174 research outputs found

    Orchestration and governance in digital platform ecosystems: a literature review and trends

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    Purpose: Because of the attention increasingly being focused on digital transformation, interest in business models of platform-enabled ecosystems is rising rapidly. Although there are different theoretical views on the role of ecosystems, a synthesis of research, with a focus on governance and orchestration in dynamic, multi-industry eco-systems, is lacking. Design/methodology/approach: A systematic literature review was conducted by following a rigorous search protocol in the scholarly databases covering both journal articles and conference papers These papers were subsequently filtered, and finally, 48 relevant papers were selected for analysis. Findings: The review identifies five key aspects of platform governance design that need close consideration: the meta-organisation or ecosystem design, coordination mechanisms, mechanisms for value co-creation, value appropriation mechanisms and architectural principles. To achieve balance among a set of competing demands, platform leaders need to devote adequate attention to these aspects. Practical implications: Based on a literature review, the authors provide an overview of underlying theoretical views, research methods and key trends to develop a sound theoretical grounding for research on platform governance design. The paper also suggests research gaps in the existing literature and sets directions for researchers to strengthen the understanding of effective platform governance design. The paper also provides valuable information to managers in developing or leading a successful platform ecosystem. Originality/value: The paper uses existing literature published in this topic and original in nature.</p

    Quality of life 5 years after cardiac surgery: Preoperative and Postoperative status

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    DOI: 10.5281/zenodo.13579591 A prospective cohort research in Maharashtra state, India, assessed changes in quality of life (QoL) following cardiovascular surgery at two major hospitals. Par­ticipated in a study about five years earlier, Data were collected from Jan-2018 to Feb-2023. All willing participants aged 45 to 75 years old with a CAD diagnosis, who could speak and read local/English and were scheduled to have CABG surgery, were invited to participate in a patient-reported health-related quality of life (HRQoL) assessment. Among 175 patients enrolled total participants were 150, aged 45 to 75 undergoing scheduled cardiac surgery during the study period. The characteristics of the study population are shown in Table 1. The patient flow through the study is outlined in Figure 1. All responders are male patients, The mean age when responding was 61.2. Health-related characteristics of the participants (N = 150) five years after  coronary artery bypass graft surgery stated in table3. Health-related characteristics of the participants (N = 150) five years after  coronary artery bypass graft surgery, the stress, exercise and perceived health status was improved, the reduced counts of patients numbers shown in case of habits i.e. Smoking and Drinking, than the preoperative health status. Our findings indicate that the physical and mental component of QoL improves considerably up to 5 years following surgery. A questionnaire-based study will not identify all concerns experienced by the patients. Therefore, more  information might be obtained by further studies using other designs such as qualitative interview techniques
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