Over the last two decades, governance for global health has garnered more attention from policymakers, decision-makers, and scholars from several disciplines. The health sector has also become more dynamic and complicated as a result of several factors that have influenced organizational development. The issue of sustainability is clearly raised with specific emphasis and urgency in the context of the global healthcare system. Some countries have been altering their healthcare systems to improve healthcare performance. University hospitals as the main providers of high-quality healthcare services in China, have an irreplaceable role in promoting the construction of healthy China. This study strategic triangle as an analytical framework to identify the key factors that influence university hospital in China and better comprehend how public value is conceptualized and implemented in practice. The study was conducted by qualitative method, five university hospitals designated as “Grade A tertiary hospitals” and semi-structed interviews were carried out with 33 participants, including experts, university hospital leadership level, and basic level. The study revealed that there are eight (8) major factors influencing the development of university hospitals in China. University hospital administrators must be prepared to assess and respond to factors that enhance or hinder implementation continuously and methodically. These insights can be used to improve early preparedness, but additional study in this area is required to better understand the driving factors, action models, and techniques for achieving sustainable development in university hospitals.
The benefits of information system users are an important topic in research on information system implementation in general as well as in hospital information systems in particular. The study is applying structural equation modelling in determining the factors affecting personal benefits of information system users, with the antecedents being the combination of perspectives, and the outcomes including individual user results of the system in hospitals. The study was conducted in two phases: a preliminary study and a formal study. The preliminary study aimed to adjust and supplement the observed variables to be suitable for the actual conditions in Vietnam by conducting a preliminary survey with a questionnaire involving 55 samples to assess the internal consistency reliability, convergent validity, and discriminant validity of the measurement scales. The formal quantitative study, which employed linear structural analysis with PLS-SEM, was conducted on 215 samples of individuals who had previously used information systems in several hospitals in Vietnam. The proposed model explained 80.6% of the variance in user engagement with the system and 50.6% of the variance in user satisfaction when using the information system. In more detail, for user benefits, it is worth noting that the strongest impact intensity belongs to information quality and the weakest belongs to support structure. In addition, confidence in one’s own abilities also has a high impact on user benefits when using the information system.
The research is focused on the evolution of the enterprises, in the field of specialized professional services, medium-period, enterprises that implemented projects financed within Regional Operational Program (ROP) during the 2007–2013 financial programming period. The analysis of the economic performance of the micro-enterprises corresponds to general objectives, but there can be outlined connections between these performances and other economic indicators that were not considered or followed through the financing program. The study case is focused on the development of micro-enterprises in the services area, in the Central Region, Romania (one of the eight development regions in Romania). The scientific approach for this article was based on a regressive statistical analysis. The analysis included the economic parameters for the enterprises selected, comparing the economic efficiency of these enterprises, during implementation with the economic efficiency after the implementation of the projects, during medium periods, including the sustainability period. The purpose of the research was to analyse the economic efficiency of the selected micro-enterprises, after finalizing the projects’ implementation. The authors intend to point out the need for a managerial instrument based on the economic efficiency of companies that are benefiting from non-reimbursable funds. This instrument should be taken into consideration in planning regional development at the national level, regarding the conditions and results expected. Although the authors used regressive statistical analysis the purpose was to prove that there is a need for additional managerial instruments when the financial allocations are being designed at the regional level. This study follows the interest of the authors in proving that the efficiency of non-reimbursable funds should be analysed distinctively on the activity sectors.
Rapid urban expansion gives rise to smart cities which pose immense logistical and supply chain challenges. The COVID-19 pandemic transformed the holistic system identified by Zhao et al. in 2021. The system encompasses logistics and supply chain integral to the concept of smart cities, with a focus on sustainability. This transformation requires an in-depth study on challenges of a common framework of policies for smart cities in countries comprising the Organisation for Economic Cooperation and Development (OECD). The study employs an extensive literature analysis for the period 2020–2022. an approach which contextualizes the model. The model identifies the causes, impact, and spillovers of new trends in logistics and supply, including the sustainability of adopted technologies. The study includes the variables involved, and barriers to creating a shared model. The results reveal that the two elements affecting the supply chain and transport in smart cities are Industry 4.0 and 5.0 technologies supporting specific sectors. The resilience of small and medium-sized enterprises positively impacts the sustainability of large urban centres. The study presents both factors that help and hinder the adoption of environmental, social, and economic sustainability technologies.
The research utilizes a comprehensive dataset from MENA-listed companies, capturing data from 2013 to 2022 to scrutinize the influence of capital structure (CapSt) level on corporate performance across 11 distinct countries. This study analyzed 6870 firm-year observations using a quantitative research method through static and dynamic panel data analysis. The primary analysis reveals a positive correlation between the CapSt ratio and company performance using fixed effects (FE) techniques. Hence, the preliminary results were re-examined and affirmed using a two-step system generalized method of moment (GMM) estimator to address potential endogeneity concerns. This finding aligns with most studies conducted in advanced countries, indicating a positive correlation between CapSt and corporate performance. Furthermore, it is also consistent with some research conducted in less-developed markets. This research argues that, in the MENA region, the advantages of debt, such as tax saving, may outweigh the potential financial distress cost. Furthermore, it offers insights into the monitoring role of CapSt in MENA-listed companies. We strengthen our research results by employing various methodologies and using alternative measures of accounting performance and controlling size, notably panel quantile regression analysis.
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