Over the past three years I have had the opportunity to be involved in two integration projects regarding cancer services. Both projects crossed jurisdictional, geographical and healthcare-provider boundaries and used cooperation and collaboration to work toward the goal of an integrated, quality, multi-disciplinary, seamless, patient-centred approach to cancer care. The projects have provided ...

These variability concerns affect both the service interface and the service provider implementation and hence are crosscutting in nature. In this paper, we use principles of aspect-oriented software development to modularize these variability concerns. We also provide an aspect specification scheme to specify these concerns. We propose an approach to create heavyweight service variants centere...

BACKGROUND In quasi-markets governance over healthcare providers is mediated by commissioners. Different commissioners apply different combinations of six methods of control ('media of power') for exercising governance: managerial performance, negotiation, discursive control, incentives, competition and juridical control. This paper compares how English and German healthcare commissioners do so...

sweden and spain experiment with different provider models to reform healthcare provision. both models have in common that they extend the role of the for-profit sector in healthcare. as the analysis of saltman and duran demonstrates, privatisation is an ambiguous and contested strategy that is used for quite different purposes. in our comment, we emphasize that their analysis leaves questions ...

Clinical governance has been introduced as a new approach to quality improvement in the UK national health service. This article maps clinical governance against a discussion of the four main approaches to measuring and improving quality of care: quality assessment, quality assurance, clinical audit, and quality improvement (including continuous quality improvement). Quality assessment underpin...

Cloud computing is a business concept that delivers technology “as a service”. Its lower cost of operation is the main economic driver for consumers and enterprises. The major obstruction to its adoption is security and governance risks inherent in its transnational nature. These risks are associated with relative change of governance level within the cloud service layers during the relationshi...

Clinical governance has been introduced as a new approach to quality improvement in the UK national health service. This article maps clinical governance against a discussion of the four main approaches to measuring and improving quality of care: quality assessment, quality assurance, clinical audit, and quality improvement (including continuous quality improvement). Quality assessment underpin...

This paper will investigate the effects of performance contracts on the governance of third sector organisations to which governments have outsourced responsibility for delivery of important human and welfare services. As governments have retreated from direct delivery of such services under the impetus of the New Public Management (NPM) reform agenda, they increasingly have had to rely on thir...

Jorge Cardoso, Carlos Pedrinaci and Pieter De Leenheer Open semantic service networks: modeling and analysis Dieter De Smet and Wolfgang Molnar Strategic Reorientation and Influences on Business-IT Alignment: A Case Study in a Luxembourgish Financial Services Provider Pieter De Leenheer, Jorge Cardoso and Carlos Pedrinaci Governance and Ontological Aspects of Business Semantics in Compliant Ser...

Governments across the European Union (EU) face the challenge of responding to public demand for more responsive, efficient and effective services. E-Government based on the principle of providing services via internet to citizens and companies. The rapid growth of electronic government gave the EU the ability to correspond more effectively to the needs of citizens and provide more valuable ser...