26 research outputs found
Perception of Filipino physicians on the roles and scope of practice of physical therapy in the Philippines: A multi-method quantitative study
Introduction: Physical therapists (PTs) are licensed practitioners who can assess, diagnose, and provide treatment interventions that restore patients to optimal function. While PTs can deliver complete management plans, the practice of physical therapy (PT) in the Philippines follows a referral system where physicians are the first contact of the patient, emphasizing the importance of physician\u27s perception towards the role of PTs and scope of PT service. This study aimed to determine the internal consistency of the Perception on Physical Therapists Questionnaire (PoPTQ), and to use this tool to report the existing perceptions of Filipino physicians on the practice of PT.
Method: This study was divided into two phases and utilized a multi-method quantitative research design. For Phase 1 (psychometric), 18 questionnaires administered to Filipino physicians were used to compute Cronbach\u27s α of PoPTQ. A total of 134 questionnaires of the same population were analyzed for Phase 2 (cross-sectional), in which descriptive statistics and cross tab analysis were used to report the respondents\u27 perceptions. Both phases utilized online means of data gathering done via convenience sampling.
Results: Phase 1 revealed a Cronbach\u27s α value of 0.528 for all items of PoPTQ. Phase 2 showed that physicians who have attended lectures discussing the roles of PTs or have experience with working with them have a higher referral rate than those with no prior exposure to PTs.
Discussion: Filipino physicians believe that PTs can establish strong patient-therapist relationships, treat different patients, and acknowledge the roles of PTs in clinical and research settings. Data suggest that adequate foundational knowledge, positive perceptions, and high awareness of PTs\u27 roles and scope of practice are observed among Filipino physicians. However, there remains a need to increase collaboration opportunities between PTs and physicians in their academic years and programs that focus on the promotion of PT roles and scope of practice
A multi-objective reverse logistics model for electronic products considering environmental impacts and Kanban pull system
Technological innovation is exponentially growing at a quick rate, as well as its outputs- electronic products. Because of this, new products quickly replaces older ones, such that the rate of obsolescence is growing in number and the amount of electronic waste (e-waste) generated each year is also increasing with population. Moreover, a huge percentage of this goes to landfill or incineration. Recycling is being performed to prevent the damaging of the environment. However, only a few recycle because of the costs associated with the activities involved with it.
The recovery of materials from used electronic products that are already for disposal is referred to as reverse logistics or reverse supply chain. Studies regarding reverse logistics have been done before such as the study of Joaquinlao (2009) and the study of Cruz (2008) however there were some points which they failed to consider such as the relevance of inventory management in the reverse logistics system and the other environmental impacts aside from carbon emissions. One of the areas of concern in the product take back program is the inventory management of returns (Kuik, Dekker, & Fleischmann, 2001). Without proper inventory management, the system will be inefficient in terms of handling the stocks which can result in the recycling facility not being able to satisfy the raw material requirements of the manufacturing facility. If the requirements for raw materials of the manufacturing facility are not met, the tendency is to purchase raw materials from virgin material suppliers which would contribute to the environmental impact category of resource depletion. From this scenario, we can see that inventory management of returns has an indirect effect on the environmental impact generated by the reverse logistics system. In the study, a kanban system was applied to manage the inventory of returns. Also, carbon emission is not the only factor that affects the environmental impact generated by the system. Raw material extraction is also considered in the system because the requirements that recycling facilities can\u27t supply will be taken from the virgin raw material extraction and extracting natural resources is frequently a destructive activity that damages the rainforest ecosystem and causes problems for people living nearby and downstream from mining operations (Butler, 2011).A multi-objective mixed-integer programming model was created to capture operational aspects of the reverse supply chain of electronic waste. It aims to balance the two conflicting objectives, which are to minimize the total operating cost incurred by the system and to minimize the total negative environmental impact contributed by the activities of the supply chain. The model was used to come up with optimal decisions regarding the sourcing of raw materials, and the inventory level to maintain in order to ensure an efficient flow of materials and used products, which would contribute in lowering the environmental impact.Using General Algebraic Mathematical Model System (GAMS), the formulated model was validated to ensure that the model behaves as expected. To identify the significant variables that affect the system, sensitivity analysis was performed using Design of Experiments (DOE). The results of this analysis showed that the consideration of the environment aspect in the reverse supply chain would prefer a low kanban level for finished components and raw materials to maintain in order to have a balance between cost and environmental impact. Also, a higher kanban size for raw materials is preferred when considering the environment because this would ensure that there will be enough recycled materials while decreasing the frequency of replenishment. Recycled materials would be preferred when the processing cost, together with the collection cost, is cheaper compared to the purchasing cost of virgin raw materials. Moreover, if the weight for resource depletion is set to high, the amount of recycled materials to be ordered would be greater than the purchased virgin materials. Lastly, as cost is lowered, environmental impact would increase and vice versa.Suggestions for further research include considering the quality of recycled materials, using other environmental impact assessment methodology, incorporating other recovery options, and closing the supply chain loop