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It is therefore imperative that robust evaluation methodologies are available to scrutinise new approaches to service development.
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In this research the case of Egypt, where SOA was chosen as the main interoperability approach, has been explored in terms of to what extent the current approach to service development supports the interoperability governance, and what kind of changes in the development methods and their application would yield improvements in interoperability governance.
Within the current Primary Care Group context, where purchasing decisions are made collectively by a group of general practices within a region, consideration needs to be given to both the continuity of schemes already in existence and to whether a more standardized approach to service development will be required to facilitate sustainable provision.
This is in line with a common approach to service development in healthcare organisations, Plan-Do-Study-Act [ 36].
This is at odds with the current top down policy-driven approach to service development as it undervalues stakeholder involvement and decreases intrinsic motivation.
Because execution engines and specification languages do not follow a single standard, we think that an approach that adds flexibility to service development and deployment is welcome.
The proposed methodologies provide substantial impetus for the engagement of older people and their informal carers in the development of new approaches to service delivery.
To improve the current method, this paper applies the aspect-oriented approach to service system development.
The relevance that integrated product and services is assuming nowadays, allowing manufacturing companies to achieve a longer and more stable relationship with their customers, determines new approaches to product service development and methodologies or tools to support the review and definition of appropriate business models.
Although distinct clinical services, the three were connected through regional approaches to strategic service development in line with national stroke policy [ 24].
The rarity of structural interventions in African projects suggests a predominant bio-behavioural approach to effecting disease control, rather than a community development approach to service delivery.
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