Service Model Research Articles

Digital Transformation Model of Population Administration Services for Regional Development through a Population Data Utilization System in Medan City

This research aims to examine the influence of digital transformation on population administration services and its implications for regional development in Medan City. Against the background of the need to increase the efficiency and effectiveness of public services, this research adopts a quantitative approach, using tools such as questionnaires, in-depth interviews and observations to collect data. Against the background of the need to increase the efficiency and effectiveness of public services, this research adopts a quantitative approach, using tools such as questionnaires, in-depth interviews and observations to collect data. The research results indicate that digitalization of population services makes a positive contribution to improving the quality of public services, which indirectly influences regional development through increasing efficiency, accessibility and transparency of services. And this research provides insight into e-government strategies in Medan, supporting the effective use of population data in supporting inclusive and sustainable regional development.

Analisis Financial Distress pada Perusahaan Sektor Perdagangan, Jasa dan Investasi yang Terdaftar di Bursa Efek Indonesia

Identification of financial distress conditions was an important thing for companies to anticipate bankruptcy. This study was aimed to analyze the financial distress model in trading, service and investment sector companies in 2018-2020 using the Altman Z-Score, Grover, Springate and Zmijewski modified models. In addition, this was also aimed to determine the level of accuracy of the Modified Altman Z-Score, Grover, Springate and Zmijewski models. This research was included in the type of quantitative research. The research population consisted of all trading, service and investment companies listed on the Indonesian Stock Exchange during the period 2018-2020. This study used purposive sampling technique with total 133 companies. The data analysis model used in this study were the Altman Z-Score, Grover, Springate and Zmijewski Modified Model. It was conducted by taking secondary data from the Indonesian Stock Exchange website (www.idx.co.id). Based on the results of the analysis that had been carried out, the results showed that: (1) There were 55,89% companies experiencing financial distress and 44,11% non-financial distress using the Springate model on the analysis; (2) On the analysis using the Altman Z-Score Modified model, there were 25.81% companies experiencing financial distress and 59,65% nonfinancial distress; (3) Using the Zmijewski model, it showed that 20,80% of companies experienced financial distress and 79,20% of non-financial distress; (4) Using the Grover model, it showed that 20.80% of companies experienced financial distress and 77,94% of non-financial distress; (5) The Springate model was the most accurate model in analyzing the financial distress. Keywords: Accuracy Level, Altman Z-Score Modification, Financial Distress, Grover, Springate, Zmijewski.

Enhancing HIV pre-exposure prophylaxis outcomes among Kenyan adolescent girls and young women with a novel pharmacy-based PrEP delivery platform: protocol for a cluster-randomized controlled trial

BackgroundIn Kenya, 65% of sexually active unmarried women use modern contraceptives, a population at increased risk of HIV acquisition compared to other populations. Anchoring HIV prevention services, including pre-exposure prophylaxis (PrEP), to trusted contraceptive delivery settings offers opportunities to efficiently reach this important population. In Kenya, almost half (40%) of women accessing contraception services do so outside traditional healthcare facilities, such as retail pharmacies. Thus, integrating PrEP services into retail pharmacies may increase options for reaching adolescent girls and young women (AGYW) who could benefit from PrEP. Efforts are underway to define care pathways for pharmacy-delivered PrEP services in Kenya, including unsupported and supported models with nurse navigators.MethodsThe AGYW Pharmacy PrEP study is an unblinded 2-arm cluster-randomized controlled trial in Kisumu, Kenya. The objective is to determine the effect that unsupported versus supported pharmacy-delivered PrEP services has on PrEP initiation, persistence, and adherence among AGYW seeking contraception. Twenty retail pharmacies offering pharmacy provider-led PrEP delivery will be randomized 1:1 to either receive or not receive a nurse navigator to support PrEP delivery. Eligible AGYW (n = 1900 total, n = 950/arm) will be ≥ 15 years old, purchasing a method of contraception at the pharmacy. Trained pharmacy provider will offer eligible AGYW either daily oral PrEP or the monthly DPV vaginal ring. The primary trial outcomes are PrEP initiation (use of PrEP at 1 month), persistence (use of PrEP at 10 months), and adherence (quantified by levels of TFV or DPV in hair samples). Additionally, several secondary (STI incidence, PrEP method selection, predictors of PrEP adherence) and exploratory outcomes (HIV incidence, quality of care, contraceptive method mix) will be explored.DiscussionWe hypothesize pharmacy-delivered PrEP services supported with nurse navigator, versus delivered by pharmacy providers alone, will improve PrEP outcomes among AGYW seeking contraception. Our results will help policy makers better understand how to potentially implement this novel differentiated service model for PrEP and prime pharmacies for the delivery of new PrEP agents in the pipeline (e.g., long-acting injectables and multi-purpose technologies). The study was initiated on May 13, 2023, and is expected to be completed by February 2025.Trial RegistrationClinicalTrials.gov (NCT05467306), with registration on July 20, 2022.

Identifying research priorities and essential elements of palliative care services for people facing malignant brain tumors: A participatory co-design approach.

Primary malignant brain tumors (ie, brain cancer) impact the quality of life (QoL) for patients and care partners in disease-specific ways involving cognition and communication. Palliative care (PC) addresses patient/care partner QoL, but it is not known how PC may address the unique needs of brain cancer patients. The purpose of this project was to identify brain cancer PC research priorities using participatory co-design methods. Participatory co-design included the formation of a longitudinal, collaborative advisory group, engagement frameworks, design-thinking processes, and social media-based engagement over a 1-year period. Community-identified brain cancer QoL needs and research priorities were mapped to proposed "essential elements" of brain cancer PC services. We engaged an estimated 500 patients, care partners, healthcare professionals, and others with an interest in QoL and PC services for people with malignant brain tumors. Research priorities included testing the early introduction of PC services designed to address the unique QoL needs of brain cancer patients and care partners. Essential elements of brain cancer PC include: (1) addressing brain cancer patients' unique range of QoL needs and concerns, which change over time, (2) tailoring existing services and approaches to patient needs and concerns, (3) enhancing the involvement of interprofessional care team members, and (4) optimizing timing for PC services. This was the first participatory research effort exploring brain cancer patient and care partner QoL needs and PC services. The brain tumor community calls for research testing PC service models for patients that incorporate the "essential elements" of palliative care.

Reilly’s gravity law adapted to finance

The present paper proposes new indicators that explain the pricing of the unitary pure interest rates and interests by adapting previous Reilly’s Law (RL) models of urban economics and regional economics and Financial Gravity (FG) models for financial services. A panel dataset of 114 countries for 1967-2021 is handled, applying the OLS methodology. The results show the higher explanatory power of the adaptation of the FG models rather than the proposed adaptation of the RL ones. Purpose: This paper tries to adapt previous Gravity Equations from Urban Economics to Finance and empirically checks whether they behave better than the recently found Financial Gravity (FG) models. For that, new indicators are provided jointly with their adaptations to Ordinary Least Square (OLS) methods. Additionally, an economic perspective of the bid-asks of financial products is provided. Design/methodology/approach: OLS methods are used to check the desirability and accuracy of the new indicators. A panel dataset of 114 countries for 1967-2021 is handled, applying the OLS methodology. Findings: The most adequate are the FG models after the empirical check, providing the desirable properties of those models. The results show the higher explanatory power of the adaptation of the FG models rather than the proposed adaptation of the RL ones. Originality: This is the first paper, to the author’s knowledge, on providing an adaptation of Reilly’s Law from urban economics models to finance, also providing empirical evidence after adapting these models to linear expressions for applying OLS methods. We also provide evidence on the statistical equality between the unitary pure interest of loan and deposit interests, confirming the good properties of the FG models.

FogDEFTKube: Standards‐compliant dynamic deployment of fog service containers

AbstractThe traditional cloud‐centric approach in IoT applications lack the speed and efficiency required for time‐critical tasks, resulting in network inefficiencies. To address this, the notions of Edge and Fog computing have emerged as alternatives. Fog computing facilitates the deployment of services and applications closer to the network's edge, lowering latency and allowing real‐time capabilities. It enhances reliability, fault tolerance, and connectivity in areas with spotty network coverage. Despite the fact that fog computing overcomes the limitations of cloud‐centric IoT processing, its adoption faces challenges like platform independence, interoperability, and portability. To tackle these challenges, the FogDEFT (Fog computing out of the box: Dynamic dEployment of Fog service containers with TOSCA) framework was developed. It complies to OASIS‐TOSCA standards and guarantees dynamic deployment of fog services on resource‐constrained devices while leveraging Docker containerization technology to ensure platform independence and interoperability. Due to its tight coupling with Docker Swarm, which is designed for medium‐sized deployments, the fogDEFT framework is constrained by Docker Swarm's limitations, hindering its ability to effectively manage large‐scale, automated, and resource‐efficient microservice deployments. To address these limitations, we propose FogDEFTKube, an extension of the FogDEFT architecture that incorporates Kubernetes for orchestration, Jenkins for continuous integration and deployment, and a comprehensive redefinition of the core capabilities of the FogDEFT architecture. This offers a promising solution that supports Kubernetes for handling scalable and highly available fog applications with ease while offering CI/CD. FogDEFTKube simplifies the modeling and deployment of fog services while abstracting the complexities of underlying fog networks.

Quantification of the flood mitigation ecosystem service by coupling hydrological and hydrodynamic models

Flood mitigation service provides crucial information for reducing flood disasters and assessing ecosystem capacities by quantifying how much damage is reduced and how many benefiting areas are protected during flood events. However, there remains a gap in the full-process quantification, which results in less precise simulation outcomes. In this study, we introduce a novel methodology to accurately quantify the flood mitigation service of ecosystems by coupling hydrological and hydrodynamic models. We utilized the Hydrological Simulation Program-Fortran (HSPF) model to simulate peak flow and flood volume and then used these data as inputs for the Environmental Fluid Dynamics Code (EFDC) hydrodynamic model to simulate the spatial extent and depth of flood inundation. The contribution and capacity of the ecosystem are reflected through the reduction in peak flow, flood volume, and inundation areas. We used the Nandu Basin flood event in October 2010 as a case study to illustrate our approach, comparing our assessment results with those simulated by the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) model and the Height Above Nearest Drainage (HAND) model. The results demonstrate that coupling the HSPF model (R2 = 0.93) with the EFDC model (overlap ratio = 83.71 %) allows for precise quantification of flood mitigation service. The process-based hydrological and hydrodynamic models show a high correlation with the simpler and faster InVEST and HAND model simulations, with the full-process models reducing relative errors by 7.66 % and 5.25 % respectively. This study offers a promising approach for accurately and comprehensively assessing flood mitigation ecosystem service and provides a basis for model selection.

State customs services quality: marketing model and assessment methodology transformation

The article studies the sphere of public services provided by customs authorities. The purpose of the study is to analyze the marketing model of customs services marketing model transformation under the conditions of the customer-centricity principles implementation and the customs administration system digital transformation. The relevance of the study is conditioned by the necessity to elaborate the rendering services mechanism in order to improve their quality and satisfaction of the final consumer (interested citizens, participants of foreign economic activity) with the result of receiving the service. The main tasks of the study are to identify problematic factors of the rendering state customs services mechanism, to determine their essence, and to structure their sphere. The article used both theoretical (current normative-legal acts and modern researchers’ scientific works analysis) and empirical (practical substantiation of ways to improve the customs control efficiency and the state customs services quality) research methods. Based on the analysis of the customs value definition as a state customs unformalized service, the problematic aspects that reduce the service quality and the level of participants’ satisfaction in foreign economic activity have been identified. The study proposes possible options for solving the identified problematic aspects on the basis of the developed marketing model and methodology for assessing the customs services quality. Its fragment has been presented by the author on the example of goods customs value control and confirmation.

Supporting whānau during COVID-19 pandemic in Aotearoa New Zealand: a systems thinking case study

BackgroundThe Aotearoa New Zealand COVID-19 pandemic response has been hailed as a success story, however, there are concerns about how equitable it has been. This study explored the experience of a collective of Māori health and social service providers in the greater Wellington region of Aotearoa New Zeland delivering COVID-19 responses.MethodsThe study was a collaboration between a large urban Māori health and social service provider, Tākiri Mai Te Ata whānau ora collective, and public health researchers in Aotearoa New Zealand. Two online workshops were held with staff of the Māori service provider, collectively developing a qualitative causal loop diagram and generating systemic insights. The causal loop diagram showed interactions of various factors affecting COVID-19 response for supporting whānau (Māori family/households) at a community level. The iceberg model of systems thinking offered insights for action in understanding causal loop diagrams, emphasizing impactful changes at less visible levels.ResultsSix interacting subsystems were identified within the causal loop diagram that highlighted the systemic barriers and opportunities for effective COVID-19 response to Māori whānau. The medical model of health service produces difficulties for delivering kaupapa Māori services. Along with pre-existing vulnerability and health system gaps, these difficulties increased the risk of negative impacts on Māori whānau as COVID-19 cases increased. The study highlighted a critical need to create equal power in health perspectives, reducing dominance of the individual-focused medical model for better support of whānau during future pandemics.ConclusionsThe study provided insights on systemic traps, their interactions and delays contributing to a relatively less effective COVID-19 response for Māori whānau and offered insights for improvement. In the light of recent changes in the Aotearoa New Zealand health system, the findings emphasize the urgent need for structural reform to address power imbalances and establish kaupapa Māori approach and equity as a norm in service planning and delivery.

The Co-Production of Service: Modeling Services in Contact Centers Using Hawkes Processes

In customer support contact centers, every service interaction involves a messaging dialogue between a customer and an agent; together, they exchange information, solve problems, and collectively co-produce the service. Because the service progression is shaped by the history of conversation thus far, we propose a bivariate marked Hawkes process cluster model of the customer-agent interaction. To evaluate our stochastic model of service, we apply it to an industry contact center data set containing nearly 5 million messages. Through both a novel residual analysis comparison and several Monte Carlo goodness-of-fit tests, we show that the Hawkes cluster model indeed captures dynamics at the heart of the service and surpasses classic models that do not incorporate the service history. Furthermore, in an entirely data-driven simulation, we demonstrate how this history-dependent model can be leveraged operationally to inform a prediction-based routing policy. We show that widely used and well-studied customer routing policies can be outperformed with simple modifications according to the Hawkes model. Through analysis of a stylized model proposed in the contact center literature, we prove that service heterogeneity can cause this underperformance and, moreover, that such heterogeneity will occur if service closures are not carefully managed. This paper was accepted by Elena Katok, operations management. Funding: The authors are grateful for the generous support of this work by the National Science Foundation Division of Graduate Education [Grant DGE-1650441] (A. Daw), the Israel Science Foundation [Grant 336/19] (G. B. Yom-Tov), and the United States-Israel Binational Science Foundation [Grant 2022095] (A. Daw, G. B. Yom-Tov). Supplemental Material: The online appendix and data files are available at https://doi.org/10.1287/mnsc.2021.04060 .

EFFORTS TO IMPROVE THE DEVELOPMENT OF THE MEUNASAH MEE VILLAGE COMMUNITY IN THE FIELDS OF EDUCATION, ECONOMY AND SOCIAL IN KEMBANG TANJONG DISTRICT, PIDIE REGENCY THROUGH STUDENTS' REAL WORK LECTURES (KKN)

Real Work Lecture (KKN) is a community service model that focuses on empowering families in educational, economic, social and environmental aspects. KKN places students living with the community in forming institutions or community development, especially existing community institutions. Through this KKN, students together with the community identify problems and mobilize all existing potentials for the progress of the community. Based on this, we propose a work program in Gampong Meunasah Mee, Kembang Tanjong District, Pidie. The purpose of this work program is to provide evidence of devotion to Gampong Meunasah Mee, especially the community and village officials. This activity can be carried out well and produces several KKN student activity programs in the field of Education, namely teaching TPA, teaching the Koran, teaching computers and organizing volleyball tournaments and social services. This activity targets children, parents of students, the community and also, village officials in Gampong Meunsah Mee, Kembang Tanjong District, Pidie Regency. This activity is beneficial for the village community for future development and progress, especially for the apparatus. This activity is expected to provide provisions for the village community and village officials in managing and organizing the village well.

International experience in the implementation of the service model of the police and its role in protecting the constitutional rights and legitimate interests of the individual

Relevance. The study is relevant because the global trend in public administration emphasizes respecting citizens' legitimate rights and interests. As a key law enforcement agency, the police play a crucial role in this respect. Transitioning to a service model can transform the police from a punitive body to one that serves society and provides quality services. Purpose. The study aims to investigate the experience of implementing the service model of policing in various developed countries, identify the core principles of this model, and determine its role in protecting citizens' constitutional rights and legitimate interests. Methodology. The primary method used is generalization. By examining the different ways countries have transitioned to a service model, the study identifies the main features and principles that constitute this model. Results. The study examines the concept of service policing, defining its signs and principles. It analyzes the implementation experiences in highly developed countries such as the United States, Great Britain, and Japan. The study explores specific programs and technologies used, as well as the positive and negative aspects and consequences of applying the model. It also assesses the role of this transition in protecting constitutional rights and legitimate interests. Conclusions. The study concludes that adopting a service model of policing, as evidenced by experiences in developed countries, is crucial for protecting citizens' constitutional rights and interests. Key principles include legislative and executive support, community engagement, and the use of effective programs and technologies. This model enhances public trust, law enforcement effectiveness, and fosters a cooperative relationship between the police and the community, ultimately contributing to a safer and more just society. Keywords: community-oriented police; police services; transition to a service model; law enforcement

Contesting the service model of ‘care’ in disabling capitalism: a Disability Politics perspective

Mainstream feminist perspectives on social reproduction often portray non-disabled women as active providers of a service (care) to those assumed to be its passive, agency-less recipients. In response, this article accounts for social reproduction as a key factor in the reproduction of disabling capitalist social relations and argues for an understanding of social reproduction that no longer obscures the contributions of those considered to be ‘cared for’. Alternatives to what is termed here ‘the service model of care’ can be established through mobilising and organising for In(ter)dependent Living through an anti-productivist politics whose social relations prefigure alternatives against and beyond disabling capitalism.

Canteen Crave - Website for College Canteen

This project addresses the outdated canteen website in our college by introducing a modern, user-friendly platform. Focused on enhancing the ordering process and overall dining experience, our research surveys, and iterative design to meet diverse user needs. Through this project, we aim to set a new standard for campus dining, offering insights and best. This research paper investigates the integration of our project ( pre-ordering food systems ) in college canteens as a means to revolutionize traditional food service models. This research paper explores the implementation and impact of our project CANTEEN CRAVE, pre-ordering food systems in college canteens to enhance efficiency and customer satisfaction. With the rising demand for convenient dining experiences, especially within educational institutions, pre-ordering food has emerged as a promising solution to minimize long queues, reduce waiting times, and optimize resource utilization in canteen operations. The study investigates the feasibility, effectiveness, and user perceptions of integrating pre-ordering technology into college canteen services. pr s Keywords — Admin, Backend, Database, Frontend, User.

Characterizing models of adolescent and youth-friendly health services in sub-Saharan Africa: a scoping review.

This scoping review provides an up-to-date overview of the evidence on adolescent and youth-friendly health services (AYFHS) in sub-Saharan African countries. We conducted a search of four databases and grey literature sources to identify English language publications from January 1, 2005, to December 14th, 2022. The review synthesized evidence on the models and characteristics of AYFHS, the application of World Health Organization (WHO) standards, and whether AYFHS have improved young people's health outcomes. In total, 77 sources were included in the review, representing 47 AYFHS initiatives spanning 19 countries, and three multi-country reports. Most commonly, AYFHS were delivered in public health facilities and focused on sexual and reproductive health, with limited application of WHO standards. Some evidence suggested that AYFHS increased young people's health service utilization and contraceptives uptake. There is a clear need to strengthen and develop innovative and multi-pronged approaches to delivering and evaluating AYFHS in this region.

Destination Image Semiotics: Evidence from Asian and European Upscale Hospitality Services

Given the importance of semiotics and destination image (TDI) in the field of tourism and hospitality marketing, this study proposes a conceptual model that integrates Peirce’s semiotic triad, Grönroos’s quality service model, and Morris’s semiotic trichotomies in the TDI formation circle. The new framework aims to measure the contribution of quality hospitality services to online TDI formation. Using scaled comparisons of homogeneous big data, this framework was empirically tested with all two- and three-star Michelin restaurants and a sample of 100 four- and five-star hotels, all located in Asia and Europe, reviewed in 317,979 online travel reviews (OTRs) hosted on TripAdvisor. The results showed that three-star restaurants and five-star hotels are more popular in terms of the number of OTRs, but diners and guests are more satisfied with and loyal to two-star restaurants and four-star hotels. This big data finding contradicts previous survey-based research on quality services. Instead, the results confirm that consumer satisfaction positively affects consumer loyalty. The new approach to the TDI from a semiotic perspective—destination image semiotics—can represent a paradigm shift in the analysis of TDI through user-generated content (UGC). The proposed conceptual framework integrates several sound theoretical models to extract maximum insights from UGC.

Pengaruh E-Kualitas Pelayanan Terhadap Kepuasan Pelanggan Pengguna Aplikasi PLN Mobile Pelanggan

By following the times, companies provide electronic services (e-service quality). E-service quality or electronic service can be defined as an interactive service offered by service providers, which aims to strengthen the relationship between consumers and service providers. The quality of service of a company is needed to meet the increasingly diverse needs of society. Therefore, entrepreneurs make new innovations to provide the best quality of service. One company that implements online-based service innovations is the State-Owned Enterprise (BUMN) company PT PLN (Persero). PT PLN created a service model in the form of an application called PLN Mobile to make it easier for customers to meet their information needs and interactions with PLN.This study aims to determine the effect of E-quality of service on customer satisfaction of PLN mobile application users of PT PLN (Persero) ULP Perbaungan customers. The population of this study was 1,151 households of electricity meter users using the Slovin sampling formula, obtained a sample size of 43 samples who had downloaded the PLN mobile application in PlayStore. Then for the analysis technique using multiple linear regression analysis and data processing using SPSS software version 20. Based on the research results, it can be concluded that E-Service Quality (Efficient and reliable service, Fullfilment, Security / trust, Site aesthetics, Responsiveness / contact, Ease of use) simultaneously has a significant influence on Customer Satisfaction.

Assessment of ecosystem health and driving forces in response to landscape pattern dynamics: the Shibing Karst world natural heritage site case study

The Shibing Karst constitutes a pivotal component of the "South China Karst," and its ecosystem health integrity crucially influences the Outstanding Universal Value (OUV) of the corresponding Natural World Heritage (NWH). Consequently, robust ecosystem health assessment (EHA) is imperative for the judicious conservation and management of this heritage, as well as for the sustainable progression of the region. This research assessed the health of the Shibing Karst ecosystem from 2004 to 2020 by employing changes in landscape patterns through the Vigor-Organization-Resilience-Ecosystem Services (VORS) model. Spatial autocorrelation was employed to discern the spatial coherence and evolutionary patterns of ecosystem health, whereas a geo-detector ascertained the pivotal determinants impacting regional ecosystem vitality. The findings revealed that: (1) The landscape patterns distribution in the study area exhibited considerable constancy, primarily comprising forest land, with a rising trajectory in construction land and water, juxtaposed with a recession in shrubland, grassland, paddy land, and dryland expanses. (2) From 2004 to 2020, the ecosystem of the study area maintained its health and remained stable, with mean values of 0.8303, 0.7689, 0.6976, and 0.7824, respectively, showing an evolutionary trend of an initial downtrend trend followed by an upswing, with 2016 marking a pivotal juncture. (3) Spatial clustering analysis highlighted significant clustering characteristics of ecosystem health, with a nominal decrease in the Global Moran's I index from 0.666 to 0.665, which is indicative of a subtle decrease in clustering over time. High-high clustering areas were predominantly located within the World Heritage Site (WHS), while low-low clustering areas were mainly distributed in the southeastern part of buffer zone. (4) Land use and cover change (LUCC) and Ecosystem Services (ESs) were identified as the primary indexes of EHA, with Ecosystem Resilience (ER), Ecosystem Vigor (EV), and Ecosystem Organization (EO) exerting relatively mild influences. This study provides a scientific framework for policymakers in local governance to devise strategies for ecosystem conservation and management, enhances the analytical perspective on the integrity and conservation of Karst Natural World Heritage (KNWH).

Navigating the future of Alzheimer’s care in Ireland - a service model for disease-modifying therapies in small and medium-sized healthcare systems

BackgroundA new class of antibody-based drug therapy with the potential for disease modification is now available for Alzheimer’s disease (AD). However, the complexity of drug eligibility, administration, cost, and safety of such disease modifying therapies (DMTs) necessitates adopting new treatment and care pathways. A working group was convened in Ireland to consider the implications of, and health system readiness for, DMTs for AD, and to describe a service model for the detection, diagnosis, and management of early AD in the Irish context, providing a template for similar small-medium sized healthcare systems.MethodsA series of facilitated workshops with a multidisciplinary working group, including Patient and Public Involvement (PPI) members, were undertaken. This informed a series of recommendations for the implementation of new DMTs using an evidence-based conceptual framework for health system readiness based on [1] material resources and structures and [2] human and institutional relationships, values, and norms.ResultsWe describe a hub-and-spoke model, which utilises the existing dementia care ecosystem as outlined in Ireland’s Model of Care for Dementia, with Regional Specialist Memory Services (RSMS) acting as central hubs and Memory Assessment and Support Services (MASS) functioning as spokes for less central areas. We provide criteria for DMT referral, eligibility, administration, and ongoing monitoring.ConclusionsHealthcare systems worldwide are acknowledging the need for advanced clinical pathways for AD, driven by better diagnostics and the emergence of DMTs. Despite facing significant challenges in integrating DMTs into existing care models, the potential for overcoming challenges exists through increased funding, resources, and the development of a structured national treatment network, as proposed in Ireland’s Model of Care for Dementia. This approach offers a replicable blueprint for other healthcare systems with similar scale and complexity.

Availability and stability of palliative care for family members of terminally ill patients in an integrated model of health and social care

BackgroundPalliative care and the integration of health and social care have gradually become the key direction of development to address the aging of the population and the growing burden of multimorbidity at the end of life in the elderly.AimsTo explore the benefits/effectiveness of the availability and stability of palliative care for family members of terminally ill patients in an integrated institution for health and social care.MethodsThis prospective observational study was conducted at an integrated institution for health and social care. 230 patients with terminal illness who received palliative care and their family members were included. Questionnaires and scales were administered to the family members of patients during the palliative care process, including quality-of-life (SF-8), family burden (FBSD, CBI), anxiety (HAMA), and distress (DT). We used paired t-tests and correlation analyses to analyze the data pertaining to our research questions.ResultsIn the integrated institution for health and social care, palliative care can effectively improve quality of life, reduce the family’s burden and relieve psychological impact for family members of terminally ill patients. Palliative care was an independent influencing factor on the quality of life, family burden, and psychosocial status. Independently of patient-related and family-related factors, the results are stable and widely applicable.ConclusionThe findings underline the availability and stability of palliative care and the popularization of an integrated service model of health and social care for elder adults.