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Rethinking research methods in protracted violent conflicts in Mozambique: fieldwork in complex emergencies 重新思考莫桑比克长期暴力冲突中的研究方法:复杂紧急情况下的实地调查
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-03-20 DOI: 10.1108/jhlscm-08-2022-0088
Kudakwashe Chirambwi
PurposeThis paper argues for the need to use multiple sources and methods that respond to research challenges presented by new forms of war. There are methodological constraints and contention on the superiority given to positivist and interpretivist research designs when doing fieldwork in war situations, hence there is a need to use integrated data generation techniques. The combined effect of severe limitations of movement for both the researcher and researched fragmented data because of polarized views about the causes of the war and unpredictable events that make information hard to come by militate against systematic, organised and robust data generation. The purpose of this paper, therefore, is to make fieldwork researchers understand significant research problems unique to war zones.Design/methodology/approachThis research was guided by the postmodernist mode of thought which challenges standardised research traditions. Fieldwork experiences in Cabo suggest the need to use the composite strategies that rely on the theoretical foundation of integrative and creative collection of data when doing research in violent settings.FindingsThe fieldwork experiences showed that the standardised, conventional and valorised positivist and ethnographic research strategies may not sufficiently facilitate understanding of the dynamics of war. There should not be firm rules, guidelines or regulations governing the actions of the researcher in conflict. As such, doing research in violent settings require reflexivity, flexibility and creativity in research strategies that respond to rapid changes. Research experiences in Mozambique show the need to use blended methods that include even less structured methodologies.Originality/valueFieldwork experiences in Cabo challenges researchers who cling to standardised research traditions which often hamper awareness of new postmodernist mode of thought applicable to war settings. It is essential to study the nature of African armed conflicts by combining creativity and flexibility in the selection of research strategies.
本文认为需要使用多种来源和方法来应对新形式战争带来的研究挑战。在战争情况下进行实地调查时,实证主义和解释主义研究设计的优越性存在方法论上的限制和争论,因此需要使用综合数据生成技术。由于对战争起因和不可预测事件的观点两极分化,使得信息难以获得,研究者和被研究数据的行动受到严重限制,这两者的综合影响阻碍了系统、有组织和可靠的数据生成。因此,本文的目的是使实地研究人员了解战区特有的重大研究问题。本研究以后现代主义思维模式为指导,挑战了标准化的研究传统。在卡波的实地工作经验表明,在暴力环境中进行研究时,需要使用依赖于综合和创造性收集数据的理论基础的复合策略。实地调查的经验表明,标准化的、传统的、有价值的实证主义和民族志研究策略可能不足以促进对战争动态的理解。不应该有严格的规则、指导方针或条例来管理冲突中的研究人员的行为。因此,在暴力环境中进行研究需要研究策略的反身性、灵活性和创造性,以应对快速变化。莫桑比克的研究经验表明,需要使用混合方法,其中包括更少结构化的方法。原创性/价值在卡波的实地工作经历挑战了那些坚持标准化研究传统的研究人员,这往往阻碍了对适用于战争背景的新后现代主义思维模式的认识。必须在选择研究策略时结合创造性和灵活性来研究非洲武装冲突的性质。
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引用次数: 1
Venezuelan migration in Northern Brazil: a system dynamics approach for the internalization program 巴西北部的委内瑞拉移民:内部化方案的系统动力学方法
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-03-17 DOI: 10.1108/jhlscm-01-2022-0011
T. Ribeiro, Irineu de Brito Jr, H. Yoshizaki, Raquel Froese Buzogany
PurposeThis paper aims to present the internalization process by which Venezuelan migrants and refugees are resettled. Using system dynamics, the authors model a Brazilian humanitarian operation (“Acolhida” – Welcome), simulate the internalization process, propose policies and provide lessons learned for future migratory operations.Design/methodology/approachUsing system dynamics simulation, the authors use Acolhida Operation’s historical data to recreate the reception and resettlement process of Venezuelan migrants and refugees. The authors identify the main bottlenecks in the system and propose policies to respond to scenarios according to the number of internalization vacancies, that is, available places in Brazil where migrants and refugees can be resettled. Finally, based on interviews with former decision-makers, the model represents a first attempt to convert the pressure of public opinion on authorities into temporary shelters as a way of reducing the number of unassisted people.FindingsThe results confirm that internalization vacancies are the main constraint when resettling Venezuelan migrants and refugees. Had the internalization program been promoted since the operation’s beginning, there would have been fewer unassisted people in Roraima and fewer shelters. The pressure-converting mechanism presented in this study, although incipient, constitutes a first attempt to support decision-makers in determining when to build temporary shelters.Practical implicationsThis study can be useful to public authorities and humanitarian organizations when developing policies to enhance resettlement in migratory crises. In Acolhida’s case, the internalization program should continue to be the operation’s priority and can be enhanced by investing more resources to create internalization vacancies while maintaining logistical capacities.Social implicationsThe authors suggest policies to improve the Acolhida internalization program: give more people the choice to relocate in other cities, increase turnover in shelters and provide a more efficient and effective response to Venezuelan migration in Roraima.Originality/valueAlthough a number of studies have applied system dynamics to humanitarian operations, few models have focused on migratory emergencies, such as those occurring in northern Brazil. The model is applied to the largest humanitarian operation carried out in the Brazilian territory and provides decision-makers with valuable insights and alternatives for better implementation in the future. Furthermore, this study narrows the gap between the social sciences and modeling and simulation techniques by proposing ways of predicting migratory implications in the construction of shelters and resettlement policies.
本文旨在介绍委内瑞拉移民和难民被重新安置的内部化过程。利用系统动力学,作者对巴西的人道主义行动(“Acolhida”—欢迎)进行了建模,模拟了内化过程,提出了政策建议,并为未来的移民行动提供了经验教训。设计/方法/方法采用系统动力学模拟,作者使用Acolhida行动的历史数据来重现委内瑞拉移民和难民的接收和重新安置过程。作者确定了该系统的主要瓶颈,并根据内在化空缺的数量(即巴西可以重新安置移民和难民的可用地点)提出了应对方案的政策。最后,根据对前决策者的采访,该模型首次尝试将公众舆论对当局的压力转化为临时庇护所,以减少无人援助的人数。研究结果证实,内部化空缺是重新安置委内瑞拉移民和难民的主要制约因素。如果从行动一开始就推行内化计划,罗赖马得不到援助的人就会少一些,避难所也会少一些。本研究中提出的压力转换机制虽然刚刚起步,但却是支持决策者决定何时建造临时避难所的第一次尝试。实际意义本研究可为公共当局和人道主义组织制定政策以加强移民危机中的重新安置提供参考。在Acolhida的案例中,内部化计划应该继续是该行动的优先事项,可以通过投入更多资源来创造内部化空缺,同时保持后勤能力来加强。社会影响作者提出了改善Acolhida内化项目的政策建议:让更多的人可以选择在其他城市重新安置,增加庇护所的周转率,并为罗赖马的委内瑞拉移民提供更高效和有效的应对措施。独创性/价值虽然一些研究已将系统动力学应用于人道主义行动,但很少有模型侧重于移徙紧急情况,例如在巴西北部发生的情况。该模型应用于在巴西境内开展的最大规模人道主义行动,为决策者提供了宝贵的见解和备选方案,以便将来更好地实施。此外,本研究通过提出预测庇护所建设和安置政策中移民影响的方法,缩小了社会科学与建模和模拟技术之间的差距。
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引用次数: 0
A two-regime analysis of the COVID-19 vaccine distribution process COVID-19疫苗分发过程的双制度分析
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-03-17 DOI: 10.1108/jhlscm-10-2021-0106
S. Hegde, Hani Mahmassani, K. Smilowitz
PurposeThe purpose of this paper is to develop a framework to evaluate and assess the performance of the COVID-19 vaccine distribution process that is sensitive to the unique supply-side and demand-side constraints exhibited in the US vaccine rollout.Design/methodology/approachA queuing framework that operates under two distinct regimes is formulated to analyze service rates that represent system capacity to vaccinate (under the first regime) and hesitancy-induced throughput (under the second regime). These supply- and hesitancy-constrained regimes form the focus of the present paper, as the former reflects the inherent ability of the nation in its various jurisdictions to mobilize, whereas the latter reflects a critical area for public policy to protect the population’s overall health and safety.FindingsThe two-regime framework analysis provides insights into the capacity to vaccinate and hesitancy-constrained demand, which is found to vary across the country primarily by politics and region. The framework also allows analysis of the end-to-end supply chain, where it is found that the ability to vaccinate was likely constrained by last-mile administration issues, rather than the capacity of the manufacturing and transportation steps of the supply chain.Originality/valueThis study presents a new framework to consider end-to-end supply chains as dynamic systems that exhibit different regimes because of unique supply- and demand-side characteristics and estimate rollout capacity and underlying determinants at the national, state and county levels.
目的本文的目的是开发一个框架,以评估和评估新冠肺炎疫苗分发过程的绩效,该过程对美国疫苗推广中表现出的独特的供需约束敏感。设计/方法/方法制定了在两种不同制度下运行的排队框架,以分析代表系统接种疫苗能力(在第一种制度下)和犹豫诱导的吞吐量(在第二种制度之下)的服务率。这些供应和犹豫受限的制度构成了本文的重点,因为前者反映了国家在其各个管辖区的固有动员能力,而后者反映了公共政策保护人民整体健康和安全的关键领域。发现两种制度的框架分析提供了对疫苗接种能力和犹豫受限需求的见解,发现不同国家的需求主要因政治和地区而异。该框架还允许对端到端供应链进行分析,发现接种疫苗的能力可能受到最后一英里管理问题的限制,而不是供应链的制造和运输步骤的能力。独创性/价值这项研究提供了一个新的框架,将端到端供应链视为动态系统,由于独特的供需侧特征,这些系统表现出不同的制度,并估计了国家、州和县层面的推广能力和潜在决定因素。
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引用次数: 1
Identifying total defense logistics concepts: a comparative study of the Swedish pandemic response 确定总防御后勤概念:瑞典大流行应对的比较研究
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-03-16 DOI: 10.1108/jhlscm-07-2022-0084
Imoh Antai, R. Hellberg
PurposeThe total defence (TD) concept constitutes a joint endeavour between the military forces and civil defence structures within a TD state. Logistics is essential for such joint collaboration to work; however, the mismatch between military and civil defence logistics structures poses challenges for such joint collaboration. The purpose of this paper is to identify logistics concept areas within the TD framework that allow for military and civil defence collaborations from a logistics operations perspective.Design/methodology/approachPattern-matching analysis is used to compare patterns found in the investigated case with those prescribed from the literature and predicted to occur. The study seeks to identify logistics concepts within TD from the literature and from the events describing the Swedish response to the Covid-19 pandemic. Pattern matching thus allows for the reconciliation of logistics concepts from the literature to descriptions of how the response was handled, albeit under a TD framework.FindingsFindings show quite distinct foci between the theoretical and observational realms in terms of logistics applications. While the theoretical realm identifies four main logistics concepts, the observational realm identifies five logistics conceptual themes. This goes on to show an incongruence between the military and civil parts of the TD.Research limitations/implicationsThis study provides basis for further research into the applications and management of logistics activity within TD and emergency response.Originality/valueLogistics applications within TD have not, until now, received much attention in the literature. Given this knowledge gap, this study is of original value.
目的全面防御概念是一个全面防御国家的军事力量和民防结构之间的共同努力。物流对这种联合合作的运作至关重要;然而,军事和民防后勤结构之间的不匹配给这种联合合作带来了挑战。本文的目的是从物流运营的角度确定TD框架内允许军事和民防合作的物流概念领域。设计/方法/方法模式匹配分析用于将调查案例中发现的模式与文献中规定的和预测发生的模式进行比较。该研究旨在从文献和描述瑞典应对Covid-19大流行的事件中确定TD内的物流概念。因此,模式匹配允许将文献中的物流概念与如何处理响应的描述相协调,尽管是在TD框架下。研究结果表明,在物流应用方面,理论和观测领域之间存在相当明显的焦点。虽然理论领域确定了四个主要的物流概念,但观察领域确定了五个物流概念主题。这继续显示了军事和民事部分之间的不一致。研究局限/启示本研究为进一步研究输配电和应急响应中的物流活动的应用和管理提供了基础。直到现在,原创/价值物流在TD中的应用在文献中还没有得到很多关注。鉴于这种知识差距,这项研究具有原始价值。
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引用次数: 1
A comprehensive research on analyzing risk factors in emergency supply chains 应急供应链风险因素分析的综合研究
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-02-28 DOI: 10.1108/jhlscm-10-2022-0108
Onyeka John Chukwuka, J. Ren, Jin Wang, Dimitrios Paraskevadakis
PurposeUnforeseen events can disrupt the operational process and negatively impact emergency resources optimization and its supply chain. A limited number of studies have addressed risk management issues in the context of emergency supply chains, and this existing research lacks inbuilt and practical techniques that can significantly affect the reliability of risk management outcomes. Therefore, this paper aims to identify and practically analyze the specific risk factors that can most likely disrupt the normal functioning of the emergency supply chain in disaster relief operations.Design/methodology/approachThis paper has used a three-step process to investigate and evaluate risk factors associated with the emergency supply chain. First, the study conducts a comprehensive literature review to identify the risk factors. Second, the research develops a questionnaire survey to validate and classify the identified risk factors. At the end of this step, the study develops a hierarchical structure. Finally, the research investigates the weighted priority of the validated risk factors using the fuzzy-analytical hierarchy process (FAHP) methodology. Experts were required to provide subjective judgments.FindingsThis paper identified and validated 28 specific risk factors prevalent in emergency supply chains. Based on their contextual meanings, the research classified these risk factors into two main categories: internal and external risk factors; four subcategories: demand, supply, infrastructural and environmental risk factors; and 11 risk types: forecast, inventory, procurement, supplier, quality, transportation, warehousing, systems, disruption, social and political risk factors. The most significant risk factors include war and terrorism, the absence of legislative rules that can influence and support disaster relief operations, the impact of cascading disasters, limited quality of relief supplies and sanctions and constraints that can hinder stakeholder collaboration. Therefore, emergency supply chain managers should adopt appropriate strategies to mitigate these risk factors.Research limitations/implicationsThis study will contribute to the general knowledge of risk management in emergency supply chains. The identified risk factors and structural hierarchy taxonomic diagram will provide a comprehensive risk database for emergency supply chains.Practical implicationsThe research findings will provide comprehensive and systemic support for respective practitioners and policymakers to obtain a firm understanding of the different risk categories and specific risk factors that can impede the effective functioning of the emergency supply chain during immediate disaster relief operations. Therefore, this will inform the need for the improvement of practices in critical aspects of the emergency supply chain through the selection of logistics and supply chain strategies that can ensure the robustness and resilience of the system.Origina
目的不可预见的事件可能会破坏业务流程,并对应急资源优化及其供应链产生负面影响。数量有限的研究涉及应急供应链背景下的风险管理问题,这些现有研究缺乏能够显著影响风险管理结果可靠性的内置实用技术。因此,本文旨在识别并实际分析救灾行动中最有可能破坏应急供应链正常运作的具体风险因素。设计/方法/方法本文采用了三步流程来调查和评估与应急供应链相关的风险因素。首先,本研究进行了全面的文献综述,以确定风险因素。其次,研究开发了问卷调查,以验证和分类识别的风险因素。在这一步的最后,研究开发了一个层次结构。最后,利用模糊层次分析法(FAHP)对验证后的风险因素进行加权优先级排序。要求专家提供主观判断。本文确定并验证了应急供应链中普遍存在的28个特定风险因素。根据其上下文含义,研究将这些风险因素分为两大类:内部风险因素和外部风险因素;四个子类别:需求、供应、基础设施和环境风险因素;以及11种风险类型:预测、库存、采购、供应商、质量、运输、仓储、系统、中断、社会和政治风险因素。最重要的风险因素包括战争和恐怖主义、缺乏能够影响和支持救灾行动的立法规则、级联灾害的影响、救济物资质量有限以及可能阻碍利益攸关方合作的制裁和限制。因此,应急供应链管理者应采取适当的策略来减轻这些风险因素。研究局限/启示本研究将有助于提高应急供应链风险管理的一般知识。确定的风险因素和结构层次分类图将为应急供应链提供一个全面的风险数据库。实际意义研究结果将为相关的从业者和决策者提供全面和系统的支持,以获得对在紧急救灾行动中可能阻碍应急供应链有效运作的不同风险类别和特定风险因素的坚定理解。因此,这将告知需要通过选择物流和供应链战略来改进应急供应链关键方面的做法,以确保系统的稳健性和弹性。原创性/价值本研究使用经验数据来识别、分类和验证应急供应链中的风险因素。本研究对供应链风险管理理论有一定的贡献。本研究还采用模糊层次分析法对这些风险因素进行评估和优先排序,以告知从业者和决策者最重要的风险因素。此外,本研究作为应急供应链风险管理的第一阶段,因为它激励了未来的研究,以经验识别,评估和选择有效的策略,可以消除或尽量减少这些风险因素的影响。
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引用次数: 0
Modeling a closed-loop vaccine supply chain with transshipments to minimize wastage and threats to the public: a system dynamics approach 模拟含转运的闭环疫苗供应链,以尽量减少浪费和对公众的威胁:系统动力学方法
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-02-17 DOI: 10.1108/jhlscm-10-2021-0102
Esen Andiç-Mortan, Cigdem Gonul Kochan
PurposeThis study aims to focus on building a conceptual closed-loop vaccine supply chain (CLVSC) to decrease vaccine wastage and counterfeit/fake vaccines.Design/methodology/approachThrough a focused literature review, the framework for the CLVSC is described, and the system dynamics (SD) research methodology is used to build a causal loop diagram (CLD) of the proposed model.FindingsIn the battle against COVID-19, waste management systems have become overwhelmed, which has created negative environmental and extremely hazardous societal impacts. A key contributing factor is unused vaccine doses, shown as a source for counterfeit/fake vaccines. The findings identify a CLVSC design and transshipment operations to decrease vaccine wastage and the potential for vaccine theft.Research limitations/implicationsThis study contributes to establishing a pandemic-specific VSC structure. The proposed model informs the current COVID-19 pandemic as well as potential future pandemics.Social implicationsA large part of the negative impact of counterfeit/fake vaccines is on human well-being, and this can be avoided with proper CLVSC.Originality/valueThis study develops a novel overarching SD CLD by integrating the epidemic model of disease transmission, VSC and closed-loop structure. This study enhances the policymakers’ understanding of the importance of vaccine waste collection, proper handling and threats to the public, which are born through illicit activities that rely on stolen vaccine doses.
目的本研究旨在建立一个概念闭环疫苗供应链(CLVSC),以减少疫苗浪费和假冒疫苗。设计/方法/方法通过重点文献综述,描述了CLVSC的框架,并使用系统动力学(SD)研究方法来构建所提出模型的因果回路图(CLD)。发现在抗击新冠肺炎的斗争中,废物管理系统已经不堪重负,这造成了负面的环境和极其危险的社会影响。一个关键因素是未使用的疫苗剂量,显示为假冒/假冒疫苗的来源。研究结果确定了CLVSC的设计和转运操作,以减少疫苗浪费和疫苗盗窃的可能性。研究局限性/含义本研究有助于建立一个针对流行病的VSC结构。所提出的模型为当前新冠肺炎大流行以及未来潜在的大流行提供了信息。社会影响假冒/假疫苗的大部分负面影响是对人类福祉的,这可以通过适当的CLVSC.原始性/价值来避免。本研究通过整合疾病传播的流行病模型、VSC和闭环结构,开发了一种新的总体SD CLD。这项研究增强了政策制定者对疫苗废物收集、妥善处理和对公众的威胁的重要性的理解,这些废物是通过依赖被盗疫苗剂量的非法活动产生的。
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引用次数: 0
Assessment of pre-eclampsia and eclampsia health commodities’ supply chains in selected hospitals of Lagos State during COVID-19 pandemic COVID-19大流行期间拉各斯州选定医院子痫前期和子痫保健商品供应链评估
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-02-10 DOI: 10.1108/jhlscm-05-2022-0055
A. Olalekan, Victor Igweike, O. Ekun, Abosede Adegbite, O. Ogunleye
PurposePre-eclampsia and eclampsia (PE/E) are rising in Sub-Saharan Africa, including Nigeria. This study aims to evaluate the availability and logistics management of sixteen items from the Nigerian essential medicine list required for managing these conditions.Design/Methodology/approachA cross-sectional study in 50 health-care facilities in Lagos State, Nigeria, at the beginning of the COVID-19 pandemic by interviewing the facility’s main person in charge of health commodities. Data were recorded during the visit and in the previous six months using the adapted Logistics Indicators Assessment Tool (LIAT). In addition, descriptive analysis was conducted based on the World Health Organization availability index.FindingsThe availability of 13 (81%) of the commodities were high, and 3 (19%) were relatively high in the facilities, stock out rate during the visitation and previous six months varied with the commodities: urinalysis strip (22%) and (40%), hydralazine (20%) and (20%), labetalol injection (8%) and (20%), labetalol tablet (24%) and (24%) and sphygmomanometer (8%) and (8%). No stock out was recorded for 11 (69%) commodities. All the facilities observed 9 (75%) out of the 12 storage guidelines, and 36 (72%) had a perfect storage condition score.Limitations/ImplicationsCurrent state of PE/E health commodities in the selected facilities is highlighted, and the strengths and weaknesses of the supply chain in these health facilities were identified and discussed.Originality/valueThese commodities’ availability ranged from reasonably high to very high. Regular supportive supervision is germane to strengthening the logistics management system for these commodities to prevent the negative impact on the health and well-being of the people during the COVID-19 pandemic and post-pandemic.
目的子痫前期和子痫(PE/E)在包括尼日利亚在内的撒哈拉以南非洲地区呈上升趋势。本研究旨在评估尼日利亚基本药物清单中管理这些疾病所需的16种药物的可用性和物流管理。设计/方法/方法在新冠肺炎大流行开始时,通过采访尼日利亚拉各斯州50家医疗机构的主要卫生商品负责人,对该机构进行了横断面研究。在访问期间和前六个月,使用经过调整的后勤指标评估工具记录了数据。此外,还根据世界卫生组织的可用性指数进行了描述性分析。发现13种(81%)商品的可用性很高,3种(19%)商品在设施中相对较高,访问期间和前六个月的缺货率因商品而异:尿检条(22%)和(40%)、肼嗪(20%)和(20%)、拉贝洛尔注射液(8%)和(20%)、拉贝洛尔片(24%)和(24%)以及血压计(8%)或(8%)。11种商品(69%)没有缺货记录。所有设施都遵守了12项储存指南中的9项(75%),36项(72%)的储存条件得分完美。局限性/影响重点介绍了选定设施中PE/E卫生商品的现状,并确定和讨论了这些卫生设施中供应链的优势和劣势。创意/价值这些商品的可获得性从相当高到非常高不等。定期的支持性监督与加强这些商品的物流管理系统密切相关,以防止在新冠肺炎大流行期间和大流行后对人民的健康和福祉产生负面影响。
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引用次数: 0
Assessing performance using maturity model: a multiple case study of public health supply chains in Nigeria 利用成熟度模型评估绩效:对尼日利亚公共卫生供应链的多案例研究
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-02-08 DOI: 10.1108/jhlscm-05-2022-0053
R. Abdulkadir, D. B. Matellini, I. Jenkinson, Robyn Pyne, T. Nguyen
PurposeThis study aims to determine the factors and dynamic systems behaviour of essential medicine stockout in public health-care supply chains. The authors examine the constraints and effects of mental models on medicine stockout to develop a dynamic theory of medicine availability towards saving patients’ lives.Design/methodology/approachThis study uses a mixed-method approach. Starting with a survey method, followed by in-depth interviews with stakeholders within five health-care supply chains to determine the dynamic feedback leading to stockout and conclude by developing a network mental model for medicines availability.FindingsThe authors identified five constraints and developed five case mental models. The authors develop a dynamic theory of medicine availability across cases and identify feedback loops and variables leading to medicine availability.Research limitations/implicationsThe need to include mental models of stakeholders like manufacturers and distributors of medicines to understand the system completely. Group surveys are prone to power dynamics and bias from group thinking. This survey’s quantitative output could minimize the bias.Originality/valueThis study uniquely uses a mixed-method of survey method and in-depth interviews of experts to assess the essential medicine stockout in Nigeria. To improve medicine availability, the authors develop a dynamic network mental model to understand the system structure, feedback and behaviour driving stockouts. This research will benefit public policymakers and hospital managers in designing policies that reduce medicine stockout.
目的研究公共卫生供应链中基本药物缺货的影响因素和动态系统行为。作者研究了心理模型对药物缺货的限制和影响,以发展一种动态的药物可用性理论,以挽救患者的生命。设计/方法/方法本研究采用混合方法。首先采用调查方法,然后与五个医疗保健供应链内的利益攸关方进行深入访谈,以确定导致缺货的动态反馈,最后通过开发药品可用性的网络心理模型来结束。研究结果作者确定了五个制约因素,并开发了五个案例心理模型。作者开发了一种跨病例的药物可用性动态理论,并确定了导致药物可用性的反馈循环和变量。研究限制/启示需要包括利益相关者的心理模型,如药品制造商和分销商,以完全理解该系统。群体调查容易受到权力动力学和群体思维偏见的影响。这项调查的量化产出可以最大限度地减少偏见。原创性/价值本研究独特地采用了调查法和专家深度访谈的混合方法来评估尼日利亚基本药物缺货情况。为了提高药物的可获得性,作者开发了一个动态网络心理模型来理解导致缺货的系统结构、反馈和行为。这项研究将有利于公共政策制定者和医院管理者设计减少药品短缺的政策。
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引用次数: 1
Data, analytical techniques and collaboration between researchers and practitioners in humanitarian health supply chains: a challenging but necessary way forward 人道主义卫生供应链中的数据、分析技术和研究人员与从业人员之间的合作:一条具有挑战性但必要的前进道路
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-02-07 DOI: 10.1108/jhlscm-07-2022-0078
K. De Boeck, M. Besiou, C. Decouttere, Sean Rafter, N. Vandaele, L. V. Van Wassenhove, P. Yadav
PurposeThis paper aims to provide a discussion on the interface and interactions between data, analytical techniques and impactful research in humanitarian health supply chains. New techniques for data capturing, processing and analytics, such as big data, blockchain technology and artificial intelligence, are increasingly put forward as potential “game changers” in the humanitarian field. Yet while they have potential to improve data analytics in the future, larger data sets and quantification per se are no “silver bullet” for complex and wicked problems in humanitarian health settings. Humanitarian health supply chains provide health care and medical aid to the most vulnerable in development and disaster relief settings alike. Unlike commercial supply chains, they often lack resources and long-term collaborations to enable learning from the past and to improve further.Design/methodology/approachBased on a combination of the authors’ research experience, interactions with practitioners throughout projects and academic literature, the authors consider the interface between data and analytical techniques and highlight some of the challenges inherent to humanitarian health settings. The authors apply a systems approach to represent the multiple factors and interactions between data, analytical techniques and collaboration in impactful research.FindingsBased on this representation, the authors discuss relevant debates and suggest directions for future research to increase the impact of data analytics and collaborations in fostering sustainable solutions.Originality/valueThis study distinguishes itself and contributes by bringing the interface and interactions between data, analytical techniques and impactful research together in a systems approach, emphasizing the interconnectedness.
本文旨在讨论人道主义卫生供应链中数据、分析技术和有影响力的研究之间的接口和相互作用。数据捕获、处理和分析的新技术,如大数据、区块链技术和人工智能,越来越多地被认为是人道主义领域潜在的“游戏规则改变者”。然而,尽管它们有可能在未来改进数据分析,但更大的数据集和量化本身并不是解决人道主义卫生环境中复杂和棘手问题的“灵丹妙药”。人道主义保健供应链向发展和救灾环境中最脆弱的群体提供保健和医疗援助。与商业供应链不同,它们往往缺乏资源和长期合作,无法从过去学习并进一步改进。设计/方法学/方法根据作者的研究经验、在整个项目中与从业人员的互动以及学术文献,作者考虑了数据和分析技术之间的相互作用,并强调了人道主义卫生环境固有的一些挑战。作者运用系统方法来表示影响研究中数据、分析技术和协作之间的多重因素和相互作用。在此基础上,作者讨论了相关的争论,并提出了未来研究的方向,以增加数据分析和合作在促进可持续解决方案方面的影响。原创性/价值本研究通过将数据、分析技术和有影响力的研究以系统方法结合在一起,强调相互联系,从而脱颖而出。
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引用次数: 1
The post-disaster transportation of injured people when hospitals have districts 灾后伤员的运送当医院有区
IF 4 Q1 Business, Management and Accounting Pub Date : 2023-02-01 DOI: 10.1108/jhlscm-09-2021-0088
Tareq Babaqi, B. Vizvári
PurposeThe total capacity of ambulances in metropolitan cities is often less than the post-disaster demand, especially in the case of disasters such as earthquakes. However, because earthquakes are a rare occurrence in these cities, it is unreasonable to maintain the ambulance capacity at a higher level than usual. Therefore, the effective use of ambulances is critical in saving human lives during such disasters. Thus, this paper aims to provide a method for determining how to transport the maximum number of disaster victims to hospitals on time.Design/methodology/approachThe transportation-related disaster management problem is complex and dynamic. The practical solution needs decomposition and a fast algorithm for determining the next mission of a vehicle. The suggested method is a synthesis of mathematical modeling, scheduling theory, heuristic methods and the Voronoi diagram of geometry. This study presents new elements for the treatment, including new mathematical theorems and algorithms. In the proposed method, each hospital is responsible for a region determined by the Voronoi diagram. The region may change if a hospital becomes full. The ambulance vehicles work for hospitals. For every patient, there is an estimated deadline by which the person must reach the hospital to survive. The second part of the concept is the way of scheduling the vehicles. The objective is to transport the maximum number of patients on time. In terms of scheduling theory, this is a problem whose objective function is to minimize the sum of the unit penalties.FindingsThe Voronoi diagram can be effectively used for decomposing the complex problem. The mathematical model of transportation to one hospital is the P‖ΣUj problem of scheduling theory. This study provides a new mathematical theorem to describe the structure of an algorithm that provides the optimal solution. This study introduces the notion of the partial oracle. This algorithmic tool helps to elaborate heuristic methods, which provide approximations to the precise method. The realization of the partial oracle with constructive elements and elements proves the nonexistence of any solution. This paper contains case studies of three hospitals in Tehran. The results are close to the best possible results that can be achieved. However, obtaining the optimal solution requires a long CPU time, even in the nondynamic case, because the problem P‖ΣUj is NP-complete.Research limitations/implicationsThis research suggests good approximation because of the complexity of the problem. Researchers are encouraged to test the proposed propositions further. In addition, the problem in the dynamic environment needs more attention.Practical implicationsIf a large-scale earthquake can be expected in a city, the city authorities should have a central control system of ambulances. This study presents a simple and efficient method for the post-disaster transport problem and decision-making. The security of the
目的大城市救护车的总容量通常低于灾后需求,尤其是在地震等灾害的情况下。然而,由于地震在这些城市很少见,将救护车的容量保持在比平时更高的水平是不合理的。因此,有效使用救护车对于在此类灾害中拯救人类生命至关重要。因此,本文旨在提供一种确定如何按时将最大数量的灾民运送到医院的方法。设计/方法论/方法与运输相关的灾害管理问题是复杂而动态的。实际的解决方案需要分解和快速算法来确定车辆的下一个任务。所提出的方法综合了数学建模、调度理论、启发式方法和几何的Voronoi图。这项研究提出了新的处理元素,包括新的数学定理和算法。在所提出的方法中,每个医院负责由Voronoi图确定的区域。如果医院爆满,地区可能会发生变化。救护车为医院服务。对于每一位患者,都有一个估计的最后期限,患者必须在该期限前到达医院才能存活。概念的第二部分是车辆的调度方式。目标是按时运送最大数量的病人。根据调度理论,这是一个目标函数是最小化单位惩罚之和的问题。Voronoi图可以有效地用于分解复杂问题。运输到一家医院的数学模型是调度理论中的Pü∑Uj问题。这项研究提供了一个新的数学定理来描述提供最优解的算法的结构。本研究引入部分神谕的概念。该算法工具有助于详细说明启发式方法,从而为精确方法提供近似值。用构造元素和元素实现部分预言机证明了任何解的不存在。本文包含德黑兰三家医院的案例研究。结果接近于可以实现的最佳结果。然而,即使在非动态情况下,获得最优解也需要很长的CPU时间,因为问题P‖∑Uj是NP完全的。研究局限性/含义由于问题的复杂性,这项研究提出了很好的近似性。鼓励研究人员进一步检验所提出的命题。此外,动态环境中的问题也需要更多的关注。实际意义如果一个城市预计会发生大规模地震,市政府应该有一个救护车的中央控制系统。本研究为灾后运输问题和决策提供了一种简单有效的方法。通过购买救护车和使用所提出的方法来提高灾后救援的有效性,可以改善城市的安全。社会影响如果建议的措施得以实施,人们将更加安全。这些措施对任何位于随时可能爆发大地震地区的城市都很重要。原创性/价值本文满足了一个明确的需求,即在灾后时期以有效的方式研究使用急救车运送重伤人员的相关操作。
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引用次数: 2
期刊
Journal of Humanitarian Logistics and Supply Chain Management
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