Can technology be good for health? Investigating health-promoting strategies in the private sector.

Introduction: This research investigates what might motivate tech companies and impact-driven investors to adopt a health-promoting strategy in their product development and capital allocation strategies. Methods: Participants were recruited for semi-structured interviews through purposive and snowball sampling. From 83 outreach attempts, thematic saturation required 19 completed interviews out of the 46 consumer technology executives and impact-focused investors who responded. Interviews were analyzed using grounded theory-based content analysis. Results: Seven coding categories resulted from inductive coding, with 83 sub-codes. The primary themes were: product-based health impact is magnified when matched to user demographics (making an equity mindset important); stakeholders are eager for reliable health metrics, especially those that hold across industry verticals; when capturing health impact, it is critical to include positive (i.e., economically beneficial) externalities. These results allowed for the creation of a logic model with a recommended theory of change for the private sector to develop health strategy. Discussion: Intentional integration of impact strategy with business priorities will allow teams to design products that promote health, driving buy-in and resource allocation while attracting investment and double returns. For policymakers, it is clear that tech policy and regulation for corporate reporting need to keep pace. These findings are limited by the purposive recruitment of participants, introducing potential bias and risk to generalizability.

Establishing a successful cardiovascular computed tomography service: Financial and regulatory challenges facing radiologists and cardiologists.

Cardiac imagers, radiologists or cardiologists, do not receive adequate training or preparation for the harsh realities of running imaging programs and most of the training follows graduation where they are learning on the job and from their own mistakes. There are many factors and skill sets need to help imagers to run a successful and financially independent practice that are easily not easily acquired or researched independently. The intent of this review is to provide a checklist of steps recommended to create a successful program and to give insight into the financial considerations associated with workforce, equipment, training and sustainability. The challenges faced are broadly similar between practice types, but some distinct differences do exist within varying practice environments.

Blockchain Based Auditable Access Control For Business Processes With Event Driven Policies.

The use of blockchain technology has been proposed to provide auditable access control for individual resources. Unlike the case where all resources are owned by a single organization, this work focuses on distributed applications such as business processes and distributed workflows. These applications are often composed of multiple resources/services that are subject to the security and access control policies of different organizational domains. Here, blockchains provide an attractive decentralized solution to provide auditability. However, the underlying access control policies may have event-driven constraints and can be overlapping in terms of the component conditions/rules as well as events. Existing work cannot handle event-driven constraints and does not sufficiently account for overlaps leading to significant overhead in terms of cost and computation time for evaluating authorizations over the blockchain. In this work, we propose an automata-theoretic approach for generating a cost-efficient composite access control policy. We reduce this composite policy generation problem to the standard weighted set cover problem. We show that the composite policy correctly captures all the local access control policies and reduces the policy evaluation cost over the blockchain. We have implemented the initial prototype of our approach using Ethereum as the underlying blockchain and empirically validated the effectiveness and efficiency of our approach. Ablation studies were conducted to determine the impact of changes in individual service policies on the overall cost.

Accounting and Enterprise Finance for the Practicing Hand Surgeon.

The business of medicine has become more complex and difficult over the last decade, and the success of a medical practice is dependent not just on the quality of patient care but also effective financial management. Medical school and residency curricula often do not include finance and accounting instruction, leaving physicians ill-prepared to open and run a small business. Physicians must learn how to navigate the challenges of accounting and enterprise finance to ensure the viability and growth of their practice. This article discusses the essential aspects of financial management tailored specifically for the physician/hand surgeon.

Vehicles for Consolidation and Expansion of Physician Practices: Private Equity, Medical Services Organizations, and Strategic Partnerships.

As reimbursements decline and the health care sector experiences consolidation, running a small practice is increasingly difficult. The past 15 years has seen a significant rise in practice consolidation, private equity investment, and regional health system affiliation. In a rapidly changing health care landscape, positioning one's practice for the future is challenging. The trade-off between financial stability and loss of control over the business and physician autonomy is often front and center in choosing our strategic partnerships. The long-term effects of these changes in practice dynamics on the quality and cost of care remain unknown but are concerning.

Perceptions of HIV self-testing promotion in black barbershop businesses: implications for equitable engagement of black-owned small businesses for public health programs.

BACKGROUND: HIV self-testing (HIVST) offers an innovative and promising approach to increasing HIV testing among Black men in the United States, a population disproportionately affected by HIV. However, engaging Black men in traditional HIV prevention programs has been challenging due to stigma, medical mistrust, and limited access to preventive health services. This formative qualitative study aimed to explore the potential of utilizing barbershops as an example of a nontraditional healthcare venue to promote and distribute HIVST. METHODS: Four virtual focus group discussions (FGDs) consisting of 19 participants in North Carolina were conducted with Black men, including barbershop business owners, barbers, and their customers, to assess perceptions of HIVST and the acceptability of partnering with barbershop businesses to promote HIVST. FGDs were digitally recorded, transcribed, and analyzed using a deductive coding approach to thematic analysis. RESULTS: Participants reported that the trusting relationship between barbers and their customers, which may not exist between Black men and health care providers, is a facilitator of collaborating with barbershop businesses to reach Black men for HIVST distribution. Participants recommended providing education for barbers on the use of HIVST, as well as how to inform self-testers about linkage to care following HIVST to build the credibility of the barbers in delivering the intervention. Participants also raised the issue of the cost of HIVST to barbershop customers as a potential barrier to implementation, as well as the possibility that the implementation of such interventions could be seen as out of place in a barbershop business venue. Participants also expressed a strong belief that compensation to barbershops and their employees should accompany any intervention. CONCLUSION: These findings suggest that barbershop business venues may provide an appropriate venue for HIVST promotion and distribution, though factors like cost, training, and incentivization of implementers are necessary to consider in implementation planning. Furthermore, partnerships between public health actors and the business community must be built on equitable engagement to ensure the long-term viability of these critical initiatives.

The change in food service costs associated with increasing the healthiness of ready-to-eat food provision: A systematic scoping review.

Increasing the healthiness of food retail environments is an identified mechanism to help halt rising rates of diet-related non-communicable diseases. Previous studies on healthy food environment adoption report that retailers' perceptions of loss of profitability and higher food costs are often barriers to change. Despite this, actual changes to profitability and food costs have not been fully explored. This study aimed to systematically scope the evidence relating to changes to food costs or profitability when changes are made to increase the healthiness of food and drinks sold by food service retailers. Nine databases were searched, with studies included from settings that sold ready-to-consume items, with interventions to increase the healthiness of menus, and reporting food environment/nutrition outcomes, and cost/profit outcomes. Of the 12 studies included, the majority were conducted in the United States and in school settings. Most studies indicated that increasing the healthiness of food service retail environments resulted in neutral or favorable financial outcomes. Food costs and/or profit changes were most often monitored via simple accounting measures. While further research is needed to strengthen the evidence on financial outcomes of healthier food provision, this review indicates that some perceived barriers to change may not be warranted.

The Egg Hub Model: A Sustainable and Replicable Approach to Address Food Security and Improve Livelihoods.

Background: Despite progress in improving living standards and reduced poverty, food insecurity and malnutrition remain a significant issue worldwide. Childhood is a critical time for the intake of protein to support physical and cognitive growth, including animal-source foods like eggs which can effectively mitigate stunting in low- and middle-income countries. In Malawi, high malnutrition rates among women and children represent a significant public health challenge, but high-quality sources such as eggs remain costly, scarce, and rarely consumed by children in Malawi. The Egg Hub model, identified and piloted by local agri-food entrepreneurs and the Sight and Life Foundation in Malawi, tackles the obstacles faced by smallholder farmers, working to increase egg production, enhance availability, and improve consumption within rural communities by supporting small-scale farmers transition from unsustainable and unproductive backyard rearing to small-scale farm through access to high-quality inputs, training, loans, and a guaranteed market for their eggs. Objectives: This paper provides a detailed account of the implementation of the pilot of the Egg Hub Model in Malawi including the demand creation process, the impact of the model on producers, consumers, and operators, and the social, economic, and environmental sustainability aspects of the model. Methods: Qualitative and quantitative surveys (n = 217 consumers) were used for demand creation and qualitative surveys were used with 15 retailers to determine egg sales. With 16 farmers and the egg hub operator, business metrics, including profits and loss records, were analyzed. Results: The pilot of the Egg Hub model in Malawi supported 85 farmers to triple their egg production, allowing their communities to purchase eggs at prices reduced by 40%, benefiting an estimated number of 180,000 rural poor. Egg consumption among the target population increased from an average of 2 to 9 eggs/month and led to reduced egg wastage and better biosecurity, reducing the risk of children's exposure to chicken feces and infections. The achievements of this Egg Hub in Malawi allowed the model to be replicated in Ethiopia, Peru, and Brazil, producing 40 million eggs annually and benefiting more than half a million consumers. Conclusion: The Egg Hub model is a comprehensive and scalable solution to increase egg supply, address malnutrition and food insecurity, and improve livelihoods. The advantages include centralizing key activities through a community-centered approach, empowering female farmers, increasing access to a highly nutritious food, and economic benefits for farmers and their communities.

Social entrepreneurship and public health nursing knowledge: Opportunities for innovating nursing education in population health.

Public health nursing (PHN) competencies are fundamental for addressing population health inequities. Few pathways exist for employing these competencies in the United States (US). Social entrepreneurship in nursing education might provide opportunities for innovating engagement in population health. Partnerships between business and nursing schools have the potential to fulfill this opportunity. PURPOSE: Explore opportunities for re-invigorating public health nursing through social entrepreneurship education in nursing-business partnerships in U.S. universities. METHODS: Reviewed programs in nursing/business school partnerships from Carnegie-classified R1 Universities. Identified appropriate coursework. RESULTS: Of 96 identified nursing schools, eight had business school partnerships, providing 12 programs. Most programs (n = 11) targeted graduate students and addressed core competencies for entrepreneurship. Five business schools had entrepreneurship expertise. Five nursing schools had PHN expertise. Three programs included population health competencies. DISCUSSION: Despite missed opportunities for advancing social entrepreneurship education among undergraduate and graduate nursing students, existing curricular offerings in the partnerships provide promise. Business/nursing partnerships and PHN knowledge can stimulate the preparation and agency of nurses in addressing population health inequities.

Towards digital readiness of evidence-based practice in a regional cancer center using role-based business process and data modeling.

Introduction: Evidence-based practice is a problem-based solving approach to clinical practice that encourages nurses providing personalized patient care while utilizing the necessary scientific evidence for a better understanding of risks and benefits of diagnostic tests and treatments. Digital transformation of an organization begins with attaining an acceptable digital readiness level. One approach entails specifying and modeling their processes and the respective data models. Objectives: In Jordan, at King Hussein Cancer Center-an international and regional accredited cancer care hospital-their nursing practice requires obtaining a standardized specification of evidence-based practice processes and their respective conceptual data model that is currently not specified for digital readiness. Methods: The design science research methodology was adopted to deliver two increments. The first was concerned with the design, development, and demonstration of eight evidence-based practice processes specified using BPMN. The second was related to the design and development, demonstration, and evaluation of a respective derived data model of the case study. Both increments involved interviews with domain experts for elicitation and validation. Results: Eight evidence-based practice process models were identified and specified using BPMN along with their associated data models, where one representative process model was utilized in this research to demonstrate the effectiveness of process and data modeling towards digital readiness of evidence-based practice in regional cancer center. Conclusions: Both deliverables enabled the evidence-based practice management to attain common understanding to identify inefficiencies, redundancies, and areas for improvement that can be addressed through digital solutions. Evidence -based practice BPMN process models were considered as a road map to follow up a project implementation and a rich visualization to perform data analytics to identify evidence-based practice trends, patterns, and insights that can inform strategic data-driven decisions. Both deliverables were concluded necessary for developing respective information systems in the journey towards digital transformation.

BPMN diagram dataset: Comprehensive collection of functional requirements.

The dataset in this paper explains the functional requirements in the form of Business Process Modelling Notation (BPMN) diagrams from three software applications: employee cooperative, store, and mini hospital. Data were collected from clients or owners of software in three business software projects developed by development teams (including the authors) through requirements elicitation activities. The functional requirements are presented as a BPMN diagram. There are 67 data objects, each presenting a single functional requirement or process. Apart from being presented in diagram form, the BPMN diagram of the functional requirements is also provided in the form of an XML Process Definition Language (XPDL) file, making it possible for users of this dataset to export it using business process management platform tools. Due to the rarity of functional requirements presented in the form of BPMN diagrams for research and education, this dataset plays an important role in research and education in the fields of requirements engineering, software engineering, software metrics, business process modelling, and other relevant fields.

A Pilot Physician Mentoring Program in a Large Hospital System.

Description This article summarizes the development and implementation of a mentoring program designed to support and educate physicians new to practice in a large, outpatient hospital system. The program addresses organizational, operational, and financial elements of medical practice. Topics include efficiency and time management, coding education, leadership, and burnout. These topics are often not directly addressed in medical education, yet are crucial to physician well-being. The article describes the program structure, initial feedback, and recommendations for program replication and expansion.

Does corporate digitization affect shadow banking business? Evidence from Chinese listed companies.

How to govern non-financial enterprises engaged in shadow banking activities is of great practical significance. This study investigates whether and how corporate digitization affects shadow banking. Using a sample of Chinese listed companies for the period 2012-2022, we find that corporate digitization has a significant negative effect on shadow banking business. Mechanism tests show that corporate digitization is conducive to enhancing product core competencies, broadening market channels, and improving operational efficiency, thus inhibiting firms from engaging in shadow banking activities. Moreover, the negative impact of corporate digitization on corporate shadow banking is especially noticeable for non-state-owned companies and in areas where local governments have more stringent financial risk regulations. The findings contribute to enriching the literature on the determinants of corporate shadow banking business, and deepen our understanding of the economic consequences of corporate digitization.

Handling Complexity in Decentralized Research Networks: The Data Sharing Framework Allowlist Management Application.

INTRODUCTION: With the establishment of the Data Sharing Framework (DSF) as a distributed business process engine in German research networks, it is becoming increasingly important to coordinate authentication, authorization, and role information between peer-to-peer network components. This information is provided in the form of an allowlist. This paper presents a concept and implementation of an Allowlist Management Application. STATE OF THE ART: In research networks using the DSF, allowlists were initially generated manually. CONCEPT: The Allowlist Management Application provides comprehensive tool support for the participating organizations and the administrators of the Allowlist Management Application. It automates the process of creating and distributing allowlists and additionally reduces errors associated with manual entries. In addition, security is improved through extensive validation of entries and enforcing review of requested changes by implementing a four-eyes principle. IMPLEMENTATION: Our implementation serves as a preliminary development for the complete automation of onboarding and allowlist management processes using established frontend and backend frameworks. The application has been deployed in the Medical Informatics Initiative and the Network University Medicine with over 40 participating organizations. LESSONS LEARNED: We learned the need for user guidance, unstructured communication in a structured tool, generalizability, and checks to ensure that the tool's outputs have actually been applied.

Exposing the pitfalls of plastics mechanical recycling through cost calculation.

The plastic industry needs to match the recycling goals set by the EU. Next to technological hurdles, the cost of plastics mechanical recycling is an important modality in this transition. This paper reveals how business economic cost calculation can expose significant pitfalls in the recycling process, by unravelling limitations and boundary conditions, such as scale. By combining the business economic methodology with a Material Flow Analysis, this paper shows the influence of mass retention of products, the capacity of the processing lines, scaling of input capacity, and waste composition on the recycling process and associated costs. Two cases were investigated: (i) the Initial Sorting in a medium size Material Recovery Facility and (ii) an improved mechanical recycling process for flexibles - known as the Quality Recycling Process - consisting of Additional Sorting and Improved Recycling. Assessing the whole recycling chain gives a more holistic insight into the influences of choices and operating parameters on subsequent costs in other parts of the chain and results in a more accurate cost of recycled plastic products. This research concluded that the cost of Initial Sorting of flexibles is 110,08-122,53 EUR/t, while the cost of subsequent Additional Sorting and Improved Recycling ranges from 566,26 EUR/t for rPE Flex to 735,47 EUR/t for rPP Film, these insights can be used to determine a fair price for plastic products. For the Quality Recycling Process it was shown that rationalisation according to the identified pitfalls can reduce the cost per tonne of product by 15-26%.

Building your Tailored Business Case for Lifestyle Medicine-A Template for Success.

Most healthcare professionals agree on the "why" behind encouraging administrators to embrace Lifestyle Medicine as a means of treating chronic conditions and improving health. It is the "how" that often evades us. How do we build our business case to justify the sustained commitment to this approach to care? Each entity has unique obstacles and opportunities inherent in their business model and organizational culture. Attempts to position Lifestyle Medicine as a fundamental means for reshaping healthcare sometimes fall flat despite the value of the requests. Advance preparation including strategic planning and a well-designed approach can make the difference by addressing barriers and opening doors. Each business case will be unique, but there are critical elements that should be common to every strategic plan. We can identify foundational tactics to substantiate the need for integration of Lifestyle Medicine as a critical part of healthcare institutions and their financial plans. Given the momentum in Lifestyle Medicine as a discipline, recommendations can be based on successful practices in the development of business cases, program pilots, sustained budgets and outcomes that justify expansion.

How are companies going to business digitalization? An explanation based on the implementation of e-commerce with data of SMEs.

The data presented in this article is based on a questionnaire survey regarding e-commerce and business digitalization of SMEs in Mexico answered by the CEOs of the companies. A valid sample of 4121 Mexican SMEs was collected covering many industries, such as primary sector, extractive industries, manufacturing industries, energy, water, recycling, construction, trade, services, and others. The data includes information about the implementation of e-commerce, business digitalization, operational efficiency, corporate performance, and other demographic indicators of the sampling firms. The link between e-commerce and corporate performance is still underexplored in SMEs, even more so between companies from Latin America, being Mexico a perfect example to explore how different SMEs adapt and thrive due to the rapid growth of their e-commerce and the diversity of their business sectors (Santos-Jaén et al., 2023 [2]). Data analysis was conducted using SPSS and Smart PLS. The data are useful as the data can be reproduced, reused and reanalyzed paying special attention to group-specific effects. This data article also opens up better research opportunities going forward through collaboration with other researchers.

Population density as the attractor of business to the place.

Firm location studies traditionally assume that this is business that attracts other business to a given location. They focus on knowledge transfers between the most productive and innovative firms and analyse agglomeration economies arising from matching, learning and sharing mechanisms. We argue that the population density also attracts firms to the place. Therefore, we extend this stream of research by using the concept of economies of density to discuss the effects of the attraction of firms by population. Our study explores the existence of the hierarchical causal mechanism that occurs when 2nd line firms understood as non-innovative, less productive retail and service businesses together with human settlement create an environment that attracts 1st line firms - the most innovative and productive businesses. We show that population density and business agglomeration jointly affect the location of firms in different sectors and should be considered as complementary rather than substitutable attraction factors.

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. Our findings reveal the importance of external stakeholders as drivers of the transition from the linear economy to CE, highlighting the normative pressures to foster CE adoption. The study brings additional evidence in support of Industry 4.0 technologies that embrace CE implementation and shows the positive effect of their integrated adoption on firm performance. Several managerial and theoretical implications emerge from this investigation: (i) efforts to adopt both CE principles and Industry 4.0 technologies positively impact the performance of firms, and CE implementation can be facilitated when integrated with these technologies; (ii) the institutional context shaped by normative and coercive pressures can have a significant influence on CE adoption; (iii) the discussion of these novel results posits theoretical insights on CE, Industry 4.0, and their relationships with firm performance.