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- Winkel, Jörgen, 1946, et al.
(author)
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Facilitating and inhibiting factors in change processes based on the lean tool ‘value stream mapping’: an exploratory case study at hospital wards
- 2015
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In: International Journal of Human Factors and Ergonomics. - 2045-7804 .- 2045-7812. ; 3:3/4, s. 291-302
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Journal article (peer-reviewed)abstract
- “Lean production” has become a prevalent rationalization methodology in healthcare. Value Stream Mapping (VSM) is a commonly used Lean tool to identify non-Value-Adding-Work. VSM is a participatory tool. Thus it may offer an opportunity to combine interventions for improved performance and ergonomics. The aim of the present exploratory study is to report observations that seem to play significant roles as inhibitors and facilitators for proper intervention processes when using VSM. Seven hospital wards have been investigated in Denmark, Iceland and Sweden. Information was obtained by screening key hospital documents and interviewing participants in and around the VSM processes. Nine tape-recorded interviews were performed. The results tentatively point to the facilitating effect on the VSM process by emphasizing involvement and decision-making among the participants, 1st line manager support and engagement, allocation of sufficient resources, work environment issues as part of the VSM methodology and VSM routines that are well-established and broadly accepted.
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- Karantininis, Konstantinos
(author)
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Tracing Uganda's global primary organic pineapple value chain
- 2016
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In: African Crop Science Journal. - : African Journals Online (AJOL). - 1021-9730 .- 2072-6589. ; 24, s. 15-33
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Journal article (peer-reviewed)abstract
- The organic sector is one of the fastest growing sectors globally. The sector provides an opportunity for developing countries to export high value products in the global market. One such opportunity for Uganda is the export of organic pineapples. The organic pineapple enterprise is relatively new, having existed for approximately 10 years. This paper traces the organic pineapple value chain, characterises and explains the functions of the actors in the chain. The study used the Global Value Chain Analysis Framework, using data obtained from 140 organic farmers, 10 exporters and 3 support institutions in Uganda. It is clear from the study that the chain is private- sector-driven, has relatively young smallholder farmers, and comprises of 10 small scale export companies. Only 45% of the organic pineapples produced by farmers reach the organic consumers. Reasons for this included limited processing capacity of exporters, competition from conventional buyers and the few local organic consumers. Other reasons were declining soil fertility, limited regulative institutional support and poor infrastructure. We recommend increased use of soil amendments, favourable legislations and investment environment, increased horizontal coordination among exporters and increasing the range of the organic export products in order to increase organic pineapple sales.
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