Sustainable competitive advantage in maternal and child healthcare institutions: A resource-based approach

The Chinese government has always attached great importance to protect the rights of women and children, and made consistent efforts to promote their all-round and health development. The country’s efforts in maternal and child health (MCH) have made significant improvements to the safety of mothers and infants, meeting their diversified health care demands and increasing fairness in medical treatment. While China’s medical reform progresses, the fall in birth rate and the growing diversified and multi-level health care service demands of people call for the survival and development of MCH institutions, especially MCH institution at the prefecture level facing more changes and challenges. Thus, MCH institutions need to explore new ways to improve their competitiveness and meet the challenges brought by these new changes. This research integrates qualitative and quantitative research methods by using scientific methods such as the Delphi Method and the Analytic Hierarchy Process. Through three rounds of expert consultation, we completed the construction of an evaluation index model of the competitive advantage of MCH institutions, and selected 10 MCH institutions to verify the applicability of the model. According to the sensitivity analysis results of the Super Decision software, the model was found to have good stability. From the evaluation model, it can be seen that human resources have the greatest weight. In practice, it is also found that people are the most controllable core resource, and the one with most potential. Therefore, by focusing on people as the core for MCH success, we have discussed the ways for MCH institutions to acquire and maintain competitive advantages from the three dimensions of discipline leader cultivation, scientific research ability improvement, and construction of a flexible hospital culture.O governo chinês sempre atribuiu grande importância à proteção dos direitos das mulheres e das crianças, desenvolvendo esforços consistentes para promover o seu desenvolvimento saudável. Nesse sentido, os esforços do país ao nível da saúde materno-infantil (SMI) trouxeram melhorias significativas para a segurança das mães e dos seus bebés, atendendo às suas necessidades específicas de cuidados de saúde e aumentando a equidade no tratamento médico. À medida que a reforma médica da China avança, a queda na taxa de natalidade e a crescente procura de serviços de saúde diversificados a vários níveis requerem a sobrevivência e o desenvolvimento das organizações de SMI, especialmente a nível municipal, que enfrentam mais mudanças e desafios. Assim, as organizações de SMI necessitam de explorar novas formas de melhorar a sua competitividade e enfrentar os desafios trazidos por essas novas mudanças. O presente estudo integra métodos de investigação qualitativa e quantitativa, nomeadamente o método Delphi e o Analytic Hierarchy Process. Por meio de três rondas de consulta a especialistas, foi possível desenvolver um índice de avaliação da vantagem competitiva das organizações de SMI, tendo sido selecionadas 10 instituições de SMI para verificar a aplicabilidade prática do sistema de avaliação. De acordo com os resultados da análise de sensibilidade realizada com recurso ao software Super Decisions, o modelo apresentou uma boa coerência interna e estabilidade no cálculo das performances parciais. Através do modelo de avaliação criado, percebe-se que os recursos humanos têm maior peso nas avaliações feitas. Também se descobriu que as pessoas constituem o recurso central mais controlável e aquele com maior potencial de desenvolvimento. Como tal, ao focarmo-nos nas pessoas como o elemento primário para o sucesso das organizações de SMI, discutimos diferentes formas para que estas organizações possam adquirir e manter vantagens competitivas sustentáveis, nomeadamente a partir da liderança, da melhoria da capacidade de investigação científica e de uma cultura hospitalar flexível

On the Uniqueness of Balanced Complex Orthogonal Design

Complex orthogonal designs (CODs) play a crucial role in the construction of space-time block codes. Their real analog, real orthogonal designs (or equivalently, sum of squares composition formula) have a long history. Adams et al. (2011) introduced the concept of balanced complex orthogonal designs (BCODs) to address practical considerations. BCODs have a constant code rate of $1/2$ and a minimum decoding delay of $2^m$, where $2m$ is the number of columns. Understanding the structure of BCODs helps design space-time block codes, and it is also fascinating in its own right. We prove, when the number of columns is fixed, all (indecomposable) balanced complex orthogonal designs (BCODs) have the same parameters $[2^m, 2m, 2^{m-1}]$, and moreover, they are all equivalent

Investigation on the hydrodynamic scaling effect of an OWC type wave energy device using experiment and CFD simulation

This paper presents a study of the effect of model scale on the performance of a fixed Oscillating Water Column (OWC) type Wave Energy Converter (WEC). Tank tests at two different scales, including the effect of scaling of the test tanks to minimise the bias introduced by different wave blockage effects. CFD simulations based on Reynolds Average Navier Stokes (RANS) method were then carried out for both scaled OWCs to investigate whether CFD simulation is able to reproduce the scale effect. Comparison between the tank test results and the CFD simulation results suggests that CFD simulation is capable of reproducing the hydrodynamic scaling effect with a good accuracy. Results also suggest that the hydrodynamic scaling effect is mainly introduced by the Reynolds number effect for cases investigated in the current study