Service Process Enhancement in Medical Tourism with Support of Augmented Reality

Öz

Digital technologies play a critical role in streamlining the supply chain process and reducing operational time in service businesses, as demonstrated by the COVID-19 pandemic. Service providers may be able to do their tasks quickly and effectively if they digitize their processes. The goal of the project was to create an application that supported augmented reality (AR) for the order-picking process for a medical facility. Reducing order picking time is this study's secondary goal. Adobe Aero is used in the development of AR apps. Data for 278 observations during a month were analyzed in Minitab-21 using comparison groups. The order-picking process may be implemented using AR, according to the results, and there is a substantial difference in order-picking time after implementing the AR-supported model (p < 0,05; mean order-picking time before 0,64, after 0,45). In contrast to the traditional method, the box plot in the AR-supported model indicates that the data range is large and uniformly distributed. AR is a useful tool in the service supply chain for order picking. Order picking time is positively impacted by the AR-supported model.

Anahtar Kelimeler

• Service-Supply Chain
• Order Picking
• Augmented Reality
• Health Tourism
• Tourism

Medikal Turizmde Artırılmış Gerçeklik (AG) Destekli Hizmet Süreci İyileştirmesi

Öz

COVID-19, hizmet sektöründe tedarik zinciri süreçlerin kolaylaştırılmasında ve işlem sürelerinin kısaltılmasında, dijital teknolojilerin hayati olduğunu ortaya çıkarmıştır. Süreçlerini dijitalleştirmiş hizmet işletmelerinin de operasyonlarını zamanında ve etkin bir şekilde tamamlaması mümkün olacaktır. Bu çalışmada bir sağlık kurumunun sipariş toplama sürecine ilişkin Artırılmış Gerçeklik (AG) destekli bir uygulama geliştirilmesi amaçlanmıştır. Sipariş toplama süresinin kısaltılması da çalışmanın ikincil amacıdır. AG aplikasyonu tasarımı için Adobe Aero kullanılmıştır. Grupları karşılaştırmak için bir aylık sürede toplanan 278 veri, Minitab 21 ortamında analiz edilmiştir. Sonuçlar göstermektedir ki geliştirilen AG uygulaması, sipariş toplama süreci için kullanılabilirdir. Diğer bir sonuç ise, AG uygulamasından sonra sipariş toplama süresinde anlamlı bir fark ölçülmüştür (p < 0,05, önceki ortalama: 0,64, sonraki ortalama: 0,45). Kutu grafiğinde özetlendiği gibi geleneksel yöntemin aksine, AG-destekli model ölçüm sonuçlarında verilerin daha homojen ve geniş bir aralıkta yayıldığı görülmektedir. Geliştirilen AG uygulaması, hizmet tedarik zincirinde sipariş toplama süresini kısaltmak için uygun bir araç olarak kullanılabilmektedir. AG destekli model, sipariş toplama süresinin azaltılmasında pozitif bir etkiye sahiptir.

Anahtar Kelimeler

• Hizmet Tedarik Zinciri
• Sipariş Toplama
• Artırılmış Gerçeklik
• Sağlık Turizmi
• Turizm

Kaynakça

1. Abawi, D. F., Los Arcos, J. L., Haller, M., Hartmann, W., Huhtala, K., & Träskbäck, M. (2004). A mixed reality museum guide: The challenges and its realization [Conference presentation]. 10th International Conference on Virtual Systems and Multimedia.
2. Alzua-Sorzabal, A., Linaza, M. T., & Abad, M. (2007). An experimental usability study for Augmented Reality technologies in the tourist sector. In ENTER, 231-242. https://doi.org/10.1007/978-3-211-69566-1_22
3. Amouzagar, S., Mojaradi, Z., Izanloo, A., Beikzadeh, S., & Milani, M. (2016). Qualitative examination of health tourism and its challenges. International Journal of Travel Medicine and Global Health, 4(3), 88-91. http://doi:10.20286/ijtmgh-040304
4. Arlbjørn, J. S., Freytag, P. V., & De Haas, H. (2011). Service supply chain management: A survey of lean application in the municipal sector. International Journal of Physical Distribution & Logistics Management, 41(3), 277-295. https://doi.org/10.1108/09600031111123796
5. Azuma, R. T. (1997). A survey of augmented reality. Presence: Teleoperators & Virtual Environments, 6(4), 355-385. https://doi.org/10.1162/pres.1997.6.4.355
6. Baltacioglu, T., Ada, E., Kaplan, M. D., Yurt And, O., & Cem Kaplan, Y. (2007). A new framework for service supply chains. The Service Industries Journal, 27(2), 105-124. https://doi.org/10.1080/02642060601122629
7. Bright, A. G., & Ponis, S. T. (2021). Introducing gamification in the AR-enhanced order picking process: a proposed approach. Logistics, 5(1), 14. https://doi.org/10.3390/logistics5010014
8. Bojnec, Š., & Kribel, Z. (2004). Information and communication technology in tourism.

9. Buhalis, D. (1998). Buhalis, D. (1998). Strategic use of information technologies in the tourism industry. Tourism management, 19(5), 409-421. https://doi.org/10.1016/S0261-5177(98)00038-7
10. Connell, J. (2006). Medical tourism: Sea, sun, sand and… surgery. Tourism management, 27(6), 1093-1100. https://doi.org/10.1016/j.tourman.2005.11.005
11. De Koster, R., Le-Duc, T., & Roodbergen, K. J. (2007). Design and control of warehouse order picking: A literature review. European Journal of Operational Research, 182(2), 481-501. https://doi.org/10.1016/j.ejor.2006.07.009
12. Ellram, L. M., Tate, W. L., & Billington, C. (2004). Understanding and managing the services supply chain. Journal of Supply Chain Management, 40(3), 17-32. https://doi.org/10.1111/j.1745-493X.2004.tb00176
13. Gademann, N., & Velde, S. (2005). Order batching to minimize total travel time in a parallel-aisle warehouse. IIEE transactions, 37(1), 63-75. https://doi.org/10.1080/07408170590516917
14. Giannikas, V., Lu, W., Robertson, B., & McFarlane, D. (2017). An interventionist strategy for warehouse order picking: Evidence from two case studies. International Journal of Production Economics, 189, 63-76. https://doi.org/10.1016/j.ijpe.2017.04.002
15. Ginters, E., Gutierrez, J. M., & Mendivil, E. G. (2020, Oct, 15-16). Mapping of conceptual framework for augmented reality application in logistics. 61st International Scientific Conference on Information Technology and Management Science of Riga Technical University (ITMS) 1-5. http://doi.org/ 10.1109/ITMS51158.2020.9259302
16. Helmy, E. M., & Travers, R. (2009). Towards the development of Egyptian medical tourism sector. Anatolia, 20(2), 419-439. https://doi.org/10.1080/13032917.2009.10518918
17. Mainelli, T. (2018, May). How augmented reality drives real-world gains in services, training, sales and marketing, and manufacturing. # US43844418, IDC, 10.
18. Manzini, R., Accorsi, R., Gamberi, M., & Penazzi, S. (2015). Modeling class-based storage assignment over life cycle picking patterns. International Journal of Production Economics, 170, 790-800. https://doi.org/10.1016/j.ijpe.2015.06.026
19. Marimon, D., Sarasua, C., Carrasco, P., Álvarez, R., Montesa, J., Adamek, T.,& Gascó, P. (2010). MobiAR: tourist experiences through mobile augmented reality. Telefonica Research and Development, Barcelona, Spain.
20. Mesáro, P., Mandičák, T., Hernandez, M. F., Sido, C., Molokáč, M., Hvizdák, L., & Delina, R. (2016). Use of Augmented Reality and Gamification techniques in tourism. E-review of Tourism Research,13(1-2): 366-381.
21. Mourtzis, D., Samothrakis, V., Zogopoulos, V., & Vlachou, E. (2019). Warehouse design and operation using augmented reality technology: A papermaking industry case study. Procedia Cirp, 79, 574-579. https://doi.org/10.1016/j.procir.2019.02.097
22. Murauer, N., Müller, F., Günther, S., Schön, D., Pflanz, N., & Funk, M. (2018, June). An analysis of language impact on augmented reality order picking training. Proceedings of the 11th Pervasive Technologies Related to Assistive Environments Conference, 351-357. https://doi.org/10.1145/3197768.3201570
23. Olar, M. L., Samuil, I., Leba, M., & Ionica, A. (2019). Augmented reality in postindustrial tourism. IOP Conference Series: Materials Science and Engineering,  572( 1), 12-93 IOP Publishing. http://doi.org/10.1088/1757-899X/572/1/012093
24. Olsson, T., Kärkkäinen, T., Lagerstam, E., & Ventä-Olkkonen, L. (2012). User evaluation of mobile augmented reality scenarios. Journal of Ambient Intelligence and Smart Environments, 4(1), 29-47. http://doi.org/ 10.3233/AIS-2011-0127
25. Plakas, G., Aretoulaki, E., Ponis, S. T., Agalianos, K., & Maroutas, T. N. (2020). A proposed technology solution for enhancing order picking in warehouses and distribution centers based on a gamified augmented reality application [Conference presentation]. The IADIS International Conference Interfaces and Human Computer Interaction & Proceedings of the IADIS International Conference Game and Entertainment Technologies, Virtual  23-25. Zagreb, Croatia: IADIS Digital Library.
26. Ponis, S. T., Plakas, G., Agalianos, K., Aretoulaki, E., Gayialis, S. P., & Andrianopoulos, A. (2020). Augmented reality and gamification to increase productivity and job satisfaction in the warehouse of the future. Procedia Manufacturing, 51, 1621-1628. https://doi.org/10.1016/j.promfg.2020.10.226
27. Reif, R., & Günthner, W. A. (2009). Pick-by-vision: augmented reality supported order picking. The Visual Computer, 25(5), 461-467. http://doi.org/ DOI 10.1007/s00371-009-0348-y
28. Reif, R., Günthner, W. A., Schwerdtfeger, B., & Klinker, G. (2010). Evaluation of an augmented reality supported picking system under practical conditions. Computer Graphics Forum  29(1), 2-12. Oxford, UK: Blackwell Publishing Ltd. https://doi.org/10.1111/j.1467-8659.2009.01538.x
29. Schwerdtfeger, B., & Klinker, G. (2008). Supporting order picking with augmented reality [Conference presentation]. 7th IEEE/ACM International Symposium on Mixed and Augmented Reality, 91-94. http://doi.org/ 10.1109/ISMAR.2008.4637331
30. Sonel, E., Şeyda, G. Ü. R., & Tamer, E. R. E. N. (2019). Çok ölçütlü karar verme ile sağlik turizminde şehir seçimi ve analizi. Uluslararası Global Turizm Araştırmaları Dergisi, 3(1), 27-39.
31. Stipanuk, D. M. (1993). Tourism and technology: interactions and implications. Tourism Management, 14(4), 267-278. https://doi.org/10.1016/0261-5177(93)90061-O
32. Stoltz, M. H., Giannikas, V., McFarlane, D., Strachan, J., Um, J., & Srinivasan, R. (2017). Augmented reality in warehouse operations: opportunities and barriers. IFAC-PapersOnLine, 50(1), 12979-12984. https://doi.org/10.1016/j.ifacol.2017.08.1807
33. Tompkins, J. A., White, J. A., Bozer, Y. A., & Tanchoco, J. M. A. (2010). Facilities planning. John Wiley & Sons.
34. Üstün, U., & Uslu, Y. D. (2022). Türkiye’nin sağlık turizminde tercih edilme nedenleri üzerine bir çalışma: Medikal turizm endeksi. Avrupa Bilim ve Teknoloji Dergisi, (33), 344-353. https://doi.org/10.31590/ejosat.1020647
35. Wang, W., Wang, F., Song, W., & Su, S. (2020). Application of augmented reality (AR) technologies in inhouse logistics [Conference presentation]. E3S Web of Conferences  145, 2018. EDP Sciences. https://doi.org/10.1051/e3sconf/202014502018
36. Wong, B. K. M., & Hazley, S. A. S. A. (2020). The future of health tourism in the industrial revolution 4.0 era. Journal of Tourism Futures, 7(2), 267-272. https://doi.org/10.1108/JTF-01-2020-0006
37. Internet Resources
38. Sağlık Turizm Verileri. USHAŞ, Uluslararası Sağlık Hizmetleri A.Ş. Retrieved July 1, 2022. https://www.ushas.com.tr/saglik-turizmi-verileri/
39. World Health Organization (2023). WHO Coronavirus (COVID-19) Dashboard. Retrieved July 7, 2023. https://covid19.who.int/
40. World Tourism Organization and European Travel Commission (2018), Exploring Health Tourism – Executive Summary, UNWTO, Madrid, DOI: https://doi.org/10.18111/978928442030.8. 10.07.2023
41. Why Every Organization Needs an Augmented Reality Strategy. Retrieved August 1, 2022. https://techinnovations.info/why-every-organization-needs-an-augmented-reality-strategy/?gclid=CjwKCAjwm8WZBhBUEiwA178UnN0gv5sxlISjhOHp0tCeZPYgc2tQwAtpC1RvdvLYbx3PCIxEmCvItxoChoAQAvD_BwE