cancer patients and their loved ones involves moving towards integrated network-based practices. While initiatives at different levels of healthcare systems contribute to this movement, further efforts are needed to maintain and extend gains to adapt to the complex and fast-changing cancer environment. A collaborative governance regime, understood as a form of capacity building for joint action across boundaries, represents a promising way to improve and sustain integrated care.
 Objective: This presentation reports insights from providers and users of health services gained from the experience in operationalizing an integrated network-of-networks in the context of a national cancer program in Quebec (Canada). 
 Methods: Methods: Insights are drawn from a larger multiple case study that took place from 2018 to 2021. Participants (n=39) are knowledgeable informants on how “mandated” integration structures and processes support collaboration among the various components of the network. Documents (n=45) related to network governance and integrated practices are also included. The data collection guide and analysis based on qualitative interpretive description are framed on the Collaborative Governance framework to capture critical dimensions in the integration process. These include clear mission, common and shared definition of complex problems and potential solutions, and identification of common values to support motivation, engagement and capacity for joint action.
 Results: We report on three main tensions related to integration in the cancer network that suggest strategies for enhancing collaborative governance: 
 The first tension emerges as some participants perceive “mandated integration” within a “prescribed collaborative work” as a constraint that undermines previous collaborative work at local level. This tension leads to unresolved controversies within and between actor groups, weakening the mechanisms of collaborative governance. 
 The second tension is a principle-to-practice divide around engaging people affected by cancer in network governance. Despite widespread motivation, participation at the local level varies according to managers' willingness and skill in creating open and inclusive processes where evidence-based medical practice and lived patient experience can be assembled. This tension is seen to contribute to a poor consideration of patient perspectives during the highly volatile period of decision-making during the COVID-19 pandemic.
 The third tension involves the hierarchy of cancer services promoted in the national cancer program and the standardization of practices. Organizing the network-of- networks by cancer specialization involves creating trajectories by type of cancer and their navigation according to established standards of practice and quality considerations. The consequent redistribution of human and financial resources, and revised ownership of care process creates perceived asymmetries between cancer network professionals and centers and controversies that hinder integrated practices. 
 Conclusion: Despite favorable starting conditions from the national cancer program and its central leadership promoting collaborative governance, tensions that emerge through the pursuit of network integration limit the transition to a more collaborative regime. Taking the time to work out these tensions as integration proceeds appears essential to arrive at a governance model that is appropriate and acceptable for all network members.

Специфика профессионально важных качеств заместителей командиров взводов вузов ФСИН России

Introduction. The successful functioning of the cadet training unit is directly related to the management of their team members. Achievement of good performance is also ensured through the tutorial work of the deputy platoon commander, selected from the ranks of the cadets. The activity of the deputy platoon commander and the necessity for certain personal qualities in it are influenced by the specifics of the departmental university, the duality of the position in the hierarchy of service, some socio-psychological characteristics of students and their personal qualities. Research purpose: to identify a set of psychological characteristics that improve the effectiveness of deputy platoon commanders of educational organizations of the Federal Penitentiary Service of Russia based on the assessments of the qualified experts. Theoretical framework of the study is a review of publications devoted to the issues of professionally significant qualities and training of junior commanders in higher education institutions of the Ministry of Internal Affairs of Russia, Ministry of Emergency Situations of Russia, Federal Drug Control Service of Russia, Ministry of Defense of Russia, as well as related studies concerning deputy platoon commanders of the Federal Penitentiary Service of Russia.
 Methods. An anonymous questionnaire survey on two blanks was used to identify the psychological characteristics of deputy platoon commanders. The total sample of respondents was 362 individuals (22 individuals were employees of training and combat units of faculties, 49 participants were deputy platoon commanders, and 291 participants were cadets).
 The result of the study is a description of the deputy platoon commander training in educational organizations of the Federal Penitentiary Service of Russia by the following characteristic: a responsible leader with well-developed communicative skills, characterized by diligence, stress resistance in a conflict, self-confidence, disciplining and justice. Thus, a number of psychological qualities are typical for a junior commander of a departmental university, which include responsibility, leadership qualities, communication skills, self-confidence, and disciplining. Key qualities for a deputy platoon commander of an educational organization of the Federal Penitentiary Service of Russia are stress resistance in a conflict and justice.

UNDERSTANDING AGE DIFFERENCES IN GRIEF SUPPORT NEEDS: RESULTS FROM A COMMUNITY-WIDE SURVEY

Abstract Experiences of grief and bereavement differ across the lifespan. As such, needs for community grief services may vary based on age. This presentation outlines age differences found in the community-wide survey conducted during the Exploration and Preparation phases of the EPIS framework. A total of 668 community members within an age range of 18-65+ completed the survey. The majority of participants were 18-29 (n = 358, 54%), 28% were 65 or older (n = 186), 11% ages 50-64 (n = 71), and 8% ages 30-49 (n = 52). Survey results revealed both age differences and similarities in experiences of loss, participation in past grief services, likelihood of participating in future grief services, and barriers to participating in services. Respondents aged 65 or older experienced significantly greater lifetime loss compared to other age groups, with 100% reporting having experienced the death of someone significant to them. Yet, older adults and adults aged 30-64 reported similar rates of participation in past grief services. However, while older adults shared the least barriers to participating in grief services, they reported similar likelihoods of participating in a variety of future grief services as adults aged 30-49 or 50-64. The survey demonstrated that while older adults experienced the greatest amount of loss, they did not report the highest overall likelihood of utilizing grief services. Rather, each age-group presented a distinct and nuanced hierarchy of preferred grief services and needs, the details of which will be explained further in this presentation.

“OPTIMIZATION” OF THE RURAL SCHOOL NETWORK: PROS AND CONS (CASE STUDY OF THE UVAROVSKY DISTRICT, TAMBOV OBLAST)

During the 2000-2010-s many rural schools faced the optimization process in Russia. In this context, the Tambov Region is of exceptional interest due to the highest rates of rural schools reorganization in 2001-2019. The aim of the study is to assess at a qualitative level the pros and cons of optimizing the educational infrastructure considering the example of the Uvarovsky district, typical for the Tambov region. Based on the field data collected in July 2022, the following positive consequences of optimization could be identified: the largest villages strengthen their position in the hierarchy of rural social services; the normative distance for transporting children (30 km) contributes to the preservation of small schools and their staff in remote villages. The problem of the staff shortage in rural schools could be solved using mixed full-time - distance learning format with the involvement of teachers from cities or large rural settlements, since during the COVID-19 pandemic, children mastered the curriculum in such format without reducing the quality of education. The main negative consequences are as follows: the rate of depopulation of small villages increases with the closure of branch schools; small schools located less than 30 km away from a larger school will be closed, and the daily commuting will have a negative impact on academic performance and general well-being of pupils. The discrepancy between registered and actual residents (including children) results in incorrect decisions at the regional level regarding the preservation of social infrastructure facilities, therefore updating information on those actually living in villages gains the utmost importance. The results of field data analysis for the Uvarovsky district of the Tambov region could be useful for further study of optimization processes in other moderately populated regions of Russia.

Integrating Maslow’s Hierarchy of Needs and Ecosystem Services into Spatial Optimization of Urban Functions

It is vital to conduct urban ecosystem service evaluations and demarcate ecological management zoning to preserve regional ecological security and the spatial optimization of urban functions. This study assessed and examined the spatial distribution characteristics of the supply and demand of five typical ecosystem services in Zhengzhou and their matching pattern. Based on Maslow’s hierarchy of needs, urban ecological management zoning was demarcated to guide the spatial optimization of urban functions. The results showed that most of the ecological goods and services in Zhengzhou were generally provided in the west and south of the city. High-value areas of ecosystem service demand were mainly found in the urban center. There was a definite circle structure of total ecosystem service demand. Carbon sequestration, grain production, water yield, and habitat maintenance in the urban center area indicated an ecological deficit. Soil conservation in most regions was a surplus trend. Zhengzhou was demarcated into five groups of ecological management zoning. Different preferences had an impact on the ecosystem service supply and demand. The rise in living conditions led to an increase in the demand for high-level ecological services. This study can provide an essential theoretical basis and practical assistance for urban space optimization and ecosystem service management.

Designing a developmental Counseling Model based on How to Face the Process of Time and the Responsibility of Existence According to Islamic Culture

Aim: The development of an integrated model of counseling on growth with an emphasis on how to face the process of time and the responsibility of existence in accordance with the intellectual horizon of the referents in Islamic culture is the aim of this research, which is necessary based on the emphasis on cultural psychology.
 Methods:The method of this research is the use of Schleiermacher's classical hermeneutics, which has been integrated by examining the selected theories step by step, and has been put into a format suitable for Islamic thought. The method of interpretation in this method is done using the grammatical and technical features of the text and is classified in the form of partial and general interpretation. The integration model is obtained with the method of inductive and deductive logic, finally deals with the purpose, techniques and treatment process in a practical and practical attitude while having the basics and principles.
 Findings: The findings show that the foundations of the formed pattern include the basis of perfection with principles (contradiction, desire for perfection, agency, hierarchy of existence, service, regularity and continuous creation, orientation and purposefulness); The basis of unity with principles (completion, connection of parts, acceptance and integration, fixed truth, immutability of the rules and causality of existence, balance and compatibility), the basis of immortality with principles (the desire to return to the origin, spatiality, temporality of existence, temporal integration, death, existential rotation). It is based on purposefulness with principles (leadership, power of creation, administration and continuity of existence, comprehensiveness). which is in accordance with the principles and principles with the ultimate goal, techniques and treatment process.
 Conclusion: The integrated developmental model in combination with the Islamic horizon in the hermeneutic way is a new model that can be efficient in creating harmony with the intellectual foundations of the clientes and without creating conflicting discourses, it can expand the intellectual horizon of the reference and specify a path and meaning for him.

Interaction Design Based on Big Data Community Home Care Service Demand Levels

Most of the contemporary models for meeting the majority of the needs of middle-aged and elderly people are community-based, in-home care. Therefore, this paper designs an Interaction model that can meet the need for a rich spiritual and cultural life of the elderly at home. First, the questionnaire content of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) sampling method was designed based on the content of community-based home care services. Then, using the CLHLS sampling method, the survey results of the home care group were collected to form a community of big data consisting of four types of home care service needs. Finally, the Interaction book model was designed based on the hierarchy of service needs obtained from Abraham Maslow’s hierarchy of needs classification method. The experimental results showed that the mean values of the target population’s ratings for the presentation and interface aesthetics of the Interaction mode were 4.34 and 4.19, respectively, the mean value for improving the learning effectiveness of the home-bound population was 4.57, and the mean value for their overall satisfaction was 4.31. It proves that the Interaction model is ideal for practice and can meet the learning needs of the elderly, at-home population from different service demand levels, thus solving the problem of education for the elderly.

Understanding the relationship between terminal illness and tourism: An exploratory study

Two research questions lie at the heart of this paper: what are the needs of terminally ill patients and their families and what can tourism providers do to better meet these needs? We offer both theoretical and managerial contributions to these questions, drawing insights from our extensive empirical research into terminal illness, positioned here as a profound form of unsettled times. We mine the stories collected from in excess of 200 patients and their families diagnosed with a terminal illness through to bereavement. Domestic tourism, visiting friends and relatives and respite care all dominate this space. We propose a hierarchy of service needs categorised as: emotional; informational; environmental; restorative; and aftercare, offering also a temporal understanding of which services are needed, and at which point in time. Future opportunities to test the validity of this hierarchy in other health-tourism contexts to aid tourism business planning and practice are outlined.

PENGGUNAAN SISTEM INFORMASI GEOGRAFIS DALAM PENENTUAN KESESUAIAN LOKASI SARANA PENDIDIKAN MENENGAH DI KECAMATAN MIJEN

Mijen District based on Semarang City Regional Regulation Number 14 of 2011 concerning Spatial Planning for Semarang City 2011-2031 is one of the educational areas in Semarang City which is planned to further develop vocational education facilities into favorite educational facilities. Education is an important aspect in the development of people's lives because it is the basis for the development of a constructive and creative mindset. The population that continues to increase needs to be balanced with the optimization of the function of public service facilities, one of which is education. To make Mijen District have superior secondary education facilities, it is necessary to fulfill the need for education in Mijen District, one of which is by paying attention to the location of education. Location of educational facilities that are safe, comfortable, strategic, and easily accessible is one of the important factors that excellent educational facilities must have. Therefore, it is necessary to identify the suitability of the location for secondary education facilities in Mijen District by taking into account factors such as area function, disaster-prone, accessibility, and service coverage. This analysis uses quantitative research methods with geographic information system tools in the form of scoring, overlay and network analysis. Geographic information systems can be used to identify the suitability of the location of secondary education facilities. The application of geographic information systems supported by further studies such as identification of demand and availability of educational facilities as well as the hierarchy of services can play a role in determining the location of appropriate and targeted secondary education facilities.

نموذج مقترح لتصنيف ومعدلات الخدمات الإدارية بالمدن المصرية

Administrative services and improving their quality in cities are two of the most significant planning factors that must be considered and distributed. Where the quality of administrative services is influenced by many factors, the most significant of which is the mechanism and how the services are delivered. Therefore, the research aims to reach a proposed model for administrative service planning rates in Egyptian cities. In addition to developing a complete concept and classification of administrative services by researching administrative services in various Arab and international nations, as well as their rates in those countries. Besides identifying the hierarchy of administrative services in the city in general. The average of administrative services in different countries was concluded, given the per capita share at the district level: 0,46– 0,93 m2/person, and at the city level: 1,35 – 1,85 m2/person. By exploring the planning rates for administrative services in Egyptian capital cities and new cities, the proposed model for all administrative services that must be available in those cities to achieve self-sufficiency in service and improve the special rate for administrative services was developed. Although some Egyptian cities have reached higher rates than their worldwide equivalents, these rates have not been fully examined for the population's demands for the same service, and as a result, certain resources and services have been wasted at the loss of other services that have problems.

The analysis of sociocultural importance of the Chinese traditional game “Promoting Officials”

The subject of this research is an ancient Chinese board game “Promoting Officials” (Shengguan Tu), which has a history of more than a thousand years. Unfortunately, after the overthrow of the monarchical structure in 1911, this game gradually ceased to be played. The “Promoting Officials” can be referred to as the game of chance, and its rules remind of the modern game “Monopoly”. Two or more players take turns to roll the dice, which decide whether to move forward or step back. The winner is the one who first reaches the center, position tai shi – mentor of the emperor, grand preceptor. The relevance of this work is substantiated by the absence of research on this cultural phenomenon within the Russian science. The study is based mostly on authentic materials in the Chinese language. The author highlights the connection of the game with the historical era, social structure, hierarchy of state service, education and upbringing of youth, the Confucian doctrine prevalent in the Chinese society. The main conclusions consists in recognition that the board game “Shengguan Tu” played an important role in strengthening the cult of education among youth and regards to the government bureaucratic apparatus. This game also resembles the folk wisdom of the Chinese people.

Robust optimization for the hierarchical mixed capacitated general routing problem applied to winter road maintenance

This paper studies the Mixed Capacitated General Routing Problem (MCGRP) under demand uncertainty and service hierarchy using a robust optimization approach. The problem is motivated by an industrial problem: the winter road salt spreading with street hierarchy and demand variation due to the weather or traffic conditions. The street hierarchy or the street priority is modeled with time-dependent cost. We present a robust counterpart formulation with graph transformation to node routing in order to optimize the worst-case realization of the demands from the uncertainty set. We use CPLEX to solve small instances and we developed a variant of the Slack Induction by String Removals metaheuristic for large-scale instances called the Robust SISRs. In the computational analysis we used a Monte carlo simulation to study the robust approach on real-life case studies.

The Traditional Ranks in the Petrine Epoch: Between Afterlife and Innovation

The ranks and awards of Russian service elites and nobility have been a historiographical issue since the eighteenth century. G. F. Miller reflected on the psychology of the Tsar’s subjects, who asked Peter the Great to keep some of the old ranks during the introduction of new ones and described two such cases. Soviet historians of the 1980s discovered several appointments to the old ranks made in the early eighteenth century and registered in archival documents. These curious cases were interpreted by researchers as isolated exceptions or the result of the inertia of old practices. The study of mass historical sources has since led to the discovery of more than 1100 cases of this kind and provided different contexts in which these awards were granted. It was previously thought that Tsar Peter ridiculed the old ranks, giving them only to his jesters. Modern research on Peter’s innovations leads to a different view. For example, the introduction of the Hungarian dress and beard shaving was carried out in several steps, with backtracking. There has also been some oversimplification of the comparative pairs of epithets, such as “Muscovite-Imperial”, “old-new”, “ and “boyars-nobility”, which reflects nothing but the didactic attitudes of historians themselves. This article demonstrates that there was no dearth of official awards or withdrawal of the Duma ranks until the 1710s, at least. The introduction of The Table of Ranks did not abolish the ranks of “courtiers” (tsaredvortsy), as the earlier Muscovite ranks were called, which became the basis of the nobility. Peter I introduced several innovations to the traditional service hierarchy. Before the beginning of the Great Northern War, hundreds of the Tsarina’s stol’niki and court servitors were transferred to the Muscovite ranks, following which the Zhiletsky List continued being replenished for some years afterwards. The drama of ranks was aggravated by the enhanced status of the regular army ranks, which were outside the Moskovsky Spisok (the hierarchy of traditional ranks). The course of events was accelerated by the Tsar’s intention to implement European analogues of court and civil titles. Nevertheless, the popularity of the traditional ranks outside the army remained high. According to many sources, the traditional ranks of Muscovy were kept in check and re-registered throughout Peter’s reign. The Tsar’s decrees raised the status of military service. He sometimes approved petitions for the Duma ranks by several of his subjects and had his unique way of indicating the prospects for advancement to other petitioners. The low-level Muscovite ranks within the traditional hierarchy proved to be more stable than previously assumed. Muscovite ranks were not included in The Table of Ranks because the only rank of mass appointments by the early 1720s was that of a d’iak.

Organizational structure of the state civil service of Russia in Russia during the XVI – XVII centuries

This article examines the organizational structure of the state civil service during institutionalization of the system of public administration in the XVI – XVII centuries. The author describes the characteristic traits of this stage of development of the civil service system as a whole, including the highly personalized nature of carrying service, narrow separation between civil and military service, as well as the presence of rank system that was applicable to both the government apparatus and the society. In this context, the author explores the key misinterpretations of the term “rank”, its partial conflation with the concept of “post”, and the absence of universal definition. Research is also conducted on correlation between the organizational structure of the civil service and the class composition of the Tsardom of Russia, which has proven the possibility of separating the system of ranks of public servants from the unified social hierarchy. Special attention is given to the clerical service and its organizational structure: comparison of the status of clerical servants with the elements of the legal status of modern civil servant considering this type of service as the closest prototype of the state civil service. The basic traits of the clerical service include professional character, rigid hierarchy, stability, enforcement nature of activity, additional rights and responsibilities. The author highlights the key role of the concept of “rank” as the characteristic of the position of am individual within service hierarchy, used to for creating a prototype of the organizational structure of the state civil service. The scientific novelty consist in determination of the characteristic features of the organizational structure of civil service as whole, and state civil service in particular, which prove the existence of the developed, although non-unified hierarchy that later provided the framework for the reforms of Peter the Great. This confirms the gradual and consistent, rather than revolutionary nature of the transformations introduced by the Table of Ranks. Such approach gives a more comprehensive perspective upon the evolution of the institution of organizational structure of the state civil service.

Valuation of ecosystem services in a region: A review of the international experience

The paper aims to investigate the international experience of valuation and identification of ecosystem services. The theoretical and methodological basis of the research includes the theory of value and the ecosystem approach. The authors apply the dialectical method, logical abstraction, comparative analysis, grouping method, and the method of analogies. To build the hierarchy of ecosystem services and determine the most important ones in relation to soil and forest ecosystems statistical methods are implemented. The paper presents the results of the analysis of the key projects on valuation of ecosystem services in terms of content, scale and adopted methods; the identification of the most often valuated ecosystem services; and refined classification of ecosystem services and method for their evaluation. The practical significance of the research lies in the improvement of the economic mechanism of the regulation of natural resources management, which is meant to mitigate the negative consequences of climate change, what eventually will increase the probability of attaining the UN Sustainable Development Goals by 2030. The research findings form the basis for further formulation of the methodological recommendations about valuation of the ecosystem services in different physical-geographical zones.

Discretionary power as a political weapon against foreigners

The administrative practices of officials who process the admission of immigrants show severe variations in the ways in which migration policy is enforced on the ground. For the author, inequality of treatment lies in the very hierarchy of tasks and services of what he dubs, following Pierre Bourdieu, the immigration "field". According to the author, the governments’ securitizing priorities favour the sort of suspicion towards foreigners that the media then reproduces, thus authorizing so-called street-level bureaucrats to act with great leeway with regard to immigrants. Under pressure, governments implement what the author calls a "trompe-l’oeil policy" that explores the ambivalence between international and domestic law: while the state enforces repressive laws that apparently comply with fundamental human rights, it leaves to low-ranking civil servants enough discretion to make those rights ineffective. This point is the author’s central contention. The arbitrariness of these officials is neither contingent nor accidental: it actually constitutes a purposive "front-line policy" to enlarge the discretionary power of street-level bureaucrats in charge of regulating admissions. Unequal treatment comes in three flavours in this context. First, officials are asked to ensure that each right granted to a foreigner will not threaten the national order, which means the economic, social and political order. They are therefore in a position to judge the suitability of each application in view of their own arbitrary interpretation of what such "threats" consist of. The question of discretionary power is in this way intimately linked to the problem of equality before the law. Second, the scarcity of material and human resources allocated to services in charge of welcoming migrants starkly contrasts with the expenditure incurred to deport foreigners. Inequality also arises from how agents perceive users and the leeway they have to implement the law. Third, inequality is related to foreigners’ abilities and means to challenge discretionary power, especially through the legal tools they use or through legal intermediaries. The author thus concludes that such "front-line policy" has increasingly been used as a weapon against migrants, especially since the early 2000s, when immigration and detention policies were generalized in France. More broadly, in Europe as well as in United States, immigration reforms have made greater use of detention and focused on enforcement rather than on hosting programs and services for asylum seekers. But they have also strengthened the role of legal intermediaries. Hence the need to investigate how discretionary power is challenged as it sheds light on the power relations between states and migrants. Keywords: foreigners, discretion, sociology, participant observation, front-line policy, illegalism, jobs, insecurity, legal intermediaries

Дефиниране, анализиране и усъвършенстване на управлението на услугите на агроекосистемите

The present article suggests a holistic framework for defining, evaluating and improving the governance of agroecosystem services in Bulgaria. The interdisciplinary Theory of Ecosystem Services and the New Institutional Economy are adapted, and an attempt made to define the governance of agroecosystem services, to identify its agents, forms and mechanisms, to formulate an adequate criterion for evaluating its efficiency, and to characterize the stages for its analysis and improvement. The proposed new approach is based on the building up of a hierarchy of agroecosystems and services related to its different levels, as well as an assessment of the system of governance that corresponds to each level of provision of agroecosystem services.

Shared manufacturing in the sharing economy: Concept, definition and service operations

Sharing Economy promotes Shared Manufacturing (SharedMfg) that allows self-organized individuals to get involved in manufacturing activities through peer-to-peer (P2P) collaborations. It extends the scope and depth of resources sharing and enables society-based manufacturing integration. SharedMfg is complex and is still in its infancy. It demands encouraging research to clarify the concept and understand the key operations. In this paper, the SharedMfg is analysed along with two significant manufacturing evolutional trends, (i.e., Servitization and Industry 4.0). Based on this, to reduce the complexities in operations, the concept and definition of SharedMfg are presented on the basis of a service hierarchy that includes Product-Service System, Configuration-Service System and Resource-Service System. At the same time, this paper looks SharedMfg as an independent socialization manufacturing mode (e.g. compared with Cloud Manufacturing), and also, the benefit in contributing to the integration of the manufacturing and service sectors is revealed. However, apart from the complexity, high-degree dynamics and uncertainties related to service operations challenge the application of SharedMfg as well. To meet both requirements, based on the construction of a three-dimensional SharedMfg Service (SMS) modelling framework, a hybrid integration and interoperable SharedMfg architecture is proposed to ensure the provision of SMS in efficiency and effectiveness. Furthermore, a dynamic SMS scheduling method in support of the technologies of Complex Network Analysis is presented. A case study associated with the networked fabrication of an assistive glove is applied by implementing a prototype system to validate the proposed frameworks and methods. Finally, an experiment for evaluating the efficiency of service matching is carried out to prove the SharedMfg that can provide better performance than Cloud Manufacturing and Social Manufacturing.

Implementing a layperson post-crash first aid training programme in Tanzania: a qualitative study of stakeholder perspectives

BackgroundIn low and middle-income countries (LMICs), laypersons play a significant role in providing initial care to injured victims of traffic accidents. Post-crash first aid (PFA) training programmes for laypersons have become an important response to addressing knowledge and skills gaps in pre-hospital care. However, little is known about factors influencing effective implementation of such programmes from stakeholders’ point of view. Therefore, this study aimed to explore views of stakeholders on potential factors that may facilitate or hinder successful implementation of a PFA training programme for lay persons.MethodsTwelve semi-structured qualitative interviews with leaders at a traffic police department and leaders of an association of city bus drivers, taxi drivers and motorcycle taxis in Tanzania were conducted. Interviews were audio-recorded and transcribed verbatim. A thematic analysis approach was used to identify themes and sub-themes.ResultsThree themes pertaining to implementation of a PFA training programme were identified: Motivation for engaging in training, Constrains for engaging in training and Training processes. They consisted of a total of six sub-themes: “perceived benefits of first aid training” and “availability of incentives” were considered as facilitators to PFA training. “Availability of time to attend training” and “accessibility of training” were reported as a potential barriers to successful training. Finally, they felt that “methods of training delivery” and “availability of first aid training materials and equipment” could either facilitate or impede delivery of PFA training.ConclusionThis study highlights potential facilitators and barriers to implementing a PFA training programme for lay persons from the perspectives of leaders from police department and associations of city bus drivers, taxi drivers, and motorcycle taxis. This may be useful information for other stakeholders, and may enable government-level leaders and persons higher up in the health service hierarchy to take action to meet WHO recommendations for emergency pre-hospital care.