The healthcare sector is progressively modest and patients expect higher service quality; therefore, healthcare practitioners’ and academic researchers’ attention upsurges in exploring service quality, intensifying satisfaction and generating behavioral intention. Despite the significance of the healthcare sector and the importance of quality-related matters, there is a paucity of research and publications dealing with healthcare service quality. This conceptual review evaluates the service quality in Pakistani healthcare sector rendering patients’ perspective. The proposed model emphasizes patients’ switching intention caused by poor or inadequate service quality through intervening constructs of satisfaction and alternative attractiveness. Additionally, current review explored the alternative attractiveness as mediator which was neglected in healthcare context. The model also attempts to propose the association between alternative attractiveness and outcome variable by switching costs regarding patients’ perspectives. The conceptual framework enables hospital managers to comprehend how patients assess healthcare quality provided in the presence of alternatives. The perception of patients would assist them in allocating healthcare resources and hospital management attain performance feedback through service quality parameters. Present review developed an inclusive framework as a novel injector in healthcare sector for patients’ perceived service quality.
The rapidly growing construction industry often deals with complex and dynamic projects that pose significant safety risks. One of the state-owned companies in Indonesia is engaged in large-scale toll road construction projects with a high incidence of workplace accidents. This study aims to improve safety performance in toll road construction by implementing the Scrum framework. The study uses a System Dynamics approach to model interactions between the Scrum framework, project management, and work safety subsystems. Various scenarios were designed by modifying controlled variables and system structures, including introducing a punishment entity. These scenarios were evaluated based on their impact on reducing incidents and the incident rate over the project period. The results indicate that the combined scenario significantly reduces incidents and incident rates in different conditions. The study also finds a strong relationship between Scrum framework implementation and improved safety performance, demonstrating a reduction in incidents and incident rates by over 50% compared to existing conditions. This research underlines the effectiveness of the Scrum framework in enhancing safety in construction projects.
This study sought an innovative quality management framework for Chinese Prefabricated Buildings (PB) projects. The framework combines TQM, QSP, Reconstruction Engineering, Six Sigma (6Σ), Quality Cost Management, and Quality Diagnosis Theories. A quantitative assessment of a representative sample of Chinese PB projects and advanced statistical analysis using Structural Equation Modeling supported the framework, indicating an excellent model fit (CFI = 0.92, TLI = 0.90, RMSEA = 0.06). The study significantly advances quality management and industrialized building techniques, but it also emphasizes the necessity for ongoing research, innovation, and information exchange to address the changing problems and opportunities in this dynamic area. In addition, this study’s findings and recommendations can help construction stakeholders improve quality performance, reduce construction workload and cost, minimize defects, boost customer satisfaction, boost productivity and efficiency in PB projects, and boost the Chinese construction industry’s growth and competitiveness.
Public works (PWs) in Jordan seek to deliver public services that contribute to socio-economic growth and service provision. A clear framework for initiating PWs investments is lacking in Jordan to meet the required level of development of the country. This work sought to develop a framework for delivering the right PWs investments. The study found that there are several steps that need to be followed to deliver a desired project’s objectives. The study employed a qualitative method using semi-structured interviews. Besides the interviews, the document analysis approach was used and an extensive literature review was conducted. Experts in Jordan regarding PWs development were selected to participate in this study of developing a framework for the initiation of PWs investments. The study found that the framework should involve different steps and measures. They are integrated together to create a framework reflecting international practices in the context of Jordan.
The Government of Indonesia has modernized the toll road transaction system by implementing the multi-lane free-flow (MLFF) project, set to operate commercially by the end of 2024. This project leverages Global Navigation Satellite System (GNSS) technology to identify vehicles using toll roads and establish a transaction mechanism that allows the MLFF Project Company to charge road users according to distance, vehicle category, and tariff levels. The project has result in a complex business arrangement between the Indonesia National Toll Road Authority (INTRA), Toll Road Companies (TRCs), and the MLFF Project Company. The aim of this paper is to review the regulatory and institutional framework of the MLFF project and analyze its challenges. The methodology employed is a qualitative framework for legal research, utilizing international literature reviews and current regulatory frameworks. The study assesses the proposed transaction architecture of the project and identifies commercial, political, and other risks associated with its implementation. Based on the analysis, the research identifies opportunities for regulatory improvements and better contracting arrangements. This research provides valuable insights into the regulatory landscape and offers policy recommendations for the Government to mitigate the identified risks. This contribution is significant to the academic field as it enhances understanding regulatory and institutional challenges in implementing advanced toll road systems.
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