In recent years, some governments have been working on solutions to transform public administrations and provide high-quality services to users. The United Nations has recommended integrating digital technology into v...In recent years, some governments have been working on solutions to transform public administrations and provide high-quality services to users. The United Nations has recommended integrating digital technology into various aspects of life, including public services. The objective is to offer real-time, high-quality digital services, improve the delivery of public services, enhance their effectiveness and efficiency, while achieving objectives such as transparency, interoperability and citizen satisfaction. However, most governments in developing countries are unable to keep up with this trend. As a result, they often create digital public services that fall short of users’ expectations. This study aims to identify the fundamental factors influencing the quality of service in relation to user satisfaction and to explore the relevance of digital technology in implementing this quality within Cameroon public administrations. To achieve this, we used a qualimetric research method, which included non-directive interviews, questionnaires, and structured observations. The results showed that the public services offered in our study environment did not meet users’ expectations. However, the study identified the fundamental aspects to be considered in providing quality public services connected to user satisfaction, as well as the strengths of digitization in achieving this quality.展开更多
Cloud computing is providing IT services to its customer based on Service level agreements(SLAs).It is important for cloud service providers to provide reliable Quality of service(QoS)and to maintain SLAs accountabili...Cloud computing is providing IT services to its customer based on Service level agreements(SLAs).It is important for cloud service providers to provide reliable Quality of service(QoS)and to maintain SLAs accountability.Cloud service providers need to predict possible service violations before the emergence of an issue to perform remedial actions for it.Cloud users’major concerns;the factors for service reliability are based on response time,accessibility,availability,and speed.In this paper,we,therefore,experiment with the parallel mutant-Particle swarm optimization(PSO)for the detection and predictions of QoS violations in terms of response time,speed,accessibility,and availability.This paper also compares Simple-PSO and Parallel MutantPSO.In simulation results,it is observed that the proposed Parallel MutantPSO solution for cloud QoS violation prediction achieves 94%accuracy which is many accurate results and is computationally the fastest technique in comparison of conventional PSO technique.展开更多
Objective:To investigate individual characteristics related to satisfaction with the quality of First Health Facility Services(FHFS)in Indonesia.Methods:This cross-sectional study analyzes national representation data...Objective:To investigate individual characteristics related to satisfaction with the quality of First Health Facility Services(FHFS)in Indonesia.Methods:This cross-sectional study analyzes national representation data.Meanwhile,the study involved 9846 representative respondents in 2019.Respondent’s satisfaction with FHFS based on the five dimensions of service quality(SERVQUAL)is a dependent variable.Independent variables consist of sex,marital status,age,education,employment,insurance ownership,and economics.The study used multivariate logistic regression to explain the relationship between individual characteristics and FSHS quality.Results:77.3%Respondents were satisfied with FHFS,with the highest order of satisfaction dimensions being assurance(59.4%),empathy(57.3%),reliability(53.6%),responsiveness(52.7%),and then tangibility(49.1%).Multivariate logistic analysis showed that divorce was 1.48 more likely than never-married to be satisfied(95%CI 1.17-1.87).Employees were 0.77 less likely than the unemployed to get satisfied(95%CI 0.70-0.86).Respondents with higher education was 0.82 less likely than those with primary education to be satisfied(95%CI 0.67-0.99).Meanwhile,respondents who had government-run insurance were 1.61 more likely than uninsured to be satisfied(95%CI 1.42-1.80).Moreover,the rich were 0.82 less likely than the poor to get satisfied(95%CI 0.73-0.92).Conclusions:Community satisfaction with FHFS is generally high,though some areas could be improved.Demographic factors are still strongly related to satisfaction ratings.The government can assess the quality of services in accordance with standards and disseminate information about service standards for primary facilities to all levels of society,ensuring that service satisfaction is rated as good by all groups.展开更多
Achieving competitiveness by a company requires the rejection of conservatism and immobility, or its constant adaptation to market conditions and consumer demands. This paper has proposed assessing the quality of food...Achieving competitiveness by a company requires the rejection of conservatism and immobility, or its constant adaptation to market conditions and consumer demands. This paper has proposed assessing the quality of food services in the President Restaurant performed by applying Servqual instrument designed on the basis of customer's expectations and perceptions on analyzed components. Over 70% of respondents have a favorable perception on the quality of services. However you can see a slight difference between perceptions and expectations regarding the serving speed, waiter's professionalism, hygiene of room service and inventory objects, the reason being related to the lack of staff.展开更多
The purpose of this paper is to examine the relationships between service quality (SQ) and customer satisfaction (CS) in the Malaysian healthcare system. The study is significant due to the environmental pressures...The purpose of this paper is to examine the relationships between service quality (SQ) and customer satisfaction (CS) in the Malaysian healthcare system. The study is significant due to the environmental pressures such as the demographic changes, the aging of populations, the emergence of new treatments and technologies, and the increased insistence on grater quality of service. A service satisfaction survey was conducted among visitors (either patients or their relatives and friends) that visited hospitals (both public and private) in 10 regions in Malaysia. A total of 1,000 questionnaires were distributed purposively to these visitors, of which 925 questionnaires were returned for further analysis, yielding a response rate of 92.5 percent. The study found that among the eight dimensions of SQ tested, safety measures were not at all significantly related to CS as compared with the other seven dimensions. On a detailed note, the quality satisfaction of customers is very much influenced by infrastructure (0.121), clinical care (0.601), and trustworthiness of the hospitals (0.139). Also as noted, the time satisfaction of customers is influenced by personnel quality (0.102), administrative procedures (0.562), and trustworthiness of the hospitals (0.168). Whilst the cost satisfaction of customers is influenced by administrative procedure (0.101), corporate image (0.130), social responsibility (0.315), and trustworthiness of the hospitals (0.261). On overall, the findings of this study suggest that trustworthiness and administrative procedures are the two most important factors that influence satisfaction of customers that the Malaysian healthcare industry should take a good care of.展开更多
Background: Total quality management (TQM) plays a major role in quality health services improvement. The aims of the study are to identify the concepts of total quality management in health institutions to know the n...Background: Total quality management (TQM) plays a major role in quality health services improvement. The aims of the study are to identify the concepts of total quality management in health institutions to know the nature of the relationship between the application of TQM and improving the quality of health services in Sana’a Governorate. Method: This applied research is a descriptive cross-sectional study in which the TQM of 13 affiliated Sana’a Governorate hospitals during “2017-2020”, were evaluated based on self-administered questionnaires. Data were collected by questionnaires including demographical variables, TQM dimensions variables. Data were analyzed by using SPSS version 16. Results: A total of 281 users 98.6% had responded. The employee’s responses for sixth study dimensions were the top manager’s commitment (TMC) 80.46%, customers focusing CF 81.55%, continuous improvement (CI) 82.32%, training (T) 71.51%, and strategic planning of the quality (SPQ) 74.76%, health services quality improvement (HSQI) 74.25%. There is a strong relationship between TQM and HSQI. There is no relationship between demographic factors gender, profession, years of experience, except age with TMC, T, HSQI, qualification with the TMC, CI, T, HSQI and job with all study variables. Conclusion: The application of TQM at hospitals in quality of health services improvement has several challenges, lacking staff experience and lacking leadership support, weakness of the training, customers focusing, continuous improvement, and strategic planning of the quality. Therefore, benefiting from the experiences of leading hospitals in implementing total quality management programs by sending some cadres to these hospitals for training and gaining experience or by hosting experienced cadres to conduct training courses is recommended.展开更多
China Petroleum Technology & Development Corporation (CPTDC), a wholly owned subsidiary company of China National Petroleum Corporation (CNPC), is China's largest multinational company specializing in the manu...China Petroleum Technology & Development Corporation (CPTDC), a wholly owned subsidiary company of China National Petroleum Corporation (CNPC), is China's largest multinational company specializing in the manufacturing and supply of petroleum and petrochemical material, equipment and technology.展开更多
On June 2nd,the press conference for issuing the national standard—Target Text Quality Requirements for Translation Services was held in Beijing,jointly hosted by China Association for Standardization (CAS),Translato...On June 2nd,the press conference for issuing the national standard—Target Text Quality Requirements for Translation Services was held in Beijing,jointly hosted by China Association for Standardization (CAS),Translator Association of China (TAC),China Translation and Publishing Corporation (CTPC) and China Shipol Information Center.展开更多
Software-Defined Networking(SDN),with segregated data and control planes,provides faster data routing,stability,and enhanced quality metrics,such as throughput(Th),maximum available bandwidth(Bd(max)),data transfer(DT...Software-Defined Networking(SDN),with segregated data and control planes,provides faster data routing,stability,and enhanced quality metrics,such as throughput(Th),maximum available bandwidth(Bd(max)),data transfer(DTransfer),and reduction in end-to-end delay(D(E-E)).This paper explores the critical work of deploying SDN in large-scale Data Center Networks(DCNs)to enhance its Quality of Service(QoS)parameters,using logically distributed control configurations.There is a noticeable increase in Delay(E-E)when adopting SDN with a unified(single)control structure in big DCNs to handle Hypertext Transfer Protocol(HTTP)requests causing a reduction in network quality parameters(Bd(max),Th,DTransfer,D(E-E),etc.).This article examines the network performance in terms of quality matrices(bandwidth,throughput,data transfer,etc.),by establishing a large-scale SDN-based virtual network in the Mininet environment.The SDN network is simulated in three stages:(1)An SDN network with unitary controller-POX to manage the data traffic flow of the network without the server load management algorithm.(2)An SDN network with only one controller to manage the data traffic flow of the network with a server load management algorithm.(3)Deployment of SDN in proposed control arrangement(logically distributed controlled framework)with multiple controllers managing data traffic flow under the proposed Intelligent Sensing Server Load Management(ISSLM)algorithm.As a result of this approach,the network quality parameters in large-scale networks are enhanced.展开更多
BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improv...BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.展开更多
Objective:The purpose of this study is to conduct an in-depth investigation and analysis of the factors affecting the quality of community nursing services in Laishan District,Yantai City,and provide suggestions for i...Objective:The purpose of this study is to conduct an in-depth investigation and analysis of the factors affecting the quality of community nursing services in Laishan District,Yantai City,and provide suggestions for improving the quality of the services.Method:The community nursing services in Laishan District,Yantai City were investigated through questionnaires and on-site observations.Result:The content of nursing services was correlated with the professional titles of the staff.The guidance given to patients and caregivers was significantly correlated with the educational level of community nursing personnel.Therefore,this indicates that the professional titles and educational backgrounds of the community nursing personnel have a significant impact on the quality of service provided.Conclusion:The role of professional title evaluation can be optimized,further enhancing the educational level of nurses in surrounding communities,optimizing service content and methods,etc.,in order to improve the quality of community nursing services in the region.展开更多
"High-level opening up"and"high-quality development"are important development goals and directions of China during the 14th Five-Year Plan period.Heilongjiang,as the largest and oldest province ope..."High-level opening up"and"high-quality development"are important development goals and directions of China during the 14th Five-Year Plan period.Heilongjiang,as the largest and oldest province open to Russia,has a long history of communication and plays a vanguard role.However,the province's geographical advantages are weakening under the impact of the COVID-19 pandemic and the rapid development of the internet industry.Facing the new era,maintaining and enhancing the regional advantages of the province has become an urgent issue that requires attention.This study takes the Russian language service in Heilongjiang Province as the subject,combines theory with practice through theoretical elaboration and historical analysis,as well as tries to provide reference for improving the language service system in Heilongjiang Province and enhancing its regional advantages.This study believes that a high-quality language service plays an important role in solving the issue.It is necessary to fully understand and apply the essential power of language,be more aware of the importance of Russian language services,build a sound ecosystem of language services,give full play to the traditional advantages of the"Russian"in this province,and finally assume "Russian language services"as the"golden banner"for the development of language services,economy,and culture in the province.展开更多
For years suffering from hypertension, Mrs. Zhang, now in her 60s, is a frequent visitor to Beijing Dewai Community Hospital in her neighborhood."I feel too painstaking to go to a 'big hospital,'" she says. "Buse...For years suffering from hypertension, Mrs. Zhang, now in her 60s, is a frequent visitor to Beijing Dewai Community Hospital in her neighborhood."I feel too painstaking to go to a 'big hospital,'" she says. "Buses are always overcrowded and slow, not suitable for people like me. Besides, community-based medical institutions charge less for treatment of the same diseases."展开更多
The paper selected Chinese Cruise Line as the case study. Having based on the survey data of Chinese cruise tourism consumers, the factor analysis method, one-way analysis of variances method, cluster analysis method,...The paper selected Chinese Cruise Line as the case study. Having based on the survey data of Chinese cruise tourism consumers, the factor analysis method, one-way analysis of variances method, cluster analysis method, and other quantitative and qualitative methods were taken to analyze Chinese consumers’ satisfaction differences of cruise tourism service quality with different segmentation markets and clusters markets, and the reasons of satisfaction differences were also explored. Then precision marketing strategy of Chinese cruise tourism with different segmentation markets and clusters markets from the supply-side reform perspective was discussed. The purpose of current research was to provide suggestions of precision management and precision marketing of Chinese cruise tourism for relevant enterprises and government departments.展开更多
In an era where digital technology is paramount, higher education institutions like the University of Zambia (UNZA) are employing advanced computer networks to enhance their operational capacity and offer cutting-edge...In an era where digital technology is paramount, higher education institutions like the University of Zambia (UNZA) are employing advanced computer networks to enhance their operational capacity and offer cutting-edge services to their academic fraternity. Spanning across the Great East Road campus, UNZA has established one of the most extensive computer networks in Zambia, serving a burgeoning community of over 20,000 active users through a Metropolitan Area Network (MAN). However, as the digital landscape continues to evolve, it is besieged with burgeoning challenges that threaten the very fabric of network integrity—cyber security threats and the imperatives of maintaining high Quality of Service (QoS). In an effort to mitigate these threats and ensure network efficiency, the development of a mobile application to monitor temperatures in the server room was imperative. According to L. Wei, X. Zeng, and T. Shen, the use of wireless sensory networks to monitor the temperature of train switchgear contact points represents a cost-effective solution. The system is based on wireless communication technology and is detailed in their paper, “A wireless solution for train switchgear contact temperature monitoring and alarming system based on wireless communication technology”, published in the International Journal of Communications, Network and System Sciences, vol. 8, no. 4, pp. 79-87, 2015 [1]. Therefore, in this study, a mobile application technology was explored for monitoring of temperatures in the server room in order to aid Cisco device performance. Additionally, this paper also explores the hardening of Cisco device security and QoS which are the cornerstones of this study.展开更多
In the current environment of increasingly fierce competition in the tourism industry,service quality has become crucial for enhancing the competitiveness of scenic spots.This paper uses the SERVQUAL model to design a...In the current environment of increasingly fierce competition in the tourism industry,service quality has become crucial for enhancing the competitiveness of scenic spots.This paper uses the SERVQUAL model to design a service quality evaluation questionnaire that captures the gap between tourists’expectations and perceptions,using the Ciqikou Scenic Spot as a case study.Data collected from field surveys are used to comprehensively and meticulously evaluate the service quality of the Ciqikou Scenic Spot.The analysis results show that the scenic spot,with its unique folk culture experience and beautiful ecological environment,has certain advantages in terms of service quality.However,significant deficiencies exist in infrastructure and environmental hygiene.Accordingly,targeted improvement suggestions are proposed to further enhance the service quality of the Ciqikou Scenic Spot and meet the increasingly diverse and personalized needs of tourists.This study provides not only a specific service quality improvement strategy for the Ciqikou Scenic Spot but also a valuable reference for other tourist attractions.展开更多
In order to enable quality-aware web services selection in the process of service composition,this paper first describes the non-functional requirements of service consumers and the quality of elementary service or co...In order to enable quality-aware web services selection in the process of service composition,this paper first describes the non-functional requirements of service consumers and the quality of elementary service or composite service as a quality vector,and then models the QoS(quality of service)-aware composition as a multiple criteria optimization problem in extending directed graph.A novel simulated annealing algorithm for QoS-aware web services composition is presented.A normalizing for composite service QoS values is made,and a secondary iterative optimization is used in the algorithm.Experimental results show that the simulated annealing algorithm can satisfy the multiple criteria and global QoS requirements of service consumers.The algorithm produces near optimum solution with much less computation cost.展开更多
To address the problem of web services selection based on quality, an approach of multi-attribute group decision making algorithm is proposed. Based on the Borda social choice function, the group decision making algor...To address the problem of web services selection based on quality, an approach of multi-attribute group decision making algorithm is proposed. Based on the Borda social choice function, the group decision making algorithm aggregates the results of multiple methods with different principles which are used to obtain constantly changing quality of service, thus increasing the confidence to select the most appropriate web service for a special task. The experimental results indicate that the proposed approach has better scalability and can be applied to large-scale distributed service computing environments. It is also shown that the proposed group decision making approach can effectively optimize the services selection and outperforms the random and robin policies. By using this approach, it can extend a method to obtain constantly changing quality of service and construct a synthetic information entity with multi-level knowledge, which guarantees the accuracy of services selection.展开更多
Online shopping has already become the new mode that a lot of customers try to adopt. At the same time, the online shopping could not be successfully completed without logistics service. Logistics service quality (LSQ...Online shopping has already become the new mode that a lot of customers try to adopt. At the same time, the online shopping could not be successfully completed without logistics service. Logistics service quality (LSQ) has significant impact on revenue and profitability. This paper presents the issue from the perspective of the customer, and explores the initial factors of LSQ based on the online shopping through in-depth interview and the Delphi method. The survey uses a standard 7-point Likert-type scale to measure the LSQ. Empirical research results are shown in detail to confirm seven LSQ dimensions with Chinese characteristics, including timeliness quality, personal contact quality, order quality, order discrepancy handling, order condition and convenience. Statistical analyses of the investigation were conducted to test the reliability and validity of the LSQ evaluation model.展开更多
文摘In recent years, some governments have been working on solutions to transform public administrations and provide high-quality services to users. The United Nations has recommended integrating digital technology into various aspects of life, including public services. The objective is to offer real-time, high-quality digital services, improve the delivery of public services, enhance their effectiveness and efficiency, while achieving objectives such as transparency, interoperability and citizen satisfaction. However, most governments in developing countries are unable to keep up with this trend. As a result, they often create digital public services that fall short of users’ expectations. This study aims to identify the fundamental factors influencing the quality of service in relation to user satisfaction and to explore the relevance of digital technology in implementing this quality within Cameroon public administrations. To achieve this, we used a qualimetric research method, which included non-directive interviews, questionnaires, and structured observations. The results showed that the public services offered in our study environment did not meet users’ expectations. However, the study identified the fundamental aspects to be considered in providing quality public services connected to user satisfaction, as well as the strengths of digitization in achieving this quality.
文摘Cloud computing is providing IT services to its customer based on Service level agreements(SLAs).It is important for cloud service providers to provide reliable Quality of service(QoS)and to maintain SLAs accountability.Cloud service providers need to predict possible service violations before the emergence of an issue to perform remedial actions for it.Cloud users’major concerns;the factors for service reliability are based on response time,accessibility,availability,and speed.In this paper,we,therefore,experiment with the parallel mutant-Particle swarm optimization(PSO)for the detection and predictions of QoS violations in terms of response time,speed,accessibility,and availability.This paper also compares Simple-PSO and Parallel MutantPSO.In simulation results,it is observed that the proposed Parallel MutantPSO solution for cloud QoS violation prediction achieves 94%accuracy which is many accurate results and is computationally the fastest technique in comparison of conventional PSO technique.
文摘Objective:To investigate individual characteristics related to satisfaction with the quality of First Health Facility Services(FHFS)in Indonesia.Methods:This cross-sectional study analyzes national representation data.Meanwhile,the study involved 9846 representative respondents in 2019.Respondent’s satisfaction with FHFS based on the five dimensions of service quality(SERVQUAL)is a dependent variable.Independent variables consist of sex,marital status,age,education,employment,insurance ownership,and economics.The study used multivariate logistic regression to explain the relationship between individual characteristics and FSHS quality.Results:77.3%Respondents were satisfied with FHFS,with the highest order of satisfaction dimensions being assurance(59.4%),empathy(57.3%),reliability(53.6%),responsiveness(52.7%),and then tangibility(49.1%).Multivariate logistic analysis showed that divorce was 1.48 more likely than never-married to be satisfied(95%CI 1.17-1.87).Employees were 0.77 less likely than the unemployed to get satisfied(95%CI 0.70-0.86).Respondents with higher education was 0.82 less likely than those with primary education to be satisfied(95%CI 0.67-0.99).Meanwhile,respondents who had government-run insurance were 1.61 more likely than uninsured to be satisfied(95%CI 1.42-1.80).Moreover,the rich were 0.82 less likely than the poor to get satisfied(95%CI 0.73-0.92).Conclusions:Community satisfaction with FHFS is generally high,though some areas could be improved.Demographic factors are still strongly related to satisfaction ratings.The government can assess the quality of services in accordance with standards and disseminate information about service standards for primary facilities to all levels of society,ensuring that service satisfaction is rated as good by all groups.
文摘Achieving competitiveness by a company requires the rejection of conservatism and immobility, or its constant adaptation to market conditions and consumer demands. This paper has proposed assessing the quality of food services in the President Restaurant performed by applying Servqual instrument designed on the basis of customer's expectations and perceptions on analyzed components. Over 70% of respondents have a favorable perception on the quality of services. However you can see a slight difference between perceptions and expectations regarding the serving speed, waiter's professionalism, hygiene of room service and inventory objects, the reason being related to the lack of staff.
文摘The purpose of this paper is to examine the relationships between service quality (SQ) and customer satisfaction (CS) in the Malaysian healthcare system. The study is significant due to the environmental pressures such as the demographic changes, the aging of populations, the emergence of new treatments and technologies, and the increased insistence on grater quality of service. A service satisfaction survey was conducted among visitors (either patients or their relatives and friends) that visited hospitals (both public and private) in 10 regions in Malaysia. A total of 1,000 questionnaires were distributed purposively to these visitors, of which 925 questionnaires were returned for further analysis, yielding a response rate of 92.5 percent. The study found that among the eight dimensions of SQ tested, safety measures were not at all significantly related to CS as compared with the other seven dimensions. On a detailed note, the quality satisfaction of customers is very much influenced by infrastructure (0.121), clinical care (0.601), and trustworthiness of the hospitals (0.139). Also as noted, the time satisfaction of customers is influenced by personnel quality (0.102), administrative procedures (0.562), and trustworthiness of the hospitals (0.168). Whilst the cost satisfaction of customers is influenced by administrative procedure (0.101), corporate image (0.130), social responsibility (0.315), and trustworthiness of the hospitals (0.261). On overall, the findings of this study suggest that trustworthiness and administrative procedures are the two most important factors that influence satisfaction of customers that the Malaysian healthcare industry should take a good care of.
文摘Background: Total quality management (TQM) plays a major role in quality health services improvement. The aims of the study are to identify the concepts of total quality management in health institutions to know the nature of the relationship between the application of TQM and improving the quality of health services in Sana’a Governorate. Method: This applied research is a descriptive cross-sectional study in which the TQM of 13 affiliated Sana’a Governorate hospitals during “2017-2020”, were evaluated based on self-administered questionnaires. Data were collected by questionnaires including demographical variables, TQM dimensions variables. Data were analyzed by using SPSS version 16. Results: A total of 281 users 98.6% had responded. The employee’s responses for sixth study dimensions were the top manager’s commitment (TMC) 80.46%, customers focusing CF 81.55%, continuous improvement (CI) 82.32%, training (T) 71.51%, and strategic planning of the quality (SPQ) 74.76%, health services quality improvement (HSQI) 74.25%. There is a strong relationship between TQM and HSQI. There is no relationship between demographic factors gender, profession, years of experience, except age with TMC, T, HSQI, qualification with the TMC, CI, T, HSQI and job with all study variables. Conclusion: The application of TQM at hospitals in quality of health services improvement has several challenges, lacking staff experience and lacking leadership support, weakness of the training, customers focusing, continuous improvement, and strategic planning of the quality. Therefore, benefiting from the experiences of leading hospitals in implementing total quality management programs by sending some cadres to these hospitals for training and gaining experience or by hosting experienced cadres to conduct training courses is recommended.
文摘China Petroleum Technology & Development Corporation (CPTDC), a wholly owned subsidiary company of China National Petroleum Corporation (CNPC), is China's largest multinational company specializing in the manufacturing and supply of petroleum and petrochemical material, equipment and technology.
文摘On June 2nd,the press conference for issuing the national standard—Target Text Quality Requirements for Translation Services was held in Beijing,jointly hosted by China Association for Standardization (CAS),Translator Association of China (TAC),China Translation and Publishing Corporation (CTPC) and China Shipol Information Center.
文摘Software-Defined Networking(SDN),with segregated data and control planes,provides faster data routing,stability,and enhanced quality metrics,such as throughput(Th),maximum available bandwidth(Bd(max)),data transfer(DTransfer),and reduction in end-to-end delay(D(E-E)).This paper explores the critical work of deploying SDN in large-scale Data Center Networks(DCNs)to enhance its Quality of Service(QoS)parameters,using logically distributed control configurations.There is a noticeable increase in Delay(E-E)when adopting SDN with a unified(single)control structure in big DCNs to handle Hypertext Transfer Protocol(HTTP)requests causing a reduction in network quality parameters(Bd(max),Th,DTransfer,D(E-E),etc.).This article examines the network performance in terms of quality matrices(bandwidth,throughput,data transfer,etc.),by establishing a large-scale SDN-based virtual network in the Mininet environment.The SDN network is simulated in three stages:(1)An SDN network with unitary controller-POX to manage the data traffic flow of the network without the server load management algorithm.(2)An SDN network with only one controller to manage the data traffic flow of the network with a server load management algorithm.(3)Deployment of SDN in proposed control arrangement(logically distributed controlled framework)with multiple controllers managing data traffic flow under the proposed Intelligent Sensing Server Load Management(ISSLM)algorithm.As a result of this approach,the network quality parameters in large-scale networks are enhanced.
文摘BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.
文摘Objective:The purpose of this study is to conduct an in-depth investigation and analysis of the factors affecting the quality of community nursing services in Laishan District,Yantai City,and provide suggestions for improving the quality of the services.Method:The community nursing services in Laishan District,Yantai City were investigated through questionnaires and on-site observations.Result:The content of nursing services was correlated with the professional titles of the staff.The guidance given to patients and caregivers was significantly correlated with the educational level of community nursing personnel.Therefore,this indicates that the professional titles and educational backgrounds of the community nursing personnel have a significant impact on the quality of service provided.Conclusion:The role of professional title evaluation can be optimized,further enhancing the educational level of nurses in surrounding communities,optimizing service content and methods,etc.,in order to improve the quality of community nursing services in the region.
基金The "3th Five-Year Plan"of Education Science Key Project of Heilongjiang Province in 2020(Project Number:GJB1320294).
文摘"High-level opening up"and"high-quality development"are important development goals and directions of China during the 14th Five-Year Plan period.Heilongjiang,as the largest and oldest province open to Russia,has a long history of communication and plays a vanguard role.However,the province's geographical advantages are weakening under the impact of the COVID-19 pandemic and the rapid development of the internet industry.Facing the new era,maintaining and enhancing the regional advantages of the province has become an urgent issue that requires attention.This study takes the Russian language service in Heilongjiang Province as the subject,combines theory with practice through theoretical elaboration and historical analysis,as well as tries to provide reference for improving the language service system in Heilongjiang Province and enhancing its regional advantages.This study believes that a high-quality language service plays an important role in solving the issue.It is necessary to fully understand and apply the essential power of language,be more aware of the importance of Russian language services,build a sound ecosystem of language services,give full play to the traditional advantages of the"Russian"in this province,and finally assume "Russian language services"as the"golden banner"for the development of language services,economy,and culture in the province.
文摘For years suffering from hypertension, Mrs. Zhang, now in her 60s, is a frequent visitor to Beijing Dewai Community Hospital in her neighborhood."I feel too painstaking to go to a 'big hospital,'" she says. "Buses are always overcrowded and slow, not suitable for people like me. Besides, community-based medical institutions charge less for treatment of the same diseases."
基金National Natural Science Foundation of China(72074053).
文摘The paper selected Chinese Cruise Line as the case study. Having based on the survey data of Chinese cruise tourism consumers, the factor analysis method, one-way analysis of variances method, cluster analysis method, and other quantitative and qualitative methods were taken to analyze Chinese consumers’ satisfaction differences of cruise tourism service quality with different segmentation markets and clusters markets, and the reasons of satisfaction differences were also explored. Then precision marketing strategy of Chinese cruise tourism with different segmentation markets and clusters markets from the supply-side reform perspective was discussed. The purpose of current research was to provide suggestions of precision management and precision marketing of Chinese cruise tourism for relevant enterprises and government departments.
文摘In an era where digital technology is paramount, higher education institutions like the University of Zambia (UNZA) are employing advanced computer networks to enhance their operational capacity and offer cutting-edge services to their academic fraternity. Spanning across the Great East Road campus, UNZA has established one of the most extensive computer networks in Zambia, serving a burgeoning community of over 20,000 active users through a Metropolitan Area Network (MAN). However, as the digital landscape continues to evolve, it is besieged with burgeoning challenges that threaten the very fabric of network integrity—cyber security threats and the imperatives of maintaining high Quality of Service (QoS). In an effort to mitigate these threats and ensure network efficiency, the development of a mobile application to monitor temperatures in the server room was imperative. According to L. Wei, X. Zeng, and T. Shen, the use of wireless sensory networks to monitor the temperature of train switchgear contact points represents a cost-effective solution. The system is based on wireless communication technology and is detailed in their paper, “A wireless solution for train switchgear contact temperature monitoring and alarming system based on wireless communication technology”, published in the International Journal of Communications, Network and System Sciences, vol. 8, no. 4, pp. 79-87, 2015 [1]. Therefore, in this study, a mobile application technology was explored for monitoring of temperatures in the server room in order to aid Cisco device performance. Additionally, this paper also explores the hardening of Cisco device security and QoS which are the cornerstones of this study.
文摘In the current environment of increasingly fierce competition in the tourism industry,service quality has become crucial for enhancing the competitiveness of scenic spots.This paper uses the SERVQUAL model to design a service quality evaluation questionnaire that captures the gap between tourists’expectations and perceptions,using the Ciqikou Scenic Spot as a case study.Data collected from field surveys are used to comprehensively and meticulously evaluate the service quality of the Ciqikou Scenic Spot.The analysis results show that the scenic spot,with its unique folk culture experience and beautiful ecological environment,has certain advantages in terms of service quality.However,significant deficiencies exist in infrastructure and environmental hygiene.Accordingly,targeted improvement suggestions are proposed to further enhance the service quality of the Ciqikou Scenic Spot and meet the increasingly diverse and personalized needs of tourists.This study provides not only a specific service quality improvement strategy for the Ciqikou Scenic Spot but also a valuable reference for other tourist attractions.
基金The National Natural Science Foundation of China(No.60773217)Free Exploration Project(985 Project of Renmin University of China)(No.21361231)
文摘In order to enable quality-aware web services selection in the process of service composition,this paper first describes the non-functional requirements of service consumers and the quality of elementary service or composite service as a quality vector,and then models the QoS(quality of service)-aware composition as a multiple criteria optimization problem in extending directed graph.A novel simulated annealing algorithm for QoS-aware web services composition is presented.A normalizing for composite service QoS values is made,and a secondary iterative optimization is used in the algorithm.Experimental results show that the simulated annealing algorithm can satisfy the multiple criteria and global QoS requirements of service consumers.The algorithm produces near optimum solution with much less computation cost.
文摘To address the problem of web services selection based on quality, an approach of multi-attribute group decision making algorithm is proposed. Based on the Borda social choice function, the group decision making algorithm aggregates the results of multiple methods with different principles which are used to obtain constantly changing quality of service, thus increasing the confidence to select the most appropriate web service for a special task. The experimental results indicate that the proposed approach has better scalability and can be applied to large-scale distributed service computing environments. It is also shown that the proposed group decision making approach can effectively optimize the services selection and outperforms the random and robin policies. By using this approach, it can extend a method to obtain constantly changing quality of service and construct a synthetic information entity with multi-level knowledge, which guarantees the accuracy of services selection.
基金Project (Nos. 50505044 and 70472061) supported by the National Natural Science Foundation of China
文摘Online shopping has already become the new mode that a lot of customers try to adopt. At the same time, the online shopping could not be successfully completed without logistics service. Logistics service quality (LSQ) has significant impact on revenue and profitability. This paper presents the issue from the perspective of the customer, and explores the initial factors of LSQ based on the online shopping through in-depth interview and the Delphi method. The survey uses a standard 7-point Likert-type scale to measure the LSQ. Empirical research results are shown in detail to confirm seven LSQ dimensions with Chinese characteristics, including timeliness quality, personal contact quality, order quality, order discrepancy handling, order condition and convenience. Statistical analyses of the investigation were conducted to test the reliability and validity of the LSQ evaluation model.