Additive manufacturing (AM), commonly known as 3D printing, has been attracting attention from practitioners as well as academicians with its continuous evolution from being used primarily for prototyping to now end-product production. Despite this technology's current and future potential, few studies indicate that AM has not been extensively used across all industries. This dissertation addresses knowledge gaps by providing theoretical and empirical support for adopting AM through three essays that study the role of AM in restructuring supply chains. Essay 1 provides systematic support for AM implementation by developing a typology derived from technology-specific potentials and challenges to adopting AM. This study uses an exploratory research approach to collect and analyze data from semi-structured interviews of practitioners with deep knowledge of AM and supply chains from diverse industries. In Essay 2, our results show that AM adoption positively influences supply chain responsiveness and, in turn, reshoring decisions. Essay 3 compares different supply chain configurations based on traditional and AM. We developed a hybrid simulation model combining discrete event simulation and agent-based simulation and compared the performance in terms of wait time and costs. Our results indicate that under certain conditions, the centralized configuration delivers spare parts faster than the distributed …

To address emerging challenges in empowering patients through telehealth, this dissertation has the following objectives: (a) find the key characteristics that enable patient empowerment [PE], (b) determining when will PE work as a solution, (c) find the optimal telehealth care method that enables PE, and (d) evaluate the impact of telehealth on health care outcomes (such as, patient satisfaction, patient trust with primary care providers, etc.) that ultimately enhances PE. These objectives are addressed in three studies presented here as three essays. Collectively, these essays contribute to the knowledge on PE, patient trust, and telehealth by providing insights on leveraging PE towards better health care services and delivery systems. Essay 1 aims to systemically map the concept of PE using principles of systems thinking with the Boardman soft systems methodology that enables a graphical visualization (i.e., systemigrams). Essay 2 investigates the practical and theoretical implications of connecting patients to empowerment care plans and minimizing wait times in healthcare service delivery using electronic prescriptions (s-scripts), phone calls, and video calls. In Essay 3, the mediating role of telehealth services between patient empowerment and patient satisfaction was analyzed, along with patient trust was assessed as a moderator between telehealth usability and patient …

The objective of this dissertation is to first identify if there are any academic research gaps in our understanding of the medical supply chain and secondly to understand the role and impact of logistics on the human organ transplant process. The first essay identifies the current status of medical supply chain literature and provides future direction for improving the medical supply chain. This was accomplished by preforming a systematic literature review and a bibliometric analysis from 2,160 publications was conducted. The second essay explores how logistical aspects impact transplant logistics performance and the quality of life for the transplant recipient. Survey data was collected from medical professionals and analyzed using structural equation modeling. The third essay identifies the factors are influencing the number of donor kidneys discarded each year. A retrospective analysis of all deceased donor kidneys procured in hospitals in UNOS region 4 (Texas and Oklahoma) from January 1, 2001, to June 28, 2021, was conducted. Data was analyzed using multinomial logit regression and panel data analysis. As a result, we identified several medical and logistics factors that have influenced the number of donor kidneys discarded in the United States.