Barriers to development of private sector investment in water and sewage industry

PurposePrivatization is a complex issue in many developing countries; therefore, it is vital to examine the obstacles that prevent its proper implementation. The goal of this study is to identify and analyze the barriers to private sector investment in the Water and Sewage Industry (WSI) and to suggest effective ways to attract the private investors to this sector.Design/methodology/approachThe obstacles to private sector investment in the WSI were identified by conducting a desktop literature review and interviewing an expert panel, using the fuzzy Delphi technique. The most important barriers were identified and categorized. A structured survey was then developed and distributed to private sector investment experts. The Fuzzy Analytic Hierarchy Process (FAHP) was applied to further examine the responses and to rank the identified barriers.FindingsThe results showed that the greatest barrier to privatization is the weakness of insurance companies in controlling investment risks, and the second greatest barrier is the weakness of the country's capitalist culture. A review of recent success stories revealed that these barriers can be overcome with transparent price policies and increased interaction between the public and private sectors, which motivate private investors to invest in the WSI.Originality/valueThe elicitation of this study can be useful to both private and public sectors for the development of infrastructure projects, particularly for the WSI.</jats:sec

The state of the art development of AHP (1979-2017): A literature review with a social network analysis

Although many papers describe the evolution of the analytic hierarchy process (AHP), most adopt a subjective approach. This paper examines the pattern of development of the AHP research field using social network analysis and scientometrics, and identifies its intellectual structure. The objectives are: (i) to trace the pattern of development of AHP research; (ii) to identify the patterns of collaboration among authors; (iii) to identify the most important papers underpinning the development of AHP; and (iv) to discover recent areas of interest. We analyse two types of networks: social networks, that is, co-authorship networks, and cognitive mapping or the network of disciplines affected by AHP. Our analyses are based on 8441 papers published between 1979 and 2017, retrieved from the ISI Web of Science database. To provide a longitudinal perspective on the pattern of evolution of AHP, we analyse these two types of networks during the three periods 1979?1990, 1991?2001 and 2002?2017. We provide some basic statistics on AHP journals and researchers, review the main topics and applications of integrated AHPs and provide direction for future research by highlighting some open questions

The state of the art development of AHP (1979-2017): a literature review with a social network analysis

Although many papers describe the evolution of the analytic hierarchy process (AHP), most adopt a subjective approach. This paper examines the pattern of development of the AHP research field using social network analysis and scientometrics, and identifies its intellectual structure. The objectives are: (i) to trace the pattern of development of AHP research; (ii) to identify the patterns of collaboration among authors; (iii) to identify the most important papers underpinning the development of AHP; and (iv) to discover recent areas of interest. We analyse two types of networks: social networks, that is, co-authorship networks, and cognitive mapping or the network of disciplines affected by AHP. Our analyses are based on 8441 papers published between 1979 and 2017, retrieved from the ISI Web of Science database. To provide a longitudinal perspective on the pattern of evolution of AHP, we analyse these two types of networks during the three periods 1979–1990, 1991–2001 and 2002–2017. We provide some basic statistics on AHP journals and researchers, review the main topics and applications of integrated AHPs and provide direction for future research by highlighting some open questions

Driving Sustainability through Engineering Management and Systems Engineering

Despite the ongoing impact of the COVID-19 pandemic, the challenge of realizing sustainability across the triple bottom line of social, environmental, and economic development remains an urgent priority. If anything, it is now imperative that we work towards achieving the United Nations Sustainable Development Goals (SDGs). However, the global challenges are significant. Many of the societal challenges represent complex problems that require multifaceted solutions drawing on multidisciplinary approaches. Engineering management involves the management of people and projects related to technological or engineering systems—this includes project management, engineering economy, and technology management, as well as the management and leadership of teams. Systems engineering involves the design, integration, and management of complex systems over the full life cycle—this includes requirements capture, integrated system design, as well as modelling and simulation. In addition to the theoretical underpinnings of both disciplines, they also provide a range of tools and techniques that can be used to address technological and organisational complexity. The disciplines of engineering management and systems engineering are therefore ideally suited to help tackle both the challenges and opportunities associated with realising a sustainable future for all. This book provides new insights on how engineering management and systems engineering can be utilised as part of the journey towards sustainability. The book includes discussion of a broad range of different approaches to investigate sustainability through utilising quantitative, qualitative and conceptual methodologies. The book will be of interest to researchers and students focused on the field of sustainability as well as practitioners concerned with devising strategies for sustainable development

Driving Sustainability through Engineering Management and Systems Engineering

Despite the ongoing impact of the COVID-19 pandemic, the challenge of realizing sustainability across the triple bottom line of social, environmental, and economic development remains an urgent priority. If anything, it is now imperative that we work towards achieving the United Nations Sustainable Development Goals (SDGs). However, the global challenges are significant. Many of the societal challenges represent complex problems that require multifaceted solutions drawing on multidisciplinary approaches.Engineering management involves the management of people and projects related to technological or engineering systems—this includes project management, engineering economy and technology management, as well as the management and leadership of teams. Systems engineering involves the design, integration and management of complex systems over the full life cycle—this includes requirements capture and integrated system design, as well as modelling and simulation. In addition to the theoretical underpinnings of both disciplines, they also provide a range of tools and techniques that can be used to address technological and organisational complexity. The disciplines of engineering management and systems engineering are therefore ideally suited to help tackle both the challenges and the opportunities associated with realising a sustainable future for all.This book provides new insights on how engineering management and systems engineering can be utilised as part of the journey towards sustainability. The book includes a discussion of a broad range of different approaches to investigate sustainability through utilising quantitative, qualitative and conceptual methodologies. The book will be of interest to researchers and students focused on the field of sustainability as well as practitioners concerned with devising strategies for sustainable development

Multiple criteria decision analytical tools in assessing risk for green growth: the case of oil palm biomass in Malaysia

The heightening world issues arises from climate change and energy security has created a strong resonance for sustainable development. The utilisation of biomass resources is amongst one of the best strategies to counter carbon emission and energy security issues for waste-to-wealth. Over the last decade, the Malaysian government has shown its clear intent to be a front-runner in the green economy through its various green economy policies and programs, particularly focus on oil palm biomass industry. However, it is observed that the diffusion rate of the industry remains relatively slow as compared to other developing countries such as Thailand and Philippine. Literature, anecdotal evidence, and advocates as well as businesses have identified that one of the non-technical factors that contribute to this problem is financing difficulties. The complication of biomass value chain creation often engaged with high risk profile, capital intensive and long payback period which is unfavourable for financing based on conventional risk assessment. Thus, this research focusses on developing a full range risk assessment model in aiding the industry stakeholder to comprehend the risk profile in managing and mitigating risk in biomass value chain in Malaysia. Multiple decision analytical tools have been employed and developed to integrate non-quantitative factors in risk assessment and design risk mitigation strategy based on the strengths and preferences of different stakeholders’ role. The outputs can serve as policy recommendation to aid the authorities and policy makers to undertake policy reviews to effectively spur the biomass industry for green growth. Furthermore, financier and investor are recommended to utilise the information to enhance its financing decision, to offer financial products that customised the need of sustainable projects without losing great business opportunity. Last but not least, the framework also offers industry stakeholders a practical decision analysis and making tool to integrate preferences as well as quantitative information to mitigate risks before any losses in venturing into the biomass industry occurred

Methodological approaches to support process improvement in emergency departments: a systematic review

The most commonly used techniques for addressing each Emergency Department (ED) problem (overcrowding, prolonged waiting time, extended length of stay, excessive patient flow time, and high left-without-being-seen (LWBS) rates) were specified to provide healthcare managers and researchers with a useful framework for effectively solving these operational deficiencies. Finally, we identified the existing research tendencies and highlighted opportunities for future work. We implemented the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to undertake a review including scholarly articles published between April 1993 and October 2019. The selected papers were categorized considering the leading ED problems and publication year. Two hundred and three (203) papers distributed in 120 journals were found to meet the inclusion criteria. Furthermore, computer simulation and lean manufacturing were concluded to be the most prominent approaches for addressing the leading operational problems in EDs. In future interventions, ED administrators and researchers are widely advised to combine Operations Research (OR) methods, quality-based techniques, and data-driven approaches for upgrading the performance of EDs. On a different tack, more interventions are required for tackling overcrowding and high left-without-being-seen rate

Redesigning the Barranquilla's public emergency care network to improve the patient waiting time

Tesis por compendio[ES] La oportunidad en la atención es uno de los críticos de mayor relevancia en la satisfacción de los pacientes que acuden a los servicios de Urgencias. Por tal motivo, las instituciones prestadoras de servicio y las organizaciones gubernamentales deben propender conjuntamente por una atención cada vez más oportuna a costos operacionales razonables. En el caso de la Red Pública en Servicios de Urgencias de Barrannquilla, compuesta por 8 puntos de atención y 2 hospitales, la tendencia marca un continuo crecimiento de la oportunidad en la atención con una tasa de 3,08 minutos/semestre y una probabilidad del 93,13% de atender a los pacientes después de una espera mayor a 30 minutos. Lo anterior se constituye en un síntoma inequívoco de la incapacidad de la Red para satisfacer los estándares de oportunidad establecidos por el Ministerio de Salud, hecho que podría desencadenar el desarrollo de sintomatologías de mayor complejidad, el incremento de la probabilidad de mortalidad, el requerimiento de servicios clínicos más complejos (hospitalización y cuidados intensivos) y el aumento de los costos asociados al servicio. En consecuencia, la presente tesis doctoral presenta el rediseño de la Red Pública en Servicios de Urgencias anteriormente mencionada a fin de otorgar a la población diana un servicio eficiente y altamente oportuno donde tanto las instituciones prestadoras del servicio como los organismos gubernamentales converjan efectivamente. Para ello, fue necesaria la ejecución de 4 grandes fases a través de las cuales se consolidó una propuesta orientada al desarrollo efectivo y sostenible de las operaciones de la Red. Primero, se caracterizó la Red Pública de Servicios de Urgencias en Salud considerando su comportamiento actual en términos de demanda y oportunidad de la atención. Luego, a través de una revisión sistemática de la literatura, se identificaron los enfoques metodológicos que se han implementado para la mejora de la oportunidad y otros indicadores de rendimiento asociados al servicio de Urgencias. Posteriormente, se diseñó una metodología para la creación de redes de Urgencias eficientes y sostenibles la cual luego se validó en la Red Pública sudamericana a fin de disminuir la oportunidad de atención promedio en Urgencias y garantizar la distribución equitativa de los beneficios financieros derivados de la colaboración. Finalmente, se construyó un modelo multicriterio que permitió evaluar el rendimiento de los departamentos de Urgencia e impulsó la creación de estrategias de mejora focalizadas en incrementar su respuesta ante la demanda cambiante, los críticos de satisfacción y las condiciones de operación estipuladas en la ley. Los resultados de esta aplicación evidenciaron que los pacientes que acceden a la Red tienden a esperar en promedio 201,6 min con desviación de estándar de 81,6 min antes de ser atendidos por urgencia. Por otro lado, de acuerdo con la revisión de literatura, la combinación de técnicas de investigación de operaciones, ingeniería de la calidad y analítica de datos es ampliamente recomendada para abordar este problema. En ese sentido, una metodología basada en modelos colaterales de pago, simulación de procesos y lean seis sigma fue propuesta y validada generando un rediseño de Red cuya oportunidad de atención promedio podría disminuir entre 6,71 min y 9,08 min con beneficios financieros promedio de US$29,980/nodo. En último lugar, un modelo compuesto por 8 criterios y 35 sub-criterios fue diseñado para evaluar el rendimiento general de los departamentos de Urgencias. Los resultados del modelo evidenciaron el rol crítico de la infraestructura (Peso global = 21,5i garantir la distribució equitativa dels beneficis financers derivats de la col´laboració. Finalment, es va construir un model multicriteri que va permetre avaluar el rendiment dels departaments d'Urgència i va impulsar la creació d'estratègies de millora focalitzades en incrementar la seva resposta davant la demanda canviant, els crítics de satisfacció i les condicions d'operació estipulades en la llei. Els resultats d'aquesta aplicació van evidenciar que els pacients que accedeixen a la Xarxa tendeixen a esperar de mitjana 201,6 min amb desviació d'estàndard de 81,6 min abans de ser atesos per urgència. D'altra banda, d'acord amb la revisió de literatura, la combinació de tècniques d'investigació d'operacions, enginyeria de la qualitat i analítica de dades és àmpliament recomanada per abordar aquest problema. En aquest sentit, una metodologia basada en models col´laterals de pagament, simulació de processos i llegeixin 6 sigma va ser proposada i validada generant un redisseny de Xarxa la oportunitat d'atenció mitjana podria disminuir entre 6,71 min i 9,08 min amb beneficis financers mitjana d'US$ 29,980 / node. En darrer lloc, un model compost per 8 criteris i 35 sub-criteris va ser dissenyat per avaluar el rendiment general dels departaments d'Urgències. Els resultats de el model evidenciar el paper crític de la infraestructura (Pes global = 21,5%) en el rendiment dels departaments d'Urgència i la naturalesa interactiva de la Seguretat de l'Pacient (C + R = 12,771).[EN] Waiting time is one of the most critical measures in the satisfaction of patients admitted within emergency departments. Therefore, hospitals and governmental organizations should jointly aim to provide timely attention at reasonable costs. In the case of Barranquilla's Pubic Emergency Service Network, composed by 8 Points of care (POCs) and 2 hospitals, the trend evidences a continuous growing of the waiting time with a rate of 3,08 min/semester and a 93,13% likelihood of serving patients after waiting for more than 30 minutes. This is an unmistakable symptom of the network inability for satisfying the standards established by the Ministry of Health, which may trigger the development of more complex symptoms, increase in the death rate, requirement for more complex clinical services (hospitalization and intensive care unit) and increased service costs. This doctoral dissertation then illustrates the redesign of the aforementioned Public Emergency Service Network aiming at providing the target population with an efficient and highly timely service where both hospitals and governmental institutions effectively converge. It was then necessary to implement a 4-phase methodology consolidating a proposal oriented to the effective and sustainable development of network operations. First, the Public Emergency Service Network was characterized considering its current behavior in terms of demand and waiting time. A systematic literature review was then undertaken for identifying the methodological approaches that have been implementing for improving the waiting time and other performance indicators associated with the emergency care service. Following this, a methodology for the creation of efficient and sustainable emergency care networks was designed and later validated in the Southamerican Public network for lessening the average waiting time and ensuring the equitable distribution of profits derived from the collaboration. Ultimately, a multicriteria decision-making model was created for assessing the performance of the emergency departments and propelling the design of improvement strategies focused on bettering the response against the changing demand conditions, critical to satisfaction and operational conditions. The results evidenced that the patients accessing to the network tend to wait 201,6 min on average with a standard deviation of 81,6 min before being served by the emergency care unit. On the other hand, based on the reported literature, it is highly suggested to combine Operations Research (OR) methods, quality-based techniques, and data-driven approaches for addressing this problem. In this sense, a methodology based on collateral payment models, Discrete-event simulation, and Lean Six Sigma was proposed and validated resulting in a redesigned network whose average waiting time may diminish between 6,71 min and 9,08 min with an average profit US$29,980/node. Lately, a model comprising of 8 criteria and 35 sub-criteria was designed for evaluating the overall performance of emergency departments. The model outcomes revealed the critical role of Infrastructure (Global weight = 21,5%) in ED performance and the interactive nature of Patient Safety (C + R = 12,771).Ortíz Barrios, MÁ. (2020). Redesigning the Barranquilla's public emergency care network to improve the patient waiting time [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/156215TESISCompendi

Determining the Essential Criteria for Choosing Appropriate Methods for Maintenance and Repair of Iraqi Healthcare Building Facilities

Today, building maintenance and repair (M&R) is a neglected aspect of the construction business throughout a building’s entire life cycle. Selecting appropriate M&R strategies is crucial, particularly for emerging economies like Iraq with severely constrained resources. This study seeks to identify the primary selection criteria for M&R methods of healthcare building facilities (HBFs) in Iraq. A comprehensive desktop literature analysis was undertaken to extract and determine the essential selection criteria for the most suited M&R approaches to buildings in general. Then, two rounds of the Delphi survey were conducted to consolidate the specific selection criteria to suit the circumstances of Iraq and HBFs. A total of 21 sub-criteria were identified and divided into six main groups. The main criteria and the associated sub-criteria were then analyzed and ranked using the fuzzy analytic hierarchy process (FAHP) technique. The ranking of the various main criteria revealed that the “cost” criterion was ranked first in terms of importance, followed by the “human resources” and “quality” criteria. The fourth, fifth, and sixth main criteria are “reliability/flexibility”, “safety/risk/environment”, and “facilities/technology”, respectively. The overall ranking of the sub-criteria placed “optimization and cost reduction” in the first position and “extending the life of the equipment and preserving their initial quality” in the bottom place. It is anticipated that the key findings and effective recommendations of this study will considerably contribute to the improvement of building maintenance and repair management practices in developing nations while enhancing different stakeholders’ understanding of the most important selection criteria for M&R methods, particularly with regard to healthcare building facilities in Iraq