Industry 4.0 technologies for the adoption of the circular economy: An analysis of institutional pressures and the effects on firm performance.

The present research proposes a model to investigate the influence of institutional pressures on the adoption of circular economy (CE) principles, whether Industry 4.0 technologies support this adoption, and its effect on the performance of firms. To evaluate these relationships, we collected data from 248 companies operating in Brazil.

Associations Between Lean IT Management and Financial Performance in US Hospitals.

Background And Objectives: To understand the relationship between Lean implementation in information technology (IT) departments and hospital performance, particularly with respect to operational and financial outcomes.

Methods: Primary data were sourced from 1222 hospitals that responded to the National Survey of Lean (NSL)/Transformational Performance Improvement, which was fielded to 4500 general medical-surgical hospitals across the United States. Secondary sources included hospital performance data from the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare & Medicaid Services (CMS).

Lean Performance Indicators and Facilitators of Outcomes in U.S. Public Hospitals.

Goal: This study investigated the association between Lean and performance outcomes in U.S. public hospitals.

Seizing the opportunity: the emergence of shared leadership during the deployment of an integrated performance management system.

Background: Performance management systems have been introduced in health and social services institutions to improve organizational performance, supporting the emergence of new management behaviors that are more rooted in collaborative management practices. This study aims to understand how different leadership styles emerge through the implementation of a performance management system and its related tools, and how these can foster distributed leadership.

Methods: Over two years, the implementation of an integrated performance management system supporting the integration of social services for children, youth, and families was studied at a recently merged Canadian healthcare organization.

The Integrated Performance Management System: A Key to Service Trajectory Integration.

Introduction: This article presents an experience of deploying an integrated performance management system as a catalyst for the integration of a service trajectory for children in vulnerable situations. Called ''Jimmy'', the project identifies how the integrated performance management system makes it possible to improve accessibility, continuity of services and well-being at work among stakeholders.

Methods: An action research was conducted in a large healthcare organization in Canada, between August 2016 and October 2018.

The determinants of burnout and professional turnover intentions among Canadian physicians: application of the job demands-resources model.

Background: Burnout among physicians is growing at an exponential rate and many are leaving the profession. Nevertheless, the specific antecedents and intermediary stages involved in predicting their professional turnover intentions are not fully clear.

Purpose: We apply the Job Demands-Resources model and investigate an innovative model which predicts physician burnout and its ultimate consequences on professional turnover intentions.

Medical commitment to Lean: an inductive model development.

Purpose The purpose of this paper is to study the factors influencing doctors' involvement in Lean change initiatives in public healthcare organizations in Canada. Design/methodology/approach An inductive research was conducted over a three-year span studying Lean implementation across three healthcare organizations in Canada. Various interviews were conducted with healthcare actors.