The Impact of Total Quality Management on Health Services Improvement, Sana’a Hospitals, Yemen (2017-2020)

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.

Exploring the Commuters’ Willingness-to-Pay and Its Influencing Factors for an Improved Public Bus Service in Dhaka City

Improved transportation services are a crucial component of urban growth, particularly in emerging cities like Dhaka. Ensuring an improved public bus service quality is a challenge for the city’s transport planners and policy makers. Nevertheless, this challenge can’t be met without the support of the residents of this city. This study intends to evaluate the commuters’ willingness to pay (WTP) for an improved and better public bus service quality in Dhaka city. It also attempts to explore the factors affecting the commuters’ WTP amounts. In order to accomplish the study’s goals, a stated preference survey was designed to enquire into the whys and wherefores of female passengers’ harassment on public buses and also to prefer some influential service quality features. WTP values of respondents were calibrated using binary and ordinal logistic models, and these models were developed using SPSS version 26. The results indicate that the majority of respondents were willing to pay more for better service facilities, and they point to security as the most important factor in determining how much extra fare commuters are willing to pay. The results also demonstrate that commuters’ WTP amounts are highly influenced by the respondents’ monthly income. Results from this study have important policy implications, such as protecting women’s safety on public transportation and taking commuters’ socio-demographic characteristics into account before enacting any legislation or increasing fares.

Progress in applying patient experience in nursing quality improvement

Background： Improving and sustaining the quality of nursing care is an intractable and persistent challenge. The patient experience of nursing care can give a different perspective on nursing quality and help clinical nursing staff to direct quality improvement. Attempts to identify what is patient experience,the relationship with nursing care, and the application of patient experience in nursing quality improvement practice, in order to provide advices for constructing the quality standards and quality improvement strategies of nursing care.Methods： We conducted a literature review of original research publications. The database platforms Pubmed, Web of Science, China National Knowledge Infrastructure（CNKI） and Wanfang were searched from inception until end of August 2015. After screening retrieved articles, 40 sources（articles and organizational websites） were selected for analysis for the connotation, development and application of patient experience in nursing quality researches.Results： Our study identified several concepts about patient experience, roughly sorted out the development path of patient experience in worldwide and the application of patient experience in nursing quality improvement. It points out four precautions when applying patient experience in nursing quality improvement, which are differentiating patient satisfaction and patient experience, choosing appropriate data collection method and appropriate feedback time, and the last but the most important, applying theories to actual clinical practice.Conclusions： Professional indexes are important to maintain the care quality, but it cannot fully reflect quality of nursing care, which needs patient experience as the supplement. Nursing staffs need to make more efforts to enhance patient＇s nursing care experience, and apply the research results to clinical practice, and finally make patient-centered care come true. For future study, the evaluation system and management strategies about patient experience need to be developed to guide nursing quality improvement.

Health Care Service Improves in Aba

Before liberation,there were only six public health stations and two missionary hospitals in Aba.The number of medical institutions,however,has shot up to 499 there.

How to Optimize the Management of Science and Technology Funds in Colleges and Universities Based on the Policy of Streamlining Administration,Delegating Powers,Improving Regulation,and Strengthening Services

To advance the field of science and technology,we need to revitalize the development of science and technology through innovation.The development of science and technology has many beneficial implications on the revitalization of the country.For this reason,universities in China should give full attention to their role as the main propeller of science and technology.“Streamlining administration,delegating powers,improving regulation,and strengthening services”is a policy issued by the Chinese government for the management of science and technology funds in colleges and universities.Based on the policy of“streamlining administration,delegating powers,improving regulation,and strengthening services,”colleges and universities must optimize the management of science and technology funds for their efficient use.In this paper,we analyzed the importance of the policy and put forward an effective management strategy,aiming to improve the management of science and technology funds in colleges and universities.

Research on electronic word-ofmouth for product and service quality improvement:bibliometric analysis and future directions

Purpose-This paper aims to analyze high-quality papers on the research of electronic word-of-mouth(eWOM)for product and service quality improvement from 2009 to 2022,in order to fully understand theirhistorical progress,current situation and future development trend.Design/Methodology/Approach-This paper adopts the bibliometrics method to analyze the relevantliterature,including publishing trend and citation status,regional and discipline area distribution,andinfluential publications.Secondly,the VOSviewer is used for literature co-citation analysis and keywordco-occurrence analysis to obtain the basic literature and research hotspots in this research field.Findings-Firstly,the study finds that the number of publications basically shows an increasing trend,and thosepublications are mainly published in tourism journals.In addition,among these papers,China has the largestnumber of publications,followed by the USA and South Korea.Through co-citation analysis of literature andkeyword co-occurrence analysis,22 foundational papers and six main research topics are obtained in this paper.Finally,this paper elaborates on the development trend of the research topic and future research directions in detail.Originality/value-This is the first paper that uses bibliometrics to analyze and review relevant researcheson eWOM for product and service quality improvement,which is helpful for researchers to quickly understandits development status and trend.This review also provides some future research directions and provides areference for further research.

Arabic Sentiment Analysis of Users’ Opinions of Governmental Mobile Applications

Different types of pandemics that have appeared from time to time have changed many aspects of daily life.Some governments encourage their citizens to use certain applications to help control the spread of disease and to deliver other services during lockdown.The Saudi government has launched several mobile apps to control the pandemic and have made these apps available through Google Play and the app store.A huge number of reviews are written daily by users to express their opinions,which include significant information to improve these applications.The manual processing and extracting of information from users’reviews is an extremely difficult and time-consuming task.Therefore,the use of intelligent methods is necessary to analyse users’reviews and extract issues that can help in improving these apps.This research aims to support the efforts made by the Saudi government for its citizens and residents by analysing the opinions of people in Saudi Arabia that can be found as reviews on Google Play and the app store using sentiment analysis and machine learning methods.To the best of our knowledge,this is the first study to explore users’opinions about governmental apps in Saudi Arabia.The findings of this analysis will help government officers make the right decisions to improve the quality of the provided services and help application developers improve these applications by fixing potential issues that cannot be identified during application testing phases.A new dataset used for this research includes 8000 user reviews gathered from social media,Google Play and the app store.Different methods are applied to the dataset,and the results show that the k nearest neighbourhood(KNN)method generates the highest accuracy compared to other implemented methods.

An Extended Bailey-welch Rule with No-show and Walk-in For Outpatient Appointment Scheduling

In clinic＇s appointment scheduling system no-shows have been a significant and confirmed issue with a bad influence on patient accessibility and clinic efficiency. The problem of walk-in has often been seen as the opposite of no-show problem. In this work we revisit a walk-in admitting based approach to mitigate the bad influence of no-show without overbooking. First we establish a model which utilizes marginal benefit objective function to balance the interests of the clinic, the patient and the doctor, we prove that no-show and walk-in cancels out each other straightly has a bad property. Then we propose a new rule which is an extension of the well-known Bailey - Welch rule, the simulation results show that our rule has an improvement comparing with the common rule that cancels them out straightly.

Improving Health Services for Rural Pregnant and Lying-in Women——Achievements in the Reproductive Health Program of Chinese Women

FROM 1992 to 1997, the All-China Women’s Federation organized and implemented a reproductive health program for Chinese women, which was sponsored by the American Ford Foundation. The program was divided into two phases. The first phase, lasting from 1992 to 1994, focused on locating problems and studying them. Women’s federations from 16 provinces, municipalities and autonomous regions throughout China formed a research group and conducted extensive studies in a variety of fields while cooperating with experts from sociology,