RESUMO
Over the last decade, many academics, practitioners, and policy-makers have focused on the notion of circular economy (CE) as a way to operationalize sustainable development. There is, however, a shortage of review studies that reflect the evolution and status of CE with respect to sustainability in the maritime industry. The purpose of this study is to conduct a bibliometric analysis of the development of CE in research on sustainable maritime processes/operations in the maritime industry. To accomplish this, the study uses citation analysis (publication distribution, productive journals, cross-country collaborations), co-occurrence analysis of the subject categories, co-citation analysis, and keyword frequency analysis. To collect data, the study utilizes the Web of Science database. Such software packages as CiteSpace, Histcite, and VOSviewer are used to analyze the data collected. The results clarify that, in the maritime industry, CE is a micro-level sub-set of sustainability. Furthermore, the literature has mainly focused on waste management and life-cycle assessment as measures of CE 1.0 and CE 2.0, respectively. Assessing circularity in terms of R-imperatives highlights that "recycle," "remanufacture," "recover," and "reduce" are widespread practices of circularity in the maritime industry. Shipping companies should evaluate the possibility of implementing CE by realizing shorter loop R-imperatives such as "refuse," "reduce," "reuse," and "repair." Scholars must further explore underdeveloped R-imperatives such as "refuse," "refurbish," "repurpose," and "remine" in the maritime industry.
RESUMO
The outsourcing of health services has gained prominence over the past decades. Because numerous factors affect outsourcing in the field of health services, identifying and prioritizing these factors is specifically important. This study sought to identify and prioritize the factors affecting outsourcing, and to propose a model for the effective outsourcing of hospital services in Shiraz, Iran. The study drew on an exploratory mixed research method. In the first stage, all the criteria affecting the outsourcing of activities in hospitals were identified through the theoretical framework, a literature review, and interviews with hospital experts. Next, the criteria were finalized and prioritized using the fuzzy best-worst method (BWM). Following the literature review, 34 criteria for outsourcing were identified based on the studies explored and the interviews with the experts; the criteria were categorized into seven dimensions including "strategy", "management", "economy", "quality", "security and keeping patients' records", "service", and "agility." These dimensions formed the final outsourcing model of hospitals in Shiraz. Finally, the fuzzy BWM analysis revealed that "security and keeping patient's records" had the highest priority in outsourcing-related decision-making. The findings can help hospital managers make the right decision concerning the outsourcing of hospital services. The dimensions found in this research might also have been identified in other models, although this study was different in that it concentrated on the criteria in the specialized area of hospital management, while identifying the importance and weights of all the criteria involved.
