38 research outputs found

    SERVICE RECOVERY SYSTEM GAPS

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    This study aims to give insights into the recovery process system to find the reasons for unsuccessful of this process. It goes in depth of customer, provider and environment linkages to understand how service recovery can be more effective and efficient. The paper is conceptual and it involves a model based approach to understand the integrities of service recovery process. The study finds eleven kinds of gap which hinder the successful recovery. They are customer expected vs. perceived service recovery, customer perceived vs. received recovery gap, service recovery employee performance gap, employee perception for expected vs. delivery of service recovery, management vs. employee perception for expected recovery, management vs. employees perception for the complain policy, employe

    Can circular healthcare economy be achieved through implementation of sustainable healthcare supply chain practices? Empirical evidence from Indian healthcare sector

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    Purpose Idea of circular economy defies the classical “make-use-dispose” approach of linear economic model. In the context of health-care industry, it relies heavily on the supply chain practices implemented by industry stakeholders. The purpose of this study is to explore such relationships, study their structure and put it across for attaining sustainability at large. Design/methodology/approach This study is an empirical research conducted on 145 health-care firms. The collected data is analysed to develop structural and measurement model. The five constructed hypotheses are examined and tested through structural equation modelling. Findings The study illustrates the latent relationships that exist among the stakeholders involvement, sustainable supply chain practices, sustainable performance and circular economy for health-care industry. It is found that the adoption of sustainable supply chain practices improves health-care performance, which, in turn, have positive influence on circular economy. Research limitations/implications The structural and measurement model is developed in the context of circular health-care economy. It can be validated or improvised by conducting similar research in other industry using different methods. This research work fulfils the long existing gap in research by offering a linkage between various constructs to achieve health-care circular economy. Based on the research results, future researchers can build theories of circular economy and sustainability for health-care industry. Originality/value The study attempts to study the supply chain ways to achieve circular economy for Indian health-care sector. It considered latent relationships among the set of constructs, which are needed for theory building at later stage

    Modelling challenges of blockchain technology enabled healthcare sustainable supply chain management: a modified-total interpretive structural modelling approach

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    Blockchain technology (BCT) is beneficial for the Healthcare Sustainable Supply Chain (HSSC), and the adoption of this technology provides many benefits improving the performance of the supply chain, effortless information sharing, mitigation of data modification, etc. On the contrary, this study focuses on the various challenges that come in the path while adopting the BCT. For this, the present study initially identified the multiple challenges from the in-depth literature review. Then, the Delphi method was applied for further analysis and scalability of each challenge. Afterward, Modified-Total Interpretive Structural Modeling (M-TISM) approach is used for identifying the criticality of challenges based on the classification of challenges into different levels. This operation provides the driving and dependence power of each challenge.Furthermore, MICMAC (Cross-Impact Matrix Multiplication Analysis) analysis was performed. At the end of the analysis, the authors found the six critical challenges related to the adoption of BCT in the Healthcare Sustainable Supply Chain (HSSC). These critical challenges are the Economical Challenge (C3), Stakeholder commitment and careful handling of BCT (C2), Combining SSCM practices to BCT(C7), Lack of government intentions to promote BCT in SCM (C6), Data Security threat (C1) and Poor infrastructure for the adoption of BCT (C4). The stakeholders of HSSC should make an effort to control them on a priority basis. In addition to this, the authors also provided the practical implication of the study and future research direction for better adoption of BCT in the Healthcare Sustainable Supply Chain

    Brain Injury Visible on Early MRI After Subarachnoid Hemorrhage Might Predict Neurological Impairment and Functional Outcome

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    In subarachnoid hemorrhage (SAH), brain injury visible within 48 h of onset may impact on admission neurological disability and 3-month functional outcome. With volumetric MRI, we measured the volume of brain injury visible after SAH, and assessed the association with admission clinical grade and 3-month functional outcome
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