Types Of Services Research Articles

Equine-assisted services for motor outcomes of autistic children: A systematic review.

Equine-assisted services use various aspects of horses, like their movement, warmth, and size, to enhance individuals' overall well-being. Many studies have underscored the positive impact of equine-assisted services on autistic children, affecting areas such as social interaction, communication, engagement, stereotypical behaviors, and motor functions. Given the growing recognition of motor functions as clinical specifiers in autism, it is imperative to specifically investigate how equine-assisted services influence these outcomes. To address this, we conducted a systematic review to synthesize existing literature on the effects of equine-assisted services on motor outcomes of autistic children. Our review encompassed study characteristics, features of equine-assisted service interventions, and major motor outcomes. We also evaluated the methodological quality of the equine-assisted service studies to offer insights for future research directions. Through thorough database searches and the use of the standardized procedure of conducting a systematic review (The Preferred Reporting Items for Systematic Reviews and Meta-analyses), 12 research studies were identified and included. These studies reported the effects of various equine-assisted service types (such as therapy, horsemanship, or learning) on motor outcomes of autistic children. Significant enhancements in coordination, strength, balance, posture, and overall motor skills indicate the effectiveness of equine-assisted services in improving motor outcomes of autistic children. Building on these findings, we provide recommendations for future research endeavors aimed at enhancing the reliability and validity of using equine-assisted services to improve motor outcomes of autistic children. This work contributes to a deeper understanding of how equine-assisted services can benefit this population and guides the development of more effective equine-assisted service interventions.

Predicting Intervention Use in Youth with Rare Variants in Autism-Associated Genes.

Specialized multidisciplinary supports are important for long-term outcomes for autistic youth. Although family and child factors predict service utilization in autism, little is known with respect to youth with rare, autism-associated genetic variants, who frequently have increased psychiatric, developmental, and behavioral needs. We investigate the impact of family factors on service utilization to determine whether caregiver (autistic features, education, income) and child (autistic features, sex, age, IQ, co-occurring conditions) factors predicted service type (e.g., speech, occupational, behavioral) and intensity (hours/year) among children with autism-associated variants (N = 125), some of whom also had a confirmed ASD diagnosis. Analyses revealed variability in the types of services used across a range of child demographic, behavioral, and mental health characteristics. Speech therapy was the most received service (87.2%). Importantly, behavior therapy was the least received service and post-hoc analyses revealed that use of this therapy was uniquely predicted by ASD diagnosis. However, once children received a particular service, there was largely comparable intensity of services, independent of caregiver and child factors. Findings suggest that demographic and clinical factors impact families' ability to obtain services, with less impact on the intensity of services received. The low receipt of therapies that specifically address core support needs in autism (i.e., behavior therapy) indicates more research is needed on the availability of these services for youth with autism-associated variants, particularly for those who do not meet criteria for an ASD diagnosis but do demonstrate elevated and impactful child autistic features as compared to the general population.

The Southern Ocean Sea-Ice Ecosystem is Important to Humans

Did you know that ecosystems support the wellbeing of humans by simply existing? An ecosystem describes the living things in an area, their interactions, and their environment. The ways that ecosystems benefit the wellbeing of humans are called ecosystem services. There are several types of ecosystem services: supporting (they support animals and their homes), provisioning (they provide food and other materials), cultural (they support our hobbies and cultural activities, such as tourism and arts), or regulating (they regulate our climate, for example by taking up carbon dioxide). Understanding the importance of an ecosystem through its ecosystem services helps guide decisions regarding the environment, such as how much fishing or ship traffic should be allowed in an area, or if an area or species should be protected. In this article, we describe the specific ecosystem services of the sea ice and Southern Ocean around Antarctica.

Experiences of community pharmacists in the United Kingdom on the provision of travel health services and associated educational requirements.

Travel health services play a critical role in public health. Previously, travel services were provided solely through GPs or private specialist clinics. In recent years, they have been available from community pharmacists in the UK. This study sought to understand the types of travel health services provided by community pharmacists and to establish the educational needs. Qualitative interviews and focus groups explored current practices and educational needs in travel medicine. Thematic analysis of transcribed interviews and focus groups was conducted to understand how travel services are provided and the training undertaken by community pharmacists in delivering these services. Nine individual interviews and one focus group of seven additional pharmacists was conducted. Pharmacists considered that they provided a comprehensive service and undertook the necessary training for safe delivery. Pharmacists described a 'vaccine centric' approach to travel services, with aspects, such as management of chronic conditions, fitness/preparedness for travel, prevention and self-management of travel-related conditions considered to be of lower priority. This was reflected in the travel medicine education that they had received and their perception of future requirements. Whilst vaccination is a critical aspect of travel health medicine, taking a 'vaccine centric' approach represents a missed opportunity in public health. Future educational opportunities for pharmacists could include training that encourages a broader approach to travel health consultations, to include a co-created, structured, and holistic risk assessment for travellers and recommendations for appropriate prevention and management strategies for travellers prior to, during and after travel.

The implementation of person-centred plans in the community-care sector: a qualitative study of organizations in Ontario, Canada

BackgroundPerson-centred planning refers to a model of care in which programs and services are developed in collaboration with persons receiving care (i.e., persons-supported) and tailored to their unique needs and goals. In recent decades, governments around the world have enacted policies requiring community-care agencies to adopt an individualized or person-centred approach to service delivery. Although regional mandates provide a framework for directing care, it is unclear how this guidance is implemented in practice given the diversity and range of organizations within the sector. This study aims to address a gap in the literature by describing how person-centred care plans are implemented in community-care organizations.MethodsWe conducted semi-structured interviews with administrators from community-care organizations in Ontario, Canada. We asked participants about their organization’s approach to developing and updating person-centred care plans, including relevant supports and barriers. We analyzed the data thematically using a pragmatic, qualitative, descriptive approach.ResultsWe interviewed administrators from 12 community-care organizations. We identified three overarching categories or processes related to organizational characteristics and person-centred planning: (1) organizational context, (2) organizational culture, and (3) the design and delivery of person-centred care plans. The context of care and the types of services offered by the organization were directly informed by the needs and characteristics of the population served. The culture of the organization (e.g., their values, attitudes and beliefs surrounding persons-supported) was a key influence in the development and implementation of person-centred care plans. Participants described the person-centred planning process as being iterative and collaborative, involving initial and continued consultations with persons-supported and their close family and friends, while also citing implementation challenges in cases where persons had difficulty communicating, and in cases where they preferred not to have a formal plan in place.ConclusionsThe person-centred planning process is largely informed by organizational context and culture. There are ongoing challenges in the implementation of person-centred care plans, highlighting a gap between policy and practice and suggesting a need for comprehensive guidance and enhanced adaptability in current regulations. Policymakers, administrators, and service providers can leverage these insights to refine policies, advocating for inclusive, flexible approaches that better align with diverse community needs.

Perceptions and knowledge of ecosystem services in urban river systems, Eastern Cape, South Africa

The ecosystem services concept has been studied in rural contexts but not as much in urban landscapes, particularly for aquatic ecosystems in Africa. There is little knowledge of how people perceive ecosystem services (ES) supplied by rivers in urban centres and the factors influencing their perceptions. To fill this gap, the research presented here addresses two objectives: 1) to assess local communities’ perception and knowledge of different types of ecosystem services of an urban river in South Africa, 2) to assess the influence of particular demographic characteristics (age and gender), socio-economic characteristics (education, housing type, income, and years of residence), and prior knowledge of the ecosystem services concept on people’s perception of the ecosystem services provided by the Swartkops River in the Eastern Cape of South Africa. To address these objectives, a team of ten trained field staff collected 181 surveys between May–June 2021 in communities within the river catchment. We used multinomial logit models to analyse the relationships between demographic and socio-economic variables, and people’s perception of ecosystem services. For the majority of the ecosystem services, there was almost an equal split between the perception “sometimes” and “never” that the river provides a particular ecosystem service, and people were less likely to say that the river always provide a particular service. Prior knowledge of the ecosystem services concept, years of residence, age, income and housing type significantly influence people’s perception of ecosystem services. Prior knowledge, was important for the intangible services, whereas years of residence was more important for tangible services with direct use value. Level of formal education was not a significant variable. An important implication of this study is that ecological interventions can be designed through an understanding of factors influencing people’s perceptions of ecosystem services.

Study on the Participation of Social Enterprises in Community Home-based Elderly Care Services

With the further aggravation of the aging problem in China, different types of senior care services are showing a trend of integration and development, and the model of community-based home care services is being widely adopted in China, and social enterprises can become one of the important main bodies involved in the provision of community-based home care services due to their advantages in specialization and personalization. However, the current development of social enterprises in China still has certain problems in obtaining legal status, enhancing credibility and improving operational efficiency. Therefore, it is necessary to solve the development dilemma of social enterprises in the intervention of community-based elderly care services by increasing government support, improving the level of business operation and strengthening publicity and promotion, so as to enhance the blood-forming ability of the enterprises themselves and further optimize the market of elderly care services in China.

Proposed framework and knowledge synthesis of services delivered by specialized professionals in childcare settings: A scoping review.

Services from specialized professionals in childcare settings contribute to support early childhood development. Little is known, however, about how services are delivered in this context. The aims of this scoping review were to propose a framework to describe services delivered by specialized professionals in childcare contexts and synthesize knowledge about those services. Documents published between 2000 and 2022 in APA PsychINFO, ERIC, CINAHL and MEDLINE were included. These documents described services delivered by a range of specialized professionals (e.g., speech-language pathologists, occupational therapists, physical therapists and early childhood special education teachers) in childcare contexts and whose aim was to support motor, cognitive, affective, language or social development of children. Deductive and inductive qualitative analyses and descriptive statistics were carried out. The review included 47 documents. The Description of Services delivered by specialized Professionals in Early Childhood (D-SPEC) Framework emerged from qualitative analyses. The D-SPEC Framework included 11 dimensions: three actors and their context, specialized professionals involved, children served, purpose of service, type of service, service duration and intensity, mode of service delivery, mode of access to services and funding. Most services delivered by specialized professionals in childcare were provided by a single professional and targeted language. Two documents described multitiered service delivery models with a continuum of services ranging from general support for all children to individualized interventions for children with specific needs. In-context services were preferred to pull-out services in most documents reviewed. The D-SPEC Framework may be a useful tool to assist researchers in documenting and comparing services delivered by specialized professionals. More importantly, this framework will facilitate the development of intersectoral and interdisciplinary services essential for supporting early childhood development. Multitiered service delivery models appeared to be a promising way to develop those services addressing the various needs encountered in childcare.

Evaluating alternative fuels for a bus fleet: An Italian case

A current topic that has surfaced among Public Transport Companies (PTCs) is the selection of alternative fuels for their bus fleets. Both European and Italian regulations are pushing toward abandoning diesel fuel and the consolidation of alternative traction power sources, such as battery-electric vehicles, fuel-cell electric vehicles, and hydrogen-electric vehicles. The literature has provided some approaches toward assessing this selection such as multicriteria-decision-methods in some countries in the world. However, not enough specific attention has been paid to cost criteria, experts involved, and the type of service required. This paper intends to address these gaps by applying an integrated method, which includes: (i) the Analytical Hierarchy Process (AHP) to define the weights of criteria; (ii) the ELimination Et Choix Traduisant la REalitè I (ELECTRE I) to find a good compromise solution among the fuel alternatives and (iii) a simple Weighted Sum Model (WSM) to refine ranking. This integrated method was applied in Italy involving a panel of experts from whom the data was collected. Different fuel alternatives for both urban and interurban services and with and without funding are discussed. The results provide a useful tool supporting PTC policies, which aims to rationalise and prioritise bus fuel alternatives when deciding on fleet renewal.

The Regulation of Legal Protection for Poor Communities Toward Justice in Indonesia and the Netherlands

Poor people often have difficulty accessing legal aid in court. In the criminal, civil, and state administrative justice systems, providing legal assistance to the poor is essential for achieving justice. This research aims to illustrate how legal aid, provided by advocates, can transform the reality of justice for impoverished individuals. This study uses normative legal research, providing a descriptive account through a legal framework encompassing legal aid, the judiciary, judicial authority, and advocates. The research also uses a conceptual approach to human rights and justice, aiming to establish an ideal model of legal protection for people experiencing poverty. The research results demonstrate that providing legal assistance to people experiencing poverty not only shields the community from arbitrary actions by the authorities that violate the law but also fosters order and peace, ensuring the community receives justice. However, in Indonesia, establishing criteria for the impoverished remains challenging; structurally, the institutional budget is insufficient; culturally, the impoverished often harbor misconceptions and skepticism about the quality and affordability of legal aid. Meanwhile, in the Netherlands, providing legal protection is carried out through legal assistance, with the consideration of offering toevoeging and consideration of legal assistance based on people's salaries. Based on the number of cases for which assistance is provided, the results and public awareness are much better, although not optimal. The concept of providing legal aid must also be directed towards a responsive and structural type, combined with the concept of access to law and justice. Budgetary policies or rules must be regulated concretely and balanced from the individual validation stage, selecting the type of service and appointing a lawyer for evaluation.

How can local government be better supported to collaborate for community health and wellbeing?

AbstractCollaboration is a key strategy among local governments as expectations of the sector grow and resources to meet them fall short. Thus, more research is needed to consider how local governments can be supported to collaborate with others, not least for community health and wellbeing outcomes. In an earlier study, we explored inter‐municipal cooperation using social network analysis and local government perspectives on community health and wellbeing in the Australian state of Tasmania. Extending that study in ways reported here, we interviewed elected representatives and council staff to understand how and why Tasmanian local governments might collaborate with others to support community health and wellbeing. Findings show participants want councils to work more collaboratively to effectively deal with common challenges but are impeded by factors such as isolation and resource shortages. Tasmania's local government reform and Healthy Tasmania strategic plan are significant opportunities for collaborative practice to be enhanced among its local governments generally, and specifically in relation to community health and wellbeing. We advocate for a more considered approach to collaboration for community health and wellbeing that could deliver far‐reaching benefits for local governments and their communities.Points for practitioners Collaboration in local government is often described in terms of ‘shared services’ and tends to focus on transactional services that require little tailoring to local communities. Our study found municipal personnel want their councils to work more collaboratively to address common place‐specific issues related to community health and wellbeing, but are influenced by cultures of self‐sufficiency, organisational capacity and support, connections, and legislation and policy processes. Local government collaborative practices could be supported by the development of a place‐based policy framework to guide collaboration across local government service types, establishment of an informal statewide community health and wellbeing network for councils to facilitate peer learning and support, funding guidelines that explicitly support and encourage collaboration, and identifying collaboration as a priority in strategic plans, policies, and frameworks.

Perceived helpfulness of caregiver support resources: Results from a state-wide poll

ObjectiveOur goal was to identify specific types of services desired by caregivers and determine subgroups most interested in each service type. MethodsCaregiving questions were added to a state-wide poll conducted in a majority-rural state. Those who identified as caregivers (n = 428) were asked to report on the helpfulness of 6 domains of services. Descriptive analysis and logistic regressions were conducted. ResultsTop resources caregivers identified as potentially helpful included hands-on services (33.9%), help coordinating care from multiple providers (21.5%), help with finances (18.9%), and help managing emotional stress (17.8%). Only 15% indicated no caregiver resources would be helpful. Younger caregivers endorsed several service domains as more helpful than older caregivers; caregivers reporting higher stress were more likely to endorse most domains as helpful. ConclusionData reinforces the overwhelming need to offer caregiver services. Navigation and integrated and tailored service models may be beneficial to help caregivers identify and access appropriate services within healthcare systems. InnovationThis study uses an innovative approach to identifying needs of caregivers, who are often invisible within the healthcare system. Our findings suggest a paradigm shift is needed to broaden the scope and depth of services offered to caregivers.

Feasibility and reliability of a quality indicator system for an ambulatory dispensing service.

For a medication dispensing service to function with quality, continuous evaluation is required, which is why it is necessary to have reliable measurement tools that make it possible. Quality indicators can serve as tools for managing quality, as they are variables that directly or indirectly measure changes in a situation and help evaluate the progress made in addressing it. This article aims to determine the feasibility and reliability of a quality indicator system for a drug dispensing service for paediatric outpatients in two Mexican hospitals. A study of the development type of health systems and services at a microlevel was conducted from October 2020 to October 2021 in the pharmaceutical service of two Mexican hospitals. To determine the feasibility of the quality indicators, a retrospective evaluation was performed, which considered the indicators that could be calculated with the available information to be feasible. To determine reliability, an inter-observer agreement study (Kappa (κ)) was performed. The feasibility analysis revealed that all five reference indicators related to the structure were feasible in both hospitals. In the Infantil of the Californias hospital, all six process indicators evaluated were feasible, whilst only one was found feasible in H+ Querétaro. As for outcome indicators, only one was feasible in the Infantil of the Californias hospital. The causes of non-feasibility in both hospitals were the non-documentation of the primary data related to the stages of the process and the lack of instruments to measure patient satisfaction. The reliability of the indicators showed little variability. Although not all indicators were feasible, solutions were proposed so that the 15 reference indicators could be used if an organization decided to do so. The reliability of the indicators was demonstrated, evidencing the importance of the data sheet as a tool to generate valid reliable measures.This article is part of the Hospital pharmacy, rational use of medicines and patient safety in Latin America Special Issue: https://www.drugsincontext.com/special_issues/hospital-pharmacy-rational-use-of-medicines-and-patient-safety-in-latin-america/.

A Comprehensive Framework for Hospital@Home Care Models.

To develop a framework of relevant features for describing hospital@home care models. The framework was developed based on a literature review and thematic analysis. We considered 42 papers describing hospital@home care approaches. Extracted features were grouped and aggregated in a framework. The framework consists of nine dimensions: Persons involved, target patient population, service delivery, intended outcome, first point of contact, technology involved, quality, and data collection. The framework provides a comprehensive list of required roles, technologies and service types. The framework can act as a guide for researchers to develop new technologies or interventions to improve hospital@home, particularly in areas such as tele-health, wearable technology, and patient self-management tools. Healthcare providers can use the framework as a guide or blueprint for building or expanding upon their hospital@home services.

Research on the Design Strategies of Public Outdoor Spaces in Government Centers from a Health Perspective

This study delves into an investigation of urban public outdoor spaces (POSs) from a health-oriented perspective, recognizing varied health needs encompassing physical, psychological, social, and environmental aspects. In this study, POSs of two typical government service centers (GSCs) were analyzed based on their structure, user demographics, and user satisfaction, revealing several problems with the current GSC POS designs. To address these problems, principles for GSC POS design were proposed for natural, playing, and social spaces and applied to redesign the Wuchang GSC. Firstly, through on-site surveys, questionnaire surveys, and data analysis, the existing problems in promoting residents’ health in the GSC POSs were revealed, such as the insufficient greening of natural spaces, lack of interest in playing spaces, and unreasonable design of the scale of social spaces. Based on the above analysis, a health design optimization principle based on Maslow’s theory is proposed. Firstly, improvement solutions were proposed and implemented for green spaces, such as using more diversified natural elements, zone differentiation, and landscape improvements to promote the health of users. Secondly, the leisure and sports needs of different age groups can be met simultaneously by diversifying the layout and functional settings of playing spaces. Finally, public spaces suitable for social interaction were redesigned to promote the psychological health of citizens in social activities by optimizing the scale of communication spaces. The proposed design optimization strategies for GSCs not only provide theoretical support for the healthy design of POSs but also provide useful references for the healthy development of urban public spaces.

Racial and ethnic disparities in healthcare utilization among children in U.S. foster care: Recommendations to challenge the status quo based on a scoping review

Prior work has examined racial and ethnic disparities in the access to and utilization of healthcare services. However, evidence across studies is mixed, making it challenging to precisely identify where the racial and ethnic disparities in healthcare utilization are amongst children in foster care, and which race and ethnicity groups are most impacted by such disparities. As such, the purpose of the current study was to conduct a scoping review to synthesize evidence on the topic of racial and ethnic disparities in the physical and mental or behavioral healthcare utilization for children in the U.S. foster care system (PROSPERO ID: CRD42021272072). Comprehensive literature searches were conducted in PubMed, EMBASE, PsycINFO, CINAHL, Cochrane Library, and Psychology and Behavioral Sciences Collection. Of the 414 studies identified, 23 met inclusion criteria: peer-reviewed journal article, published between 1991 and 2023, written in English, examined healthcare access or utilization of children in the U.S. foster care system as outcomes, included and disaggregated results by children’s race and ethnicity, conducted quantitative analysis, and was observational in study design. In the physical healthcare utilization domain, Black children were less likely to utilize routine and preventative check-ups and more likely to utilize medical services for treating chronic illnesses such as asthma, compared to White children. In the mental or behavioral healthcare utilization domain, Black and Hispanic/Latine children were less likely to utilize both inpatient and outpatient mental health services, compared to White children. Furthermore, notable variations were observed by specific service types and continuity of services over time. Implications include additional research and education about racial and ethnic disparities in healthcare utilization amongst children in foster care, as well as implementing regulations and oversights that mandate racial equity in the child welfare and healthcare service pathways.

The Past, Present, and Future of the Internet: A Statistical, Technical, and Functional Comparison of Wired/Wireless Fixed/Mobile Internet

This paper examines the quantitative and qualitative situation of the current fixed and mobile Internet and its expected future. It provides a detailed insight into the past, present, and future of the Internet along with the development of technology and the problems that have arisen in accessing and using broadband Internet. First, the number of users and penetration rate of the Internet, the various types of services in different countries, the ranking of countries in terms of the mean and median download and upload Internet data speeds, Internet data volume, and number and location of data centers in the world are presented. The second task introduces and details twelve performance evaluation metrics for broadband Internet access. Third, different wired and wireless Internet technologies are introduced and compared based on data rate, coverage, type of infrastructure, and their advantages and disadvantages. Based on the technical and functional criteria, in the fourth work, two popular wired and wireless Internet platforms, one based on optical fiber and the other based on the 5G cellular network, are compared in the world in general and Australia in particular. Moreover, this paper has a look at Starlink as the latest satellite Internet candidate, especially for rural and remote areas. The fifth task outlines the latest technologies and emerging broadband Internet-based services and applications in the spotlight. Sixthly, it focuses on three problems in the future Internet in the world, namely the digital divide due to the different qualities of available Internet and new Internet-based services and applications of emerging technologies, the impact of the Internet on social interactions, and hacking and insecurity on the Internet. Finally, some solutions to these problems are proposed.

Investigating the use of protective technologies after data breach: The roles of psychological distance, technological service type and organizational justice

Protective information technologies (PITs) are crucial for preventing security and privacy issues, but their application by customers following a data breach has not been thoroughly studied in the past. In this work, we define post-data breach protective technologies (PDPT), an initiative-taking protective technology, as the use of PIT in the aftermath of a data breach. Based on the kinds of services violated, we hypothesize that users' psychological understanding of protective technology and the organization's justice procedures affect victims' intent to use PDPT. We validate two theoretical hypotheses for PDPT adoption by utilizing survey responses from consumers across utility-benefit and social-benefit services after data breaches. For practice, our research provides guidance for planning and encouraging the implementation of protective technology in the wake of a privacy crisis or data breach. In general, we draw the conclusion that a data breach tends to heighten the victims’ awareness of the breach, impact justice perceptions, and alter the distant psychological knowledge about the service benefits of protective technologies post data breach.

Analysis of Community Satisfaction in Providing Public Services at the Tempe District Office, Wajo Regency

The success of providing public services is largely determined by the level of community satisfaction. Community satisfaction is achieved when service recipients receive services in accordance with what is needed and expected. The aim of this research is to determine and analyze the level of public satisfaction in the provision of public services at the Tempe District Office, Wajo Regency, as well as to analyze and describe the factors that are obstacles and supporters in the provision of public services at the Tempe District Office, Wajo Regency. This type of research is a qualitative case study type approach with data collection techniques through observation, in-depth interviews and documentation studies. The results of the research show that the analysis of community satisfaction in the implementation of public services at the Tempe District Office, Wajo Regency is based on indicators of elements of community satisfaction, namely requirements, systems, mechanisms, procedures, completion time, tariff costs, product specifications, types of services, competency of implementers, behavior of implementers, complaint handling, facilities and infrastructure can be categorized as not fully meeting community satisfaction and service recipients have not received services according to what is needed and expected. This can be seen in the uncertainty of the completion time for population administration services, as well as the lack of population data processing equipment. Apart from that, there is still a lack of socialization to the public regarding service requirements, so that it does not meet the expectations and satisfaction of service users.

Testing service infusion in manufacturing through machine learning techniques: looking back and forward

PurposeResponding to calls for deeper analysis of the conceptual foundations of service infusion in manufacturing, this paper examines the underlying assumptions that: (i) manufacturing firms incorporating services follow a pathway, moving from pure-product to pure-service offerings, and (ii) profits increase linearly with this process. We propose that these assumptions are inconsistent with the premises of behavioural and learning theories.Design/methodology/approachMachine learning algorithms are applied to test whether a successive process, from a basic to a more advanced offering, creates optimal performance. The data were gathered through two surveys administered to USA manufacturing firms in 2021 and 2023. The first included a training sample comprising 225 firms, whilst the second encompassed a testing sample of 105 firms.FindingsAnalysis shows that following the base-intermediate-advanced services pathway is not the best predictor of optimal performance. Developing advanced services and then later adding less complex offerings supports better performance.Practical implicationsManufacturing firms follow heterogeneous pathways in their service development journey. Non-servitised firms need to carefully consider their contextual conditions when selecting their initial service offering. Starting with a single service offering appears to be a superior strategy over providing multiple services.Originality/valueThe machine learning approach is novel to the field and captures the key conditions for manufacturers to successfully servitise. Insight is derived from the adoption and implementation year datasets for 17 types of services described in previous qualitative studies. The methods proposed can be extended to assess other process-based models in related management fields (e.g., sand cone).