scholarly journals Unfolding the Problem of Batik Waste Pollution in Jenes River, Surakarta, using Critical System Heuristics and Drama-Theoretic Dilemma Analysis

Author(s):  
Pri Hermawan ◽  
Ghita Yoshanti
Keyword(s):  
Author(s):  
Leanne SOBEL ◽  
Katrina SKELLERN ◽  
Kat PEREIRA

Design thinking and human-centred design is often discussed and utilised by teams and organisations seeking to develop more optimal, effective or innovative solutions for better customer outcomes. In the healthcare sector the opportunity presented by the practice of human-centred design and design thinking in the pursuit of better patient outcomes is a natural alignment. However, healthcare challenges often involve complex problem sets, many stakeholders, large systems and actors that resist change. High-levels of investment and risk aversion results in the status quo of traditional technology-led processes and analytical decision-making dominating product and strategy development. In this case study we present the opportunities, challenges and benefits that including a design-led approach in developing complex healthcare technology can bring. Drawing on interviews with participants and reflections from the project team, we explore and articulate the key learning from using a design-led approach. In particular we discuss how design-led practices that place patients at the heart of technology development facilitated the project team in aligning key stakeholders, unearthing critical system considerations, and identifying product and sector-wide opportunities.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Archana Shrestha ◽  
Rashmi Maharjan ◽  
Biraj Man Karmacharya ◽  
Swornim Bajracharya ◽  
Niharika Jha ◽  
...  

Abstract Background Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. Methods We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. Results National health insurance covers less than 10% of the population; and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Conclusion Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.


1986 ◽  
Vol 24 (2) ◽  
pp. 223-241 ◽  
Author(s):  
Daniel C Kolb
Keyword(s):  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Reza Pourhassan ◽  
Sadigh Raissi ◽  
Arash Apornak

PurposeIn some environments, the failure rate of a system depends not only on time but also on the system condition, such as vibrational level, efficiency and the number of random shocks, each of which causes failure. In this situation, systems can keep working, though they fail gradually. So, the purpose of this paper is modeling multi-state system reliability analysis in capacitor bank under fatal and nonfatal shocks by a simulation approach.Design/methodology/approachIn some situations, there may be several levels of failure where the system performance diminishes gradually. However, if the level of failure is beyond a certain threshold, the system may stop working. Transition from one faulty stage to the next can lead the system to more rapid degradation. Thus, in failure analysis, the authors need to consider the transition rate from these stages in order to model the failure process.FindingsThis study aims to perform multi-state system reliability analysis in energy storage facilities of SAIPA Corporation. This is performed to extract a predictive model for failure behavior as well as to analyze the effect of shocks on deterioration. The results indicate that the reliability of the system improved by 6%.Originality/valueThe results of this study can provide more confidence for critical system designers who are engaged on the proper system performance beyond economic design.


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