Improving patients’ satisfaction in a mobile hospital using Lean Six Sigma – a design-thinking intervention

Abstract

Lean Six Sigma (LSS) that offers a unique integration of Lean and Six Sigma has been accepted globally across services sectors. Previous studies that examined the application of LSS in healthcare were steered in traditional hospital settings. Apparently, there are no studies that highlight the application of LSS in mobile hospitals, an emerging trend in the healthcare sector. The aim of this article is to explore the applicability of LSS in a mobile hospital. The authors present a case study of improving patients’ satisfaction in a mobile hospital, through reducing turnaround time. Design-thinking intervention to LSS helped resolve a real-time problem using Define-Measure-Analyze-Design-Verify roadmap. This article contributes to the ‘healthcare quality” body of knowledge and is novel as it is the first of its kind of LSS application in a mobile hospital underpinning Design thinking. This study is unique as it demonstrates academia–industry collaboration in solving an organizational problem.     

The quantile-based flattened logistic distribution: Some properties and applications

In this paper, the quantile-based flattened logistic distribution has been studied. Some classical and quantile-based properties of the distribution have been obtained. Closed form expressions of L-moments, L-moment ratios and expectation of order statistics of the distribution have been obtained. A quantile-based analysis concerning the method of matching L-moments estimation is employed to estimate the parameters of the proposed model. We further derive the asymptotic variance–covariance matrix of the matching L-Moments estimators of the proposed model. Finally, we apply the proposed model to simulated as well as two real life datasets and compare the fit with the logistic distribution.     

Do changes in patent policy influence firms’ technology strategy? Evidence from manufacturing in India

India made patent policy changes to comply with TRIPs agreement that increased the rights of patent owners. Considering that such policy changes influence both in-house research and development investments and technology licensing from external sources, the firms have to accordingly devise their technology strategy. This study employs a simple and fixed effects multinomial logit regression models to study the impact of policy changes on the technology strategy of 402 firms operating in Indian manufacturing sector from 1999 to 2014. The results show that changes in patent policy have a significant impact on technology strategy of firms.     

Citizenship Amendment Bill 2016: continuities and contestations with special reference to politics in Assam,India

ABSTRACT

This article is an attempt to unpack how the Citizenship Amendment Bill 2016 that proposed citizenship on the basis of religious affiliation trace its past from narrative rooted in partition and idea of religious identity in determination of citizenship status in India. The act proposes, persons belonging to minority community namely Hindus, Sikhs, Jains, Parsi and Christians from Afghanistan, Bangladesh and Pakistan who have either entered into India without valid travel documents or the validity of their documents have expired are eligible to apply for Indian citizenship by naturalisation in 7 years instead of existing 12 years. Building on existing scholarship, field experience and media reports this article argues proposed citizenship amendment bill that favours citizenship status for persecuted minorities defined primarily as Hindus leaving Muslims is not an attempt to redefine citizenship but reinforce logic that favours narrative of India for Hindus.     

Friends or foes? Migrants and sub-state nationalists in Europe

ABSTRACT

How do sub-state nationalists respond to the growing presence of cultural diversity in their ‘homelands’ resulting from migration? Sub-state nationalists in Europe, in ‘nations without states’ such as Catalonia and Scotland, have been challenging the traditional nation-state model for many decades. While the arguments in favour of autonomy or independence levelled by these movements have become more complex, sub-state nationalist movements remain grounded by their perceived national community that is distinct from the majority nation. Migration to the ‘homeland’ of a sub-state nation, then, presents a conundrum for sub-state elites that we label the ‘legitimation paradox’: too much internal diversity may undermine the claim to cultural distinctiveness. We engage with three common intervening variables thought to influence how sub-state nationalists confront the ‘legitimation paradox’: civic/ethnic nationalism, degree of political autonomy, and party competition. Our overarching argument is that none of these factors have a unidirectional or determinate effect on the sub-state nationalism-immigration nexus, which is why the nuanced case studies that comprise this Special Issue are worthwhile endeavours.     

Leveraging the common and outsourcing the distinct: institutional difference and multinational company identity in emerging economies

ABSTRACT

This paper explores the challenges of outsidership faced by multinational companies (MNCs) accessing emerging economies. The paper departs from popular conceptualisations of culture drawing instead on social identity theory as part of an institutions-based view, to explain how employing a singularities approach can allow the identification of commonalities of Indianness and Australianness that can be leveraged to ameliorate negative socially embedded business norms that pose a challenge to MNC success in emerging economies. This study shows that despite recognised formal (regulatory) and informal (cultural) differences, managers of Australian MNCs operating in India were able to innovatively identify and exploit cultural commonalties/singularities to ease cultural adjustment and mitigate intergroup conflict, allowing them to achieve an innovative institutional fit. The paper discusses how, using this approach, sole-venture MNCs can access many of the benefits provided by collaborative entry modes while preserving MNC identity. We further propose that the singularities approach can provide a valuable starting point to develop culturally appropriate competence training initiatives.     

Left home high and dry-reduced migration in response to repeated droughts in Thailand and Vietnam

Population and Environment - We investigate the extent to which droughts impact migration responses of rural households in Thailand and Vietnam, as well as the role of underlying mechanisms such as...     

Female Juvenile Violent Behavior: Bonding Systems and Other Mediating Constructs

The purpose of this research was to examine a conceptual/theoretical model with negative (substance use) and positive (extracurricular activities) mediating factors between several bonding systems and violent behavior among female youth. Since much of the prior researches have focused on both males and females therefore this study is focusing on females only. Data from the 2011 National Survey on Drug Use and Health was used for this study. For the purpose of this study female research participants between the age of 12–17 were selected (N = 9383). At the stage of bivariate analysis, parental bonding system was omitted from a model before moving onto a structural equation modeling (SEM) analysis as most of the correlations between indicators of parental bonding systems and dependent variables were not significant. Revised model with two bonding systems on violent behavior through two mediating constructs, extracurricular activities and substance use were tested through the SEM and Sobel test analyses. This structural model specifies a satisfactory fit with the sample. Several mediating effects within this model, which help lower the occurrence of violent behavior, were also validated.     

Bayesian inference for the parameters of Weibull distribution under progressive Type-I interval censored data with beta-binomial removals

This article considers the problem of estimating the parameters of Weibull distribution under progressive Type-I interval censoring scheme with beta-binomial removals. Classical as well as the Bayesian procedures for the estimation of unknown model parameters have been developed. The Bayes estimators are obtained under SELF and GELF using MCMC technique. The performance of the estimators, has been discussed in terms of their MSEs. Further, expression for the expected number of total failures has been obtained. A real dataset of the survival times for patients with plasma cell myeloma is used to illustrate the suitability of the proposed methodology.