Low Cost and Human-Centered Innovations in Healthcare Services

2013 ◽  
pp. 239-252
Author(s):  
Emanuele Padovani ◽  
Rebecca Levy Orelli ◽  
Vanni Agnoletti ◽  
Matteo Buccioli
Keyword(s):  
Low Cost ◽  
Healthcare Services ◽  
New Techniques ◽  
Process Innovations ◽  
Improved Outcomes ◽  
Key Characteristics ◽  
Efficiency And Effectiveness ◽  
Specific Factors ◽  
Overall Performance ◽  
Governance Innovation

This chapter focuses on a change effort for introduction of an e-governance innovation in the operating room management of a medium-sized Italian hospital, which led to higher levels of efficiency and effectiveness at once. The innovative project has made all the stages of the surgical process transparent, highlighting where there is an opportunity to improve overall performance via the introduction of organizational and process innovations. New techniques implemented and the specific factors that led to the hospital’s success in achieving improved outcomes at lower costs are discussed. The chapter concludes by highlighting that low cost and human-centricity are amongst the key characteristics of success of this innovation.

Low Cost and Human-Centered Innovations in Healthcare Services

2015 ◽  
pp. 1369-1382
Author(s):  
Emanuele Padovani ◽  
Rebecca L. Orelli ◽  
Vanni Agnoletti ◽  
Matteo Buccioli
Keyword(s):  
Low Cost ◽  
Healthcare Services ◽  
New Techniques ◽  
Process Innovations ◽  
Improved Outcomes ◽  
Key Characteristics ◽  
Efficiency And Effectiveness ◽  
Specific Factors ◽  
Overall Performance ◽  
Governance Innovation

This chapter focuses on a change effort for introduction of an e-governance innovation in the operating room management of a medium-sized Italian hospital, which led to higher levels of efficiency and effectiveness at once. The innovative project has made all the stages of the surgical process transparent, highlighting where there is an opportunity to improve overall performance via the introduction of organizational and process innovations. New techniques implemented and the specific factors that led to the hospital's success in achieving improved outcomes at lower costs are discussed. The chapter concludes by highlighting that low cost and human-centricity are amongst the key characteristics of success of this innovation.

Managing Customer-Initiated Contacts with Manufacturers: The Impact on Share of Category Requirements and Word-of-Mouth Behavior

2001 ◽  
Vol 38 (3) ◽  
pp. 281-297 ◽  
Author(s):  
Douglas Bowman ◽  
Das Narayandas
Keyword(s):  
Survey Data ◽  
Word Of Mouth ◽  
Behavioral Outcomes ◽  
Source Model ◽  
Explanatory Variables ◽  
Key Characteristics ◽  
Efficiency And Effectiveness ◽  
Specific Factors ◽  
Context Specific ◽  
The Impact

The authors examine behavioral outcomes following a customer-initiated contact (CIC) with a manufacturer and develop a framework to explain the impact of vendor performance during a CIC on a customer's share of category requirements with a focal brand and word-of-mouth incidence following contact. The authors propose customer characteristics and context-specific factors that may relate to differences in the key characteristics of the underlying source model of share of category requirements and word of mouth. The authors then assess the overall importance of the explanatory variables in the source model and simultaneously test for systematic differences related to CIC-specific factors using survey data from more than 1700 CICs that involve more than 60 brands. A key assumption in much prior research that has examined customer–firm interactions is that CIC-specific factors, if they are included at all, create an automatic regularity that must be controlled for. The authors propose and find an additional effect. The responsiveness to factors under a firm's control varies across CICs, and therefore firms that adapt their processing have an advantage. Rather than provide a uniform response to all CICs, the authors' results offer managers several guidelines on how to customize their responses to the various CIC types and how to improve the efficiency and effectiveness of their firms' CIC management efforts.

scholarly journals Design and Adoption of Low-Cost Point-of-Care Diagnostic Devices: Syrian Case

Micromachines ◽  
2021 ◽  
Vol 12 (8) ◽  
pp. 882
Author(s):  
M. Munzer Alseed ◽  
Hamzah Syed ◽  
Mehmet Cengiz Onbasli ◽  
Ali K. Yetisen ◽  
Savas Tasoglu
Keyword(s):  
Civil Wars ◽  
Healthcare Workers ◽  
New Technologies ◽  
Point Of Care ◽  
Low Cost ◽  
Healthcare Services ◽  
Efficient Solutions ◽  
Humanitarian Crises ◽  
Technology Experience ◽  
The Cost

Civil wars produce immense humanitarian crises, causing millions of individuals to seek refuge in other countries. The rate of disease prevalence has inclined among the refugees, increasing the cost of healthcare. Complex medical conditions and high numbers of patients at healthcare centers overwhelm the healthcare system and delay diagnosis and treatment. Point-of-care (PoC) testing can provide efficient solutions to high equipment cost, late diagnosis, and low accessibility of healthcare services. However, the development of PoC devices in developing countries is challenged by several barriers. Such PoC devices may not be adopted due to prejudices about new technologies and the need for special training to use some of these devices. Here, we investigated the concerns of end users regarding PoC devices by surveying healthcare workers and doctors. The tendency to adopt PoC device changes is based on demographic factors such as work sector, education, and technology experience. The most apparent concern about PoC devices was issues regarding low accuracy, according to the surveyed clinicians.

Removal of Ni(II) from aqueous solution using Moringa oleifera seeds as a bioadsorbent

2012 ◽  
Vol 65 (8) ◽  
pp. 1435-1440 ◽  
Author(s):  
Thiago L. Marques ◽  
Vanessa N. Alves ◽  
Luciana M. Coelho ◽  
Nívia M. M. Coelho
Keyword(s):  
Moringa Oleifera ◽  
Low Cost ◽  
Ease Of Use ◽  
Toxic Waste ◽  
Adsorption Model ◽  
New Techniques ◽  
Sorption Data ◽  
Natural Adsorbents ◽  
Ph Range

Metal contaminants are generally removed from effluents by chemical and physical processes which are often associated with disadvantages such as the use of toxic reagents, generation of toxic waste and high costs. Hence, new techniques have been developed, among them the study of natural adsorbents, for instance, the use of Moringa oleifera seeds. The potential of M. oleifera seeds for nickel removal in aqueous systems was investigated. The seeds utilized were obtained from plants grown in Uberlândia/Brazil. After being dried and pulverized, the seeds were treated with 0.1 mol/L NaOH. Fourier transform infrared spectroscopy, scanning electron microscopy and thermogravimetric analyses were used for the characterization of the material. Using the optimized methodology (50 mL of 4.0 mg/L Ni(II), pH range of 4.0–6.0, agitation time of 5 min and adsorption mass of 2.0 g) more than 90% of Ni(II) could be removed from water samples. The sorption data were fitted satisfactorily by the Langmuir adsorption model. Evaluation applying the Langmuir equation gave the monolayer sorption capacity as 29.6 mg/g. The results indicate that this material could be employed in the extraction of nickel, considering its ease of use, low cost and environmental viability, which make it highly attractive for application in developing countries.

scholarly journals RUMAH SUSUN MODULAR DENGAN PEMANFAATAN PAPAN PRAFABRIKASI CLT, KASUS : Rumah Susun Siwalankerto, Surabaya (Modular Low-Cost Vertical Housing Benefit from Using Prefabricated Cross Laminated Timber Panel)

2019 ◽  
Author(s):  
Arteks Jurnal Teknik Arsitektur
Keyword(s):  
Lower Cost ◽  
Low Cost ◽  
High Potential ◽  
Modular Construction ◽  
Cross Laminated Timber ◽  
Efficiency And Effectiveness ◽  
Low Cost Housing ◽  
Housing Benefit ◽  
Construction Efficiency ◽  
Growing Population

Surabaya is the second most populated city in Indonesia. Its ever-growing population creates a problem with its limited number of low-cost housing. Seeing how slow the progress of constructing low cost vertical housing to meet the demands, it requires a faster and more efficient way. By using a modular construction method, this paper tries to analyze the benefit of using an alternate material such as prefabricated CLT (Cross Laminated Timber) panel. CLT panel shows a high potential in creating a better construction that is more environmentally friendly while still benefiting from a faster and lower cost by overall. Siwalankerto vertical housing was chosen due to its modular style of design and usage of material in its façade that is easier to simulate using a prefabricated material. Its location in Surabaya that is near Gresik where the manufactures capable manufacturing the prefabricated material also make it a great choice. This paper limits itself on construction efficiency and effectiveness simulated towards using prefabricated CLT panel and the effects of said material to the organization of rooms inside the building.

scholarly journals Prophylactic role of ivermectin in SARS-CoV-2 infection among healthcare workers

2021 ◽  
Author(s):  
Priyamadhaba Behera ◽  
Binod Kumar Patro ◽  
Biswa Mohan Padhy ◽  
Prasanta Raghab Mohapatra ◽  
Shakti Kumar Bal ◽  
...  
Keyword(s):  
Lower Risk ◽  
Healthcare Workers ◽  
Absolute Risk ◽  
Low Cost ◽  
Absolute Risk Reduction ◽  
Healthcare Services ◽  
Adjusted Relative Risk ◽  
Kaplan Meier

Abstract Background Healthcare workers (HCWs) are vulnerable to getting infected withSARS-CoV-2. Preventing HCWs from getting infected is a priority to maintain healthcare services. The therapeutic and preventive role of ivermectin in COVID-19 is being investigated. Based on promising results of in vitro studies of oral ivermectin, this study was conducted with the aim to demonstrate the prophylactic role of oral ivermectin in preventing SARS-CoV-2 infectionamong HCWs at All India Institute of Medical Sciences (AIIMS), Bhubaneswar.Methods A prospective cohort study was conducted at AIIMS Bhubaneswar, which provides both COVID and Non-COVID care since March 2020. All employees and students of the institute who provided written informed consent participated in the study.Uptake of two-doses of oral ivermectin (300 μg/kg at a gap of 72 hours) was considered as exposure. The primary outcome of the study was COVID-19 infection in the following month of ivermectin consumption diagnosed by RTPCR as per Government of India testing criteria guidelines.The log-binomial model was used to estimate adjusted relative risk, and the Kaplan-Meier failure plot was used to estimate the probability of COVID-19 infection with follow-up time.Results Of 3892 employees, 3532 (90.8%) participated in the study. The ivermectin uptake was 62.5% and 5.3% for two-doses and single-dose, respectively. Participants who took ivermectin prophylaxis had a lower risk of getting symptoms suggestive of SARS-CoV-2 infection(6% vs 15%). HCWs who had taken two-doses of oral ivermectin have a significantly lower risk of contracting COVID-19 disease during the following month (ARR 0.17; 95% CI, 0.12-0.23). Females had a lower risk of contracting COVID-19 than males (ARR 0.70 95% CI, 0.52-0.93). The absolute risk reduction of SARS-CoV-2 infection was 9.7%. Only 1.8% of the participants reported adverse events, which were mild and self-limiting.Conclusion and relevance Two-doses of oral ivermectin (300 μg/kg given 72 hours apart) as chemoprophylaxis among HCWs reduces the risk of COVID-19 infection by 83% in the following month. Safe, effective, and low-cost chemoprophylaxis have relevance in the containment of pandemic alongside vaccine.

Performance measurement and management for manufacturing SMEs: a financial statement-based system

2017 ◽  
Vol 21 (1) ◽  
pp. 17-36 ◽  
Author(s):  
Moujib Bahri ◽  
Josée St-Pierre ◽  
Ouafa Sakka
Keyword(s):  
Performance Measurement ◽  
Low Cost ◽  
Secondary Data ◽  
Specific Area ◽  
Financial Statements ◽  
Financial Statement ◽  
Business Practices ◽  
Content Type ◽  
Overall Performance ◽  
Probabilistic Sample

Purpose The purpose of this paper is to propose a performance measurement and management system (PMMS) for small- and medium-sized enterprises (SMEs) based on an analysis of the connections between the firm’s business practices and financial results as reported in the financial statements. Design/methodology/approach Secondary data on the business practices and financial statements of 108 Canadian manufacturing SMEs were taken from a private database. Items from financial statements were used to measure the firm’s performance in specific areas such as sales and current assets management, while net profit was used to measure the overall performance. Information about the level of adoption of more than 120 business practices by the sampled firms was also used. Step-wise regression was then performed for two consecutive years to identify the business practices that had significantly influenced the items in the financial statements. Findings The findings show that an understanding of the business practice/financial statement connection can be useful in managing SME performance. The regression analyses provide rich and interesting results. They indicate that some practices influence performance quickly, while others have a deferred effect. In addition, some practices have impacts that are significant in specific areas of the organization but insignificant in terms of overall performance, while others affect the firm’s overall performance but not the specific area they are intended to improve. Research limitations/implications The main limitation of the study is the non-probabilistic sample. However, the sampled SMEs vary widely in their characteristics, which should partially mitigate the negative impacts of a non-probabilistic sample. Practical implications The paper offers a useful and low-cost PMMS for SMEs, using information that is easily available to owner-managers. It shows that SME performance can be managed using a simple system built around the firm’s financial statements. Originality/value The study is one of the first to empirically test the connection between an extensive list of SME business practices and the financial results presented in the firms’ financial statements.

Comparative study on Vietnam’s and Philippines' COVID-19 response using historical institutionalism

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Peter Jerome B. Del Rosario ◽  
Francesca Mitchel Ofilada ◽  
Rose Ann D. Vicente
Keyword(s):  
Healthcare System ◽  
Information Dissemination ◽  
Low Cost ◽  
Secondary Data ◽  
Healthcare Spending ◽  
Healthcare Services ◽  
The Philippines ◽  
Historical Institutionalism ◽  
Contact Tracing ◽  
Content Type

PurposeThis paper analyzed the healthcare systems of the Philippines and Vietnam prior to the coronavirus disease 2019 (COVID-19) and their strategies on mass testing, contact tracing, quarantine procedures and information dissemination about the pandemic.Design/methodology/approachSteinmo's (2008) historical institutionalism approach was used in this paper. Secondary data gathering, document analysis and comparative process tracing were employed.FindingsThe findings revealed that Vietnam's implementation of its Law on Prevention and Control of Infectious Diseases in 2007, its relatively low-cost healthcare system, its efficient mass testing and contact tracing strategies and its science-based decisions are contributory to its success in handling the pandemic. Meanwhile, the Philippines failure to enact its Pandemic and All-Hazards Preparedness Act in 2013, its costly and dominantly private healthcare system, its heavy focus on strict, long lockdowns and its militarist methods to control the spread of the pandemic were found to be insufficient.Research limitations/implicationsDetailed study on the delivery of healthcare services in marginal areas, healthcare spending for COVID-19 positive individuals and information dissemination strategies about the pandemic were not explored.Practical implicationsHealth institutions can redesign their governance mechanisms by ensuring a cost-effective healthcare system and maximizing resource utilization to ensure efficient management of future pandemics. Moreover, national governments should not compromise their country's healthcare system over the economy during a pandemic.Originality/valueThis paper analyzed the countries' history of healthcare governance and its influence in handling COVID-19 compared to previous studies which only focused on the countries' strategies during the pandemic.

How Do Academic Otolaryngologists Decide to Implement New Procedures Into Practice?

2021 ◽  
pp. 019459982110474
Author(s):  
Bethany Powers ◽  
Cara Damico Smith ◽  
Natalia Arroyo ◽  
David O. Francis ◽  
Sara Fernandes-Taylor
Keyword(s):  
Tertiary Care ◽  
Semistructured Interview ◽  
New Techniques ◽  
Improved Outcomes ◽  
Large Tertiary Care ◽  
Decision Making Processes ◽  
Facilitators And Barriers ◽  
Science Framework ◽  
New Procedures ◽  
New Surgical Technique

Objective To identify barriers and facilitators to adoption of a new surgical procedure via an implementation science framework to characterize associated socioemotional, clinical, and decision-making processes. Study Design Qualitative study with a semistructured interview approach. Setting Large tertiary care referral center. Methods Academic otolaryngologists with at least 2 years of practice were identified and interviewed. Transcripts were thematically coded and separated into steps in the clinical pathway. Synthesis of major themes characterized facilitators and barriers to uptake of a new surgical technique. Results Of 22 otolaryngologists, 19 were interviewed (85% male). They had a median 18 years of practice (interquartile range, 7.8-26.3), and 65% were subspecialty trained. In the decision to implement a new procedure, improving patient outcomes and addressing unmet clinical needs facilitated adoption, whereas costs and adopting profit-driven technologies without improved outcomes were barriers. In patient consults, establishing trust facilitated implementation of new techniques; barriers included participants’ hesitation to communicate about the unknowns of a new procedure. Intraoperatively, little change to existing workflow or improved efficiency facilitated adoption, while a substantial learning curve for the new procedure was a barrier. Achieving favorable outcomes and patient satisfaction sustained implementation of new procedures. Too few referrals or indications for the new procedure hindered implementation. Conclusion Our study demonstrates that innovation in otolaryngology is often an individual iterative process that providers pursue to improve patients’ outcomes. Although models for the oversight of surgical innovation emphasize the need for evidence, obtaining sufficient numbers of providers and patients to generate evidence remains a challenge in specialty surgical practice.

Mobile Health (M-Health) for Tele-Wound Monitoring

2019 ◽  
pp. 98-116 ◽  
Author(s):  
Chinmay Chakraborty
Keyword(s):  
Mobile Health ◽  
Patient Information ◽  
Chronic Wound ◽  
Low Cost ◽  
System Model ◽  
Monitoring And Diagnosis ◽  
Cloud Database ◽  
Overall Performance ◽  
Urban People

This chapter describes the implementation of tele-wound monitoring (TWM) for a patient's chronic wound using a smartphone. The system proved to be quick and reliable for providing healthcare at the doorstep. The smartphone-enabled a tele-wound monitoring (TWM) framework, which is used for remote wound monitoring, has been highlighted. The TWM is effective for both rural as well as urban people; it provides good performance in terms of wound monitoring and diagnosis. The objective of this chapter is to design and develop a TWM system model that can acquire, process and monitor chronic wound-related problems by using a low-cost smartphone to increase the overall performance of the system. Specifically, the TWM system is developed for biomedical information like chronic wound processing to monitor important patient information inexpensively and accurately. The implementation is carried out using hypertext preprocessor (PHP) and MySql database and especially by Firebase cloud database, which is used for improving the efficiency.

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