scholarly journals The Optimization between Physician Satisfaction and Hospital Profit in Cross-Hospital Scheduling—A Case Study of Some Hospitals in Taiwan

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1004
Author(s):  
Yi-Chao Huang ◽  
Jong-Ching Hwang ◽  
Yi-Chun Lin

In recent years, the majority of the population has preferred to go to large hospitals regardless of the severity of their illnesses, resulting in a waste of medical resources. In view of this situation, the government has proposed a cross-hospital integration plan to promote the integration of medical resources. Hospitals that provide support can not only increase their income but also extend their medical coverage to other regions and get wide access to more patients. While previous studies mainly focused on the internal shift scheduling of hospitals, this study took into account both the internal hospital and the support to branch hospitals and particularly explored the financial benefits generated by the provision of support and the satisfaction of physicians on shift scheduling. Decision makers can give different weight values according to the management needs and then determine the most appropriate physician shift schedule according to the final decision value. The shift-schedule-building system developed in this study could be used to quickly calculate the most appropriate shift schedule according to the actual needs, which could replace the time-consuming method of manual scheduling and improve physician satisfaction and hospital financial income.

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shankar Neeraj ◽  
Sandeeka Mannakkara ◽  
Suzanne Wilkinson

Purpose This paper aims to understand the recovery process after the 2018 floods in Kerala, India, and it determines whether the recovery efforts were aligned with Build Back Better (BBB) concepts. Design/methodology/approach A qualitative approach was adopted to collect the data from the officials of Government and NGOs involved in Kerala recovery. The participants were interviewed on the challenges faced during the recovery process and the actions taken by them to overcome it. Findings The study identified that the Kerala Government was proactive at making the community resilient from future disasters by – encouraging owner-driven reconstruction among flood-affected households; supporting locals to rejuvenate their business; and by creating a local-level recovery authority. Further, this paper identifies the areas that Kerala was lacking in terms of BBB and where resilience-based plans and actions are needed for the future. Research limitations/implications The participants were employees of Government and NGOs at a state level as they were the primary decision-makers to implement any recovery actions. Researchers believe that the authorities at district and village level could have had a different perspective towards implementing the recovery actions. Practical implications The best practices presented in this paper for effective BBB will assist the government to build/improve resilience in the community. Originality/value The implementation of BBB concepts in the areas of disaster risk reduction, community recovery and effective implementation was never studied extensively. The research provides valuable information on what extent Kerala’s post-disaster recovery and reconstruction activities were in-line with BBB practices.


2020 ◽  
Vol 1 (2) ◽  
pp. 72-78
Author(s):  
Jefferson M Cordon ◽  
John Domnique Benedict Polong

Purpose of the study: To find out the struggle to build students' Science literacy experienced by the Philippines in the PISA 2018 results. Methodology: the methodology used uses Case Study design. The method used by collecting facts from various data, learning curricula, culture and some Science discourse related to science literacy and PISA score. Various facts are analyzed by grouping and classifying and drawing conclusions from the discussion. decision-makers Findings: integration efforts from teachers, schools, and curriculum continue to be improved by the government to improve the quality of education, although the results of the Science literacy of students in PISA 2018 have not been sufficient. Applications of this study: This study will provide an open picture to provide innovation, a literature study for the basis of thinking the importance of overall integrase in increasing Science literacy of students, not just teachers Novelty/Originality of this study: Cultural influences on students' science literacy.


2014 ◽  
Vol 5 (2) ◽  
pp. 65-85 ◽  
Author(s):  
Hakan Aplak ◽  
Mehmet Kabak ◽  
Erkan Köse

Abstract Decision making process is a process which includes decision makers, actors, environmental factors, objectives, strategies and criteria. In competitive environments, effectiveness of decision process depends on determining all environmental factors and evaluating them according to objectives. Decision makers aim to find optimal strategies for conflicting objectives. Game theory is an approach based on mathematics in which strategies of players are evaluated reciprocally by considering environmental effects.In this study, a two-person zero-sum game approach is presented for choosing optimal strategies of actors in competitive environment by balancing objectives reciprocally. This approach refers to evaluation of each objective, creation of decision payoff matrixes by using fuzzy logic mathematical applications and their transformation to final decision payoff matrix subsequently. Finally, optimal strategies and their probabilities are found. A military case study is presented for illustrating the application of proposed approach.


2014 ◽  
Vol 10 (2) ◽  
pp. 102-120 ◽  
Author(s):  
Francis A. Adzei ◽  
Emmanuel K. Sakyi

Purpose – The purpose of this paper is to examine the trend of return migration of health professionals to Ghana and how it is impacting the delivery of health services in the country. It also highlights the challenges facing returnees to the country. Design/methodology/approach – A qualitative exploratory case study approach was employed in the study. Data gathered were analysed using the sequential model of qualitative content analysis. Findings – It was found that while push factors dominantly influence out-migration, pull factors rather dominated reasons for return migration. Other determinants of return migration include social and financial benefits to the home country, achieving goals for travelling, skills’ improvement and spousal consideration. The paper also highlights some of the challenges returnees usually encounter in the home country. Social implications – This paper makes reasonable recommendations regarding how return migration of Ghanaian health professionals might be smoother. Originality/value – The study brings to the fore, the necessity for the government to plan for health professionals, who returned to Ghana to contribute to the health system.


2019 ◽  
Vol 3 (2) ◽  
pp. 94-99
Author(s):  
Ardi Ardi ◽  
Dasril Aldo ◽  
Ahmadi Ahmadi

The government based on Article 28 of the 1945 Constitution provides health services to ensure access of the poor by issuing Jamkesmas. However, the Jamkesmas program currently has problems in determining the Jamkesmas recipient residents. Because in decision making there are still subjectivities and the selection process runs less quickly. As an auxiliary media in determining eligible participants to get Jamkesmas (Community Health Insurance) as well as testing the SAW method (Simple Additive Weighting) to provide recommendations for participants who deserve the Jamkesmas program. The selection process uses the SAW method for several criteria from BPS (Central Bureau of Statistics). Furthermore, the criteria are processed using an application built using php and mysql programming languages ​​to test these criteria. The processing stages are poverty criteria based on the condition of the residents in the form of Floor Area per Capita, Type of Floor, Availability of Clean Water, Latrine Type, Asset Ownership, Income, Expenditures, and Consumption of Side Dishes. The results of the decision stating that there was 1 participant, namely the total number of women with a total value of 0.475, was declared eligible because the mother was the number 1 out of 10 candidates selected using the SAW method. This system proved to be helpful in determining participants who were entitled and deserving of JAMKESMAS. And also this system is only a tool for decision makers, the final decision remains in the hands of decision makers.  


Transport ◽  
2019 ◽  
Vol 34 (3) ◽  
pp. 146-154
Author(s):  
Marco Amorim ◽  
António Lobo ◽  
António Couto

The recent European debt crisis has led many governments to impose strict measures to alleviate public expenditure and increase revenue, especially in the southern countries. Many public services and infrastructures became more costly for users due to the increase of existing fees or the implementation of new ones. In Portugal, one of the measures adopted by the government consisted in the removal of shadow tolls and the application of the user-pays principle to the entire network of rural motorways. To rapidly implement, this measure, in the context of financial constraints, the Electronic Toll Collection (ETC), materialized by the installation of gantries in selected motorway segments, was the preferred solution over the more time and resource consuming construction of toll plazas. Toll revenue is directly collected by the state, which intends to cover, at least partially, the expenses associated with the contractual payments to private concessionaires for the traffic using these roads. The main objective of this research is to provide a new optimization tool to allocate toll gantries to the segments of an existing motorway with the aim of maximizing toll revenue, based on the case study of Portuguese motorways. A macroscopic decision model that predicts drivers’ decision on using a tolled segment or the fastest alternative route and an optimization model that sets the price and location of toll gantries along a given motorway work together to provide a valuable tool to maximize the revenue. A special focus has been placed on scenarios of economic downturn, characterized by a negative growth of the Gross Domestic Product (GDP); however, the new tool allows making explanatory analyses for situations of economic growth. The results show that the optimal configuration for ETC vary with the macroeconomic scenario, with the number of tolled segments and price per kilometre inducing relevant variations on the revenue and traffic volume. The proposed methodology may be applied in other countries to assist decision makers in the implementation of ETC in motorways under different conditions. The required data is easy to collect from sources at the disposal of the practitioners.


Author(s):  
Duwi - Apriyani ◽  
A Faroby Falatehan ◽  
Memen Surahman

The Government of Sukoharjo District established a corporate farming program in Dalangan, Tawangsari District, Sukoharjo Regency since 2017 as an example of early development of agriculture modern in the countryside. However, the program has not run continuously due to constraints capital and has a high dependence on the decisions of decision makers. The objectives of this study are: (1) to identify farmers’ perceptions of corporate farming programs; (2) identifying and analyzing the importance and influence of corporate farming in Dalangan, Tawangsari District, Sukoharjo Regency; (3) analyze the impact of the application of corporate farming on the income of member farmers and not members of the corporate farming; and (4) analyze the level of influence of farmer characteristic factors on the decision to follow corporate farming. Data analysis methods used were descriptive analysis, stakeholder analysis, R / C ratio income analysis, and binomial logistic regression analysis. The results showed that the majority of farmer respondents agreed that the implementation of farmer corporations in Dalangan could improve farm performance, but the corporate farming had not made it easier for farmers to access Gapoktan capital. Based on stakeholder analysis, the Agriculture Service of Sukoharjo Regency and Gapoktan Tani Mandiri have the highest level of importance and influence in implementing the corporate farming. Based on income analysis, the value of R / C ratio and B / C ratio for cash costs to member farmers and not members of corporate farming is more than 1, so farming in groups is profitable and feasible. Factors that influence farmers' decisions to follow the corporate farming, namely the number of family dependents and farm income.


2010 ◽  
Vol 4 (4) ◽  
pp. 339-348
Author(s):  
Tomasz Stypka ◽  
◽  
Agnieszka Flaga-Maryanczyk ◽  

The article presents the methodology which can help the decision makers in evaluation of different municipal solid waste disposal systems. The results of the well known computer Integrated Waste Management model (IWM-1) are usually too fragmented to allow the final decision. The authors present the scientific background of the IWM-1 results integration. The results of the IWM-1 model analysis have been integrated into some specific categories that originate from the field of the Life Cycle Analysis (LCA). The authors propose 11 environmental categories plus the general ones calculated by the IWM-1 model. The presented categories describe the environmental impact of the analyzed system and are far easier to identify and understand by the public and by the decision makers. The developed methodology has been applied for the City of Krakow. The authors analyze two Krakow municipal solid waste disposal systems. The first system has been in operation for the last few years. The waste is collected and disposed at the landfill site while recycling and composting are implemented only in a limited scale. The second system presents the potential ultimate solid waste option for Krakow, where the waste is sorted extensively, then a significant part of organic fraction is composted, and the rest of the waste goes to the incinerator. The presented analysis compares these two systems. The authors use the results from the IWM-1 models for both systems as the input data to calculate the proposed impact categories. The final outcome is presented as graphs with the detail description of each stage of generation.


2018 ◽  
Vol 13 (Number 2) ◽  
pp. 78-87
Author(s):  
Sabariyah Hoyaeli ◽  
Zakirah Othman ◽  
Iswandi Anas ◽  
Shafini M. Shafie

Rice is a staple food and daily routine for Malaysians. Currently, the increasing population in Malaysia has led to the need to increase rice production with more quality. Therefore,the government established a scheme with national organic standards, MS 1259: 2015 which is myOrganic certification to recognize organic farms. Koperasi ABSB is the first rice farm that obtained this certification. Thus, the aims of this study are to explore the implementation of myOrganic in Koperasi ABSB and the barriers faced by this cooperative to implementing myOrganic certification. Qualitative method is used in this case study through interviews and observation. The finding showed that the implementation of myOrganic is as follows, by register myGAP, register myOrganic, Department of Agricultural Malaysia (DOA) will send a supervisor, prepare nine files or records, perform internal and external audit, and renew myOrganic. This study is expected to increase awareness of organic farming practices and promote the implementation of myOrganic in agriculture industry especially for the new farmer who wants to register and obtain myOrganic certification.


2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Nfn Darmanto ◽  
Nur Zaini

AbstrakPenelitian ini dilatarbelakangi oleh menguatnya wacana mengenai pentingnya perlindungan data pribadi  dan terbitnya Peraturan Menteri Komunikasi dan Informatika Nomor 20 Tahun 2016 tentang Perlindungan Data Pribadi dalam Sistem Elektronik. Adapun tujuan penelitian adalah untuk mengetahui kinerja implementasi Peraturan Menteri tersebut di lingkungan Pemerintah Kabupaten. Penelitian  dilakukan di Dinas Kependudukan dan Pencatatan Sipil pada Pemerintah Kabupaten Gianyar, Temanggung, dan Sleman dengan menggunakan metode studi kasus, sedangkan pengum­pu­lan data menggunakan teknik studi pustaka, wawancara, dan observasi. Pembahasan dilakukan dengan menggunakan konsep implemen­tasi model Edwards yang melihat implementasi berdasarkan variabel komunikasi, sumber-sumber, kecenderungan-kecenderu­ngan, dan struk­tur birokrasi. Hasil penelitian menunjuk­kan bahwa penyelenggaraan administrasi kependudukan yang di dalamnya termasuk perlindungan data pribadi oleh Dinas Kependudukan dan Pencatatan Sipil merujuk pada Peraturan Menteri Dalam Negeri Nomor 61 Tahun 2015, sedangkan Peraturan Menteri Komunikasi dan Informatika Nomor 20 tahun 2016 sama sekali belum mereka ketahui. AbstractThis research is motivated by the strengthening of discourse regarding the importance of protecting personal data and the issuance of Minister of Communication and Information Regulation No. 20 of 2016 concerning Protection of Personal Data in Electronic Systems. The research objective is to determine the performance of the implementation of the Ministerial Regulation within the District Government. The study was conducted at the Department of Population and Civil Registration at the Government of the Regency of Gianyar, Temanggung, and Sleman by using a case study method, while data collection using literature study techniques, interviews, and observations. The discussion was carried out using the concept of implementation of Edwards model that looked at implementation based on communication variables, sources, trends, and bureaucratic structure. The results showed that the administration of population administration which included the protection of personal data by the Population and Civil Registry Office referred to the Minister of Home Affairs Regulation No. 61 of 2015, while the Minister of Communication and Information Regulation No. 20 of 2016 was completely unknown to them.   


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