Key Determinants to using Telehealth Technology to Serve Medically Ill and Depressed Homebound Older Adults

Despite the increasing evidence for the effectiveness of telehealth technology in screening and treating chronic diseases, and comorbid depression among older adults, they have been slowly adopted by home health care (HHC) agencies. Therefore, this study aimed to identify factors that determine telehealth technology adoption. Twenty directors from the National Association for Homecare & Hospice member agencies completed a 45-min telephone interview. Questions were asked regarding their perceptions of telehealth, the key determinants of telehealth adoption and use, and recommendations they would give on telehealth adoption. The majority of the participants perceived telehealth as effective for managing symptoms and reducing cost. Meanwhile, some participants had a mixed feeling toward telehealth for depression care as they did not recognize their agency as equipped with the necessary resources and trained staff. Moreover, significant determinants of telehealth adoption included the agency-related characteristics, the patient-home environment, reimbursement and cost-related factors, and staff telehealth perception. Findings imply that there is a need for financial support both at the state and the federal levels to encourage telehealth adoption among HHC agencies. Future studies should consider exploring strategies used by successful programs to overcome barriers.     

Material logistics in hospitals: A literature review

Hospital material management has been identified as one key cost containment lever to cope with steadily increasing healthcare costs in industrialized countries. The purpose of this work is to present the state-of-the-art of research on material logistics management in hospitals. Particular focus is given to articles that apply quantitative methods. Our contribution is threefold: First, we provide research guidance through categorizing literature and identifying major research streams. Second, we discuss applied methodologies and third, we identify future research directions. A systematic approach is undertaken in order to identify the relevant literature from 1998 to 2014. Applicable publications are categorized thematically and methodologically and future research opportunities are worked out. In total, 145 publications are identified and discussed in this work. The literature is categorized into four streams, i.e., (1) Supply and procurement, (2) Inventory management, (3) Distribution and scheduling, and (4) Holistic supply chain management. The use of optimization techniques is constantly gaining importance. The number of respective publications has continually grown and has peaked over the last three years. Optimization has been successfully applied in research streams (1), (2), and (3). Category (4) comprises a rather qualitative research field of literature dealing with supply chain management issues.     

Evaluation of multi-objective optimization approaches for solving green supply chain design problems

This paper evaluates the applicability of different multi-objective optimization methods for environmentally conscious supply chain design. We analyze a case study with three objectives: costs, CO₂ and fine dust (also known as PM – Particulate Matters) emissions. We approximate the Pareto front using the weighted sum and epsilon constraint scalarization methods with pre-defined or adaptively selected parameters, two popular evolutionary algorithms, SPEA2 and NSGA-II, with different selection strategies, and their interactive counterparts that incorporate Decision Maker׳s (DM׳s) indirect preferences into the search process. Within this case study, the CO₂ emissions could be lowered significantly by accepting a marginal increase of costs over their global minimum. NSGA-II and SPEA2 enabled faster estimation of the Pareto front, but produced significantly worse solutions than the exact optimization methods. The interactive methods outperformed their a posteriori counterparts, and could discover solutions corresponding better to the DM preferences. In addition, by adjusting appropriately the elicitation interval and starting generation of the elicitation, the number of pairwise comparisons needed by the interactive evolutionary methods to construct a satisfactory solution could be decreased.     

Impact of customer loyalty and service operations on customer behaviour and firm performance: empirical evidence from UK retail sector

Abstract

Retail networks are striving to achieve competitive advantage by increasing value through loyalty and efficiency with a focus on service operations. As sales promotions have become an integral part of the retail supply chain planning, customer behavioural aspects based on loyalty and service operations have been challenged greatly. Subsequently, management capabilities, such as planning and timely replenishment, have become complicated tasks for many retail store managers. This study develops a model integrating retail network value and efficiencies with customer behaviour and performance. We validate the model using survey data from prominent U.K. retail store customers. Our data analysis shows that both loyalty and service operation attributes have positive significant impact on customer behaviour, while the service operation mediates the relationship between loyalty and customer behaviour. This result gives a new outlook to build managerial capability based on customer loyalty and service operations. Our results specifically show that the service operation attributes will indirectly influence the customers’ buying behaviour even in the presence of loyalty attribute such as promotion schemes. This result sends a strong signal to retail supply chain managers to offer customised promotions considering local community rather than having uniform sales promotion nationwide.     

Estimation of Deprivation Level Functions using a Numerical Rating Scale

Evaluating and quantifying human suffering in humanitarian operations offers an innovative and potentially powerful way to assess the performance of humanitarian logistics (HL) and help build optimization models. Previous studies have suggested deprivation cost as a metric and have estimated deprivation cost functions for water using willingness‐to‐pay. Our study proposes deprivation levels, defined as the degree of human suffering caused by lack of access to a good or service, and estimates deprivation level functions using a numerical rating scale. Analyzing data collected from respondents with and without disaster experience, we find that individuals in the latter category estimate deprivation differently from the beneficiaries of disaster relief. Our study demonstrates that deprivation levels can be expressed as logistic growth functions with a typical S‐shape, and that these can be integrated into HL optimization models to better account for human suffering.     

The Role of Media Exposure on Coordination in the Humanitarian Setting

Despite high demand and resource limitations, humanitarian organizations (HOs) typically do not share resources and/or coordinate in the field. While coordination enhances operational performance and saves costs, the general perception is that it dilutes the media attention that individual organizations might receive, and negatively influences their future donation income. In this study, we empirically unveil the impact of media exposure and operational performance on the donations obtained by HOs. Then, based on the empirical results, we develop a stylized model to characterize the structure of preferred coordination policies with respect to an organization's funding source and main mandate. Our findings shed light on the incentives and dynamics that drive behaviors in humanitarian operations and provide insights for policy makers on designing and implementing mechanisms that encourage humanitarian coordination.     

流程、合规与操作风险管理

商业银行风险管理研究中“违规活动—操作风险—信用风险”风险链条尚未得到足够重视． 巴塞尔委员会全面风险管理框架下的众多风险是分层次的,最底层是合规与操作风险,合规与操作风险做到位能极大降低其他风险发生的概率． 以往由于缺少数据支撑,信用风险的合规与操作风险动因无法建立,本文基于“流程—节点—风险点—控制措施—违规事件”关联模型,建立了合规与操作风险的动因库和损失数据库,并在理论上对风险链条上的风险传递关系进行初步探索． 首先基于流程对合规与操作风险动因进行解析,寻找深层次的人员违规和操作风险动因; 其次,探讨了金融机构如何通过业务流程再造改善合规与操作风险管理; 最后是基于流程的操作风险量化建模． 基于实践,总结提炼了“三位一体”的金融机构合规与操作风险管理模式,包含理论基础、信息系统和保障机制,该模式在诸多金融机构中得到运用,并取得显著成效．     

政府问责视野中的国家精品课程复核研究

运用新公共服务理论和行政优益权理论分析,国家精品课程建设实质上是教育部为向公众提供优质的高等教育服务、确保优质资源的开放共享,而与申请国家精品课程的高校签订的行政契约,政府作为公共利益的集中代表,有权对国家精品课程建设给予监督并实施复核。     

乡镇政府在农业公共服务供给中的角色定位

在国际金融危机影响下,我国经济发展面临着巨大的挑战。要实现我国经济平稳较快发展,基础支撑在农业。农业公共服务供给是关系到我国农业生产经营稳定发展的关键环节,也是我国公共服务型政府建设的必然要求。乡镇政府作为我国基层政府,一直以来在农业公共服务供给中扮演着重要的角色。本文从农业公共服务的定义出发,廓清了农业公共服务的范围,将建国后至现阶段我国乡镇政府在农业公共服务供给中的角色变迁进行疏理,进而提出现阶段我国乡镇政府在农业公共服务供给中的角色定位。     

开发与培养高职物流人才可行性分析

本文从我国现代物流及其发展现状出发,揭示了物流业人才需求日益增加与普通高校人才培养速度相对滞后之间的矛盾,从而推导出通过高职培养物流人才势在必行,并通过可行性分析以突出其实践意义。