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This paper aims to identify key factors that impact operating room (OR) utilization and evaluate different scenarios on OR performance.

Five months of data were collected. stepwise regression and best subset models were used to select factors and generate regression model for OR utilization. We further used simulation to test the influence of case duration mean, case duration variation, scheduled utilization and first-case delay on OR utilization, OR cost inefficiency and patient wait time on the day of surgery.

The scheduled utilization, case cancellation and add-on cases were the most important factors identified in all models. The larger the case duration variation, the lower the OR cost efficiency and utilization, the longer the patient wait time. First-case delay and turnover times are not critical in OR utilization or cost efficiency.

OR management should focus on creating an effective way to manage case cancellation and add-on policy to tackle the change on the day of surgery. In addition, several weeks before the surgery, the management needs to consider how to schedule cases to fit the allocated OR time.

In complementary of current OR management, this research assists OR management by identifying the factors that would result in the most significant improvement on OR utilization.

The paper defines the concept of inequity in health care and reviews the various approaches to identify causal relationships which lead to inequitable health outcomes. Notably, the input and process of health care delivery, the medical and social need factors, the external environment and the indirect influences channeled through ‘mediating’ factors. It further proposes a comprehensive model which integrates the combined effects of the several categories of components involved in determining inequitable outcomes between groups and individuals. While not exhaustive, the model provides a systematic attempt to define and trace inequities in health and potential causes of such, in operational terms. It can be used, therefore, for practical measurement of levels of inequity in outcomes.

This paper proposes to rethink the concepts of relevance and usefulness and their relation to the theory–practice gap in management research.

On the basis of the cognitive-linguistic relevance theory or inferential pragmatics, supplemented by insights from information science, we define relevance as a general conceptual category, while reserving usefulness for the instrumental application in a particular case.

There is no reason to hold onto the difference between theoretical and practical relevance, nor to distinguish between instrumental and conceptual relevance.

This novel approach will help to clarify the confusion in the field and contribute to a better understanding of the added value of management research.

The construction industry is reluctant to utilize construction logistics centres (CLC). To understand why, the purpose of the study is to increase the understanding of drivers and challenges of CLC utilization.

Adopting an activity-based cost methodology, nine construction projects' CLC utilization in a Swedish urban development project is analyzed for a time period of three years (2013–2016).

There is a difference between drivers and challenges for implementing and utilizing CLCs, which are often implemented to reduce third-party disturbances. The drivers to utilize a CLC, however, stem from achieving efficient logistics. The authors identify two different utilization strategies; the CLC is used either for just-in-time (JIT) deliveries or as a consolidation point.

The study shows that construction logistics is to some extent repeating some mistakes of its big brother, city logistics. The study hypothesizes that there are differences between CLC implementation and utilization drivers and challenges that are often overlooked, which can explain the lack of CLC utilization.

The study shows that it is crucial for construction projects to develop and formulate a logistics strategy for how to utilize the setup, i.e. deciding whether to use the setup as a consolidation point leading to fewer deliveries and more materials on-site, or as JIT, leading to more deliveries but fewer materials on-site.

CLCs can reduce environmental impact and third-party disturbances. However, to make this come true, acceptance among the users is needed. The study provides understanding of drivers and barriers for CLC implementation and utilization that can increase acceptance among users (i.e. construction projects).

The current study is one of the first studies to analyze CLC utilization.

The purpose of this paper is to present the effect of the introduction of cross-functional team (CFT)-based organization, rather than, on planning and performance of OR teams.

In total, two surgical departments of the Radboud University Nijmegen Medical Center (RUNMC) in the Netherlands were selected to illustrate the effect on performance. Data were available for a total of seven consecutive years from 2005 until 2012 and consisted of 4,046 OR days for surgical Department A and 1,154 OR days for surgical Department B on which, respectively 8,419 and 5,295 surgical cases were performed. The performance indicator “raw utilization” of the two surgical Departments was presented as box-and-whisker plots per year (2005-2011). The relationship between raw utilization (y) and years (x) was analyzed with linear regression analysis, to observe if performance changed over time.

Based on the linear regression analysis, raw utilization of surgical Department A showed a statistically significant increase since 2006. The variation in raw utilization reduced from IQR 33 percent in 2005 to IQR 8 percent in 2011. Surgical Department B showed that raw utilization increased since 2005. The variation in raw utilization reduced from IQR 21 percent in 2005 to IQR 8 percent in 2011.

Hospitals need to improve their productivity and efficiency in response to higher societal demands and rapidly escalating costs. The RUNMC increased their OR performance significantly by introduction of CFT-based organization in the operative process and abandoning the so called functional silos.

The stepwise reduction of variation – a decrease of IQR during the years – indicates an organizational learning effect. This study demonstrates that introducing CFTs improve OR performance by working together as a team.

The purpose of this paper is to analyze patterns of health services utilization – visits to family practitioner and visits to an emergency room – by recent immigrants (those who have lived in Canada for less than ten years) and “established” immigrants (those who have resided in Canada for ten years or longer) relative to their Canadian-born counterparts.

The 2009/2010 files of the Canadian Community Health Survey were used for the analysis. A logit model was used to analyze utilization while a zero-inflated negative binomial model was used to measure the intensity of health services utilization.

Results suggest that relative to native-born Canadians, recent immigrants are more likely to visit an emergency room and are less likely to visit a family/general practitioner. The opposite effect is observed for “established” immigrants. In terms of intensity of use, native-born Canadians are more likely to use physicians’ services intensively compared with either recent or established immigrants.

The paper’s findings suggest that provincial governments in Canada will need to focus effort to ensure that recent immigrants have access to a family/general practitioner. This will be necessary given the recent primary care reform initiatives introduced across Canada that emphasize the physician as the first point-of-contact with the health system.

This paper seeks to show that there is inappropriate utilization of resources in hospitals in all three health care sectors (whether Ministry of Health, military or private). Such misuses can be tracked down by understanding the factors associated with such utilization.

The results were based on the assessment of some of the health staff and it could be argued that the rate of inappropriate utilization of hospital resources would have been different if it had been based on the patients' own assessments.

The results of this study show that regardless of the hospital type (or ownership), a substantial percentage of respondents perceive that hospital resources are inappropriately utilized. In fact, more than half of respondents in the three health care sectors indicate that the utilization of hospital resources is inappropriate. These results are inline with previous research which reported that the patient or the patient's family can contribute to unnecessary utilization by pressuring the physician to admit or by delaying discharge. In addition, although not examined in this study, patient characteristics such as lack of family support, age and lack of a health post‐discharge influence inappropriate hospital utilization.

If overutilization or underutilization continues in this vein, it will markedly increase the burden on these hospitals and adversely affect the delivery of health services to the Saudi population.

While several studies in different countries have described the problem of inappropriate utilization of hospital facilities, no previous studies in the Kingdom of Saudi Arabia appear to have discussed this issue other than the present study.

Sustainable development goals (SDGs) recognize the importance and interrelation between health and migration. Women migration and health is well researched, yet less attention is paid to their healthcare utilization, especially with regard to overall health and well-being. This paper aims to highlight the gap in the existing literature on health care utilization by women migrants.

A systematic review was carried out following the PRISMA guideline. For the review, the literature was taken from three electronic databases, which were Springer Link, Taylor and Francis and PubMed. From a total of 1,575 studies, seven studies cleared the eligibility screening.

Of seven studies, five were found to focus on the sexual and reproductive health of the women migrants than their general health and well-being, and less attention is paid to health promotion and illness prevention beyond reproductive and sexual health. While, studies on general health have focused on the influence of health status on health care utilization and the influence of health insurance in health care utilization. The review has revealed the disparities faced by migrant women in different countries while seeking health care.

Studies on women migration and health care utilization have largely focused on the reproductive and sexual health needs of women, and this overemphasis often undermines their accessibility and affordability to overall health and well-being. Therefore, the present study has moved away from the concept of sexual and reproductive health tot that of overall health and well-being of women migrants.

This paper reviews the literature relating to concepts and definitions of productivity, utilization, and efficiency. From an analysis of these concepts and definitions, the author derives two unifying formulae, the first relating these factors to one another and the second adding in a quality factor. System improvement strategies are then discussed based on these two equations.

The objective of the research, and paper, is to determine first whether or not the accounting abstraction appears to dominate the manager’s perceptions of the physical reality of the firm’s utilization of its physical assets, and second, whether changes in the accounting abstraction (e.g. the addition of Capacity cost management reports and measurements) lead to changes in how managers perceive, and use, their physical assets. Using a cognitive decision-making structure developed by Wagenaar et al. (1995), this study explores the interplay between the structure and nature of capacity reporting (the surface structure of the decision) and the subsequent analysis and choice of managers within the firm (the deep structure of the decision). A five-site field research methodology was used to gather data from companies across a multitude of industry contexts and situations. Results suggest that the nature of capacity measurement and reporting does shape manager’s perceptions of current and potential future performance (the cognitive surface structure), with major implications for the nature and type of decisions and trade-offs made (the deep structure). Specifically, managers appear to make decisions that are illogical when considered in light of the physical reality of their operations based on the representations of this reality (e.g. the capacity measures and reports). Analysis and interpretation of these results suggest that what accounting makes visible appears to drive decision-making and performance in organization.