Health data governance is essential for optimal processing of data collection, sharing, and reuse. Although the World Health Organization (WHO) has proposed practical guidelines for managing health data during the pandemic, the Organization for Economic Cooperation and Development (OECD) found that many countries still lack the use of health data for decision-making. Therefore, this research aimed to identify and assess the challenges faced by health organization in implementing health data governance from various countries based on research articles. The challenges were assessed based on key components of health data governance from practitioner and scientist perspectives. These components include stakeholder, policy, data management, organization, data governance maturity assessment, and goals. The method used followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for collecting and reporting. Data were collected from several databases online with large repositories of academic studies, including IEEE Xplore, ScienceDirect, National Library of Medicine, ProQuest, Taylor and Francis Group, Scopus, and Wiley Online libraries. Based on the 41 papers reviewed, the results showed that policy was found to be the biggest challenge for health data governance. This was followed by data management such as quality, ownership, and access, as well as stakeholders and data governance organization. However, there were no challenges regarding maturity assessment and data governance goals, as the majority of research focused on implementation. Policy and policymaker awareness were identified as major components for the implementation of health data governance. To address challenges in data management and governance organization, creating committees focused on these components proved to be an effective solution. These results provided valuable recommendations for regulators and leaders in a healthcare organization to optimally implement health data governance.
In our study, we examined 11 designated tourist destinations in Hungary, which can also be interpreted as tourism products including services, infrastructure and attractions. The National Tourism Development Strategy (NTS) also puts a strong emphasis on digitalisation, as it is an unstoppable process with a significant impact on tourism, thanks to globalisation, increasing competition, accelerating information flows and the dominant paradigm shifts on the demand and supply side. We used both qualitative and quantitative methods in our primary research. First, we conducted in-depth interviews with several important tourism service providers in Hungary on the topic of the digitalisation of tourism. A professional questionnaire, addressed to the offices responsible for destination management was distributed in the designated tourist destinations in Hungary in order to get a more comprehensive picture of the attitudes towards digitalisation in the regions under study. In the course of our work, we managed to classify the destinations into three distinctly different clusters. Our hypothesis—that the higher the digitalisation of a tourist destination is, the higher the average length of stay—was partially confirmed by calculating the regional value of the digitalisation, logistic regression analysis, slope and the individual factor categories.
The coronavirus pandemic has reinforced the need for sustainable, smart tourism and local travel, with rural destinations gaining in their popularity and leading to increased potential of smart rural tourism. However, these processes need adjustments to the current trends, incorporating new transformative business concepts and marketing approaches. In this paper we provide real life examples of new marketing approaches, together with new business models within the context of the use of new digital technologies. Via hermeneutic research approach, consisting of the secondary analysis of the addressed subject of smart rural tourism in adversity of the COVID-19 and 6 semi-structured interviews, the importance of technology is underscored in transforming rural tourism to smart rural tourist destinations. The respondents in the interview section were chosen based on their direct involvement in the presented examples and geographical location, i.e. France, Slovenia and Spain, where presented research examples were developed, concretely within European programmes, i.e. Interreg, Horizon and Rural Development Programme (RDP). Interviews were taking place between 2022 and 2023 in person, email or via Zoom. This two-phased study demonstrates that technology is important in transforming rural tourism to smart tourist destinations and that it ushers new approaches that seem particularly useful in applying to rural areas, creating a rural digital innovation ecosystem, which acts as s heuristic rural tourist model that fosters new types of tourism, i.e. smart rural tourism.
Amidst China’s escalating aging population challenge, the efficacy and quality of private elderly care services are garnering increasing scrutiny. This research focuses on evaluating how service quality and customer perceived value influence the loyalty of elderly clients, with customer satisfaction acting as a mediating factor. Grounded in established service quality frameworks and loyalty theories, the study utilizes a quantitative methodology, administering surveys across eight private elderly care institutions in H city, China. A total of 600 surveys were collected, providing a comprehensive data set that encompasses five dimensions of service quality—tangibility, assurance, responsiveness, reliability, and empathy—as well as customer perceived value, satisfaction, and loyalty. Structural Equation Modeling (SEM) was employed to validate the hypothesized relationships. Findings reveal that service quality significantly boosts customer perceived value and satisfaction, which in turn markedly enhance customer loyalty. Notably, customer satisfaction emerged as a crucial mediator between service quality and loyalty, as well as between perceived value and loyalty. This study not only advances theoretical understanding of service quality impacts but also offers actionable insights for enhancing service delivery and customer loyalty in the context of private elderly care.
Analysing external factors with a design-thinking approach is crucial for adaptation, identifying opportunities, and mitigating risks in native digital enterprises. This research introduces a framework rooted in design principles and future scenarios for external analysis, with the aim of meeting current market needs. The study employs a mixed qualitative-quantitative research approach, incorporating methods such as literature review, workshops, and surveys. These methods enable the collection and analysis of both qualitative and quantitative data, providing a comprehensive and accurate understanding of the research topic by using it in a DNVB case study. Developing a conceptual framework using a design-thinking approach which we call ASPECT contributes to a comprehensive interpretation of complexity, intertwining collective and individual factors. This reduces the risk of overlooking essential elements when making strategic decisions in ambiguous, uncertain, and volatile contexts. This method contrasts with traditional external analysis frameworks like CAME, Pestle, and SWOT. The document aims to contribute to the literature by exploring new models of external analysis based on the design process. This framework combines the conventional stages of a design thinking process with methodologies for future scenarios to identify relevant external factors for organizations. It provides an innovative conceptual framework for creating new business models and growth strategies for digital enterprises.
This paper provides a concise historical analysis of the political economy of privatization in Algeria, Morocco, and Tunisia from the 1980s to 2007, a period that witnessed the emergence of privatization as a primary policy tool to reform the public sector. The paper examines the influence of political history, macroeconomic considerations, and International Development Agencies (IDAs) on the early privatization processes in these North African countries. Despite shared developmental trajectories, internal and external factors had a significant impact on the outcomes of economic liberalization. The paper aims to answer the following key questions: What were the underlying political-economic factors driving privatization, and how successful was it in achieving the promised economic growth? Through a focused analysis of each country’s contextual factors, privatization processes, and outcomes, the paper contributes valuable insights into the nuanced dynamics shaping privatization in developing countries.
The recent crisis-filled period has placed a significant burden on various businesses, including in the tourism sector. As a result, the concept of resilience, the flexible ability to resist, has become more and more tangible. This study aims to update the quantitative organizational resilience assessment scale of Orchiston, Prayag and Brown. The paper analyses a sample of 87 tourism service providers managing attractions, and factor analysis was carried out to identify the factors in order to be able to measure the resilience of tourism service providers. Four factors could be identified: Leadership and Organization, Strategy, Independence, and Internal Identity. These identified factors and the included 14 items mean the key contribution, as a new, updated assessment system.
The United States, Mexico, and Canada (USMCA) seek to promote fair wages and adequate working conditions, especially in Mexico, by strengthening labor rights and freedom of association. The objective of this research is to determine the factors that influence salary levels in the Mexican Automotive Industry (MAI), through a causality analysis in the Granger sense, to generate a panorama that allows a decision-making process in the Mexican salary policy. With data from the National Institute of Statistics and Geography, the Bank of Mexico and Statista, autoregressive vector models were estimated to determine causalities in the Granger sense. It was proven that minimum wage, employed personnel, production, total sales, and exports are some causes of remuneration in the sector, with the minimum wage being the most significant. The above suggests that the salary increase involves several actors, such as the government (minimum wage), the organization (production, sales and exports) and the market (employed personnel), therefore, the design of appropriate labor policies will contribute to the dignification of salaries inside the MAI.
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