scholarly journals The Application of Lean Management in the Management of the Psychiatric Care System in the Regional Model of Psychiatric Care in Denmark (the Region of Zealand)

2018 ◽  
Vol 56 (1) ◽  
pp. 59-73
Author(s):  
Iwona Mazur ◽  
Anna Depukat ◽  
Joanna Jończyk ◽  
Piotr Karniej

Abstract The aim of the article is to present the application of the lean management method as appropriate for the management of the organizational system of psychiatric care in the Zealand region of Denmark. The organizational solutions of the Danish psychiatric care system presented in this paper are individualized and adapted to the regional needs of the residents. In Denmark, there are five administrative regions, in which each independently organizes its own system of medical (psychiatric) care. This means that the regions have considerable independence in choosing the acceptable and necessary methods of management, including – as is clear from the conducted research – the use of methods put-upon other areas of economy. Although the national laws in Denmark define certain conditions and guidelines for the functioning of psychiatric care (e.g. regarding the use of direct coercion/restrains for patients treated in the centres), there is a distinct separation of structures and methods of functioning throughout the whole country, which constitutes unique observation material – from the cognitive point of view. The authors of this paper conduct extensive research and analyse the systems of psychiatric care organizations in various countries (including Spain, Italy and Japan) and, as a result, the obtained results may lead to the selection of the best models from other systems (good organizational practices and management, the management methods in use), which can be applied in the currently reorganised system of the Polish psychiatric care. The choice of Denmark for the observational study is not accidental and is related not only to the fact that there is a large degree of systemic identity within the country and between the regions, but also because the country applies solutions addressed to patients with very different cultural conditions and needs, resulting from their descent, religion, and (world)-views. Denmark is one of those European countries that express a significant acceptance of diversity and tolerance, which is why communities with very different imponderables, denominations, and worldviews co-exist. In the area related to the organization of the psychiatric system, these conditions are of key importance. In the period from January 2015 to December 2017 the authors participated in study visits in Denmark, conducting research aimed at identifying the key success factors of the psychiatric care organization system in the country. The conducted analysis is also based on the analysis of literature and own and participant observations. The conclusions concerning this subject are also the result of interviews conducted with employees of the visited hospitals and system users, both professionals and patients. As the search for an optimal organizational model of psychiatric care is currently an ongoing concern in Poland, it seems justified to review the existing solutions in Europe and perform their critical analysis. A comparison of the adopted solutions was performed, in the context of, above all, the improvement of the quality of these services, their availability, and the satisfaction of patients and their families from the proposed organizational changes. The economic benefits of these solutions are also significant.

2014 ◽  
Vol 1 (1) ◽  
pp. 90-98 ◽  
Author(s):  
Palmira López-Fresno

Abstract To continuously and systematically improve efficiency and efficacy of processes, organizations need the implication of all employees in continuous improvement and innovation through suitable Quality Management Programs (QMPs). Effectiveness of these programs is directly linked to the requirement employees understand the methodologies and tools used for QM and the benefits that will derivate from their implementation, individually and collectively, so they can commit and implicate. Lean Management is a friendly methodology to continuously and systematically achieve process improvement, so helping the organization seeking operational excellence that contributes to overall excellence. This paper identifies Critical Success Factors (CSFs) for an effective implementation of QMPs, suggests Lean Management as an easy-to-understand, powerful and friendly methodology for operational excellence and overall excellence, and presents a case experience of implementation of Lean Management in a health care organization that applies the EFQM model, and the lessons learnt.


Author(s):  
Susana Fernández-Lores ◽  
Gema Martínez-Navarro ◽  
Diana Gavilán

The evolution of technology and the digital empowerment of society have led to the proliferation of Audiovisual Content Webs (ACWs) where users can share information and experiences, along with other commercial resources. ACWs have led to significant changes in the way users can select and access audiovisual content. The design of these websites combines various features, including a user community, streamed content, ticket sales, and recommendations, among others. Each ACW has a specific profile with respect to the mentioned variables. The aim of this study is to identify the critical success factors for a ACW, i.e., which features and the form they should take to attract followers, thus increasing the capacity to prescribe and broadcast content. Using qualitative comparative analysis (QCA), a formal analysis technique that allows the identification of combinations that produce a certain result, a sample of the 12 most representative cinema websites in Spain is analyzed. The results indicate that the incorporation of content recommendation systems and the connection with streaming platforms through which the content can be accessed are key factors in the success of these ACWs. This work contributes academically to the knowledge and explanation of audience behavior in the new audiovisual scenario. From a professional point of view, relevant design suggestions are offered to platform creators. Finally, the limitations of this work are described, and future lines of research are considered. Resumen La evolución de la tecnología y el empoderamiento digital de la sociedad ha dado lugar a la proliferación de webs de contenidos audiovisuales (WCA) donde los usuarios comparten información y experiencias, junto a otros recursos comerciales. Las WCA han provocado cambios significativos en la forma en la que los usuarios pueden seleccionar y acceder a los contenidos audiovisuales. En su diseño, estas webs combinan varias prestaciones: comunidad de usuarios, contenidos en streaming, venta de entradas o recomendaciones, entre otros. Cada WCA presenta un perfil específico respecto a las variables descritas. El objetivo del presente trabajo es identificar los factores críticos de éxito de una WCA, es decir las prestaciones y la forma que deben adoptar para captar seguidores, aumentando con ello capacidad de prescripción y difusión de contenidos. Mediante el análisis cualitativo comparado (QCA), técnica formal de análisis que permite la identificación de combinaciones que producen un determinado resultado, se analiza una muestra de las 12 webs de cine más representativas en España. Los resultados indican que la incorporación de sistemas de recomendación de contenidos y la conexión con plataformas en streaming desde las que poder acceder a los contenidos son factores claves del éxito. El trabajo contribuye académicamente al conocimiento y la explicación de la conducta de la audiencia en el nuevo escenario audiovisual. Desde el punto de vista profesional se ofrecen sugerencias relevantes de diseño para los creadores de plataformas. Por último, se describen las limitaciones del trabajo y se plantean futuras líneas de investigación.


Author(s):  
Olga Leptiukhova ◽  
Marija Utkina

For more than half a century bicycle transport demonstrates its effectiveness as one of the elements of the transport network of the city. Currently, vehicles with low-power motors such as electric bicycle, electric scooter, gyrometer, segway, wheelbarrow, scooter motor and others are gaining people's attention. These vehicles can be combined into a group of low-speed individual vehicles (hereinafter - NITS) with similar re-quirements for the operational parameters of urban infrastructure. From the urban point of view, the interest in NITC is that the number of its users has increased significantly in recent years. The article presents the results of a sociological survey of residents of Serpukhov, allowing to assess the current and potential readi-ness of the population to use NITC. The growing popularity of NITC has led to an increase in the environmen-tal and economic effect, which is manifested at a particular level of development of the movement on NITC. The ecological and economic effect of the use of NITC has an extremely positive impact on the improvement of the urban environment. This article provides a list of indicators that reflect the growth in the standards of living of society from movement by the NITC, and the calculation of one of them - the increase in entrepre-neurial activity on the streets with increased traffic to the NITC. Indicators are necessary for calculation of complex criterion of efficiency and safety of street network due to development of the movement by NITC. The result will allow public authorities authorized to make decisions on the strategy of transport policy of cities to quantify the ratio of economic benefits from the development of infrastructure of the NITC with the cost of its construction and operation.


2020 ◽  
Vol 10 (8) ◽  
pp. 197
Author(s):  
Mariusz Bednarek ◽  
Aleksander Buczacki ◽  
Lukasz Bielakowski ◽  
Bartlomiej Gladysz ◽  
Mariusz Bryke

The article elaborates upon a successful model of postgraduate studies on lean manufacturing. The subject of the research was nine editions of the Kaizen Academy postgraduate studies organized by the Warsaw University of Technology and the Kaizen Institute in the years 2009–2018, that still enjoys interest in the market. A detailed qualitative analysis of this case, followed by a comparative analysis with other post-graduate programs of this type on the national, European, and global level should make it possible to find what is necessary to launch and actively operate for a long time in the (considerably competitive) market of qualification raising programs related to Lean Management (critical success factors). The study has also identified the differences between a successful program, analyzed in detail, and other available programs described in the literature and on the Internet. This has been achieved through a structured analysis of thirty-nine postgraduate programs identified by querying scientific databases and the Google Internet search engine. Best practices and models of postgraduate education on Lean Management have been discussed, and the thirty-nine programs comprising the identified sample have been compared. Considering the very general level of the data available in terms of the organization of postgraduate programs, it has also been assessed if they follow constructivism and experiential learning paradigms. This has been achieved by including the industrial days/visit indicator in the comparison. Given its high value, it has been identified as a success factor of the postgraduate curriculum on Lean Management.


2014 ◽  
Vol 284 ◽  
pp. 60-69
Author(s):  
Mariola Wicka ◽  
◽  
Piotr Chołbiński ◽  
Dorota Kwiatkowska ◽  
Andrzej Pokrywka ◽  
...  

Year on year, one can observe an increase in the use of addictive substances. This leads to occurring the problem of addiction as well as the use of psychoactive substances as a serious hazard to road users. The Regulation of the Minister of Health on agents acting similarly to alcohol and the conditions and manner of conducting research on their presence in the human body, requires adequate benchmarks for performing these tests. An importantfactor, from consultative point of view, is the knowledge of the chemical structure of substances belonging to different groups of drugs of abuse, their metabolic transformations that occur in the body as well as their influence on the body. This is to aid in the proper interpretation of the results of the analytical tests.


2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country


2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mrigendra Nath Mishra

Purpose The purpose of this paper is analysis of Green and Lean Six Sigma, based on the success factors in its use through a well thought-out literature review, is being planned; a framework has been integrated in a productive manner with the Green and Lean and Six Sigma methods so as to incorporate and actualize the execution. Design/methodology/approach The methodology consists of comparative investigation of Green, Lean management and Six Sigma using open written work, essential analysis at data and master experience of the researchers. To achieve this goal, a significant review of the existing literature of the subject area has been done to prepare a framework in view of the critical success factors. A study was arranged and flowed survey from various businesses utilizing John’s Macintosh Project (JMP) statistical software. Findings The paper establishes the distinguishing proof of five success factors with their situational importance and shows that the integrated Green and Lean Six Sigma can drive the organizations to optimize their resources and cost of services or productions. Practical implications A Green and Lean Six Sigma organization would take profits by the use of the proposed framework in an alternate extent of organizations should be dynamic. The organizations should assess their shortcomings and qualities, set needs and perceive objectives for fruitful implementation. Originality/value Suggestions are being made regarding thoughts and methods that would constitute a Green and Lean Six Sigma organization. The suggested framework compare the method for improvements that may occur in organizations while implementation of the Green and Lean management or Six Sigma.


2017 ◽  
Vol 8 (2) ◽  
pp. 151 ◽  
Author(s):  
Ted H Greiner

Food-based approaches to combat vitamin A deficiency (VAD) continue to be largely ignored by governments and donor agencies. This review deals with common misperceptions as well as constraints that may lay behind this reality. First, high-dose vitamin A capsules provided to preschool age children are no solution for VAD. Second, researchers may assume that it is not possible to standardize foods adequately to study their efficacy in controlled trials. This review summarizes the results of 57 such trials, providing an overview that may assist researchers in making decisions on target groups to study, types of food supplements to provide, quantities, supplementation periods, impacts that are realistic to expect, and sample sizes. Even more complex is to design efficacy trials or impact evaluations of interventions. Again, the paper reviews 40 such trials, providing summary information on approaches, target groups, sample sizes, periods of intervention, and impacts measured using a variety of indicators. There are a number of barriers or constraints that must be planned for and overcome if food-based approaches are to work. This paper reviews several of the most important ones, briefly touching on many of the most effective ways that have been found to overcome them. Food-based approaches can reach all members of the community, are safe for pregnant women, tend to be at least partially sustainable, and confer a wide range of nutritional and other benefits in addition to improving vitamin A status. Food-based approaches are sometimes described as expensive, but this is based on a narrow view. For example, biofortification and dissemination of sweet potatoes cost $9 to $30 per disability-life-year (DALY) gained, while that from VAS was estimated at the estimated cost effectiveness of VAS is $73 per DALY gained. From the community point of view, the economic benefits of food based approaches are likely to subsidize or outweigh their costs.


Author(s):  
Dr. Ghazal Khalid Siddiqui ◽  
Muhammad Shahid Zulfiqar ◽  
Dr. Mubushra Khalid

The thesis work has been the integral part of the MPhil in Education program. However, it has been observed that students are in a great fix regarding the completion of their thesis work. So, the purpose was to investigate the difficulties encountered by the students during research at MPhil level. Their experiences were further examined on the basis of their gender and university type. The data was collected by the survey. The conveniently selected sample consisted of 300 MPhil students including male and female, studying in public as well as in private universities. The data was collected through a questionnaire which was a 4-point Rating Scale comprising 25 items. It has 3 factors: i) supervisor’ selection, ii) supervisors’ support, iii) institutional support. The descriptive statistics for calculating the percentage of students’ perspectives as well as Inferential Statistics (Mann-Whitney U tests) was used to find out the difference on the basis of students’ gender and university type. The results revealed that majority of students selected their supervisors themselves willingly, but few of them forced to select their supervisor on their teachers’ referrals, research topics were allotted to students by supervisors themselves. Their supervisors were not easily approachable as they were unable to give students the due time because of their academic and administrative burdensome responsibilities, even neither the concerned HOD/ director is available at ease for students nor they are provided the access to paid e-libraries. By keeping in mind, the importance of thesis in accomplishment of degrees of MPhil students, there is need to conduct further studies to explore supervisors’ point of view as some of the problems are concerned with the supervisors’ support too, that will help to minimize the students’ problems.


2001 ◽  
Author(s):  
M. Cerza ◽  
R. C. Herron ◽  
M. J. Harper

Abstract An experimental facility for conducting research on capillary pumped loop (CPL) systems was developed. In order to simulate shipboard cooling water encountered at various locations of the ocean, the heat sink temperature of the facility could be varied. A flat plate, CPL evaporator was designed and tested under various heat sink temperatures. The sink temperature ranged from 274.3 to 305.2 K and the heat input varied from 250 to 800 W which corresponds to heat fluxes up to 1.8 W/cm2. The CPL flat plate evaporator performed very well under this range of heat input and sink temperatures. The main result obtained showed that a large degree of subcooling developed between the evaporator vapor outlet line and liquid return line. This condensate depression increased with increasing heat input.


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