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Book part
Publication date: 7 February 2024

Clair Reynolds Kueny, Alex Price and Casey Canfield

Barriers to adequate healthcare in rural areas remain a grand challenge for local healthcare systems. In addition to patients' travel burdens, lack of health insurance, and lower…

Abstract

Barriers to adequate healthcare in rural areas remain a grand challenge for local healthcare systems. In addition to patients' travel burdens, lack of health insurance, and lower health literacy, rural healthcare systems also experience significant resource shortages, as well as issues with recruitment and retention of healthcare providers, particularly specialists. These factors combined result in complex change management-focused challenges for rural healthcare systems. Change management initiatives are often resource intensive, and in rural health organizations already strapped for resources, it may be particularly risky to embark on change initiatives. One way to address these change management concerns is by leveraging socio-technical simulation models to estimate techno-economic feasibility (e.g., is it technologically feasible, and is it economical?) as well as socio-utility feasibility (e.g., how will the changes be utilized?). We present a framework for how healthcare systems can integrate modeling and simulation techniques from systems engineering into a change management process. Modeling and simulation are particularly useful for investigating the amount of uncertainty about potential outcomes, guiding decision-making that considers different scenarios, and validating theories to determine if they accurately reflect real-life processes. The results of these simulations can be integrated into critical change management recommendations related to developing readiness for change and addressing resistance to change. As part of our integration, we present a case study showcasing how simulation modeling has been used to determine feasibility and potential resistance to change considerations for implementing a mobile radiation oncology unit. Recommendations and implications are discussed.

Details

Research and Theory to Foster Change in the Face of Grand Health Care Challenges
Type: Book
ISBN: 978-1-83797-655-3

Keywords

Article
Publication date: 18 April 2024

Vaishali Rajput, Preeti Mulay and Chandrashekhar Madhavrao Mahajan

Nature’s evolution has shaped intelligent behaviors in creatures like insects and birds, inspiring the field of Swarm Intelligence. Researchers have developed bio-inspired…

Abstract

Purpose

Nature’s evolution has shaped intelligent behaviors in creatures like insects and birds, inspiring the field of Swarm Intelligence. Researchers have developed bio-inspired algorithms to address complex optimization problems efficiently. These algorithms strike a balance between computational efficiency and solution optimality, attracting significant attention across domains.

Design/methodology/approach

Bio-inspired optimization techniques for feature engineering and its applications are systematically reviewed with chief objective of assessing statistical influence and significance of “Bio-inspired optimization”-based computational models by referring to vast research literature published between year 2015 and 2022.

Findings

The Scopus and Web of Science databases were explored for review with focus on parameters such as country-wise publications, keyword occurrences and citations per year. Springer and IEEE emerge as the most creative publishers, with indicative prominent and superior journals, namely, PLoS ONE, Neural Computing and Applications, Lecture Notes in Computer Science and IEEE Transactions. The “National Natural Science Foundation” of China and the “Ministry of Electronics and Information Technology” of India lead in funding projects in this area. China, India and Germany stand out as leaders in publications related to bio-inspired algorithms for feature engineering research.

Originality/value

The review findings integrate various bio-inspired algorithm selection techniques over a diverse spectrum of optimization techniques. Anti colony optimization contributes to decentralized and cooperative search strategies, bee colony optimization (BCO) improves collaborative decision-making, particle swarm optimization leads to exploration-exploitation balance and bio-inspired algorithms offer a range of nature-inspired heuristics.

Article
Publication date: 15 April 2024

Hamed Khadivar, Miles Murphy and Thomas Walker

This study investigates the impact of financial health and corporate governance on aviation safety, aiming to fill a critical gap in existing research. The purpose of this study…

Abstract

Purpose

This study investigates the impact of financial health and corporate governance on aviation safety, aiming to fill a critical gap in existing research. The purpose of this study is to identify how these factors influence the safety records of airlines and provide insights for regulators, airlines and stakeholders to enhance aviation safety.

Design/methodology/approach

Using a comprehensive international sample spanning 1950–2009 and later, this empirical analysis draws on diverse databases. The authors examine 372 airlines across 70 countries from 1990 to 2016. The research uses statistical models to analyze the relationship between financial indicators, corporate governance quality and aviation safety, addressing limitations of prior single-country studies.

Findings

The findings reveal a significant inverse relationship between financial health and accident propensity, with profitable airlines exhibiting lower accident rates. Additionally, airlines with higher corporate governance quality, characterized by qualified directors and stable leadership, experience fewer accidents. The study identifies key factors such as pilot errors, mechanical failures and adverse weather, contributing to approximately 75% of accidents, emphasizing the importance of organizational control.

Practical implications

This research has crucial implications for aviation safety policies and practices. Regulators and international organizations, such as International Civil Aviation Organization and International Air Transport Association, should allocate resources to supervise financially vulnerable airlines and those with lower governance quality. Governments might consider incentivizing safety practices through tax deductibility for relevant expenses. Shareholders are encouraged to prioritize qualified, younger and less busy directors, recognizing their impact on safety performance.

Originality/value

This study contributes to existing literature by addressing methodological biases and offering a comprehensive international perspective. The identification of a link between financial health, corporate governance and accident rates in the aviation industry provides valuable insights. The research informs policymakers, regulators and industry stakeholders on effective strategies to improve safety by considering financial and governance factors under their control.

Details

Aircraft Engineering and Aerospace Technology, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1748-8842

Keywords

Article
Publication date: 2 January 2024

Xu Li, Zeyu Xiao, Zhenguo Zhao, Junfeng Sun and Shiyuan Liu

To explore the economical and reasonable semi-rigid permeable base layer ratio, solve the problems caused by rainwater washing over the pavement base layer on the slope, improve…

Abstract

Purpose

To explore the economical and reasonable semi-rigid permeable base layer ratio, solve the problems caused by rainwater washing over the pavement base layer on the slope, improve its drainage function, improve the water stability and service life of the roadbed pavement and promote the application of semi-rigid permeable base layer materials in the construction of asphalt pavement in cold regions.

Design/methodology/approach

In this study, three semi-rigid base course materials were designed, the mechanical strength and drainage properties were tested and the effect and correlation of air voids on their performance indexes were analyzed.

Findings

It was found that increasing the cement content increased the strength but reduced the air voids and water permeability coefficient. The permeability performance of the sandless material was superior to the dense; the performance of the two sandless materials was basically the same when the cement content was 7%. Overall, the skeleton void (sand-containing) type gradation between the sandless and dense types is more suitable as permeable semi-rigid base material; its gradation is relatively continuous, with cement content? 4.5%, strength? 1.5 MPa, water permeability coefficient? 0.8 cm/s and voids of 18–20%.

Originality/value

The study of permeable semi-rigid base material with large air voids could help to solve the problems of water damage and freeze-thaw damage of the base layer of asphalt pavements in cold regions and ensure the comfort and durability of asphalt pavements while having good economic and social benefits.

Details

International Journal of Structural Integrity, vol. 15 no. 1
Type: Research Article
ISSN: 1757-9864

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