Search results

Nowadays, the agri-food industry is called to face several sustainability challenges that require the development of new sustainable models. The adoption of new technological assets from Industry 4.0 supports the companies during the implementation of sustainability practices. Several models design the operation management of the food supply chains (FSCs). Because none extant models resulted complete in technological and sustainability elements, this paper aims to propose an innovative and sustainable agri-food value chain model, contributing to extend understating of how supply chains can become more sustainable through the Industry 4.0 technologies.

Thanks to a well-structured and replicable systematic literature review and sequent content analysis, this work recognized and compared the extant FSC models, focusing on the interaction of five key elements: activities, flows, stakeholders, technologies and sustainability. The output of the comparison leading in the definition of the proposed model is discussed in a focus group of 10 experts and tested in a case study.

Fifteen extant models were recognized in literature and analysed to discover their features and to putt in light peculiarities and differences among them. This analysis provided useful insights to design and propose a new innovative and sustainable agri-food value chain model; an example for the olive oil business case is provided.

The adding value of the work is the proposed model which regards innovative elements such as recirculation flows, external stakeholders and Industry 4.0 technologies usage which allows enhancing the agri-FSCs operational efficiency and sustainability.

The future increase of chronic diseases in the world requires new challenges in the health domain to improve patients' care from the point of view of the organizational processes, clinical pathways and technological solutions of digital health. For this reason, the present paper aims to focus on the study and application of well-known clinical practices and efficient organizational approaches through an innovative model (TALIsMAn) to support new care process redesign and digitalization for chronic patients.

In addition to specific clinical models employed to manage chronic conditions such as the Population Health Management and Chronic Care Model, we introduce a Business Process Management methodology implementation supported by a set of e-health technologies, in order to manage Care Pathways (CPs) digitalization and procedures improvement.

This study shows that telemedicine services with advanced devices and technologies are not enough to provide significant changes in the healthcare sector if other key aspects such as health processes, organizational systems, interactions between actors and responsibilities are not considered and improved. Therefore, new clinical models and organizational approaches are necessary together with a deep technological change, otherwise, theoretical benefits given by telemedicine services, which often employ advanced Information and Communication Technology (ICT) systems and devices, may not be translated into effective enhancements. They are obtained not only through the implementation of single telemedicine services, but integrating them in a wider digital ecosystem, where clinicians are supported in different clinical steps they have to perform.

The present work defines a novel methodological framework based on organizational, clinical and technological innovation, in order to redesign the territorial care for people with chronic diseases. This innovative ecosystem applied in the Italian research project TALIsMAn is based on the concept of a continuum of care and digitalization of CPs supported by Business Process Management System and telemedicine services. The main goal is to organize the different socio-medical activities in a unique and integrated IT system that should be sustainable, scalable and replicable.