Integrated Management Model Research Articles

Corrigendum: An Integrated Management Model of Patients With Atrial Fibrillation: The Experience of the Local Health Unit Tuscany North-West/1

There was an error in the description of GLORIA-AF registry program at page 10 in this Supplement by Casolo et al. [Farmeconomia. Health economics and therapeutic pathways 2019; 20(Suppl 1): 3-16; https://doi.org/10.7175/fe.v20i1S.1454]. The online version has been corrected on February 12, 2020.

The Long Road to Benefits Management: Toward an Integrative Management Model

This article reports on a four-year action research study, where the aims were to study benefits management at a detailed, practical level and to evaluate the benefits management practices applied. Synthesizing the insights from the study shows that the approach is dependent on the context and that the action research process was a challenging endeavor, but also that the project was successful with respect to improving performance. We provide a structured evaluation of the practiced process to uncover weaknesses and improve future interventions by suggesting an integrative management model with three layers: instrumental, practical, and reflective.

Gobernabilidad o gobernanza en la gestión del recurso hídrico. El caso colombiano

The aim of this article is to establish if water resource management related to water supply, demand, quality, and risks in the Colombian case has transitioned from governability to governance. The concept of water governability refers to institutional competence in the design and effective implementation of socially acceptable public policies. Water governance pertains to transparency, accountability, and responsiveness in the definition and implementation of public policies for water management involving democratic mechanisms and institutions that prioritize social interest articulation. This distinction is important because the governability model is designed to simplify all water management processes related to the adoption and implementation of public policies; however, this approach tends to ignore the fact that water problems are wide reaching and complex as they involve all aspects of society, including culture, the economy, and law. The governance model, by contrast, considers such factors. This article discusses the distinction between water governability and water governance as well as the shift from an integral water resource management model to a water governance paradigm. Next, the particular characteristics of the Colombian case are explained. Finally, the elements of governance within the Colombian system are analyzed to establish whether a transition has been achieved. DOI: http://dx.doi.org/10.21017/Rev.Repub.2020.v28.a81

An Integrated Management Model of Patients With Atrial Fibrillation: The Experience of the Local Health Unit Tuscany North-West

Atrial fibrillation (AF) is the most prevalent form of alteration in cardiac rhythm and is associated with a high economic burden resulting from both clinical consequences and impact on patients’ quality of life. Goals of treatment include symptom control and, in the high-risk patients, the prevention of thromboembolic complications. The advent of novel oral anticoagulant agents (NOACs) has improved the management of patients with non-valvular AF (NVAF) by overcoming limitations associated with traditional oral anticoagulation drugs. NOACs are associated with a lower risk of stroke, systemic embolism, and mortality compared to vitamin K antagonists (VKAs) and with a lower risk of fatal, major, and intracranial bleeding. This supplement aims at sharing the virtuous management model of AF patients in the Local Health Unit Tuscany North-West and promoting the importance of a multidisciplinary management, which involves cardiologists and general practitioners (GPs), not only in terms of clinical outcomes, but also of therapeutic appropriateness and economic sustainability.

Application of tertiary hospital and community health integrated management model in foot care of patients with diabetes mellitus

Objective To analyze the application value of tertiary hospital and community health integrated management model in the foot care of diabetic patients. Methods A total of 180 cases of patients with diabetes mellitus admitted to the First Affiliated Hospital of Henan University from January 2018 to June 2018 were selected for the study and were divided into observation group and control group according to the random number table method, with 90 cases in each group.Control group was given routine management, and observation group adopted tertiary hospital and community health integrated management model, and they were intervened for 6 months.The episode frequency, hospitalization frequency, hospital stay, hospitalization expenses, and fasting blood glucose(FBG), postprandial 2 h blood glucose(P2BG) and glycosylated hemoglobin(HbA1c), foot care effects [Chinese version of Nottingham assessment of functional foot-care(CNAFF)], self-management ability scale(SDSCA) score, diabetes specific quality of life scale(DSQL) score before and after intervention were recorded in the two groups. Results The episode frequency, hospitalization frequency, hospital stay and hospitalization expenses in observation group were lower than those in control group.The FBG, P2BG, and HbA1c in observation group after intervention were lower than those in control group, and the differences were statistically significant(P<0.05). The good foot care rate at 6 months after intervention in observation group was higher than that in control group, and the difference was statistically significant(P<0.05). The SDSCA scores in observation group were higher than those in control group at 1 month, 3 months and 6 months after intervention, while the DSQL score was lower than that in control group, and the differences were statistically significant(P<0.05). Conclusions Tertiary hospital and community health integrated management model for patients with diabetes mellitus, and it can significantly improve the blood glucose level, improve the quality of foot care, quality of life and self-management ability.Therefore it is worthy of clinical promotion and practice. Key words: Community health; Integrated management model; Diabetes mellitus; Foot nursing

EXTENDED ECO-EFFICIENT SUPPLY CHAIN INTEGRATION MANAGEMENT MODEL: A RESEARCH NOTE

Manufacturing organizations must improve their environmental protection as this is the requirement of every stakeholder nowadays. At the same time, manufacturing organizations that pursue environmental protection goal should adopt eco-efficient supply chain integration as it has been known to improve environmental protection without sacrificing economic and operational performances. Nevertheless, there is a decline in integration among manufacturing organizations and their supply chain partners. Furthermore, investigations in the literature have been one-dimensional toward the relationship between practice and performance. It is obvious that current studies pointing toward energy-efficient practice to achieve eco-efficient supply chain integration but it is insufficient. Thus, this study objective is to investigate the impact of eco-efficient supply chain integration on environmental protection and proposing improvement for future research. This study has proposed an extended eco-efficient supply chain integration management model based on the gap in the literature and industry. This study elaborates on the importance of manufacturing organizations achieving environmental protection while understanding that organizations especially from developing countries cannot afford to move from economic and operational performances. The extended model proposed also underlines the improvement for eco-efficient supply chain integration management model and providing a breakthrough for future research to contribute to the organizational theory development and practical improvements.

Optimising medication management for polymedicated home-dwelling older adults with multiple chronic conditions: a mixed-methods study protocol

IntroductionOptimal medication management is one of the basic conditions necessary for home-dwelling older adults living with multiple chronic conditions (OAMCC) to be able to remain at home and preserve their...

Performance of clusters in Morocco in the shifting economic and industrial reforms

The emergence of cluster policy around the world is inspired by the models of the Silicon Valley. Territorial and local development productive systems depend on the new integrated management models that are clusters. Morocco has adopted economic and industrial reforms aimed at accelerating the structural transformation of its production system by strengthening its territorial development model while adopting a cluster development policy through the National Pact for Industrial Emergence, but the performance of these clusters is questionable because they are in the genesis stage and must overcome social, managerial, financial and administrative obstacles and lack of public and private sector partnerships and insufficient innovative collaborative projects. This raises the question of measuring the dynamics and performance of a clusters and the problem of evaluating the economic development of a region. In this study, we intend to conduct review of Moroccan clusters and diagnose their performance in the context economic and industrial moving.

Un gran reto para el Museo Nacional del Prado: la celebración de su Bicentenario. Un caso práctico de gestión en museos

The aim of this article is not to provide a thorough description of all the activities that shaped the commemorative programme of the Museo del Prado´s Bicentenary throughout 2019, but to show a range of key activities in order to manage such an important event. Such actions have been carried out in conjunction with the museum´s day-to-day management and demanded a major effort from the whole team. The administrative capabilities of the museum —under the integral management model defined by interwoven technical tasks linked to the artistic collections and the most purely managerial tasks— have enabled us to accomplish such a great challenge.All in all, this commemorative Bicentenary has demanded from this institution a complex mobilization of human, financial, technical and physical resources, which has in turn required working on three key pillars: coordination, planning and communication. These words seek to help all readers who may have to face the management of a similar historic event in future.

Construction of Integrated Management Model of Port Logistics Supply Chain Based on Big Data

Ouyang, F., 2019. Construction of integrated management model of port logistics supply chain based on big data. In: Guido-Aldana, P.A. and Mulahasan, S. (eds.), Advances in Water Resources and Exploration. Journal of Coastal Research, Special Issue No. 93, pp. 1053–1058. Coconut Creek (Florida), ISSN 0749-0208.Port logistics supply chain management is an integrated management idea and method, which performs the functions of logistics planning and control from supplier to end user in supply chain, an integrated management model of port logistics supply chain based on big data is proposed. The big data regression analysis model of integrated management of port logistics supply chain is constructed by statistical analysis method. The constraint index parameter set of optimization of integrated management mode of port logistics supply chain is analyzed in port logistics supply chain, and the big data fusion of integrated management model of port logistics supply chain is carried out by using correlation detection method. Combined with cumulative variance analysis, big data clustering is carried out for port logistics supply chain integrated management model. According to the clustering results, the quantitative distribution set of port logistics supply chain integrated management model is constructed. Combined with big data fuzzy clustering control and information fusion method, the port logistics supply chain integrated management model is constructed. The results of empirical analysis show that the data fusion of port logistics supply chain integrated management model selection by this method is good, which shows that the rationality of port logistics supply chain integrated management mode selection is more accurate, and the integrated management ability of port logistics supply chain under the environment of Internet of things is improved.

An Extended Framework for Development of a National Logistics Performance Management System

Due to the rapid and increasing integration of national markets, more and more countries are adopting some form of a logistics development policy. Even though a key aspect of success in logistics systems improvement is an efficient performance management system, a systematic analysis of national logistics performance management systems has attracted limited attention in academic literature. In this article, the author constructs a conceptual framework model which focuses on a holistic and integrated model of national logistics performance management. The intention is to provide a tool which enables the correct deployment of national strategies to logistics policies and to present a template to help describing the key aspects of design and operation of national logistics performance management systems.

Multi-landscape forest management of small islands in the Moluccas based on green economy

The exploitative and centralistic economic development of Indonesia has had a negative impact on the land, coastal areas and oceans causing poverty in communities. Effects of global warming and climate change require change in the paradigm towards a green economy to prevent a 20 C increase in earth’s temperature, which will damage the world and its living creatures. Spatial analysis and Geo Information System (GIS) analysis was used in this research. Operational analysis used the framework of the Integrated Management Model of Small Island Landscape which contains a conceptual, macro and micro framework. The research results require a change from an exploitative economy to a green economy as a basis for policy and renewal of regulations at a central and regional level, in accordance with the eco region’s diversity. The macro concept integrates the multi landscape of small islands i.e. the island cluster, the island and its short, narrow watershed, as the management foundation. Integration results show 12 island clusters consisting of 1,340 islands with 1600 water set in the Moluccas. While in North Moluccas there are 8 island clusters, 600 islands and more than 600 watershed. All land use and systems, forest functions, socio-cultural information, tenancy and native title rights have already been integrated into the watershed of the islands and island clusters. The micro concept details sustainable management of forests and other land use areas into management units based on the agroforestry landscape so each multi landscape unit achieves sustainability and community prosperity.

Exploration of postnatal integrated management for prenatal renal and urinary tract anomalies in China

Objective: The aim of this prospective observational study was to establish a suitable model for the postnatal follow-up and management of prenatal renal and urinary tract anomalies in Shanghai, China.Methods: Minhang and Changning maternal child health care hospitals were selected to establish the integrated management model. Newborns with prenatal renal and urinary tract anomalies in these two centers were eligible to participate in the study from 2015 to 2017. All newborns were classified into three groups based on prenatal findings: (1) severe/complex urinary tract dilatation (UTD) with ureterectasia, (2) other renal and urinary tract abnormalities, and (3) isolated mild to moderate UTD. The newborns underwent their first postnatal ultrasound and follow-up according to the presumed management strategy. Demographic and clinical data were collected from all institutes.Results: A total of 129 newborns fulfilled the study criteria, and 121 completed the postnatal evaluation. Ten newborns in group 1 (n = 13) were diagnosed with obstructive uropathy, including 9 with ureteropelvic junction obstruction (UPJO) and one with megaureter. All 13 newborns in group 2 had consistent postnatal results and were followed under previously established procedures. Sixty-seven cases in group 3 (n = 95) had a UTD at their first scan at 42 postnatal days, and two were diagnosed with UPJO. A total of 2 infants with UPJO underwent surgery, and 71 (65.7%, 71/108) of the UTD cases were resolved.Conclusions: The majority of the patients had a favorable outcome. Close multidisciplinary collaboration among obstetricians, neonatologists, pediatricians, and pediatric nephrologists and urologists is mandatory.

Climate Change Impacts on Drought-Flood Abrupt Alternation and Water Quality in the Hetao Area, China

Drought-flood abrupt alternation (DFAA) is an extreme hydrological phenomenon caused by meteorological anomalies. To combat the climate change, the watershed integrated management model—Soil and Water Assessment Tool model (SWAT)—was used to simulate DFAA, total nitrogen (TN) and total phosphorus (TP) from 1961 to 2050, based on measured precipitation data in the Hetao area and the downscaled Representative Concentration Pathways (RCPs) climate scenarios. In the future, the increase in temperature and the increase in extreme precipitation will aggravate the pollution of water bodies. Results indicate that the risk of water quality exceeding the standard will increase when DFAA happens, and the risk of water quality exceeding the standard was the greatest in the case of drought-to-flood events. Results also indicate that, against the backdrop of increasing temperature and increasing precipitation in the future, the frequency of long-cycle and short-cycle drought-flood abrupt alternation index (LDFAI, SDFAI) in the Hetao area will continue to decrease, and the number of DFAA situations will decrease. However, the zone of high-frequency DFAA situations will move westward from the eastern Ulansuhai Nur Lake, continuing to pose a risk of water quality deterioration in that region. These results could provide a basis for flood control, drought resistance and pollution control in the Hetao and other areas.

Revenue management for make-to-order manufacturing systems with a real-life application

Due to successful applications of revenue management in the airline industry, in recent years, there has been a growing interest to adopt revenue management in make-to-order (MTO) manufacturing systems. Several interrelated decision problems such as order acceptance/rejection, short-term capacity planning, due date assignment, and order scheduling need to be studied simultaneously in order to manage revenues effectively in MTO manufacturing systems. Both the producer’s and customer’s requirements need to be taken into account through some negotiation mechanisms that are sensitive to the service-level reputation of the manufacturing companies. In this article, we propose a new dynamic bid price–based revenue management model that considers all of the aforementioned decision problems simultaneously. A simulation optimization approach is utilized in order to determine the best possible values of control parameters for bid price, due date assignment, and price increment/reduction mechanisms. The performance of the proposed integrated revenue management model is tested on both a hypothetical example and a real problem of a bridal gown company. The computational results show that the proposed model provides significant improvements in total revenue compared to other static and dynamic bid price policies.

Análisis de la aplicación de la gestión integral en seis empresas comerciales de tipo familiar en Florencia, Colombia

El modelo de gestión integral se ha convertido en uno de los esquemas organizacionales más completos que reúne las áreas estratégicas de un ente económico, en función de tres componentes principales: la calidad, la seguridad en el trabajo y la gestión ambiental. Este documento tiene como objetivo presentar el análisis de la aplicación de la gestión integral en seis pymes comerciales de origen familiar, de Florencia, Colombia. El problema radica en la falta de competitividad y desarrollo empresarial de la región, lo que hace que no existan suficientes aspectos para darle credibilidad y valor a su economía. Se realizó un estudio de tipo descriptivo con enfoque cualitativo, donde se entrevistaron trabajadores de tres niveles jerárquicos (estratégico, táctico y operativo) de las seis pymes más reconocidas de Florencia. Los resultados indican que, a pesar de no existir un modelo de gestión integral explícito en las pymes de la región, sí se consideran algunos avances en su construcción, orientados bajo los siguientes elementos: la calidad en función del reconocimiento de marca, la aplicación de actividades de salud ocupacional, y los sistemas básicos de reciclaje.

Culture, Nature, Arts: An Integrated Management Model

Culture, Nature, Arts: An Integrated Management Model

A Trust-Based Agent Learning Model for Service Composition in Mobile Cloud Computing Environments

Mobile cloud computing has the features of resource constraints, openness, and uncertainty which leads to the high uncertainty on its quality of service (QoS) provision and serious security risks. Therefore, when faced with complex service requirements, an efficient and reliable service composition approach is extremely important. In addition, preference learning is also a key factor to improve user experiences. In order to address them, this paper introduces a three-layered trust-enabled service composition model for the mobile cloud computing systems. Based on the fuzzy comprehensive evaluation method, we design a novel and integrated trust management model. Service brokers are equipped with a learning module enabling them to better analyze customers’ service preferences, especially in cases when the details of a service request are not totally disclosed. Because traditional methods cannot totally reflect the autonomous collaboration between the mobile cloud entities, a prototype system based on the multi-agent platform JADE is implemented to evaluate the efficiency of the proposed strategies. The experimental results show that our approach improves the transaction success rate and user satisfaction.

The Way Forward with Historic Urban Landscape Approach Towards Sustainable Urban Development

The pace of urbanisation, with the increase in the number of metropolitan areas, has been paralleled with the heritage discourse of past generations that valorises monuments in isolation, and has pushed the appreciation of urban heritage to a grim corner in the face of development. Since the turn of the millennium there are international efforts to reverse this trend by placing culture and people-centred approaches into the heritage discourse in order to allow inclusive policies that see culture and cultural heritage as an asset and driving force for sustainable urban development. As one of such instruments, the UNESCO Recommendation on the Historic Urban Landscape, as an integrated management model, is considered in this article to have potentials to bridge existing divides to achieve sustainable urban development. With this belief, the paper looks into the future, with supporting arguments that come from discussions as a result of the WHITRAP International Expert Meeting on the Implementation of the HUL approach which took place in 2018, Shanghai, China.

Developing a model of partnership management between the vocational high school and the employment domain in the curriculum of industrial working practice

The study was to develop a model of partnership management between the vocational high school (VHS) and the employment domain in the curriculum of industrial working practice under the activities of planning, implementation, monitoring, and evaluation in the vocational high schools of Banda Aceh. The study used the research and development method design with several phases that had been developed by Borg &amp; Gall. The data type in the study was qualitative and quantitative. For the qualitative data analysis, the researcher used the interactive analysis that had been developed by Milles &amp; Huberman. On the other hand, for the quantitative data analysis the researcher used a Likert-scale measure. The research subjects were vocational education practitioners and experts. The data gathering was conducted by means of documentation, observation, interview, and Delphi techniques; all of the methods were implemented until the researcher found the conceptual model. Then, the researcher involved the experts in the model testing by using the Delphi technique resulting in a hypothetical model from the conceptual to be used as the basis for developing the final model. Eventually, the researcher drew the following conclusion: (1) The partnership between the VHS and the employment domain had been pursued by all of the vocational high schools in the City of Banda Aceh but there had not been any clear and integrated model of partnership management; and (2) the researcher generated a model development of partnership management between the VHS and the employment domain in the curriculum of industrial working practice clearly, practically, and effectively.