Innovations in Public Services Delivery: Issue No. 6: The Management of Integrated Service Delivery: Lessons from Canada

2018 ◽  
Author(s):  
Maryantonett Flumian
Keyword(s):  
Service Delivery ◽  
Public Services ◽  
Services Delivery ◽  
Integrated Service Delivery ◽  
Integrated Service

scholarly journals Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration

PLoS ONE ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. e0146694 ◽  
Author(s):  
Susannah H. Mayhew ◽  
George B. Ploubidis ◽  
Andy Sloggett ◽  
Kathryn Church ◽  
Carol D. Obure ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Service Delivery ◽  
Integrated Service Delivery ◽  
The Impact ◽  
Integrated Service

scholarly journals Uncoupling Inter-Municipal Cooperation Capacity: Lithuanian Municipalities’ Efforts To Sustain Services Provision

2018 ◽  
Vol 11 (2) ◽  
pp. 32-60
Author(s):  
Jurga Bučaitė-Vilkė ◽  
Remigijus Civinskas ◽  
Aistė Lazauskienė
Keyword(s):  
Service Delivery ◽  
Public Services ◽  
Central Government ◽  
Municipal Service ◽  
Economy Of Scale ◽  
External Influences ◽  
Services Delivery ◽  
Large Size ◽  
Cooperative Solutions

Abstract Despite the absence of the long-term tradition of inter-municipal cooperation in Lithuania, the country represents a compelling case of cooperative solutions which are mostly focused on public services delivery design imposed by the central government. The article provides theoretical and empirical insights on the inter-municipal cooperative capacities and their scope in the case of Lithuania, with reference to the size of the municipality. The results reveal that the large size municipalities are more likely to benefit from collaborative arrangements in comparison to small size municipalities which have less institutional ability for collaboration. In this respect, the external influences imposed by the central authorities’ agenda on implementing economy of scale principles and strong municipal service delivery regulations is extremely important for understanding the municipal efforts for collaboration.

Towards Integrated Service Delivery for Primary Health Care: Can Programs Meet People's Lives?

2000 ◽  
Vol 6 (4) ◽  
pp. 43
Author(s):  
Vivian Lin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Health Care Policy ◽  
Unit Cost ◽  
Policy Research ◽  
Evidence Base ◽  
Integrated Service Delivery ◽  
Primary Health ◽  
Integrated Service

The primary health care sector faces a number of challenges. Some of these are in the form of persistent problems which include, inter alia, health disparities in resources and outcomes, a fragmented health system, issues of power with respect to priority setting and resource allocation, and a poor information and evidence base with which to allocate resources and evaluate outcomes. These problems are perennially accompanied by a gap between the rhetoric of policy and the reality of implementation. Neo-liberal reforms present a series of challenges to primary health, with the introduction of unit-cost funding, competitive tendering and increased user pays. Changing epidemiological patterns, the rise of evidence-based medicine, and new information and communication technology all question accepted methods of practice. Eroding community confidence in government and professionals, and the growing polarisation of society are also cause for concern. Three areas for development in primary health care policy and practice may provide the keys for dealing with these challenges. These are, first, the development of integrated service delivery models, which move away from narrowly defined single purpose programs delivered by one provider. Second, the development of innovative policy and managerial tools that support the objectives of primary health care while addressing the concerns of policy makers. Finally, the development of a strategic research and development agenda that effectively links policy, research and practice.

scholarly journals 149SCREENING TO IDENTIFY PATIENTS SUITABLE FOR INTEGRATED SERVICE DELIVERY IN THE EMERGENCY DEPARTMENT

2016 ◽  
Vol 45 (suppl 2) ◽  
pp. ii13.50-ii56
Author(s):  
Maria Costello ◽  
Lynn Spooner ◽  
Cliona Small ◽  
Antoinette Flannery ◽  
Liam O'Reilly ◽  
...  
Keyword(s):  
Emergency Department ◽  
Service Delivery ◽  
Integrated Service Delivery ◽  
Integrated Service

scholarly journals The introduction of mandatory inter-municipal cooperation in small municipalities

2018 ◽  
Vol 31 (3) ◽  
pp. 331-346 ◽  
Author(s):  
Davide Giacomini ◽  
Alessandro Sancino ◽  
Anna Simonetto
Keyword(s):  
Logistic Regression ◽  
Service Delivery ◽  
Public Services ◽  
Geographical Area ◽  
Chief Financial Officers ◽  
Organizational Setting ◽  
Content Type ◽  
Institutional Legitimacy ◽  
Positive Effects ◽  
Services Delivery

Purpose The purpose of this paper is to study the effects of mandatory inter-municipal cooperation (IMC) in small Italian municipalities. Data from 280 small Italian municipalities on the effects of IMC in terms of higher efficiency, better effectiveness of local public services, and greater institutional legitimacy of the small municipalities participating in IMC have been investigated against four variables: size, geographical area, type of inter-municipal integration, and IMC membership (the presence in the IMC of a bigger municipality, the so-called big brother). Design/methodology/approach Data were gathered from a mail survey that was sent to a random sample of 1,360 chief financial officers acting in municipalities of under 5,000 inhabitants, stratified by size (0-1,000 and 1,001-5,000) and geographic area (North, Center, and South) criteria. To analyze the dependency relationships between the three potential effects of participating in IMC and possible explanatory variables, the authors used a logistic regression model as the benefits were binarily categorized (presence or absence of benefits). Findings The findings show that in more than two-thirds of the municipalities participating in IMC, there were benefits in terms of costs reduction and better public services, whereas greater institutional legitimacy was detected in about half of the cases. The statistical analysis with logistic regression highlighted that IMC type is particularly critical for explaining successful IMC. In particular, the positive effects of IMC were mainly detected in those small municipalities that promoted a service delivery organization rather than participating in service delivery agreements or opting for mixed arrangements of joint public services delivery. Originality/value The paper focuses on small municipalities where studies are usually scant. The analysis highlighted that the organizational setting is particularly critical for explaining a successful IMC.

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