Assistive technology supports maintenance or improvement of an individual’s functioning and independence, though for people in need the access to assistive products is not always guaranteed. This paper presents a generic quality framework for assistive technology service delivery that can be used independent of the setting, context, legislative framework, or type of technology. Based on available literature and a series of discussions among the authors, a framework was developed. It consists of 7 general quality criteria and four indicators for each of these criteria. The criteria are: accessibility; competence; coordination; efficiency; flexibility; user centeredness, and infrastructure. This framework can be used at a micro level (processes around individual users), meso level (the service delivery scheme or programme) or at a macro level (the whole country). It aims to help identify in an easy way the main strengths and weaknesses of a system or process, and thus guide possible improvements. As a next step in the development of this quality framework the authors propose to organise a global consultancy process to obtain responses from stakeholders across the world and to plan a number of case studies in which the framework is applied to different service delivery systems and processes in different countries.
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Frequent and targeted support to professionals is essential to control for quality delivery of services. In youth care settings, there is limited time and capability to implement all of the support systems that are suggested by program developers. With the pressure and responsibility to provide services with high quality and low costs, organizations strive to effectively and efficiently integrate different support systems. In this point of view we discuss the potential of integrating support systems around overlapping common, contextual and structural factors of interventions that are delivered in youth care setting.
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Abstract Objective: To describe changes in the health service delivery process experienced by professionals, patients and informal caregivers during implementation of a national programme to improve quality of care of geriatric rehabilitation by improving integration of health service delivery processes. Study setting: Sixteen skilled nursing facilities. Study design: Prospective study, comparing three consecutive cohorts. Data collection: Professionals (elderly care physicians, physiotherapists and nursing staff) rated four domains of health service delivery at admission and at discharge of 1075 patients. In addition, these patients [median age 79 (Interquartile range 71–85) years, 63% females] and their informal caregivers rated their experiences on these domains 4 weeks after discharge. Principal findings: During the three consecutive cohorts, professionals reported improvement on the domain team cooperation, including assessment for intensive treatment and information transfer among professionals. Fewer improvements were reported within the domains alignment with patients’ needs, care coordination and care quality. Between the cohorts, according to patients (n = 521) and informal caregivers (n = 319) there were no changes in the four domains of health service delivery. Conclusion: This national programme resulted in small improvements in team cooperation as reported by the professionals. No effects were found on patients’ and informal caregivers’ perceptions of health service delivery.
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Urban open space has a huge impact on human health, well-being and urban ecosystems. One of the open spaces where the environmental and ecological challenges of cities manifest the most is the urban riverfront, often characterised by fragmented land use, lack of accessibility, heavy riverside vehicular traffic, and extreme degradation of river hydrology and ecology. More often than not, the current spatial design of the riverfront hinders rather than supports the delivery of ecosystem services and, in consequence, its potential to improve the health and well-being of urban inhabitants is diminished. Hence, the design of riverside open spaces is crucial. Urban and landscape design in those spaces requires instruments that can aid designers, planners, decision-makers and stakeholders in devising spatial interventions that integrate complex environmental and ecological goals in high quality public space design. By recognising the multiple environmental and ecological benefits of green space and water in the city, the project “I surf” applies a set of four design instruments, namely the Connector, the Sponge, the Integrator, and the Scaler. I surf is a three-phased project that tests, validates and updates these instruments through a design-driven research methodology involving two design workshops and expert meetings addressing three different riverside urban spaces in Amsterdam: in the Ij waterfront, along River Amstel, and on a site located on the canal network. The project concludes with an updated and transferrable instrument set available for urban and landscape design applications in Amsterdam and in other Dutch cities crossed by rivers.
With the help of sensors that made data collection and processing possible, many products around us have become “smarter”. The situation that our car, refrigerator, or umbrella communicating with us and each other is no longer a future scenario; it is increasingly a shared reality. There are good examples of such connectedness such as lifestyle monitoring of elderly persons or waste management in a smart city. Yet, many other smart products are designed just for the sake of embedding a chip in something without thinking through what kind of value they add everyday life. In other words, the design of these systems have mainly been driven by technology until now and little studies have been carried out on how the design of such systems helps citizens to improve or maintain the quality of their individual and collective lives. The CREATE-IT research center creates new solutions and methodologies in “digital design” that contribute to the quality of life of citizens. Correspondingly, this proposal focuses on one type of digital design—smart products—and investigate the concept of empowerment in relation to the design of smart products. In particular, the proposal aims to develop a model with its supplementary tools and methods for designing such products better. By following a research-through-design methodology, the proposal intends to offer a critical understanding on designing smart products. Along with its theoretical contribution, the proposal will also aid the students of ICT and design, and professionals such as designers and engineers to create smart products that will empower people and the industry to develop products grounded in a clear user experience and business model.
The natural environment is dependent on water to provide society with many essential benefits or “ecosystemservices” (e.g. drinking water, biodiversity, food production, recreation, carbon sequestration). A number of EUdirectives aim to protect and improve the delivery of these services. However, successful implementation andintegration of the different directives at a local level is a major shared challenge in the North Sea Region.Understanding how this can be achieved is fundamental to delivering long-term sustainable ecosystem-basedmanagement strategies for the North Sea Region and the focus for the WaterCoG project.The project will demonstrate through the adoption of new participatory, ecosystem service based approachesthat implementation and integration of different water management frameworks can be achieved at the sametime as providing additional social, economic and environmental benefits not currently being realised.A strong transnational component will identify and incorporate common, transferable elements of differentapproaches into an up-scaling toolbox that will extend the impact of the project and build capacity for deliveringimproved sustainable management strategies for North Sea Region ecosystems.The projects’ output aims for a change in working practice that will improve the integration between top-downimplementation of European and national directives and bottom-up, participatory developed solutions forimproving the quality and sustainable management strategies of North Sea Region ecosystems.
