VINICIUS PICANÇO RODRIGUES
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- Repair as a circular strategy for increasing resource availability and health system resilience during a crisis(2023) Cobra, Raphael; Moroni, Iara Tonissi; VINICIUS PICANÇO RODRIGUES; Fradinho, Jorge M.S.Background Healthcare is a complex socio-technical system where nations regularly struggle with the misalignment between public needs and available resources. The advent of COVID-19 further exacerbated shortcomings, as evidenced by the global panic to find ventilators and beyond. However, the pandemic catalysed a successful Brazilian public-private voluntary partnership that united key industry players, industrial training centres and several volunteers, who, in the absence of a supportive government, could repair ventilators in record time, giving the health system means to succeed. Objectives Characterise how a voluntary public-private partnership came into existence and codify recommendations on how it effectively used repair as a circular strategy to increase ventilator availability and bolster health system resilience. Methods Case study using multiple data sources collected over 10 months, including national data, semi-structured interviews, daily reports, and internal communications. Sampling, research instruments, and subsequent qualitative data analysis and theory development grounded in repair strategy, resilience, and supply chain literature. Results A successful public-private voluntary partnership delivered 2,514 repaired ventilators, approximately 3% of the total ventilators in use in Brazil and impacting around 24,700 lives. Furthermore, effectively functioned as a first-responder bringing to hospitals approximately 500 repaired units as early as April 2020, surpassing the government's procurement and doing so just-in-time for Brazil's COVID 1st wave. More than 70 institutions and 700 professionals helped hospitals in 25 out of 27 Brazilian states. This case documents how the initiative persevered through adversity, including inadequate policies representing a widespread difficulty in enforcing the “right to repair”. Public interest summary In Brazil, automakers, the National Industrial Training Service and other organisations formed a voluntary and temporary alliance to repair broken ventilators that had accumulated in hospitals. This initiative took place at the beginning of the COVID-19 pandemic and returned 2,514 ventilators to hospitals, supporting patient care and partially alleviating the shortage of ventilators. This repair depended on the training of technical staff who had never worked with health equipment before. In addition to training, there was a need to share information and manuals, calibrate repaired equipment, procure spare parts, organise logistics and find funding, amongst other activities, meaning that it was a wide scale operation involving several organisations - both within and outside the health system. This research demonstrates the role of ventilator repair in making a health system more resilient in the event of a health emergency, and the urgent need to develop strategies to make repair an everyday commitment.
- The benefits and barriers of additive manufacturing for circular economy: A framework proposal(2023) Tavares, Thais Moreira; Ganga, Gilberto Miller Devós; Godinho Filho, Moacir; VINICIUS PICANÇO RODRIGUESAccording to preliminary research, additive manufacturing (AM) is a promising technology for developing circular material flow. However, the impact of AM on the circular economy (CE) is unclear. To address this issue, this study proposes a framework that presents the benefits and barriers of AM for CE. This framework is valuable for generating a new path for AM production and restructuring the supply chain. This study uses a multi-method research approach to propose this framework. (i) Secondary qualitative data were used to find the best way to categorise the results; (ii) literature review was applied to understand how the phenomenon of AM adoption meets or does not meet CE requirements; and (iii) interviews with experts were conducted to evaluate the results. The findings help to systematically highlight the benefits and barriers of AM for the CE and provide a research agenda that identifies specific actions that AM stakeholders should take to align with the CE. The broader potential of AM as a beneficial technology for CE is contingent on overcoming the identified critical barriers, and the economic viability of circular AM activities. The findings could be relevant because they clearly show how AM technology brings companies and society closer to or farther from CE.