Do we need one science of production in healthcare?

The question addressed is: Is there need, in health care, for one consolidated science of production? For responding to this question, the classical science of production is reviewed and the current approaches to production and service in healthcare are analysed as for their evolution and current status. It is found that these current movements are not self-aware of the restrictions deriving from their backgrounds, and of the resultant partiality in their approaches. It is concluded that improvement of healthcare is slowed down by the fragmentation of the related disciplines; thus one consolidated science of production (of healthcare) is needed

Facilitators and barriers to the integration of healthcare service and building design

Service design research recognises the importance of infrastructure design in the achievement of streamlined service delivery. Although research about service design and building design is abundant, very little is known about the integration of these processes. Therefore, this research aimed at identifying facilitators and barriers to the integration of service and building design processes. To this end, the initial results from a historical investigation of the redevelopment of a hospital in Salford, UK were used to identify facilitators and barriers to the integration of service and building design. Data was collected through interviews, document analysis and a workshop. Initial results present internal and external factors related to the design process generating barriers to integration of service and building design

Lean knowledge management : the problem of value

Lean knowledge management is defined here as: getting the right information, in the right form, to the right people at the right time. This definition highlights series of practical problems for knowledge management in the built environment which, in turn, have implications for lean theory. In the terms of TFV theory, the problems that arise from getting information to the right people at the right time are essentially flow (F) issues, but those that are concerned with defining the right information and the form in which it is to be delivered are more concerned with value (V). Here, we focus primarily on the problem of defining right information. A distinction is made between sociological 'values' and economic 'value', showing how both relate to production theory. In the course of benefits capture and realisation, both values and value are negotiated between project participants and other stakeholders. It is argued that these processes are best conceived as conversations and that this is implied in the basic formulation of V theory. The notion of objectivity and its significance for these values/value negotiations is examined. The problem of benefits realisation is considered and a set of hypotheses are generated regarding the nature of an effective benefits realization management process

The gaps between healthcare service and building design : a state of the art review

Healthcare buildings are designed to achieve diverse objectives, ranging from providing appropriate environments where care can be delivered to communities to increasing operational efficiency and improving patient flows and the patient experience. Improvements in operational efficiency should result from state-of-the-art buildings, more appropriate layouts, departmental adjacencies, efficient clinical and business processes and enhanced information systems. However, complexities around requirements and stakeholders management may prevent the achievement of such objectives. The aim of this article is to identify and understand how healthcare services (re)design and building design can be integrated to facilitate increased performance both in terms of service delivery and future changes. Findings indicate that current approaches and innovation are restricted due to functional barriers in the design process, and that there is a need to support the development of operations driven design through time (e.g. flexible and durable) that satisfies diverse needs

Energy Flows and Jet Production in Tagged e-gamma Events at LEP

It has already been shown that the energy flow distributions in tagged events disagree with those predicted by QCD models, generating serious systematic errors in the unfolding of the photon structure function $F_{2}^{\gamma}$. This new analysis uses the jet structure in the hadronic final state to identify the class of events which is in worst agreement with the models. A cone jet finder is used to select events with 0,1 or 2 jets whose transverse energy is greater than 3 GeV. Tagged electrons are detected in the OPAL forward detector at angles between 60 and 120 milliradians. As well as the QCD-based Monte Carlo models, HERWIG and PYTHIA, the simple F2GEN program is used to give a comparison sample of events with purely pointlike photon-quark coupling.Comment: 1 pages including 1 figure