scholarly journals Performance Analysis of Service System in Health Care Network

2021 ◽  
Vol 2 (2) ◽  
pp. 23-34
Author(s):  
Bharat Raj Wagle ◽  
Ram Prasad Ghimire

This study is based on a case study research design. The approach for the study is adapted from Monte-Carlo simulation models. The study model can fit a finite number of patients who can join in the queue in different counters and performance of the selected counter in a particular time. The data are collected through direct observation with the help of a checklist. Out of 150 patients, 50 patients are observed in each new, old, and reserved (ex-army Indian pensioner and health insurance policy holder) counter. Our main findings are mean number of patients waiting in queue, mean number of patients in the system, mean time of patient waiting in queue, the time spent by a patient in the system, Average time that the server is idle, the percentage of the time that the server is busy. The study concludes that the service provided in the old counter is satisfactory to some extent. The research has been come up with the model design to estimate patients demand in the counters and it uses mean arrival time and mean service time.

2020 ◽  
Author(s):  
Annelies van der Ham ◽  
Frits Van Merode ◽  
Dirk Ruwaard ◽  
Arno Van Raak

Abstract Background Integration, the coordination and alignment of tasks, has been promoted widely in order to improve the performance of hospitals. Both organization theory and social network analysis offer perspectives on integration. This exploratory study research aims to understand how a hospital’s logistical system works, and in particular to what extent there is integration and differentiation. More specifically, it first describes how a hospital organizes logistical processes; second, it identifies the agents and the interactions for organizing logistical processes, and, third, it establishes the extent to which tasks are segmented into subsystems, which is referred to as differentiation, and whether these tasks are coordinated and aligned, thus achieving integration.Methods The study is based on case study research carried out in a hospital in the Netherlands. All logistical tasks that are executed for surgery patients were studied. Using a mixed method, data were collected from the Hospital Information System (HIS), documentation, observations and interviews. These data were used to perform a social network analysis and calculate the network metrics of the hospital network.Results This paper shows that 23 tasks are executed by 635 different agents who interact through 31,499 interaction links. The social network of the hospital demonstrates both integration and differentiation. The network appears to function differently from what is assumed in literature, as the network does not reflect the formal organizational structure of the hospital, and tasks are mainly executed across functional silos. Nurses and physicians perform integrative tasks and two agents who mainly coordinate the tasks in the network, have no hierarchical position towards other agents. The HIS does not seem to fulfill the interactional needs of agents. Conclusions This exploratory study reveals the network structure of a hospital. The cross-functional collaboration, the integration found, and position of managers, coordinators, nurses and doctors suggests a possible gap between organizational perspectives on hospitals and reality. This research sets a basis for further research that should focus on the relation between network structure and performance, on how integration is achieved and in what way organization theory concepts and social network analysis could be used in conjunction with one another.


2019 ◽  
Vol 30 (6) ◽  
pp. 766-792 ◽  
Author(s):  
Wei Wei Cheryl Leo ◽  
Gaurangi Laud ◽  
Cindy Yunhsin Chou

Purpose The purpose of this paper is to develop a concept of service system well-being by presenting its collective conceptualisation and ten key domains. Design/methodology/approach Service system well-being domains were established using multi-level theory and a qualitative case study research design. To validate the domains initially developed from the literature, 19 in-depth interviews were conducted across two case studies that represented the service systems of a hospital and a multi-store retail franchise chain. A multi-stakeholder approach was used to explore the actor’s perspectives about service system well-being. Key domains of service system well-being were identified using deductive categorisation analysis. Findings The findings found evidence of ten key domains of well-being, namely strategic, governance, leadership, resource, community, social, collaborative, cultural, existential and transformational, among service system stakeholders. Research limitations/implications Service system well-being is a collective concept comprising ten domains that emerged at different levels of the service system. The propositions outlined the classification of and interlinkages between the domains. This exploratory study was conducted in a limited service context and focussed on ten key domains. Practical implications Service managers in commercial and social organisations are able to apply the notion of service system well-being to identify gaps and nurture well-being deficiencies within different domains of service-system well-being. Originality/value Based on multi-level theory, the study is the first to conceptualise and explore the concept of service system well-being across multiple actors.


2019 ◽  
Vol 887 ◽  
pp. 401-407
Author(s):  
Samira Aien ◽  
Mahnameh Taheri ◽  
Sarin Pinich ◽  
Matthias Schuss ◽  
Ardeshir Mahdavi

In recent years, many researchers have focused on the energy efficiency and performance of existing buildings. In order to predict the hygrothermal performance and minimize the risk of moisture damage in retrofit cases, user-friendly moisture calculation tools have been developed. However, concerns have been raised as to how to increase the reliability of such tools. In this context, the present study uses simulation to investigate the retrofit potential of the historical building façades via application of silica aerogels on the external walls. Monitored data provided the basis for generation of a more accurate initial simulation model, as well as the evaluation of the predictive performance of the model.


2020 ◽  
Author(s):  
Annelies van der Ham ◽  
Frits Van Merode ◽  
Dirk Ruwaard ◽  
Arno Van Raak

Abstract Background Integration, the coordination and alignment of tasks, has been promoted widely in order to improve the performance of hospitals. Both organization theory and social network analysis offer perspectives on integration. This exploratory study research aims to understand how a hospital’s logistical system works, and in particular to what extent there is integration and differentiation. More specifically, it first describes how a hospital organizes logistical processes; second, it identifies the agents and the interactions for organizing logistical processes, and, third, it establishes the extent to which tasks are segmented into subsystems, which is referred to as differentiation, and whether these tasks are coordinated and aligned, thus achieving integration. Methods The study is based on case study research carried out in a hospital in the Netherlands. All logistical tasks that are executed for surgery patients were studied. Using a mixed method, data were collected from the Hospital Information System (HIS), documentation, observations and interviews. These data were used to perform a social network analysis and calculate the network metrics of the hospital network. Results This paper shows that 23 tasks are executed by 635 different agents who interact through 31,499 interaction links. The social network of the hospital demonstrates both integration and differentiation. The network appears to function differently from what is assumed in literature, as the network does not reflect the formal organizational structure of the hospital, and tasks are mainly executed across functional silos. Nurses and physicians perform integrative tasks and two agents who mainly coordinate the tasks in the network, have no hierarchical position towards other agents. The HIS does not seem to fulfill the interactional needs of agents. Conclusions This exploratory study reveals the network structure of a hospital. The cross-functional collaboration, the integration found, and position of managers, coordinators, nurses and doctors suggests a possible gap between organizational perspectives on hospitals and reality. This research sets a basis for further research that should focus on the relation between network structure and performance, on how integration is achieved and in what way organization theory concepts and social network analysis could be used in conjunction with one another.


2013 ◽  
Vol 115 (8) ◽  
pp. 1090-1111 ◽  
Author(s):  
Faranak Fattahi ◽  
Ali S. Nookabadi ◽  
Mahdi Kadivar

PurposeThe purpose of this paper is to analyze the characteristics and performance of the meat supply chain by focusing on developing a model for measuring the meat supply chain's performance in the province of Isfahan, Iran.Design/methodology/approachUsing a combination of literature review, Delphi approach and case study research, the paper examines part of the meat supply chain that consists of three industrial slaughterhouses, two cold rooms, three factories and more than 20 supermarkets and it then presents a framework to assess the performance of the industry in the region.FindingsThe methodology suggests indices for strategic and tactical levels in a meat industry as a case study. The proposed framework for the performance measurement of the chain was applied in strategic and tactical levels in which the ranking of indices are also among the achievements of this study. Results show that there are six main criteria required to measure the meat industry's performance.Originality/valueLiterature shows no record of an integrated measurement system for the entire food supply chain where indicators are combined into a performance function to assess the overall performance of the industry.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Annelies van der Ham ◽  
Frits van Merode ◽  
Dirk Ruwaard ◽  
Arno van Raak

Abstract Background Integration, the coordination and alignment of tasks, has been promoted widely in order to improve the performance of hospitals. Both organization theory and social network analysis offer perspectives on integration. This exploratory study research aims to understand how a hospital’s logistical system works, and in particular to what extent there is integration and differentiation. More specifically, it first describes how a hospital organizes logistical processes; second, it identifies the agents and the interactions for organizing logistical processes, and, third, it establishes the extent to which tasks are segmented into subsystems, which is referred to as differentiation, and whether these tasks are coordinated and aligned, thus achieving integration. Methods The study is based on case study research carried out in a hospital in the Netherlands. All logistical tasks that are executed for surgery patients were studied. Using a mixed method, data were collected from the Hospital Information System (HIS), documentation, observations and interviews. These data were used to perform a social network analysis and calculate the network metrics of the hospital network. Results This paper shows that 23 tasks are executed by 635 different agents who interact through 31,499 interaction links. The social network of the hospital demonstrates both integration and differentiation. The network appears to function differently from what is assumed in literature, as the network does not reflect the formal organizational structure of the hospital, and tasks are mainly executed across functional silos. Nurses and physicians perform integrative tasks and two agents who mainly coordinate the tasks in the network, have no hierarchical position towards other agents. The HIS does not seem to fulfill the interactional needs of agents. Conclusions This exploratory study reveals the network structure of a hospital. The cross-functional collaboration, the integration found, and position of managers, coordinators, nurses and doctors suggests a possible gap between organizational perspectives on hospitals and reality. This research sets a basis for further research that should focus on the relation between network structure and performance, on how integration is achieved and in what way organization theory concepts and social network analysis could be used in conjunction with one another.


2016 ◽  
Vol 4 (1) ◽  
pp. 111 ◽  
Author(s):  
Mrs. Loretta Sarpong

<p><em>This</em><em> </em><em>study, the </em><em>effect of motivation on the performance of employees of Ecobank Limited, KNUST Branch</em><em> </em><em>and Stadium branch was aimed at assessing motivation and its effect on employee performance. The sample size for the study was thirty</em><em> </em><em>employees from both branches. </em><em>Probability sampling and simple random sampling techniques were used to select the </em><em>respondents of the questionnaires. The cross-sectional survey and a case study research </em><em>design were used for the study. </em><em>The study revealed that indeed there is a </em><em>relationship between motivation and performance and aside the known fact that money is the </em><em>key amongst the motivational factors to employees, it was realized that employees are </em><em>gradually becoming particular about trust, respect and high expectation, recognition and </em><em>appreciation and good working environment. The study also revealed that, management can </em><em>make use of different strategies and policies to motivate employees in the banking environment. Employees are interested in enhanced salaries, housing loan, fringe benefits, promotion and car loans as motivating elements sufficient to push employees of the bank to give out their best. The study recommended that employees are involved in all the decisions affecting their lives and concluded that,</em><em> </em><em>86.7% of the respondents said that they enjoyed going to work every working day and indicated that their behavior is as a result of the various motivational packages available for being</em><em> </em><em>present throughout the year</em><em>.</em><em></em></p>


2015 ◽  
Vol 7 (4) ◽  
pp. 112 ◽  
Author(s):  
Jian Zhao

<p>Providing netizens with free psychological guidance and counseling, of which an important link is to improve web psychological counselors’ motivation for free services, is an integral part of establishing China’s web service system for mental health. Based on the case study of China’s largest free psychological counseling website—www.psy525.cn, this study found that objective factors such as age, professional background, grade of practice qualification, authentication of practice qualification, and service providers’ group affiliation could have remarkable influences on web psychological counselors’ behavior and performance that reflect their motivation for free services indirectly.</p>


Author(s):  
Fatholah Dadgar Arablu

In Differentiated Services (DiffServ) architecture, Priority Service System (PSS) plays a vital responsibility to provide Quality-of-Service (QoS) for the applications based on networks. Priority queuing systems has always been a subject of interest for analytical modelling and evaluating the performance. However, previous works have mainly focused on performing priority queuing under range dependent traffics, namely Short Range Dependent (SRD) or Long Range Dependent (LRD). Recent studies revealed that realistic traffic demonstrates a heterogeneous nature for the modern networks that provide multiple services. In this paper, the results of analytical and simulation models of dynamic priority service systems is reviewed to study the heterogeneous traffic impact on designing and performance of the systems based on networks. In this paper, the results of analytical and simulation models of dynamic priority service systems is reviewed to investigate the impact of heterogeneous traffic on the design and performance of network-based systems. Here, the time of presence of requests in limited and unlimited buffer system is restricted. If the restriction is violated, the requests will be lost. The results of experiments conducted on both models are compared and it is identified that they differ in the allowable limit (2-9) %.


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