BACKGROUND Male circumcision is almost universal in North and West Africa, and practiced for various reasons. Yet there is little documentation on service delivery, clinical procedures, policies, and programmatic strategies. The United Nations Children's Fund (UNICEF) commissioned country program reviews in 2014 to shed light on the delivery of male circumcision services for infants in Cameroon...

background in recent years, accreditation of private hospitals followed by decentralisation of the italian national health service (nhs) into 21 regional health systems has provided a good empirical ground for investigating the tiebout principle of “voting with their feet”. we examine the infra-regional trade-off between greater patient choice (due to an increase in hospital services supply) an...

In a resource constrained business world, strategic choices must be made on process improvement and service delivery. There are calls for more agile forms of enterprises and much effort is being directed at moving organizations from a complex landscape of disparate application systems to that of an integrated and flexible enterprise accessing complex systems landscapes through service oriented ...

a r t i c l e i n f o In this paper we examine the different coping mechanisms used by customers when they confront service failure. It was found that the coping mechanism used by customers changes depending on the severity of the service failure. Further, it was observed that brand reputation moderates the relationship between severity of service failure and coping strategies, customer satisfa...

System-initiated proposals may be used to introduce new and unsolicited information into the dialogue flow of an automated telephone service in order to advise callers about products in which they may be interested such as short-term loans or overdrafts. Important dialogue design issues surrounding the introduction of such digressive proposals include how to interrupt the callers and where in t...

BACKGROUND Community-based participatory research (CBPR) approaches are valuable strategies for addressing complex health and social problems and powerful tools to support effective transformation of social and health policy to better meet the needs of diverse stakeholders. OBJECTIVES Since 1997, our team has utilized CBPR approaches to improve health service delivery for persons with dementi...

New strategies to control U.S. health spending growth are urgently needed. Although provider payment cuts are likely, cutting fee-for-service (FFS) payments will hurt quality and access. A more sensible approach would be to restructure the delivery system into organized networks of providers delivering reliable, evidence-based care. But restructuring will not occur without payment policy reform...

The problem of efficiently delivering data within networks is very important nowadays, especially in the context of the large volumes of data which are being produced each year and of the increased data access needs of the users. Efficient data delivery strategies must satisfy several types of Quality of Service (QoS) constraints which are imposed by the data consumers. One possibility of achie...

Recognizing an urgent need for increased access to evidenced-based psychological treatments, public health authorities have recently allocated over $2 billion to better disseminate these interventions. In response, implementation of these programs has begun, some of it on a very large scale, with substantial implications for the science and profession of psychology. But methods to transport tre...

When people learn that I study lethal injection, they are usually curious to know more (or at least they are polite enough to ask questions). Interestingly, the question that arises most often— from lawyers, law students, and laypeople—is why states behave as they do. In the wake of botched executions and ample evidence of lethal injection‘s dangers, why do states fail to address their executio...