In the service industry, scheduling medical procedures causes difficulties for both patients and management. Factors such as fluctuations in customer demand and service time affect the appointment scheduling systems' performance in terms of, for example, patients' waiting time, idle time of resources, and total cost/profits. This research implements four appointment scheduling policies, i.e., constant arrival, mixed patient arrival, three-section pattern arrival, and irregular arrival, in an ultrasound department of a hospital in Taiwan. By simulating the four implemented policies' optimization procedures, optimal or near-optimal solutions can be obtained for patients per arrival, patients' inter-arrival time, and the number of the time slots for arrived patients. Furthermore, three objective functions are tested, and the results are discussed. The managerial implications and discussions are summarized to demonstrate how outcomes can be useful for hospital managers seeking to allocate their healthcare service capacities.
Abstract:Scholars who aim to solve problems with poverty and a lack of resources often focus on bottom of pyramid (BOP) consumer groups. They propose that the traditional TOP (top of pyramid) business strategies are not suitable for BOP populations, and that it is crucial to determine and satisfy BOP consumption demands. The purpose of this study is to find out which factors influence BOP consumption, and to explore BOP integrated products. The concepts of "national cultural traits" and sustainable product design are also used. The findings will help enterprises learn how to make profits in BOP markets (addressing economic goals), while helping the poor get out of poverty (addressing social goals). Two different areas concerning BOP consumers are used to illustrate the results.
Managing sustainable supply chains has become a challenge for most industries primarily because environmental, social, and economic aspects must be taken into account, and the difficulty in satisfying customer demands for sustainability and environmental protection has been increasing globally, making sustainability the focus of numerous studies on green supply chains. Previous studies are usually only applicable to a specific product supply chain. Therefore, this paper review model that focuses on a general three-level supply chain considering direct and indirect transport and industrial carbon emissions and costs. Specifically, the model involves joint economic lot sizing considering a single set-up-multiple-delivery (SSMD) policy.
This study developed a comprehensive framework for vulnerability assessment as a tool to measure vulnerability at three levels of geopolitical units in the Philippines. This is a comprehensive multi-disaster framework that can provide information to a decentralized type of government system like the Philippines. The vulnerability assessment framework (VAF) that has been developed was anchored upon the IPCC model and used the integration of community-based monitoring system (CBMS) data, expert inputs, and a series of community-based activities such as consultative fora, focus group discussions, workshops, and risk reduction immersion activities. The developed VAF for the assessment of vulnerability indices (VIs) is a system framework composed of a vulnerability scoping diagram (VSD) and an expanded vulnerability assessment model (VAM). The VSD is composed of three dimensions (e.g., exposure, sensitivity, resiliency), seven identified hazards, with 26, 27, and 29 sub-indicators for household, barangay, and municipal levels, respectively. Measuring vulnerability can be an effective strategy for assessing the potential impact/s of natural disasters on society. The continuous occurrence of natural disasters in the Philippines requires enhancement of public understanding of vulnerability. This would provide transparent understanding and enhance community competency leading to the development of methodologies and tools to assess various factors and indicators of vulnerability. The information extracted from using the VAF and VSD are helpful to the local government units, especially in preparing budgets, strategies, and programs for disaster risk reduction.
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