Inventory Pooling to Deliver Differentiated Service

2012 ◽  
Author(s):  
Aydin Alptekinoglu ◽  
Arunava Banerjee ◽  
Anand A. Paul ◽  
Nikhil Jain
2013 ◽  
Vol 15 (1) ◽  
pp. 33-44 ◽  
Author(s):  
Aydın Alptekinoğlu ◽  
Arunava Banerjee ◽  
Anand Paul ◽  
Nikhil Jain

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e047443
Author(s):  
Jonathan Ross ◽  
Gad Murenzi ◽  
Sarah Hill ◽  
Eric Remera ◽  
Charles Ingabire ◽  
...  

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.


1978 ◽  
Vol 14 (3) ◽  
pp. 27-33 ◽  
Author(s):  
Phillip L. Carter ◽  
Robert M. Monczka
Keyword(s):  

2021 ◽  
Vol 180 ◽  
pp. 24-31
Author(s):  
Yannic Hafner ◽  
Thomas Urban ◽  
Johannes Fottner
Keyword(s):  

2007 ◽  
Vol 44 (02) ◽  
pp. 321-331
Author(s):  
Heng-Qing Ye

In this paper we present counter-intuitive examples for the multiclass queueing network, where each station may serve more than one job class with differentiated service priority and each job may require service sequentially by more than one service station. In our examples, the network performance is improved even when more jobs are admitted for service.


2007 ◽  
Vol 44 (2) ◽  
pp. 321-331
Author(s):  
Heng-Qing Ye

In this paper we present counter-intuitive examples for the multiclass queueing network, where each station may serve more than one job class with differentiated service priority and each job may require service sequentially by more than one service station. In our examples, the network performance is improved even when more jobs are admitted for service.


2021 ◽  
Vol 24 (S6) ◽  
Author(s):  
Cuc H. Tran ◽  
Brittany K. Moore ◽  
Ishani Pathmanathan ◽  
Patrick Lungu ◽  
N. Sarita Shah ◽  
...  

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