Search results for " System Dynamics"

Innovating business processes in public administrations: towards a systemic approach

2020

PurposeThe purpose of this paper is to study the credit collection process in public administrations in order to develop a conceptual model which goes beyond the traditional logic of linearity, adopting system thinking approaches.Design/methodology/approachThis study analyses the case of an Italian local government-owned enterprise. Data collection through semi-structured interviews and document analysis has enabled the development of propositions, the identification of systemic variables, and the development of an explanatory modeling process based on the system dynamics approach.FindingsThis paper shows that public administrations can effectively involve external actors, especially citize…

CONFLICT DYNAMICS IN HEALTHCARE SERVICES: AN EXPERIMENTAL STUDY USING THE SYSTEM DYNAMICS METHODOLOGY

Σκοπός Η μελέτη αυτή χρησιμοποιεί τη συστημική προσέγγιση για να διερευνήσει τη δυναμική της μάθησης και του αρνητικού συναισθήματος στις συγκρούσεις μεταξύ εργαζομένων στο χώρο της υγείας. Η δυναμική μας υπόθεση ήταν ότι η αλληλεπίδραση μεταξύ των επιπέδων σύγκρουσης, πληροφορίας/μάθησης και αρνητικών συναισθημάτων που συσσωρεύονται στο χώρο εργασίας ως παραπροϊόντα της σύγκρουσης προκαλούν ενδογενώς την διακύμανση (ταλαντώσεις) των επιπέδων σύγκρουσης. Υλικό-Μέθοδος Πραγματοποιήθηκε αρχικά μια συστηματική ανασκόπηση της βιβλιογραφίας και εντοπίσθηκαν 2 προβληματικά πρότυπα εξέλιξης των εργασιακών συγκρούσεων με την πάροδο του χρόνου (Group Disintegration, Groupthink) και ένα "επιθυμητό" π…

Framing Caesarean Section Reduction Policies Through a Dynamic Performance Management Approach: A Maternity Pathway Case-Based Analysis

2017

The World Health Organization since the last three decades strongly encourages countries to reduce the caesarean section (CS) rate down to 10–15%. However, this goal nowadays appears still far from its achievement. Public decision-makers are indeed struggling to design and implement effective policies to reduce the CS rate. The literature provides a wide range of factors causing a change in the CS rate, such as the patient clinical profile and the healthcare service quality provided. Maternity pathway (MP) is considered a mean through which to standardize the cares and to reduce CSs. This study investigates the MP recently introduced in Sicilian local health authorities. Based on such an an…

Fostering Collaborative Governance in Chronic Disease Management Programs: A Dynamic Performance Management Approach

2020

Chronic diseases are the leading cause of disability and mortality in the world and represent a global health emergency due to the increase in frequency and complexity that has been occurring in recent years. The outcomes related to chronic care needs depend on the joint effort of a multi-provider, multi-disciplinary, and multi-professional service network, which operates along a clinical pathway. However, all the different players involved in the provision of services may have different interests and goals derived from their organizational structure and their role in the overall health system. This context of fragmented governance makes performance management of care services problematic. …

The communication breakdown in the generation of the adverse event in an obstetrics and gynecology ward: a System Dynamics perspective.

2013

During the last two decades, the issue of clinical risk management became one of the key topics in the Health care sector due to the increasing attention to the patient safety and the increase in monetary and non monetary costs (insurance fees, image etc.). For this reason, in the healthcare sector have been imported risk management methods that have been successfully applied in other sector. However they are too static and linear to study such a complex and dynamic issue as the risk management. The objective of the research is to investigate, with a system dynamics perspective, the relationship between the communication and the adverse event in the Health Care, referring to the studies of …

Introducing in a Non-Profit Organisation a CSR Strategy through a Learning Oriented Perspective: the Emssanar case-study

2008

Evolution of a Non-Hermitian Quantum Single-Molecule Junction at Constant Temperature

2021

This work concerns the theoretical description of the quantum dynamics of molecular junctions with thermal fluctuations and probability losses. To this end, we propose a theory for describing non-Hermitian quantum systems embedded in constant-temperature environments. Along the lines discussed in [A. Sergi et al., Symmetry 10 518 (2018)], we adopt the operator-valued Wigner formulation of quantum mechanics (wherein the density matrix depends on the points of the Wigner phase space associated to the system) and derive a non-linear equation of motion. Moreover, we introduce a model for a non-Hermitian quantum single-molecule junction (nHQSMJ). In this model the leads are mapped to a tunneling…

Overcoming traditional Performance Management in Public Healthcare Institutions: The need for a DPM Approach

Donabedian (1988) was the scientific father of the notion that Performance Measurement (PM) of hospital outputs leads to improved quality of healthcare services, setting the foundations of how hospital quality is still today defined, considered and measured using three different kinds of measures: structure, process and outcome measures. Nonetheless, a growing part of literature during the last two decades has started doubting those favourable outcomes of PM on hospital quality (De Vos, et al., 2009; Nolan & Berwick, 2006; Werner et al., 2008a, 2008b; Werner & Bradlow, 2006; Wright & Hershman, 2014) while other research shows that ineffective PM systems are not just useless but …

POLICY INNOVATION AND IMPLEMENTATION IN PUBLIC SECTOR: COMPLEXITIES, DYNAMICS AND UNCERTAINTIES

This research is expected to contribute to the knowledge base on how an effective impact assessment and adoption of innovations in the public sector could be facilitated. The need for trans-disciplinary assessment of the long-term potential impacts of innovation-driven policies may well be met with system dynamics as part of the dynamic performance management approach by way of modelling based simulation and analysis. Moreover, such analysis may contribute to learning and the accumulation of a knowledge repository that enables strategy developers, policy designers and decision makers to arrive at unexpected (often called counterintuitive) conclusions prior to policy implementation. Such ins…

On the Non-Intrusive Load Monitoring in dwellings: a feasibility perspective

2021

The oncoming modernization process of the power grids, driven above all by decarbonisation objectives and the continuous improvement of digital technologies, is encouraging active participation in the electricity market by consumers through the Demand-Response mechanism. From this perspective, the introduction of smart meters and energy consumption monitoring devices plays a fundamental role, being able to give benefits to consumers, suppliers and the electricity grid itself. This paper proposes a supervised method of non-intrusive load monitoring (NILM) based on the recognition of patterns in the time domain with the Dynamic Time Warping algorithm which is suitable for low-cost smart meter…