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Evaluating digital health attributes for users’ satisfaction: an application of the Kano model 评估用户满意度的数字医疗属性:卡诺模型的应用
Pub Date : 2024-02-20 DOI: 10.1108/tqm-09-2023-0301
Ylenia Cavacece, G. Maggiore, Riccardo Resciniti, Andrea Moretta Tartaglione
PurposeThe purpose of this paper is to investigate user satisfaction with digital health solutions by identifying and prioritizing different service attributes on the basis of their impact on improving user satisfaction.Design/methodology/approachThrough a literature review and interviews with health professionals and patients, 20 attributes of digital health services provided in Italy have been identified. User satisfaction with these attributes has been evaluated by adopting the Kano model’s continuous and discrete analyses.FindingsThe findings reveal the essential attributes of digital health services that meet users' expectations, identify the attributes that users appreciate or dislike having and highlight unexpected attributes that lead to a significant boost in satisfaction when provided.Research limitations/implicationsThis study demonstrates the efficacy of the Kano model in assessing the nonlinear correlation between user satisfaction and the quality of digital health services, thus contributing to fill a gap in the literature in this area. The main limitation of this work is the use of a non-probabilistic sampling method.Practical implicationsThis research suggests healthcare institutions and organizations consider user preferences when designing digital health solutions to increase their satisfaction. The results indicate different effects on user satisfaction and dissatisfaction for different categories of attributes in the Italian context.Originality/valuePrevious works studied customer satisfaction with digital health, assuming a linear relationship with service quality, or investigated consumer adoption intentions focusing on the technological factors. This work advances available knowledge by analyzing the nonlinear relationship between digital health attributes and users’ satisfaction and dissatisfaction.
设计/方法/途径通过文献综述以及对医疗专业人员和患者的访谈,确定了在意大利提供的数字医疗服务的 20 个属性,并通过卡诺模型的连续和离散分析评估了用户对这些属性的满意度。研究局限/意义本研究证明了卡诺模型在评估用户满意度与数字医疗服务质量之间的非线性相关性方面的有效性,从而有助于填补该领域文献的空白。这项工作的主要局限性在于使用了非概率抽样方法。实际意义这项研究建议医疗机构和组织在设计数字医疗解决方案时考虑用户的偏好,以提高他们的满意度。研究结果表明,在意大利,不同类别的属性对用户满意度和不满意度的影响是不同的。原创性/价值以前的作品研究了客户对数字医疗的满意度,假设其与服务质量存在线性关系,或调查了消费者的采用意向,重点关注技术因素。本研究通过分析数字医疗属性与用户满意度和不满意度之间的非线性关系,推进了现有知识的发展。
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引用次数: 0
An analysis of green lean six sigma deployment in MSMEs: a systematic literature review and conceptual implementation framework 中小微企业绿色精益六西格玛部署分析:系统文献综述和概念实施框架
Pub Date : 2024-01-10 DOI: 10.1108/tqm-06-2023-0197
Jag Mohan, Mahender Singh Kaswan, R. Rathi
PurposeGreen Lean Six Sigma (GLSS) is a comprehensive approach that aims to reduce waste, emissions and non-value added activities, thus mark an effective impact on sustainability of firms. Despite the numerous benefits of GLSS implementation, it is evident that Micro Small and Medium Enterprises (MSMEs) are still struggling to understand, integrate and implement this strategy. This research work provides a comprehensive analysis of GLSS within MSMEs and proposes a conceptual integration framework of GLSS for improving economic and environmental dimensions of sustainability MSMEs.Design/methodology/approachA systematic literature review (SLR) methodology was planned to assess and analyse the research articles from 2007 to 2022. Different key elements of GLSS such as barriers, enablers and tool sets have been thoroughly reviewed and analysed for MSME organisations to understand their behaviour and effectively adopt the GLSS approach in their operations.FindingsThis study provides the analysis of different perspectives of GLSS and this will contribute to improve different metrics related to emissions and quality in MSMEs. It provides MSMEs industrial managers with a comprehensive knowledge base of GLSS elements, enabling effective deployment.Practical implicationsThe present study provides a significant knowledge base and know-how of GLSS to researchers that will assist in deploying this sustainable approach in different industrial domains. The study also assists industrial managers by providing a systematic framework of GLSS for MSMEs. Further, the study also supports society by proving pathway to improve the environmental dynamics through the execution GLSS.Originality/valueThe study is of the first kind that review different facets of GLSS related to MSME. The study not only enhances theoretical know how of GLSS but also guides practitioners how to implement comprehensive GLSS program for improved environmental sustainability.
目的 绿色精益六西格玛(GLSS)是一种综合方法,旨在减少浪费、排放和非增值活动,从而对企业的可持续发展产生有效影响。尽管实施绿色精益六西格玛有诸多好处,但中小微型企业(MSMEs)显然仍在努力理解、整合和实施这一战略。本研究工作全面分析了中小微型企业中的绿色增长和可持续发展战略,并提出了绿色增长和可持续发展战略的概念整合框架,以改善中小微型企业可持续发展的经济和环境维度。本研究从不同角度分析了全球环境和可持续发展标准,这将有助于改善中小微企业与排放和质量相关的不同指标。本研究为研究人员提供了有关 GLSS 的重要知识库和专门技能,这将有助于在不同工业领域部署这种可持续方法。本研究还通过为中小微企业提供全球物流系统的系统框架,为行业管理者提供帮助。此外,本研究还为社会提供了支持,证明了通过实施 GLSS 改善环境动态的途径。该研究不仅从理论上加强了对全球环境管理和安全系统的认识,而且还指导从业人员如何实施全面的全球环境管理和安全系统计划,以改善环境的可持续性。
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引用次数: 0
An exploration of operational excellence methodologies implementation in the logistics sectors: a global study 物流业实施卓越运营方法的探索:一项全球性研究
Pub Date : 2024-01-10 DOI: 10.1108/tqm-10-2023-0313
Yaifa Trakulsunti, Jiju Antony, J. Garza‐Reyes, G. Tortorella, Witsarut Chuayjan, Monika Foster
PurposeThe aim of this study reported in this paper was to explore the application of operational excellence methodologies in a global context.Design/methodology/approachA qualitative interview approach was used to understand the current state, benefits, challenges, success factors, tools and techniques of operational excellence methodology implementation with relevance to logistics companies worldwide. About 16 interviews were undertaken with practitioners working in leading companies and with leading academics in Asia, Europe, Africa, North America, South America and Australia.FindingsThe findings show that operational excellence methodologies including Lean, Six Sigma, Lean Six Sigma and Agile can apply in logistics firms to improve operations and productivity and save costs. Top management support and involvement play an important role in the success of operational excellence projects in the logistics service.Research limitations/implicationsThe findings will be of interest to top and middle managers and logistics practitioners, with a dual aim of improving logistics performance and saving costs.Originality/valueThe present study has been one of the first global study attempts to explore the implementation of operational excellence methodologies in the logistics sectors.
设计/方法/途径采用定性访谈的方法,了解与全球物流公司相关的卓越运营方法实施的现状、益处、挑战、成功因素、工具和技术。对亚洲、欧洲、非洲、北美洲、南美洲和澳大利亚领先公司的从业人员和知名学者进行了约 16 次访谈。研究结果研究结果表明,包括精益、六西格玛、精益六西格玛和敏捷在内的卓越运营方法可用于物流公司,以改善运营、提高生产率并节约成本。高层管理者的支持和参与对物流服务中卓越运营项目的成功起着重要作用。研究局限性/影响研究结果将引起中高层管理者和物流从业人员的兴趣,他们的双重目标是提高物流绩效和节约成本。
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引用次数: 0
Unveiling the contextual effects of total quality management to enhance sustainable performance 揭示全面质量管理的环境效应,提高可持续绩效
Pub Date : 2024-01-10 DOI: 10.1108/tqm-05-2023-0124
Muhammad Mohsin, M. Shamsudin, N. R. Jaffri, Muhammad Idrees, Khalid Jamil
PurposeThe current study focuses on the relationship between total quality management (TQM) and sustainable performance (SP) and examines how TQM practices can facilitate firms' achievement of sustainable performance. Knowledge management (KM), with its four dimensions, i.e. knowledge creation (KCR), knowledge acquisition (KAC), knowledge sharing (KSH) and knowledge application (KAP), is also an essential factor for organizations. Therefore, this study also focuses on the mediating role of KM in the relationship between TQM and sustainable performance.Design/methodology/approachThis study used a survey method to collect data from the managers of 485 manufacturing SMEs working in five major industrial cities in Pakistan. Collected data were analyzed through PLS-SEM with the help of smart-PLS.FindingsThe study's findings reveal that TQM practices positively influence the environmental and economic sustainability of the firm. At the same time, there is no evidence that TQM practices positively affect the social sustainability of the firm. Results further elaborate that TQM practices significantly affect all four dimensions of KM. Moreover, KM positively affects the two dimensions of SP, i.e. economic and social sustainability, but surprisingly, the impact of KM on environmental sustainability is not found. Finally, results indicate the significant mediating role of KM between TQM and SP.Originality/valueThis study contributes to bridging research gaps in the literature and advances how TQM, directly and indirectly, helps firms improve sustainable performance via the mediating role of KM.
目的 本研究侧重于全面质量管理(TQM)与可持续绩效(SP)之间的关系,并探讨全面质量管理实践如何促进企业实现可持续绩效。知识管理(KM)包括四个方面,即知识创造(KCR)、知识获取(KAC)、知识共享(KSH)和知识应用(KAP),也是组织的一个重要因素。因此,本研究还关注了知识管理在全面质量管理与可持续绩效之间关系中的中介作用。本研究采用调查法,从巴基斯坦五个主要工业城市的 485 家制造业中小型企业的经理那里收集数据。在 smart-PLS 的帮助下,通过 PLS-SEM 对收集到的数据进行了分析。研究结果研究结果表明,全面质量管理实践对企业的环境和经济可持续性有积极影响。同时,没有证据表明全面质量管理实践会对企业的社会可持续性产生积极影响。结果进一步说明,全面质量管理实践对知识管理的所有四个维度都有显著影响。此外,知识管理对 SP 的两个维度(即经济和社会可持续性)产生了积极影响,但令人惊讶的是,知识管理对环境可持续性的影响却没有发现。最后,研究结果表明,知识管理在全面质量管理与可持续发展之间起着重要的中介作用。原创性/价值本研究有助于弥补文献中的研究空白,推进全面质量管理如何通过知识管理的中介作用直接或间接地帮助企业提高可持续发展绩效。
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引用次数: 0
Probing frugal innovation from the quality lens 从质量角度探究节俭创新
Pub Date : 2024-01-10 DOI: 10.1108/tqm-06-2023-0188
M. Sharma, Sunil Kumar
PurposeFrugal innovation focuses on the core functionalities with the highest stakeholder benefits and directly targets user requirements. It has been widely adopted in developing countries, and extensively researched from both consumer and sustainable perspectives. However, few studies on frugal innovation consider “quality”, a seminal business management concept. This study focuses on this gap and uses a quality lens to understand frugal innovation.Design/methodology/approachThis study adopts a mixed methodology. The Delphi focus group method is first applied to identify two cases of frugal innovation in the construction industry and a cross-case analysis done. Then, the analytic hierarchy process (AHP) is used to examine eight product quality dimensions to draw the final conclusions.FindingsFrom Garvin’s concept of quality, frugal innovation focuses on performance and conformance. Furthermore, it prioritises a value-based approach the most.Research limitations/implicationsThis study examines frugal innovation from quality perspective. This opens up a new line of research which contributes to both streams. The study is based on construction which is a limitation of the study.Practical implicationsA quality-based frugal innovation understanding can be helpful in the conceptualisation, implementation and acceptance of the frugal innovation business model. It can provide clarity on the innovation's value proposition and also help in operationalisation of the business model.Social implicationsFrugal encourages social entrepreneurs and understanding of the concept from quality perspective shall facilitate the operationalisation will become easier for them.Originality/valueTo the author’s knowledge, this is the first study at the interface of frugal innovation and quality management. Furthermore, the use of AHP to prioritise equality approaches and dimensions is an original contribution.
目的节俭创新侧重于利益相关者受益最大的核心功能,直接针对用户需求。节俭创新已在发展中国家广泛采用,并从消费者和可持续发展的角度进行了广泛研究。然而,很少有关于节俭创新的研究考虑到 "质量 "这一开创性的企业管理概念。本研究关注这一空白,并使用质量视角来理解节俭式创新。首先采用德尔菲焦点小组法确定建筑行业节俭创新的两个案例,并进行交叉分析。研究结果从嘉文的质量概念来看,节俭式创新侧重于性能和一致性。研究局限/影响本研究从质量角度研究节俭式创新。这开辟了一条新的研究思路,对这两个领域都有贡献。基于质量的节俭式创新理解有助于节俭式创新商业模式的概念化、实施和接受。社会意义节俭鼓励社会企业家,从质量角度理解节俭创新的概念将使他们更容易将其付诸实施。此外,使用 AHP 对平等方法和平等维度进行优先排序也是一项原创性贡献。
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引用次数: 0
A model of increasing performance in sustainable supply chain management 提高可持续供应链管理绩效的模式
Pub Date : 2024-01-10 DOI: 10.1108/tqm-05-2023-0128
Masoud Bagherpasandi, Mahdi Salehi, Z. Hajiha, Rezvan Hejazi
PurposeOrganizations experience various issues with the optimum use of data. This study is qualitative research to identify and provide a helpful pattern for increasing the performance of sustainable supply chain management (SSCM).Design/methodology/approachThe statistical population in the qualitative section includes managers and experts in the supply chain (SC) and food production. The data were collected via semi-structured interviews, and data saturation happens after the tenth interview. Then, the data were coded using grounded theory and qualitative research analysis. 384 questionnaires were distributed among employees via random sampling. SmartPLS software is used to investigate and analyze the relationships in the mentioned model through 13 core categories.FindingsThe findings indicate that organizational productivity and SC deficiencies are among the effective factors in the SSCM primarily identified by this study. Moreover, the findings propose that industry SC, macro policies, organizational performance, social factors, economic factors, organizational factors, political factors, technological factors, production and customer are likely to positively impact the SSCM, which have previously been documented by studies.Originality/valueThe model and concepts extracted from the responses of research participants show well that there are reasons and motivations for increasing the performance of SSCM. Also, the designed model shows well that the motives and reasons for turning to this system are satisfied due to its implementation.
目的各组织在优化使用数据方面遇到各种问题。本研究为定性研究,旨在确定并提供有助于提高可持续供应链管理(SSCM)绩效的模式。设计/方法/途径定性部分的统计对象包括供应链(SC)和食品生产领域的经理和专家。数据通过半结构化访谈收集,在第十次访谈后达到数据饱和。然后,使用基础理论和定性研究分析对数据进行编码。通过随机抽样在员工中发放了 384 份问卷。研究结果研究结果表明,组织生产力和 SC 缺陷是本研究主要确定的 SSCM 的有效因素。此外,研究结果还提出,行业 SC、宏观政策、组织绩效、社会因素、经济因素、组织因素、政治因素、技术因素、生产和客户可能会对 SSCM 产生积极影响,而这些因素在以前的研究中已有记载。原创性/价值从研究参与者的回答中提取的模型和概念很好地表明,提高 SSCM 的绩效是有原因和动机的。此外,所设计的模型还很好地表明,由于该系统的实施,转向该系统的动机和原因得到了满足。
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引用次数: 0
Empirical analysis of key operational characteristics of lean six sigma and Industry 4.0 integration 精益六西格玛与工业 4.0 融合的关键运行特征实证分析
Pub Date : 2024-01-05 DOI: 10.1108/tqm-01-2023-0033
V. Wankhede, S. Vinodh, Jiju Antony
PurposeTo achieve changing customer demands, organizations are striving hard to embrace cutting-edge technologies facilitating a high level of customization. Industry 4.0 (I4.0) implementation aids in handling big data that could help generate customized products. Lean six sigma (LSS) depends on data analysis to execute complex problems. Hence, the present study aims to empirically examine the key operational characteristics of LSS and I4.0 integration such as principles, workforce skills, critical success factors, challenges, LSS tools, I4.0 technologies and performance measures.Design/methodology/approachTo stay competitive in the market and quickly respond to market demands, industries need to go ahead with digital transformation. I4.0 enables building intelligent factories by creating smart manufacturing systems comprising machines, operators and information and communication technologies through the complete value chain. This study utilizes an online survey on Operational Excellence professionals (Lean/Six Sigma), Managers/Consultants, Managing Directors/Executive Directors, Specialists/Analysts/Engineers, CEO/COO/CIO, SVP/VP/AVP, Industry 4.0 professionals and others working in the field of I4.0 and LSS. In total, 83 respondents participated in the study.FindingsBased on the responses received, reliability, exploratory factor analysis and non-response bias analysis were carried out to understand the biasness of the responses. Further, the top five operational characteristics were reported for LSS and I4.0 integration.Research limitations/implicationsOne of the limitations of the study is the sample size. Since I4.0 is a new concept and its integration with LSS is not yet explored; it was difficult to achieve a large sample size.Practical implicationsOrganizations can utilize the study findings to realize the top principles, workforce skills, critical success factors, challenges, LSS tools, I4.0 tools and performance measures with respect to LSS and I4.0 integration. Moreover, these operational characteristics will help to assess the organization's readiness before and after the implementation of this integration.Originality/valueThe authors' original contribution is the empirical investigation of operational characteristics responsible for I4.0 and LSS integration.
目的 为了满足不断变化的客户需求,企业正在努力采用最先进的技术来促进高度定制化。工业 4.0(I4.0)的实施有助于处理大数据,从而帮助生成定制产品。精益六西格玛(LSS)依靠数据分析来解决复杂问题。因此,本研究旨在实证研究精益六西格玛和 I4.0 整合的关键运行特征,如原则、员工技能、关键成功因素、挑战、精益六西格玛工具、I4.0 技术和绩效衡量标准。设计/方法/途径为了保持市场竞争力并快速响应市场需求,各行业需要推进数字化转型。I4.0通过在完整的价值链中创建由机器、操作员以及信息和通信技术组成的智能制造系统,实现了智能工厂的建设。本研究对卓越运营专业人士(精益/六西格玛)、经理/顾问、总经理/执行董事、专家/分析师/工程师、首席执行官/首席运营官/首席信息官、高级副总裁/副总裁/副总裁、工业 4.0 专业人士以及其他从事 I4.0 和 LSS 领域工作的人员进行了在线调查。研究结果根据收到的答复,进行了可靠性分析、探索性因素分析和非答复偏差分析,以了解答复的偏差。此外,还报告了 LSS 和 I4.0 整合的五大操作特征。实际意义各组织可以利用研究结果来认识 LSS 和 I4.0 整合的首要原则、员工技能、关键成功因素、挑战、LSS 工具、I4.0 工具和绩效衡量标准。此外,这些运行特征将有助于评估组织在实施整合前后的准备情况。原创性/价值作者的原创性贡献在于对 I4.0 和 LSS 整合的运行特征进行了实证调查。
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引用次数: 0
Rethinking risk management in times of crisis: the effect of COVID-19 on small and medium-sized enterprises in Scotland 危机时期的风险管理反思:COVID-19 对苏格兰中小企业的影响
Pub Date : 2024-01-03 DOI: 10.1108/tqm-12-2022-0353
Ralitsa Arnaudova, Evi Viza, Michele Cano
PurposeThe Scottish economy was experiencing steady growth prior the hit of the COVID-19, with the pandemic causing the government to announce extreme lockdown measures with unprecedented impact on small and medium-sized enterprises (SMEs). Whilst some of the industry sectors in Scotland took a lighter hit, a large part of the organizations had to either adapt or completely disrupt their business. An essential aspect of their survival, risk management (RM) was among the areas requiring the most significant acceleration. This study compared the RM practices implemented by Scottish SMEs prior and after the outbreak as well as examined the attitudes of key decision-makers in the SMEs in relation to risk, including their perceived readiness for another crisis of similar significance.Design/methodology/approachAn online survey based on ISO 31000 RM guidelines was distributed to 232 Scottish SMEs. Based on the official government reports and existing knowledge on how SMEs around the world have handled crisis events within the past 20 years, the authors developed the hypothesis that crisis events significantly accelerate SMEs' RM implementation. Around 13 items were tested in relation to the hypothesis and responses were tested via two-tailed T-test to establish significant statistical difference.FindingsThe research provides insight into the current state of risk management practices implemented by Scottish SMEs. As expected, SMEs showed significant difference in their RM implementation prior and after the COVID-19 outbreak. Whilst this has been viewed as a positive, motivations, priorities and approaches in managing risk demonstrated by the SMEs is questionable with views to their sustainable long-term recovery. The study highlights the lack of confidence instilled within the SMEs that they can handle another crisis of similar significance and provides directions for further investigation and improvements with the aim of helping the SMEs prepare better to mitigate the consequences of future crisis events.Originality/valueIn academic sense, the study offers a tested universal framework and a detailed questionnaire for assessment of RM strategy, applicable to organisations of various type, size and geography. Several implications with regards to managerial practices have been highlighted, including the neglect of the SMEs’ own internal environments and its significance in their risk strategies, the predominantly reactive approach to RM displayed by most Scottish SMEs as well as the neglect of compliance risk leading to potential quality and customer satisfaction issues preventing SMEs from full post-crisis recovery.
目的在 COVID-19 袭击之前,苏格兰经济正处于稳步增长阶段,大流行病导致政府宣布采取极端封锁措施,对中小型企业(SMEs)造成了前所未有的影响。虽然苏格兰的一些行业受到的冲击较小,但很大一部分企业不得不进行调整或完全中断业务。风险管理(RM)是企业生存的一个重要方面,也是最需要加速的领域之一。本研究比较了苏格兰中小型企业在疫情爆发前后实施的风险管理实践,并考察了中小型企业主要决策者对风险的态度,包括他们对再次发生类似危机的准备情况。根据政府官方报告和有关世界各地中小企业在过去 20 年中如何处理危机事件的现有知识,作者提出了这样的假设:危机事件会大大加快中小企业实施风险管理机制的速度。研究结果该研究深入探讨了苏格兰中小企业实施风险管理实践的现状。不出所料,中小企业在 COVID-19 爆发前后的风险管理实施情况存在显著差异。虽然这被视为一种积极的现象,但中小企业在风险管理方面所表现出的动机、优先事项和方法对于其可持续的长期恢复来说是值得怀疑的。本研究强调了中小企业对再次发生类似危机缺乏信心,并提供了进一步调查和改进的方向,旨在帮助中小企业更好地做好准备,以减轻未来危机事件的后果。原创性/价值从学术意义上讲,本研究提供了一个经过测试的通用框架和一份详细的问卷,用于评估风险管理战略,适用于不同类型、规模和地域的组织。研究强调了对管理实践的若干影响,包括忽视中小型企业自身的内部环境及其在风险战略中的重要性,大多数苏格兰中小型企业对风险管理策略主要采取被动反应的方式,以及忽视合规风险,从而导致潜在的质量和客户满意度问题,阻碍中小型企业在危机后全面复苏。
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引用次数: 0
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