This paper develops models for two types of complex technology systems: symmetric and hub-and-spoke technology systems. It demonstrates that both technology systems are associated with inverted U-shaped relationships between diversity and innovation performance. However, the hub-and-spoke technology system, which incorporates architecture, allows for more diversity in its technology components ...

INTRODUCTION The rate of intravenous thrombolysis with tissue-type plasminogen activator or urokinase for stroke patients is extremely low in China. It has been demonstrated that a telestroke service may help to increase the rate of intravenous thrombolysis and improve stroke care quality in local hospitals. The aim of this study, also called the Acute Stroke Advancing Program, is to evaluate t...

In this paper, we present a collaborative approach for the health care systems. The expert knowledge is embedded within DSS to provide intelligent decision support. The problem space contains multiple Hub and Spoke networks. Information about these networks is dynamically captured and represented in a Meta-data table. This master table enables collaboration between any two networks in the probl...

Background: The purpose of this paper is to develop a generic transport system for same-day delivery that suitable matching long-distance bulk distribution with local distribution. Methods: innovative concepts research entail the introduction mobile hub (MH) networks in combination long vehicles (LCVs). LCVs are trucks an additional loading capacity 50% compared standard trucks. Mobile hubs all...

BACKGROUND A hub-and-spoke telestroke network is an effective way to extend quality emergency stroke care to remote hospitals and improve patient outcomes. OBJECTIVES To evaluate the cost utility of a telestroke network in the management of acute ischemic stroke from the societal perspective. STUDY DESIGN AND METHODS A lifetime Markov model was developed to compare the incremental costs and...

BACKGROUND Stroke is a leading cause of death and serious, long-term disability across the world. Urgent stroke care treatment is time-sensitive and requires a stroke-trained neurologist for clinical diagnosis. Rural areas, where neurologists and stroke specialists are lacking, have a high incidence of stroke-related death and disability. By virtually connecting emergency department physicians ...