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Publicações

Publicações por CEGI

2019

Maximizing the expected number of transplants in kidney exchange programs with branch-and-price

Autores
Alvelos, F; Klimentova, X; Viana, A;

Publicação
ANNALS OF OPERATIONS RESEARCH

Abstract
In this paper, we propose a branch-and-price approach for solving the problem of maximizing the expected number of transplants in Kidney Exchange Programs (KEPs). In these programs, the decision on which transplants will be conducted is usually made with the support of optimization models with the assumption that all operations will take place. However, after a plan of transplants is defined, a pair may leave the KEP or a more accurate compatibility evaluation exam may invalidate a transplant. To model these possible events we consider probabilities of failure of vertices and of arcs and the objective of maximizing the expected number of transplants. The proposed approach is based on the so-called cycle formulation, where decision variables are associated with cycles. Built on the concept of type of cycle a branch-and-price algorithm is conceived. One subproblem is defined for each type of cycle. We present computational results of the proposed branch-and-price algorithm and compare them with solving directly the cycle formulation (with a general purpose mixed integer programming solverCPLEX) showing that the proposed approach is the only one suitable for larger instances.

2019

A service design approach to healthcare innovation: from decision-making to sense-making and institutional change

Autores
Patrício, L; Grenha Teixeira, J; Vink, J;

Publicação
AMS Review

Abstract

2019

Bringing service design to the development of health information systems: The case of the Portuguese national electronic health record

Autores
Teixeira, JG; de Pinho, NF; Patricio, L;

Publicação
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS

Abstract
Background: Health Information Systems (HIS), and especially Electronic Health Records (EHR), offer great promise. However, the true benefits of HIS and EHR are more elusive as research shows they have obtained mixed results across countries. To increase the success of these systems while creating value for healthcare professionals, research emphasizes the importance of involving clinical users in the design of HIS. Objective: Following calls for interdisciplinary research and increased end-user participation in HIS development, this paper shows how a service design approach can support the successful development and implementation of national EHRs. Service design brings a human-centered, participatory, holistic, creative and visual approach to HIS development, through an iterative process of exploration, ideation, reflection and implementation, fostering stakeholder participation and co-creation of the solution. Method: This paper presents an in-depth case study of the Portuguese National EHR development and implementation following a service design approach. The study involved individual and group interviews, as well as participatory design workshops with more than 170 participants along the different stages of exploration, ideation, reflection and implementation. Results: The service design approach, including the visual models and tools used across the different design stages, was instrumental to envision new EHR concepts and design the system to enhance healthcare users experience. A qualitative study performed after implementation showed that the EHR was considered useful and easy to use, and these results are backed by widespread usage of the system. Discussion and conclusion: This paper shows how a service design approach can address key challenges in EHR development. By adopting a holistic perspective, service design broadens the scope of EHR development to understand its broader service system and position it to enable value creation with users. The human-centered, participatory, creative, visual and holistic approach supports the understanding of user needs and context, and their active involvement in the design and co-creation effort. This service design approach fosters user adoption at the implementation stage. Service design can thus contribute to the successful development and implementation of EHRs.

2019

Leveraging service design as a multidisciplinary approach to service innovation

Autores
Joly, MP; Teixeira, JG; Patricio, L; Sangiorgi, D;

Publicação
JOURNAL OF SERVICE MANAGEMENT

Abstract
Purpose Service design is a multidisciplinary approach that plays a key role in fostering service innovation. However, the lack of a comprehensive understanding of its multiple perspectives hampers this potential to be realized. Through an activity theory lens, the purpose of this paper is to examine core areas that inform service design, identifying shared concerns and complementary contributions. Design/methodology/approach The study involved a literature review in two stages, followed by a qualitative study based on selected focus groups. The first literature review identified core areas that contribute to service design. Based on this identification, the second literature review examined 135 references suggested by 13 world-leading researchers in this field. These references were qualitatively analyzed using the NVivo software. Results were validated and complemented by six multidisciplinary focus groups with service research centers in five countries. Findings Six core areas were identified and characterized as contributing to service design: service research, design, marketing, operations management, information systems and interaction design. Data analysis shows the various goals, objects, approaches and outcomes that multidisciplinary perspectives bring to service design, supporting them to enable service innovation. Practical implications - This paper supports service design teams to better communicate and collaborate by providing an in-depth understanding of the multiple contributions they can integrate to create the conditions for new service. Originality/value This paper identifies and examines the core areas that inform service design, their shared concerns, complementarities and how they contribute to foster new forms of value co-creation, building a common ground to advance this approach and leverage its impact on service innovation.

2019

Advancing service design research with design science research

Autores
Teixeira, JG; Patricio, L; Tuunanen, T;

Publicação
JOURNAL OF SERVICE MANAGEMENT

Abstract
Purpose Service design is a multidisciplinary approach that is key to service innovation, as it brings new service ideas to life. In this context, the development of new service design methods and models for creating new service futures is an important stream of service design research. Such developments can benefit from a systematized research methodology that builds on existing knowledge and robustly evaluates the suitability of research contributions. To address this challenge, the purpose of this paper is to present design science research (DSR), an established methodology from the information systems field, and examine how it can be useful for service design research by supporting the development of new artifacts, such as service design constructs, methods and models. Design/methodology/approach This paper presents DSR and related literature and shows how DSR can support service design research through a step-by-step approach. A methodology to develop prescriptive-driven solutions for classes of problems, DSR can support service design research in developing rigorous and relevant research. One illustrative example of a service design research effort using the DSR approach is presented. Findings Building on DSR's robust methodological background, this paper discusses how DSR can support service design research, namely, through the development of new methods and models, and how DSR can be adapted to leverage service design research participatory, iterative, human-centric and creative approach. Originality/value This paper provides an overview of DSR and proposes it as a methodology to conduct service design research, offering step-by-step guidance on the application of DSR in service design research and discussing how it can be adapted according to the specific characteristics of service design research and drive future research.

2019

Barriers to onshore wind farm implementation in Brazil

Autores
Farkat Diogenes, JRF; Claro, J; Rodrigues, JC;

Publicação
ENERGY POLICY

Abstract
Across the world, several developing countries with recent wind energy (WE) diffusion have been demonstrating an interest in expanding WE generation quickly and expressively. In Brazil, this fast and remarkable WE diffusion process started in the past decade, facing a variety of barriers. This research proposes to reliably identify and analyse current barriers to the implementation of onshore wind farms in the country, aiming at informing other developing countries with the intention to expand WE utilization about potential barriers, as well as assisting the Brazilian WE sector in its efforts to keep growing sustainably. To achieve this research goal, 41 key stakeholders from the Brazilian WE sector were interviewed. Based on a content analysis of the interviews, twenty-four barriers where identified, three of which with particular relevance: poor transmission infrastructure, unattractive financial loans and unstable macroeconomic environment. The data collected suggests a serious risk that Brazil's WE sector stops growing if the recovery of its national economy, the reestablishment of regular energy auctions, the access to competitive credit, and improvements to the transmission system infrastructure keep being held back. In the face of this scenario, this study concludes by providing policy recommendations concerning the sustainability of the Brazilian WE sector.

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