Collaborative Service Research Articles

Interlocal service collaboration network and fiscal outcomes: Empirical evidence from Nebraska counties

Interlocal service collaboration network and fiscal outcomes: Empirical evidence from Nebraska counties

Residential medication management reviews: a call for improved collaboration and systems integration in aged care

Purpose Residential Medication Management Reviews (RMMR) are a key component of safe, high-quality aged care service delivery. The RMMR is an interdisciplinary approach to medication management that relies on collaboration, communication and integration of systems. Acting as an improvement opportunity, the purpose of this paper is to present findings from a regional study, aimed at assessing the impact of RMMR on falls and hospital admissions and identifies barriers to impactful research in this area. Design/methodology/approach A three-year retrospective quantitative longitudinal practice audit was conducted in a regional state-managed high-care residential facility in Queensland, Australia. Data was collected pre-RMMR and six months post-RMMR. Findings The data collected was insufficient to achieve statistical significance or demonstrate the impact of RMMR on health outcomes. Factors impeding the research included limited ability to collect the data due to the lack of integration of information systems and limited stakeholder engagement resulting in poor recruitment. This highlights the need for improvement in RMMR processes and practices, and indeed wider research collaboration in the aged care sector. Research limitations/implications Thís paper acts as a call to action to improve research and interprofessional collaboration in Australian aged care. Originality/value The aged care industry needs high-quality research to drive practice improvement and collaborative care and service delivery. This paper advocates for improvements in the aged care sector with respect to research engagement and communication pathways between service providers. Advancement in systems integration for information sharing, recruitment of participants and stakeholder engagement will support evidence-based practice and process change.

The Self-Improving Customer Service System: How AI Learns from Every Interaction

This article explores the transformative impact of self-improving AI systems in customer service, examining the parallels between AI and human learning processes, the mechanics of AI self-improvement, and the advantages of AI's learning at scale. It delves into real-world applications and impacts across various industries, highlighting improvements in personalization, efficiency, accuracy, customer satisfaction, and cost reduction. The article also addresses ethical considerations such as data privacy, transparency, and bias mitigation, while offering a future outlook on advanced AI capabilities in emotional intelligence, predictive service, and seamless human-AI collaboration. Through a comprehensive analysis of current technologies and future possibilities, this study provides insights into how self-improving AI is revolutionizing customer service, promising more efficient, personalized, and satisfying experiences for customers.

Socialization of aquaponics techniques for business efficiency at Aling Hydroponic Farm, Sandakan Sabah Malaysia

Aquaponics is the application of integrated agricultural techniques between the cultivation of fish and vegetables that are environmentally friendly with efficient use of inputs and optimizing production. Aling Hydroponics Farm has long applied hydroponic techniques for cultivating vegetables, apart from also cultivating fish using fiber ponds. However, the application of these two techniques has not been integrated so that it is not efficient in using production inputs. This international collaborative community service activity aims to socialize aquaponic techniques to Aling Hidroponik Farm partners as an effort to increase the efficiency of resource use in farming. The method of implementing activities uses visits and discussions at hydroponic cultivation and fish cultivation locations. This activity was attended by lecturers from the Faculty of Agriculture, Muhammadiyah University of Makassar and lecturers from the Faculty of Sustainable Agriculture, Universiti Malaysia Sabah, students and the community. The results of the activity showed that the participants were very enthusiastic about taking part in the activity, the participants actively asked questions and expressed opinions regarding the opportunities and obstacles to implementing the aquaponic system from economic and social aspects.

Strategi Tata Kelola Kolaboratif Dalam Meningkatkan Motivasi Pelayanan Publik: Peran Gaya Kepemimpinan Transformasional Dan Kualitas Relasional.

The main objective of this study is to analyze theoretical models to develop empirical research models on factors that influence collaborative governance and public service motivation. The analysis method uses SEM PLS with 367 respondents. All questions related to research data have been tested for validity and reliability and have met the common method bias and nonresponse bias tests. The analysis presented consists of three parts, namely analysis of research respondents, descriptive analysis of research data and PLS analysis. The results show that transformational leadership style and relational quality have a significant effect on collaborative governance. Collaborative governance also affects public service motivation, with transformational leadership style and relational quality playing an important role. The practical implications of this study are the emphasis on collaborative governance in the public sector with the importance of strong transformational leadership style and relational quality so that public service motivation can run optimally through effective and sustainable collaborative governance. Keywords: collaborative governance, public service motivation, transformational leadership, relational quality

Exploration of PrEP/PEP service delivery model in China: A pilot in eastern, central and western region.

Since 2017, China has started a pilot exploration of pre-exposure prophylaxis (PrEP)/post-exposure prophylaxis (PEP) service aiming for human immunodeficiency virus (HIV) control. Efforts to summarize the pilot experience and sort out the gaps in service provision must be prioritized. In June-October, 2023, three provincial capital cities with two years of PrEP/PEP pilot experience in eastern, central and western China were chosen. A structural information collective tool was developed, as a framework to identify key links and steps in reviewing service procedures for PrEP/PEP service. Two main service models have been formed, including the independent offline service model led by professional health institutions and Multi-agencies (health institution/Community Based Organizations (CBOs)/Internet platform) online and offline collaborative service model. The pilot experience conceptualizes opportunities to integrate PrEP/PEP into HIV prevention efforts and, illustrates the optimizing path to move forward to reach for a high level HIV prevention and care continuum. Systematic barriers during the process of integration need to be noted and addressed. It is urgent to establish a realistic and feasible online and offline monitoring system to achieve a balance between standardized, safe, simplified and convenient services.

The creation of social value in the participatory design of housing services

The approach to housing that redefines the home as a service transcends the issue of housing as merely private, bringing it back to a trajectory of collective public interest. The paper reflects on initiatives, whose common element is the investment in intangible aspects for community involvement, activating processes and experiments for the development of collaborative spaces and services that extend the scope of intervention to the neighbourhood, generating mechanisms and dynamics of social impact. The processes and experiments described are examples of how, to make such actions feasible, the public sector synergises with the private sector through welfare models requiring innovative management skills that invest and work on the community with an integrated approach for social cohesion.

Prioritizing health, well-being, active ageing needs in Lithuania: insights from stakeholders

Abstract Background The rate of aging in Lithuania is faster than the EU average. The number of long-term health problems in older (65+yrs) people increases, posing changes in societal needs. The aim of our study was to identify the most important needs of older people in Lithuania. Methods Generic qualitative inquiry employed purposeful sampling of stakeholders in Lithuania: policymakers, administration, academia, civil society, health care, social service, public health, organizations of elderly. 43 experts, engaged in online focus groups, generated a list of needs for health, wellbeing, active ageing in elderly; they deliberated to prioritize top 5; scientific team condensed a list of 10 for voting to determine final 5 national needs. Research was done within project “Roadmap to improve the health and well-being of the ageing population in the Baltic Sea Region (AgeFLAG)”, 2020. Results Top needs identified were: shaping healthy lifestyle habits and motivation for change (72%) / age friendly environment and virtual assistive technologies (72%); person centred care (domiciliary care, residential care and nursing, social activities and etc. depending on the needs and wishes of the older person) (58%); increasing and maintaining physical capacity (56%); intersectoral collaboration and integration of social and health services (53%); establishment of positive public attitudes towards elderly people (50%). All stakeholders indicated that “Establishment of positive public attitudes towards elderly people” is the corner stone of all priorities for action to healthy ageing in Lithuania. Conclusions The main issue hindering active and healthy ageing in Lithuania - negative image of ageing in the society. Recommendations on the public health actions included promoting intergenerational conversation, reducing stigmas around ageing, strengthening social inclusion, generating age-friendly environments, and creating a safe space for self-realization and development. Key messages • The main issue hindering active and healthy ageing in Lithuania – negative image of ageing in the society. • The change in the population requires the transformation of health care and social care systems building age friendly environments in Lithuania.

Integrated care in the Baltic states over a 5-year period: progress, challenges and future directions

Abstract Person-centered, multidisciplinary care is key to addressing evolving complex health needs. In Estonia, Latvia, and Lithuania, this pursuit of integrated care has gained momentum as an innovative approach to allocate resources more efficiently and improve patient outcomes. This study investigates the progress of integrating care in the Baltic countries from 2019 to 2024. It details key learnings, particularly for small European countries with limited resources. The Health Systems and Policy Monitor Network of the European Observatory on Health Systems and Policies undertook a cross-country study to better understand the progress in care integration in the Baltics. The Network’s Baltic country experts completed a 21-item questionnaire on the adoption of integrated care reforms. Responses were analyzed to capture reform characteristics and commonalities, countries’ political environments and their conduciveness to the uptake of integrated care. Country-specific experiences with the implementation of integrated care were further explored via case studies of pilot programs over the five years. The pace of implementing integrating care reforms varied in each country. Existing regulatory barriers, workforce challenges and payment schemes have impeded integration efforts across health and social care. Despite these obstacles, the political commitment to new and innovative service delivery and collaboration for chronic care management underscores an important prerequisite toward achieving more integrated and person-centered healthcare. The three case studies illustrate the hurdles that come with shifting care settings and expanding roles for some workers. Findings stress the role for integrated care to address organisational challenges in the Baltics. This study highlights innovative approaches and long-running efforts to provide multidisciplinary care for complex-needs patients and the implications of their results for broader health system adoption. Key messages • Small countries like the Baltics face structural challenges in integrating care to improve outcomes and efficiency. • Investment and innovative care approaches are key to further advancements.

Long-term average throughput-utilization utility maximization in platform-aggregated manufacturing service collaboration

Enhancing capacity utilization of manufacturing resources is of utmost importance in tackling the current challenges of meeting customized and small-batch market demands. Given the research highlights on platform-based manufacturing service collaboration (MSC) offering high-quality service solutions, efficient service scheduling strategies are urgently needed to maximize overall utility amidst great computational complexity and unpredictable task arrivals. To address this issue, this paper proposes a novel distributed online task dispatch and service scheduling (DOTDSS) strategy in platform-aggregated MSC. What sets our method apart is its goal to optimize a long-term average utility performance with considering queuing dynamics of manufacturing services in multi-task processing, thereby maintaining sustainable platform operations. Firstly, we jointly consider task dispatch and service scheduling decisions into the formulation of a quality-of-service aware (QoS) stochastics optimization problem. The newly constructed logarithmic utility function effectively strikes a trade-off between the throughput and capacity utilization of manufacturing services with diverse capabilities. By incorporating the goal of reducing queue lengths, we then transform the optimization problem into a form with less computational complexity and guaranteed optimality using Lyapunov optimization. We further propose a DOTDSS strategy that relies solely on the current system state and queue information to generate scalable MSC solutions. It does not need to predict task arrival statistics in advance, and it exhibits great adaptability to uncertainties in task arrivals and service availabilities. Finally, numerical results based on simulation data and real workload traces demonstrate the effectiveness of our method. It also shows that the aggregation collaboration pattern among a group of candidates can achieve better performance than that by the optimal candidate alone.

Factors influencing vaccination up-take among nomadic population in four regions of Ghana: a qualitative study

BackgroundVaccination has contributed to the reduction in vaccine preventable diseases. Despite, improved global coverage, vaccination among nomadic populations is still low especially in Africa. This study explored factors influencing vaccination uptake among pastoralist nomads in Ghana.MethodsWe conducted key informant interviews (KII) in 11 districts across four regions of Ghana, using grounded theory qualitative research approach. One hundred and eighty-two KII were conducted among pastoralist nomads, community opinion leaders, community health volunteers, security services personnel, local government personnel and health workers. Guided by the WHO health systems building blocks, data was coded using Nvivo 12 and analysed thematically. Results were presented as narratives with excerpts to support the findings.ResultsCommunity leaders support vaccination among pastoralist nomads as part of their leadership and governance responsibilities. Language barrier between health workers and pastoralist nomads affects service delivery. Also, healthcare providers fear being attacked by pastoralist nomads hence are hesitant to visit their settlements for vaccination. With regards to health workforce, healthcare providers’ perceived use of derogatory words and discrimination against pastoralist nomads influence their vaccination uptake. On medical product, the lack of knowledge about diseases, severity and perceived negative effects about vaccines influence vaccination uptake. Inadequate funds and logistics at the district health directorates affects outreach to nomads during vaccinations. Leveraging existing partnership between the health services and community leaders, information centers, volunteers and butchers to send health information to pastoralist nomads influence vaccination uptake.ConclusionCommunity leaders support vaccination among pastoralist nomads. Nomadic pastoralist miss vaccination dues to language barrier, feel discriminated against, and lack information about diseases and vaccinations. Strengthening Ghana Health Service collaboration with leaders of pastoralist nomads could build trust, create awareness and overcome language barrier between healthcare providers and pastoralist nomads.

Understanding impact and factors that improve postvention service delivery: findings from a study of a community-based suicide bereavement support service in England

ABSTRACT This article reports on a two-year study of a community-based suicide postvention support service in the UK. Attention centres on the implementation of four integrated elements within the service model: multi-agency working with real-time suicide surveillance, persistent pro-active contact; volunteer-led support; continuous open-ended support. Our approach involved analysing utilisation data and qualitative techniques, including in-depth interviews with a diverse group of stakeholders. The study is the first of its kind to provide an in-depth examination of an innovative approach focusing on the integrated model and its constituent components. Our findings offer evidence-based examples of collaborative service efforts in implementing real-time interventions, with agencies working together to provide timely, co-ordinated, proactive responses and support with the potential to alleviate suffering and prevent loss of life. The value of volunteer-led support and open-ended access and associated challenges are emphasised. Findings hold promise for international impact with policy implications for services worldwide.

Research on Equity Policies in Public Education for Learning DisabilitiesTaking China, America and Britain as Examples

With the recovery and development of the global economy, the quality of life worldwide continues to improve, and the demand for public infrastructure such as medical care and education services is becoming more and more vigorous. Medical development and progress have made studying the brain and neurological fields more thorough, and learning disabilities have gradually entered the public eyesight. As a special group, people with learning disabilities are not widely accepted and recognized in the scope of public education. Thus, education must support the development of this virtue cycle through educational fairness policies, as it is a public resource. Based on the existing education policies on learning disabilities in China, the United States, and the United Kingdom, this paper analyzes these policies and puts forward education policy suggestions from four aspects: the education policy formulation system, the education collaborative service system, the education accountability evaluation system, and the education funding service system.Among China, the United Kingdom, and the United States, the first two are based on the improvement of basic policies, focusing on the construction of education collaborative services and education accountability evaluation systems, respectively. The latter focuses on the improvement of education policy.

Using Intervention Mapping to co-design a psychosocial service with youth experiencing mental illness

BackgroundDescriptions of service development processes in the youth mental health sector are lacking. Further, youth with lived experience of mental illness are rarely involved in service design. Intervention Mapping (IM) is a well-established framework for program development, implementation and evaluation, yet its applicability in the youth mental health sector is unknown. This paper describes the use of IM methodology to co-design and develop a psychosocial service to support youth aged 10–25 years experiencing mental illness in Tasmania, Australia. MethodsThe six steps of IM were followed: 1) needs assessment; 2) define program outcomes and objectives; 3) program design; 4) program production; 5) implementation planning; and 6) evaluation planning. ResultsKey outputs of each IM step are described. The service was successfully co-designed with young people at the centre of each step. The service includes wrap-around psychosocial support from lived-experience peer-support workers; outreach; and flexible frequency/intensity/duration to achieve young people’s psychosocial goals. ConclusionsThis is the first study to document the use of IM in co-designing a psychosocial service with youth experiencing mental illness. IM may provide a valuable roadmap for the youth mental health sector in supporting collaborative service design, implementation and evaluation planning, and systematic documentation of service development.

A review of research on the development of low-orbit Internet constellations

In recent years, with the surge in Internet users, innovative companies such as SpaceX and OneWeb have planned to build low-orbit Internet constellations, triggering a global boom in the development of low-orbit satellite Internet constellations. Therefore, it is of great significance to study the development of low-orbit Internet constellations at home and abroad and the technical difficulties currently faced by low-orbit Internet constellations in their development. This paper first introduces three representative low-orbit Internet constellation plans abroad (Starlink, OneWeb, Lightspeed) and the latest development of domestic constellations. Then, based on the characteristics of low-orbit Internet constellations, the five major technical challenges faced by low-orbit Internet constellations are analyzed in detail: constellation relative motion evolution prediction, constellation autonomous navigation and orbit determination, constellation variable path planning, constellation self-organization collaborative control, constellation communication and network services. Finally, based on the current development trend of low-orbit Internet constellations, suggestions are given for the development of low-orbit Internet constellations in my country based on my country's national conditions.

Enhancing Federated Learning in Heterogeneous Internet of Vehicles: A Collaborative Training Approach

The current Internet of Vehicles (IoV) faces significant challenges related to resource heterogeneity, which adversely impacts the convergence speed and accuracy of federated learning models. Existing studies have not adequately addressed the problem of resource-constrained vehicles that slow down the federated learning process particularly under conditions of high mobility. To tackle this issue, we propose a model partition collaborative training mechanism that decomposes training tasks for resource-constrained vehicles while retaining the original data locally. By offloading complex computational tasks to nearby service vehicles, this approach effectively accelerates the slow training speed of resource-limited vehicles. Additionally, we introduce an optimal matching method for collaborative service vehicles. By analyzing common paths and time delays, we match service vehicles with similar routes and superior performance within mobile service vehicle clusters to provide effective collaborative training services. This method maximizes training efficiency and mitigates the negative effects of vehicle mobility on collaborative training. Simulation experiments demonstrate that compared to benchmark methods, our approach reduces the impact of mobility on collaboration, achieving large improvements in the training speed and the convergence time of federated learning.

Negative collaboration risk analysis and control in manufacturing service collaboration based on complex network evolutionary game

In the era of the digital economy, manufacturing service collaboration (MSC) effectively addresses user personalization and customization through networked collaboration among service providers. However, opportunistic negative collaboration behaviors within the network can lead to risk generation, risk propagation and potential dysfunction of the entire collaboration network. Traditional risk control strategies are often based on experience and lack predictive validation. To improve the efficiency of risk control strategy formulation and validate the effectiveness of risk control, the article proposes a negative collaboration risk control optimal strategy exploration method. This method can realize effective optimal decision-making for risk control and effectiveness validation by combining the complex network evolutionary game and Q-learning. The experiment results show that this method is able to formulate situation-specific risk control strategies and keep negative collaboration providers below 10%, effectively controlling MSC risk.

Evaluation of a Novel Pharmacist-Nephrologist Collaborative Care Service for Patients on Hemodialysis in Singapore

Evaluation of a Novel Pharmacist-Nephrologist Collaborative Care Service for Patients on Hemodialysis in Singapore

Strengthening Community Service Collaboration Through Basic Life Support (BLS) Training

The community service project aims to enhance public knowledge and skills in providing immediate assistance during cardiac emergencies. Conducted in collaboration with the Indonesian Emergency and Disaster Nurses Association (HIPGABI) North Sumatra and the Regional Crisis Center Team North Sumatra, this program focuses on training participants in the fundamental techniques of Basic Life Support (BLS), including cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs). The training is specifically designed for the congregation of HKBP Resort Kwala Bekala Church. The involvement of HIPGABI North Sumatra and the Regional Crisis Center Team North Sumatra brings expertise and professionalism, ensuring that the training adheres to national standards and best practices in emergency response. The outcomes of this training are expected to strengthen community resilience and preparedness in dealing with health emergencies in Medan and the surrounding areas.

Developing Music Therapy in Maternity Care in Ireland: A Qualitative Study.

Music therapy can be a form of preventive or early intervention. It strengthens and utilizes women's own resources to build resilience, aids relaxation, reduces symptoms of anxiety and depression, promotes parent-infant attachment, and adapts to physical and psychological challenges during the perinatal period. The inclusion of music therapy in Irish maternity services has the potential to improve the quality of healthcare delivery provided to parents and infants. Recent studies demonstrate that the prospect of music therapy is welcomed by parents and perinatal healthcare professionals in Ireland, but such services are yet to be formally embedded in maternity care. Building on a cross-sectional survey, this qualitative study employed 6 semi-structured interviews with women and perinatal healthcare professionals in Ireland to understand their perspectives on developing music therapy in Irish maternity care services. Four themes were identified from the thematic analysis of these interviews: (1) music has multiple functions during the perinatal period; (2) music programs contribute to holistic perspectives and approachability in perinatal care; (3) music therapy provides specialist support; and (4) further development of music therapy services is challenging. The findings offer important insights and practical considerations on the key components of the music therapy programs and strategies in developing music therapy in Irish maternity settings. This information can directly inform music therapy researchers and practitioners in designing music therapy programs and developing relevant services in collaboration with maternity care professionals and policymakers.