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Article
Publication date: 1 November 2024

Jorge Limon-Romero, Jorge Luis García-Alcaraz, Carlos Gastelum-Acosta, Jiju Antony, Yolanda Baez-Lopez and Guilherme Tortorella

This paper aims to provide new and valuable insights for organizations that have decided to implement Lean Six Sigma (LSS) as a strategy for continuous improvement in search of…

53

Abstract

Purpose

This paper aims to provide new and valuable insights for organizations that have decided to implement Lean Six Sigma (LSS) as a strategy for continuous improvement in search of business excellence. This objective is achieved through statistically modeling the causal relationships between the critical success factors (CSFs) of LSS for a successful deployment of this strategy.

Design/methodology/approach

A statistically validated questionnaire was used to collect information from LSS practitioners in manufacturing industries located on Mexico’s northern border. Some hypotheses for relationships between LSS CSFs are developed theoretically first and empirically tested later using the structural equation modeling technique.

Findings

Proposed relationships between LSS CSFs have been demonstrated to be statistically significant, making clear that this implementation should always begin with a strong and decided participation and commitment of top management. Later, other CSFs must be activated and put into operation in a specified order to increase the probability of a successful implementation reflected in well-executed continuous improvement projects and achieving the expected benefits.

Originality/value

This paper proposes a structural model which has been statistically validated with information directly collected from skilled practitioners who have developed continuous improvement projects using the LSS methodology. Further, some relationships between LSS CSFs that, to the best of the author’s knowledge, had not been demonstrated empirically are now explored and verified in our work.

Details

International Journal of Productivity and Performance Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1741-0401

Keywords

Available. Open Access. Open Access
Article
Publication date: 12 November 2024

Gabriela Uribe, Carmen Huckel Schneider, Ferdinand Mukumbang, Hueiming Liu, Susan Woolfenden, Tabitha Jones, James Gillespie, Harriet Hiscock, Fiona Haigh, Sharon Goldfeld, Ilan Katz, Andrew Page, Vicki Giannopoulos, Paul Haber, Nick Goodwin, Teresa Anderson, John Eastwood and Michelle Cunich

In this paper, we aim to test the usefulness and contribute to the further development of analytical frameworks that guide research into integrated health and social care…

146

Abstract

Purpose

In this paper, we aim to test the usefulness and contribute to the further development of analytical frameworks that guide research into integrated health and social care initiatives.

Design/methodology/approach

This study uses case studies based in decentralised administrative areas within the New South Wales state health system using (1) the Innovative Policy Supports for Integrated Health and Social Care Programs Framework, (2) the Consolidated Framework for Implementation Research and (3) the Framework on the Emergence and Effectiveness of Global Health Networks to assess the quality of international policies and/or strategies and integrated health and social care networks.

Findings

This study facilitates and advances integrated health and social care knowledge, moving from the study of local initiatives to a higher-level taxonomy of integrated care initiatives and exploring the emergence and effectiveness of global integrated care knowledge exchange networks. This paper proposes the use of three different frameworks to assess enhancement of the integrated health and social care using an array of multi-level innovation efforts as case studies.

Research limitations/implications

This paper highlights the need for further research, and additional supports for formulating a single unified integrated health and social care framework that can assess innovations at multiple levels beyond local settings.

Practical implications

A stronger partnership with key stakeholders to enhance integrated health and social care research capabilities would be a feasible way to increase care and research capabilities in all sectors.

Social implications

Health and social care clinicians, consumer representatives, service managers, policymakers and network knowledge partners must co-design a unified framework that better reflects the large multi-level agenda for integrated health and social care system change.

Originality/value

This novel study examines the level of integration of local space-based health and social care interventions, develops a taxonomy of local health district and/or primary care network integrated care initiatives to locate the “local” within a broader policy context and evaluates the quality of international policies and/or strategies and integrated health and social care networks.

Details

Journal of Integrated Care, vol. 32 no. 5
Type: Research Article
ISSN: 1476-9018

Keywords

Available. Open Access. Open Access
Article
Publication date: 5 August 2024

Lorenzo Pratici, Fiorella Pia Salvatore, Simone Fanelli, Antonello Zangrandi and Michele Milone

The purpose of this paper is to understand whether and how the Environmental, Social and Governance (ESG) paradigm can be useful in social reporting in the context of nonprofit…

570

Abstract

Purpose

The purpose of this paper is to understand whether and how the Environmental, Social and Governance (ESG) paradigm can be useful in social reporting in the context of nonprofit healthcare organizations. In other words, the study deals with non-financial reporting and information, allowing external stakeholders to comprehensively evaluate the organization’s performance and behavior, investigating internal stakeholder perception over ESG paradigm application.

Design/methodology/approach

The authors used a case study approach investigating four cases among nonprofit healthcare organizations in Italy. Analyses of available primary sources have been conducted, followed by semi-structured interviews. Interviews were then transcribed and coded in a joint blinded process by all authors. More specifically, three areas have been investigated: (1) factors motivating the development of non-financial disclosure practices; (2) the rationale behind the organization’s decision to include specific topics; and (3) the future perspective on the future of non-financial disclosure within the specific sector.

Findings

ESG may serve as a suitable framework to create comparable documents that can act as benchmarks for similar institutions. However, while nonprofit organizations (NPOs) can draw inspiration from ESG, the utility of these criteria should be thoughtfully tailored to align with the organization’s mission. The ESG using as a general guide, instead of implementing it as a real tool to assess performances, emerges as a positive practice. NPOs should not focus on fulfilling ESG requirements bur rather take inspiration from them. Otherwise, the risk is an excess of focus on the formal aspect rather than on its content.

Originality/value

The study contributes to a better understanding of social and ESG’ reporting activities and approaches in the healthcare sector by describing some case studies and the effect of sustainability in the social reporting of nonprofit healthcare organizations.

Details

Management Decision, vol. 63 no. 2
Type: Research Article
ISSN: 0025-1747

Keywords

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Article
Publication date: 18 October 2023

Md Kamal Hossain and Vikas Thakur

The promulgation of group purchasing organizations (GPOs) into the healthcare (HC) sector is an invaluable procurement strategy to manage the suppliers effectively. This study…

108

Abstract

Purpose

The promulgation of group purchasing organizations (GPOs) into the healthcare (HC) sector is an invaluable procurement strategy to manage the suppliers effectively. This study aims to identify and prioritize the factors of integrating GPOs into the HC sector on the perspectives of the developing countries such as India.

Design/methodology/approach

The factors are identified from current literature exploration, experts’ support and experience surveys. The factors are scrutinized and shortlisted using the Delphi technique and analysed further using the best-worst model method.

Findings

The findings of the study highlight the cost reduction, fair distribution of savings and healthcare supply chain (HCSC) data standardization among others to be the most prioritized drivers. The consulting services provided by GPOs including training and development as a result of high competitiveness in the HC market has been prioritized the least.

Practical implications

The study bears some important implications for decision and policymakers. The managers should consider factors, namely, cost reduction, fair distribution of savings and HCSC data standardization on a priority basis that acts as motivation for the HC providers to join the GPOs.

Originality/value

The study provides valuable insights for HC providers to participate in the GPOs for cost savings and enhance the performances.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 18 no. 1
Type: Research Article
ISSN: 1750-6123

Keywords

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