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In a competitive environment, eHealth small and medium-sized enterprises’ (SMEs’) barriers to survival differ from those of large enterprises. Empirical research on barriers to eHealth SMEs in less prosperous areas has been largely neglected. This study fills this gap by employing an integrated approach to analyze barriers to the development of eHealth SMEs. The purpose of this paper is to address this issue.

The authors collected data through semi-structured interviews and conducted thematic analysis to identify 16 barriers, which were used as inputs into total interpretive structural modeling (TISM) to build interrelationships among them and identify key barriers. Cross-impact matrix multiplication applied to classification (MICMAC) was then applied validate the TISM model and classify the 16 barriers into four categories.

This study makes significant contributions to theory by identifying new barriers and their interrelationships, distinguishing key barriers and classifying the barriers into four categories. The authors identify that transcultural problems are the key barrier and deserve particular attention. eHealth SMEs originating from regions with cultural value orientations, such as hierarchy and embeddedness, that differ from the UK’s affective autonomy orientation should strengthen their transcultural awareness when seeking to expand into UK markets.

By employing an integrated approach to analyze barriers that impede the development of eHealth SMEs in a less prosperous area of the UK, this study raises entrepreneurs’ awareness of running businesses in places with different cultural value orientations.

The purpose of this paper is to present the analysis of barriers affecting the adoption of lean concepts to electrical and electronics component manufacturing.

Lean concepts are being increasingly applied by electrical and electronics component manufacturers to enhance product value through streamlined process. To facilitate smooth adoption of lean concepts, barriers need to be analyzed and prioritized. In this context, a structural model of 24 barriers is developed through total interpretive structural modeling (TISM) approach.

‘Changing governmental policies,’ ‘poor selection of change agents and improvement teams,’ ‘lack of top management commitment understanding and support of the system,’ ‘lack of team autonomy,’ ‘lack of flexibility and versatility’ and ‘lack of customer focus/involvement’ are found to be the dominant barriers based on TISM study. Interpretation statements are being derived from TISM model. Cross-impact matrix multiplication applied to classification analysis is conducted.

In the present paper, 24 barriers are considered. In future, additional barriers could be considered to deal with managerial advancements.

The paper reports the practical case of analysis of barriers to lean adoption in electronics component manufacture. Hence, the inferences have practical relevance.

The development of structural model for the analysis of barriers to lean implementation in electronics component manufacturing small- and medium-sized enterprises is the original contribution of the authors.

Sustainability has been on the executive agenda for years and it is now one of the fastest growing supply chain management trends. The purpose of this paper is to analyze the barriers for the adoption and implementation of the sustainable supply chain management (SSCM) concept.

This study has been divided into two phases such as identification of barriers and qualitative analysis. First, to identify the most influential barriers, the authors offer a systematic literature review, taking 188 papers published from 2010 to November 2016 into account. The investigation phase led to the selection of 15 barriers based on the literature in consultation with industrial experts and academicians. Second, the interpretive structural modeling qualitative analysis was used to find out the mutual influences between the 15 barriers by a survey.

Further, the authors propose and illustrate the cross-impact matrix multiplication applied to classification analysis to test a framework that extrapolates SSCM barriers and their relationships. “Inadequate information technology implementation” has been identified as the most important barrier that may force organizations to implement SSCM practices to ensure their business sustainability.

The authors presented some limitations in their research in some fields which could allow new researchers and practitioners to conduct the future research to grow in different dimensions.

Practitioners or policymakers usually are not familiar with these types of research works; that is why most of these surveys remain theoretical and conceptual. Future investigation needs to be done in practical application domain instead of merely giving opinions.

Based on the authors’ research, the researchers have more attention to work in conceptual analysis due to other fields, but the authors believe that even with the implementation of SSCM, many remarkable areas still exist for future research which could help in development. The authors also provide more details in this paper.

The purpose of this study is to prioritize and analyze the barriers that affect Lean Six Sigma (LSS) adoption with environmental considerations.

To find interrelationships and mutual influences among the identified barriers, an integrated interpretive structural modeling (ISM) and Fuzzy MICMAC (Matrice d’Impacts Croisés Multiplication Appliqués à un Classement approach was applied). In total, 20 crucial barriers that affect LSS adoption with environmental considerations have been derived from the literature and in consultation with experts hailing from the industry and academia.

Based on the analysis, the most dominant and dependent barriers that affects LSS adoption with environmental considerations have been identified. The barriers, namely, “lack of top management commitment”, “lack of training and education” and “lack of funds for green projects”, occupy the base segment of the ISM hierarchy; the barriers, namely, “difficulty in adopting environmental strategies”, “stringent government policies”, “negative attitude towards sustainability concepts”, “improper communication” and “lack of defect monitoring analysis”, occupy the top level of the ISM hierarchy.

The analysis helped in identifying and prioritizing the barriers that affect LSS adoption with environmental considerations using a mathematical approach. This approach is also helpful for practitioners to focus on removing the key dominant barriers and to enable LSS adoption with environmental considerations smoothly.

The analysis helped in identifying and prioritizing the barriers that affect LSS adoption with environmental considerations using the Fuzzy MICMAC approach which has not been attempted in the past. The structural model is developed holistically based on the inputs gathered from practitioners and academicians to ensure practical validity. Also, this approach is helpful for practitioners to focus on removing the key dominant barriers and enabling them to deploy LSS concepts with environmental considerations smoothly.

The purpose of this paper is to identify, model, analyze and prioritize the barriers in implementing sustainable practices in rubber products manufacturing industry in Kerala, a state in South India. This research provides a more reliable quantitative measure of association of the barriers in the implementation of sustainable practices in the rubber products manufacturing sector.

Interpretive structural modeling (ISM) is used to develop the hierarchical relationships among the barriers in the implementation of sustainable supply chain practices in the rubber products manufacturing sector. The hierarchical structure among the barriers is framed using the experts’ opinion. Cross-impact matrix multiplication applied to the classification (MICMAC) analysis is integrated with the output of ISM to classify the barriers into different categories based on the driving power and the dependence power. The driving power and the dependence power of the barriers obtained from ISM constitute two criteria for prioritizing the barriers. The change management required is considered as the third criterion. The fuzzy-analytic hierarchy process (F-AHP) methodology is adopted to prioritize the barriers based on these three criteria.

The hierarchical relationship obtained through ISM methodology shows that lack of government initiatives and lack of benchmark on sustainability measurement in Indian conditions are the major barriers in implementing sustainable practices in the rubber products manufacturing sector. These barriers lead to the lack of management commitment for the implementation of sustainable practices in the organizations under study. The prioritization obtained through the F-AHP method suggests that lack of top-level management commitment, lack of motivation, lack of government initiatives and high initial cost of implementation are some of the major barriers in implementing sustainable practices in the organizations.

In the application of the ISM methodology, the contextual relationship between the barriers specified by the experts and their preferences may involve bias. Another limitation of this research is that the modeling and prioritization of the barriers are executed based on the opinion of experts from rubber product manufacturing companies in one state only.

To the best knowledge of the authors, this research is the first study on the identification and prioritization of the barriers in sustainable supply chain implementation in the rubber products manufacturing sector. Modeling the inter-relationship among the barriers using ISM technique and prioritizing the barriers using F-AHP are the novel features of the contributions of this work.

With rapid industrialization and urbanization, municipal solid waste (MSW) management has become a serious challenge worldwide, especially in developing countries. The Beijing Municipality is a representative example of many local governments in China that are facing MSW management issues. Although there have been studies in the area of MSW management in the literature, less attention has been devoted to developing a structured framework that identifies and interprets the barriers to MSW management in megacities, especially in Beijing. Therefore, this study focuses on identifying a comprehensive list of barriers affecting the successful implementation of MSW management in Beijing.

Through an extensive review of related literature, 12 barriers are identified and classified into five categories: government, waste, knowledge dissemination, MSW management process and market. Using an integrated approach including the decision-making trial and evaluation laboratory (DEMATEL), maximum mean de-entropy algorithm (MMDE) and interpretive structural modeling (ISM), a conceptual structural model of MSW implementation barriers is constructed to provide insights for industrial decision-makers and policymakers.

The results show that a lack of economic support from the government, imperfect MSW-related laws and regulations, the low education of residents and the lack of publicity of waste recycling knowledge are the main barriers to MSW management in Beijing. Combined with expert opinions, the paper provides suggestions and guidance to municipal authorities and industry practitioners to guide the successful implementation of MSW management.

The findings of this study can provide a reference for MSW management in other metropolises in China and other developing countries.

This study proposes a hybrid DEMATEL-MMDE-ISM approach to resolve the subjectivity issues of the traditional ISM approach and it analyzes the barriers that hinder MSW management practices in Beijing.

The Indian manufacturing sector currently contributes 16–17% to gross domestic product (GDP) and gives employment to around 12% (2014) of the country's workforce. Among the various initiatives planned under Atma Nirbhar Bharat and “Make in India”, the Indian government aims to increase the share of the manufacturing sector to country's GDP to 25% by 2025. To ensure sustainable growth of the Indian manufacturing industries in global market, successful and implementation of strategies such as lean manufacturing, green manufacturing along with six sigma are crucial. This research aims at identification and analysis of barriers to successful implementation of integrated Lean Green Six Sigma (LG&SS) strategies.

Based on an evaluative literature review and expert's opinion, this research identifies 18 barriers to lean, green and six sigma implementation in the manufacturing industry in India. The inter-relationships among the barriers is identified using an integrated approach of ISM (interpretive structural modelling) and Fuzzy Matrice d’Impacts Croisés Multiplication Appliquée á un Classement (MICMAC).

ISM helps to derive key managerial insights and implementation plan based on the identified inter-relationships among the barriers. Fuzzy MICMAC analysis classifies the barriers into four categories, namely, autonomous, driver, dependent and linkage to understand their relative impact on the implementation of LG&SS practices in the Indian manufacturing industry. “Lack of cooperation and mutual trust between management and employees”, “The scarcity of time and work pressure”, “lack of continuous improvement work culture” and “lack of cooperation from suppliers” that forms the top most level of the model. “Weak legislation” is a highly significant barrier to LG&SS implementation in the Indian manufacturing industries.

It is expected that the findings of this research will help the Indian manufacturing industry to derive a sustainable competitive advantage through an effective implementation of LG&SS practices.

This study can be seen as the first attempt in investigating barriers to successful implementation of lean, green and six sigma strategies in the Indian manufacturing industries using ISM and fuzzy MICMAC analysis.

This paper presents the results of a survey of perceptions on sustainable procurement (SP) in the United Nations (UN). It is the first of its kind to systematically analyse the issue of SP in the UN system. While the UN has a tremendous opportunity to support their objective of sustainable development through SP practices, significant obstacles still block the full implementation of this goal. The purpose of this study is to investigate the barriers to implementing SP practices in the UN system. Based on an online survey that yielded 282 responses, we identified a framework of SP measures and barriers, and conducted a regression analysis to identify underlying correlations. We find significant correlation between good SP practices and low demand, performance measurement and tool barriers.

The purpose of this paper model and prioritizes barriers to product development in medical device manufacturing industries using an integrated “structural equation modelling” (SEM) and “fuzzy technique for order performance by similarity to ideal solution” (FTOPSIS) framework.

Barriers to medical device development (MDD) are adopted from literature. The initial structural model is proposed, exploratory factor analysis and confirmatory factor analysis are used to determine factor loading and model fit, respectively. Further, FTOPSIS is used to rank the barriers and sensitivity analysis is carried to check the robustness of results. The results are discussed in detail and the recommendations to overcome the barriers are presented.

Barriers analysed and prioritized in this research significantly hinder the MDD. The expert survey is used to develop an initial structural equation model of barriers to MDD, find the reliability and validity of the model. Based on the opinion of the experts, the barriers are divided into three categories – internal, policy and induced barriers. FTOPSIS is applied to rank and prioritize the barriers based on views from these three classes of experts. More reliance on imported devices leading to increased imports (B11) and lack of uniform regulatory standards (B6) are found to have the highest rank together, indicating these to be the most important barriers from the perspective considered here. Sensitivity analysis indicates that the factors are less sensitive to the weights of criteria further confirming the reliability of the initial solution.

The prioritization of barriers may vary based upon experts. Policymakers, existing and new device developers need to give utmost importance to these barriers, which will help to accelerate the indigenous development of medical devices to overcome the present dependence on imports.

This paper demonstrates an integrated structural based modelling and prioritization technique for statistical modelling and prioritization of barriers to MDD. The results and recommendations will help policymakers and manufacturers to increase the indigenous share of medical devices. The integrated methodology can be effectively applied where the need for the combined quantitative and qualitative approach is there.

This paper demonstrates an effective structural based modelling and prioritization technique. It can be effectively applied in various fields, it will help policymakers and manufacturers to increase the indigenous share of medical devices.

Asset maintenance in manufacturing industries is a critical issue as organizations are highly sensitive towards maximizing asset uptime. In the advent of Industry 4.0, maintenance is increasingly becoming technology driven and is being termed as Maintenance 4.0. Several barriers impede the implementation of Maintenance 4.0. This article aims at - exploring the barriers to implementation of Maintenance 4.0 in manufacturing industries, categorizing them, analysing them to prioritize and suggesting the digital technologies to overcome them.

Twenty barriers to the implementation of Maintenance 4.0 were identified through literature survey and discussion with the industry experts. The identified barriers were divided into five categories based on their source of occurrence and prioritized using fuzzy-technique for order preference by similarity to ideal solution (TOPSIS), sensitivity analysis was carried out to check the robustness of the solution.

“Data security issues” has been ranked as the most influencing barrier towards the implementation of Maintenance 4.0, whereas “lack of skilled engineers and data scientists” is the least influencing barrier that impacts the implementation of Maintenance 4.0 in the manufacwturing industries.

The outcomes of this research will help manufacturing industries, maintenance engineers/managers, policymakers, and industry professionals for detailed understanding of barriers and identify easy pickings while implementing Maintenance 4.0.

Manufacturing industries are witnessing a paradigm shift due to digitization and maintenance 4.0 forms the cornerstone. Little research has been carried in Maintenance 4.0 and its implementation; this article will help in bridging the gap. The prioritization of the barriers and digital course of actions to overcome those is a unique contribution of this article.