In health care, role enlargement has been part of efforts to shift service delivery from a task-oriented approach towards integrated care carried out by workers who are able to meet patients' multiple and complex needs [ 117].
There is difficulty in capturing, in a set of routine indicators, a diffuse and shifting service delivery platform, and CBS has fallen largely outside of quarterly and annual systems of review and reporting, entrenching its marginal status.
First, we have to shift services closer to home.
As hospitals buy doctors' offices, they are shifting services from expensive places to cheaper ones.
The government wants to shift services out of hospital, and small practices in old Victorian houses can't provide X-rays, other diagnostic services, and specialist services.
Officials must decide whether to shift services, create pocketed marketing campaigns or go directly to the individuals with the highest viral load and offer them appropriate care.
Commissioning was all about shifting services form supporting people in residential care to care at home and developing specialist care for people suffering from dementia.
A single personal budget to fund services rather than simply paying hospitals for admitting patients, would create a powerful incentive to shift services out of hospitals into the community and at home, and towards prevention and early intervention.
The future health of the NHS depends upon shifting services to encourage care in the home and greater investment in preventive measures – for instance, adapting homes to allow older people to maintain their independence for longer.
Others worry that intensively monitoring patients in the community could increase costs or shift services away from other people with mental illness — something the authors say can happen in states that, unlike New York, fail to put money into the program.
In this paper, we propose the formation of agent cooperatives offering large-scale electricity demand shifting services, and put forward a complete framework for their operation.
