Search results

1 – 3 of 3
Per page
102050
Citations:
Loading...
Access Restricted. View access options
Article
Publication date: 26 February 2024

Mohit Datt, Ajay Gupta, Sushendra Kumar Misra and Mahesh Gupta

Theory of Constraints (TOC), though a well-established process improvement methodology in manufacturing, is still a novel philosophy for healthcare and an exhaustive review of…

696

Abstract

Purpose

Theory of Constraints (TOC), though a well-established process improvement methodology in manufacturing, is still a novel philosophy for healthcare and an exhaustive review of literature is needed to summarize the key findings of various researchers. Such a review can provide a direction to the researchers and academicians interested in exploring the application of TOC in the healthcare sector. This paper aims to review the existing literature of TOC tools and techniques applied to the healthcare environment, and to investigate motivating factors, benefits and key gaps for identifying directions for future research in the domain of healthcare.

Design/methodology/approach

In this paper, different electronic repositories were searched using multiple keywords. The current study identified 36 articles published between January 1999 to mid-2021 to conceptualize and summarize the research questions used in the study. Descriptive analysis along with pictorial representations have been used for better visualization of work.

Findings

This paper presents a thorough literature review of TOC in healthcare and identifies the evolution, current trends, tools used, nature of services chosen for application and research gaps and recommends future direction for research. A variety of motivating factors and benefits of TOC in healthcare are identified. Another key finding of this study is that almost all implementations listed in literature reported positive outcomes and substantial improvements in the performance of the healthcare unit chosen for study.

Practical implications

This paper provides valuable insight to researchers, practitioners and policymakers on the potential of TOC to improve quality of services, flow of patients, revenues, process efficiency and cost reduction in different health care settings. A number of findings and suggestions compiled in the paper from literature study can be used for diagnosing, learning and making substantial changes in healthcare. The methodologies used by different researchers were analysed and combined to propose a generic step by step procedure to apply TOC. This methodology will guide the practising managers about the appropriate tools of TOC for their specific need.

Social implications

Good health is always the first desire of all men and women around the globe. The global aim of healthcare is to quickly cure more patients and ensure healthier population both today and in future. This article will work as a foundation for future applications of TOC in healthcare and guide upcoming applications in the booming healthcare sector. The paper will help the healthcare managers in serving a greater number of patients with limited available resources.

Originality/value

This paper provides original collaborative work compiled by the authors. Since no comprehensive systematic review of TOC in healthcare has been reported earlier, this study would be a valuable asset for researchers in this field. A model has been presented that links various benefits with one another and clarifies the need to focus on process improvement which naturally results in these benefits. Similarly, a model has been presented to guide the users in implementation of TOC in healthcare.

Details

International Journal of Quality & Reliability Management, vol. 41 no. 6
Type: Research Article
ISSN: 0265-671X

Keywords

Access Restricted. View access options
Article
Publication date: 24 January 2025

Mohit Datt, Ajay Gupta and Sushendra Kumar Misra

The objective of this work is twofold: firstly, to develop a model for assessing healthcare service quality (HSQ), and secondly, to evaluate the effectiveness of machine learning…

16

Abstract

Purpose

The objective of this work is twofold: firstly, to develop a model for assessing healthcare service quality (HSQ), and secondly, to evaluate the effectiveness of machine learning algorithms in predicting the quality of healthcare services.

Design/methodology/approach

In this study, a comprehensive literature review has been performed to identify key quality dimensions in the healthcare services domain. Delphi’s method has been used to confirm the criticality of these dimensions based on experts’ opinions and proposed a novel CIRMQUAL model. Factor analysis techniques have been used to further validate the CIRMQUAL model. Using the data collected through a questionnaire survey, a number of machine learning models have been developed to predict the customer satisfaction level based on the service quality (SQ) performance of a healthcare unit on different dimensions of the CIRMQUAL model.

Findings

The study developed a CIRMQUAL model with 14 dimensions (quality of care, safety and security, skill and conduct, staff attitude, tangibles, quality of the atmosphere, patient rights, follow-up, communication, cost of treatment, availability of resources, accessibility, waiting time and services), and these dimensions have been clubbed into four major dimensions, i.e. clinical quality, infrastructural quality, relationship and managerial quality. Furthermore, the application of machine learning algorithms has demonstrated significant accuracy in predicting SQ, highlighting its ability to improve healthcare services and the satisfaction level of patients.

Research limitations/implications

Managers of healthcare units work hard to identify and address the pain points of the patients and improve the working of the healthcare units being managed by them. The availability of many scales with numerous dimensions adds to their confusion in selecting a suitable scale. The current work addresses this confusion and provides four clear areas for assessing the quality of healthcare units. By using this scale, managers can assess the quality of services provided by them, identify the dimensions of low performance, plan and take suitable corrective actions to improve the performance of their healthcare units.

Practical implications

A comprehensive SQ model, i.e. CIRMQUAL has been proposed as a new scale to assess SQ in healthcare units. The model has been developed after analyzing the dimensions used by many researchers available in the literature. This model can be used by future researchers to assess the SQ in healthcare units. Moreover, an attempt has been made to use artificial intelligence-based techniques for predicting customer satisfaction. Such attempts are in the initial stage for healthcare sector. Future researchers can take this concept forward and test the applicability of different machine learning techniques in different functional areas of healthcare.

Social implications

Good health is of utmost importance for all human beings. In spite of the expenditure of substantial time and efforts by various stakeholders, the service delivery doesn’t match the expectations of patients. Many times, the service providers are not aware of this dissatisfaction and specific aspects of service delivery that need to be improved to reduce dissatisfaction. The model proposed will help the service providers in this regard and the service providers will be able to take focused steps. Such initiatives will definitely improve patient’s satisfaction and their social well-being.

Originality/value

This work is unique because it uses a novel technique to redefine the quality of services in healthcare by using a dual methodology. The research presents a model that includes various factors and it is specially developed to evaluate the quality of services in healthcare settings. This study advances the area’s progress by implementing computational tools for accurate evaluation of HSQ. The healthcare decision-makers may use this novel perspective to evaluate and enhance the quality of service.

Details

Journal of Advances in Management Research, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0972-7981

Keywords

Access Restricted. View access options
Book part
Publication date: 2 October 2024

Ajay Solkhe and Waheedullah Safi

The advancement in science and technology has led to the existence and continuous growth of various physical machines and now computer programs which are supposed to perform once…

Abstract

The advancement in science and technology has led to the existence and continuous growth of various physical machines and now computer programs which are supposed to perform once thought unbelievable multi-tasks for humans.

Many firms, governments, industries and syndicates are switching to automated process for achieving maximum output and having minimum cost and errors in the manufacturing and various other processes, hence the role of human involvement is getting decreased. With the Industry 4.0 standards being opted, industry gurus have been forecasting the limiting power of human labour and interaction and fears exist complete replacement of human beings from the working environment by robots and automated machines.

Artificial intelligence has aggressively overtaken almost all fields of businesses and human resource (HR) hasn't been either immune to that. Robotics is an important factor as well.

Technology implementation has its own benefits and negative impacts which is creating fears among various professionals with regards to their complete replacement by machines.

The following paper looks deeply into various researches performed by scholars to have a thorough knowledge of present-day status of human–machine collaboration and the challenges organizations are facing. It will help in understanding the current scenario of HR with modern technologies.

1 – 3 of 3
Per page
102050