You Can't Always Get What You Want: Achieving Differentiated Service Levels with Pricing Agents in a Storage Grid

2007 ◽  
Author(s):  
H. Howie Huang ◽  
Andrew S. Grimshaw ◽  
John F. Karpovich
Keyword(s):  
Differentiated Service ◽  
Service Levels

Medical Tourism in India- A Paradigm Shift

2015 ◽  
Vol 8 (2) ◽  
Author(s):  
Ajay Kumar Dogra ◽  
Pooja Dogra
Keyword(s):  
Paradigm Shift ◽  
Medical Tourism ◽  
Tourism Industry ◽  
Success Rates ◽  
Indian Government ◽  
Service Levels ◽  
Healthcare Facilities ◽  
Treatment Facilities ◽  
World Class ◽  
Pharmaceutical Industries

The health tourism Industry is witnessing a sudden paradigm shift in last five years. India has become a home of traditional medicine that has been practiced for several thousand years as a part of manav dharma to give relief to the needy and mostly free of cost. With modern diagnostic and treatment facilities, experienced surgeons, one of the largest pharmaceutical industries in world, and a tradition of caring, India provides world class surgical and healthcare facilities, with comparable success rates and prompt service levels. The potential of medical tourism is such that it can even surpass the revenue earned from IT sector. Recognizing the pivotal contribution of medical tourism to the economic development, the Indian Government has initiated numerous measures to promote this vary young industry to attract international tourism. This has motivated to identify recent trends and opportunities in India for the medical and healthcare tourism, and to explore the critical factors which can lead to success of initiatives taken by ministry of tourism for the development of medical tourism in India. Finally paper suggests measures to enhance medical tourism in the country.

scholarly journals How Will Digitalization Change Road Freight Transport? Scenarios Tested in Sweden

2020 ◽  
Vol 13 (1) ◽  
pp. 304
Author(s):  
Anna Pernestål ◽  
Albin Engholm ◽  
Marie Bemler ◽  
Gyözö Gidofalvi
Keyword(s):  
Freight Transport ◽  
Sustainable Transportation ◽  
Transport Sector ◽  
Strategic Uncertainty ◽  
Scenario Development ◽  
Service Levels ◽  
Urban Freight ◽  
The Road ◽  
Road Freight ◽  
On The Road

Road freight transport is a key function of modern societies. At the same time, road freight transport accounts for significant emissions. Digitalization, including automation, digitized information, and artificial intelligence, provide opportunities to improve efficiency, reduce costs, and increase service levels in road freight transport. Digitalization may also radically change the business ecosystem in the sector. In this paper, the question, “How will digitalization change the road freight transport landscape?” is addressed by developing four exploratory future scenarios, using Sweden as a case study. The results are based on input from 52 experts. For each of the four scenarios, the impacts on the road freight transport sector are investigated, and opportunities and barriers to achieving a sustainable transportation system in each of the scenarios are discussed. In all scenarios, an increase in vehicle kilometers traveled is predicted, and in three of the four scenarios, significant increases in recycling and urban freight flows are predicted. The scenario development process highlighted how there are important uncertainties in the development of the society that will be highly important for the development of the digitized freight transport landscape. One example is the sustainability paradigm, which was identified as a strategic uncertainty.

scholarly journals Reducing time to differentiated service delivery for newly diagnosed people living with HIV in Kigali, Rwanda: study protocol for a pilot, unblinded, randomised controlled study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e047443
Author(s):  
Jonathan Ross ◽  
Gad Murenzi ◽  
Sarah Hill ◽  
Eric Remera ◽  
Charles Ingabire ◽  
...  
Keyword(s):  
Service Delivery ◽  
Health Centre ◽  
Albert Einstein College ◽  
Secondary Outcome ◽  
Controlled Study ◽  
People Living With Hiv ◽  
Newly Diagnosed ◽  
Differentiated Service ◽  
Viral Loads ◽  
Living With Hiv

IntroductionCurrent HIV guidelines recommend differentiated service delivery (DSD) models that allow for fewer health centre visits for clinically stable people living with HIV (PLHIV). Newly diagnosed PLHIV may require more intensive care early in their treatment course, yet frequent appointments can be burdensome to patients and health systems. Determining the optimal parameters for defining clinical stability and transitioning to less frequent appointments could decrease patient burden and health system costs. The objectives of this pilot study are to explore the feasibility and acceptability of (1) reducing the time to DSD from 12 to 6 months after antiretroviral therapy (ART) initiation,and (2) reducing the number of suppressed viral loads required to enter DSD from two to one.Methods and analysesThe present study is a pilot, unblinded trial taking place in three health facilities in Kigali, Rwanda. Current Rwandan guidelines require PLHIV to be on ART for ≥12 months with two consecutive suppressed viral loads in order to transition to less frequent appointments. We will randomise 90 participants to one of three arms: entry into DSD at 6 months after one suppressed viral load (n=30), entry into DSD at 6 months after two suppressed viral loads (n=30) or current standard of care (n=30). We will measure feasibility and acceptability of this intervention; clinical outcomes include viral suppression at 12 months (primary outcome) and appointment attendance (secondary outcome).Ethics and disseminationThis clinical trial was approved by the institutional review board of Albert Einstein College of Medicine and by the Rwanda National Ethics Committee. Findings will be disseminated through conferences and peer-reviewed publications, as well as meetings with stakeholders.Trial registration numberNCT04567693.

scholarly journals Introducing fairness in Norwegian air ambulance base location planning

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Caroline J. Jagtenberg ◽  
Maaike A. J. Vollebergh ◽  
Oddvar Uleberg ◽  
Jo Røislien
Keyword(s):  
Social Welfare ◽  
Social Welfare Function ◽  
Mathematical Optimization ◽  
Population Coverage ◽  
Air Ambulance ◽  
Service Levels ◽  
Remote Areas ◽  
The North ◽  
Time Threshold ◽  
Essential Question

Abstract Background A primary task of the Norwegian helicopter emergency medical services (HEMS) is to provide advanced medical care to the critical ill and injured outside of hospitals. Where HEMS bases are located, directly influences who in the population can be reached within a given response time threshold and who cannot. When studying the locations of bases, the focus is often on efficiency, that is, maximizing the total number of people that can be reached within a given set time. This approach is known to benefit people living in densely populated areas, such as cities, over people living in remote areas. The most efficient solution is thus typically not necessarily a fair one. This study aims to incorporate fairness in finding optimal air ambulance base locations. Methods We solve multiple advanced mathematical optimization models to determine optimal helicopter base locations, with different optimization criteria related to the level of aversion to inequality, including the utilitarian, Bernoulli-Nash and iso-elastic social welfare functions. This is the first study to use the latter social welfare function for HEMS. Results Focusing on efficiency, a utilitarian objective function focuses on covering the larger cities in Norway, leaving parts of Norway largely uncovered. Including fairness by rather using an iso-elastic social welfare function in the optimization avoids leaving whole areas uncovered and in particular increases service levels in the north of Norway. Conclusions Including fairness in determining optimal HEMS base locations has great impact on population coverage, in particular when the number of base locations is not enough to give full coverage of the country. As results differ depending on the mathematical objective, the work shows the importance of not only looking for optimal solutions, but also raising the essential question of ‘optimal with respect to what’.

scholarly journals ANALYSIS OF SERVICE LEVELS OF THE TIDORE-SOFIFI SPEEDBOAT MODE DURING THE COVID-19 VIRUS PANDEMIC

2021 ◽  
Vol 1899 (1) ◽  
pp. 012073
Author(s):  
Abdul Gaus ◽  
Mufti Amir Sultan ◽  
Iis Hamsir Ayub Wahab ◽  
Abd. Majid Abdullah ◽  
Nu’man
Keyword(s):  
Service Levels

scholarly journals Analysis of Network Structure and Doctor Behaviors in E-Health Communities from a Social-Capital Perspective

2020 ◽  
Vol 17 (4) ◽  
pp. 1136 ◽  
Author(s):  
Zhigang Li ◽  
Xu Xu
Keyword(s):  
Social Capital ◽  
Information Exchange ◽  
Information Dissemination ◽  
Medical Information ◽  
Service Levels ◽  
Health Community ◽  
Professional Titles ◽  
Health Communities ◽  
Social Capital Perspective ◽  
Doctor Communication

In tandem with internet development and widespread social media use, e-health communities have begun to emerge in recent years. These communities allow doctors to access forums anywhere, anytime, seek or exchange medical information online, find literature, and so on. This is convenient and can solve some problems for doctors while also promoting doctor communication. This study collected and collated 102 doctors in the “Lilac Forum” and used social network tools to quantify the overall network density, centrality, core–periphery structure, and structural hole indicators of doctors’ information exchange from a social-capital perspective. The results showed that the frequency of interaction between doctors differed because of differences in the identities and participation of doctors in the e-health community. The density of the doctors’ information dissemination network (0.228) and network cohesion (0.610) were relatively high. Thus, the doctors were more closely connected, and information was easily spread. At the same time, doctors with higher professional titles had obvious location characteristics, familiarity and trust, and high levels of reciprocity. They could obtain redundant information in the network and were more likely to influence the behavior of other doctors. This study’s findings provide support for improving information exchange among doctors in e-health communities and improving the service levels of the platforms.

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