Search results

The determination of quality costs on a production line is discussed. An approach to quality costs analysis is developed and illustrated employing a particular production line. This line which is devoted to the assembly and testing of an advanced computer system is fully described. A diagrammatic model of the production line is presented which displays points on the line at which quality costs can arise and the nature of these costs. A quality cost model for this line incorporating prevention, appraisal and failure cost elements is presented and their estimation discussed. It is argued that the modelling concept developed can provide a general framework for the isolation of quality costs.

This paper describes a decision support system for once‐off facility acquisition decisions in a manufacturing environment. The system is based on the Kepner Tregoe Decision Analysis Technique and has been implemented in a high‐level language.

By bringing together aspects of sustainable forest management, population health, and local livelihoods, the purpose of this study was to characterize how household dependence on forest resources changes through three phases: the period before HIV became a problem in the household, the period during HIV-related morbidity, and after AIDS-related mortality.

Sixty semi-structured interviews were conducted with members of unaffected and HIV/AIDS-affected households in four case study districts in Malawi.

This study demonstrates that the relationship between HIV/AIDS and dependence on specific forest resources appears to correspond closely with the stage of the disease. Firewood and water were consistently ranked as being one of the three most important resources, regardless of HIV-affectedness. During the morbidity phase, respondents reported their need for medicinal plants increased substantially, along with other resources. The importance of timber increased significantly after HIV-related mortality.

Interview respondents themselves suggested key interventions that would assist households in the HIV/AIDS-mortality phase, in particular, to obtain the forest resources they require. These interventions could address the impacts of HIV/AIDS on the sustainability of important resources, compensate for a decreased availability of household labor, and foster greater access to these resources for vulnerable households in the four study sites.

In spite of the fact that forest resources can play a crucial role in enabling a household to control and adapt to the disease, research on the environmental dimensions of HIV/AIDS remains limited. This chapter helps to address this knowledge gap, suggests practical, innovative interventions that could alleviate some of the disease burden on rural Malawian households, and offers insight into potential areas of further inquiry in this research domain.

Millions of people die of chronic diseases within inpatient settings annually in the United States, despite patient preferences for dying at home. This medicalization of dying has received social and economic critiques for decades. This chapter offers a further analysis to these critiques by examining the ecological impacts of inpatient end-of-life care on the natural environment and occupational and public health.

We compare the ecological health outcomes of medical care in three inpatient units (conventional cancer unit, palliative care ward, and hospice facility) using ethnographic observations, semi-structured interviews, and institutional records on medical supply use, waste generation, and pharmaceutical administration and disposal.

Care provided on all three medical units had significant socioecological impacts. Cumulative impacts were greatest on the conventional unit, followed by palliative care, and lowest on the hospice unit. Variations in impacts mirrored differences in dependence on material interventions, which arose from variations in patient needs, institutional policies, and nursing cultures between the three units.

Social and economic concerns have been major drivers in reforming end-of-life medical care, and our analysis shows that ecological concerns must also be considered. Transitioning terminal patients to less materially intensive modes of care when appropriate could mitigate ecological health impacts while honoring patient preferences.

This chapter describes how the medicalization of dying has converged with institutional policies, practices, and actors to increase the negative consequences of medical care, and recognizes that the far-reaching impacts of clinical decisions make the provision of medical care a socioecological act.

Despite a strong research output in quality in recent years, the literature is still scant in empirical studies of commonly held quality theories. Empirically investigates the operational and strategic impact of improved process quality and describes the construction of a model of process quality and its correlates in manufacturing. Using empirical data, the study performs a micro assessment of the impact of quality on operations performance. Implications for the business unit as a whole are also considered. Since the research domain of the study is manufacturing industry, the conformance dimension of quality has been adopted as a more precise and measurable definition than those followed in other research. Structural equation modelling (SEM) is used for analysing the magnitude and direction of hypothesized relationships, a rigorous and reliable way of testing multivariate data and path models. Research findings generally support the consensus view that there is a favourable impact of enhanced quality in the form of improvements in productivity, inprocess inventory, on‐time delivery, and manufacturing cost. Flow‐through effects on business performance were also noted though not in all dimensions. This research complements marketing‐oriented evaluation which has been a feature of approaches to date.

The Ba River catchment and delta on the island of Viti Levu, Fiji, supports a wealth of livelihoods and is populated by diverse communities who are living with an increased frequency and intensity of hydro-meteorological hazards (floods, cyclones and droughts). Participatory mapping as part of focus group discussions is a tool that can be used to elucidate communities’ understanding of the differing impacts of multiple hazards, as well as the strategies used to prepare and respond to different hazards. In this chapter, the authors present the results of qualitative research undertaken with members of three communities along the Ba River, from the Nausori highlands to the coastal mangroves, with a particular focus on recent floods (2009, 2012) and Tropical Cyclone Winston (2016). The communities draw on a wide range of livelihood strategies from fishing and agriculture to tourism and outside work. Natural hazard events vary in their impact on these livelihood strategies across the landscape and seascape, so that community members can adjust their activities accordingly. The temporal ‘signatures’ of ongoing impacts are also variable across communities and resources. The results suggest that taking a broad, landscape (and seascape) approach to understanding how communities draw livelihoods is valuable in informing effective and inclusive adaptation strategies for environmental change. Furthermore, documenting how the landscape is used in a mapped output may be a valuable tool for future social impact assessment for resource extraction activities.

The paper aims to define and measure value for money (VFM) within the concept of private finance initiative (PFI), and investigate the principal factors in which opinions are formed.

Literature review of texts, published papers, and reports are used to identify relevant parameters to the research. The sources support the arguments of opinion within the paper.

PFI is still perceived by the government as the most cost effect means of procuring public infrastructure. The positive aspects of PFI are the competition generated by the concept, and improved risk management. Negative aspects include the lack of agreed formulae by all stakeholders by which to benchmark VFM, and an increasing sceptical electorate to the PFI concept of providing short and long term VFM.

By virtue of PFI being a dynamic, changing, and complex means of procurement, this research will be valid in its own right. However more up to date government policies must be consulted to take the determination of VFM in any further research.

The research and conclusions will provide add to the current debate as to the viability of PFI, with VFM the main key point as to the ongoing success of the governments strategy this method of procurement.

The paper adds, to the “VFM” drivers that have been identified by identifying principle factors in creating VFM. This will be a sound basis for the justification of VFM in PFI.

The purpose of this paper is to address misconceptions about the design of experiments (DoE) usefulness, avoid bad practices and foster processes’ efficiency and products’ quality in a timely and cost-effective manner with this tool.

To revisit and discuss the hindrances to DoE usage as well as bad practices in using this tool supported on the selective literature from Web of Science and Scopus indexed journals.

A set of recommendations and guidelines to mitigate DoE hindrances and avoid common errors or wrong decisions at the planning, running and data analysis phases of DoE are provided.

Errors or wrong decisions in planning, running and analyzing data from statistically designed experiments are always possible so the expected results from DoE usage are not always 100 percent guaranteed.

Novice and intermediate DoE users have another perspective for developing and improving their “test and learn” capability and be successful with DoE. To appropriately plan and run statistically designed experiments not only save the user of DoE from incorrect decisions and depreciation of their technical competencies as they can optimize processes’ efficiency and products’ quality (reliability, durability, performance, robustness, etc.) in a structured, faster and cheaper way at the design and manufacturing stages.

DoE usefulness will be increasingly recognized in industry and academy and, as consequence, better products can be made available for consumers, business performance can improve, and the link between industry and academy can be strengthened.

A supplemental perspective on how to succeed with DoE and foster its usage among managers, engineers and other technical staff is presented.

Health care systems are evaluated by the triad of access, quality, and cost. This article presents evidence-based outcomes of multiple measures of concern with the United States (U.S.) health care system and proposes a universal health care system as the solution of choice. One third of the U.S. population is either non-insured or underinsured. Lack of quality care is shown by several indicators. Cost concerns are noted in cross-national studies which emphasize that the U.S. spends twice as much for health care but with less access for its citizens to health care. The presidential election of Fall 2004 provides a “window of opportunity” for this policy to be enacted.