Rapporteur Report: Pesticides, Ergonomics, Priority Assessment

Siam orange is a horticultural commodity that is very suitable and suitable for soil conditions for cultivation in tidal swamps. Wrong one area for the development of the Siam Banjar orange in South Kalimantan is located in the Barito Regency Kuala. As one of the agricultural commodities, Siam Banjar orange has high enough risk, so it needs good management in terms of this is called risk management. This study aims to identify Siam Banjar orange distribution channels, identify and analyze risks that occur in the supply chain distribution channel of Siam Banjar oranges, as well measure the risk on each member of the supply chain and search for those members that have the greatest risk. The data analysis method used is descriptive analysis, methods Analytical Network Process (ANP) and Weighted Failure Mode and Effects Analysis (WFMEA) to analyze the risks that occur and find members supply chain that has the greatest risk in the supply chain distribution channel Siam Banjar oranges in Barito Kuala Regency. From this research, it is found that the distribution channel of Siam orange Banjar in Barito Kuala Regency generally consists of farmers and traders, collectors, wholesalers and retailers and applied through five structures. A more accurate risk analysis result with the WFMEA method, value WRPN obtained for price risk (151.424), transportation risk (52.875), risk supply (52.380), quality risk (51.858), production risk (50.165) and risk environment (5.888). The results of the priority assessment of the Siam orange supply chain actors Banjar with the ANP method, namely farmers (0.371), traders (0.128), wholesalers (0.360) and retailers (0.142). Thus, members of the supply chain farmers who have the greatest risk. Keywords: Risk Analysis, Supply Chain, Siam Banjar Orange, Analytical Network Prosess (ANP)

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The (non) use of prioritisation protocols by surgeons

10.26686/wgtn.12694265.v1 ◽

2020 ◽

Author(s):

Kevin Dew ◽

M Stubbe ◽

L Macdonald ◽

A Dowell ◽

E Plumridge

Keyword(s):

Elective Surgery ◽

Good News ◽

Consultation Process ◽

Policy Goals ◽

Dominant Feature ◽

Treatment Plans ◽

Video And Audio ◽

Sociology Of Health ◽

Priority Assessment ◽

Clinician Behaviour

Priority setting and rationing is a dominant feature of contemporary health policy. In New Zealand, clinical priority assessment criteria (CPAC) tools have been developed to make access to elective surgery more equitable and efficient. Research was undertaken to identify how surgeons used these tools in the consultation. Forty-seven consultations with 15 different surgeons have to date been video- and audio-recorded. There were no instances where CPAC tools were explicitly used in the consultation. Drawing on the methodology of conversation analysis and the concept of news delivery as developed by Maynard, this paper argues that the delivery of diagnoses and treatment plans can usefully be seen in part as the delivery of bad or good news. Using three case studies to illustrate the argument, it is suggested that the interactional work required in the delivery of such news challenges the ability of clinicians to use protocols such as CPAC. The analysis sheds light on important consultation processes that need to be more carefully considered when designing interventions to influence clinician behaviour. In order to influence the behaviour of clinicians to achieve policy goals, greater attention needs to be paid to the interactional demands of the consultation process. © 2010 The Authors. Journal compilation © 2010 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

Download Full-text

The (non) use of prioritisation protocols by surgeons

10.26686/wgtn.12694265 ◽

2020 ◽

Author(s):

Kevin Dew ◽

M Stubbe ◽

L Macdonald ◽

A Dowell ◽

E Plumridge

Keyword(s):

Elective Surgery ◽

Good News ◽

Consultation Process ◽

Policy Goals ◽

Dominant Feature ◽

Treatment Plans ◽

Video And Audio ◽

Sociology Of Health ◽

Priority Assessment ◽

Clinician Behaviour

Priority setting and rationing is a dominant feature of contemporary health policy. In New Zealand, clinical priority assessment criteria (CPAC) tools have been developed to make access to elective surgery more equitable and efficient. Research was undertaken to identify how surgeons used these tools in the consultation. Forty-seven consultations with 15 different surgeons have to date been video- and audio-recorded. There were no instances where CPAC tools were explicitly used in the consultation. Drawing on the methodology of conversation analysis and the concept of news delivery as developed by Maynard, this paper argues that the delivery of diagnoses and treatment plans can usefully be seen in part as the delivery of bad or good news. Using three case studies to illustrate the argument, it is suggested that the interactional work required in the delivery of such news challenges the ability of clinicians to use protocols such as CPAC. The analysis sheds light on important consultation processes that need to be more carefully considered when designing interventions to influence clinician behaviour. In order to influence the behaviour of clinicians to achieve policy goals, greater attention needs to be paid to the interactional demands of the consultation process. © 2010 The Authors. Journal compilation © 2010 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

Download Full-text