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Open Access
Article
Publication date: 9 February 2024

Armando Calabrese, Antonio D'Uffizi, Nathan Levialdi Ghiron, Luca Berloco, Elaheh Pourabbas and Nathan Proudlove

The primary objective of this paper is to show a systematic and methodological approach for the digitalization of critical clinical pathways (CPs) within the healthcare domain.

Abstract

Purpose

The primary objective of this paper is to show a systematic and methodological approach for the digitalization of critical clinical pathways (CPs) within the healthcare domain.

Design/methodology/approach

The methodology entails the integration of service design (SD) and action research (AR) methodologies, characterized by iterative phases that systematically alternate between action and reflective processes, fostering cycles of change and learning. Within this framework, stakeholders are engaged through semi-structured interviews, while the existing and envisioned processes are delineated and represented using BPMN 2.0. These methodological steps emphasize the development of an autonomous, patient-centric web application alongside the implementation of an adaptable and patient-oriented scheduling system. Also, business processes simulation is employed to measure key performance indicators of processes and test for potential improvements. This method is implemented in the context of the CP addressing transient loss of consciousness (TLOC), within a publicly funded hospital setting.

Findings

The methodology integrating SD and AR enables the detection of pivotal bottlenecks within diagnostic CPs and proposes optimal corrective measures to ensure uninterrupted patient care, all the while advancing the digitalization of diagnostic CP management. This study contributes to theoretical discussions by emphasizing the criticality of process optimization, the transformative potential of digitalization in healthcare and the paramount importance of user-centric design principles, and offers valuable insights into healthcare management implications.

Originality/value

The study’s relevance lies in its ability to enhance healthcare practices without necessitating disruptive and resource-intensive process overhauls. This pragmatic approach aligns with the imperative for healthcare organizations to improve their operations efficiently and cost-effectively, making the study’s findings relevant.

Details

European Journal of Innovation Management, vol. 27 no. 9
Type: Research Article
ISSN: 1460-1060

Keywords

Open Access
Article
Publication date: 6 August 2024

Kristina Frid, Elin K. Funck and Anna H. Glenngård

This paper aims to extend insights about the relationship between inter-organizational collaboration and approaches to control from the perspective of decision-makers. We…

Abstract

Purpose

This paper aims to extend insights about the relationship between inter-organizational collaboration and approaches to control from the perspective of decision-makers. We investigate the relationship between approaches to control and intended forms of integration between actors responsible for solving the complex problem of integrated person-centered care for elderly with diverse and significant needs.

Design/methodology/approach

The empirical study is based on a content analysis of contractual agreements. We have analyzed a total of 118 collaboration agreements and associative documents between all Swedish regions and municipalities.

Findings

The study shows that intended integration is subject to remarkable variation in intended forms of inter-organizational collaboration in this Swedish case. The paper illustrates that decision-makers’ intentions with proposed collaboration in each given context are important for the chosen approach to control. Regardless of intended forms of integration, our study suggests that an imminent soft approach to control is expressed alongside limited signs of hard control. Various forms of intended integration can be managed by the two approaches simultaneously insofar as the agreements appear to have a two-sided purpose.

Originality/value

Our paper proposes an empirically driven taxonomy of intended forms of integration initiatives. The taxonomy provides resources for studies about how collaboration can be managed when it is stipulated by national legislation but local self-governance gives actors considerable freedom to decide on how to organize and manage services. By presenting the taxonomy and relating this to approaches of control, our iterative study builds on and adds to a recent stream of research arguing that the relationship between collaboration and approaches to control may by fuzzier and more complex than originally thought.

Details

Journal of Public Budgeting, Accounting & Financial Management, vol. 36 no. 6
Type: Research Article
ISSN: 1096-3367

Keywords

Article
Publication date: 4 August 2023

MohammedShakil S. Malek and Viral Bhatt

Managing mega infrastructure projects (MIPs) is more complex because of time, size, social, environmental and financial implications. This study aims to address the management…

Abstract

Purpose

Managing mega infrastructure projects (MIPs) is more complex because of time, size, social, environmental and financial implications. This study aims to address the management approaches, complexity and risk factors involved in MIPs. The study focuses on project success criteria and their individual effects on the success of MIPs.

Design/methodology/approach

To address the challenges and identify the most influencing factor for the success of MIPs, the study deployed a cross-sectional survey approach. Six hundred eighty-two usable samples were collected from the respondents to understand the impact of predetermined factors on the success of MIPs. The structural equation model and artificial neural network approach were used to derive the importance of factors affecting the success of MIPs.

Findings

The study's outcome confirms that all three influencing factors: feasibility studies, community engagements and contract selection, have a significant positive impact on the success of MIPs. Community engagement amongst all three has the most influential predictor for the success of MIPs.

Originality/value

The developed model will enable practitioners and policymakers from Indian construction companies and other emerging nations to concentrate on recognized risk reduction variables to enhance project success criteria and project management success, especially for MIPs.

Details

Engineering, Construction and Architectural Management, vol. 31 no. 9
Type: Research Article
ISSN: 0969-9988

Keywords

Article
Publication date: 10 February 2023

Wujuan Zhai, Florence Yean Yng Ling, Jiyong Ding and Zhuofu Wang

Megaprojects have large impact on the environment and stakeholders should take collective action to ensure that these projects are developed in a socially responsible manner…

Abstract

Purpose

Megaprojects have large impact on the environment and stakeholders should take collective action to ensure that these projects are developed in a socially responsible manner. Hitherto, it is not known whether group and subjective norms and social identity could compel stakeholders to take socially responsible collective actions in megaprojects. The aim of this study is to design and test a model to boost stakeholders' intention to take socially responsible collective action in the context of mega water transfer projects in China.

Design/methodology/approach

A quasi-experimental causal research design was adopted to establish cause–effect relationships among the dependent variable (we-intention) and independent variables (subjective norms, group norms, social identity and desire). This study adopts the belief–desire–intention model and social influence theory to empirically investigate how to boost the stakeholders' intention to participate in socially responsible collective action. An online questionnaire survey was conducted and data was collected from 365 respondents who were involved in mega water transfer projects in China. The partial least squares structural equation modeling technique was employed to analyze the data.

Findings

The results from partial least squares analyses indicate that the presence of subjective norms, group norms and social identity (collectively known as social influence process) could increase stakeholders' intention to take socially responsible collective action. In addition, the desire to be socially responsible also boosts stakeholders' intention to take collective action. Desire partially mediates the relationship between social influence process and intention to take socially responsible collective action.

Originality/value

This study adds to existing knowledge by discovering social influence process as an antecedent to taking socially responsible collective action in megaprojects. Strong group norms and subjective norms could propel stakeholders to be more socially responsible. The study also adds to knowledge by discovering that stakeholders' desire to fulfill social responsibility also leads them to take concrete actions. Implications and recommendations are provided on how to manipulate different types of social influence processes to facilitate stakeholders to adopt socially responsible collective action in the process of managing megaprojects.

Details

Engineering, Construction and Architectural Management, vol. 31 no. 9
Type: Research Article
ISSN: 0969-9988

Keywords

Open Access
Article
Publication date: 22 July 2024

Alberto Sardi, Enrico Sorano, Vania Tradori and Paolo Ceruzzi

The process of performance measurement provides support to company management to achieve the objectives established in strategic planning. Through the definition of critical…

Abstract

Purpose

The process of performance measurement provides support to company management to achieve the objectives established in strategic planning. Through the definition of critical success factors and related key performance indicators, performance measurement verifies the gap between planned objectives and the results achieved, informing the responsible bodies to enable them to evaluate performance and, if necessary, implement improvement actions. Although many types of companies adopt performance measurement, this process is challenging when applied to national health services. This paper aims to identify the evolution of performance measurement and the critical success factors of national health services.

Design/methodology/approach

The authors conducted an explorative case study of a leading national health service to delineate the evolutionary path of performance measurement and the main critical success factors.

Findings

The results indicate a significant increase in the maturity of performance measurement of a national health service that has been motivated by international reforms and national regulations. This research highlights performance measurement features such as a balanced set of metrics, targets, and incentives linked to strategic objectives and regular and frequent performance reviews. Furthermore, it identifies the performance measurement model of a leading national health service.

Originality/value

The evolution of performance measurement and numerous critical success factors of national health services are described; the critical success factors cover a wide range of financial to operational aspects such as patient safety, organizational appropriateness, and clinical appropriateness.

Details

International Journal of Productivity and Performance Management, vol. 73 no. 11
Type: Research Article
ISSN: 1741-0401

Keywords

Book part
Publication date: 27 September 2024

Thammarak Moenjak

This chapter introduces what a digital ID is, why it is important, how it works, the design choices, as well as how central banks can collaborate with other stakeholders in…

Abstract

This chapter introduces what a digital ID is, why it is important, how it works, the design choices, as well as how central banks can collaborate with other stakeholders in promoting digital ID infrastructures for use in digital financial services.

Book part
Publication date: 12 September 2024

Mallika Sankar, Sathish Pachiyappan, Arjun B S and Anubha Srivastava

In the face of escalating urban populations, the quest for seamless mobility in cities becomes increasingly complex, even in regions where transit options are presumably…

Abstract

In the face of escalating urban populations, the quest for seamless mobility in cities becomes increasingly complex, even in regions where transit options are presumably accessible within the developing world. The imperative to confront urban mobility challenges and forge sustainable cities equipped with adept transportation and traffic management systems cannot be overstated. This study delves into the technological paradigms employed by developed nations and evaluates their pertinence in the current milieu for mitigating urban mobility challenges. Simultaneously, it scrutinizes the deployment of smart city technologies (SCTs) within developing nations, investigating potential technological strides that can be harnessed to achieve sustainable urban transportation. By dissecting the intricacies of SCTs in developing countries, the study aims to unearth viable technological advancements that can be judiciously implemented to foster sustainable urban mobility. It aspires to provide nuanced recommendations for the integration of latent SCTs, unlocking untapped potential to augment the sustainability of urban transportation in the developing world. The research also elucidates strategies geared towards fostering international collaborations which are instrumental in propelling the development of cities characterized by equity and inclusivity. The study underscores the significance of a global alliance in overcoming urban challenges, emphasizing the need for shared knowledge, resources and experiences to propel the evolution of cities towards a more sustainable and equitable future. This research serves as a comprehensive exploration of the intricate interplay between technology, urbanization and international cooperation, offering insights and recommendations pivotal to steering the trajectory of urban development in developing nations.

Details

Smart Cities and Circular Economy
Type: Book
ISBN: 978-1-83797-958-5

Keywords

Book part
Publication date: 3 October 2024

Nancy Côté, Jean-Louis Denis, Steven Therrien and Flavia Sofia Ciafre

This chapter focuses on the COVID-19 pandemic’s impact on the recognition through discourses of essentiality, of low-status workers and more specifically of care aides as an…

Abstract

This chapter focuses on the COVID-19 pandemic’s impact on the recognition through discourses of essentiality, of low-status workers and more specifically of care aides as an occupational group that performs society’s ‘dirty work’. The pandemic appears as a privileged moment to challenge the normative hegemony of how work is valued within society. However, public recognition through political discourse is a necessary but insufficient element in producing social change. Based on the theory of performativity, this chapter empirically probes conditions and mechanisms that enable a transition from discourse of essentiality to substantive recognition of the work performed by care aides in healthcare organizations. The authors rely on three main sources of data: scientific-scholarly works, documents from government, various associations and unions, and popular media reports published between February 2020 and 1 July 2022. While discourse of essentiality at the highest level of politics is associated with rapid policy response to value the work of care aides, it is embedded in a system structure and culture that restrains the establishment of substantive policy that recognizes the nature, complexity, and societal importance of care aide work. The chapter contributes to the literature on performativity by demonstrating the importance of the institutionalization of competing logics in contemporary health and social care systems and how it limits the effectiveness of discourse in promulgating new values and norms and engineering social change.

Details

Essentiality of Work
Type: Book
ISBN: 978-1-83608-149-4

Keywords

Article
Publication date: 16 September 2024

Vittorio Di Vito, Bartosz Dziugiel, Sandra Melo, Jens T. Ten Thije, Gabriella Duca, Adam Liberacki, Henk Hesselink, Michele Giannuzzi, Aniello Menichino, Roberto Valentino Montaquila, Giovanni Cerasuolo and Adriana Witkowska-Konieczny

Urban air mobility (UAM) development and deployment into future cities is gaining increasing and relevant interest in the past years. This study, a conceptual paper, aims to…

Abstract

Purpose

Urban air mobility (UAM) development and deployment into future cities is gaining increasing and relevant interest in the past years. This study, a conceptual paper, aims to report the high-level description of the most relevant UAM application use cases (UCs) emerging from the research activities carried out in the ASSURED UAM project.

Design/methodology/approach

The UAM application UCs have been obtained from the ASSURED UAM project dedicated activities that have been carried out to, first, develop suitable operational concepts for UAM deployment in the next decades and, then, to further refine and design the most relevant UCs for UAM deployment in the next decades, leading to the public issue of dedicated overall document.

Findings

The ASSURED UAM UCs for UAM deployment in the next decades encompass both public (point-to-point, point-to-everywhere, direct medical transport of people) and private (direct last-mile delivery, advanced last-mile delivery, automatic personal aerial transportation) services applications, evolving in incremental way over time according to three considered time horizons (2025, 2030 and 2035), toward progressive integration into metropolitan transport system.

Originality/value

This paper provides final outline of the ASSURED UAM UCs, starting from the analysis of overall identified possible UAM applications, focusing on the description of the six main UCs considered as relevant for the application under the wider societal benefits point of view. The UCs are described in terms of expected operational environment, needed technological enablers and envisaged regulatory implications.

Details

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

Keywords

Open Access
Article
Publication date: 14 September 2022

Petra Pekkanen and Timo Pirttilä

The aim of this study is to empirically explore and analyze the concrete tasks of output measurement and the inherent challenges related to these tasks in a traditional and…

1462

Abstract

Purpose

The aim of this study is to empirically explore and analyze the concrete tasks of output measurement and the inherent challenges related to these tasks in a traditional and autonomous professional public work setting – the judicial system.

Design/methodology/approach

The analysis of the tasks is based on a categorization of general performance measurement motives (control-motivate-learn) and main stakeholder levels (society-organization-professionals). The analysis is exploratory and conducted as an empirical content analysis on materials and reports produced in two performance improvement projects conducted in European justice organizations.

Findings

The identified main tasks in the different categories are related to managing resources, controlling performance deviations, and encouraging improvement and development of performance. Based on the results, key improvement areas connected to output measurement in professional public organizations are connected to the improvement of objectivity and fairness in budgeting and work allocation practices, improvement of output measures' versatility and informativeness to highlight motivational and learning purposes, improvement of professional self-management in setting output targets and producing outputs, as well as improvement of organizational learning from the output measurement.

Practical implications

The paper presents empirically founded practical examples of challenges and improvement opportunities related to the tasks of output measurement in professional public organization.

Originality/value

This paper fulfils an identified need to study how general performance management motives realize as concrete tasks of output measurement in justice organizations.

Details

International Journal of Productivity and Performance Management, vol. 73 no. 11
Type: Research Article
ISSN: 1741-0401

Keywords

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