Exploring public house employee's perceptions of their status: a UK case study

This paper suggests that employees' perceptions of their occupational status are important to researchers and managers concerned with the broader nature of service work. This ethnography of a single, medium-sized chain of English public houses demonstrates the complex nature of status, identifying four key influences on barworkers' views of their relative standing at work and in the wider community: the nature of the occupation and the employing organisation/environment (barwork in a ‘respectable’ pub chain); the nature of customer relationships (informal, egalitarian); perceived professionalism (personal responsibility at work); and the relative occupational opportunities available (with equivalent jobs offering considerably less status).     

Congruence in the assessment of service quality between employees and customers: A study of a public health care delivery system

Using social information processing theory, we examined the congruence between employee and customer assessments of organizations' service quality. The setting was a public health care delivery system. Contrary to expectations, employee assessments of service quality were lower than those of their customers. Also unexpectedly, employees with professional training had less congruent assessments than other employees. As expected, employees with longer tenure and those in departments with stronger customer service work climates had more congruent assessments relative to their customers. The results have implications for both management theory and for managers interested in developing customer-centered organizations.     

Influencing consumer health care choices with quality of care information

Consumers are confronted by increasing amounts and types of information about the quality of health care available to them in the marketplace. This paper explores the state of current knowledge about the impact of quality of care information (QCI) on consumer health care decision making. The paper reviews recent studies of consumer response to information related to health and health care in areas related to QCI and choice of health care providers. The paper discusses recent trends in the availability of QCI and describes the rise of consumerism in health care and its implications for consumer health information policy.

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Beeinflussung von Verbraucherentscheidungen bei der Auswahl von Gesundheitsdienstleistungen durch Qualitätsinformationen

Zusamenfassung Verbraucher sind mit wachsendem Angebot von Informationen über die Qualität derjenigen Gesundheitsdienstleistungen konfrontiert, die sie auf dem Markt nachfragen können. Gestalt und Inhalt wechseln. Der Beitrag untersucht anhand einer US-amerikanischen Literaturstudie den gegenwärtigen Kenntnisstand über die Bedeutung von Qualitätsinformationen für die Entscheidungsfindung des Verbrauchers bei Gesundheitsdienstleistungen. Aktuelle Studien über Verbraucherreaktionen auf Qualitätsinformationen bei der Auswahl von Anbietern werden vorgestellt und gewürdigt. Der Beitrag diskutiert aktuelle Entwicklungstendenzen des Zugangs zu Qualitätsinformationen. Im Mittelpunkt steht die Erörterung eines wachsenden Verbraucherbewußtseins im Gesundheitswesen und seine Bedeutung für die Informationspolitik gegenüber Verbrauchern.

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Joel Rudd is Associate Professor of Family and Consumer Resources, University of Arizona, Tucson, AZ 85721, USA. Karen Glanz is Associate Professor of Health Education, Temple University, Philadelphia, PA 19122 USA. This article is based in part on a background paper developed by the authors for the Health Program, Office of Technology Assessment, U.S. Congress.     

An integrative model of customers' perceptions of health care services in Taiwan

As the health care service gets more competitive, health care practitioners and academic researchers are increasingly interested in exploring how patients perceive the quality and value of their care before building up their satisfaction levels and generating behavioural intentions. Drawing some theories from marketing and health care service literature, this study tries to propose an integrative model of customers' perceptions of health care services based on the established relationship among four key constructs (service quality, perceived value, satisfaction, and behavioural intentions). Structural equation modelling is then used to validate the model. As Taiwan's universal health insurance offers every citizen equal financial access to all health care providers, Taiwan offers a good opportunity to study how the patients' perception model is structured. The findings reveal both perceived quality and value as antecedent variables in this model illustrating direct and indirect paths from perceived quality and value to patient satisfaction and behavioural intentions.     

Patient care,satisfaction and service quality in health care

It is becoming increasingly important in the healthcare setting to treat patients as consumers and measure their satisfaction with medical services rendered. As such, patient satisfaction should be considered an important output of a country's healthcare system, basically reflecting the stage of its development. The conducted study tested students’ satisfaction with the quality of service provided by student polyclinics. In particular, the study has analysed the impacts of personal relationships, promptness and tangibility on student satisfaction. The findings imply that all three factors significantly affect patient satisfaction, with personal relationships having the strongest impact. Such results suggest that healthcare providers should encourage their doctors to devote more time to their patients and show genuine concern for patients’ problems if they wish to improve overall satisfaction of their patients with the delivered services.     

Implementation of quality programs in health care organizations

Any organization??s efforts to achieve continuous quality improvements must involve applying various quality related programs and tools. Such efforts are important for improving quality of products and/or services and increasing business performance. It is especially important for health care organizations as quality of care and service is a top priority. The focus of this study is on the implementation of quality programs which are based on tools, awards criteria, or standards to improve quality of care in the health care industry. Two hundred fifty-four hospitals with more than 100 beds that have quality programs were used to collect data for this study. Two of the most widely used quality programs were quality control (61.8?%) and total quality management (60.6?%). As widely known quality programs have shown to play a role in improving quality of care in the global health care market, some hospitals implement a combination of various quality programs to get certification or an award that helps them enter the international market such as medical tourism.     

BEVQUAL: a tool for measuring performance quality in beverage operations

The main objective of this study was to develop an instrument to measure the multidimensional nature of performance quality in beverage establishments. This study was based on a sequential exploratory mixed methods design. Interviews with beverage managers and customer focus groups were conducted to create an initial instrument. After that, 405 customers were surveyed, and the final BEVQUAL instrument was developed, including six dimensions that were measured with 23 items. Atmosphere, service quality, and pricing were shown to be good predictors of customer satisfaction, while ambiance, beverage quality, and location did not affect customer satisfaction.     

Consumer's perceptions of and experiences with automated health related information services: an exploratory study

Almost all health care related organizations, including hospitals and pharmacies, have installed some sort of automated telephone system. Most of these organizations have installed this system to eliminate personnel, while at the same time promoting the fact that they will be helpful to the consumer. This study (comprising of 255 respondents) was designed to assess the consumer's perceptions and experiences with such automated systems. Our study clearly indicates that most individuals strongly agree that healthcare product and service information should be available via the telephone.     

Information search in health care decision-making: a study of word-of-mouth and internet information users

This paper investigates how individual consumers may differ in their information search behavior in health care decision-making. Results indicate that most consumers still use word-of-mouth as a primary information source for health care decisions. However, usage of the Internet is increasing. The results of this study indicate that consumers who are most likely to use the Internet for health care information are single, younger, and less educated, whereas consumers who are most likely to use word-of-mouth are middle-aged, married, with higher income and higher education. Surprisingly, no significant gender difference was found in information search behavior for health care decision-making. The results also suggest that consumers with the highest tendency to use word-of-mouth are also the lowest users of the Internet in health care decision-making. Implications of these findings are discussed.     

Conceptual and mathematical model for quality improvement in health care

Numerous studies have shown that implemented models for quality assurance or improvement in healthcare facilities differ, even those models that are based on the same guidelines, i.e. standards, regulations or concepts. The cause of diversity in implemented quality models could be found in the process of translating guidelines into the implemented model for quality assurance or improvements in healthcare facilities, while neglecting processes of healthcare facilities that are not clinical processes, but still responsible for the quality of healthcare services. Therefore, this research recommends a conceptual model that should be a link between guidelines, implemented models and mathematical models derived from the conceptual model, which could provide a means of evaluating quality values of any part of the healthcare organization.     

Fatal motorcycle crashes: a growing public health problem in Cambodia

This study examines the risk characteristics of fatal motorcycle crashes in Cambodia over a 5-year period (2007–2011). Secondary data analyses were conducted using the Cambodia Road Crash and Victim Information System, the only comprehensive and integrated road crash surveillance system in the country. Researchers from the Centers for Disease Control and Prevention and Handicap International found that (1) males are dying in motorcycle crashes roughly seven times more frequently than females; (2) motorcyclist fatalities increased by about 30% from 2007 to 2011; (3) the motorcyclist death rates per 100,000 population increased from 7.4 to 8.7 deaths from 2007 to 2011; and (4) speed-related crashes and not wearing motorcycle helmet were commonly reported for motorcyclist fatalities at approximately 50% and over 80% through the study years, respectively. Additionally, this study highlights that Cambodia has the highest motorcycle death rate in South-East Asia, far surpassing Thailand, Malaysia, and Myanmar. By recognising the patterns of fatal motorcycle crashes in Cambodia, local road-safety champions and stakeholders can design targeted interventions and preventative measures to improve road safety among motorcyclists.     

The spanish restaurant sector: evaluating the perceptions of quality

The restaurant sector is one of the fastest growing sectors within the Spanish economy and looks likely to continue its development into the future. The implementation of total quality (TQ) systems in the tourist industry is still a recent phenomenon in Spain. Hence the importance of the client's satisfaction, resulting in the acquisition of an optimum quality level: i.e. cooking is culture and it has to be culturally adapted and promoted. The survey on the customers of Spanish restaurants reported in this article has gathered the perception of quality according to a likert scale from one to five. The objective of the survey was to determine the degree of satisfaction as well as the quality of the establishment, by using a cluster analysis of the data. Amongst the findings of the survey was the importance of the motivation of pleasure that makes people go to restaurants and it is therefore necessary to create a favourable atmosphere of quality the customers will want to come back to. This provides the sector's greatest challenge.     

Parental perceptions of child placement within vehicles: a focus group study

Although rear-seating children in motor vehicles results in fewer injuries and fatalities in motor vehicle crashes, many children continue to be front-seated. This study seeks to identify parental barriers to rear-seating children in motor vehicles and strategies to increase child rear seat placement. Focus groups were conducted with parents of children 12 or younger to determine barriers to rear seating and strategies to increase child rear seat placement. Barriers to rear seat placement identified include the logistics of transporting multiple children with limited rear seat availability, the potential of children to harm themselves if rear-seated, and peer pressure. Parents felt there should be no option to sit elsewhere within the vehicle to help normalize rear-seating. Successful interventions to increase child rear seat placement should focus on parental barriers to rear-seat their children in vehicles, including normalizing rear seat placement, and determining approaches to make rear-seat placement with multiple children uncomplicated.     

Impact of public involvement in research on quality of life and society: a case study of research career trajectories

This case study illustrates the research career trajectory of two lay researchers after they joined a Big Lottery funded study to explore loneliness and isolation among older people living in a town in the north of England, UK. The two lay researchers were of pensionable age themselves and engaged in all aspects of the research process as full members of the research team. Following research methods training and their substantive input into study design, they engaged fully in an approach of peer‐interviewing of other older adults as the main study method. Following this initial exposure to undertaking research, these exemplars of public involvement in research went on to be involved in other research as co‐researchers at a local and national level. Initially the paper sets out the lay researchers' personal backgrounds and expectations from involvement in research. The impact of their involvement in research on their quality of life and that of their community is presented. Latterly, the societal impact of the lay researcher's involvement is examined. The difference they made to the initial study design and conduct is described first followed by their development as substantial research resources for other studies and community initiatives. Overall the impact of these lay researchers has been significant and the paper provides an example of how involvement in research can impact on individuals and communities to great effect.     

Exploring entrepreneurial learning: a comparative study of technology development projects

In this paper, we report findings from a comparative study of factors that influence the learning process that underlies entrepreneurial innovation, as entrepreneurs move from an initial intuition to a well-developed new product or service. Evidence from our comparative study highlights the self-reinforcing effect of prior related knowledge, perceived incentives and the degree of control on the allocation of entrepreneurs' limited time, attention and resources. Combining theory and evidence from our study, we propose an interpretative model that suggests that innovation in entrepreneurial ventures rests on self-reinforcing learning cycles that lead entrepreneurs to dedicate increasing resources to the exploration of some opportunities at the expense of others, following a sensemaking process affected by their previous knowledge and their degree of involvement in the projects.     

Creating a global health care company

Global pharmaceutical mergers have spread the huge costs of research and enabled companies to sell their products in countries where they previously lacked a presence. Here's how the Beecham-SmithKline Beckman marriage was developed to propel the organization into a position as a worldwide player in the drug industry.     

Benchmarking consumer perceptions of product quality with price: An exploration

This empirical study illustrates an extension of the magnitude estimation measurement procedure, coupled with a repeated-measures design, to assess a consumer's perceptual link between product quality and price. Respondents rated 14 competitive chocolate candy bars, with a given average price of 50¢, on two separate sensory measures to evaluate quality and price. The results indicate that consumer judgments about product quality influence the price they are willing to pay. These findings support the validity of the magnitude estimation procedure for product quality and price assessments, providing marketing management with a standardized benchmark to compare competitive products. Extending this experimental methodology to small groups provides an inexpensive approach for marketers to quantify otherwise qualitative focus-group investigations. © 1996 John Wiley & Sons, Inc.     

An investigation of ethical perceptions of public sector MIS professionals

Management information system (MIS) professionals have a central role in technology development, determining how technology is used in organizations, and the effects it has on clients and society. MIS stakeholders have expressed concern regarding MIS professional's role in computer crime, and security of electronically stored information. It is recognized that MIS professionals must make decisions based on their professional ethics. The Association for Computing Machinery (ACM) and the Data Processing Management Association (DPMA) have developed codes of ethics to help guide practitioners with ethical professional decision making. In this study, a model was developed from the combined ACM and DPMA codes of ethics and used in the construction of a survey instrument. The survey was conducted using public sector MIS professionals, and findings relative to the influences that codes of ethics, ethical enforcement systems, and membership in professional organizations has on ethical perception were studied. In addition, the influence that ethical obligation to particular constituencies had on respondents' ethical attitudes was also investigated. The study indicated that ethical obligation of public sector MIS professionals is stronger for management and employers than for peers, society, or clients. Ken Udas is a Research Associate with the Texas A&M University Commitment to Education program. He is completing a Ph.D. in Educational Administration. His research interests are in human services integration, participatory system design, and action research. He has recently co-authored a chapter in the ATE Handbook of Research on Teacher Education. William L. Fuerst is an associate professor of MIS at Texas A & M University and director of the Center for the Management of Information Systems. His research interests center around emerging information technologies, systems development strategies, and MIS planning. Dr. Fuerst has published in MIS Quarterly, Decision Sciences, and Journal of Management Information Systems, among others.David Paradice has published numerous articles focusing on the use of computer-based systems in support of managerial problem formulation and on the influence of computer-based systems on ethical decision-making processes. He has co-authored a book on Database Management Systems and co-edited a book of readings on ethical issues in the information systems field.