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Jayawickrama, Uchitha, Shaofeng Liu, and Melanie Hudson Smith. "Knowledge prioritisation for ERP implementation success." Industrial Management & Data Systems 117, no. 7 (August 14, 2017): 1521–46. http://dx.doi.org/10.1108/imds-09-2016-0390.
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Purpose Knowledge management is crucial for enterprise resource planning (ERP) systems implementation in real industrial environments, but this is a highly demanding task. The purpose of this paper is to examine the effectiveness of knowledge identification, categorisation and prioritisation that contributes to achieving ERP implementation success. Design/methodology/approach This study adopts a mixed methods approach; a qualitative phase to identify and categorise knowledge types and sub-types; conducting in-depth interviews with ERP clients and implementation partners; plus a quantitative phase to prioritise knowledge types and sub-types based on their contribution to achieving ERP success for business performance improvement. An analytic hierarchy process-based questionnaire was used to collect empirical data for the quantitative phase. Findings This study has been able to identify, categorise and rank various types of ERP-related knowledge based on in-depth interviews and survey responses from both ERP clients and implementation partners. In total, 4 knowledge types and 21 sub-types were ranked based on their contribution to achieving ERP success; 4 variables of information quality, systems quality, individual impact and organisational impact were used to measure ERP success. Originality/value The empirical findings demonstrate exactly what kinds of knowledge need to be managed, enabling knowledge prioritisation when a client organisation or an implementation partner steps into an ERP implementation, in a real industrial environment.
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Sprengholz, Philipp, Lars Korn, Sarah Eitze, and Cornelia Betsch. "Allocation of COVID-19 vaccination: when public prioritisation preferences differ from official regulations." Journal of Medical Ethics 47, no. 7 (May 10, 2021): 452–55. http://dx.doi.org/10.1136/medethics-2021-107339.
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As vaccines against COVID-19 are scarce, many countries have developed vaccination prioritisation strategies focusing on ethical and epidemiological considerations. However, public acceptance of such strategies should be monitored to ensure successful implementation. In an experiment with N=1379 German participants, we investigated whether the public’s vaccination allocation preferences matched the prioritisation strategy approved by the German government. Results revealed different allocations. While the government had top-prioritised vulnerable people (being of high age or accommodated in nursing homes for the elderly), participants preferred exclusive allocation of the first available vaccines to medical staff and personnel caring for the elderly. Interestingly, allocation preferences did not change when participants were told how many individuals were included in each group. As differences between allocation policies and public preferences can affect trust in the government and threaten the social contract between generations, we discuss possible strategies to align vaccination prioritisations.
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Snape, C., N. Triteos, C. A. Wood, G. Robert, and J. Jones. "134 A Quality Improvement Project—Physiotherapy Caseload Management on the Older Person’s Unit." Age and Ageing 50, Supplement_1 (March 2021): i12—i42. http://dx.doi.org/10.1093/ageing/afab030.95.
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Abstract Introduction Complex health issues, co-morbidities and the number of patients living with frailty are critical concerns associated with the ageing population (Kojima et al, 2019). In this wider context, there is an emphasis on targeting resources efficaciously within the NHS. A consequence of capacity constraints, inpatient physiotherapy teams across the OPU at a large urban teaching hospital, prioritise their patient caseload, but lack evidence-based guidance on dosage and frequency of physiotherapy intervention, to inform the process. The aim of the quality improvement project was to design and deliver a staff education and training package to facilitate implementation of a newly-developed, evidence-based prioritisation resource. Method Plan-Do-Study-Act cycles and the Com-B model to influence behaviour changes were employed between October 2019 and March 2020. Stakeholders were engaged throughout the design process. Training to all 11 physiotherapists consisted of familiarisation with the resource through content discussion and “mock-use” training sessions to ensure intra/inter-rater-reliabilty. Physiotherapist staff knowledge and confidence of prioritisation was evaluated by questionnaire. Accuracy of use of the prioritisation tool was determined by comparison of staff prioritisation decision with expert opinion. Results From the 11 questionnaire responses, pre to post intervention physiotherapy knowledge of the prioritisation categories increased (43% to 100%), physiotherapist rated confidence using the prioritisation tool increased (mean score, 6.9 to 8.2/10) and accuracy of prioritisation of patients improved (mean 42.1% to 92.3%). Conclusion The education and training package developed to support implementation of the prioritisation tool resulted in improved staff knowledge and confidence of patient prioritisation and increased the accuracy of OPU physiotherapy targeting. This project has highlighted the importance of staff training in resource allocation to ensure that decisions regarding which patients receive physiotherapy intervention are efficacious. This has increased relevance in a department with a large number of rotational staff.
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Böhle, K. "On Key Issues of Foresight: Participation, Prioritisation, Implementation, Impact." TATuP - Zeitschrift für Technikfolgenabschätzung in Theorie und Praxis 12, no. 2 (August 1, 2003): 32–38. http://dx.doi.org/10.14512/tatup.12.2.32.
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Norum, Jan, Steinar Pedersen, Jan Størmer, Markus Rumpsfeld, Anders Stormo, Nina Jamissen, Harald Sunde, Tor Ingebrigtsen, and Mai-Liss Larsen. "Prioritisation of telemedicine services for large scale implementation in Norway." Journal of Telemedicine and Telecare 13, no. 4 (June 2007): 185–92. http://dx.doi.org/10.1258/135763307780908076.
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Williamson, Claire, Aisling Collins, Bernard Carr, Gail Melanophy, and Stephen Byrne. "338 Evaluation of a new clinical pharmacy service model in a University Teaching hospital in Dublin, Ireland." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.221.
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Abstract Background Advances in medicines reconciliation, drug monitoring and patient counselling requirements as well as added non-clinical responsibilities at ward level have led to an increased workload on a ward-based pharmacist. There is a need to optimise the service to meet these demands. The aim of this study was to audit the current clinical pharmacy services and to implement a New Model of Clinical Pharmacy on four wards to aid in the optimisation and prioritisation of patients during the clinical ward service. Methods The study was undertaken in Dublin based, University Teaching Hospital between March and June 2018. The study included the following: (1) a comprehensive literature review, (2) focus groups with key decision makers, (3) the collection and analysis of quantitative data on patients screening and interventions performed pre- and post- model implementation, (4) the final stage involved a satisfaction surveys from pharmacists involved in the study. Local ethical approval was obtained for this study. Results The new clinical pharmacy model increased the amount of medicines reconciliation completed (pre-model implementation 77.7% (n=192) versus post-model implementation 81.6% (n=236)), decreased time to medication reconciliation completion on Mondays and Fridays, increased discharge information cards completed and did not show statistical inferiority in the amount of interventions picked up by pharmacists (p value= 0.86; two tailed t-test). Pharmacists in the study felt the model impacted their clinical ward visit positively and aided prioritisation but did not improve on their overall job satisfaction level. Conclusion The study shows that a new model of clinical pharmacy can impact positively on a pharmacist’s working day by formalising the prioritisation of high-risk patients, setting clear expectations and structure without impacting negatively on other clinical duties. It is believed that the model developed will continue to support the pharmacists’ decision making and workload prioritisation post implementation of electronic prescribing.
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Mills, Pamela, and Katie MacLure. "Implementation of patient prioritisation tools: impact on integrated pharmaceutical care provision." International Journal of Integrated Care 19, no. 4 (August 8, 2019): 154. http://dx.doi.org/10.5334/ijic.s3154.
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Waldau, Susanne. "Local prioritisation work in health care—Assessment of an implementation process." Health Policy 81, no. 2-3 (May 2007): 133–45. http://dx.doi.org/10.1016/j.healthpol.2006.05.007.
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Dimla, Bernadette, Denise Wood, and Lynne Parkinson. "A Qualitative Study on How Social Workers From Regional and Metropolitan Queensland, Australia Perceive the Impact of the National Prioritisation System on Hospital Discharge Planning: A Study Protocol." International Journal of Qualitative Methods 19 (January 1, 2020): 160940692097354. http://dx.doi.org/10.1177/1609406920973543.
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In 2012, the Australian Commonwealth Government introduced a series of reforms for the aged care sector including the implementation of the National Prioritisation System for a flexible, accessible and demand-driven approach to home care services for older people. Nevertheless, an increasing number of older people continue to wait for months to be assigned home care packages on the national prioritisation queue, a component of the National Prioritisation System. There is limited evidence on the impact of the national prioritisation queue on discharge planning practices of social workers in supporting older people returning home from hospital admission. The aim of the research described in this paper is to explore the perceptions of social workers from rural and urban health services areas on how the introduction of the national prioritisation queue has influenced discharge planning of older people who are still waiting assignment of home care packages. This study protocol establishes the need for this qualitative study and provides an overview of the theoretical framework underpinning the research; discusses and describes the methods for sampling/recruitment and data collection, the approach to be utilised for qualitative analysis and the planned dissemination strategy. Understanding how social workers respond to the perceived challenges to discharge planning posed by the national prioritisation queue and the implications arising from the research have the potential to inform the development of best practice approaches and further enhance social work response to identified issues.
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Szabó, Zsuzsanna Katalin, and Lucian Chiriac. "Investigations Concerning E-Government Adoption in Transition Economies." Acta Oeconomica 66, no. 1 (March 2016): 57–78. http://dx.doi.org/10.1556/032.2016.66.1.3.
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The implementation of efficient cross-border digital public services for a connected Europe, a developed e-government represents a priority for the European Union. There are big differences in the way e-government is adopted. Transition economies lag behind developed economies. This paper explores the e-government adoption in its multidimensionality within the EU member states. It uses 22 variables, which highlight: technological preparedness, the ability to access and absorb information and information technology, the ability to generate, adopt and spread knowledge, the social and legal environment, the government policy and vision, and consumer and business adoption and innovation. Barriers to efficient e-government adoption in transition economies are identified. Multicriteria decision analysis is used for the prioritisation of the factors with the highest overall impact on efficient implementation. The authors use the Analytical Hierarchy Process (AHP method) for prioritisation and the numerical results are obtained with Expert Choice software.
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Capotorti, Giulia, Vera De Lazzari, and Marta Alós Ortí. "Local Scale Prioritisation of Green Infrastructure for Enhancing Biodiversity in Peri-Urban Agroecosystems: A Multi-Step Process Applied in the Metropolitan City of Rome (Italy)." Sustainability 11, no. 12 (June 16, 2019): 3322. http://dx.doi.org/10.3390/su11123322.
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Urban–rural interfaces represent complex systems that require complex solutions for sustainable development and resilience against pollution, habitat fragmentation, biodiversity loss and impaired flux of ecosystem services (ES). Green infrastructure (GI) is increasingly recognised as an effective tool for addressing such a complexity, but needs priority setting to maximise benefits and minimise drawbacks of implementation. Therefore, a prioritisation approach focused on biodiversity and ES in peri-urban areas is required. In the present work, a systematic and hierarchical framework is proposed for setting priority GI objectives, location and actions aimed at enhancing local biodiversity, ES flux and farming sustainability in urban peripheries. By means of a case study in the Metropolitan City of Rome, the framework allowed identification of the main demand for ES and biodiversity; the most suitable location for GI implementation; and the best cost-effective actions. The GI implementation showed an improvement in terms of wooded hedgerow density, an increase regarding the ecological connectivity of riparian ecosystems, and an increment of agroecosystems designated to enhance the ecological network and wildlife support. Finally, the prioritisation framework contributes to fostering environmental benefits while complying with regulations and management practices from the regional to the farm/field decision level.
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Ragaišytė, Ieva Marija. "Challenges in Harmonising and Implementing the Environmental Crime Directive." Teisė 118 (March 2, 2021): 130–44. http://dx.doi.org/10.15388/teise.2020.118.8.
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The article analyses the harmonisation framework under TFEU of the Directive 2008/99/EC and the possible difficulties in implementing the document in national legislation. An inadequately chosen legitimate purpose and the lack of the prioritisation of environmental crime in the Member States result in harmonisation and implementation problems related to issues of the definitions of the offences, their differentiation and compliance with fundamental principles of the law.
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Nkhwalume, Ludo, and Yohana Mashalla. "Health care workers experiences in emergency obstetric care following implementation of an in-service training program: case of 2 Referral Hospitals in Botswana." African Health Sciences 21 (May 23, 2021): 51–58. http://dx.doi.org/10.4314/ahs.v21i.9s.
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Background: Maternal mortality rate remains a challenge in many developing countries.
Objectives: This study explored experiences of Health Care Workers on Emergency Obstetrics Care (EMOC) in-service training and its effect on maternal mortality.
Methods: Descriptive qualitative study design was conducted using in-depth interviews and focus group discussions. Par- ticipants were EMOC trained midwives and doctors purposively selected from the 2 referral hospitals in the country. Data were transcribed verbatim, coded, and analysed using Grounded Theory approach.
Results: Four themes emerged including training, EMOC implementation, maternal death factors and EMOC prioritisation. The duration of training was viewed inadequate but responsiveness to and confidence in managing obstetric emergencies improved post EMOC training. Staff shortage, HCWs non-adherence and negative attitude to EMOC guidelines; delays in instituting interventions, inadequate community involvement, minimal or no health talk to women and their partners and communities on sexual reproductive matters and non-prioritisation of EMOC by authorities were concerns raised.
Conclusion: Strengthening health education at health facility levels, stakeholders’ involvement; and prioritising EMOC in-service training are necessary in reducing the national maternal mortality.
Keywords: Maternal mortality; health care workers; EMOC, in-service training.
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Nkhwalume, Ludo, and Yohana Mashalla. "Health care workers experiences in emergency obstetric care following implementation of an in-service training program: case of 2 Referral Hospitals in Botswana." African Health Sciences 21, no. 1 (May 23, 2021): 51–58. http://dx.doi.org/10.4314/ahs.v21i1.9s.
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Background: Maternal mortality rate remains a challenge in many developing countries.
Objectives: This study explored experiences of Health Care Workers on Emergency Obstetrics Care (EMOC) in-service training and its effect on maternal mortality.
Methods: Descriptive qualitative study design was conducted using in-depth interviews and focus group discussions. Par- ticipants were EMOC trained midwives and doctors purposively selected from the 2 referral hospitals in the country. Data were transcribed verbatim, coded, and analysed using Grounded Theory approach.
Results: Four themes emerged including training, EMOC implementation, maternal death factors and EMOC prioritisation. The duration of training was viewed inadequate but responsiveness to and confidence in managing obstetric emergencies improved post EMOC training. Staff shortage, HCWs non-adherence and negative attitude to EMOC guidelines; delays in instituting interventions, inadequate community involvement, minimal or no health talk to women and their partners and communities on sexual reproductive matters and non-prioritisation of EMOC by authorities were concerns raised.
Conclusion: Strengthening health education at health facility levels, stakeholders’ involvement; and prioritising EMOC in-service training are necessary in reducing the national maternal mortality.
Keywords: Maternal mortality; health care workers; EMOC, in-service training.
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Bhandari, Dimple, Rajesh Kr Singh, and Suresh K. Garg. "Prioritisation and evaluation of barriers intensity for implementation of cleaner technologies: Framework for sustainable production." Resources, Conservation and Recycling 146 (July 2019): 156–67. http://dx.doi.org/10.1016/j.resconrec.2019.02.038.
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Nogalski, Bogdan, and Przemysław Niewiadomski. "Implementation competences as an attribute of executive employees of the flexible organisation – an attempt of their assessment among manufacturers of the agricultural machinery sector." Management 20, no. 2 (December 1, 2016): 65–87. http://dx.doi.org/10.1515/manment-2015-0051.
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Summary Based on theoretical knowledge, own professional experience and conducted research, according to the authors, the paper’s objective is to develop and empirically verify the theoretical model of implementation competences of the executive employees of manufacturing companies of the agricultural machinery sector. The main objective achievement required to formulate and reach partial objectives, which include: a) discussion and organisation of terminological issues in terms of understanding the term of implementation competences, b) development of a general model of the executive employees’ implementation competences, which is a sign of knowledge, skills, personality features, attitudes and values, c) empirical verification of the theoretical model; prioritisation of individual implementation competences in the assessment of executive employees or owners of selected companies and determination of competence weaknesses, which are characteristic of the executive personnel of these companies.
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Rowley, Stephen, and Simon Clare. "Improving standards of aseptic practice through an ANTT trust-wide implementation process: a matter of prioritisation and care." Journal of Infection Prevention 10, no. 1_suppl (August 27, 2009): S18—S23. http://dx.doi.org/10.1177/1757177409342140.
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septic technique is a critical last line of defence between patients and clinical staff. Aseptic Non Touch Technique (ANTT) recognises this and is based on the premise that reducing the variables in aseptic practice across large clinical workforces by standardising aseptic technique will improve quality of practice and subsequently infection rates. The scale of adoption of ANTT in the National Health Service (NHS) continues to grow, with uptake currently estimated at between 150—250 NHS hospitals using ANTT as a standard aseptic technique. To better understand how effectively the implementation process was working in different trusts a convenience sample of acute trusts (n=7) was reviewed. The trusts used the recommended ANTT implementation framework and applicable audit tools. Feedback was requested regarding the implementation process as well as healthcare associated infection (HCAI) trends mapped before and after ANTT implementation. All seven trusts had found the ANTT implementation process an effective tool for standardising aseptic practice across large clinical workforces. Data reviewed from five of the trusts suggests the process impacted positively on HCAI trends. Limitations include appreciating ANTT implementation alongside other infection control interventions. More controlled studies appear to be warranted, especially now that ANTT is the most common standard aseptic technique in NHS hospitals.
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Cagliero, Roberto, Francesco Bellini, Francesco Marcatto, Silvia Novelli, Alessandro Monteleone, and Giampiero Mazzocchi. "Prioritising CAP Intervention Needs: An Improved Cumulative Voting Approach." Sustainability 13, no. 7 (April 3, 2021): 3997. http://dx.doi.org/10.3390/su13073997.
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The process to define the 2023–2027 Common Agricultural Policy (CAP) is underway. The implementation model governing the process requires each EU Member State to design a National Strategic Plan to deliver operational actions exploiting the synergies under the two pillars of the policy. Each Plan must be built from an evidence-based needs assessment that undergoes rigorous prioritisation and planning to create comprehensive, integrated, and achievable interventions. In Italy, the success of this planning process requires all interested stakeholders to generate options for the regional authorities who plan, manage, and legislate agricultural activities. This research proposes a decision-making technique, based on the cumulative voting approach, that can be used effectively when multiple persons from different backgrounds and perspectives are engaged in problem-solving and needs prioritisation. The results indicate that the model can be applied both theoretically and practically to prioritise Strategic Plan needs that involve national and regional authorities. Validation of the model allows it to be used in the next consultative processes and for expansion to socioeconomic stakeholders.
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Khajouei, Hamid, Mohammad Javad Jamshidi, and Hashem Nasrabadi. "Investigation and prioritisation of cultural barriers against implementation of knowledge management in Kerman Regional Electric Company." International Journal of Knowledge Management Studies 7, no. 3/4 (2016): 257. http://dx.doi.org/10.1504/ijkms.2016.082344.
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Nasrabadi, Hashem, Hamid Khajouei, and Mohammad Javad Jamshidi. "Investigation and prioritisation of cultural barriers against implementation of knowledge management in Kerman Regional Electric Company." International Journal of Knowledge Management Studies 7, no. 3/4 (2016): 257. http://dx.doi.org/10.1504/ijkms.2016.10003230.
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Fenech, Daniel, Alan Deidun, and Adam Gauci. "A Spatial Prioritisation Exercise for Marine Spatial Planning Implementation within MPA MT105 of the Maltese Islands." Journal of Coastal Research 95, sp1 (May 26, 2020): 790. http://dx.doi.org/10.2112/si95-154.1.
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Jaiswal, Piyush, and Amaresh Kumar. "Prioritisation of barriers in implementation of green manufacturing in Indian SMEs through integrated grey-DEMATEL approach." International Journal of Manufacturing Technology and Management 32, no. 3 (2018): 215. http://dx.doi.org/10.1504/ijmtm.2018.091758.
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Kumar, Amaresh, and Piyush Jaiswal. "Prioritisation of barriers in implementation of green manufacturing in Indian SMEs through integrated grey-DEMATEL approach." International Journal of Manufacturing Technology and Management 32, no. 3 (2018): 215. http://dx.doi.org/10.1504/ijmtm.2018.10012762.
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de Azambuja, Evandro, Dario Trapani, Sibylle Loibl, Suzette Delaloge, Elzbieta Senkus, Carmen Criscitiello, Philip Poortman, et al. "ESMO Management and treatment adapted recommendations in the COVID-19 era: Breast Cancer." ESMO Open 5, Suppl 3 (May 2020): e000793. http://dx.doi.org/10.1136/esmoopen-2020-000793.
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The global preparedness and response to the rapid escalation to severe acute respiratory syndrome coronavirus (SARS-CoV)-2-related disease (COVID-19) to a pandemic proportion has demanded the formulation of a reliable, useful and evidence-based mechanism for health services prioritisation, to achieve the highest quality standards of care to all patients. The prioritisation of high value cancer interventions must be embedded in the agenda for the pandemic response, ensuring that no inconsistency or discrepancy emerge in the health planning processes.The aim of this work is to organise health interventions for breast cancer management and research in a tiered framework (high, medium, low value), formulating a scheme of prioritisation per clinical cogency and intrinsic value or magnitude of benefit. The public health tools and schemes for priority setting in oncology have been used as models, aspiring to capture clinical urgency, value in healthcare, community goals and fairness, while respecting the principles of benevolence, non-maleficence, autonomy and justice.We discuss the priority health interventions across the cancer continuum, giving a perspective on the role and meaning to maintain some services (undeferrable) while temporarily abrogate some others (deferrable). Considerations for implementation and the essential link to pre-existing health services, especially primary healthcare, are addressed, outlining a framework for the development of effective and functional services, such as telemedicine.The discussion covers the theme of health systems strategising, and why oncology care, in particular breast cancer care, should be maintained in parallel to pandemic control measures, providing a pragmatic clinical model within the broader context of public healthcare schemes.
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Yadav, Gunjan, Dinesh Seth, and Tushar N. Desai. "Prioritising solutions for Lean Six Sigma adoption barriers through fuzzy AHP-modified TOPSIS framework." International Journal of Lean Six Sigma 9, no. 3 (August 6, 2018): 270–300. http://dx.doi.org/10.1108/ijlss-06-2016-0023.
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Purpose This paper aims to guide about prioritisation and ranking of the solutions and overcoming barriers to facilitate the adoption of Lean Six Sigma (LSS) by using a hybrid framework. Design/methodology/approach It identifies LSS barriers and solutions to facilitate LSS adoption through literature review and by involving subject experts. The study makes use of fuzzy set theory and proposes a fuzzy analytical hierarchy process (AHP)-modified TOPSIS (technique for order preference by similarity to ideal solution) framework. It uses sensitivity analysis to establish framework robustness. Findings The key findings of this techno-managerial study are identification and prioritisation of 27 LSS barriers and 22 solutions to overcome adoption challenges, proposition and usage of fuzzy AHP-modified TOPSIS framework, guidance regarding where to focus for facilitating LSS adoption and ensuring robustness using sensitivity analysis, which establishes insignificant deviation in rankings when criteria weights are altered. Research limitations/implications Some biasness and subjectivity may exist during pairwise comparisons as human judgements are involved. Practical implications Handling a hybrid solution like LSS is never easy. It is expected that the study will help industry professionals to plan their LSS adoption attempts effectively. Guidance regarding LSS barriers will assist in observing necessary precautions to avoid failures. It will open up new research fronts for researchers also. Originality/value Literature is full of studies regarding LSS barriers and its rankings. It is very rare to witness a study like ours, which discusses the barriers and links with solutions and its prioritisation. Proposed hybrid framework for a hybrid techno-managerial approach such as LSS is unique and acts as the roadmap for smooth implementation.
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Gošnik, Dušan, and Matej Hohnjec. "Selection Criteria for Six Sigma Projects in Slovenian Manufacturing Companies." Organizacija 42, no. 4 (July 1, 2009): 137–43. http://dx.doi.org/10.2478/v10051-009-0011-4.
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Selection Criteria for Six Sigma Projects in Slovenian Manufacturing CompaniesResearches reveal that successful six sigma implementation is related to proper six sigma project prioritisation and selection. This research is limited to the selection of six sigma projects in some manufacturing companies in Slovenia. The purpose of this study is to identify what criteria are considered for prioritisation and selection of six sigma projects and how six sigma projects are selected. A research sample is limited by the number of companies which have implemented six sigma so far. The results indicate that Slovenian manufacturing organisations tend to select six sigma projects based on criteria such as customer satisfaction, connection with a business strategy financial benefits, and growth of the organisation. Several tools and techniques such as quality cost analysis, brainstorming and interviews are used to identify and prioritise projects. Identification of the most commonly used criteria to select six sigma projects can help practitioners to select projects based on multiple criteria by using tools and techniques identified in this study. This topic has not been applied in the field of Slovenian manufacturing companies and thus it presents the first study in this field in Slovenia.
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Hessami, Farokh. "Identification and prioritisation of effective factors on CRM implementation: a case study of insurance industry in Iran." International Journal of Electronic Customer Relationship Management 9, no. 2/3 (2015): 158. http://dx.doi.org/10.1504/ijecrm.2015.071714.
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Khan, Wasiq Mehmood, Helen Smith, Ejaz Qadeer, and Sondus Hassounah. "Knowledge and perceptions of national and provincial tuberculosis control programme managers in Pakistan about the WHO Stop TB strategy: a qualitative study." JRSM Open 8, no. 1 (December 1, 2016): 205427041667508. http://dx.doi.org/10.1177/2054270416675084.
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Objective To understand how national and provincial tuberculosis programme managers in Pakistan perceive and engage with the Stop TB strategy, its strengths, weaknesses and their experience in its implementation. National and provincial tuberculosis programme managers play an important role in effective implementation of the Stop TB strategy. Design A qualitative interview study was conducted with 10 national and provincial tuberculosis programme managers to understand how they perceive and engage with the Stop TB strategy, its strengths, weaknesses and their experience in its implementation. Managers were selected purposively; 10 managers were interviewed (six national staff and four from provincial level). Participants National and provincial tuberculosis programme managers in Pakistan. Managers were selected purposively; 10 managers were interviewed (six national staff and four from provincial level). Setting National and provincial tuberculosis programmes in Pakistan Main outcome measures 1. Knowledge and perceptions of national and provincial tuberculosis programme managers about the Stop TB strategy 2. Progress in implementing the strategy in Pakistan 3. Significant success factors 4. Significant implementation challenges 5. Lessons learnt to scale up successful implementation. Results The managers reported that most progress had been made in extending DOTS, health systems strengthening, public -private mixed interventions, MDR-TB care and TB/HIV care. The four factors that contributed significantly to progress were the availability of DOTS services, the public-private partnership approach, comprehensive guidance for TB control and government and donor commitment to TB control. Conclusion This study identified three main challenges as perceived by national and provincial tuberculosis programme managers in terms of implementing the Stop TB strategy: 1. Inadequate political commitment, 2. Issue pertaining to prioritisation of certain components in the TB strategy over others due to external influences and 3. Limitations in the overall health system. To improve the tuberculosis control programme in the country political commitment needs to be enhanced and public -private partnerships increased. This can be done through government prioritisation of TB control at both national and provincial levels; donor-funded components should not receive undue attention; and partnerships with the private health sector, health institutions not yet covered by DOTS services, non-governmental organisations and patient coalitions should be increased.
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Wang, Chengbo, Zhaofang Mao, James O'Kane, and Jun Wang. "An exploration on e-retailers’ home delivery – strategic elements and their prioritisation." Business Process Management Journal 22, no. 3 (June 6, 2016): 614–33. http://dx.doi.org/10.1108/bpmj-04-2015-0048.
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Purpose – The purpose of this paper is to introduce a research exploring the important strategic elements and their prioritisation for e-retailers’ home delivery logistics process efficacy improvement. Design/methodology/approach – The research was completed through focus group, survey and importance-performance analysis. Findings – The research identified, confirmed and prioritised a set of explicitly important strategic elements currently deemed important by e-retailers for ensuring the efficacy of their home delivery logistics process in Chinese marketplace, and also referential to the other similar emerging marketplaces. Research limitations/implications – The research contributes positively to the enrichment of the theoretical knowledge pool of e-retailers’ logistics performance improvement. Practical implications – The research findings guide/inform the strategy development and implementation for e-retailers entering and/or operating in Chinese marketplace. And the findings can also be referential to the e-retail strategy development for entering and operating in other emerging markets similar to China’s. This point is particularly meaningful for those e-retailers that want to expand the outreaching and increase the popularity of their businesses in the global marketplace. Originality/value – Corresponding to the much needed further research on e-retailing home delivery performance improvement, the research provides findings that add substantial new insights into the field, with a particular focus on China, as one of the emerging developing marketplaces.
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Breheny, Katie, Emma Frew, Iestyn Williams, Sandra Passmore, and Joanna Coast. "Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff." International Journal of Environmental Research and Public Health 17, no. 23 (December 4, 2020): 9077. http://dx.doi.org/10.3390/ijerph17239077.
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Schools are an ideal setting to deliver public health interventions, yet there are competing obligations that could limit their implementation. This study aimed to examine the decision making process and explore what evidence informs prioritisation of public health interventions in this setting. Semi-structured interviews were conducted with 14 staff in seven UK schools between November 2017 and March 2018. Participants were recruited from schools participating in The Birmingham Daily Mile trial and comprised leadership staff, teachers, and pastoral staff. Analyses used a constant comparison approach to explore the prioritisation process and schools’ use of economic evidence. Teachers felt that they had little decision making influence in regard to public health interventions, with this falling on leadership staff. Participants perceived tension between delivering academic subjects and public health initiatives and thought proven impact was important to justify the opportunity cost. Evidence did not appear to be routinely used, and participants were unaware of cost-effectiveness analyses, but thought it could be a useful tool. This study shows that schools face challenges in balancing the academic, health, and wellbeing needs of children. There is a need for targeted evidence that includes appropriate costs and outcomes and meets school decision makers’ needs.
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Horat, Sandra, and Peter Bachmann. "Stand der überbetrieblichen forstlichen Planung in den Kantonen Ende 2003 | Situation regarding regional forestry planning in the Cantons at the end of 2003." Schweizerische Zeitschrift fur Forstwesen 155, no. 5 (May 1, 2004): 119–24. http://dx.doi.org/10.3188/szf.2004.0119.
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The level of implementation of the forestry developmentplanning programme (WEP) was ascertained by the means of a written questionnaire sent to the pertinent Cantonal offices. In comparison with the previous questionnaire, in 2000, most of the Cantons have made progress. However, the forestry development plans have not come into force in their entirety in any Canton, with the exception of Geneva. The current plans have several weak points. Frequent defects are the missing or inadequate guidelines for the use of funding destined for the introduction or implementation of the plans, a lack of prioritisation and insufficient levels of controlling. In view of the introduction of the new federal financial redistribution rules a majority of Cantons would be prepared to accept the WEP as the basis for a performance agreement between federal and cantonal levels of government.
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Iqbal, Halima, Jane West, Melanie Haith-Cooper, and Rosemary R. C. McEachan. "A systematic review to identify research priority setting in Black and minority ethnic health and evaluate their processes." PLOS ONE 16, no. 5 (May 28, 2021): e0251685. http://dx.doi.org/10.1371/journal.pone.0251685.
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Background Black, Asian and minority ethnic communities suffer from disproportionately poorer health than the general population. This issue has been recently exemplified by the large numbers of infection rates and deaths caused by covid-19 in BAME populations. Future research has the potential to improve health outcomes for these groups. High quality research priority setting is crucial to effectively consider the needs of the most vulnerable groups of the population. Objective The purpose of this systematic review is to identify existing research priority studies conducted for BAME health and to determine the extent to which they followed good practice principles for research priority setting. Method Included studies were identified by searching Medline, Cinnahl, PsychINFO, Psychology and Behavioral Sciences Collection, as well as searches in grey literature. Search terms included “research priority setting”, “research prioritisation”, “research agenda”, “Black and minority ethnic”, “ethnic group”. Studies were included if they identified or elicited research priorities for BAME health and if they outlined a process of conducting a research prioritisation exercise. A checklist of Nine Common Themes of Good Practice in research priority setting was used as a methodological framework to evaluate the research priority processes of each study. Results Out of 1514 citations initially obtained, 17 studies were included in the final synthesis. Topic areas for their research prioritisation exercise included suicide prevention, knee surgery, mental health, preterm birth, and child obesity. Public and patient involvement was included in eleven studies. Methods of research prioritisation included workshops, Delphi techniques, surveys, focus groups and interviews. The quality of empirical evidence was diverse. None of the exercises followed all good practice principles as outlined in the checklist. Areas that were lacking in particular were: the lack of a comprehensive approach to guide the process; limited use of criteria to guide discussion around priorities; unequal or no representation from ethnic minorities, and poor evaluation of their own processes. Conclusions Research priority setting practices were found to mostly not follow good practice guidelines which aim to ensure rigour in priority setting activities and support the inclusion of BAME communities in establishing the research agenda. Research is unlikely to deliver useful findings that can support relevant research and positive change for BAME communities unless they fulfil areas of good practice such as inclusivity of key stakeholders’ input, planning for implementation of identified priorities, criteria for deciding on priorities, and evaluation of their processes in research priority setting.
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Murphy, Jane, Michael Bracher, Daria Tkacz, Annemarie Aburrow, Grace Allmark, Kathy Steward, Kathy Wallis, and Carl May. "Malnutrition in community-dwelling older people: lessons learnt using a new procedure." British Journal of Community Nursing 25, no. 4 (April 2, 2020): 193–95. http://dx.doi.org/10.12968/bjcn.2020.25.4.193.
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This article reports the implementation of a new procedure for screening and treatment of malnutrition in a community NHS trust in England. The barriers and facilitators to implementation were assessed with staff from Integrated Community and Older People's Mental Health teams. Data from interviews and surveys were collected at baseline, 2 months after initial training and 16 months after initial training as well as following deployment of a nutrition lead to embed new developments for nutritional care. The adoption of the procedure made screening and treatment of malnutrition simpler and more likely to be actioned. The benefit of a nutrition lead and local nutrition champions to support and empower staff (avoiding reliance on training alone) was shown to drive change for nutritional care across the community. Prioritisation and commitment of leadership at the organisational level are needed to embed and sustain malnutrition screening and treatment in routine practice.
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Ivanova, Svetlana V. "Economic Incentive Mechanisms for the Protection and Use of Biological Diversity in the Russian Federation." Environmental Policy and Law 50, no. 3 (December 21, 2020): 269–77. http://dx.doi.org/10.3233/epl-200223.
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This paper explores economic incentive mechanisms for the protection and sustainable use of biological diversity in general and more specifically of animals (often referred to as “wildlife”). Based on the author’s analysis of wildlife and tax legislation provisions and law enforcement practice, it concludes that the Russian Federation lacks effective and efficient economic incentives to promote the protection and use of wildlife. It proposes incentive measures for the implementation of legislative norms and economic regulation regarding the protection and sustainable use of the animal world. These incentives are intended to provide tools for sustainable use of wildlife and enhance the dialogue with business entities regarding the prioritisation of environmentally friendly economic activities.
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Pearce, Antony, and Dirk Pons. "Implementing Lean Practices: Managing the Transformation Risks." Journal of Industrial Engineering 2013 (December 18, 2013): 1–19. http://dx.doi.org/10.1155/2013/790291.
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Insightful implementation of lean is necessary for high-value manufacturing and is complementary to strategic decision making regarding manufacture. However lean can be difficult to implement in specific organisations. One of the difficulties is deciding which of the many lean tools to apply and when to apply them. A complicating factor is change management. Lean implementation is a transformational process and needs to support organisational development alongside process improvement. We develop a method based on risk management to identify which lean tools are most appropriate for a specific organisational setting. This permits the situational and contingency variables to be accommodated in the lean transformation. The method is demonstrated by application to a small manufacturing organisation with a high-variety low-volume business model. Thus it is possible, given contextual knowledge of the organisation, to predict which lean methods are most important in the situation. This enables the prioritisation of organisational effort towards lean methods that are relevant to the organisation at that particular time in its development.
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Olsson, Olle. "Are cancer care pathways associated with longer waiting times. Analysing crowding out effects in radiology, pathology, and surgery." International Journal of Care Coordination 23, no. 4 (December 2020): 147–55. http://dx.doi.org/10.1177/2053434520978173.
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Introduction In 2015, Sweden initiated the implementation of standardised cancer care pathways (CCPs). With short, nationally imposed target times from diagnosis to first treatment, the issue of crowding out effects has been debated. This study investigate whether the implementation of CCPs is associated with longer waiting times for surgery, radiology scans and pathology analyses for other patient groups. Methods Data from the internal computer systems used in radiology, pathology and surgery to plan and follow the production at a county hospital in Sweden during 2014–2017 were analysed. By utilising the different priority categories used in these specialties, changes in waiting times before and after the implementation of CCPs could be analysed. Results The results are consistent with an association between the implementation of CCPs and longer waiting times for the priority category prioritised immediately after the CCP category in all specialties. In addition, none of the lowest priority categories within each subspecialty have experienced increased waiting times after CCP implementation. Discussion These results are consistent with a change in prioritisation where CCP patients are receiving shorter waiting times after CCP implementation at the expense of other patient groups. Crowding out effects related to CCP implementation have not been previously researched. This study therefore fills a gap in present literature. With an increased awareness of these challenges, and a more holistic perspective in the implementation process, actions can be put in place to identify and counteract crowding out effects.
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Woods, Beth, Laetitia Schmitt, Claire Rothery, Andrew Phillips, Timothy B. Hallett, Paul Revill, and Karl Claxton. "Practical metrics for establishing the health benefits of research to support research prioritisation." BMJ Global Health 5, no. 8 (August 2020): e002152. http://dx.doi.org/10.1136/bmjgh-2019-002152.
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IntroductionWe present practical metrics for estimating the expected health benefits of specific research proposals. These can be used by research funders, researchers and healthcare decision-makers within low-income and middle-income countries to support evidence-based research prioritisation.MethodsThe methods require three key assessments: (1) the current level of uncertainty around the endpoints the proposed study will measure; (2) how uncertainty impacts on the health benefits and costs of healthcare programmes and (3) the health opportunity costs imposed by programme costs. Research is valuable because it can improve health by informing the choice of which programmes should be implemented. We provide a Microsoft Excel tool to allow readers to generate estimates of the health benefits of research studies based on these three assessments. The tool can be populated using existing studies, existing cost-effectiveness models and expert opinion. Where such evidence is not available, the tool can quantify the value of research under different assumptions. Estimates of the health benefits of research can be considered alongside research costs, and the consequences of delaying implementation until research reports, to determine whether research is worthwhile. We illustrate the method using a case study of research on HIV self-testing programmes in Malawi. This analysis combines data from the literature with outputs from the HIV synthesis model.ResultsFor this case study, we found a costing study that could be completed and inform decision making within 1 year offered the highest health benefits (67 000 disability-adjusted life years (DALYs) averted). Research on outcomes improved population health to a lesser extent (12 000 DALYs averted) and only if carried out alongside programme implementation.ConclusionOur work provides a method for estimating the health benefits of research in a practical and timely fashion. This can be used to support accountable use of research funds.
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Vecchione, Loredana, Sebastian Stintzing, George Pentheroudakis, Jean-Yves Douillard, and Florian Lordick. "ESMO management and treatment adapted recommendations in the COVID-19 era: colorectal cancer." ESMO Open 5, Suppl 3 (May 2020): e000826. http://dx.doi.org/10.1136/esmoopen-2020-000826.
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COVID-19 pandemic challenges health system capacities in many countries. National healthcare services have to manage unexpected shortage of healthcare resources that have to be reallocated according to the principles of fair and ethical prioritisation, in order to maintain the highest levels of care to all patients, ensure the safety of patients and healthcare workers and save as many lives as possible. Beyond that, cancer care services have to pursue restructuring, following the same evidence-based dispositions. In this article, we propose guidance to the management of colorectal cancer during the pandemic, prioritised according to a three-tiered framework, based on expert clinical judgement and magnitude of benefit expected from specific interventions. Since the availability of resources for diagnostic procedures, surgery and postoperative care, systemic therapy and radiotherapy may differ, authors did separate prioritisation analyses. The impact of postponing or abrogating cancer interventions on outcomes according to a high, medium or low priority scale, is outlined and discussed. The implementation of healthcare services using telemedicine is explored: it reveals itself as functional and effective for limiting patients’ need to travel to centres and thereby has the potential to reduce diffusion of severe acute respiratory syndrome coronavirus 2. Colorectal cancer demands a considerable amount of medical resources. Therefore, the redefinition of its diagnostic and therapeutic algorithms with a rigorous method is crucial in order to ensure the highest quality of continuum of care in the broader context of the pandemic and the challenged healthcare systems.
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Tee, E. Siong, Rodolfo F. Florentino, Hardinsyah Hardinsyah, Ismail Mohd Noor, Lwin Mar Hlaing, Saipin Chotivichien, and Le Thi Hop. "A review of national plans of action for nutrition in Southeast Asian countries." Malaysian Journal of Nutrition 26, no. 3 (December 30, 2020): 501–24. http://dx.doi.org/10.31246/mjn-review-26-3.
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This review describes national plans of action for nutrition (NPANs) in six Southeast Asia countries (Indonesia, Malaysia, Myanmar, Philippines, Thailand and Vietnam) in order to provide an understanding of the approach and framework undertaken by these countries in the formulation and implementation of NPANs, as well as the similarities and differences in various NPAN components. The six countries recognised the persistent undernutrition and escalating rates of obesity and other diet-related chronic diseases as the key drivers for nutrition action plan implementation. The prioritisation of nutrition interventions outlined in these NPANs are based on respective country context and needs. Although differing in strategies and targets set, these countries show similarities in several components including objectives, stakeholder involvement, nutritional issues to be addressed, implementation, monitoring and evaluation mechanism, programme/ activities identified and challenges in implementing NPANs. Countries have recognised that effective implementation, monitoring and evaluation are essential to successfully address both extremes of the challenging nutrition situation. Several important similarities in the NPANs studied suggest that closer collaboration among countries and stakeholders on NPANs would be beneficial. Opportunities should be created for periodic exchanges to enable sharing of experiences in the development and implementation of NPANs among the countries. Recommendations and conclusions drawn from this review could serve as useful reference for nutrition policy and planning in the future.
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Catanese, Silvia, George Pentheroudakis, Jean-Yves Douillard, and Florian Lordick. "ESMO Management and treatment adapted recommendations in the COVID-19 era: Pancreatic Cancer." ESMO Open 5, Suppl 3 (May 2020): e000804. http://dx.doi.org/10.1136/esmoopen-2020-000804.
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The COVID-19 pandemic is challenging the capacities of health systems in many countries. National healthcare services have to manage unexpected shortages of healthcare resources that have to be re-allocated according to the principles of fair and ethical prioritisation, in order to maintain the highest levels of care to all patients, ensure the safety of patients and healthcare workers, and save as many lives as possible. Also, cancer care services have to pursue restructuring, following the same evidence-based dispositions. In this article, we propose a guidance to the management of pancreatic cancer during the pandemic, prioritised according to a three-tiered framework, and based on expert clinical judgement and magnitude of benefit expected from specific interventions. Since the availability of resources for diagnostic procedures, surgery and postoperative care, systemic therapy and radiotherapy may differ, the authors have separated the prioritisation analyses. The impact of postponing or abrogating cancer interventions on outcomes according to a high, medium or low priority scale is outlined and discussed. The implementation of healthcare services using telemedicine is explored; it reveals itself as functional and effective for limiting patients’ need to travel to centres and thereby has the potential to reduce diffusion of SARS-CoV-2. Pancreatic cancer demands a considerable amount of medical resources. Therefore, the redefinition of its diagnostic and therapeutic algorithms with a rigorous method is crucial in order to ensure the highest quality of continuum of care in the broader context of the pandemic and the challenged healthcare systems.
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Iyede, Richard, Enda Francis Fallon, and Pat Donnellan. "An exploration of the extent of Lean Six Sigma implementation in the West of Ireland." International Journal of Lean Six Sigma 9, no. 3 (August 6, 2018): 444–62. http://dx.doi.org/10.1108/ijlss-02-2017-0018.
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PurposeThe purpose of this paper is to explore the extent of Lean Six Sigma (LSS) implementation within manufacturing companies in the West of Ireland. It examines the key success and failure factors, benefits and quality tools influencing LSS projects deployment.Design/methodology/approachThe study adopted a mixed research method (quantitative and qualitative approach). Research data were collected through a structured survey questionnaire to the target population followed by interview case studies with four manufacturing companies to gather additional insight. The targeted respondents were manufacturing engineers, quality engineers, process improvement managers, operations managers, R&D engineers, LSS experts and validation engineers.FindingsLSS initiatives are still relatively unknown to many SMEs organisations, whereas large companies have adopted LSS for some time. Top management commitment, understanding the LSS methodology, tools and techniques, integrating LSS to business strategy, organisational cultural change and training and education were the topmost key success factors. Organisational strategy, lack of top management support, expensive cost for LSS projects, unclear prioritisation of LSS projects and cost effectiveness were the most important failure factors influencing LSS implementation.Originality/valueThis research is the original work provided by the author and is expected to address the shortcomings of both SMEs and large organisations in the West of Ireland. The recommendations and frameworks reported in this paper can be used by manufacturing and service companies in Ireland for efficiency, competitiveness and continuous improvement.
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Chiu, Philip Wai Yan, Siew C. Ng, Haruhiro Inoue, D. Nageshwar Reddy, Enqiang Ling Hu, Joo Young Cho, Lawrence KY Ho, et al. "Practice of endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements)." Gut 69, no. 6 (April 2, 2020): 991–96. http://dx.doi.org/10.1136/gutjnl-2020-321185.
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Coronavirus-19 (COVID-19) caused by SARS-CoV-2 has become a global pandemic. Risk of transmission may occur during endoscopy and the goal is to prevent infection among healthcare professionals while providing essential services to patients. Asia was the first continent to have a COVID-19 outbreak, and this position statement of the Asian Pacific Society for Digestive Endoscopy shares our successful experience in maintaining safe and high-quality endoscopy practice at a time when resources are limited. Sixteen experts from key societies of digestive endoscopy in Asia were invited to develop position statements, including patient triage and risk assessment before endoscopy, resource prioritisation and allocation, regular monitoring of personal protective equipment, infection control measures, protective device training and implementation of a strategy for stepwise resumption of endoscopy services after control of the COVID-19 outbreak.
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Yeboah, David A. "A framework for place based health planning." Australian Health Review 29, no. 1 (2005): 30. http://dx.doi.org/10.1071/ah050030.
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Place based health planning is an effective approach to health planning with enormous benefits including the use of local characteristics, organisations and partnerships to effectively and efficiently identify and prioritise needs, and develop and deliver programs and services. Despite its inherent advantages, place based health planning has not been extensively used by health professionals, neither has it been given adequate attention in the literature. This article provides a framework to guide and encourage health professionals to use place based health planning. The framework has three main parts, namely needs assessment, program planning and implementation, and covers most aspects of the identification of needs, and the development and delivery of programs and services to address those needs. The article also includes a proposed index of prioritisation to enable health professionals to prioritise needs and improve program and service provision.
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Draper, CE, A. Prioreschi, LJ Ware, S. Lye, and SA Norris. "Pilot implementation of Bukhali: A preconception health trial in South Africa." SAGE Open Medicine 8 (January 2020): 205031212094054. http://dx.doi.org/10.1177/2050312120940542.
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Objectives: This article describes the learnings from the pilot phase of the Healthy Life Trajectories Initiative, a preconception health trial for 18- to 25-year-old women in Soweto, South Africa. Methods: The study compares two arms focussed on either physical and mental health (intervention; delivered by community health workers – ‘Health Helpers’) or standard of care plus (control; standard access to healthcare plus additional telephonic input on ‘life skills’; delivered by call centre assistants). These are collectively referred to as Bukhali. Data on the pilot implementation of the Bukhali trial (n = 1655) were collected from (1) weekly team meetings, (2) two focus groups (one with the intervention team Health Helpers, n = 7; one with intervention participants, n = 8) and one paired interview with control call centre assistants (n = 2), (3) notes from eight debrief sessions with Health Helpers and (4) quantitative trial monitoring data. Qualitative data were thematically analysed. Results: The findings clustered within three themes: (1) challenges for young women in Soweto, (2) priorities for young women in Soweto and (3) implementation challenges and perceptions of the intervention. Challenges were mostly related to tough socioeconomic circumstances and less prioritisation of living a healthier life. The priorities of employment and educational opportunities reflected the socioeconomic challenges, where health was not recognised as priority. The main challenge to participation and compliance with the trial was that young women in Soweto generally wanted a tangible and preferably financial and immediate benefit. Community peer sessions, despite being recommended by young women as part of the intervention development, were not successful. Many women also moved between multiple households within Soweto, which flagged concerns for a cluster trial and risk of contamination. Conclusion: Preconception health trials should consider socioeconomic challenges present in urban poor contexts. Learnings from the pilot phase significantly affected the design and implementation of the main Bukhali trial.
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Lim, Hooi Min, Chirk Jenn Ng, Chin Hai Teo, Ping Yein Lee, Puteri Shanaz Jahn Kassim, Nurul Amelina Nasharuddin, Phelim Voon Chen Yong, et al. "Prioritising topics for developing e-learning resources in healthcare curricula: A comparison between students and educators using a modified Delphi survey." PLOS ONE 16, no. 6 (June 24, 2021): e0253471. http://dx.doi.org/10.1371/journal.pone.0253471.
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Background Engaging students in the e-learning development process enhances the effective implementation of e-learning, however, students’ priority on the topics for e-learning may differ from that of the educators. This study aims to compare the differences between the students and their educators in prioritising the topics in three healthcare curricula for reusable e-learning object (RLO) development. Method A modified Delphi study was conducted among students and educators from University Malaya (UM), Universiti Putra Malaysia (UPM) and Taylor’s University (TU) on three undergraduate programmes. In Round 1, participants were asked to select the topics from the respective syllabi to be developed into RLOs. Priority ranking was determined by using frequencies and proportions. The first quartile of the prioritised topics was included in Round 2 survey, which the participants were asked to rate the level of priority of each topic using a 5-point Likert scale. The mean score of the topics was compared between students and educators. Result A total of 43 educators and 377 students participated in this study. For UM and TU Pharmacy, there was a mismatch in the prioritised topics between the students and educators. For UPM, both the educators and students have prioritised the same topics in both rounds. To harmonise the prioritisation of topics between students and educators for UM and TU Pharmacy, the topics with a higher mean score by both the students and educators were prioritised. Conclusion The mismatch in prioritised topics between students and educators uncovered factors that might influence the prioritisation process. This study highlighted the importance of conducting needs assessment at the beginning of eLearning resources development.
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Kirchhelle, Claas, Paul Atkinson, Alex Broom, Komatra Chuengsatiansup, Jorge Pinto Ferreira, Nicolas Fortané, Isabel Frost, et al. "Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy." BMJ Global Health 5, no. 9 (September 2020): e003091. http://dx.doi.org/10.1136/bmjgh-2020-003091.
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There is increasing concern globally about the enormity of the threats posed by antimicrobial resistance (AMR) to human, animal, plant and environmental health. A proliferation of international, national and institutional reports on the problems posed by AMR and the need for antibiotic stewardship have galvanised attention on the global stage. However, the AMR community increasingly laments a lack of action, often identified as an ‘implementation gap’. At a policy level, the design of internationally salient solutions that are able to address AMR’s interconnected biological and social (historical, political, economic and cultural) dimensions is not straightforward. This multidisciplinary paper responds by asking two basic questions: (A) Is a universal approach to AMR policy and antibiotic stewardship possible? (B) If yes, what hallmarks characterise ‘good’ antibiotic policy? Our multistage analysis revealed four central challenges facing current international antibiotic policy: metrics, prioritisation, implementation and inequality. In response to this diagnosis, we propose three hallmarks that can support robust international antibiotic policy. Emerging hallmarks for good antibiotic policies are: Structural, Equitable and Tracked. We describe these hallmarks and propose their consideration should aid the design and evaluation of international antibiotic policies with maximal benefit at both local and international scales.
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Aiyegbusi, Olalekan Lee, Devika Nair, John Devin Peipert, Kara Schick-Makaroff, and Istvan Mucsi. "A narrative review of current evidence supporting the implementation of electronic patient-reported outcome measures in the management of chronic diseases." Therapeutic Advances in Chronic Disease 12 (January 2021): 204062232110159. http://dx.doi.org/10.1177/20406223211015958.
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An application of telemedicine of growing interest and relevance is the use of personal computers and mobile devices to collect patient-reported outcomes (PROs). PROs are self-reports of patients’ health status without interpretation by anyone else. The tools developed to assess PROs are known as patient-reported outcomes measures (PROMs). The technological innovations that have led to an increased ownership of electronic devices have also facilitated the development of electronic PROMs (ePROMs). ePROMs are a conduit for telemedicine in the care of patients with chronic diseases. Various studies have demonstrated that the use of ePROMs in routine clinical practice is both acceptable and feasible with patients increasingly expressing a preference for an electronic mode of administration. There is increasing evidence that the use of electronic patient-reported outcome (ePROMs) could have significant impacts on outcomes valued by patients, healthcare providers and researchers. Whilst the development and implementation of these systems may be initially costly and resource-intensive, patient preferences and existing evidence to support their implementation suggests the need for continued research prioritisation in this area. This narrative review summarises and discusses evidence of the impact of ePROMs on clinical parameters and outcomes relevant to chronic diseases. We also explore recently published literature regarding issues that may influence the robust implementation of ePROMs for routine clinical practice.
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Ryan, Brigid, Manrenga Viane, Fran Timmins, Alex Smith, and Claire Anstey. "Bridging the ocean: Kiribati Australia alliance in mental health." Australasian Psychiatry 25, no. 5 (June 29, 2017): 474–77. http://dx.doi.org/10.1177/1039856217706822.
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Objective: The objective of this study was to demonstrate the benefits of collaboration between Australia and Kiribati, a Pacific island nation, to enhance Kiribati’s mental health system. Method: The collaboration involved a training program for a Kiribati senior mental health leader in Melbourne, Australia, and service planning including prioritisation of key areas for development. Results: As well as receiving general training in community-based mental health, the Kiribati mental health leader gained skills in modification of the inpatient environment, with plans for implementation in Kiribati within the current limited resources. Future planning will focus on shifting from an emphasis on acute psychiatric treatment and custodial care to a recovery-oriented approach. Conclusion: The international exchange was a positive experience for both the Kiribati participants and their Australian colleagues. Knowledge transfer was achieved in a short time, and service development appropriate and realistic for the Kiribati environment was planned.
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Lampkin, Jack A., and Tanya Wyatt. "Utilising Principles of Earth Jurisprudence to Prevent Environmental Harm: Applying a Case Study of Unconventional Hydraulic Fracturing for Shale Gas in the United Kingdom." Critical Criminology 28, no. 3 (January 21, 2019): 501–16. http://dx.doi.org/10.1007/s10612-018-9426-7.
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AbstractApproaching behaviour that produces environmental harm through the medium of criminal sanctions (largely involving monetary penalties) has been criticised consistently as failing to prevent environmental crimes and harms, and failing to concurrently reduce environmental re-offending. Furthermore, important state–corporate political and economic relationships exist that ensure the continuation of environmental degradation. We suggest that a way to overcome this is to re-work the current legal system to one grounded in Earth jurisprudence. Although we realise that state–corporate relationships would likely prevent the implementation of Earth jurisprudential principles, we argue such principles are essential to up-end the prioritisation of economic imperatives over ecological values within capitalist societies. To demonstrate the strength and utility of the Earth jurisprudential approach, we use the case of fracking for shale gas in the United Kingdom to examine how Earth jurisprudential principles could prevent environmental harm from occurring.
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Hogan, Alexandra B., Peter Winskill, and Azra C. Ghani. "Estimated impact of RTS,S/AS01 malaria vaccine allocation strategies in sub-Saharan Africa: A modelling study." PLOS Medicine 17, no. 11 (November 30, 2020): e1003377. http://dx.doi.org/10.1371/journal.pmed.1003377.
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Background The RTS,S/AS01 vaccine against Plasmodium falciparum malaria infection completed phase III trials in 2014 and demonstrated efficacy against clinical malaria of approximately 36% over 4 years for a 4-dose schedule in children aged 5–17 months. Pilot vaccine implementation has recently begun in 3 African countries. If the pilots demonstrate both a positive health impact and resolve remaining safety concerns, wider roll-out could be recommended from 2021 onwards. Vaccine demand may, however, outstrip initial supply. We sought to identify where vaccine introduction should be prioritised to maximise public health impact under a range of supply constraints using mathematical modelling. Methods and findings Using a mathematical model of P. falciparum malaria transmission and RTS,S vaccine impact, we estimated the clinical cases and deaths averted in children aged 0–5 years in sub-Saharan Africa under 2 scenarios for vaccine coverage (100% and realistic) and 2 scenarios for other interventions (current coverage and World Health Organization [WHO] Global Technical Strategy targets). We used a prioritisation algorithm to identify potential allocative efficiency gains from prioritising vaccine allocation among countries or administrative units to maximise cases or deaths averted. If malaria burden at introduction is similar to current levels—assuming realistic vaccine coverage and country-level prioritisation in areas with parasite prevalence >10%—we estimate that 4.3 million malaria cases (95% credible interval [CrI] 2.8–6.8 million) and 22,000 deaths (95% CrI 11,000–35,000) in children younger than 5 years could be averted annually at a dose constraint of 30 million. This decreases to 3.0 million cases (95% CrI 2.0–4.7 million) and 14,000 deaths (95% CrI 7,000–23,000) at a dose constraint of 20 million, and increases to 6.6 million cases (95% CrI 4.2–10.8 million) and 38,000 deaths (95% CrI 18,000–61,000) at a dose constraint of 60 million. At 100% vaccine coverage, these impact estimates increase to 5.2 million cases (95% CrI 3.5–8.2 million) and 27,000 deaths (95% CrI 14,000–43,000), 3.9 million cases (95% CrI 2.7–6.0 million) and 19,000 deaths (95% CrI 10,000–30,000), and 10.0 million cases (95% CrI 6.7–15.7 million) and 51,000 deaths (95% CrI 25,000–82,000), respectively. Under realistic vaccine coverage, if the vaccine is prioritised sub-nationally, 5.3 million cases (95% CrI 3.5–8.2 million) and 24,000 deaths (95% CrI 12,000–38,000) could be averted at a dose constraint of 30 million. Furthermore, sub-national prioritisation would allow introduction in almost double the number of countries compared to national prioritisation (21 versus 11). If vaccine introduction is prioritised in the 3 pilot countries (Ghana, Kenya, and Malawi), health impact would be reduced, but this effect becomes less substantial (change of <5%) if 50 million or more doses are available. We did not account for within-country variation in vaccine coverage, and the optimisation was based on a single outcome measure, therefore this study should be used to understand overall trends rather than guide country-specific allocation. Conclusions These results suggest that the impact of constraints in vaccine supply on the public health impact of the RTS,S malaria vaccine could be reduced by introducing the vaccine at the sub-national level and prioritising countries with the highest malaria incidence.