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  • 1.
    Abrahamsson, Mats
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    A model for measuring logistics structures2003In: ESTIEM magazine, ISSN 0874-5242, Vol. 25, no 2/2003Article in journal (Other academic)
    Abstract [en]

      

  • 2.
    Abrahamsson, Mats
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Ett avancerat laboratorium för visualisering av logistiksystem2004In: TH : Transport & Hantering, ISSN 0346-2773, Vol. 3, p. 18-19Article in journal (Other (popular science, discussion, etc.))
  • 3.
    Abrahamsson, Mats
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Measuring Logistics Structure1999In: The International Journal of Logistics Management, ISSN 0957-4093, Vol. 2, no 3, p. 263-284Article in journal (Refereed)
  • 4.
    Abrahamsson, Mats
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Lindskog, Magnus
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Beyond the Beer-Game: An Arena for Visualising Complex Logistics Systems.2004In: Annual NOFOMA Conference for Nordic Researchers in Logistics: Challenging Boundaries with Logistics.,2004, Linköping: Linköpings universitet , 2004Conference paper (Refereed)
  • 5.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Challenging boundaries with logistics: proceedings of the 16th Annual Conference for Nordic Researchers in Logistics : NOFOMA 2004, 7-8 June, Linköping, Sweden2004Book (Other academic)
  • 6.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Logistiskt angreppsätt ger effektivare vårdenheter2013In: Aktuella byggen, ISSN 1401-4149, no 1, p. 8-9Article in journal (Other (popular science, discussion, etc.))
  • 7.
    Aronsson, Håkan
    Linköping University, Department of Management and Economics. Linköping University, The Institute of Technology.
    Three perspectives on supply chain design2000Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    As companies increasingly cooperate with and rely on other companies to compete on a global market, the concept of supply chain management and logistics is gaining interest, from practitioner as well as researchers. Studies of high-performing companies, such as Benetton, Toyota and Nissan report that these organizations take a strategic view of the whole process of supply from original sources of material to end customers, achieving more efficient operations management and more effective strategic management.

    Supply chain management has received an increased interest during the last 10 years, similar concepts such. The study identifies a need for design studies in the area of supply chain and logistics, partly because few studies has been made with a design approach and that traditional methods for design are often focused on design of one function or the formal organizational aspects of logistics. Supply chains are more complex than these types of design, since several companies and several different functions are included. The study is based on a systems approach and is theory generating. The focus of the study is on identifying design variables that can be used to understand the logistics content of a supply chain design and to generate alternative design solutions. The study builds on the -assumption that it is not enough to measure efficiency or effectiveness of a system. It is also necessary to understand the logic under which the system operates. It is only based on that understanding that a new design can be made.

    To handle the increased complexity in supply chain design the system is analysed using three perspectives, process, function and organization. Design variables are identified in each of the perspectives, in the form of a number of constructs and concepts. The constructs are tested in two case studies. The study is theory generating and the results can therefore not be said to do more than suggest the importance of a number of design variables, and the importance to in supply chain design to use several perspectives. The three identified perspectives have been found relevant as well as the theory generated constructs. This does however not mean that these are the only three possible perspectives or the only important design variables. Further research is needed in the area of supply chain design before a design model can be suggested. This study suggests a structure for how to organize design variables using three perspectives (process, function, and organization) and three levels of abstraction (construct, concept, and activity). It is also suggested that to generate design solutions these have to be addressed in a certain order. The complexity makes it impossible to address all questions at the same time. The methodology follows what is suggested when using a saticficing approach in systems theory.

    The first step is to clarify the aim of the new design by using the conceptual level. The concepts are often based on best practice studies and often suggest a design solution that has been found useful. The next step is to define the content of the system that is to be designed by defining the activities that are included. To uphold the supply chain focus it is suggested that the constructs in the process perspective are addressed in the next step. The last two steps are to address the constructs in the functional and the organizational perspectives in that order.

  • 8.
    Aronsson, Håkan
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Abrahamsson, Mats
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Spens, Karen
    Hanken school of Economics.
    Developing lean and agile health care supply chains2011In: Supply chain management, ISSN 1359-8546, E-ISSN 1758-6852, Vol. 16, no 3, p. 176-183Article in journal (Refereed)
    Abstract [en]

    Purpose – The objective of this exploratory paper is to find out what is important to consider when developing a supply chain in health care, what is required in order to establish a supply chain orientation and how lean and agile can be used as process strategies in order to improve supply chain performance.

    Design/methodology/approach – In order to build an empirical framework for using both lean and agile strategies in health care supply chain management illustrative examples are provided from a Swedish health care setting describing the patient flow and planning processes.

    Findings – Supply chain management has potential to work well as a philosophy for patient flow in the health care sector. However, it should not only be about the use of the concept of lean in health care, as in fact is the case in practice today. It is rather about organizing for quick response and flexibility in a hybrid strategy through combining lean and agile process strategies. This can only be done if a systems approach is applied together with a strategic orientation, where cooperative efforts by the supply chain members should synchronize and converge operational as well as strategic capabilities into a unified whole.

    Practical implications – The analysis in the paper underlines the importance of focusing on both agility and leanness combined. Hospitals or health care systems that introduce such an approach, as opposed to only relying on lean strategies, could gain both competitive advantages and improved performance.

    Originality/value – In health care, even more so than in the manufacturing industry, containment of costs without sacrificing quality is important. This paper applies SCM techniques, tools and concepts that have not been used previously for patient flow in a health care setting, combining lean and agile in one and the same analysis.

     

  • 9.
    Aronsson, Håkan
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Engineering, Logistics .
    Eklind, Staffan
    REGIONAL DEVELOPMENT IN ÖSTERGÖTLAND, SWEDEN Development Measure Impact Analysis (DEMIA) on regional development related to logistics and ICT2007Report (Other academic)
  • 10.
    Aronsson, Håkan
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Engineering, Logistics .
    Eklind, Staffan
    Rangaraju, Naveen Kumar
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Engineering, Logistics .
    EXPERT INTERVIEWS IN ÖSTERGÖTLAND, SWEDEN - Results and analysis of the intersectoral expert interviews in the field of logistics and ICT2007Report (Other academic)
  • 11.
    Aronsson, Håkan
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Engineering, Logistics Management.
    Huge-Brodin, Maria
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Engineering, Logistics Management.
    Kohn, Christofer
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Logistics Structures - drivers of environmental impact2008In: Northern Lights in Logistics and Supply Chain Management, Köpenhamn: Copenhagen Business School Press , 2008, 1, p. 183-198Chapter in book (Other academic)
    Abstract [en]

    Northern Lights in Logistics & Supply Chain Management" portrays the past, present and future research of the subject in the Nordic countries. The NOFOMA conference - a network of Nordic researchers within the field of Logistics and Supply Chain Management - has been a focal point in the contribution to the continuous improvement and further development of Nordic research. The network has also opened up for interaction with fellow researchers from other countries. There are sixteen chapters in the book that in its own way colours the Nordic rainbow of research within Logistics and Supply Chain Management. The chapters are structured in four themes: 1) Origins and strategic aspects; 2) Research approaches in the Nordic countries; 3) Advancement of distribution strategies and; 4) Emerging application areas of logistics and SCM. The chapters provide an understanding and, perhaps more importantly, consciousness for scholars that are part of this research environment: Where are we now, what have we been influenced by, and in what area are we able to provide positive impact? The aim of the book is also to contribute to increased visibility to fellow international scholars within Logistics and Supply Chain Management.

  • 12.
    Aronsson, Håkan
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Huge-Brodin, Maria
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Kohn, Christofer
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Logistics Structures - drivers of environmental impact2006In: NOFOMA,2006, 2006Conference paper (Other academic)
  • 13.
    Aronsson, Håkan
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Hvitfeldt Forsberg, Helena
    Karolinskan Institutet, Stockholm.
    Lindblad, Staffan
    Karolinska institutet, Stockholm.
    Keller, Christina
    Högskolan i Jönköping.
    Managing health care decisions and improvement through simulation modeling2011In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 20, no 1, p. 15-29Article in journal (Refereed)
    Abstract [en]

    Simulation modeling is a way to test changes in a computerized environment to give ideas for improvements before implementation. This article reviews research literature on simulation modeling as support for health care decision making. The aim is to investigate the experience and potential value of such decision support and quality of articles retrieved. A literature search was conducted, and the selection criteria yielded 59 articles derived from diverse applications and methods. Most met the stated research-quality criteria. This review identified how simulation can facilitate decision making and that it may induce learning. Furthermore, simulation offers immediate feedback about proposed changes, allows analysis of scenarios, and promotes communication on building a shared system view and understanding of how a complex system works. However, only 14 of the 59 articles reported on implementation experiences, including how decision making was supported. On the basis of these articles, we proposed steps essential for the success of simulation projects, not just in the computer, but also in clinical reality. We also presented a novel concept combining simulation modeling with the established plan-do-study-act cycle for improvement. Future scientific inquiries concerning implementation, impact, and the value for health care management are needed to realize the full potential of simulation modeling.

  • 14.
    Aronsson, Håkan
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Naim, M
    Lalwani, C
    Fortuin, L
    Schmidt, T
    Taylor, J
    A model for logistics systems engineering management education in Europe2000In: European Journal of Engineering Education, ISSN 0304-3797, E-ISSN 1469-5898, Vol. 25, no 1, p. 65-82Article in journal (Refereed)
  • 15.
    Aronsson, Håkan
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Engineering, Logistics .
    Rangaraju, Naveen Kumar
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Engineering, Logistics .
    LOGISTICS SURVEY IN ÖSTERGÖTLAND, SWEDEN2007Report (Other academic)
  • 16.
    Backman, Jörgen
    et al.
    Inland Wood AB.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Improved Channel Effektiveness and Collaboration in Industrial Networks in the Wood Product Sector2004In: Annual NOFOMA Conference for Nordic Researchers in Logistics,2004, Linköping: Linköpings universitet , 2004, p. 107-Conference paper (Refereed)
  • 17.
    Ekdahl, Bengt
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Logistics cost management - a review of the literature2006In: Nordisk forskning om Materialadministration, NOFOMA,2006, 2006Conference paper (Refereed)
  • 18.
    Ellström, Daniel
    et al.
    Linköping University, Department of Management and Engineering, Industrial Marketing and Industrial Economics. Linköping University, The Institute of Technology.
    Rehme, Jakob
    Linköping University, Department of Management and Engineering, Industrial Marketing and Industrial Economics. Linköping University, The Institute of Technology.
    Björklund, Maria
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Logistics cost management models and their usability for purchasing2011Conference paper (Other academic)
    Abstract [en]

    This paper deepens the understanding regarding the practical usability of CM models for purchasing decisions, and provides a framework for determining a desired complexity of cost management in different purchasing environments.

    Download full text (pdf)
    FULLTEXT01
  • 19.
    Ellström, Daniel
    et al.
    Linköping University, Department of Management and Engineering, Industrial Marketing and Industrial Economics. Linköping University, The Institute of Technology.
    Rehme, Jakob
    Linköping University, Department of Management and Engineering, Industrial Marketing and Industrial Economics. Linköping University, The Institute of Technology.
    Björklund, Maria
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Logistics cost management models and their usability for purchasing2012In: Journal of Modern Accounting and Auditing, ISSN 1548-6583, Vol. 8, no 7, p. 1066-1073Article in journal (Refereed)
  • 20.
    Huge-Brodin, Maria
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    The environmental impact of changing logistics structures2006In: The International Journal of Logistics Management, ISSN 0957-4093, Vol. 17, no 3, p. 394-415Article in journal (Refereed)
  • 21.
    Lindskog, Magnus
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Abrahamsson, Mats
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Visualisation for System Learning in Supply Chains2007In: International Journal of Learning and Change, ISSN 1740-2875, E-ISSN 1740-2883, Vol. 2, no 2, p. 170-191Article in journal (Refereed)
    Abstract [en]

    Contemporary supply chains are vastly complex, and decisions made by actors have system-wide consequences that these might not be able to foresee. There are gaps between 'best practice'-founded theory and actual practice in supply chains. To remedy this, we argue, the supply chain actors need to enhance systems knowledge. There is a need to support development of mental models about systemic structures in the supply chain. This is difficult, if not outright impossible, to achieve in real-life settings. A supply chain visualisation microworld engine has therefore been developed, which forms the basis of a learning arena that supports system learning for the supply chain actors.

  • 22.
    Mazzocato, Pamela
    et al.
    Karolinska Institute.
    Holden, Richard J
    Vanderbilt University.
    Brommels, Mats
    Karolinska Institute.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Backman, Ulrika
    Karolinska University Hospital.
    Elg, Mattias
    Linköping University, Department of Management and Engineering, Quality Technology and Management. Linköping University, The Institute of Technology.
    Thor, Johan
    Karolinska Institute.
    How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren Childrens hospital, Stockholm, Sweden2012In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 12, no 28Article in journal (Refereed)
    Abstract [en]

    Background: There is growing interest in applying lean thinking in healthcare, yet, there is still limited knowledge of how and why lean interventions succeed (or fail). To address this gap, this in-depth case study examines a lean-inspired intervention in a Swedish pediatric Accident and Emergency department. less thanbrgreater than less thanbrgreater thanMethods: We used a mixed methods explanatory single case study design. Hospital performance data were analyzed using analysis of variance (ANOVA) and statistical process control techniques to assess changes in performance one year before and two years after the intervention. We collected qualitative data through non-participant observations, semi-structured interviews, and internal documents to describe the process and content of the lean intervention. We then analyzed empirical findings using four theoretical lean principles (Spear and Bowen 1999) to understand how and why the intervention worked in its local context as well as to identify its strengths and weaknesses. less thanbrgreater than less thanbrgreater thanResults: Improvements in waiting and lead times (19-24%) were achieved and sustained in the two years following lean-inspired changes to employee roles, staffing and scheduling, communication and coordination, expertise, workspace layout, and problem solving. These changes resulted in improvement because they: (a) standardized work and reduced ambiguity, (b) connected people who were dependent on one another, (c) enhanced seamless, uninterrupted flow through the process, and (d) empowered staff to investigate problems and to develop countermeasures using a "scientific method". Contextual factors that may explain why not even greater improvement was achieved included: a mismatch between job tasks, licensing constraints, and competence; a perception of being monitored, and discomfort with inter-professional collaboration. less thanbrgreater than less thanbrgreater thanConclusions: Drawing on Spear and Bowens theoretical propositions, this study explains how a package of lean-like changes translated into better care process management. It adds new knowledge regarding how lean principles can be beneficially applied in healthcare and identifies changes to professional roles as a potential challenge when introducing lean thinking there. This knowledge may enable health care organizations and managers in other settings to configure their own lean program and to better understand the reasons behind leans success (or failure).

    Download full text (pdf)
    fulltext
  • 23.
    Mazzocato, Pamela
    et al.
    Karolinska Institute.
    Savage, Carl
    Karolinska Institute.
    Brommels, Mats
    Karolinska Institute.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics . Linköping University, The Institute of Technology.
    Thor, Johan
    Karolinska Institute.
    Lean thinking in healthcare: a realist review of the literature2010In: Quality and Safety in Healthcare, ISSN 1475-3898, E-ISSN 1470-7934, Vol. 19, no 5, p. 376-382Article in journal (Refereed)
    Abstract [en]

    Objective To understand how lean thinking has been put into practice in healthcare and how it has worked. Design A realist literature review. Data sources The authors systematically searched for articles in Pub Med, Web of Science and Business Source Premier (January 1998 to February 2008) and then added articles through a snowball approach. Review methods The authors included empirical studies of lean thinking applications in healthcare and excluded those articles that did not influence patient care, or reported hybrid approaches. The authors conducted a thematic analysis based on data collected using an original abstraction form. Based on this, they articulated interactions between context, lean interventions, mechanisms and outcomes. Results The authors reviewed 33 articles and found a wide range of lean applications. The articles describe initial implementation stages and emphasise technical aspects. All articles report positive results. The authors found common contextual aspects which interact with different components of the lean interventions and trigger four different change mechanisms: understand processes to generate shared understanding; organise and design for effectiveness and efficiency; improve error detection to increase awareness and process reliability; and collaborate to systematically solve problems to enhance continual improvement. Conclusions Lean thinking has been applied successfully in a wide variety of healthcare settings. While lean theory emphasises a holistic view, most cases report narrower technical applications with limited organisational reach. To better realise the potential benefits, healthcare organisations need to directly involve senior management, work across functional divides, pursue value creation for patients and other customers, and nurture a long-term view of continual improvement.

  • 24.
    Olsson, Olle
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Logistikhandbok för hälso- och sjukvården2012Report (Other academic)
    Abstract [sv]

    Denna logistikhandbok syftar till att vara ett verktyg och stöd i arbetet med att utveckla verksamheten mot effektivare flöden av patienter. Handboken redogör för logistiska metoder och teorier anpassade till en sjukvårdkontext. Logistikhandboken består av tre kapitel:

    • Kartläggning – Tar upp olika metoder för att kartlägga patientflöden och informationsflöden för att få en överblick för hur verksamheten bedrivs. Det beskrivs också när respektive metod är lämplig att använda samt vilken/vilka analyser som kan utföras med hjälp av metoden. Att utföra en kartläggning är en bra start i förändringsarbete eftersom det skapar en gemensam bild över utgångsläget för de involverade.
    • Variation – Är något som förekommer på många ställen inom halso‐ och sjukvården samt kraftigt påverkar verksamheten, varför det är viktiga att förstå och hantera variation för att bättre kunna planera sin verksamhet. Kapitlet tar upp olika typer av variation samt hur man kan minska den variation som uppstår på grund av det sätt som arbete bedrivs.
    • Lean – Ett populärt förbättringskoncept inom halso- och sjukvården. Handboken tar upp de grundläggande principerna anpassat till en sjukvårdskontext, med syftet att utgöra en introduktion för sjukvårdspersonal.

    Logistikhandboken har utarbetats genom ett samarbete mellan Hässleholms sjukhusorganisation samt logistikavdelningen på Linköpings universitet. Det övergripande innehållet har gemensamt bestämts varpå Olle Olsson och Håkan Aronsson sammanställt materialet nedan.

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    Logistikhandbok för hälso- och sjukvården
  • 25.
    Olsson, Olle
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Managing a variable acute patient flow: categorising the strategies2015In: Supply chain management, ISSN 1359-8546, E-ISSN 1758-6852, Vol. 20, no 2, p. 113-127Article in journal (Refereed)
    Abstract [en]

    This study aims filling some of that gap by applying the concepts of lean and agile in a study in a health care setting, something that has been sparsely explored, even though there are examples (e.g. Aronsson et al., 2011; Rahimnia and Moghadasian, 2010). Although lean has been applied successfully in the private sector, limited research has evaluated whether the lean approach transfers successfully to the public sector and what impact the approach has on for example costs, productivity and quality of service (Radnor et al., 2006). With a lean approach the focus is on continually eliminating waste and thereby reducing the resources used to produce a given set of goods, with the ambition being to achieve a streamlined flow of production (Womack et al., 1990).

    Download full text (pdf)
    fulltext
  • 26.
    Olsson, Olle
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Understanding the impact of variation on healthcare systems2012Conference paper (Other academic)
    Abstract [en]

    The variation associated with demand and supply of services strongly contributes to operating difficulties in healthcare. Understanding variability helps healthcare providers to more accurately model and address opportunities for improvement. This study uses discrete event simulation to investigate what consequences that alteration in patient inflow, available resources, treatment times and duration of activities at an emergency department and inpatient department has on bed occupancy and length of stay. It is concluded that the variables are intimately related and that the departments are sensitive to changes due to a considerable variation in patient inflow and treatment times.

  • 27.
    Olsson, Olle
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Sandberg, Erik
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Managing a variable acute patient flow: planning and decision-making2012Manuscript (preprint) (Other academic)
    Abstract [en]

    This paper focuses on the management of variability in the acute patient flow, which is another factor that complicates the organisational structure of a hospital. There is a high degree of variability in healthcare (Ronen and Pliskin, 2006), in particular when it comes to acute patients where the patient inflow fluctuates concerning time, health issues and response to treatment. Healthcare resources are also often used inappropriately and not adapted to the variations that exist (Walley et al., 2006). Variation is hence created by internal behaviours in healthcare systems such as discontinuous scheduling, variable capacity to discharge and by splitting demand into subgroups (Allder et al., 2011).

  • 28.
    Olsson, Olle
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Wiger, Malin
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Developments in the field of healthcarelogistics and SCM: A patient flow focus2012Manuscript (preprint) (Other academic)
    Abstract [en]

    Purpose

    During the last years, attention for healthcare logistics and SCM has begun. This is a novel topic, with a lack of literature reviews on research related to this field. Therefore, the aim of this paper is to provide guidance in how to develop healthcare logistics and SCM research related to patient flows.

    Design/methodology/approach

    This paper adopted an exploratory literature review, focusing on patient flow issues, through a scanning of logistics and SCM journals. The identified articles references as well as the papers that had referred to the papers were also included in the review.

    Findings

    The field of healthcare logistics and SCM is still in its infancy, with few papers published. The papers with a supply chain or network as unit of analysis are mostly conceptual and the case studies mainly descriptive studies on a single healthcare unit. Some major challenges for future research is how to manage a complex service context, how to create flexibility in healthcare provision and coordinate multiple healthcare actors.

    Research limitations/implications

    The findings should be considered as conceptual, and provides a basis for further empirical and theoretical based research.

    Practical implications

    The results provide a basis for healthcare organizations and their managers, to build upon in their continuing efforts to develop more efficient patient flows.

    Original/value

    This literature review responds to the absence of an overview on research in healthcare logistics and SCM. It contributes to both logistics and SCM literature by identifying some important challenges and gaps for future research.

  • 29.
    Oskarsson, Björn
    et al.
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Ekdahl, Bengt
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Modern Logistik - För ökad lönsamhet2006Book (Other (popular science, discussion, etc.))
    Abstract [sv]

    Logistik har under de senaste 20 åren vuxit, från att ha handlat om lager och transporter, till att bli en viktig del i många företags konkurrensstrategi. I takt med att konkurrensen på marknaden blir skarpare, företag blir allt mer internationella och vinstmarginalerna pressas genom hela kedjan från leverantör till slutkund, ökar logistikens betydelse för ett företags konkurrenskraft. "Modern logistik" handlar just om detta, dvs. hur logistiken aktivt kan bidra till högre lönsamhet i dagens tuffa affärsklimat. Den här boken både beskriver hur modern logistik fungerar och förklarar hur logistiken kan utvecklas inom olika områden. Den första delen av boken är en introduktion till modern logistik. I den andra delen får vi följa hur ett exempelföretag tillämpar olika logistikverktyg för att förbättra sin logistik. 

  • 30.
    Oskarsson, Björn
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Ekdahl, Bengt
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Modern logistik: för ökad lönsamhet2013 (ed. 4)Book (Other academic)
    Abstract [sv]

    Modern logistik har blivit mycket uppskattad för att den är skriven med ett enkelt språk och har många illustrerande figurer och exempel. Den pedagogiska tanken utgår från att logistiken ska förbättras, genom att förbättra leveransservicen till kunderna och minska kostnaderna för logistikaktiviteterna.

    Till denna upplaga har del 3 omarbetats helt, och de två första delarna har justerats för att ytterligare öka tydligheten och läsbarheten.

    Del 1 Logistiksystemet ger en övergripande förståelse för hur flödena i företagets olika delar samverkar.

    Del 2 Logistikens verktyg presenterar olika verktyg och metoder för att analysera och förbättra logistiken.

    Del 3 Logistik i ett vidare perspektiv beskriver Supply Chain Management, det vill säga hur företag kan skapa gemensamma logistiklösningar, samt logistikens koppling till ett hållbart samhälle, inköps betydelse för logistiken och hur logistik kan användas i nya sammanhang, till exempel inom sjukvården.

     

     

  • 31.
    Oskarsson, Björn
    et al.
    Linköping University, Department of Management and Engineering, Logistics & Quality Management. Linköping University, Faculty of Science & Engineering.
    Ekdahl, Bengt
    Linköping University, Department of Management and Engineering, Logistics & Quality Management. Linköping University, Faculty of Science & Engineering.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics & Quality Management. Linköping University, Faculty of Science & Engineering.
    Modern logistik: För ökad lönsamhet2021 (ed. 5)Book (Other academic)
  • 32.
    Rangaraju, Naveen Kumar
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    ICT SURVEY IN ÖSTERGOTLAND, SWEDEN2007Report (Other academic)
  • 33.
    Sarv, Hans Olov
    et al.
    Linköping University, Department of Management and Economics.
    Aronsson, Håkan
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Carlsson, Jan
    Linköping University, Department of Management and Economics.
    Lindskog, Magnus
    Linköping University, The Institute of Technology. Linköping University, Department of Management and Economics, Logistics.
    Systemiskt lärande som ansats i logistikutvecklingen - en studie av svensk internethandel2002Report (Other academic)
    Abstract [sv]

    Bakgrunden till projektet är baserad på två observationer från tidigare forskningsprojekt. Den första är den generella utvecklingen inom logistik mot en ökad grad av integration. Samtidigt har utkontraktering av logistik blivit vanligare - inom den unga Internethandeln är utkontraktering av logistiken mer regel än undantag - vilket leder till att det som förut var fråga om intern integration inom ett företag har blivit integration mellan olika företag. Den andra observationen är att många logistikförändringar är svåra att genomföra och att många av de som genomförs inte når de resultat som var förväntade. Samtidigt ser vi att under det senaste decenniet har organisationer utsatts för ett ökat förändringstryck, där några nyckelbegrepp är ökad föränderlighet, osäkerhet, komplexitet och hårdnande konkurrens. Det finns alltså ett behov av att utveckla sättet som förändringsarbetet bedrivs på. Vår studie har utgått från grundantagandet att det alltmer globala och alltmer länkade samhället ställer två allt högre krav på företag: snabbhet och helhet. Det är bra helhetslösningar för kunden som skapar kundvärde och det är detta som betalar alla i det nätverk av aktörer som gemensamt bygger upp kundlösningarna. Och det räcker att det uppstår en förändring av förutsättningarna någonstans i nätverkets omvärld, kanske en ny teknik eller nya marknadsförutsättningar, för att hela försörjningskedjan behöver anpassas. Förändringarna ställer krav på såväl ständig ompositionering som på ständig effektivisering av alla processer och rutiner. I klartext innebär detta att utvecklingsprocesserna mellan de många aktörerna behöver utvecklas, inte bara de operativa processerna. Det stora språnget i denna utveckling är skiftet från -expertstyrda- till -aktörsstyrda- utvecklingsprocesser. Utgångspunkten för studien har varit att vi bland Internethandlarna skulle kunna se ett större inslag av aktörsstyrda förändringsstrategier, då denna bransch i större utsträckning kännetecknas av krav på snabbhet, men samtidigt krav på att skapa och upprätthålla en helhet som genererar värde för slutkunden. Vi har samtidigt haft en ambition att utveckla en metodik för att genomföra studien på ett mer lärandeorienterat sätt. Vi har valt en kvalitativ forskningsansats där empirin hämtas från ett antal fallstudier och där förändringsprocesser varit i fokus. Vårt huvudsakliga upplägg har varit att arbeta med direkta observationer på fallföretagen samt med reflektions- eller dialogmöten. Vi har haft två typer av reflektionsmöten - dels då forskarna reflekterat över aktuella observationer, dels återföringsdagar där forskarteamet och aktörerna på fallföretaget mötts. Forskargruppen har mötts med jämna mellanrum för att utifrån dessa observationer gemensamt söka finna mönster i förändringsarbetet. På så vis har forskargruppen haft ett observationsbaserat lärande som vi sedan också försökt reproducera i möten med aktörerna. Mot bakgrund av vårt grundantagande om ökande krav på snabbhet och helhet, förväntade vi oss att se vad vi kallar dynamiska och systemiska förändringsstrategier, men vi kan knappast säga att vi har fått våra förväntningar bekräftade. I det logistiska utvecklingsarbetet såg vi nästan ingen dynamik, utan det vi i första hand såg var reaktiva beteenden, med i första hand expertstyrda förändringsstrategier.

  • 34.
    Wiger, Malin
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Decision support by process-oriented cost accounting for the healthcare industry: PFC - patient flow costing2011Conference paper (Other academic)
    Abstract [en]

    This paper presents a cost accounting model with the aim to facilitate process owners in decision-making and to keep track of the patient flow by combining Total cost analysis, Activity based costing and systemic approach. The patient flow costing (PFC) model has been developed through an iterative process with a Swedish hospital. Costs not tied to the patient flows are by the model collected to a residual, which makes them visible and therefore approachable. Furthermore, the PFC-model is a tool to help analyze the cost of logistic decisions as a means to increase the efficiency in the flow of patients.

  • 35.
    Wiger, Malin
    et al.
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Aronsson, Håkan
    Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
    Healthcare logistics - a patient flow focus: What has been done?2012In: NoFoMa Conference: Book of proceedings / [ed] Juuso Töyli, Laura Johansson, Harri Lorentz, Lauri Ojala and Sini Laari, Naantali, Finland, 2012, p. 827-842Conference paper (Other academic)
    Abstract [en]

    Purpose of this paper

    During the last years attention for healthcare logistics has increased along with the healthcare sector evolvements towards more process oriented business models. The Supply Chain Management: An International Journal recently published a special issue on supply chain management in health services (Issue 3, 2011). This is though a novel topic, with a lack of literature reviews on research related to this field. Therefore, the purpose of this paper is to present an outline of helthcare logistics and supply chain management research related to patient flows.

    Design/methodology/approach

    A literature review was conducted on what is written in logistics and supply chain journals focusing on patient flow issues and practical logistics implication in a healthcare context, as a first phase. A second phase was conducted using a “snowball approach” to trace the “first phase” article´s references.

    Findings

    The field of healthcare logistics is still in its infancy, few articles are published in traditional logistics journals. However, most of the reviewed articles from the first search phase are published during the last years. The second search phase shows that the articles in the reference list were published in a wide range of journals.

    Research limitations/implications (if applicable)

    This paper is based on theories about patient flows and healthcare organization's capacity to provide service. The findings should be considered as conceptual, and provides a basis for further empirical and theoretical based research.

    Practical implications (if applicable)

    The results provide a basis for healthcare organizations and their managers, to build upon in their continuing efforts to develop and enhance more efficient patient flows.

    Originality/value

    This literature review responds to the absence of an overview on research in a healthcare context using theories based in the logistics and a supply chain management field.

     

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