Measuring performance in healthcare

Hospitals invest in process management and process optimization from an organizational and patient perspective to increase efficiency and simultaneously the quality of their operations. Consequently, the use of process-oriented performance measurement systems gains importance. This study contributes to the development of a dashboard for the process of hip surgery using a case study design. We integrate strategic goals of hospital management and different stakeholders with the analysis of Business Process Management and Hospital Information Systems’ data. Process-oriented KPIs were integrated into the dashboard using a three-step approach. Dashboards enable healthcare organizations to put process-oriented performance measurement into practice

Ph.D. holders on the Belgian labour market

In which sector do Ph.D. graduates end up working? What is the minimum and desired education level for their current job? Which skills do they need in their current job, and how does this compare to the skills acquired during the Ph.D. track? These questions are answered by looking at responses of a sample of 4190 doctorate holders in the Belgian Careers of Doctorate Holders Survey 2010 (CDH)

Relationships of proactive behaviour with job-related affective well-being and anticipated retirement age: an exploration among older employees in Belgium

Developed countries throughout the world are challenged with the ageing of their labour force. In these societal contexts, low employment rates and early labour market exits of older employees are at stake, as well as arrangements for retirement, financial household considerations and mutual obligations between generations. Although proactive behaviour has been extensively studied, no research has addressed the proactive behaviour of older employees themselves when facing (re)hiring and retention versus early retirement. For the first time, this study tests the relationships of proactive behaviour with job-related affective well-being and anticipated retirement age in a sample of employees aged 50+ (N = 89) in Belgium. The findings are obtained by using a self-report questionnaire. Statistical analysis includes correlation and regression analysis. Major findings are that (i) proactive older employees feel energetic, enthusiastic, inspired, at ease, relaxed and satisfied; and (ii) later retirement is anticipated when experiencing positive affective well-being at study

Implications of customer participation in outsourcing noncore services to third parties

Purpose Focal service providers increasingly involve customers in the decision-making about outsourcing parts of the service delivery process to third parties. The present study investigates how customers' outsourcing decisions affect the formation of the waiting experience with the focal service provider, by which the objective waiting time, environmental quality and interactional quality act as focal drivers. Design/methodology/approach To test our hypotheses in the context of cancer care, we gathered process data and experience data by means of a patient observation template (n = 640) and a patient survey (n = 487). The combined data (n = 377) were analyzed using Bayesian models. Findings This study shows that opting for a service triad (i.e. outsourcing non-core services to a third party) deduces customers' attention away from the objective waiting time with the focal service provider but not from the environmental and interactional quality offered by the focal service provider. When the type of service triad coordination is considered, we observe similar effects for a focal service provider-coordinated service triad while in a customer-coordinated service triad the interactional quality is the sole experience driver of waiting experiences that remains significant. Originality/value By investigating the implications of customer participation in the decision-making about outsourcing parts of the service delivery process to third parties, this research contributes to the service design, service triad and service operations literature. Specifically, this study shows that customer outsourcing decisions impact waiting experience formation with the focal service provider.Purpose Focal service providers increasingly involve customers in the decision-making about outsourcing parts of the service delivery process to third parties. The present study investigates how customers' outsourcing decisions affect the formation of the waiting experience with the focal service provider, by which the objective waiting time, environmental quality and interactional quality act as focal drivers. Design/methodology/approach To test our hypotheses in the context of cancer care, we gathered process data and experience data by means of a patient observation template (n = 640) and a patient survey (n = 487). The combined data (n = 377) were analyzed using Bayesian models. Findings This study shows that opting for a service triad (i.e. outsourcing non-core services to a third party) deduces customers' attention away from the objective waiting time with the focal service provider but not from the environmental and interactional quality offered by the focal service provider. When the type of service triad coordination is considered, we observe similar effects for a focal service provider-coordinated service triad while in a customer-coordinated service triad the interactional quality is the sole experience driver of waiting experiences that remains significant. Originality/value By investigating the implications of customer participation in the decision-making about outsourcing parts of the service delivery process to third parties, this research contributes to the service design, service triad and service operations literature. Specifically, this study shows that customer outsourcing decisions impact waiting experience formation with the focal service provider.A

Let there be light : light interception method update for oil palm (Elaeis guineensis Jacq.) canopies

Light interception (photosynthetically active radiation, PAR) experiments in oil palm (Elaeis guineensis Jacq.) plantations are scarce and often performed decennia ago, in Southeast Asia and without a clear methodology. This is a great opportunity for research with recent planting material in West-African growing conditions. Therefore a light inter-ception experiment was performed in Nigeria. The first objective of this study was to put forward a recommendation regarding PAR interception assessment under oil palm cano-pies. Therefore a fixed and mobile PAR interception sampling method were compared. The second objective was to reveal PAR interception distribution under an oil palm canopy. In this study, PAR interception was monitored in oil palm plots of five di erent planting den-sities (128, 143, 160, 180 and 205 palms ha−1), eleven years after oil palm planting. During the fixed sampling, PAR was measured on sixteen equidistant locations below canopy with a quantum sensor (QS5 Quantum Sensor, Delta-T Devices). During mobile sampling, mea-surements were carried out by walking along two regular paths while holding the quantum sensor by hand. PAR above canopy was measured simultaneously during sampling below canopy. This study found no significant differences between the fixed and mobile PAR interception sampling methods (p > 0.99), and this in the five different planting densities. Furthermore it was discovered that four regular fixed sampling locations below an oil palm canopy are suÿcient for an exact assessment of PAR interception. This study showed also that PAR interception was randomly distributed under the canopy without a decreasing trend of PAR interception away from the oil palm trunk. Finally, there was no significant difference in PAR interception due to the shifting position of the sun between 10 a. m. and 2 p. m. (p > 0.78). It is recommended to assess PAR interception with a fixed sampling method considering its ease, although data from both mobile and fixed methods are com-parable. The standardisation of the fixed PAR interception method is easier due to the lower probability of human error compared to the mobile PAR interception method

Designing the customer journey in a service delivery network: evidence from cancer patient treatments

Customer experiences - not in the least for customers with chronic diseases - depend on a series of exchanges over a considerable amount of time with a variety of service providers and thus a service delivery network (SDN). The impact of SDNs on the customer experience, however, is unclear. This research provides insight into (1) the service delivery system characteristics in SDNs, and (2) their impact on the relationship between customer journey duration and value for time as an important customer experience indicator. The service delivery system characteristics were explored by process travel sheets of patients undergoing cancer treatment in a hospital (n=412). These data were linked to time measurement data (n=262) and survey data (n=312) to explain customer journey duration and value for time, thereby showing the importance of the number of service events and the type of service providers. Theoretical and managerial implications are discussed

Epigenetic regulation of neuroblastoma development

In recent years, technological advances have enabled a detailed landscaping of the epigenome and the mechanisms of epigenetic regulation that drive normal cell function, development and cancer. Rather than merely a structural entity to support genome compaction, we now look at chromatin as a very dynamic and essential constellation that is actively participating in the tight orchestration of transcriptional regulation as well as DNA replication and repair. The unique feature of chromatin flexibility enabling fast switches towards more or less restricted epigenetic cellular states is, not surprisingly, intimately connected to cancer development and treatment resistance, and the central role of epigenetic alterations in cancer is illustrated by the finding that up to 50% of all mutations across cancer entities affect proteins controlling the chromatin status. We summarize recent insights into epigenetic rewiring underlying neuroblastoma (NB) tumor formation ranging from changes in DNA methylation patterns and mutations in epigenetic regulators to global effects on transcriptional regulatory circuits that involve key players in NB oncogenesis. Insights into the disruption of the homeostatic epigenetic balance contributing to developmental arrest of sympathetic progenitor cells and subsequent NB oncogenesis are rapidly growing and will be exploited towards the development of novel therapeutic strategies to increase current survival rates of patients with high-risk NB