Big data and artificial intelligence for health system sustainability: The case of Veneto Region

2021 ◽  
pp. 31-52
Author(s):  
Grazia Dicuonzo ◽  
Francesca Donofrio ◽  
Antonio Fusco ◽  
Vittorio Dell’Atti

This paper investigates the digitalization challenges facing the Italian healthcare system. The aim of the paper is to support healthcare organizations as they take advantage of the potential of big data and artificial intelligence (AI) to promote sustainable healthcare systems. Both the development of innovative processes in the management of health care activities and the introduction of healthcare forecasting systems are valuable resources for clinical and care activities and enable a more efficient use of inputs in essential-level care delivery. By examining an innovative project developed by the Regional Social Health Agency (ARSS) of Veneto, this study analyses the impact of big data and AI on the sustainability of a healthcare system. In order to answer the research question, we used a case study methodology. We conducted semi-structured interviews with key members of the organizational group involved in the case. The results show that the implementation of AI algorithms based on big data in healthcare both improves the interpretation and processing of data, and reduces the time frame necessary for clinical processes, having a positive effect on sustainability.

2021 ◽  
pp. 115076
Author(s):  
Covadonga Díez-Sanmartín ◽  
Antonio Sarasa-Cabezuelo ◽  
Amado Andrés Belmonte

Work ◽  
2020 ◽  
Vol 67 (3) ◽  
pp. 557-572
Author(s):  
Said Tkatek ◽  
Amine Belmzoukia ◽  
Said Nafai ◽  
Jaafar Abouchabaka ◽  
Youssef Ibnou-ratib

BACKGROUND: To combat COVID-19, curb the pandemic, and manage containment, governments around the world are turning to data collection and population monitoring for analysis and prediction. The massive data generated through the use of big data and artificial intelligence can play an important role in addressing this unprecedented global health and economic crisis. OBJECTIVES: The objective of this work is to develop an expert system that combines several solutions to combat COVID-19. The main solution is based on a new developed software called General Guide (GG) application. This expert system allows us to explore, monitor, forecast, and optimize the data collected in order to take an efficient decision to ensure the safety of citizens, forecast, and slow down the spread’s rate of COVID-19. It will also facilitate countries’ interventions and optimize resources. Moreover, other solutions can be integrated into this expert system, such as the automatic vehicle and passenger sanitizing system equipped with a thermal and smart High Definition (HD) cameras and multi-purpose drones which offer many services. All of these solutions will facilitate lifting COVID-19 restrictions and minimize the impact of this pandemic. METHODS: The methods used in this expert system will assist in designing and analyzing the model based on big data and artificial intelligence (machine learning). This can enhance countries’ abilities and tools in monitoring, combating, and predicting the spread of COVID-19. RESULTS: The results obtained by this prediction process and the use of the above mentioned solutions will help monitor, predict, generate indicators, and make operational decisions to stop the spread of COVID-19. CONCLUSIONS: This developed expert system can assist in stopping the spread of COVID-19 globally and putting the world back to work.


2021 ◽  
Vol 27 (7) ◽  
pp. 186-193
Author(s):  
Helen Rogers

Background/Aims This qualitative study explores the role of nursing leadership in supporting the delivery of compassionate care in a hospital that experienced both an acquisition and merger within 5 years. It aimed to understand the impact that NHS mergers and acquisitions have on a nursing team's capacity to deliver compassionate care to patients and to explore how nursing leadership can support the delivery of compassionate care during these periods. Methods Semi-structured interviews were undertaken with seven members of purposively recruited staff, who had lived experience of working at a hospital during an acquisition by a larger NHS trust, followed by a merger with another large NHS trust 5 years later. Results Staff valued authentic, honest and visible nurse leadership that was understanding of the context in which they were delivering care. Ward managers and matrons acted as ‘shock absorbers’ to protect their teams from the negative aspects of the change process. However, this came at an emotional cost and demonstrates the need for continued support structures. Conclusions This case study shows that staff value being able to deliver compassionate care; it gives meaning to their work, especially the ‘small things’. However, the context of care delivery can affect their ability to do this. There remains a great need for emotional support for staff to sustain their resilience in the face of changing staff, policies, practices and clinical models.


2020 ◽  
Author(s):  
Heather A Cooke ◽  
Jennifer Baumbusch

Abstract Background and Objectives Much of the literature examining the staffing-care quality link in long-term care (LTC) homes focuses on staffing ratios; that is, how many staff are on shift. Far less attention is devoted to exploring the impact of staff members’ workplace relationships, or who is on shift. As part of our work exploring workplace incivility and bullying among residential care aides (RCAs), we examined how RCAs’ workplace relationships are shaped by peer incivility and bullying and the impact on care delivery. Research Design and Methods Using critical ethnography, we conducted 100 hours of participant observation and 33 semi-structured interviews with RCAs, licensed practical nurses, support staff and management in two non-profit LTC homes in British Columbia, Canada. Results Three key themes illustrate the power relations underpinning RCAs’ encounters with incivility and bullying that, in turn, shaped care delivery. Requesting Help highlights how exposure to incivility and bullying made RCAs reluctant to seek help from their co-workers. Receiving Help focuses on how power relations and notions of worthiness and reciprocity impacted RCAs receipt of help from co-workers. Resisting Help/ing outlines how workplace relationships imbued with power relations led some RCAs to refuse assistance from their co-workers, led longer-tenured RCAs to resist helping newer RCAs and dictated the extent to which RCAs provided care to residents for whom another RCA was responsible. Discussion and Implications Findings highlight ‘who’ is on shift warrants as much attention as ‘how many’ are on shift, offering additional insight into the staffing-care quality link.


2019 ◽  
Vol 2 (99) ◽  
pp. 6-22 ◽  
Author(s):  
Jerzy Łańcucki

Innovative technologies are being increasingly used on the insurance market, as well. However, while analyzing and assessing their impact on the market what must be taken into account are not only distributors of insurance services, but also institutions performing regulatory and supervisory tasks, and perhaps above all, customers and consumers. The present article seeks to analyze the conditions, benefits and barriers associated with the application of innovative technologies with special regard to big data analytics, artificial intelligence and the possibility of absorption of innovative products and services by their customers.It has been emphasized that while evaluating the suitability of innovative technologies for the insurance market it is vital to confront product offers provided by insurance undertakings and intermediaries with the expectations, needs and skills of the purchasers of these products.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Allan Muganga ◽  
Naomy Kalabwa Leah ◽  
Tebatso Namanyane ◽  
Mirajur Rhaman Shaoan

Toward the end of 2019 and since the beginning of 2020, there has been a worldwide collapse of the pandemic disease called covid-19 that caused a complete shutdown in several countries. As a result, schools, universities and other institutions of higher learning were forced to close. The only way learning could take place was through online learning. Unplanned online learning brought uncertainty among institutions, educators and learners which needs to be examined. The purpose of this case study was, therefore, to explore how online learning during the COVID-19 period influenced SWU international students’ studies, and to understand the attitude of these international students toward online learning during the covid-19 period and finally finding out strategies that SWU international students used to tackle the challenges they encountered through online learning. Semi-structured interviews were conducted among twelve international students offering different online courses. Researchers used content analysis to help them arrive at findings and conclusions. Results from the research showed that poor network connectivity, limited class participation was among the strongest themes to address the first research question. Passion for learning and apathy of online learning were among the themes under students’ attitude. Strategies used to cope up with the challenges faced included prior class preparations and seeking better internet connectivity showed up.


2021 ◽  
Author(s):  
◽  
Adam Ransfield

<p>The Māori economic asset base has seen significant growth over the past 100 years. Research estimates the Māori economy to be valued at 50 billion (NZ Foreign Affairs & Trade, 2018). While this figure represents the Māori economy, Māori tourism makes a significant economic contribution to this asset base. When considering the different aspects of the New Zealand tourism product, a key aspect that sets New Zealand tourism apart from other destinations is the unique Māori culture. This cultural aspect is a key motivating factor for international tourists intending on visiting New Zealand.  Māori tourism businesses offer a range of tourism products and services that are embedded in, and informed by Māori values. When incorporated in business, many of these traditional Māori values align closely to the three pillars of business sustainability. Literature on Māori tourism, Māori values and business sustainability provide some insight into this phenomenon. However, little is known about how these three components interrelate. Ultimately very little is known about how traditional Māori values impact the business sustainability of Māori tourism businesses. The aim of this thesis is to investigate whether Māori tourism businesses incorporate traditional Māori values into their business and if so, how does the application of these values affect the sustainability of Māori tourism businesses.  Developed from an interpretive social science research paradigm aligned with Kaupapa Māori research, this thesis assesses the impacts of the incorporation of Māori values on the business sustainability of Māori tourism businesses. Semi-structured interviews were selected as an appropriate method of data collection. 12 respondents from eight Māori tourism businesses were interviewed and their responses along with an analysis of the wider literature enabled the researcher to answer the overarching research question – how are traditional Māori values affecting the business sustainability of Māori tourism businesses?   Key research findings include the following: the importance of hiring Māori, developing cultural capacity of staff and stakeholders, preventing cultural misappropriation, providing opportunities for local communities, the relationship of Māori with the land, the importance of sustainable relationships, the impact of climate change on Kaitiakitanga, and the importance of making a profit – but not at the detriment of culture and the environment. The findings identified that to have the ability to implement sustainable practices requires financial sustainability.  This thesis makes a contribution to the literature on Māori values, Māori tourism and business sustainability by providing a greater understanding of which Māori values are applied by Māori tourism businesses and how these values impact business sustainability. In particular, this thesis has done something that previous literature has not, that is, it has attributed the specific effects of individual Māori values against the pillars of business sustainability. This gives the indication of which values have the greatest impact on business sustainability. Finally, in accordance with Kaupapa Māori research, this thesis has provided a practical contribution to the Māori tourism industry. This contribution is in the form of recommendations made to enhance the business sustainability of Māori tourism businesses.</p>


2021 ◽  
Author(s):  
Oksana Butkevich ◽  

The article examines the impact of digital technologies on the organization of accounting for tax payments. It is noted that this area of accounting is one of the most difficult, which determines the relevance of the study of the impact of digital technologies on the organization of accounting for tax payments. The research methodology is based on general scientific methods of cognition: logical, systemic, induction, deduction, analysis. Any company seeks to optimize their size and avoid penalties when making calculations for tax payments. However, in practice, most companies do not pay due attention to the development and implementation of the necessary procedures for optimizing tax calculations. A prerequisite for the optimal tax policy of the enterprise is a rationally developed accounting policy. Formalization of accounting policy is carried out by approving the Order on accounting policy. When forming this internal regulation, it is expedient to single out the section "Organization of accounting for settlements with the budget for tax payments", which discloses the method of accounting for calculations of a tax or fee depending on the nature and specifics of the enterprise, its industry characteristics Of the Tax Code of Ukraine. In this section of the accounting policy of the enterprise it is expedient to include the Working plan of accounts and the schedule of document flow. The final stage of the organization of the account of calculations with the budget on tax payments is drawing up of the tax reporting and its representation. At this stage, the use of digital technologies can significantly reduce the time spent on filling out the appropriate forms of tax reporting, and their submission. The main software products used by modern enterprises in the organization of accounting for tax payments include: technology Artificial intelligence (artificial intelligence), Big Data (big data), Cloud technologies and computing (cloud technology and computing), Blockchain (blockchain). The use of digital technologies in the organization of accounting for tax payments is the key to improving the tax discipline of the enterprise, which in combination with a properly designed and formalized accounting policy of the enterprise avoids the cost of fines and other financial sanctions imposed by fiscal authorities.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Atif Saleem Butt

PurposeThis paper explores the steps/countermeasures taken by firms to address supply chain disruptions in the wake of COVID-19.Design/methodology/approachThis study employs a case study methodology and employs 46 semi-structured interviews with senior managers of the three buying firms, four distribution centres and four supplying firms based in four countries (Pakistan, Sri Lanka, China and India).FindingsResults reveal that manufacturers are refining production schedules to meet the production challenges. Distributors are working with secondary suppliers to meet the inventory shortage. Finally, supplying firms are evaluating the impact of demand, focusing on short-term demand-supply strategy, preparing for channel shifts, opening up additional channels of communication with key customers, understanding immediate customer’s demand and priorities and finally becoming more agile.Research limitations/implicationsThere are some limitations to this study. First, the results of this study cannot be generalized to a wider population. Second, this study explores the interpretations of senior managers based in four Asian countries only.Practical implicationsSupply chain firms can use these findings to understand how COVID-19 is affecting firms. Firms can also use the suggestions provided in this study to mitigate the impact of COVID-19 and make the best out of this pandemic.Originality/valueThis study contributes to the supply chain disruption literature by exploring the robust countermeasure taken by supply chain firms amid COVID-19 outbreak. In particular, it explores such countermeasures from the perspective of three different entities (buyer, supplier and distributor) based in four different countries in the South Asian region.


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