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1 – 10 of over 11000
Book part
Publication date: 12 December 2007

Matthew E. Archibald

Despite continuing socioeconomic and racial/ethnic gaps in many health care services, the National Healthcare Disparities Report (2004) documents parity in substance abuse…

Abstract

Despite continuing socioeconomic and racial/ethnic gaps in many health care services, the National Healthcare Disparities Report (2004) documents parity in substance abuse treatment provision among individuals of varying socioeconomic and racial/ethnic backgrounds. This study investigates that achievement by analyzing the relationship between community socioeconomic and racial/ethnic disadvantage and organizational provision of substance abuse treatment, treatment need and utilization across United States counties, 2000, 2002 and 2003. Results confirm equity in service provision in poorer communities and those with higher concentrations of African Americans. Significant disparities remain, however, in communities with higher concentrations of Hispanics, youth and female-headed households. Limitations and implications for future studies of health care provision are discussed.

Details

Inequalities and Disparities in Health Care and Health: Concerns of Patients, Providers and Insurers
Type: Book
ISBN: 978-0-7623-1474-4

Book part
Publication date: 3 May 2011

Niron Hashai

The chapter investigates the determinants of the extent of foreign services multinationals originating SMOPECs. An inverted U-shaped relationship between the level of…

Abstract

The chapter investigates the determinants of the extent of foreign services multinationals originating SMOPECs. An inverted U-shaped relationship between the level of technological knowledge and extent of foreign services provision is found, stemming from the facilitating and inhibiting effects of technological knowledge on foreign services provision. Standardization of services and their automation positively moderates this relationship. Overall, the chapter highlights the increased importance of relatively small global service providers from SMOPECs as a new type of multinational that is likely increase in its dominancy in the near future.

Details

The Future of Foreign Direct Investment and the Multinational Enterprise
Type: Book
ISBN: 978-0-85724-555-7

Book part
Publication date: 25 November 2019

Riku Ruotsalainen

Leaders derive their capacity for driving institutional change from their power over organizations, but prior research says little about how leaders with limited power over a…

Abstract

Leaders derive their capacity for driving institutional change from their power over organizations, but prior research says little about how leaders with limited power over a dominant intraorganizational group can acquire such a capacity for institutional action. This chapter develops a multilevel model that helps to understand how leaders of public service organizations were able to introduce “contract organization” form of organizational governance that enabled them to outsource the provision of public services to private firms. By doing so, this chapter adds to existing accounts of how power and political processes can give rise to organizational and institutional change.

Book part
Publication date: 8 June 2020

Mhemooda Malek and Simon Newitt

This chapter aims to give an overview of key mental health policy and service provision, highlighting the need for specific attention to Black and minority ethnic children and…

Abstract

This chapter aims to give an overview of key mental health policy and service provision, highlighting the need for specific attention to Black and minority ethnic children and young people. The focus is on mental health provision in the UK provided through the statutory sector and the voluntary and community sector, the issues raised are likely to have resonance across wider geographic locations. The themes examined include: the relevance of terminology regarding race and ethnicity and related impact on the planning and provision of services; the extent to which policy and commissioning of services give due focus and attention to the mental health of Black and minority ethnic children and young people; views young people themselves have contributed on the issue; and a case study illustrating work being undertaken to redress some of the imbalances encountered by young people in accessing appropriate support. The chapter argues that the supply chain to young people receiving support that is relevant and appropriate to their needs is a long and complex one. It is fundamental to take a holistic approach and consider how the components of this chain impact specifically on the mental health of children and young people from Black and minority ethnic communities.

Child and adolescent mental health services (CAMHS) – This term refers to all services that work with children and young people to address their behavioural and emotional wellbeing needs. The services may be provided by the National Health Service (NHS), local authority, school, private sector or charitable organisation and span early intervention support through to specialist treatment.

Care Quality Commission – The independent regulator of health and social care services in England.

Commissioning – The process by which health services are procured and should be based on an up-to-date assessment and understanding of needs of the target population.

Co-production – A process for planning and delivery of health and social care services that involves partnership working and power sharing between those responsible for the planning and provision of services, service users, their family members, carers and other citizens.

National Service Framework – Ten year programmes that, until the health and social care reforms started in 2010, defined standards of care in the NHS including measurable goals within set timeframes.

Population Needs Assessments – The collection and study of relevant data to understand and estimate current and future needs of a population in order to inform the planning of services that meet identified needs.

Voluntary and Community Sector – Also referred to as the Third Sector and encompassing a diverse range of organisations, services and groups that are seen as distinct from the public (also referred to as statutory) and private sectors.

Youth Information, Advice and Counselling Services (YIACS) – Most YIACS have charitable status and provide services to young people on a range of issues, a key feature associated with YIACS is the provision of holistic, young person centred support provided under one roof.

Book part
Publication date: 24 January 2022

Sevilay Ece Gümüş Özuyar

Introduction − Covid-19, which first emerged in Wuhan, People’s Republic of China, in January 2020, with an unknown source, spread to all countries of the world very quickly and…

Abstract

Introduction − Covid-19, which first emerged in Wuhan, People’s Republic of China, in January 2020, with an unknown source, spread to all countries of the world very quickly and caused the death of over two million people world-wide. This ever-increasing global need for health care has created a radical transformation in terms of not only in health care, but also in all public services. Transportation services for the transfer of patients to health institutions, education services due to the dangers of face-to-face training, justice services due to the postponement of non-urgent court proceedings, security services in terms of restriction sanctions and all public services in general due to the disruption of access to public services due to flexible working hours applied to public personnel has entered into an unplanned provision.

Purpose: The aim of this chapter is to identify the problems that arise in the provision of public goods and services due to the global epidemic of Covid-19, and to bring a new interpretation to the theoretical discussions about the optimal delivery level of public services when there is a situation of communicable disease.

Methodology: The principles of public goods and service provision of G20 countries, Covid-19 mortality rates, indicators of the well-being of healthcare delivery such as the number of bed and personnel, the type and number of devices used to diagnose the Covid disease, and the public service restrictions taken to eliminate Covid-19, have been evaluated by employing descriptive analysis. In order to prevent income and advanced levels from becoming distinctive features, G20 countries with similar income and development levels were selected for this research.

Findings: Due to the Covid-19 pandemic, there has been a distortion in the preference of provision of almost all public goods, and it has been observed that the delivery level of public services affects each other since all are linked like a chain. Failure to achieve what is expected from international organizations, which should be in a regulatory position in this regard, has increased concerns about the optimal presentation level of all public goods, especially health, in the future. As long as there is a global pandemic and countries do not take effective measures, a bad second best position that is far from optimal results but provides that instant solutions.

Details

Insurance and Risk Management for Disruptions in Social, Economic and Environmental Systems: Decision and Control Allocations within New Domains of Risk
Type: Book
ISBN: 978-1-80117-140-3

Keywords

Book part
Publication date: 16 September 2014

Ahmed Bawa Kuyini

The Ghana chapter on special education begins with the history of service provisions for persons with disabilities. It includes information on educational and rehabilitation…

Abstract

The Ghana chapter on special education begins with the history of service provisions for persons with disabilities. It includes information on educational and rehabilitation services, special schools and integrated education. Detailed data is related concerning prevalence and incidence rates and special needs among the Ghana population. This is followed by a comprehensive section on regular and special education teacher roles, expectations, and training. An important aspect of Ghana’s special education is its movement towards inclusive education. The support for this movement comes from the Ministry of Education’s policy, namely, The Education Strategic Plan (ESP), which adopts inclusive education and promotes it as the future special education direction for the country. The chapter provides detailed information on the issues related to the implementation of the ESP plan, four models that have been developed for inclusive education, the progress and effort that Ghana has made towards inclusive education as well as significant challenges that are present.

Details

Special Education International Perspectives: Practices Across the Globe
Type: Book
ISBN: 978-1-78441-096-4

Book part
Publication date: 14 October 2011

Jason Adam Wasserman and Jeffrey Michael Clair

The purpose of this chapter is to illustrate the centrality of the tabula rasa concept of self for the medical model of homeless service provision. Using four years of…

Abstract

The purpose of this chapter is to illustrate the centrality of the tabula rasa concept of self for the medical model of homeless service provision. Using four years of ethnographic data analyzed with a grounded fractal methodology, we illustrate the logical interconnections between the particular phenomena of homeless service institutions and broad cultural contexts. While social science has been somewhat critical of the medicalization of homelessness, its shared supposition about the self has relegated it to structural critiques that offer little to the currently homeless and those who want to help them. In contrast, we illuminate a path toward the development of an alternative pedagogy of individualism that is more directly responsive to the problematics of the medical model of homeless service provision.

Details

Studies in Symbolic Interaction
Type: Book
ISBN: 978-1-78052-156-5

Keywords

Book part
Publication date: 16 September 2014

Festus E. Obiakor and C. Jonah Eleweke

Special education and related services began in Nigeria, the most populous nation of Black people in the world, only a couple of decades ago courtesy of the efforts of…

Abstract

Special education and related services began in Nigeria, the most populous nation of Black people in the world, only a couple of decades ago courtesy of the efforts of missionaries from Europe and America. Although the government took over the responsibility of providing special education and related services to individuals in the late 1970s, evidence indicates that the provision of these services is beset by numerous formidable obstacles such as the absence of supporting laws, inadequacies in funding of services, inclusion programs, early identification and intervention services, personnel training programs, facilities, and educational materials. This chapter discusses these issues and focuses on current ways to improve the provision of meaningful special education and related services for people with disabilities in Nigeria.

Details

Special Education International Perspectives: Practices Across the Globe
Type: Book
ISBN: 978-1-78441-096-4

Book part
Publication date: 6 December 2013

Maurizio Catulli, Julian K. Lindley, Nick B. Reed, Andrew Green, Hajra Hyseni and Sushma Kiri

The purpose of this chapter is to explore the interaction between access-based consumption (ABC) and consumer culture in the specific context of baby products, and connect the two…

Abstract

Purpose

The purpose of this chapter is to explore the interaction between access-based consumption (ABC) and consumer culture in the specific context of baby products, and connect the two streams of consumer research and design theory, by associating ABC with product service systems (PSS) which are seen as desirable as they offer a promise of sustainability.

Methodology/approach

Within an action research approach consisting of the establishment of a pilot service provision, we conducted ethnographies including in-depth interviews and focus groups.

Findings

The adoption of access-based provisions is constrained by low compatibility with consumer culture. Consumers are concerned with the provision’s ability to satisfy their needs, what this mode of consumption says about them, and the extent to which it associates them with communities of practice.

Research limitations

The limitations are the typical ones of action research, which is linked to a unique, researcher-generated context where the researcher is also a participant, and therefore are difficult to generalize.

Research implications

The large-scale implementation of PSS underpinning ABC is problematic as it challenges consumers’ needs for self-expression and affiliation; however, we found that consumers in this specific context are responsive to the environmental efficiency of PSS.

Originality/value

Our research explores the intersection between consumer research and design, and consumers’ response to sustainable business models which underpin ABC.

Details

Consumer Culture Theory
Type: Book
ISBN: 978-1-78190-811-2

Keywords

Book part
Publication date: 6 December 2017

Boštjan Ferk and Petra Ferk

The purpose of this chapter is to analyse Public–Private Partnerships (PPPs) in the developing and emerging economies as a multifaceted challenge from viewpoint of the 10 keys…

Abstract

The purpose of this chapter is to analyse Public–Private Partnerships (PPPs) in the developing and emerging economies as a multifaceted challenge from viewpoint of the 10 keys ‘for’ and ‘against’ PPPs: feasibility; planning; optimization; modernization and development; financing; project delivery; project operation; supervision; user satisfaction and accounting issues. The conceptual model and the reasons were formulated by the authors some 10 years ago, based on the literature and case-study reviews. Relevance of those reasons was verified in practice. The knowledge and critical perspective on the above-stated reasons are relevant for the implementation of PPP projects in any national economy – developed, emerging or developing, but it is quintessential for the implementation of PPPs in the economies that are at the early stage of implementation of PPPs. Although for the identification of the above-stated reasons, wide comparative literature and case-studies review was conducted, the reasons were verified in practice in Slovenia only. Slovenia is considered as one of the most advanced transition countries of Central Europe and a developed economy. This chapter can improve public policy, teaching, learning and practice of PPP implementation in developing and emerging economies. The value of this chapter is in the approach which goes beyond the usual defending or renouncing of PPPs. This chapter also clearly identifies the importance of a sincere motive for the implementation of PPPs by the government as a prerequisite for the successful implementation of PPPs.

Details

The Emerald Handbook of Public–Private Partnerships in Developing and Emerging Economies
Type: Book
ISBN: 978-1-78714-494-1

Keywords

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