The increasing strain on global healthcare systems demands innovative approaches to resource allocation that prioritize sustainability, equity, and quality. In her insightful research presented at the New York Learning Hub, Ms. Rita Atuora Samuel examines how effective resource allocation can reshape health and social care delivery. Her study, “Sustainability in Health and Social Care: Addressing Resource Allocation in a Changing Global Landscape,” explores actionable strategies that healthcare organizations can adopt to ensure resilience and long-term efficiency
Drawing from case studies of three diverse healthcare organizations—an urban hospital, a rural clinic, and a long-term care facility—Samuel highlights measurable successes achieved through sustainable practices. The urban hospital implemented technology-driven solutions that improved operational efficiency by 15% and increased patient satisfaction by 20%. Meanwhile, the rural clinic reduced missed appointments by 30% through telemedicine and community outreach initiatives, enhancing accessibility and care continuity. The long-term care facility reduced operational costs by 20% by adopting energy-efficient infrastructure and green practices, benefiting both the environment and patient well-being.
Samuel’s findings underscore the critical role of leadership in driving sustainability. Proactive leaders who foster accountability and align organizational goals with sustainability practices pave the way for success. Equally important is workforce engagement, achieved through regular training and participatory decision-making. These approaches not only ensure the consistent implementation of strategies but also overcome resistance to change by empowering staff to take ownership of sustainability initiatives
Innovation further emerged as a powerful enabler of sustainability. Predictive analytics, community-centered care models, and energy-efficient infrastructure optimized resource use while improving accessibility and outcomes. However, systemic barriers such as funding limitations, technological disparities, and fragmented policies remain challenges that require coordinated efforts from policymakers, healthcare leaders, and external stakeholders.
Samuel emphasizes that sustainability is not a one-time initiative but an ongoing commitment to refining practices through continuous monitoring and feedback. By investing in leadership capacity, workforce development, and advanced technologies, healthcare organizations can balance the competing demands of efficiency, equity, and quality care.
For Africa’s healthcare systems, where resource limitations often present unique challenges, Samuel’s research offers timely insights. Her recommendations provide a practical roadmap for building sustainable, resilient systems capable of meeting the growing demands of diverse populations. With her work, Ms. Rita Atuora Samuel champions the importance of aligning innovation with human-centered care to ensure the health and well-being of communities for generations to come.
For collaboration and partnership opportunities or to explore research publication and presentation details, visit newyorklearninghub.com or contact them via WhatsApp at +1 (929) 342-8540. This platform is where innovation intersects with practicality, driving the future of research work to new heights.
Full publication is below with the author’s consent.
Abstract
Sustainability in Health and Social Care: Addressing Resource Allocation in a Changing Global Landscape
Sustainability in health and social care has become a critical focus as healthcare systems worldwide face increasing demands, limited resources, and environmental challenges. Effective resource allocation plays a pivotal role in achieving sustainability by ensuring the efficient use of financial, human, and material resources while maintaining equitable access and quality care. This study investigates how resource allocation practices influence sustainability in health and social care, exploring actionable strategies to address systemic challenges and foster long-term resilience.
Using a mixed-methods approach, the research integrates quantitative data, such as operational efficiency metrics and patient outcomes, with qualitative insights from 130 participants across three case study organizations: an urban hospital, a rural clinic, and a long-term care facility. Quantitative analysis revealed significant improvements in resource efficiency and patient outcomes where sustainable practices were implemented. The urban hospital achieved a 15% increase in operational efficiency and a 20% rise in patient satisfaction, while the rural clinic reported a 30% reduction in missed appointments due to telemedicine and community outreach initiatives. The long-term care facility demonstrated a 20% reduction in operational costs, attributed to energy-efficient infrastructure and green practices.
Qualitative findings highlighted the importance of leadership, workforce engagement, and innovation. Proactive leadership emerged as a critical enabler of sustainability, fostering accountability and aligning organizational goals with resource allocation strategies. Workforce engagement, including regular training and participatory decision-making, was pivotal in overcoming resistance to change and ensuring consistent implementation. Innovative approaches, such as predictive analytics and community-centered care models, further optimized resource use and improved accessibility.
Despite these successes, systemic barriers such as funding constraints, technological disparities, and fragmented policies remained significant challenges. Addressing these barriers requires coordinated efforts among policymakers, healthcare leaders, and external stakeholders. Recommendations include strengthening leadership capacity, investing in workforce development, leveraging technology, and implementing continuous monitoring systems to refine sustainability strategies.
By prioritizing sustainability, healthcare organizations can meet the demands of a changing global landscape while ensuring long-term well-being for diverse populations.
Chapter 1: Introduction
Sustainability in health and social care is an increasingly urgent priority as global systems confront unprecedented challenges. Aging populations, the rising prevalence of chronic diseases, resource constraints, and environmental changes have placed immense pressure on healthcare providers. At the center of these challenges lies the critical need for efficient resource allocation—ensuring that the right resources reach the right people, at the right time, and in the right quantity. This chapter examines the significance of sustainability in health and social care, explores the factors that have intensified the demand for sustainable practices, and highlights the importance of addressing resource allocation in this changing global landscape.
Resource allocation is the process of distributing financial, human, and material resources to meet the needs of a population. While theoretically straightforward, it is fraught with complexities in practice. Inequities in funding, workforce distribution, and infrastructure contribute to vast disparities in access to care. High-income countries often face inefficiencies due to waste and duplication, while low-income regions struggle with shortages that leave critical healthcare needs unmet. Climate change adds another layer of urgency, as it disrupts supply chains, exacerbates disease burdens, and strains already limited resources. Without sustainable approaches to resource allocation, healthcare systems risk compromising their ability to deliver equitable and quality care.
Sustainability, in this context, extends beyond environmental considerations to encompass economic and social dimensions. It requires balancing present needs with future demands, ensuring that the actions of today do not jeopardize the healthcare of tomorrow. For example, hospitals adopting renewable energy and waste reduction initiatives reduce environmental harm while also lowering operational costs. Similarly, investments in workforce development not only address immediate staffing shortages but also build long-term resilience in the healthcare workforce. These strategies demonstrate the interconnectedness of sustainability and resource allocation, illustrating how thoughtful decisions in one area can generate benefits across the system.
This research aims to investigate how resource allocation practices impact the sustainability of health and social care systems. Using a mixed-methods approach, the study integrates quantitative metrics, such as operational efficiency and patient outcomes, with qualitative insights from healthcare leaders, clinicians, and policymakers. Case studies from diverse settings—a resource-intensive urban hospital, a rural clinic, and a long-term care facility—provide real-world examples of how sustainability can be achieved or undermined.
This chapter establishes the foundation for understanding the relationship between sustainability and resource allocation in health and social care. The challenges are vast, but the opportunities are equally significant. By addressing inefficiencies, embracing innovation, and prioritizing equity, healthcare systems can rise to meet the demands of a changing global landscape while building a more sustainable future. The subsequent chapters delve deeper into the theoretical frameworks, empirical evidence, and practical strategies that can guide healthcare systems in this endeavor.
Chapter 2: Literature Review
Theoretical Foundations of Sustainability
Sustainability in healthcare is grounded in the triple bottom line framework, which balances economic, environmental, and social dimensions. Economically, it emphasizes optimizing resource use to reduce waste while maintaining care quality (Rahat et al., 2023). Environmentally, sustainability involves adopting green practices to minimize ecological impact, aligning with broader goals such as reducing carbon emissions in healthcare facilities (Corvalan et al., 2020). Socially, it prioritizes equity to ensure accessible and fair care delivery, reflecting the United Nations’ Sustainable Development Goals, particularly SDG 3 and SDG 12 (Wu et al., 2022).
Systems theory provides a valuable lens to understand sustainability, viewing healthcare systems as interconnected entities where changes in one component affect the whole system (Munthe et al., 2021). This perspective encourages addressing root causes of inefficiencies, such as unbalanced resource allocation, to foster long-term resilience (Baid et al., 2019).
Challenges in Resource Allocation
Resource allocation disparities are a persistent issue. Low-income countries, bearing 25% of the global disease burden, access only 1% of global health resources, exacerbating inequalities (Fritz, 2021). In high-income countries, inefficiencies such as overuse of diagnostic technologies and administrative redundancies waste 20–30% of healthcare spending (Albalwei, 2022). Furthermore, environmental factors like pandemics and climate change disrupt supply chains and exacerbate resource challenges (Corvalan et al., 2020).
Innovative Approaches to Sustainability
Innovative strategies are mitigating these challenges. Technology-driven solutions, such as electronic health records (EHRs) and artificial intelligence (AI), enhance efficiency by predicting resource needs and optimizing allocation (Csáki, 2022). Flexible workforce planning, including models to match staffing with patient demand, has reduced burnout and improved operational efficiency (Roczniewska et al., 2020). Telemedicine has also increased accessibility while minimizing travel costs for patients (Punnakitikashem & Hallinger, 2019).
Green practices in healthcare, such as renewable energy adoption and waste management programs, have demonstrated significant cost savings. A study found hospitals using energy-efficient technologies saved 15% on utility expenses, reallocating these savings to patient care (Corvalan et al., 2020).
Role of Leadership and Policy
Leadership and policy are critical enablers of sustainability. Transformational leaders who promote collaboration and innovation drive cultural shifts, aligning organizational efforts with sustainability goals (Khan & Khalid, 2022). Policies incentivizing value-based care, which rewards quality outcomes over service volume, have reduced resource waste and improved patient satisfaction (Littlejohns et al., 2019). However, gaps in leadership training and inconsistent policy enforcement hinder comprehensive implementation (Munthe et al., 2021).
Gaps in the Literature
Despite advances, gaps persist in understanding sustainability in resource-limited settings. Research disproportionately focuses on high-income countries, neglecting the adaptability of strategies in low-resource environments (Rahat et al., 2023). Additionally, there is limited evidence on the long-term scalability of sustainability practices and their integration into existing health systems (Urquhart et al., 2020).
The intersection of sustainability with cultural and demographic factors remains underexplored. For example, inequities in resource allocation disproportionately impact vulnerable populations, necessitating more inclusive and equitable approaches (Fritz, 2021; Wu et al., 2022).
Conclusion
The literature underscores the importance of sustainability in health and social care, particularly in addressing efficiency, equity, and resilience through resource allocation. Innovative practices and leadership initiatives offer promise, but systemic barriers and knowledge gaps remain. Future research should focus on scalable strategies for diverse contexts to strengthen global healthcare systems against emerging challenges (Munthe et al., 2021; Corvalan et al., 2020).
Chapter 3: Research Methodology
This chapter outlines the research design and methodology used to explore sustainability in health and social care, focusing on the critical role of resource allocation. A mixed-methods approach is adopted, integrating quantitative data analysis with qualitative insights to provide a comprehensive understanding of the challenges and opportunities in achieving sustainability. The methodology ensures that findings are both empirically grounded and contextually rich, enabling actionable recommendations for health and social care systems.
Research Design
The study employs a sequential explanatory design, beginning with the collection and analysis of quantitative data to identify trends and relationships, followed by qualitative methods to contextualize and interpret the findings. This design allows for a balanced exploration of measurable outcomes and the lived experiences of stakeholders, providing a holistic view of sustainability practices.
Sample and Participants
The research includes 130 participants from three case study organizations:
- Urban Hospital: A resource-intensive facility integrating advanced technology to address sustainability challenges.
- Rural Clinic: A resource-constrained organization utilizing innovative community-driven strategies.
- Long-Term Care Facility: A facility implementing green practices to optimize operations and improve patient care.
Participants are drawn from diverse roles, including healthcare leaders, clinicians, support staff, and policymakers. Stratified sampling ensures representation across different professional levels and organizational contexts, capturing a wide range of perspectives on resource allocation and sustainability.
Data Collection Methods
1. Quantitative Data Collection
- Surveys: Administered to staff and patients to evaluate perceptions of resource adequacy, efficiency, and sustainability impact.
- Operational Metrics: Analysis of data such as energy consumption, bed occupancy rates, staff productivity indices, and patient outcomes, including satisfaction scores and continuity of care metrics.
2. Qualitative Data Collection
- Semi-Structured Interviews: Conducted with healthcare leaders and policymakers to explore strategic decision-making and challenges in implementing sustainability practices.
- Focus Groups: Engaging frontline staff to gather insights on the practical realities of resource allocation.
- Observations: Real-time documentation of workflows, resource utilization patterns, and interactions between staff and patients.
Quantitative Analysis
Quantitative data is analyzed using linear programming (LP) to evaluate resource allocation efficiency. The mathematical equation used is:
Z=∑i=1ncixi
Subject to:
∑i=1naijxi≤bj,j
Where:
- Z: Objective function (e.g., maximizing efficiency or minimizing costs).
- ci: Cost or efficiency coefficient for resource.
- xi: Decision variable representing resource allocation.
- ai: Constraint coefficients for resource iii and requirement.
- bj: Available resources.
This model quantifies the relationship between resource inputs and care quality, identifying optimal allocation strategies.
Qualitative Analysis
Qualitative data undergoes thematic analysis to identify recurring patterns and insights. This method ensures that narratives from participants enrich the quantitative findings, highlighting the human and organizational factors that influence sustainability practices.
Ethical Considerations
This study was conducted with a strong commitment to maintaining the highest standards of research integrity, guided by ethical approval processes. Several measures were taken to ensure that participants’ rights and data were fully respected:
• Informed Consent: Participants were given clear, comprehensive information about the study’s purpose, methods, and their rights, including the freedom to withdraw at any point without any consequences.
• Confidentiality: All data collected were carefully anonymized to protect the identities of both individual participants and the organizations involved, ensuring privacy at every stage of the research.
• Data Protection: The study adhered strictly to data protection regulations, including HIPAA and GDPR, implementing secure systems and practices to safeguard sensitive information.
These measures reflect the study’s dedication to ethical responsibility, ensuring that participants could engage openly and confidently while their rights and data remained protected.
Conclusion
This chapter provides a detailed roadmap for exploring sustainability in health and social care through a mixed-methods approach. The combination of quantitative metrics and qualitative narratives ensures a robust and nuanced understanding of resource allocation practices. By integrating data from diverse healthcare settings, this study aims to identify actionable strategies for optimizing sustainability and addressing the evolving challenges of health and social care systems. The next chapter applies these methods to real-world case studies, offering practical insights into the complexities of sustainable resource allocation.
Read also: Rita Samuel Explores The Role Of Financial Metrics In Growth
Chapter 4: Case Studies and Fieldwork
This chapter presents findings from three case study organizations, each selected to represent diverse healthcare settings and approaches to sustainability in resource allocation. These case studies include an urban hospital, a rural clinic, and a long-term care facility, providing valuable insights into the challenges and successes of implementing sustainable practices. Field observations, quantitative data, and qualitative insights are integrated to explore the real-world implications of resource allocation strategies.
Case Study 1: Urban Hospital
The urban hospital is a resource-intensive facility that has embraced technology-driven solutions to enhance sustainability. Observations revealed advanced systems for resource tracking, including automated inventory management and predictive analytics for patient flow. Metrics indicated a 15% improvement in operational efficiency over two years, achieved through optimized scheduling and reduced wastage of medical supplies.
Interviews with leadership highlighted the role of proactive decision-making in implementing these technologies. However, staff reported initial challenges with adapting to new workflows, particularly due to insufficient training during the transition period. Despite these hurdles, patient outcomes improved, with satisfaction scores rising by 20%, driven by shorter wait times and more streamlined care delivery.
Case Study 2: Rural Clinic
The rural clinic operates in a resource-constrained environment and relies on community-driven initiatives to address shortages. Observations highlighted innovative practices such as local resource pooling, telemedicine for remote consultations, and community health worker programs. These approaches contributed to a 30% reduction in missed appointments, as patients benefitted from improved accessibility and culturally tailored care.
Focus group discussions revealed strong collaboration between clinic staff and community members, fostering trust and mutual support. However, limited funding and infrastructure posed significant challenges, particularly in scaling successful initiatives. Leadership emphasized the need for external policy and financial support to sustain and expand their efforts.
Case Study 3: Long-Term Care Facility
The long-term care facility prioritizes sustainability through green practices and personalized care plans. Observations revealed initiatives such as energy-efficient infrastructure, waste reduction programs, and the use of renewable energy sources, which collectively reduced operational costs by 20%. Patients and families expressed high levels of satisfaction, with 90% of survey respondents highlighting the facility’s commitment to quality care and environmental responsibility.
Interviews with staff emphasized the importance of workforce engagement in driving these outcomes. Regular training programs equipped employees with the skills and motivation to align their practices with sustainability goals. However, resistance to change among a minority of staff underscored the need for ongoing education and support.
Emerging Themes Across Case Studies
1. Leadership Influence
Strong and visionary leadership was a critical enabler of sustainability in all three organizations. Leaders who actively communicated goals and supported innovation fostered a culture of accountability and collaboration.
2. Workforce Engagement
Engaged and well-trained staff were pivotal in implementing sustainable practices. Organizations that invested in workforce development saw greater consistency in achieving sustainability objectives.
3. Innovation in Practice
Technology integration and community-centered approaches demonstrated significant potential to optimize resource use and improve outcomes, though their success often depended on contextual adaptability and external support.
4. Barriers to Sustainability
Common challenges included financial limitations, resistance to change, and disparities in access to technology and infrastructure. Addressing these barriers required coordinated efforts among leadership, policymakers, and external stakeholders.
Conclusion
The case studies provide a rich understanding of how sustainability can be operationalized in health and social care through strategic resource allocation. The urban hospital showcased the transformative potential of technology, the rural clinic demonstrated the power of community engagement, and the long-term care facility highlighted the alignment of green practices with operational efficiency. Together, these examples underline the importance of tailored strategies that account for organizational contexts, leadership commitment, and systemic support. The insights from these case studies inform the integrated analysis presented in the next chapter, identifying recommendations for advancing sustainability in diverse healthcare settings.
Chapter 5: Results and Analysis
This chapter integrates quantitative data, qualitative insights, and case study findings to provide a comprehensive analysis of resource allocation and sustainability in health and social care. The results highlight the measurable impacts of sustainable practices on organizational efficiency, patient outcomes, and workforce engagement, while uncovering persistent barriers that limit broader adoption. By synthesizing these findings, this chapter offers a nuanced understanding of the factors influencing success and failure in achieving sustainability.
Quantitative Findings
1. Resource Utilization Efficiency
- Across the three case study organizations, data revealed significant improvements in resource allocation efficiency:
- The urban hospital demonstrated a 15% reduction in medical supply waste and a 20% improvement in patient flow efficiency, attributed to predictive analytics and automated systems.
- The rural clinic achieved a 30% reduction in missed appointments, correlating with the introduction of telemedicine and community outreach programs.
- The long-term care facility reported a 20% decrease in operational costs due to energy-efficient infrastructure and renewable energy adoption.
2. Patient Outcomes
- Quantitative metrics reflected better patient outcomes as a result of sustainable practices:
- Patient satisfaction scores increased by 20% at the urban hospital due to reduced wait times and improved care delivery.
- The rural clinic saw a 25% improvement in continuity of care, with higher rates of follow-up visits and medication adherence.
- The long-term care facility reported a 90% patient confidence level, linked to personalized care plans and green initiatives.
Workforce Productivity
- Workforce productivity metrics showed a 10-15% increase in organizations that prioritized staff engagement and training, highlighting the role of workforce development in sustainability efforts.
Qualitative Themes
Qualitative data provided deeper context for the quantitative findings, identifying recurring themes and actionable insights:
1. Leadership as a Driving Force
- Leadership emerged as a critical enabler of sustainability. Proactive leaders in all three organizations emphasized clear communication, accountability, and innovation, fostering a culture that aligned staff efforts with sustainability goals.
2. Workforce Engagement and Training
- Engaged and well-trained staff played a pivotal role in implementing sustainable practices. Regular training sessions, coupled with open communication channels, enhanced staff commitment and reduced resistance to change.
3. Innovative Approaches to Resource Management
- Technology, such as telemedicine and predictive analytics, proved instrumental in optimizing resource allocation. Community-driven solutions in the rural clinic underscored the importance of localized strategies in resource-limited settings.
Barriers to Sustainability
- Despite successes, persistent challenges included financial constraints, resistance to adopting new practices, and disparities in access to advanced technology. Participants stressed the need for external support, particularly in policy and funding, to address these barriers effectively.
Integrated Analysis
The integration of quantitative and qualitative data revealed several key patterns:
Tailored Strategies Lead to Success
- Organizations that adapted sustainability initiatives to their specific contexts—such as the rural clinic’s emphasis on community engagement—achieved better outcomes.
Collaboration is Essential
- Effective collaboration among leadership, staff, and external stakeholders was a common denominator in successful sustainability efforts.
Systemic Barriers Require Structural Solutions
Addressing barriers such as funding gaps and technology disparities requires systemic interventions, including policy reforms and equitable resource distribution.
Discussion
The results confirm the potential of sustainability practices to transform health and social care delivery, aligning with existing literature that emphasizes the importance of leadership, innovation, and workforce engagement. However, the findings also underscore persistent systemic barriers that limit scalability and broader adoption. Overcoming these barriers will require coordinated efforts at organizational and policy levels, with an emphasis on fostering collaboration and long-term planning.
Conclusion
This analysis highlights the impact of sustainable resource allocation, demonstrating its capacity to improve efficiency, equity, and outcomes in diverse healthcare settings. However, achieving these benefits on a broader scale will require addressing systemic challenges and investing in leadership, workforce development, and innovative solutions. These insights form the foundation for the recommendations presented in the next chapter, providing a roadmap for advancing sustainability in health and social care systems worldwide.
Chapter 6: Recommendations and Conclusion
This chapter provides recommendations for advancing sustainability in health and social care, focusing on resource allocation practices. Based on the findings, it offers practical strategies for healthcare organizations and policymakers to address systemic challenges while embracing innovation and inclusivity. The chapter concludes by reflecting on the broader implications of the research and identifying areas for future exploration.
Recommendations
1. Strengthen Leadership Commitment
Leadership emerged as a critical enabler of sustainability throughout the case studies. Healthcare organizations must prioritize leadership training programs that emphasize strategic decision-making, resource management, and fostering a culture of accountability. Leaders should model sustainable practices and actively engage stakeholders to align efforts with long-term goals.
2. Invest in Workforce Development
Workforce engagement is key to implementing sustainable practices effectively. Organizations should provide regular training sessions to equip staff with the skills needed to adapt to technological advancements and new workflows. Open communication channels can help reduce resistance to change, while mentorship programs can foster collaboration and knowledge sharing.
3. Leverage Technology and Innovation
Technology has proven to be a powerful tool in optimizing resource allocation. Healthcare organizations should invest in predictive analytics, electronic health records, and telemedicine platforms to improve operational efficiency and patient outcomes. Policymakers should incentivize the adoption of such technologies by providing funding and regulatory support.
4. Promote Community-Centric Solutions
In resource-constrained settings, community-driven initiatives can bridge gaps in care delivery. Engaging local communities in the design and implementation of healthcare programs ensures cultural sensitivity and increases accessibility. Partnerships with community organizations and local leaders can amplify the impact of these efforts.
5. Address Systemic Barriers
Policymakers must take an active role in addressing systemic issues such as funding inequities, technological disparities, and fragmented policies. Reimbursement models should be restructured to reward value-based care rather than volume, ensuring that sustainability goals are financially incentivized.
6. Adopt Continuous Monitoring and Feedback Mechanisms
Sustainability efforts require ongoing evaluation to remain effective. Organizations should implement robust monitoring systems to track resource use, patient outcomes, and environmental impact. Data-driven decision-making ensures that strategies can be refined and adapted to evolving challenges.
Conclusion
Sustainability in health and social care is no longer an optional pursuit but an urgent necessity. This study has demonstrated that resource allocation plays a pivotal role in achieving sustainable outcomes, influencing everything from patient satisfaction to operational efficiency. Leadership, workforce engagement, and innovative solutions are critical drivers of success, while systemic barriers such as funding constraints and resistance to change remain significant challenges.
The findings emphasize that sustainability requires a multidimensional approach, balancing economic, social, and environmental considerations. Tailored strategies that account for organizational contexts, cultural dynamics, and community needs are essential for achieving long-term resilience in healthcare systems.
Future research should explore the scalability of successful sustainability practices, particularly in low-resource settings. Additionally, studies on the integration of emerging technologies, such as artificial intelligence and renewable energy solutions, could provide new pathways for achieving sustainability. Understanding the long-term impacts of these strategies will be crucial for creating adaptive and robust healthcare systems.
In conclusion, this research highlights the sustainability in health and social care. By prioritizing equitable resource allocation and embracing innovation, healthcare organizations can rise to meet the demands of a changing global landscape. The journey toward sustainability requires collective action from policymakers, leaders, practitioners, and communities, ensuring that healthcare systems remain resilient, inclusive, and prepared for the challenges of tomorrow.
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