Hospital performance possesses strategic significance in achieving an essential completive advantage for the public hospitals. This study aimed to examine the relationship between patient safety culture (PSC) and the performance of traditional Chinese medicine (TCM) public hospitals in Sichuan, China. To address the research purpose, this study analyses the hospital performance and Patient safety culture in traditional Chinese medicine public hospital in China. We examine the propose model by analyzing cross-sectional survey data from 194 clinical directors at 194 public traditional Chinese medicine hospitals using the Partial least squares structural equation model in Smart PLS 4.0. This study provides predictive evidence that PSC in unit management and management support can lead to better patient safety outcomes. The results revealed patient safety outcomes significantly and positively effects of patient safety related to unit management and management support on overall hospital performance (p-value: 0.000–0.003).
The implementation of data interoperability in healthcare relies heavily on policy frameworks. However, many hospitals across South Africa are struggling to integrate data interoperability between systems, due to insufficient policy frameworks. There is a notable awareness that existing policies do not provide clear actionable direction for interoperability implementation in hospitals. This study aims to develop a policy framework for integrating data interoperability in public hospitals in Gauteng Province, South Africa. The study employed a conceptual framework grounded in institutional theory, which provided a lens to understand policies for interoperability. This study employed a convergence mixed method research design. Data were collected through an online questionnaire and semi-structured interviews. The study comprised 144 clinical and administrative personnel and 16 managers. Data were analyzed through descriptive and thematic analysis. The results show evidence of coercive isomorphism that public hospitals lack cohesive policies that facilitate data interoperability. Key barriers to establishing policy framework include inadequate funding, ambiguous guidelines, weak governance, and conflicting interests among stakeholders. The study developed a policy to facilitate the integration of data interoperability in hospitals. This study underscores the critical need for the South African government, legislators, practitioners, and policymakers to consult and involve external stakeholders in the policy-making processes.
Increasing levels of everyday cycling has many benefits for both individuals and for cities. Reduced traffic congestion, improved air quality and safer spaces for all vulnerable road users are among the significant benefits for urban developments. Despite this, public opposition to cycling infrastructure is common, particularly when it involves reprioritising road space for cycles instead of vehicles. The purpose of the research was to examine various stakeholders’ perspectives on proposed cycle infrastructure projects. This study utilised an innovative data collection approach through detailed content analysis of 322 public consultation submissions on a proposed active travel scheme in Limerick City, Ireland. By categorising submissions into support, opposition, and proposals, the study reveals the nuanced public perceptions that influence behavioural adaptation and acceptance of sustainable transport infrastructure. Supportive submissions, which outnumbered opposition-related submissions by approximately 2:1, emphasised the need for dedicated cycling infrastructure, enhanced cyclist safety, and potential improvements in environmental conditions. In contrast, opposition submissions focused on concerns over car parking removal, decreased accessibility for residents, and safety issues for vulnerable populations, particularly the elderly. Proposal submissions suggested design modifications, including enhanced safety features, provisions for convenient car parking, and alternative cycle routes. This paper highlights the value of structured public consultation data in uncovering behavioural determinants and barriers to cycling infrastructure adoption, offering policymakers essential insights into managing public opposition and fostering support. The methodology demonstrates how qualitative data from consultations can be effectively used to inform policy by capturing community-specific needs and enhancing the design of sustainable urban mobility systems. These findings underscore the need for innovative, inclusive data collection methods that reveal public sentiment, facilitating evidence-based transport policies that support climate-neutral mobility.
Political patronage has become a notable concern in the South African public sector, often compared to a new epidemic because of its adverse effects on governance and public administration. This phenomenon involves by political leaders offering rewards and appointment people for key government positions and allocating resources to them based on their political loyalty rather than their abilities and qualifications. This intensifies corruption by fostering a culture in which competence is subordinate, resulting in inadequately qualified individuals assuming key positions and receiving benefits, thereby amplifying opportunities for unethical conduct. In turn, this practice undermines the effectiveness and integrity of public sector institutions. The purpose of this article is to offer a broader analysis and implications of political patronage and how it fuels corruption and governance in the South African public sector. This article employs a secondary research method through the review of existing literature to examine the nature of political patronage, its nexus with corruption and misgovernance in the public sector, drawing reference to contemporary, renowned corruption cases. This paper submits that overcoming these challenges necessitates a holistic approach that involves the professionalization of the public sector, robust measures to combat corruption, and improved transparency. The objective is to establish and promote a public service that emphasizes competence, responsibility, and the fulfilment of governance functions in order to serve the wider interests of citizens.
Nowadays, urban ecosystems require major transformations aimed at addressing the current challenges of urbanization. In recent decades, policy makers have increasingly turned their attention to the smart city paradigm, recognizing its potential to promote positive changes. The smart city, through the conscious use of technologies and sustainability principles, allows for urban development. The scientific literature on smart cities as catalysts of public value continues to develop rapidly and there is a need to systematize its knowledge structure. Through a three-phase methodological approach, combining bibliometric, network and content analyses, this study provides a systematic review of the scientific literature in this field. The bibliometric results showed that public value is experiencing an evolutionary trend in smart cities, representing a challenging research topic for scholars. Network analysis of keyword co-occurrences identified five different clusters of related topics in the analyzed field. Content analysis revealed a strong focus on stakeholder engagement as a lever to co-create public value and a greater emphasis on social equity over technological innovation and environmental protection. Furthermore, it was observed that although environmental concerns were prioritized during the policy planning phase, their importance steadily decreased as the operational phases progressed.
In immigration services, it is essential to provide good service to the public, in line with the principles of public service. However, in reality, many people still feel that they have not received optimal public service. This study addresses the issue of whether there is a direct and indirect influence of employee competence on citizen satisfaction, with the indirect influence using service quality as a mediating variable. This research employs a quantitative associative method with a population of applicants at the Surakarta Class I Checkpoint Immigration Office over one month, totaling 6236 individuals. A sample of 259 people was obtained using the Isaac and Michael table. Data collection was conducted using a questionnaire distributed via Google Forms to the applicants. The results were then analyzed using descriptive analysis, hypothesis testing with SPSS version 26, path analysis, and finally, the Sobel test. The results of the study indicate that employee competence directly affects service quality with a t-value (18.119) exceeding the t-table (1.969), but does not directly affect citizen satisfaction with a t-value (0.831) less than the t-table (1.969). Meanwhile, service quality directly affects citizen satisfaction with a t-value (10.156) greater than the t-table (1.969). Path analysis and the Sobel test also show that employee competence indirectly affects citizen satisfaction through service quality, with a Sobel test t-value of (8.87) greater than the t-table (1.969). Based on these results, it is concluded that there is no direct influence of employee competence on citizen satisfaction, but there is an indirect influence of employee competence on citizen satisfaction through service quality.
Copyright © by EnPress Publisher. All rights reserved.