【新學術文章】運用社會生態學模式檢視香港長者晚期護理服務中的問題和相對完善發展所存在的差距 – 香港多元化定性研究
在現今醫療服務中,為絕症及重症病人提供的晚期護理服務備受關注。儘管香港人的預期壽命為全球之冠,而近年對相應的長期護理服務的需求也不斷上升, 香港的晚期護理服務多年來發展並不完善。是次研究目標在於針對香港長者晚期護理服務中的問題作出整體性的檢視和表述。研究使用多元化定性方法進行數據收集,包括焦點小組和與關鍵人物和持份者的深入訪談,以及對患者和家屬的縱向案例研究。研究透過主題分析,從社會生態模型的角度仔細檢視香港當前晚期護理服務在不同層面上存在的問題和差距,以及他們之間的關係。透過該模型,我們在政策、法律、社區、機構以及個人和人際層面上總結了針對香港老年人口的晚期護理服務上的差距和問題。這些包括但不限於缺乏全面的晚期護理政策框架、精神上無行為能力的法律依據含糊、針對預設醫療指示的立法障礙、社區內對晚期護理服務的供應及所需資源和支援的缺乏、醫療和社福領域裡對晚期護理的認知及培訓上之有限、以及就服務在兩種領域服務上所需的連接和整合的欠缺。另外,在文化層面上香港人對有關死亡的話題存在一定的恐懼和抗拒心態,而且對孝道的文化詮釋也帶來一定包袱。以上種種因素都有可能加重垂死患者的痛苦。研究結果突顯了在一個東西文化交彙的地方,晚期護理服務存在多層次的障礙和問題,並闡明如何最好地設計更有效、更全面的政策干預措施,以有利發展可持續、以人為本的晚期護理服務。
【New academic publication】Examining the Gaps and Issues of End-of-Life Care among Older Population through the Lens of Socioecological Model—A Multi-Method Qualitative Study of Hong Kong
End-of-life (EOL) care for terminal illness and life-limiting conditions is a sector in the health service spectrum that is drawing increased attention. Despite having the world’s longest life expectancy and an ever-escalating demand for long-term care, Hong Kong’s EOL care was underdeveloped. The current study aims to provide a holistic picture of gaps and issues to EOL care in Hong Kong. Data collection was conducted using a multi-method qualitative approach that included focus groups and in-depth interviews with key informants and stakeholders, and longitudinal case studies with patients and families. Deductive thematic analysis was used to examine service gaps in current EOL care through the lens of a socioecological model where gaps and issues in various nested, hierarchical levels of care as well as the relationships between these levels were studied in detail. Using the model, we identified gaps and issues of EOL care among older populations in Hong Kong at the policy, legal, community, institutional, as well as intrapersonal and interpersonal levels. These include but are not limited to a lack of overarching EOL care policy framework, ambiguity in the legal basis for mental incapacity, legislative barriers for advance directives, inadequate capacity, resources, and support in the community to administer EOL care, inadequate knowledge, training, and resources for EOL care in health and social care sectors, inadequate medical-social interface, general reluctance and fear of death and dying, as well as the cultural interpretation of filial piety that may lengthen the suffering of the dying patients. Findings highlight the multi-level gaps and issues of EOL care in a place where western and eastern culture meet, and shed light on how best to design more effective and comprehensive policy interventions that will likely have a more sustainable and instrumental impact on facilitating person-centered EOL care during the end of life.
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service design case study 在 ลงทุนแมน Facebook 的精選貼文
MEA x ลงทุนแมน
กรณีศึกษา ภารกิจของ MEA การไฟฟ้านครหลวง /โดย ลงทุนแมน
“ผมเดินทางไปเยือนหลายเมืองที่มีสายอะไรพันกันยุ่งเหยิงบนเสาไฟฟ้า
อย่างในรูปนี้คือประเทศไทย”
...Continue ReadingMEA x invest man
Case study of the mission of MEA. Nakhon Luang electricity / by Investing Man.
′′ I traveled to many cities where there was a wire tangled mess on the electric pole.
As in this photo is Thailand ′′
This is the message of Bill Gates, the founder of Microsoft Company.
The reason he posted to Facebook himself in 2559 that time there were 18 million followers.
Just a moment... Become a serious ripple that everyone talks about.
The wire that is tangled. Bitches on the pole are actually not electrical wire but other cables such as telecommunications cable. Some people pay for rent. Some cables are smuggled.
When there is a wide range of trends, it causes relevant agencies to rush all types of lines into all underground.
Communication line. Office of Kor Sor. Will be responsible for this
The electrical wire that is aligned at the top. It will be the duty of Nakhon Luang electricity or MEA electricity.
This is interesting because of it. Did you know?
In fact, the electrical cable mission began from 2527 and ends in 2564, which routes 215.6 kilometers.
But... it's been 36 years. MEA can bring electrical cable underground for just 46.6 kilometers.
Or think only 21.6 % of target flagged.
So why is this mission delayed
So how much needed to put electrical cables underground
Investing man will tell you about it.
First of all, I need to tell why MEA wants all electrical cables to be buried underground.
First thing is if the electrical cable is underground. If there is a wind, there is a storm. Car crashes into electric
It's not going to make houses blackout like old electric pole.
Including electrical wire technology to support increasing amounts of electricity.
And finally, without wires will make the view around Bangkok beautiful as the future Metro. Smart Metro.
The next thing that many people ask is why it's so delayed to bring electrical cable to the ground.
The answer is that MEA is facing many obstacles and problems.
In fact, the budget invested in 10 times higher power cables compared to building electric poles on earth. The plan must pass consensus from each government cabinet.
And when it's approved, we have to plan to design construction both a pond and a hundred electrical cables to bring electrical wires underground. Each route will be different difficult and easy.
When you go through this process, you have to install an underground electrical wire. Then change the system from an air cable until the last step is to demolish the electric pole.
You will see that each action must go through many steps and still have to use cooperation from other agencies to work. Let's move forward together.
It's not easy to do construction work because it's limited by 22.00 hrs. - 05.00 pm That's all
To not affect traffic
And in some routes where at night are filled with shops and tourists, construction will be more difficult until delays.
I have to say this is a brutal task, not a little.
For electricity system to be stable, it can support the need for more electricity in urban areas than the original electric pole.
For Covid-19 crisis that causes everyone to stay home, distance and avoid touch.
This point becomes the main reason that people's behaviors change to online more.
Many government agencies have tried to implement online service system. Many people hope to reduce the burden in the situation. It is considered to be a refund policy, electricity insurance and electricity bill assistance measures that many people hope to help reduce the burden of the situation. COVID-19
MEA is also a top cuddle government agency that develops application and takes full advantage of IT system to provide online service.
MEA Smart Life Application. This app was developed to support unified electrical services since 2556 Guaranteed by ICT Excellence Awards in Thailand ICT Excellence Awards 2016, the main process development project (Core Process Improvement Project). And the cuddle digital government awards at the Digital Government Awards 2019
By this app, we can use to check electricity bill to pay electricity bill online. Notice of electricity losses including electricity announcement in our area. It is an app that meets all electrical issues.
Free download at http://onelink.to/measmartlife
MEASY Online Electrical Services via website https://eservice.mea.or.th/measy
To facilitate electricity anytime, anywhere. No need to travel anywhere. Know the cost immediately. You can pay online and follow the status at any stage.
MEA e-Bill is the latest online service to receive documents online via SMS or email.
e-Invoice: Electricity bill statement
e-Receipt / e-Tax Invoice: Receipt / Tax invoice
e-Notification: A book to pay electricity bill.
Sign up for service at https://ebill.mea.or.th
And another service that is indispensable in the New Normal era. That's MEA e-Payment. Electricity bill service via electronic system.
Did you know that during the COVID-19 situation, people pay electricity bill through online channels. It's increasing continuously during normal events in high school months. July 2563 at 54.6 % move up to 61.94 % in May. Oh my god. In the past or up to 7.34 %
In addition to paying via e-Payment, it's safe, no hassle, no paper touch and no travel, it's also free fees which can be paid through MEA Smart Life Application, bank account or credit card automatically, Mobile Banking and Internet Banking.
However, in the long term, when the crisis goes through, more people leave the house, we need to follow whether people's behaviors are the same. Or in the future, MEA will seek new features to meet customers, including the mission of MEA or the electricity of Nakhon Luang. How fast can the electrical wire be accomplished and how will the communication cable be progress? Everyone would dream of seeing Bangkok with a landscape of cuddle, wireless, electrical, mess in the future.
And when it's that time, Bill Gates visited Thailand again. He might take another photo and say that Bangkok is one of the most beautiful cities in the world..
References
- Annual Report 2562 Nakhon Luang Electricity
- Press release of Nakhon Luang electricity.
-https://www.mea.or.th/content/detail/87/4286
-https://www.mea.or.th/content/detail/82/3131/3963
-https://mgronline.com/live/detail/9590000064631
-https://mgronline.com/politics/detail/9620000092138Translated
service design case study 在 國立臺灣大學 National Taiwan University Facebook 的最佳解答
【Coursera in Taiwan:臺大 NTU MOOC 與國泰金控共同推出「服務模式」線上課程】
🔧臺大與國泰金控產學合授「服務模式的體驗、設計與創新:從痛點到點」
今年夏天,臺大數位學習中心的 NTU MOOC 團隊與國泰金控共同推出了全新產學合授 「服務模式的體驗、設計與創新:從痛點到賣點(Experience, Design, andInnovation of Service Models: from Pain Points to Selling Points)」MOOC 線上課程。本課程採以學界與業界專家協同授課,由臺大工商管理學系郭佳瑋教授、工商管理學系余峻瑜教授、資訊管理學系孔令傑教授,以及國泰金控數位暨數據發展中心陳冠學協理等四人擔任教師團隊。當中三位臺大管理學院教授,皆有臺大 EMBA 高階管理碩士學位班的專業且豐富授課經驗,運用個案研討( Case Study ) 作為重要教材,帶領學習者掌握趨勢、深入了解及剖析各產業的經營及服務消費模式。課程規劃除了內容紮實的課程影片、搭配課後評量測驗,NTU MOOC 團隊更是設計了一系列符合學習者經驗的討論題組,以期達到最佳學習效果。
🔧「個案研討」幫助學習「洞察痛點與問題解決」
本課程以淺顯易懂的理論解說與實例探討進行教學,為的是讓非商管專業的人也能夠對於服務模式及服務管理建立起正確清楚的基本觀念,並能使用新的眼光去看待生活周遭所接觸來自各行各業所提供的服務,非常適合對服務業經營管理與創新感興趣的朋友修習課程。課程規劃為期六週單元,內容涵蓋體驗經濟、服務設計、服務營運管理、服務創新、收益管理、平臺策略等主題內容,前五週由臺大教師講授學理知識,並配合包含金融、零售、醫療、交通、網路等各產業的豐富案例解說;而第六週單元則由國泰金控主授課程,以金融產品設計個案為例,詳述產品設計過程中所遇到的挑戰與調整方式,為線上學習者加強說明科技時代下的服務創新經濟的重要趨勢,如何運用服務差異提供客戶不同的新價值與感動經驗;此外,也指導學習者運用「痛點分析」洞察服務中的痛點,轉化為使用者的需求目標,進而提出具體改善建議或問題解決方案。
以上教學特色著重於「學科專業結合實務經驗」的學習模式,每週主題皆配合大量來自不同產業中的實例,引導學習者主動探索與研究學習,讓貼近生活的內容素材,幫助知識轉化與應用。
🔧Coursera 首播課程與國泰金控徵才企劃
本線上課程將持續開放於 Coursera 國際平臺,學習者僅需簡單以 email 註冊或使用 Facebook 帳號連動即可免費聽課。首播課程於 7/19 起開放註冊,7/30 正式開課,且每 4 週即開放新的一期,即使錯過首播註冊期限也不必擔心。而國泰金控將於課程首播後,進行一系列特別企劃:9 月上旬由數位暨數據發展中心舉辦講座活動,以及國泰金控實習生甄選計畫。以上預計 8 月中旬正式公開詳細資訊,歡迎大家敬請期待!
🆕🆕🆕
【NTU MOOC x Coursera 線上課程資訊】
• 本課程網頁:http://coursera.org/learn/service-models
• 2018/07/19 (即日起)首播搶先註冊,07/30 正式開課。
• 2018/07/19~8/4 為首播課程的註冊期限。
【臺大數位學習中心相關網頁】
• 臺大數位學習中心:https://www.dlc.ntu.edu.tw/
• 臺大數位學習中心 NTU MOOC- Facebook:
https://www.facebook.com/ntumooc2017/
【臺大新聞聯繫人】臺大數位學習中心公共課程組 (NTU MOOC 團隊):
• 林 宣 02-33661808,linhsuan@ntu.edu.tw
• 徐哲彥 02-33661808,jheyan77@ntu.edu.tw
service design case study 在 Ray Mak Youtube 的最佳解答
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Ray Mak
http://www.makhonkit.com
This is a very rare newly built triple-storey FREEHOLD bungalow featuring a highly unique contemporary design. It even features a courtyard in the center of the bungalow which allows natural sunlight to brighten the interior of the bungalow during the day.
Located behind the National Zoo of Malaysia, Kemensah Heights is a freehold bungalow estate development nestled in Kemensah, Ampang. Don't worry, it is located a good distance from the zoo that, you'll not hear the lions' roar. Subsequently, Kemensah Heights is known for its green serene and refreshing environment, as well as its exclusivity.
Kemensah Heights has all kind of facilities and amenities one will probably looking for which includes commercial centers, academic institutions, and health centers. There are several good schools within the vicinity, such as Sekolah Menengah Kebangsaan Taman Melati, Sekolah Menengah Wangsa Jaya, Sekolah Menengah Klang Gate and Sekolah Kebangsaan Wangsa Melati. The International School of Kuala Lumpur is also within a short drive away.
Besides academic institutions, in case of an emergency Damai Service Hospital is within 5 minutes drive from Kemensah Heights. It is also surrounded by the commercial shop-lots in Taman Melawati, Taman Permata, Desa Setapak dan Wangsa Maju where one can easily find post office, shopping centers, prominent banks, restaurants and more. You'll get basically everything you need within a short drive away.
In terms of accessibility, Kemensah Heights can be accessible from Middle Ring Road 2, Karak Highway, Duke Highway and Ampang-KL Elevated Highway. Apart from that, it is only within 10 minutes drive to the nearest Wangsa Maju LRT station.
Summary :
Location : Kemensah Heights
Condition : Excellent
Tenure : Freehold
Build Up : 6,200
Land Area : 5,450
Storey : 3
Bedrooms : 5 bedrooms + 1 study room + 1 maid's room
Bathrooms : 7
Parking : With Covered Automatic Garage
Furnishing : Partly
Features : Marble as well as High Quality Timber Flooring, Thick Timber Doors, Central Water Heater, Elegant Window Designs from Singapore (UPVC Panels and Tempered Glass for sound and water proof window), High Ceilings, Well equipped dry and wet kitchens with beautiful tiles, Beautiful bathrooms with beautiful marble tiles on the floors and walls and Toto branded bath-wares, 2 decent sized Balconies