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Article
Publication date: 22 November 2018

Stuart Barson, Robin Gauld, Jonathon Gray, Goran Henriks, Christina Krause, Peter Lachman, Lynne Maher, M. Rashad Massoud, Lee Mathias, Mike Wagner and Luis Villa

The purpose of this paper is to identify five quality improvement initiatives for healthcare system leaders, produced by such leaders themselves, and to provide some guidance on…

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Abstract

Purpose

The purpose of this paper is to identify five quality improvement initiatives for healthcare system leaders, produced by such leaders themselves, and to provide some guidance on how these could be implemented.

Design/methodology/approach

A multi-stage modified-Delphi process was used, blending the Delphi approach of iterative information collection, analysis and feedback, with the option for participants to revise their judgments.

Findings

The process reached consensus on five initiatives: change information privacy laws; overhaul professional training and work in the workplace; use co-design methods; contract for value and outcomes across health and social care; and use data from across the public and private sectors to improve equity for vulnerable populations and the sickest people.

Research limitations/implications

Information could not be gathered from all participants at each stage of the modified-Delphi process, and the participants did not include patients and families, potentially limiting the scope and nature of input.

Practical implications

The practical implications are a set of findings based on what leaders would bring to a decision-making table in an ideal world if given broad scope and capacity to make policy and organisational changes to improve healthcare systems.

Originality/value

This study adds to the literature a suite of recommendations for healthcare quality improvement, produced by a group of experienced healthcare system leaders from a range of contexts.

Details

Journal of Health Organization and Management, vol. 32 no. 8
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 23 November 2018

K. Ramesh and Sartaj Ahmad Eytoo

The purpose of this paper is to investigate the three fundamental flows (namely, both the plates moving in opposite directions, the lower plate is moving and other is at rest, and…

Abstract

Purpose

The purpose of this paper is to investigate the three fundamental flows (namely, both the plates moving in opposite directions, the lower plate is moving and other is at rest, and both the plates moving in the direction of flow) of the Ree-Eyring fluid between infinitely parallel plates with the effects of magnetic field, porous medium, heat transfer, radiation and slip boundary conditions. Moreover, the intention of the study is to examine the effect of different physical parameters on the fluid flow.

Design/methodology/approach

The mathematical modeling is performed on the basis of law of conservation of mass, momentum and energy equation. The modeling of the present problem is considered in Cartesian coordinate system. The governing equations are non-dimensionalized using appropriate dimensionless quantities in all the mentioned cases. The closed-form solutions are presented for the velocity and temperature profiles.

Findings

The graphical results are presented for the velocity and temperature distributions with the pertinent parameters of interest. It is observed from the present results that the velocity is a decreasing function of Hartmann number. Temperature increases with the increase of Ree-Eyring fluid parameter, radiation parameter and temperature slip parameter.

Originality/value

First time in the literature, the authors obtained closed-form solutions for the fundamental flows of Ree-Erying fluid between infinitely parallel plates with the effects of magnetic field, porous medium, heat transfer, radiation and slip boundary conditions. Moreover, the results of this paper are new and original.

Details

Multidiscipline Modeling in Materials and Structures, vol. 15 no. 2
Type: Research Article
ISSN: 1573-6105

Keywords

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