drivers and barriers

  • 文章类型: Journal Article
    背景:在过去的两年中,COVID-19大流行给医疗保健行业带来了巨大压力。需求有所增加,同时,供应短缺。这表明,医疗保健行业的供应链管理不能被视为理所当然。此外,医疗保健行业也面临着其他重大挑战,如当前劳动力市场短缺。在文学中,物联网(IoT)被强调为一种有效的工具,可以构建更有弹性和更高效的供应链,以应对这些挑战。尽管在供应链管理中使用物联网已经在其他类型的供应链中得到了广泛的研究,它在医疗保健供应链中的使用在很大程度上被忽视了。鉴于医疗保健供应链,与其他人相比,更复杂,压力越来越大,有必要更深入地了解物联网带来的机遇。
    目的:本研究旨在通过识别和排名在医疗保健供应链中实施物联网的驱动因素和障碍来解决这一研究差距。
    方法:我们进行了2期研究。在第一,探索阶段,总共进行了12次半结构化访谈,以确定驾驶员和障碍。在第二个,确认阶段,在一项调查中,共有26名医疗保健供应链专业人员被要求对驱动因素和障碍进行排名。
    结果:结果表明,存在多种财务,操作,与战略相关的,以及实施物联网的供应链相关驱动因素。同样,有各种各样的金融,与战略相关的,供应链相关,与技术相关的,和用户相关的障碍。研究结果还表明,与供应链相关的驱动因素(例如,提高透明度,可追溯性,以及与供应商的合作)是最强的驱动力,而财务障碍(例如,高的实施成本和构建商业案例的困难)是需要克服的最大障碍。
    结论:本研究的结果通过经验识别物联网实施的最重要驱动因素和障碍,增加了有关医疗保健供应链中物联网的有限文献。驱动因素和障碍的排名为打算在医疗保健供应链中实施物联网的从业者和医疗保健提供者领导者提供了指导。
    Over the past 2 years, the COVID-19 pandemic has placed enormous pressure on the health care industry. There has been an increase in demand and, at the same time, a shortage of supplies. This has shown that supply chain management in the health care industry cannot be taken for granted. Furthermore, the health care industry is also facing other major challenges, such as the current labor market shortage. In the literature, the Internet of Things (IoT) is highlighted as an effective tool to build a more resilient and efficient supply chain that can manage these challenges. Although using IoT in supply chain management has been extensively examined in other types of supply chains, its use in the health care supply chain has largely been overlooked. Given that the health care supply chain, compared to others, is more complex and is under growing pressure, a more in-depth understanding of the opportunities brought by IoT is necessary.
    This study aims to address this research gap by identifying and ranking the drivers of and barriers to implementing IoT in the health care supply chain.
    We conducted a 2-stage study. In the first, exploratory stage, a total of 12 semistructured interviews were conducted to identify drivers and barriers. In the second, confirmatory stage, a total of 26 health care supply chain professionals were asked in a survey to rank the drivers and barriers.
    The results show that there are multiple financial, operational, strategy-related, and supply chain-related drivers for implementing IoT. Similarly, there are various financial, strategy-related, supply chain-related, technology-related, and user-related barriers. The findings also show that supply chain-related drivers (eg, increased transparency, traceability, and collaboration with suppliers) are the strongest drivers, while financial barriers (eg, high implementation costs and difficulties in building a business case) are the biggest barriers to overcome.
    The findings of this study add to the limited literature regarding IoT in the health care supply chain by empirically identifying the most important drivers and barriers to IoT implementation. The ranking of drivers and barriers provides guidance for practitioners and health care provider leaders intending to implement IoT in the health care supply chain.
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  • 文章类型: Journal Article
    数字电子产品的进步带来了小巧便携的小工具,用技术改变人机界面。对新的小型设备的需求信息和电信技术(小型IT),具有较短的寿命,比如智能手机和笔记本电脑,创造电子资源的流动和积累。其中包括显示出城市采矿和循环经济潜力的贵金属。要了解建立改进的回收利用的程度,再利用和修复系统,通过调查进行数据收集,宾的观察和社会实验。这些方法使我们能够分析股票和流量,确定行为实践和地图收集基础设施。大约80%的国内小型IT股票处于休眠状态,这意味着它们可以直接重复使用或容易修复。结果显示,有四个障碍阻止公民交出未使用的小型IT:设备被保留为备用,它们包含情感价值,公民对收集后的数据保密问题持怀疑态度,并且认为回收工作很努力。加强循环的驱动因素是:改善电子垃圾基础设施,引入经济激励措施,提高对冬眠股票环境影响的认识。一个更值得信赖和合法的管理系统有望提供个人数据的安全性和机密性,并提供符合适当地方处置其贵重物品的公民期望的质量。
    Advances in digital electronics delivered small and portable gadgets, changing human interface with technology. Demand for new small devices of Information and Telecommunication Technology (small-IT) that have a short lifespan, like smartphones and laptops, creates flows and accumulation of electronic resources. These include precious metals that show potential for Urban Mining and Circular Economy. To find out the extent of setting up an improved recycling, reuse and repair system, data collection was conducted through surveys, bin observations and social experiments. These methods enabled us to analyse stocks and flows, identify behavioural practices and map collection infrastructure. About 80% of domestic small-IT stocks are hibernated, meaning they could be directly reused or easily repaired. Results show four barriers that keep citizens from handing in their unused small-IT: Devices are kept as back-up, they contain sentimental value, citizens are suspicious of post-collection data confidentiality issues and there is a perceived high effort to recycle. Drivers to enhance circularity are: improving e-waste infrastructure, introducing economic incentives and raising awareness on environmental impacts of hibernated stocks. A more trustworthy and legitimate management system is expected to deliver safety and confidentiality of personal data and provide the quality that fits the expectations of citizens of a proper place to dispose of their valuable items.
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  • 文章类型: Journal Article
    UNASSIGNED: HIV self-testing could add a new approach to scaling up HIV testing with potential of being high impact, low cost, confidential, and empowering for users.
    UNASSIGNED: Pregnant women attending antenatal clinics (ANC) and their male partners were recruited in 14 clinics in the eastern and central regions of Kenya and randomly allocated to intervention or control arms at a ratio of 1:1:1. Arm 1 received the standard of care, which involved invitation of the male partner to the clinic through word of mouth, arm 2 received an improved invitation letter, and arm 3 received the same improved letter and, two self-testing kits. Analysis was done using adjusted odds ratios (aOR) at 95% confidence intervals (CI) to calculate and determine effects of HIV self-testing in increasing uptake of male partner testing.
    UNASSIGNED: A total of 1410 women and 1033 men were recruited; 86% (1217) women and 79% (1107) couples were followed up. In arm 3, over 80% (327) of male partners took HIV test, compared to only 37% (133) in arm 2 and 28% (106) in arm one. There was a statistical significance between arm one and two (p-value=0.01) while arm three was statistically significant compared to arm two (p-value<0.001). Men in arm three were twelve times more likely to test compared to arm one (aOR 12.45 (95% CI 7.35, 21.08)).
    UNASSIGNED: Giving ANC mothers test kits and improved male invitation letter increased the likelihood of male partner testing by twelve times. These results demonstrate that HIV self-test kits could complement routine HIV testing methods in the general population.
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