4,577 research outputs found
Evaluation of a multidisciplinary Tier 3 weight management service for adults with morbid obesity, or obesity and comorbidities, based in primary care
A multidisciplinary Tier 3 weight management service in primary care recruited patients with a body mass index ≥40 kg·m−2, or 30 kg·m−2 with obesity-related co-morbidity to a 1-year programme. A cohort of 230 participants was recruited and evaluated using the National Obesity Observatory Standard Evaluation Framework. The primary outcome was weight loss of at least 5% of baseline weight at 12 months. Diet was assessed using the two-item food frequency questionnaire, activity using the General Practice Physical Activity questionnaire and quality of life using the EuroQol-5D-5L questionnaire. A focus group explored the participants' experiences. Baseline mean weight was 124.4 kg and mean body mass index was 44.1 kg·m−2. A total of 102 participants achieved 5% weight loss at 12 months. The mean weight loss was 10.2 kg among the 117 participants who completed the 12-month programme. Baseline observation carried forward analysis gave a mean weight loss of 5.9 kg at 12 months. Fruit and vegetable intake, activity level and quality of life all improved. The dropout rate was 14.3% at 6 months and 45.1% at 1 year. Focus group participants described high levels of satisfaction. It was possible to deliver a Tier 3 weight management service for obese patients with complex co-morbidity in a primary care setting with a full multidisciplinary team, which obtained good health outcomes compared with existing services
SEED: a tool for disseminating systematic review data into Wikipedia
Wikipedia, the free-content online encyclopaedia, contains many heavily accessed pages relating to healthcare. Cochrane systematic reviews contain much high-grade evidence but dissemination into Wikipedia has been slow. New skills are needed to both translate and relocate data from Cochrane reviews to implant into Wikipedia pages. This letter introduces a programme to greatly simplify the process of disseminating the summary of findings of Cochrane reviews into Wikipedia pages
Managing the delivery of iconic football stadiums in England
The English football premier league has become the most
popular sports league in the world; with ardent fans and
audiences all over the world. The potential business
opportunities that this growth holds have therefore
attracted investors who are keen to buy shares in the
clubs and sign up the best footballers that money can buy.
Underpinning the growth in all of the premier league clubs
is a desire to make a distinct statement of identity as part
of a competitive strategy. One way to achieve this is
through the design and construction of iconic football
stadiums. This paper explores the specific project
management challenges associated with delivery of iconic
football stadiums in England and draws lessons for the
management of similar iconic infrastructure projects. A
study of project management best practice and some case
studies shows that key issues which are common to these
projects are centred on design management; choice of
procurement route; client management; and stakeholder
expectation management. These issues are not necessarily
unique to the project management of iconic football
stadiums but are amplified by the context of these
projects. The emphasis on iconic status in a competitive
market also means that stadium projects should be
conceived and delivered in the context of other strategic
projects which should be clearly understood by the project
management team
Implementation : action or stalemate
Caption title"#2329"--handwritten on cover. -- Series statement handwritten on coverAt head of title: "Conference on Public Policy Issues In Nuclear Waste Management October 29, 1976."Includes bibliographical reference
Providing litigation services; Consulting services practice aid, 93-4
https://egrove.olemiss.edu/aicpa_news/1157/thumbnail.jp
The Register for Antarctic Marine Species, and the Register of Antarctic Species: Going beyond the Sea
What is the effect of size on the use of the EFQM excellence model?
Purpose
By contrasting a contingency with a universal approach to business excellence models (BEMs), the purpose of this paper is to investigate the effect of size on the use of the European Foundation for Quality Management (EFQM) model by organizations that were officially “Recognized for Excellence” in Spain. It considers the potential differences between large organizations and SMEs on the level of adoption of EFQM criteria and on the impact that enablers-criteria may have on key performance measures.
Design/methodology/approach
This study uses actual sub-criteria and criteria scores attained by organizations in their assessment for EFQM recognition. Scores of a population of 216 organizations are analyzed via analysis of variance, factor and structural equations models.
Findings
Although there are some criteria in the EFQM model that appear to be universally adopted irrespective of size, the empirical analyses indicate that size may shape the adoption of other criteria and the impact that enablers can have on results, thus supporting a contingency perspective. Moreover, the findings call for the revision of the relationships embedded in the EFQM model.
Originality/value
In contrast to most previous research, which relied on surveys of managers’ perceptions, this study uses the actual scores achieved by organizations in their assessment for EFQM recognition. It addresses the effect of size on the whole model, which so far has been neglected in the literature. All in all this study contributes to the literature on contingency approaches to best practices, and more specifically to BEMs. To the practitioner, it provides guidelines for addressing perceived performance gaps in their pursuit of recognition for excellence
Private finance for the delivery of school projects in England
This paper analyses the use of the private finance initiative (PFI) approach to deliver school projects in England. The findings are based on case-study research in the Building Schools for the Future scheme (BSF), the largest single capital investment in SO years to rebuild and renew all of England's secondary schools. Up to half of the school infrastructure is to be procured by PFI contracts. A major concern has been the high cost associated with PFI procurement and any subsequent changes to scope. Furthermore, in some cases PFI-funded schools have been closed soon after completion; at great cost to the public sector. The aim of this research was therefore to
understand the underlying reasons for these problems.
The main conclusion is that the difficulties in BSF arise
from not sorting out strategic issues and instituting
appropriate organisational frameworks before engaging
the private sector. The result of this is a lack of clarity
about the long-term needs and end user aspirations. A
brief outline of current programme management methods
is given and it is suggested that this might be integral to
the successful delivery of schools using private finance. A
clear strategic vision that cascades into projects via
programmes will ensure that the school infrastructure is
appropriate for the anticipated strategic benefits and is
aligned to the overall service delivery ambitions
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