Understanding the link between health systems and cancer survival: A novel methodological approach using a system-level conceptual model

Abstract Background There is a growing concern that the quality of health systems in humanitarian crises and the care they provide has received little attention. To help better understand current practice and research on health system quality, this paper aimed to examine the evidence on the quality of health systems in humanitarian settings. Methods This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The context of interest was populations affected by humanitarian crisis in low- and middle- income countries (LMICs). We included studies where the intervention of interest, health services for populations affected by crisis, was provided by the formal health system. Our outcome of interest was the quality of the health system. We included primary research studies, from a combination of information sources, published in English between January 2000 and January 2019 using quantitative and qualitative methods. We used the High Quality Health Systems Framework to analyze the included studies by quality domain and sub-domain. Results We identified 2285 articles through our search, of which 163 were eligible for full-text review, and 55 articles were eligible for inclusion in our systematic review. Poor diagnosis, inadequate patient referrals, and inappropriate treatment of illness were commonly cited barriers to quality care. There was a strong focus placed on the foundations of a health system with emphasis on the workforce and tools, but a limited focus on the health impacts of health systems. The review also suggests some barriers to high quality health systems that are specific to humanitarian settings such as language barriers for refugees in their host country, discontinued care for migrant populations with chronic conditions, and fears around provider safety. Conclusion The review highlights a large gap in the measurement of quality both at the point of care and at the health system level. There is a need for further work particularly on health system measurement strategies, accountability mechanisms, and patient-centered approaches in humanitarian settings.

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Integrating Multi-View Model and Agent Paradigm in the Supply Chain Design

Leadership and Personnel Management ◽

10.4018/978-1-4666-9624-2.ch008 ◽

2016 ◽

pp. 155-177

Author(s):

Souheila Boudouda ◽

Mahmoud Boufaida

Keyword(s):

Supply Chain ◽

Supply Chains ◽

Conceptual Model ◽

Methodological Approach ◽

Supply Chain Design ◽

Conceptual Level ◽

Meta Model ◽

Negotiation Protocol ◽

Operational Level ◽

Different Characteristics

The aim of the presented work is to contribute to the field of the supply chain design that spans multiple organizations. It is based on a methodological approach that outlines two main results: a conceptual model and an operational one. These two models take into account the different characteristics and mechanisms of the supply chain. The conceptual level is based on four views: product, organizational, functional and informational. At this level, a meta-model that contains the basic generic concepts of the supply chain is proposed. The operational level uses the agent paradigm to model the different actors of the supply chain and the relationships between them. According to the characteristics of supply chains, a negotiation protocol between the different agents is presented. Simulations prove that the presented negotiation protocol can increase the efficiency and successful cooperation ratio for supply chain negotiation.

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Exemplar of Pearls of Wisdom for the Academy through Dr. Pearlie Dove's Career in Education

Teacher Education ◽

10.4018/978-1-5225-0164-0.ch003 ◽

2016 ◽

pp. 47-64

Author(s):

Noran L. Moffet ◽

Melanie M. Frizzell ◽

De'Lonn C. Brown

Keyword(s):

Early Childhood ◽

Critical Theory ◽

Conceptual Model ◽

Personal Narrative ◽

Methodological Approach ◽

Men And Women ◽

Biographical Research ◽

Scholarly Influence ◽

Personal Qualities ◽

The Subject

The subject of this chapter represents a woman of color, courage, and consciousness who began her early childhood preparation in the segregated “colored schools” of Atlanta, Georgia in the 1920s and 1930s. Pearlie Craft (maiden name) Dove is the focus of this originally conceptualized qualitative narrative which draws its scholarly influence from ethnography, reflective biography, and historiography as well as personal narrative to posit a methodological approach described as ethno-biographical research. The selected key participant for this chapter was born in 1921. The authors constructed the methodology from selected biographical notes, conversations, interviews, and critical theory of the era in which she was educated and lived. The conceptual model describes the foundation for the use of the term Pearlie's Pearls of Wisdom as attributes that can be models for men and women who aspire to promote principles over expediency. This chapter seeks to promote the overarching professional and personal qualities exemplified by Dr. Dove from 1949-2014.

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Integrating Multi-View Model and Agent Paradigm in the Supply Chain Design

International Journal of Agent Technologies and Systems ◽

10.4018/ijats.2015010103 ◽

2015 ◽

Vol 7 (1) ◽

pp. 32-54

Author(s):

Souheila Boudouda ◽

Mahmoud Boufaida

Keyword(s):

Supply Chain ◽

Supply Chains ◽

Conceptual Model ◽

Methodological Approach ◽

Supply Chain Design ◽

Conceptual Level ◽

Meta Model ◽

Negotiation Protocol ◽

Operational Level ◽

Different Characteristics

The aim of the presented work is to contribute to the field of the supply chain design that spans multiple organizations. It is based on a methodological approach that outlines two main results: a conceptual model and an operational one. These two models take into account the different characteristics and mechanisms of the supply chain. The conceptual level is based on four views: product, organizational, functional and informational. At this level, a meta-model that contains the basic generic concepts of the supply chain is proposed. The operational level uses the agent paradigm to model the different actors of the supply chain and the relationships between them. According to the characteristics of supply chains, a negotiation protocol between the different agents is presented. Simulations prove that the presented negotiation protocol can increase the efficiency and successful cooperation ratio for supply chain negotiation.

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The wicked problem of teaching about wicked problems: Design thinking and emerging technologies in sustainability education

Management Learning ◽

10.1177/1350507620974857 ◽

2020 ◽

pp. 135050762097485

Author(s):

Andrew G. Earle ◽

Dante I. Leyva-de la Hiz

Keyword(s):

Experiential Learning ◽

Conceptual Model ◽

Design Thinking ◽

Emerging Technologies ◽

Sustainability Education ◽

Wicked Problems ◽

System Level ◽

Wicked Problem ◽

Thinking Process

In this paper, we explore the system-level challenges found in sustainability-focused education and consider how the intersections of design thinking and emerging technologies in augmented and virtual reality (AVR) can help address these. More specifically, we highlight the role of experiences across the design thinking process for generating novel solutions to the types of “wicked” problems with which students engage in sustainability education. We then use this as motivation, along with concepts from experiential learning and design thinking research, to develop a conceptual model in which AVR can integrate with more established instructional methods to help make sustainability-related challenges more salient, proximate, and tractable to students. Our conceptual model suggests that AVR holds promise for facilitating and democratizing access to the design thinking process for sustainability-related challenges, but that it is also not a standalone solution for enabling students to engage with such complex challenges.

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Quality Improvement at the Health System Level: Measurement, Risk Stratification, Disparity Populations, and Governance

American Society of Clinical Oncology Educational Book ◽

10.1200/edbk_244941 ◽

2019 ◽

pp. 388-398

Author(s):

Gabrielle Betty Rocque ◽

Inga T. Lennes ◽

Kim Felder Rhoads ◽

Peter Paul Yu

Keyword(s):

Health Systems ◽

Care Delivery ◽

System Level ◽

State Agencies ◽

Public And Private ◽

For Profit ◽

Medical Centers ◽

Level Measurement ◽

Academic Medical ◽

Integrated Delivery

Value-based health systems encompass a range of care-delivery models from small independent practices to large integrated delivery systems and academic medical centers. In addition, public and private payers, federal and state agencies, professional societies, and not-for-profit organizations collect and analyze data for quality and value improvement in health care–delivery outcomes. In this article, we review the multidimensional aspects of data collection, aggregation, analysis, and use for and by value-based health systems.

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Understanding the Unpredictability of Cancer using Chaos Theory and Modern Art Techniques

Leonardo ◽

10.1162/leon_a_01099 ◽

2016 ◽

Vol 49 (1) ◽

pp. 66-67

Author(s):

Dhruba Deb

Keyword(s):

Phase Space ◽

Conceptual Model ◽

Chaotic System ◽

Chaos Theory ◽

Strange Attractor ◽

Model Building ◽

Modern Art ◽

System Level ◽

Abstract Expressionist ◽

Dimensional Phase Space

The unpredictability of cancer poses a threat to personalized cures. Although cancer is studied as a chaotic system, the shape of its unpredictability, known as the strange attractor, is unclear. In this article, the author discusses a conceptual model, building on the strange attractor in cancer phase space. Using techniques of cubism, the author defines the 10-dimensional phase space and then, using an abstract expressionist approach, represents the strange attractor, which twists and turns in multi dimensions, indicating the unpredictability of cancer. This conceptual model motivates the identification of specific experiments for a system-level understanding of cancer.

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Assessment of the Impact of Globalization on the Development of the Russian Transport System

SHS Web of Conferences ◽

10.1051/shsconf/20219207048 ◽

2021 ◽

Vol 92 ◽

pp. 07048

Author(s):

Victor Podsorin ◽

Elena Ovsiannikova

Keyword(s):

Conceptual Model ◽

Transport System ◽

Methodological Approach ◽

Value Added ◽

Commodity Markets ◽

Tariff Policy ◽

Transport Component ◽

The Cost ◽

The Impact ◽

Global Commodity Markets

Research background: The article describes the main trends in the globalization of economic processes, analyses the economic situation of world commodity markets, considers factors that influence the development of the transport system of Russia, defines the transport component in the cost of bulk cargo transported by Russian railways, presents a conceptual model of its formation for the purpose of improving tariff policy and competitiveness. A study of the dynamics of market conditions helps to identify factors that increase the efficiency of interaction between cargo-forming enterprises and organizations with the transport complex, develop and justify a system of measures to increase the efficiency of the transport system and ensure the sustainability of the national economy, as well as identify factors that contribute to globalization and the integration of production processes of transnational structures into the world economic system. Purpose of the article: To develop a methodological approach to assessing the impact of global commodity markets in the context of the globalization of economic processes on the development of the transport system of Russia. Methods: Analysis, classification, deduction, economic and mathematical modelling. Findings & Value added: The developed conceptual model for assessing the impact of global commodity markets in the context of the globalization of economic processes on the development of the country’s transport system contributes to the improvement of the tariff policy in the field of freight transportation, creates favourable conditions for increasing freight volumes for both transit and export-import cargoes.

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Developing and Implementing a Framework for System Level Measures: lessons from New Zealand

Asia Pacific Journal of Health Management ◽

10.24083/apjhm.v11i2.181 ◽

2016 ◽

Vol 11 (2) ◽

pp. 18-26 ◽

Cited By ~ 2

Author(s):

Fiona Doolan-Noble ◽

Mataroria Lyndon ◽

Andrew G Hill ◽

Jonathon Gray ◽

Robin Gauld

Keyword(s):

Quality Improvement ◽

Health Systems ◽

System Level ◽

Health Board ◽

Senior Managers ◽

District Health ◽

Telephone Interviews ◽

Data Alignment ◽

Healthcare Improvement ◽

And Performance

Background: Measuring performance is now the norm in health systems. System Level Measures (SLMs), implemented at New Zealand’s Counties Manukau Health (CMH) are designed to support quality improvement activities undertaken across the health system using only a small set of measures. While the healthcare and performance measurement literature contains information regarding the facilitators and barriers to quality improvement initiatives, there is an absence of studies into whether these factors are germane to the establishment and implementation of a SLM framework. Methods: A purposive sample of thirteen senior managers and clinicians involved in the construction and implementation of SLMs were invited to participate. Semi-structured telephone interviews were completed and recordings transcribed verbatim. Transcriptions were thematically analysed using a general inductive approach. Findings: In total, ten interviews took place. Six facilitative themes were identified including: dispersed and focused leadership; communication; data; alignment of the measures with organisational strategic data; alignment of the measures with organisational strategic plans and values; stakeholder engagement; and a dedicated project team. Conversely, five themes were identified that hindered the process. These were: reaching consensus; perfection versus pragmatism; duplication and process burden; achieving buy-in and workload. Discussion: The factors that facilitate and hinder establishing and implementing a framework of SLMs are common to other quality improvement approaches. However, this study demonstrated that these factors were also germane to SLMs. These findings are of particular relevance as researchers and policy makers elsewhere increasingly aim to adopt measurement arrangements for health systems that address equity, safety, quality, access and cost. Abbreviations: CMH – Counties Manukau Health; DHB – District Health Board; IHI – Institute for Healthcare Improvement; QI – Quality Improvement; SLM – System Level Measure.

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