Benchmarking health-care supply chain by implementing Industry 4.0: a fuzzy-AHP-DEMATEL approach

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Md Kamal Hossain ◽  
Vikas Thakur

PurposeWith the rising needs of health-care (HC) services during the health outbreaks, it is essential to upgrade the existing HC delivery infrastructure. The study aims to prioritize and highlight the interrelationships among the key factors of the smart health-care supply chain (HCSC) by implementing the concept of Industry 4.0.Design/methodology/approachThe key factors of implementing Industry 4.0 in HCSC have been identified through extensive literature review and stakeholders' opinions. To achieve the abovementioned objectives, the present study proposed hybrid multi-criteria decision-making (MCDM) tools, namely, the fuzzy-analytic hierarchy process (AHP) and fuzzy- decision-making trial and evaluation laboratory (DEMATEL). The Fuzzy-AHP prioritized the factors of implementing Industry 4.0 in HCSC, while the cause–effect relationships among the factors have been explored using fuzzy-DEMATEL.FindingsThe results of the study indicated that HC logistics management (HCLM) is the most prioritized factor of implementing Industry 4.0 in HCSC, followed by the integrated HCSC, then sustainable HCSC practices, HCSC innovation and technological aspects, HCSC institutional perspectives, HCSC competitiveness, social aspects and economic factors of HCSC. The cause–effect analysis has highlighted integrated HCSC, HCLM, HCSC competitiveness and social aspects as the cause group factors and they are the critical success parameters for implementing Industry 4.0 in the HCSC.Practical implicationsThe results of the study can be useful for policymakers, humanitarian organizations, health administrators and other decision makers considering the smartening of HCSC to enhance the operational performance of health facilities.Originality/valueThis is one of the few studies to have been conducted so far in which the subfactors of HCSC implementing Industry 4.0 have been identified and analyzed using the fuzzy-AHP and fuzzy-DEMATEL hybrid approach.

foresight ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sriyanto Sriyanto ◽  
Muhammad Saeed Lodhi ◽  
Hailan Salamun ◽  
Sardin Sardin ◽  
Chairil Faif Pasani ◽  
...  

Purpose The study aims to examine the role of health-care supply chain management during the COVID-19 pandemic in a cross-section of 42 selected sub-Saharan African (SSA) countries. Design/methodology/approach The study used cross-sectional robust least square regression for parameter estimates. Findings The results confirmed the N-shaped relationship between the health-care logistics performance index (HLPI) and COVID-19 cases. It implies that initially HLPI increases along with an increase in COVID-19 cases. Later down, it decreases COVID-19 cases by providing continued access to medical devices and personal protective equipment. Again, it increases due to resuming economic activities across countries. Practical implications The continuing health-care supply chain is crucial to minimize COVID-19 cases. The international support from the developed world in providing health-care equipment, debt resettlement and resolving regional conflicts is deemed desirable to escape the SSA countries from the COVID-19 pandemic. Originality/value The importance of the health-care supply chain during the COVID-19 pandemic is evident in the forecasting estimates, which shows that from August 2021 to April 2022, increasing the health-care supply chain at their third-degree level would reduce coronavirus registered cases. The results conclude that SSA countries required more efforts to contain coronavirus cases by thrice increasing their health-care logistics supply chain.


2019 ◽  
Vol 10 (2) ◽  
pp. 290-313 ◽  
Author(s):  
Matloub Hussain ◽  
Mehmood Khan ◽  
Mian Ajmal ◽  
Karim Sajjad Sheikh ◽  
Amiruddin Ahamat

Purpose The purpose of this paper is to develop a framework for the identification, categorization and prioritization of social sustainability barriers in health-care supply chains. Design/methodology/approach An exploratory survey tool is used to identify barriers that are relevant to a health-care supply chain. The identified barriers are grouped into five main categories and experts’ opinions were applied to validate the content. Finally, an analytical hierarchical process (AHP) is used to prioritize the main categories and sub-categories of the barriers. Findings The exploratory phase identified 34 barriers that are relevant to a health-care supply chain. These barriers were grouped into the following categories: poor infrastructure, organizational culture, poor coordination, stakeholder disparity, and uncertainty. Organizational culture and poor coordination were assigned the highest priority through the AHP. Overall, lack of management support, lack of commitment and lack of coordination were found to be the top relevant barriers to a health-care supply chain. Research limitations/implications This study only explored and prioritized the barriers of social sustainability. Future research should explore the impact of the identified barriers on the overall performance of the hospital supply chain. Practical implications The findings of this study may be of value to the local health-care industry in achieving their objectives by overcoming social sustainability barriers, which would in turn facilitate the implementation of social sustainability programs that can positively contribute to the overall supply chain performance. Social implications Social sustainability has grown in importance as a pressurizing issue to push supply chain managers to assess their social impacts on the communities. This is especially important in service supply chains such as health care, where human element is a part of every stage. Originality/value Despite practitioners’ and academics’ growing emphasis on the social dimension of sustainability, the categorization and prioritization of social sustainability practices across health-care supply chains and general service care supply chains have not been addressed. This study aims to cover this gap by contributing to both the academic literature and the practical health-care environment.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
S Vinodh ◽  
Vishal Ashok Wankhede

PurposeThe aim of this study is to analyze workforce attributes related to Industry 4.0 using fuzzy decision-making trial and evaluation laboratory (DEMATEL) and fuzzy combinative distance-based assessment (CODAS).Design/methodology/approachTechnological trends stipulate various revolution in industries. Industry 4.0 is a vital challenge for modern manufacturing industries. Workforce adoption to such challenge is gaining vital importance. Therefore, such workforce-related attributes need to be identified for enhancing their performance in Industry 4.0 environment. In this context, this article highlights the analysis of 20 workforce attributes for Industry 4.0. Relevant criteria are prioritized using fuzzy DEMATEL. Workforce attributes are prioritized using fuzzy CODAS.FindingsThe key attributes are “Skills/training in decision-making (WA2)”, “Competences in complex system modelling and simulation (WA1)” and “Coding skills (WA20)”.Research limitations/implicationsIn the present study, 20 workforce attributes are being considered. In future, additional workforce attributes could be considered.Practical implicationsThe study has been conducted based on inputs from industry experts. Hence, the inferences have practical relevance.Originality/valueThe analysis of workforce attributes for Industry 4.0 using MCDM methods is the original contribution of the authors.


2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Najla Alemsan ◽  
Guilherme Tortorella ◽  
Carlos Manuel Taboada Rodriguez ◽  
Hadi Balouei Jamkhaneh ◽  
Rui M. Lima

Purpose The importance of a lean health-care supply chain is increasingly discussed. However, it is still not very clear how lean practices relate to resilience capabilities, as there are synergies and divergences between them. This study aims at identifying the relationship between lean practices and resilience capabilities in the health-care supply chain. Design/methodology/approach This study conducted a scoping review based on five databases, which allowed the content analysis of 44 articles. Such analysis allowed the verification of trends and volume of studies on this topic. Further, the descriptive numerical and thematic analyses enabled the proposition of a conceptual framework, relating the adoption of lean practices to the development of resilience capabilities according to the tiers of the health-care supply chain in different value streams. Findings Three research directions were derived from this scoping review: empirical validation of the contribution of lean practices to resilience capabilities in the health-care supply chain; systemic implementation of lean practices across tier levels of the health-care supply chain; and complementary approaches to lean implementation toward a more resilient health-care supply chain. Practical implications The understanding of these relationships provides health-care managers arguments to prioritize the application of lean practices to improve desired resilience capabilities in the entire health-care supply chain. Originality/value To the best of the authors’ knowledge, there is no similar study in the literature.


2019 ◽  
Vol 13 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Anuj Dixit ◽  
Srikanta Routroy ◽  
Sunil Kumar Dubey

Purpose The purpose of this paper is to identify, analyze and classify (i.e. driving and dependence power) the government-supported health-care supply chain enablers (GHSCEs) in rural areas of India for enhancing availability and minimizing wastage of generic medicines. Design/methodology/approach A methodology is proposed using interpretive structural modeling (ISM) – fuzzy matriced impacts croises multiplication appliqueeaun classement (Fuzzy MICMAC) analysis to analyze the GHSCEs on the basis of inputs collected from various stakeholders about their driving and dependence power. Findings The performance measurement system, employee recognition and reward, technology adoption, training cell and inbuilt analytical tool for IT system were found to be the appropriate GHSCEs where efforts and resources should be put for enhancing availability and minimizing wastage. Research limitations/implications The proposed approach provides a platform for the both researchers and academicians to understand the GHSCEs and their relationships. It also provides the direction to the government for optimally allocating the efforts and resources to enhance the current performance level of generic drug distribution. Originality/value Although many issues related to health-care supply chain have been widely researched and reported, no literature has been found for analysis of GHSCEs to choose the appropriate set of GHSCEs for supply chain performance improvement in general and developing country like India in specific.


2020 ◽  
Vol 11 (1) ◽  
pp. 187-206
Author(s):  
Philipp Hummel ◽  
Jacob Hörisch

Purpose Stakeholder theory research identifies changes in language as one possible mechanism to overcome the deficiencies of current accounting practices with regard to social aspects. This study aims to examine the effects of the terms used for specific accounts on company internal decision-making, drawing on the example of “value creation accounting”. Design/methodology/approach The study uses a survey based-experiment to analyze the effects of terms used for specific accounts on decision-making, with a focus on social aspects (in particular expenditures for staff) in cost reduction and expenditure decisions. Findings The findings indicate that wordings, which more closely relate to value creation than to costs, decrease cost reductions and increase the priority ascribed to the social aspect of reducing staff costs in times of financial shortage. The effects of terms used on cost reductions are stronger among female decision makers. Practical implications The analysis suggests that conventional accounting language best suits organizations that aim at incentivizing decision makers to primarily cut costs. By contrast, if an organization follows an approach that puts importance on social aspects in times of financial shortage and on not doing too sharp cost reductions, value creation-oriented language is the more effective approach. Social implications The study suggests that the specific terminology used for accounts should be chosen more carefully and with awareness for the possible effects on cost reduction decisions as well as on social consequences. Originality/value This study contributes to a better understanding of the relevance of language in accounting. It suggests that the terms used for accounts should be chosen purposefully because of their far-reaching potential consequences for stakeholders as well as for the organization.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Justin Zuopeng Zhang ◽  
Praveen Ranjan Srivastava ◽  
Prajwal Eachempati

PurposeThe paper aims to build a customized hybrid multi-criteria model to identify the top three utilities of drones at both personal and community levels for two use cases: firefighting in high-rise buildings and logistic support.Design/methodology/approachA hybrid multi-criterion model that integrates fuzzy analytical hierarchy process (AHP), Best Worst, fuzzy analytical network process (ANP), fuzzy Decision-Making Trial and Evaluation Laboratory (DEMATEL) is used to compute the criteria weights. The weights are validated by a novel ensemble ranking technique further whetted by experts at the community and personal levels to two use cases.FindingsDrones' fire handling and disaster recovery utilities are the most important to fight fire in high-rise buildings at both personal and community levels. Similarly, drones' urban planning, municipal works and infrastructure inspection utilities are the most important for providing logistics support at personal and community levels.Originality/valueThe paper presents a novel multi-criteria approach, i.e. ensemble ranking, by combining the criteria ranking of individual methods – fuzzy AHP, Best-Worst, fuzzy ANP and fuzzy DEMATEL – in the ratio of optimal weights to each technique to generate the consolidated ranking. Domain experts also validate this ranking for robustness. This paper demonstrates a viable methodology to quantify the utilities of drones and their capabilities. The proposed model can be recalibrated for different use case scenarios of drones.


2019 ◽  
Vol 14 (1) ◽  
pp. 153-174 ◽  
Author(s):  
Shahbaz Khan ◽  
Mohd Imran Khan ◽  
Abid Haleem

PurposeHigher level of customer satisfaction for halal products can be achieved by the effective adoption of halal certification through assessment and accreditation (HCAA). There are certain issues that seem detrimental towards the adoption of HCAA. The purpose of this paper is to identify the major barriers towards the adoption of HCAA and evaluate inter-relationships among them for developing the strategies to mitigate these barriers.Design/methodology/approachThe barriers towards the adoption of HCAA are identified through an integrative approach of literature review and expert’s opinion. The inter-relationship among the identified barriers is evaluated using fuzzy-based decision-making trial and evaluation laboratory (fuzzy DEMATEL) technique, which categorises them into influential and influenced group.FindingsThe evaluation of inter-relationship among barriers using fuzzy DEMATEL indicates four influencing barriers and six influenced barriers towards the adoption of HCAA. Further, findings suggest an extensive government, and management support is vital in terms of commitment, resources and actions to realise the benefits attributed with HCAA.Research limitations/implicationsThe inter-relationship among barriers is contextual and based on the perception of experts which may be biased as per their background and area of expertise. This study pertains to a specific region and can be extended to the generalised certification system.Originality/valueThe empirical base of the research provides the inter-relationship among the barriers towards the adoption of HCAA which can be effectively used as input in the decision-making process by producers, manufacturers and distributor. The policy maker can analyse the cause group and effect group of barriers to formulate policies that would help in the adoption of HCAA.


Sign in / Sign up

Export Citation Format

Share Document