Theoretical framework for the control and guidance of hospital logistics performance management during covid pandemic 19

The purpose of this paper is to try, through a theoretical study, to highlight the main theoretical frameworks of inspiration of the research in management control and the piloting of the hospital logistics performance in the era of the current context characterized by the economic and financial repercussions of the Covid 19 pandemic, and the great tendency of the hospital establishments towards the adoption and the integration of the tools of management control as an inescapable means of piloting the hospital logistics performance. The literature shows a diversity of approaches and currents in logistics performance control. Thus, the expected results stipulate that a great deal of research in management control and hospital logistics performance refers to the resource theory, the stakeholder theory, the network theory, the contingency theory, the systemic approach, Simons' theory and the neo-institutional theory. These theories are fundamental references for understanding the determinants, evolutions and even reconfigurations of management control tools within the hospital supply chain. The results of our study confirmed the contributions of the theory of resources, stakeholders and networks to the adoption and consideration of dimensions other than financial and economic performance by healthcare institutions

An analysis of quality practices and business outcomes in Western Australian hospitals

This study aimed at identifying aspects of health care organisational management and activities that produced the highest level of quality care. A Literature review was conducted to determine the most successful quality activities currently used in a wide variety of industries. Using the findings of this review a questionnaire and interview questions were designed to identify factors associated with successful quality activities I health care organisations. Four Western Australian hospitals that were believed to have effective quality activities were randomly selected as a hospital from each of the following categories. A private hospital accredited by the Australian Council on Health Care Standards. A country hospital that had 100% patient satisfaction and a city hospital with above 96% patient satisfaction assessed by the State wide Government Patient Satisfaction with Care Survey. A hospital that the Health Department of Western Australia considered had best practice in Quality Activities. Each of these hospitals was matched with a control hospital. Data was collected through direct observation of a questionnaire and interviews with people in predetermined health service employment positions and the completion of one randomly selected supplier interview for each of the eight health services studied. The questionnaire was supplied to a range of staff members and interviews were conducted with these employees and hospital goods or service suppliers. Data was analysed using qualitative evaluation, frequency distribution and a factor analysis. Results obtained in this study identified that the most important factors required to produce the most profitable and highest quality of health care were a culture of caring, providing employees with enough time to complete their work and having effective organisation wide communication. A Quality Care Model for use in Health Services was created based on the research findings. When used this model of quality activities should provide customer satisfaction and a high standard of cost effective health care service

Factors influencing information service quality of the information platform of Wenzhou Municipal People's Hospital

Along with the global trend of informatization, Internet has become a new mainstream media form following such forms as print media, television and broadcast media, via which people can access information services. As a country with the largest number of netizens around the world, China enjoys improving social information services based on the Internet. With such a large quantity of network users, it is inevitable for China's hospitals at various levels to provide patients and the public with information services by setting up their own official websites. This research investigates the factors affecting the information service quality of Wenzhou People's Hospital (WZPH) and by means of Delphi method, statistical analysis and other research methods, formulates the Evaluation Indicator System for the Information Service Quality of WZPH's Information Platform. The research applies this system to the empirical research on the information service quality of the hospital's website and then makes a comparative analysis between the research results and traffic data of the websites of other hospitals over the same period. Next, the research identifies the factors affecting the information service quality of WZPH's website and finds out how the hospital may increase its website users and traffic through improving its service quality. This research starts with the determination of the objectives, significance, research problems, framework, contents and methods of the research. In the following literature review, the research sorts out papers on hospital websites and theories on service quality, users' information needs and customer satisfaction in a systematic way. Based on the literature review as well as expert consultations and theoretical review, the research determines the approach to examining the information service quality of WZPH's information platform and works out the initial set of evaluation dimensions and indicators of the information service function and quality of the hospital's website. Then, via two rounds of expert consultations, the research figures out the weights of these indicators and further assigns values to each of them. On this basis, the research establishes a research framework and a comprehensive evaluation model for the information service quality of WZPH's information platform. In the end, the research conducts two surveys respectively on the information service quality of WZPH's information platform before and after its overall revision by using Hospital Website Information Service Evaluation Form and Virtual User Questionnaire, and makes a correlation analysis based on the survey results and the flow data of other hospitals' websites over the same period. The analysis draws a conclusion that the website of WZPH, as the information platform of the hospital, is the only carrier to deliver information service, thus playing a vital role in WZPH's overall service quality. In other words, the website of WZPH affects the hospital's overall service quality to a large extent. The comprehensive service function of WZPH's website are important to the quality improvement of the hospital's information service and directly affect the information service quality, the number of users as well as utilization rate of the website

A Patient - Oriented Approach to Facilities Management in Singapore's Hospitals

Master'sMASTER OF SCIENCE (BUILDING

Modelling and performance evaluation of a direct steam generation solar power system coupled with steam accumulator to meet electricity demands for a hospital under typical climate conditions in Libya

This study aims to build a dynamic model of a direct steam generation (DSG) solar power system coupled with a steam accumulator to meet electricity demands for a hospital under transient environmental conditions in Libya. The main components of the system are DSG parabolic trough collectors, a steam accumulator, a turbine, a condenser and a circulation pump. The system is modelled via using Simulink\Simscape software blocks with integrated MATLAB functions to run a dynamic simulation. As the simulation tool reflects the transient operation of the components, advanced control strategies were applied to the model. Using the proportional integral controller (PI controller), safe operation of the system is secured by pump flow rate control, safe turbine operation is provided by pressure control and power output is matched with the demand by using a throttle valve control. 1584 m2 solar collector area and 160 m3 total volume of pressurised steam tank are used in the simulation considering the electricity demand of the hospital and solar radiation in the location. The produced work output was controlled to match the demand profile of the hospital, which needs 200 kW in the peak period and 50 kW at the night. The designed system shows a maximum thermal efficiency of 23.5% for the operation condition

Investigating the adoption of enterprise application integration in healthcare organisations using an actor-oriented approach

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.This dissertation focuses on Enterprise Application Integration (EAI) adoption in healthcare organisations. EAI has emerged to support organisations overcoming their integration problems and it has been adopted by many organisations in various sectors. Despite its importance, the healthcare domain develops EAI solutions at a slower pace and it can be characterised as a laggard comparing to other sectors. The small number of EAI applications in healthcare has resulted in limited research in this area with many issues, like its adoption requiring further investigation. The normative literature analyses the factors that influence EAI adoption in healthcare (MAESTRO model) but it has not yet explored the role of actors during the adoption process. This dissertation makes a step forward and contributes to the body of knowledge as it: (a) highlights the role of healthcare actors and attitudes towards EAI adoption, (b) introduces an actor-oriented approach, (c) derives and proposes a structured method, named Individual, Group, Organisational, Human, Controllers, Acceptors, Providers, Supporters (IGOHcaps), to model how actors might be identified (structured because such a rationale is explicable and such a method is more readily usable when transferred to others), (d) identifies those actors involved in this process, by using the proposed IGOHcaps method and (e) combines the actor-oriented approach with the factors influencing EAI adoption. The author claims that such an approach is significant and novel as: (a) it extends established norms for EAI adoption, by incorporating an actor-oriented analysis and (b) the actors' differing views emerging could enable decision making bodies to produce more robust proposals for EAI adoption. The author discusses the application of this approach by using a qualitative, interpretive, multiple case study research strategy. Empirical data collected from two case organisations show that such an approach contributes towards more robust decisions for EAI adoption and indicates that it is acceptable by the organisations and the interviewees (actors), participated in this research. Despite these results cannot be generalised, they can allow others to relate their views with the ones reported in this dissertation. This dissertation introduces tests and presents a novel approach and model for EAI adoption in healthcare and contributes to the body of knowledge by extending the literature.Funding for this work was obtained from the Brunel University School of Information Systems, Computing and Mathematics

The adoption of vendor managed inventory for hospital pharmaceutical supply

The study investigates Vendor Managed Inventory (VMI) for the supply of medicines between distributors and hospitals to identify factors that may affect VMI adoption. Multiple case studies are conducted involving five organizations (three hospitals, one distributor, and one manufacturer/ supplier). Four dyadic relationships are identified. Triangulation techniques are used in data collection, including interviews, site visits and document analysis to enhance reliability and validity. Case studies have been analyzed individually and comparatively. Two types of VMI initiatives – public and private sector - are identified in the supplier/hospital context. The public sector supplier focuses on improving service level while the private sector supplier seeks to strengthen relationships with key customers. Hospital characteristics, including the type of hospital, top management perspectives, and the hospital’s willingness to share information, are critical in decisions on VMI initiation or termination. Relatively stable demand products are preferred for a VMI approach. Hospitals may perceive risks in VMI adoption for medicines as it involves relinquishing control of critical supplies and may result in ‘lock-in’ with a particular supplier. The paper provides supply side and demand side perspectives on VMI adoption in an important sector. It highlights the need for greater understanding of the perceived and actual risks in VMI from the perspective of both the hospital and the supplier and for much clearer advice on which pharmaceutical products are appropriate for VMI control in a hospital context. VMI is advocated as being beneficial in many supply contexts. However, it may be challenging to implement. This study identifies a range of factors that affect the adoption of VMI in hospital pharmaceutical supply chains. The cases have been conducted in one country, which may affect the generalization of the findings. Wider empirical evidence from other countries in both developed and less developed regions will be beneficial

The impact of competitive environment on the service marketing mix strategy of health organisations in developing countries : Jordanian private sector hospital senior managers perspective

The environment of Jordanian private hospitals has never been so complex and challenging as at present. There are huge influences on these hospitals in the current climate. Managers in these hospitals are finding themselves, more than ever before, confronted by increasing pressures and demands which they must seek to understand and respond to in their service marketing mix strategy in order to achieve effective strategic marketing in terms of their choice of service marketing mix strategy components (namely health service, pricing, distribution, promotion, physical evidence, process, and personal strategies). This research, therefore, investigates the influence competitive environment factors have on the service marketing mix strategy components made by Jordanian private hospital managers, and on the reality of the Jordanian private hospital marketing. The literature review reveals that there is an extensive body of research that addresses service marketing mix strategy in general but there is less emphasis on the health sector. Moreover, evidence of the impact of a competitive environment on service marketing mix strategy and hospital performance measurements' criteria in the hospital industry is limited. In order to explore this issue, a triangulation method was used to collect primary data through a questionnaire, which was administered in the private sector hospitals in the six Jordanian governorates and, via in-depth semi structured interviews with hospital managers and experts in the health services in Jordan. All Jordanian general private sector hospitals were targeted in this research rather than a representative sample of these hospitals. A purposive sampling strategy was used to choose the participants in this research. In total, - 143 senior managers (general manager, administrative manager, medical manager, public relation manager, marketing manager, and out patients clinic manager) participated in this study. The results confirm significant differences in the influence of competitive environment factors on service marketing mix strategy components. They also reveal that the components of the marketing mix strategy have varied significant and insignificant influence on the hospital performance, which demonstrates that the hospital performance phenomenon is complicated and multi-dimensional in nature. Furthermore, the results exhibit that hospital managers might benefit more by placing more emphasis on an integrated service marketing mix strategy and recognising the competitive environment influences on their hospitals. The results also highlight several implications for future research in health services marketing and fills in several gaps in the existing literature on health services marketing. This research contributes to the academic and practical knowledge as being one of the first attempts to investigate empirically the impact of the competitive environment on service marketing mix strategy. As such, the influences of service marketing mix strategy on hospitals' performance criteria, identifying the main concerns and problems which face the management and marketing in Jordanian private sector hospitals, are explored in addition to recognising the vital roles of marketing in improving the hospital performance. This research integrates, refines and extends the empirical work conducted in the field of health services marketing in developing countries. It raises many implications for managers in these hospitals, such as considering the importance of influences by competitive environment on marketing mix strategy and the vital role this strategy plays in the performance of Jordanian private sector hospitals. This research provides useful guidelines for further and future research possibilities such as exploring the influence of the competitive environment factors influence on hospital performance criteria.EThOS - Electronic Theses Online ServiceGBUnited Kingdo