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Quality of care in mental health services: does patient engagement play a role? 心理健康服务的护理质量:患者参与是否起作用?
Pub Date : 2024-04-02 DOI: 10.1108/ijqrm-10-2021-0373
Muhammad Sabbir Rahman, Md Afnan Hossain, Md Rifayat Islam Rushan, Hasliza Hassan, Vishal Talwar
PurposeThe mental healthcare is experiencing an ever-growing surge in understanding the consumer (e.g., patient) engagement paradox, aiming to vouch for the quality of care. Despite this surge, scant attention has been given in academia to conceptualize and empirically investigate this particular aspect. Thus, drawing on the Stimulus-Organism-Response (S-O-R) paradigm, the study explores how patients engage with healthcare service providers and how they perceive the quality of the healthcare services.Design/methodology/approachData were collected from 279 respondents, and the derived conceptual model was tested by using Smart PLS 3.2.7 and PROCESS. To complement the findings of partial least squares (PLS)-based structural equation modeling (SEM), the present study also applied fuzzy set qualitative comparative analysis (fsQCA) to identify the necessary and sufficient conditions to explore substitute conjunctive paths that emerge.FindingsFindings show that patients’ perceived intimacy (PI), cohesion and privacy enhance the quality of mental healthcare service providers. The results also suggest that patients’ PI, cohesion and privacy have indirect effects on the perceived quality of care (PQC) by the service providers through consumer engagement. The fsQCA results derive that the relationship among conditions leading to patients’ perception of the quality of care in regard to mental healthcare service providers is complex and is best reflected as multiple and conjectural causation configurations.Research limitations/implicationsThe findings from this research contribute to the advancement of studies on patients’ experiences by empirically examining the unique dynamics of interaction between consumers (patients) and mental healthcare service providers, thereby enriching both the literature on social interactions and the understanding of the consumer–provider relationship.Practical implicationsThe results of this study provide practical implications for mental healthcare service providers on how to combine the study variables to enhance the quality of care and satisfy more patients.Originality/valueA significant research gap has ascertained the inter-relationship between PI, cohesion, privacy, engagement and PQC from the perspective of mental healthcare service providers. This research is one of the primary studies from a managerial and methodological standpoint. The study contributes by combining symmetric and asymmetric statistical tools in service marketing and healthcare research. Furthermore, the application of fsQCA helps to understand the interactions that might not be immediately obvious through traditional symmetric methods.
目的心理医疗保健领域正在经历一场日益增长的了解消费者(如患者)参与悖论的热潮,旨在为医疗保健的质量提供担保。尽管如此,学术界却很少关注这一特殊方面的概念化和实证研究。因此,本研究借鉴了刺激-组织-反应(S-O-R)范式,探讨了患者如何与医疗服务提供者接触,以及他们如何看待医疗服务的质量。为了补充基于偏最小二乘法(PLS)的结构方程模型(SEM)的研究结果,本研究还应用了模糊集定性比较分析(fsQCA)来确定必要条件和充分条件,以探索出现的替代性共轭路径。研究结果研究结果表明,患者感知到的亲密感(PI)、凝聚力和隐私会提高精神医疗服务提供者的服务质量。结果还表明,患者的亲密感、凝聚力和隐私会通过消费者的参与间接影响服务提供者感知到的医疗质量(PQC)。研究局限/意义本研究的结果通过实证研究消费者(患者)与精神医疗服务提供者之间独特的互动动态,从而丰富了有关社会互动的文献以及对消费者与服务提供者关系的理解,有助于推动有关患者体验的研究。实践意义本研究的结果为心理医疗服务提供者提供了如何结合研究变量来提高医疗质量和满足更多患者需求的实践意义。 原创性/价值从心理医疗服务提供者的角度出发,确定个人参与、凝聚力、隐私、参与和 PQC 之间的相互关系是一项重要的研究空白。从管理和方法论的角度来看,本研究是最主要的研究之一。本研究将服务营销和医疗保健研究中的对称和非对称统计工具结合起来,为研究做出了贡献。此外,fsQCA 的应用有助于理解传统对称方法可能无法立即显现的互动。
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引用次数: 0
Application of fuzzy failure mode and effect analysis to investigate lean wastes in the sewing section 应用模糊失效模式和效应分析法调查缝纫工段的精益浪费现象
Pub Date : 2024-03-27 DOI: 10.1108/ijqrm-12-2023-0407
Temesgen Agazhie, Shalemu Sharew Hailemariam
PurposeThis study aims to quantify and prioritize the main causes of lean wastes and to apply reduction methods by employing better waste cause identification methodologies.Design/methodology/approachWe employed fuzzy techniques for order preference by similarity to the ideal solution (FTOPSIS), fuzzy analytical hierarchy process (FAHP), and failure mode effect analysis (FMEA) to determine the causes of defects. To determine the current defect cause identification procedures, time studies, checklists, and process flow charts were employed. The study focuses on the sewing department of a clothing industry in Addis Ababa, Ethiopia.FindingsThese techniques outperform conventional techniques and offer a better solution for challenging decision-making situations. Each lean waste’s FMEA criteria, such as severity, occurrence, and detectability, were examined. A pairwise comparison revealed that defect has a larger effect than other lean wastes. Defects were mostly caused by inadequate operator training. To minimize lean waste, prioritizing their causes is crucial.Research limitations/implicationsThe research focuses on a case company and the result could not be generalized for the whole industry.Practical implicationsThe study used quantitative approaches to quantify and prioritize the causes of lean waste in the garment industry and provides insight for industrialists to focus on the waste causes to improve their quality performance.Originality/valueThe methodology of integrating FMEA with FAHP and FTOPSIS was the new contribution to have a better solution to decision variables by considering the severity, occurrence, and detectability of the causes of wastes. The data collection approach was based on experts’ focus group discussion to rate the main causes of defects which could provide optimal values of defect cause prioritization.
本研究旨在量化精益浪费的主要原因并确定其优先次序,通过采用更好的浪费原因识别方法来应用减少浪费的方法。我们采用了与理想解决方案相似性排序偏好模糊技术(FTOPSIS)、模糊分析层次过程(FAHP)和故障模式影响分析(FMEA)来确定缺陷原因。为确定当前的缺陷原因识别程序,采用了时间研究、检查表和流程图。研究重点是埃塞俄比亚亚的斯亚贝巴一家服装企业的缝纫部门。研究结果这些技术优于传统技术,为具有挑战性的决策情况提供了更好的解决方案。研究考察了每种精益浪费的 FMEA 标准,如严重性、发生率和可检测性。成对比较显示,缺陷的影响大于其他精益浪费。缺陷主要是由操作员培训不足造成的。研究的局限性/意义该研究侧重于一家案例公司,其结果不能推广到整个行业。实践意义该研究使用定量方法对服装行业精益浪费的原因进行量化和优先排序,为行业人士关注浪费原因以提高质量绩效提供了启示。原创性/价值将 FMEA 与 FAHP 和 FTOPSIS 相结合的方法是一项新贡献,通过考虑浪费原因的严重性、发生率和可检测性,为决策变量提供了更好的解决方案。数据收集方法基于专家焦点小组讨论,以评定缺陷的主要原因,从而为缺陷原因优先级排序提供最佳值。
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引用次数: 0
Certification bodies’ interpretation and application of the ISO 19011 audit process guidelines 认证机构对 ISO 19011 审核程序指南的解释和应用
Pub Date : 2024-03-26 DOI: 10.1108/ijqrm-10-2023-0339
Thembekile Debora Sepeng, Ann Lourens, Karl Robert Van der Merwe, Robert Gerber
PurposeThe purpose of this paper is to show that third-party quality audits (TPQAs) facilitate performance improvement and give confidence to organisations concerning the process quality of services and products. However, because of inconsistencies and unethical practices often observed in the industry, organisations question the significance of TPQA. A perception exists that its initial purpose as an impartial tool ensuring quality of deliverables is no longer upheld. Hence, the need to determine and explain the influence of the ISO 19011 standard interpretation on the application of the audit guidelines in performing TPQA, to promote consistency in the audit process.Design/methodology/approachThe study employed document analysis of the ISO 19011 standard, followed by semi-structured interviews with certification managers (CBs) to gain insight related to their interpretation and application of the ISO 19011 guidelines.FindingsThe CBs interpret the ISO 19011 guidelines differently; hence, their application of the standard to compile their audit documents differ. Adherence to the principles of auditing particularly, integrity and independence were found as the core of the audit process while their disregard reflects failure of the real intent of auditing. The inconsistencies in the audit procedures and documents developed for auditors are ascribed to some CBs’ personal interpretations.Originality/valueThe study explores how the different interpretations of the ISO 19011 standard prevail and are perceived by the CBs and auditors. The findings aim to support standardisation and reduce the variations across and amongst the different CBs and auditors.
本文旨在说明第三方质量审核(TPQA)有助于提高绩效,并使组织对服务和产品的过程质量充满信心。然而,由于行业中经常出现不一致和不道德的做法,各组织对第三方质量审核的意义提出了质疑。人们认为,它作为确保交付质量的公正工具的最初目的已不再成立。因此,有必要确定并解释 ISO 19011 标准的解释对在执行 TPQA 时应用审核准则的影响,以促进审核过程的一致性。研究采用了 ISO 19011 标准的文件分析,随后对认证经理(CBs)进行了半结构化访谈,以深入了解他们对 ISO 19011 准则的解释和应用。坚持审计原则,特别是完整性和独立性原则被认为是审计过程的核心,而无视这些原则则反映了审计真正意图的失败。为审核员制定的审核程序和文件中存在的不一致性归因于一些 CBs 的个人解释。研究结果旨在支持标准化工作,减少不同 CB 和审核员之间的差异。
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引用次数: 0
Evaluating the impact of COVID-19 mitigation measures on quality assurance of cross-border construction logistics and supply chain 评估 COVID-19 减缓措施对跨境建筑物流和供应链质量保证的影响
Pub Date : 2024-03-26 DOI: 10.1108/ijqrm-01-2024-0024
F. A. Ghansah, Weisheng Lu
PurposeWhile COVID-19 mitigation measures (CMMs) aided in steady recovery during the pandemic, they also impeded movement across economies/borders, affecting quality assurance (QA) of Cross-border Construction Logistics and Supply Chain (Cb-CLSC). However, prior studies on the pandemic in the construction project industry have not revealed how CMMs have impacted QA. Thus, this study aims to evaluate the impact of the CMMs on the QA of Cb-CLSC.Design/methodology/approachThis is achieved by adopting an embedded mixed-method approach involving a desk literature review and engaging 150 experts from different economies across the globe using expert surveys, and results verified via semi-structured expert interviews. Structural equation modelling-based multiple regression analysis (SEM-MRA) was integrated to examine the impact of the CMMs on the QA, along with descriptive and content analysis.FindingsThe study confirmed that CMMs have not only impacted the QA negatively but also influenced the positioning of the QA for the post-pandemic era and probably to survive the risks of future pandemics. Among all the identified CMMs, the top three critical measures include “lockdown (CMM2)”, “use of personal protective equipment, such as nose masks, disinfects, etc. (CMM5)”, and “electronic/virtual meetings (CMM7)”. However, CMM5 possesses the highest contributory power to form CMM in impacting the QA, and this can be regarded as largely positive by strengthening health and safety management systems. Its negative impact lies with the project cost increment and the inconveniences of using nose and face masks.Practical implicationsThis study provides a better understanding to construction practitioners and policy makers on how the pandemic policies, i.e. CMMs, have impacted QA and can aid in formulating planning and operational decisions to adequately position the QA for the post-pandemic era and to endure the risks of future pandemics.Originality/valueThe study contributes to knowledge in that it provides a better understanding of how the pandemic policies, such as CMMs, have impacted QA and can aid in formulating planning and operational decisions to adequately position the QA for the post-pandemic era and to endure the risks of future pandemics. This area of study has been given limited attention among prior studies during the pandemic.
目的虽然 COVID-19 减缓措施(CMMs)有助于大流行期间的稳定恢复,但它们也阻碍了跨经济体/边境的流动,影响了跨境建筑物流和供应链(Cb-CLSC)的质量保证(QA)。然而,此前关于建筑项目行业大流行病的研究并未揭示 CMM 如何影响质量保证。因此,本研究旨在评估 CMM 对 Cb-CLSC 质量保证的影响。设计/方法/方法通过采用嵌入式混合方法,包括案头文献综述和使用专家调查让来自全球不同经济体的 150 名专家参与,并通过半结构式专家访谈核实结果。研究结果这项研究证实,CMM 不仅对质量保证产生了负面影响,而且还影响了质量保证在后大流行病时代的定位,并有可能在未来的大流行病风险中生存下来。在所有已确定的 CMM 中,排在前三位的关键措施包括 "封锁(CMM2)"、"使用个人防护设备,如鼻罩、消毒剂等(CMM5)"和 "电子/虚拟会议(CMM7)"。不过,CMM5 在影响质量保证方面对各 CMM 的贡献率最高,通过加强健康和安全管理系统,这在很大程度上可被视为积极影响。本研究让建筑从业人员和政策制定者更好地了解大流行病政策(即 CMM)对质量保证的影响,有助于制定规划和运营决策,为后大流行病时代的质量保证做好充分准备,并承受未来大流行病的风险。原创性/价值这项研究有助于更好地了解大流行病政策(如 CMMs)对质量保证的影响,有助于制定规划和运营决策,使质量保证在后大流行病时代充分定位,并承受未来大流行病的风险。在此前的大流行研究中,对这一领域的研究关注有限。
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引用次数: 1
Professional perceptions of right-first-time and quality management in construction projects through open-ended feedback 通过开放式反馈了解专业人员对建筑项目中正确第一时间和质量管理的看法
Pub Date : 2024-03-26 DOI: 10.1108/ijqrm-08-2023-0246
Gavin Ford, Jonathan Gosling
PurposeThe construction industry has struggled to deliver schemes on time to budget and right-first-time (RFT). There have been many studies into nonconformance and rework through quantitative research over the years to understand why the industry continues to see similar issues of failure. Some scholars have reported rework figures as high as 12.6% of total contract value, highlighting major concerns of the sustainability of construction projects. Separately, however, there have been few studies that explore and detail the views of industry professions who are caught in the middle of quality issues, to understand their perceptions of where the industry is failing. As such, this paper interrogates qualitative data (open-ended questions) on the topic of nonconformance and rework in construction to understand what industry professionals believe are the causes and suggested improvement areas.Design/methodology/approachA qualitative approach is adopted for this research. An industry survey consisting of seven open-ended questions is presented to two professional working groups within a Tier 1 contractor, and outputs are analysed using statistic software (NVivo 12) to identify prominent themes for discussion. Inductive analysis is undertaken to gain further insight into responses to yield recurrent areas for continuous improvement.FindingsQualitative analysis of the survey reveals a persistent prioritisation of cost and programme over quality management in construction project. Furthermore, feedback from construction professionals present a number of improvement areas that must be addressed to improve quality. These include increased training and competency investment, overhauling quality behaviours, providing greater quality leadership direction and reshaping the way clients govern schemes.Research limitations/implicationsThere are limitations to this paper that require noting. Firstly, the survey was conducted within one principal contractor with varying levels of knowledge across multiple sectors. Secondly, the case study was from one major highways scheme; therefore, the generalisability of the findings is limited. It is suggested that a similar exercise is undertaken in other sectors to uncover similar improvement avenues.Practical implicationsThe implications of this study calls for quality to be re-evaluated at project, company, sector and government levels to overhaul how quality is delivered. Furthermore, the paper identifies critical learning outcomes for the construction sector to take forward, including the need to reassess projects to ensure they are appropriately equip with competent personnel under a vetted, progressive training programme, share collaborative behaviours that value quality delivery on an equal standing to safety, programme and cost and tackle the inappropriate resource dilemmas projects finding themselves in through clear tendering and accurate planning. In addition, before making erratic decisions, projects must assess
目的建筑行业一直在努力按时、按预算和按正确的首次时间(RFT)交付计划。多年来,通过定量研究对不合格和返工问题进行了许多研究,以了解该行业为何仍存在类似的失败问题。一些学者报告称,返工率高达合同总价值的 12.6%,凸显了建筑项目可持续性的重大问题。然而,很少有研究探讨和详细说明处于质量问题中间的行业专业人员的观点,以了解他们对行业失败之处的看法。因此,本文以建筑业中的不合格和返工问题为主题,对定性数据(开放式问题)进行了分析,以了解业内专业人士认为不合格和返工的原因以及建议改进的领域。向一家一级承包商的两个专业工作组提交了一份由七个开放式问题组成的行业调查,并使用统计软件(NVivo 12)对调查结果进行分析,以确定突出的讨论主题。对调查进行的定性分析显示,在建筑项目中,成本和计划始终优先于质量管理。此外,建筑专业人员的反馈意见还提出了一些必须加以改进的领域,以提高质量。这些领域包括增加培训和能力投资、彻底改变质量行为、提供更大的质量领导方向以及重塑客户管理计划的方式。首先,调查是在一个主要承包商内部进行的,该承包商对多个行业的了解程度各不相同。其次,案例研究来自一个大型公路项目,因此研究结果的普遍性有限。本研究的意义在于呼吁在项目、公司、部门和政府层面对质量进行重新评估,以彻底改变质量交付方式。此外,本文还指出了建筑行业需要推进的重要学习成果,包括需要对项目进行重新评估,以确保项目拥有经过审核、循序渐进的培训计划下的合格人员,分享重视质量交付与安全、计划和成本同等重要的合作行为,并通过明确的招标和准确的规划来解决项目所面临的不适当的资源困境。此外,在做出不确定的决定之前,项目必须对未经批准的设计细节进行风险评估,并让客户参与决策过程。此外,研究结果还要求在施工团队和质量管理部门之间营造更多的合作环境,而不是将其视为障碍(即基于合规性的监管)。所有这些都必须由领导层来推动,以彻底改变计划中的质量管理方式。研究结果表明了开放式调查反馈数据研究的重要性和影响,可提高定量结果的质量,并有助于提供更有力的改进建议。 本文探讨了质量故障结果这一高度敏感的领域,并通过对英国一家主要承包商的行业调查进行了反馈。本文对行业专业人士如何看待建筑质量提出了独到的见解。在以往的研究中,这一点在很大程度上是缺失的,而本文则为了解计划实施者的 "质量现状 "提供了宝贵的补充。
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引用次数: 0
Barriers to Industry 4.0 technology adoption in agricultural supply chains: a Fuzzy Delphi-ISM approach 农业供应链采用工业 4.0 技术的障碍:模糊德尔菲-ISM 方法
Pub Date : 2024-02-29 DOI: 10.1108/ijqrm-07-2023-0222
Janya Chanchaichujit, S. Balasubramanian, Vinaya Shukla
PurposeThe purpose of this study is to identify and analyze the barriers associated with the adoption of Industry 4.0 technologies in agricultural supply chains.Design/methodology/approachThe study initially identified thirteen barriers by conducting a literature review and semi-structured interviews with key stakeholders. Subsequently, these barriers were validated and modeled using an integrated Fuzzy Delphi-ISM approach. Finally, MICMAC analysis was employed to categorize the barriers into distinct clusters.FindingsThe results provide considerable insights into the hierarchical structure and complex interrelationships between the barriers as well the driving and dependence power of barriers. Lack of information about technologies and lack of compatibility with traditional methods emerged as the two main barriers which directly and indirectly influence the other ones.Research limitations/implicationsThe robust hybrid Fuzzy Delphi and ISM techniques used in this study can serve as a useful model and benchmark for similar studies probing the barriers to Industry 4.0 adoption. From a theoretical standpoint, this study expands the scope of institutional theory in explaining Industry 4.0 adoption barriers.Practical implicationsThe study is timely for the post-COVID-19 recovery and growth of the agricultural sector. The findings are helpful for policymakers and agriculture supply chain stakeholders in devising new strategies and policy interventions to prioritize and address Industry 4.0 adoption barriers.Originality/valueIt is the first comprehensive, multi-country and multi-method empirical study to comprehensively identify and model barriers to Industry 4.0 adoption in agricultural supply chains in emerging economies.
本研究旨在识别和分析农业供应链中采用工业 4.0 技术的相关障碍。本研究通过文献综述和对主要利益相关者的半结构化访谈,初步识别了 13 个障碍。随后,使用综合模糊德尔菲-ISM 方法对这些障碍进行了验证和建模。最后,采用 MICMAC 分析法将这些障碍归类为不同的群组。研究结果研究结果提供了有关障碍之间的层次结构和复杂相互关系以及障碍的驱动力和依赖力的大量见解。缺乏技术信息和与传统方法不兼容是两大主要障碍,它们直接或间接地影响着其他障碍。研究局限/意义本研究中使用的强大的模糊德尔菲和 ISM 混合技术可作为探究工业 4.0 应用障碍的类似研究的有用模型和基准。从理论角度看,本研究扩大了制度理论在解释工业 4.0 应用障碍方面的范围。研究结果有助于政策制定者和农业供应链利益相关者制定新的战略和政策干预措施,以优先考虑和解决工业 4.0 的采用障碍。原创性/价值这是第一项全面、多国、多方法的实证研究,全面识别了新兴经济体农业供应链采用工业 4.0 的障碍并建立了模型。
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引用次数: 0
Blockchain-based deep learning in IoT, healthcare and cryptocurrency price prediction: a comprehensive review 基于区块链的深度学习在物联网、医疗保健和加密货币价格预测中的应用:综合评述
Pub Date : 2024-02-27 DOI: 10.1108/ijqrm-12-2022-0373
Shefali Arora, Ruchi Mittal, A. Shrivastava, Shivani Bali
PurposeDeep learning (DL) is on the rise because it can make predictions and judgments based on data that is unseen. Blockchain technologies are being combined with DL frameworks in various industries to provide a safe and effective infrastructure. The review comprises literature that lists the most recent techniques used in the aforementioned application sectors. We examine the current research trends across several fields and evaluate the literature in terms of its advantages and disadvantages.Design/methodology/approachThe integration of blockchain and DL has been explored in several application domains for the past five years (2018–2023). Our research is guided by five research questions, and based on these questions, we concentrate on key application domains such as the usage of Internet of Things (IoT) in several applications, healthcare and cryptocurrency price prediction. We have analyzed the main challenges and possibilities concerning blockchain technologies. We have discussed the methodologies used in the pertinent publications in these areas and contrasted the research trends during the previous five years. Additionally, we provide a comparison of the widely used blockchain frameworks that are used to create blockchain-based DL frameworks.FindingsBy responding to five research objectives, the study highlights and assesses the effectiveness of already published works using blockchain and DL. Our findings indicate that IoT applications, such as their use in smart cities and cars, healthcare and cryptocurrency, are the key areas of research. The primary focus of current research is the enhancement of existing systems, with data analysis, storage and sharing via decentralized systems being the main motivation for this integration. Amongst the various frameworks employed, Ethereum and Hyperledger are popular among researchers in the domain of IoT and healthcare, whereas Bitcoin is popular for research on cryptocurrency.Originality/valueThere is a lack of literature that summarizes the state-of-the-art methods incorporating blockchain and DL in popular domains such as healthcare, IoT and cryptocurrency price prediction. We analyze the existing research done in the past five years (2018–2023) to review the issues and emerging trends.
目的深度学习(DL)正在崛起,因为它可以根据看不见的数据进行预测和判断。各行各业正在将区块链技术与深度学习框架相结合,以提供安全有效的基础设施。本综述包含的文献列出了上述应用领域中使用的最新技术。我们研究了当前多个领域的研究趋势,并从优缺点的角度对文献进行了评估。设计/方法/途径过去五年(2018-2023 年),区块链与 DL 的整合在多个应用领域得到了探索。我们的研究以五个研究问题为指导,基于这些问题,我们专注于关键应用领域,如物联网(IoT)在多个应用中的使用、医疗保健和加密货币价格预测。我们分析了有关区块链技术的主要挑战和可能性。我们讨论了这些领域相关出版物中使用的方法,并对比了过去五年的研究趋势。此外,我们还对广泛使用的区块链框架进行了比较,这些框架被用于创建基于区块链的 DL 框架。研究结果通过回应五个研究目标,本研究强调并评估了已发表的使用区块链和 DL 的作品的有效性。我们的研究结果表明,物联网应用(如在智能城市和汽车、医疗保健和加密货币中的应用)是研究的重点领域。当前研究的主要重点是增强现有系统,通过去中心化系统进行数据分析、存储和共享是这种整合的主要动机。在采用的各种框架中,以太坊和超级账本在物联网和医疗保健领域的研究人员中很受欢迎,而比特币则是加密货币研究中的热门。原创性/价值目前缺乏文献总结在医疗保健、物联网和加密货币价格预测等热门领域中结合区块链和 DL 的最先进方法。我们分析了过去五年(2018-2023 年)所做的现有研究,以回顾问题和新兴趋势。
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引用次数: 0
The lean link: exploring industry 4.0's influence on sustainable operational performance for services 精益环节:探索工业 4.0 对服务业可持续运营绩效的影响
Pub Date : 2024-02-27 DOI: 10.1108/ijqrm-12-2023-0372
Sharad Sharma, Narain Gupta, Pooja Thakur
PurposeThis empirical study explores the intricate relationships between Industry 4.0 (I4), Lean practices and sustainable operational performance (SOP) within the dynamic context of the services sector. Rooted in the theoretical framework of Resource Orchestration Theory (ROT), the research investigates the nuanced interplay between these paradigms and their collective impact on firm performance.Design/methodology/approachThe research methods included creation of a structural model, hypothesis formulation and advanced data analysis. Primary data were gathered through an online questionnaire distributed among service sector professionals. Analysis was completed using Partial Least Squares (PLS) Structural Equation Modeling (SEM) using the Smart-PLS software.FindingsThe results underscore the mediating role of Lean practices between I4 and SOP, emphasizing the imperative of harmonized integration to enhance overall firm performance. In alignment with ROT principles, the study illuminates the positive influence of Lean practices on sustainable operational outcomes.Research limitations/implicationsThe study contributes to the scholarly discourse on I4, Lean and Services, emphasizing the strategic necessity of integrating I4 capabilities with Lean practices. Practical insights guide practitioners in orchestrating a balanced adoption of I4 and Lean practices for SOP. This research offers actionable insights for industry leaders seeking to cultivate SOP within their organizational contexts.Originality/valueThis study contributes to the evolving understanding of the interplay between I4, Lean practices and SOP within the services sector, offering novel insights for both academia and industry practitioners.
目的 本实证研究探讨了在服务业的动态背景下,工业 4.0(I4)、精益实践和可持续运营绩效(SOP)之间错综复杂的关系。研究以资源协调理论(ROT)为理论框架,探讨了这些范式之间的微妙相互作用及其对企业绩效的共同影响。研究方法包括创建结构模型、提出假设和高级数据分析。原始数据是通过向服务业专业人士发放在线问卷收集的。研究结果强调了精益实践在 I4 和 SOP 之间的中介作用,强调了协调整合以提高企业整体绩效的必要性。与 ROT 原则一致,本研究揭示了精益实践对可持续运营成果的积极影响。研究局限/意义本研究为有关 I4、精益和服务的学术讨论做出了贡献,强调了将 I4 能力与精益实践相结合的战略必要性。实用的见解指导从业人员在 SOP 中平衡采用 I4 和精益实践。本研究为寻求在其组织环境中培养 SOP 的行业领导者提供了可行的见解。本研究有助于加深对服务业中 I4、精益实践和 SOP 之间相互作用的理解,为学术界和行业从业者提供了新颖的见解。
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引用次数: 0
Theory of constraints in healthcare: a systematic literature review 医疗保健中的制约理论:系统文献综述
Pub Date : 2024-02-26 DOI: 10.1108/ijqrm-02-2022-0056
Mohit Datt, Ajay Gupta, S. K. Misra, Mahesh Gupta
PurposeTheory of Constraints (TOC), though a well-established process improvement methodology in manufacturing, is still a novel philosophy for healthcare and an exhaustive review of literature is needed to summarize the key findings of various researchers. Such a review can provide a direction to the researchers and academicians interested in exploring the application of TOC in the healthcare sector. This paper aims to review the existing literature of TOC tools and techniques applied to the healthcare environment, and to investigate motivating factors, benefits and key gaps for identifying directions for future research in the domain of healthcare.Design/methodology/approachIn this paper, different electronic repositories were searched using multiple keywords. The current study identified 36 articles published between January 1999 to mid-2021 to conceptualize and summarize the research questions used in the study. Descriptive analysis along with pictorial representations have been used for better visualization of work.FindingsThis paper presents a thorough literature review of TOC in healthcare and identifies the evolution, current trends, tools used, nature of services chosen for application and research gaps and recommends future direction for research. A variety of motivating factors and benefits of TOC in healthcare are identified. Another key finding of this study is that almost all implementations listed in literature reported positive outcomes and substantial improvements in the performance of the healthcare unit chosen for study.Practical implicationsThis paper provides valuable insight to researchers, practitioners and policymakers on the potential of TOC to improve quality of services, flow of patients, revenues, process efficiency and cost reduction in different health care settings. A number of findings and suggestions compiled in the paper from literature study can be used for diagnosing, learning and making substantial changes in healthcare. The methodologies used by different researchers were analysed and combined to propose a generic step by step procedure to apply TOC. This methodology will guide the practising managers about the appropriate tools of TOC for their specific need.Social implicationsGood health is always the first desire of all men and women around the globe. The global aim of healthcare is to quickly cure more patients and ensure healthier population both today and in future. This article will work as a foundation for future applications of TOC in healthcare and guide upcoming applications in the booming healthcare sector. The paper will help the healthcare managers in serving a greater number of patients with limited available resources.Originality/valueThis paper provides original collaborative work compiled by the authors. Since no comprehensive systematic review of TOC in healthcare has been reported earlier, this study would be a valuable asset for researchers in this field. A model has been presented that l
目的约束理论(TOC)虽然是制造业中一种行之有效的流程改进方法,但对于医疗保健行业来说仍是一种全新的理念,因此需要对文献进行详尽的回顾,以总结不同研究人员的主要发现。这样的综述可以为有兴趣探索 TOC 在医疗保健领域应用的研究人员和学者指明方向。本文旨在对应用于医疗保健环境的 TOC 工具和技术的现有文献进行综述,并调查动机因素、益处和关键差距,以确定医疗保健领域未来的研究方向。本研究确定了 36 篇发表于 1999 年 1 月至 2021 年年中的文章,对研究中使用的研究问题进行了概念化和总结。本文对 TOC 在医疗保健领域的应用进行了全面的文献综述,确定了 TOC 的演变、当前趋势、使用的工具、选择应用的服务性质以及研究差距,并就未来的研究方向提出了建议。本文指出了医疗保健领域使用 TOC 的各种动机因素和益处。本研究的另一个重要发现是,文献中列出的几乎所有实施方案都报告了积极的成果,并大大改善了所选医疗单位的绩效。 本文为研究人员、从业人员和决策者提供了宝贵的见解,使他们了解到 TOC 在不同医疗环境中改善服务质量、病人流量、收入、流程效率和降低成本的潜力。本文从文献研究中整理出的一些发现和建议可用于医疗保健领域的诊断、学习和实质性变革。本文对不同研究者使用的方法进行了分析和整合,提出了应用 TOC 的通用步骤。社会影响健康始终是全球所有人的第一愿望。医疗保健的全球目标是迅速治愈更多的病人,确保当今和未来的人口更加健康。本文将为 TOC 在医疗保健领域的未来应用奠定基础,并为即将在蓬勃发展的医疗保健领域的应用提供指导。本文将帮助医疗管理人员利用有限的可用资源为更多患者提供服务。由于此前尚未有关于 TOC 在医疗保健领域的全面系统综述的报道,因此本研究将成为该领域研究人员的宝贵财富。本研究提出了一个模型,该模型将各种效益相互联系起来,并阐明了关注流程改进的必要性,而流程改进自然会带来这些效益。同样,还提出了一个模型来指导用户在医疗保健领域实施 TOC。
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引用次数: 0
The effect of lean, agile, resilient and sustainable (LARS) HRM on the environmental performance: the mediating role of green innovation 精益、敏捷、弹性和可持续(LARS)人力资源管理对环境绩效的影响:绿色创新的中介作用
Pub Date : 2024-02-23 DOI: 10.1108/ijqrm-05-2023-0176
Imen Ouragini, Imen Ben Achour, L. Lakhal
PurposeThe current study’s goal is to investigate how lean, agile, resilient and sustainable human resource management (LARS HRM) affects green innovation and environmental performance, both directly and indirectly.Design/methodology/approachPartial least squares-structural equation modeling (PLS-SEM) was used to analyze the data based on a sample of 273 Tunisian businesses in the industrial and service sectors that were certified ISO 9001.FindingsWith the exception of AHRM–GPdtI, the results show that the mainstream advanced theory on direct effects was verified. With regard to indirect effects, everything of the literature that was presented was accepted, with the exception of the relationship between AHRM–GPdtI–EP, AHRM–GPssI–EP and RHRM–GPdtI–EP.Originality/valueThis research is distinctive in that it aims to incorporate every LARGS paradigm within the HRM field. By taking green innovation into consideration, it closes the current gaps on the direct and indirect effects of LARS HRM on environmental performance. Our study is unique in that it incorporates large, industry-operating, certified ISO 9001 firms with those in the service sector, with the goal of achieving greater generalization of results.
目的本研究旨在探讨精益、敏捷、弹性和可持续人力资源管理(LARS HRM)如何直接和间接地影响绿色创新和环境绩效。研究结果除 AHRM-GPdtI 外,研究结果表明,关于直接影响的主流先进理论得到了验证。在间接效应方面,除了 AHRM-GPdtI-EP、AHRM-GPssI-EP 和 RHRM-GPdtI-EP 之间的关系外,所有文献都得到了认可。通过将绿色创新纳入考虑范围,本研究填补了目前在 LARS 人力资源管理对环境绩效的直接和间接影响方面存在的空白。我们的研究与众不同之处在于,它将大型的、在行业内运营的、通过 ISO 9001 认证的公司与服务行业的公司纳入研究范围,目的是使研究结果更具普遍性。
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引用次数: 0
期刊
International Journal of Quality & Reliability Management
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