1,721,202 research outputs found
Raising the profile of simulation and modelling in health services planning and implementation: Journal of Health Services Research and Policy
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Facilitating stroke care planning through simulation modelling: Health Informatics Journal
No full textStroke is a leading cause of death and long-term severe disability. A major difficulty facing stroke care provision in the UK is the lack of service integration between the many authorities, professionals and stakeholders involved in the process. The objective of this article is to describe a prototype model to support integrative planning for local stroke care services.The model maps the flow of care in the acute and community segments of the care pathway for stroke patients and allows exploring alternatives for care provision. Simulation modelling can help to develop an understanding of the systemic impact of service change and improve the design and targeting of future services. © The Author(s) 2010
Balancing work: Bidding strategies and workload dynamics in a project-based professional service organisation: System Dynamics Review
No full textProject-based professional service organisations supply tailored, one-off projects to individual clients. Specific types of client relationships and the non-routine, creative nature of work combine to make management of these businesses particularly demanding. A common challenge is managing resources across a fluctuating workload. It is usually assumed that external dynamics dictate workload and the scope to manage resources. Firms often accept these conditions believing that there is little they can do to moderate fluctuations. This paper examines the internal causes of workload fluctuation showing that approaches to acquiring work can create significant future problems. A system dynamics model is developed to explore resource deployment and the interaction between business and project processes. We find that it is possible to make a significant difference to workload fluctuations and resourcing if internal factors are considered and managed. The paper concludes by showing that a bidding strategy using staff not currently engaged in project work is superior to having a dedicated work acquisition department as long as the project pipeline and resource requirements are properly considered. In some circumstances, firms are better to do nothing, leaving staff idle, than to bid for and win new work. Copyright © 2006 John Wiley & Sons, Ltd
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Implementing complex innovations in fluid multi-stakeholder environments: Experiences of 'telecare'
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Organizational complexity or technological complexity? Explaining telecare implementation
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