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Perceived quality factors that discriminate parents of orthodontic patients according to their satisfaction 正畸患者家长满意度差异的感知质量因素
IF 1.2 Q2 Medicine Pub Date : 2022-02-17 DOI: 10.1108/ijphm-09-2020-0073
Gustavo Quiroga Souki, Juliana Meire Silva de Ávila, Luiz Rodrigo Cunha Moura, B. Souki
PurposeMonitoring the perception of quality by parents and the satisfaction with their children’s treatment is crucial in developing high-level health-care services. The purpose of this paper is to identify the perceived quality factors by parents of paediatric orthodontic patients according to the levels of satisfaction.Design/methodology/approachA survey with 316 parents of paediatric orthodontic patients of 45 offices in a big Brazilian city was conducted. The questionnaires included statements on the parents’ satisfaction and perception of quality concerning their children’s treatment. The data were analysed using multivariate statistics (exploratory factor analysis, cluster analysis and discriminant analysis).FindingsParents were classified into three clusters according to their level of satisfaction. This survey identified 11 quality factors perceived by parents of patients regarding their children’s orthodontic treatment. Among them, five factors discriminated the clusters: orthodontist’s technical skills, administrative organisation, location (accessibility and convenience), treatment duration and dental supplies.Practical implicationsThis research identified the perceived quality factors that most impacted parents of orthodontic patients’ satisfaction, contributing to dentists in developing strategies and actions to improve the quality of services in dental offices.Originality/valueThis paper included 11 perceived quality factors in the hypothetical model, identified through literature review and a qualitative phase. Moreover, multivariate statistical analyses confirmed the validity and reliability of the questionnaires, classified respondents in clusters and identified the perceived quality factors that most discriminated them. Therefore, the current investigation presented a more comprehensive and robust analysis than the previous studies on this topic.
目的监测父母对质量的看法和对儿童治疗的满意度,对于发展高水平的医疗服务至关重要。本文的目的是根据满意度水平来确定儿童正畸患者父母的感知质量因素。设计/方法/方法对巴西一个大城市45个办公室的316名儿童正畸患者的父母进行了调查。调查问卷包括关于父母对孩子治疗质量的满意度和看法的陈述。使用多元统计(探索性因素分析、聚类分析和判别分析)对数据进行分析。发现父母根据满意度分为三类。这项调查确定了患者父母对其子女正畸治疗的11个质量因素。其中,区分集群的五个因素是:正畸医生的技术技能、行政组织、位置(可及性和便利性)、治疗时间和牙科用品。实践意义本研究确定了影响正畸患者家长满意度的感知质量因素,有助于牙医制定提高牙科诊所服务质量的策略和行动。原创性/价值本文在假设模型中包括了11个感知质量因素,通过文献综述和定性阶段确定。此外,多变量统计分析证实了问卷的有效性和可靠性,将受访者分组,并确定了最能区分他们的感知质量因素。因此,与以往关于该主题的研究相比,当前的研究提供了更全面、更稳健的分析。
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引用次数: 0
Preventive health care information and social media: a comparison of Baby Boomer and Generation X health care consumers 预防保健信息和社交媒体:婴儿潮一代和X一代保健消费者的比较
IF 1.2 Q2 Medicine Pub Date : 2022-02-14 DOI: 10.1108/ijphm-04-2021-0042
J. Cangelosi, Terry Damron, David Kim
PurposeAs consumer health-care spending increases, so does the need for effective communication of preventive health-care information (PHCI) with the potential to prompt lifestyle changes. Through proactive, effective dissemination of PHCI, health-care service providers can minimize and prevent costly health conditions while improving the efficiency of a traditionally reactive health-care system. Taking into account the considerable time consumers spend on social media and networks (SM&N) and hefty health-care spending among Baby Boomer and Generation X consumers, this study aims to address critical questions concerning the importance of SM&N for gathering PHCI, SM&N preferences for gathering PHCI and the types of behavioral changes consumers have pursued in response to PHCI.Design/methodology/approachDesigned as a generational cohort analysis, this study is based on the responses of 936 Baby Boomer and Generation X respondents to a questionnaire containing 200 items related to PHCI and social/digital media as a vehicle for acquiring both general and preventive health information. Crosstab analysis was used to examine differences in the characteristics of the generational cohorts. Analysis of variance (ANOVA) was used to assess differences in the degree of importance Baby Boomer and Generation X health consumers assign to 28 SM&N sites as delivery systems of PHCI. The researchers used ANOVA to determine generational differences in behavioral changes associated with a healthier lifestyle as a result of exposure to PHCI.FindingsThere are significant differences in the characteristics of Baby Boomer and Generation X cohorts. Generation X health-care consumers assign greater importance to SM&N sites as PHCI delivery systems. Additionally, Generation X health-care consumers report greater behavioral change resulting from exposure to PHCI.Research limitations/implicationsNew information is provided concerning health-care consumer perceptions of SM&N as a source of PHCI and the behavioral changes consumers pursue as a result of PHCI exposure.Practical implicationsThis paper measures the effectiveness of interactive health-care marketing activities, explaining the role of SM&N as an effective source of PHCI and providing marketers with insights useful for PHCI content management and dissemination.Social implicationsEffective dissemination of PHCI via SM&N may help prevent illness among Baby Boomer and Generation X consumers and, accordingly, improve quality of life while easing the increasing pressure on the US health-care system.Originality/valueStudy results evidence the value of SM&N sites to health service providers as they endeavor to improve and extend consumer lives through dissemination of PHCI. Ideas and insights within this paper will inform and enhance social media marketing management practices within pharmaceutical and health-care organizations.
目的随着消费者保健支出的增加,有效传播预防性保健信息的需求也在增加,这些信息有可能促使人们改变生活方式。通过积极有效地传播初级保健基础设施,卫生保健服务提供者可以最大限度地减少和预防代价高昂的卫生状况,同时提高传统上被动反应的卫生保健系统的效率。考虑到消费者在社交媒体和网络(SM&N)上花费的大量时间以及婴儿潮一代和X一代消费者的巨额医疗保健支出,本研究旨在解决有关SM&N对收集PHCI的重要性,SM&N收集PHCI的偏好以及消费者为响应PHCI而追求的行为改变类型的关键问题。设计/方法/方法设计为世代队列分析,本研究基于936名婴儿潮一代和X一代受访者对一份问卷的回答,该问卷包含200个与PHCI和社交/数字媒体相关的项目,作为获取一般和预防性健康信息的工具。使用交叉表分析来检查代际队列特征的差异。采用方差分析(ANOVA)来评估婴儿潮一代和X一代健康消费者对28个SM&N站点作为PHCI交付系统的重要性程度的差异。研究人员使用方差分析来确定由于暴露于PHCI而导致的与健康生活方式相关的行为变化的代际差异。研究结果:婴儿潮一代和X一代在特征上存在显著差异。X一代医疗保健消费者更重视SM&N站点作为PHCI交付系统。此外,X一代医疗保健消费者报告说,接触PHCI会导致更大的行为改变。研究局限性/意义提供了关于保健消费者对SM&N作为PHCI来源的看法以及消费者因PHCI暴露而追求的行为改变的新信息。本文测量了互动医疗营销活动的有效性,解释了SM&N作为PHCI有效来源的作用,并为营销人员提供了PHCI内容管理和传播的有用见解。通过SM&N有效传播PHCI可能有助于预防婴儿潮一代和X一代消费者的疾病,从而提高生活质量,同时缓解美国医疗保健系统日益增加的压力。独创性/价值研究结果证明了SM&N网站对医疗服务提供者的价值,因为他们努力通过传播PHCI来改善和延长消费者的生命。本文中的想法和见解将为制药和医疗保健组织的社会媒体营销管理实践提供信息和增强。
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引用次数: 0
Institutional change and stability in strategic networks in the Brazilian pharmaceutical industry 巴西制药业战略网络的制度变迁和稳定性
IF 1.2 Q2 Medicine Pub Date : 2022-02-07 DOI: 10.1108/ijphm-12-2020-0105
J. Monticelli, D. Wegner
PurposeThis study aims to analyze the dynamics of the institutional change and institutional stability undergone by strategic networks (SNs) in the pharmaceutical industry.Design/methodology/approachThe authors performed a case study with four Brazilian SNs which followed different patterns of institutional change and institutional stability. Twenty network managers and network members from the pharmaceutical industry were interviewed, and documents were analyzed.FindingsThe results show how and why institutions changed or remained the same. More specifically, exogenous shocks can negatively impact the competitive environment influencing institutional change in SNs. Moreover, endogenous shocks may prevent institutional change and stimulate institutional stability. Continuous interaction between institutions and SNs is the key to institutional change, especially if public and private policies are considered a source of political institutions.Originality/valueResearch has highlighted the endogenous influence of SNs on firms in selecting their partners and arranging their positions in the SNs, but little attention has been paid to how SNs themselves respond to institutions or promote institutional change. This study explains how and why change fails at the network level, additionally pinpointing the main sources of the institutional change and inertia in SNs. As such, network members may use different strategies to stimulate institutional change or stability according to their interests.
目的本研究旨在分析制药行业战略网络所经历的制度变迁和制度稳定的动态。设计/方法/方法作者对四个巴西SNs进行了案例研究,这些SNs遵循不同的制度变革和制度稳定模式。对来自医药行业的20名网络管理者和网络成员进行访谈,并对文献进行分析。调查结果显示了机构如何以及为什么改变或保持不变。更具体地说,外生冲击会对影响SNs制度变迁的竞争环境产生负面影响。此外,内生冲击可能阻碍制度变革,刺激制度稳定。机构和社交网络之间的持续互动是制度变革的关键,特别是如果公共和私人政策被视为政治制度的来源。独创性/价值研究强调了社交网络对企业选择合作伙伴和安排其在社交网络中的位置的内生影响,但很少关注社交网络本身如何应对制度或促进制度变革。本研究解释了网络层面的变革是如何以及为什么失败的,并指出了社交网络中制度变革和惯性的主要来源。因此,网络成员可能会根据自己的利益,采取不同的策略来刺激制度的变化或稳定。
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引用次数: 2
Determining public’s attitude toward medical tourism development: a scale proposal 决定公众对医疗旅游发展的态度:一个尺度建议
IF 1.2 Q2 Medicine Pub Date : 2022-01-27 DOI: 10.1108/ijphm-09-2020-0075
İ. Sağ, F. Zengul, Keziban Avcı
PurposeThis paper aims to explore the public’s attitude toward medical tourism activities by developing a measurement instrument in Turkey, an emerging medical tourism destination.Design/methodology/approachDuring the development phase of the scale, 24 question pools were created. After the pilot study, data from a 20-question survey were collected from a study group consisting of Turkish citizens who received services from hospitals in the city of Ankara. Data were collected through convenience sampling of 221 study participants as they were walking in the Square of Kızılay, one of the most important centers and junction points in Turkey, between November 25, 2017, and December 27, 2017.FindingsThe content validity of the scale was assessed by expert opinion. The scale reliability is high with Cronbach’s α (0.908). A factor analysis was performed to assess the factor structure of the scale. The Kaiser–Meyer–Olkin measure of sampling adequacy (0.895) and Bartlett’s test (χ2 = 2,020.967; p = 0.001) were applied to determine the conformity of the scale of factor analysis. Exploratory factor analysis with Varimax rotation was performed to determine the factor structure of the scale. The 20 questions loaded under three factors: “contribution to the country,” “anxiety in getting services” and “service justice”. These factors explained approximately 55% of the total variance. Confirmatory factor analysis was performed with goodness-of-fit index (0.877), Bentler comparative fit index (0.909) and root mean square error of approximation index (0.069) to determine the validity of the factor structure, and the results indicated that the three-factor model is an acceptable level. All the results show that this new scale is valid and reliable in measuring the public’s attitude toward the development of medical tourism in Turkey.Originality/valueThe public’s attitudes on the medical tourism scale show that, as a measurement tool, it can be used validly and reliably in determining the public’s attitudes toward medical tourism.
本文旨在通过开发一种测量工具,探索土耳其这一新兴医疗旅游目的地公众对医疗旅游活动的态度。设计/方法/方法在量表的开发阶段,创建了24个问题池。试点研究结束后,从一个由接受安卡拉市医院服务的土耳其公民组成的研究小组中收集了20个问题的调查数据。在2017年11月25日至2017年12月27日期间,通过方便抽样收集221名研究参与者在土耳其最重要的中心和交汇点之一Kızılay广场行走时的数据。结果采用专家意见评估量表的内容效度。量表信度较高,Cronbach 's α为0.908。通过因子分析来评估量表的因子结构。抽样充分性的Kaiser-Meyer-Olkin测度(0.895)和Bartlett检验(χ2 = 2020.967;P = 0.001)来确定因子分析量表的符合性。利用Varimax旋转进行探索性因子分析,确定量表的因子结构。这20个问题分为三个方面:“对国家的贡献”、“获得服务的焦虑”和“服务公正”。这些因素解释了大约55%的总方差。采用拟合优度指数(0.877)、Bentler比较拟合指数(0.909)和近似指数均方根误差(0.069)进行验证性因子分析,确定因子结构的效度,结果表明三因素模型处于可接受水平。所有结果表明,该量表在衡量公众对土耳其医疗旅游发展的态度是有效和可靠的。独创性/价值公众对医疗旅游的态度表明,作为一种测量工具,它可以有效可靠地用于确定公众对医疗旅游的态度。
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引用次数: 2
Impact of R&D activities on the financial performance: empirical evidence from Indian pharmaceutical companies 研发活动对财务业绩的影响:来自印度制药公司的经验证据
IF 1.2 Q2 Medicine Pub Date : 2022-01-03 DOI: 10.1108/ijphm-08-2020-0067
M. Nandy
PurposeThis paper aims to study the impact of research and development (R&D) activities on the financial performance of Indian pharmaceutical companies listed with the national stock exchange (NSE) of India by conceptualizing R&D’s impact and financial performance framework (RDiFPF).Design/methodology/approachStrongly balanced panel data set was used for the period of 1999–2020 on the basis of secondary data subscribed from a reputable Capitalline, a corporate database as well as individual company-wise annual report extract for cross-validation.FindingsThe paper presents a novel conceptualized framework called RDiFPF with the help of financial performance related variables: sales turnover, return on assets, return on equity and market capitalization, where R&D impacts in a significant manner on the financial performance of the NSE-listed Indian pharmaceutical companies. The paper finally establishes a link between R&D activities and financial performance with respect to the Indian pharmaceutical companies listed with the NSE.Research limitations/implicationsThe suggested framework opens new dimension of research with respect to R&D, innovative practices in the pharmaceutical business and financial performance. The research can also be used in teaching and may be beneficial for framing public policy. Though the study has been carried out in Indian context, it might have implications in the emerging economies.Practical implicationsTo achieve financial returns, pharmaceutical companies need to adopt appropriate endeavour to invest substantial amount on R&D to bring innovation in the pharmaceutical business.Social implicationsA better allocation of R&D expenditure has the potential for bringing new medicine, which can cure unknown diseases and impact on the lives of the patient fraternities.Originality/valueThe contributions of the paper are twofold: on the one hand, the author proposes a framework where emphasis has been provided on the R&D investment in the pharmaceutical business and, on the other hand, significant financial performance has been shown which motivates every R&D-centric pharmaceutical companies. Notably, the novel RDiFPF framework, which has been proposed in this study, may ignite and inspire the pharmaceutical business leaders as well as entrepreneurs to take R&D and innovation in pharmaceutical business for impacting human lives as well as to enjoy significant financial returns by providing health-care solution for treating novel diseases and disorders.
本文旨在通过概念化研发影响与财务绩效框架(RDiFPF),研究研发(R&D)活动对印度国家证券交易所(NSE)上市的印度制药公司财务绩效的影响。设计/方法/方法在1999-2020年期间使用了高度平衡的面板数据集,该数据集基于从信誉良好的Capitalline订阅的二手数据、公司数据库以及个别公司明智的年度报告摘录进行交叉验证。本文提出了一个新的概念化框架,称为RDiFPF与财务绩效相关的变量的帮助下:销售营业额,资产回报率,股本回报率和市值,其中研发影响在nse上市的印度制药公司的财务绩效显著的方式。本文最后建立了研发活动和财务绩效之间的联系,就印度制药公司上市的国家证券交易所。研究局限/启示建议的框架在研发、制药业务创新实践和财务绩效方面开辟了新的研究维度。该研究也可用于教学,并可能有利于制定公共政策。虽然这项研究是在印度的背景下进行的,但它可能对新兴经济体有影响。为了获得财务回报,制药公司需要采取适当的努力,在研发方面投入大量资金,为制药业务带来创新。社会影响更好地分配研发支出有可能带来新的药物,可以治愈未知的疾病,并影响病人的生活。原创性/价值本文的贡献是双重的:一方面,作者提出了一个框架,重点放在制药业务的研发投资上,另一方面,重要的财务业绩已经显示出来,这激励了每一个以研发为中心的制药公司。值得注意的是,本研究提出的新型RDiFPF框架可能会激发和激励制药企业领导者和企业家将制药企业的研发和创新用于影响人类生活,并通过提供治疗新型疾病和失调的医疗保健解决方案来获得可观的财务回报。
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引用次数: 1
The effects of task environment and organizational agility on perceived managerial discretion and strategy implementation in a pharmaceutical company 任务环境和组织敏捷性对制药公司管理自由裁量感和战略实施的影响
IF 1.2 Q2 Medicine Pub Date : 2021-12-30 DOI: 10.1108/ijphm-11-2021-0116
Wilsa Theodore, Rhenald Kasali, T. Balqiah, L. Sudhartio
PurposeThis study aims to investigate the relationship between task environment, organizational agility, perceived managerial discretion and strategy implementation on unit performance.Design/methodology/approachBased on the literature review, a structural model was developed. A 74-item questionnaire was circulated among middle managers in sales and marketing. The data collection method used purposive sampling. A total of 228 valid responses were obtained. This study was conducted in a leading pharmaceutical company in Indonesia. The data were analyzed using structural equation modeling.FindingsBased on the data analysis, this study shows that task environment and organizational agility act as antecedents of perceived managerial discretion, which drives strategy implementation resulting in unit performance.Originality/valueDifferent from previous studies that examined the linkage of inertial forces and discretion, this research scrutinized the effects of organizational agility on perceived managerial discretion and the direct role of perceived managerial discretion on internal strategy implementation.
目的探讨任务环境、组织敏捷性、管理自由裁量权感知和战略实施对单位绩效的影响。在文献综述的基础上,建立了一个结构模型。在销售和营销部门的中层管理人员中分发了一份74项调查问卷。数据采集方法采用有目的抽样。共获得有效问卷228份。这项研究是在印度尼西亚一家领先的制药公司进行的。采用结构方程模型对数据进行分析。研究结果基于数据分析,本研究表明,任务环境和组织敏捷性作为感知管理自由裁量权的前因,它驱动战略实施,从而导致单位绩效。独创性/价值不同于以往研究惯性力与自由裁量权之间的联系,本研究考察了组织敏捷性对感知管理自由裁量权的影响,以及感知管理自由裁量权对内部战略实施的直接作用。
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引用次数: 1
Gender differences in the medical industries’ payments to physicians: a systematic review 医疗行业支付给医生的性别差异:系统回顾
IF 1.2 Q2 Medicine Pub Date : 2021-12-30 DOI: 10.1108/ijphm-04-2020-0031
M. Makowska, G. Sillup
PurposeThis paper aims to explore gender differences in payments made to physicians by the pharmaceutical and medical device industries via the performance of a systematic review of articles based on the Open Payments Database (OPD).Design/methodology/approachThree databases (Scopus, Web of Science and PubMed) were searched for articles published from September 30, 2014 to May 10, 2019, using two search terms: “Sunshine Act” and “Open Payments.” The systematic review is reported according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines.FindingsThe search identified 359 abstracts. Thirty-nine articles were selected for full review, and 17 of these met the inclusion criteria. Although the articles considered are based on the same database, they adopt diverse approaches and analyses are conducted in different ways. A substantial proportion of the studies show total payments from the two industries to be higher for male physicians than for female physicians. However, a few exceptions exist, higher female mean or median values occurring for payments involving research, ownership, honoraria, grants, royalties/licenses and travel/lodgings. Also, in the case of obstetric–gynecological specializations, a higher proportion of women than men are shown to cooperate with the industries.Originality/valueThere is gender inequality in terms of industries’ funding for doctors. While analyses of secondary OPD data show that a gender inequality exists, they do not provide an understanding of why this occurs. However, from the exceptions identified, it can be speculated that this phenomenon is connected with greater adherence to ethical standards on the part of female physicians and/or the likelihood that fewer opportunities for industrial cooperation are extended to them.
本文旨在通过对基于开放支付数据库(OPD)的文章进行系统审查,探讨制药和医疗器械行业向医生支付的性别差异。设计/方法/方法对三个数据库(Scopus, Web of Science和PubMed)检索2014年9月30日至2019年5月10日发表的文章,使用两个搜索词:“Sunshine Act”和“Open Payments”。根据系统评价和荟萃分析(PRISMA)指南的首选报告项目报告系统评价。搜索结果确定了359篇摘要。39篇文章被选中进行全面审查,其中17篇符合纳入标准。虽然所考虑的文章基于相同的数据库,但它们采用不同的方法,并以不同的方式进行分析。相当大比例的研究表明,这两个行业中男性医生的总薪酬高于女性医生。不过,也有少数例外,在涉及研究、所有权、酬金、赠款、特许权使用费/许可证和旅行/住宿的支付方面,女性的平均或中位数较高。此外,在妇产科专科,与工业界合作的妇女比例高于男子。原创性/价值在行业对医生的资助方面存在性别不平等。虽然对二级门诊数据的分析表明存在性别不平等,但它们并没有提供为什么会发生这种情况的理解。但是,从所查明的例外情况可以推测,这种现象与女医生更加遵守道德标准和(或)给予她们的工业合作机会可能较少有关。
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引用次数: 2
The impact of customer-centric business strategies on customer relationship management: pharmaceutical field-force perspective 以客户为中心的商业战略对客户关系管理的影响:制药领域的视角
IF 1.2 Q2 Medicine Pub Date : 2021-12-14 DOI: 10.1108/ijphm-09-2020-0083
M. Azeem, Sania Aziz, Jawad Shahid, A. Hayat, Munir Ahmed, Muhammad Imran Khan
PurposeIn a modern business scenario, firms have implemented customer-centric approaches to enable customer relationship management (CRM) to trigger business excellence. Business strategies are modernizing business marketing operations that mainly focused on the retention of profitable customers. The purpose of this study is to empirically investigate the impact of marketing strategies (MS), information technology support (IT-S) and knowledge sharing (KS) in the effect of CRM in the pharmaceutical sector of Punjab, Pakistan.Design/methodology/approachData were collected from the field force of national and international pharmaceuticals companies (N = 263) through a convenience sampling technique. Partial least squares structural equation modeling was used to examine data in SmartPLS 3.2.6.FindingsThe results indicated that IT-S and KS mediate the relationship between MS and CRM. More specifically, MS positively develops CRM through IT-S and KS.Originality/valueThis research contributes to the existing literature of pharmaceuticals by disclosing the field-force (medical representatives) specific role in developing CRM performance between pharmaceuticals firms and health-care physicians that are mainly based on knowledge advancement and influence these firms to adopt customer-centric business approaches to gain a competitive advantage to drive firm profitability.
目的在现代商业场景中,企业已经实施了以客户为中心的方法,使客户关系管理(CRM)能够引发卓越的业务。商业战略正在使商业营销运营现代化,主要侧重于留住盈利客户。本研究的目的是实证研究营销策略(MS)、信息技术支持(IT-S)和知识共享(KS)对旁遮普制药行业CRM效果的影响,巴基斯坦。设计/方法/方法通过方便的抽样技术从国内和国际制药公司(N=263)的现场部队收集数据。偏最小二乘结构方程模型用于检验SmartPLS 3.2.6中的数据。结果表明,IT-S和KS介导了MS和CRM之间的关系。更具体地说,MS通过IT-S和KS.Originality/value积极发展CRM。这项研究通过披露现场力量(医疗代表)在制药公司和医疗保健医生之间发展CRM绩效方面的具体作用,对现有的制药文献做出了贡献,这些作用主要基于知识进步,并影响这些公司采用以客户为中心的方式商业方法以获得竞争优势,从而推动公司盈利。
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引用次数: 3
Knowledge, attitude, utilisation and satisfaction of traditional Chinese medicine in Hong Kong 香港中医的知识、态度、使用及满意度
IF 1.2 Q2 Medicine Pub Date : 2021-11-04 DOI: 10.1108/ijphm-08-2020-0068
Tommy K. C. Ng, M. Lo, B. Fong
PurposeTraditional Chinese medicine (TCM) had a long history and has been widely practiced worldwide. TCM includes acupunctures, herbal medicine and chiropractic. However, limited studies examined the relationship between knowledge, attitude, utilisation and satisfaction of TCM among the Hong Kong general public. This study has developed a research model which aims to examine the relationship between knowledge, attitude, utilisation and satisfaction of TCM in Hong Kong by using partial least square structural equation model.Design/methodology/approachAn online-based questionnaire was distributed by using convenience sampling. The questionnaire consisted of five parts to collect the data regarding the knowledge, attitude, utilisation and satisfaction of TCM of respondents. The reflective measurement model and structural model were examined with SmartPLS 3.0 statistical software.FindingsA total of 131 respondents completed the survey, and all data were valid after data screening and cleaning. Around 60% of the participants received TCM information from their friends and family members, and 42% from the internet. Likewise, there is positive relationship from the knowledge of TCM to the utilisation, from the attitude to the utilisation and from the utilisation of TCM to the satisfaction. However, the positive relationship of knowledge regarding TCM and attitude is not proven. A t-test and one-way analysis of variance showed no significant differences between gender and age groups on each measurement items.Originality/valueThis paper provides insights for researchers and policymakers to understand the significance of attitude and perception of the benefits of treatments in the use of TCM. The positive experience of TCM from other people is essential for enhancing the willingness to use TCM while education is also fundamental in promoting TCM to the public.
目的中医药有着悠久的历史,在世界范围内得到了广泛的应用。中医包括针灸、草药和脊椎按摩。然而,有限的研究调查了香港公众对中医药的认识、态度、使用和满意度之间的关系。本研究建立了一个研究模型,旨在利用偏最小二乘结构方程模型检验香港中医药的知识、态度、使用和满意度之间的关系。设计/方法论/方法采用方便抽样的方式发放在线问卷。问卷由五个部分组成,收集受访者对中医药的知识、态度、使用情况和满意度等方面的数据。反射测量模型和结构模型用SmartPLS 3.0统计软件进行了检验。调查结果共有131名受访者完成了调查,经过数据筛选和清理,所有数据均有效。约60%的参与者从朋友和家人那里获得中医药信息,42%来自互联网。同样,从中医知识到中医药利用,从中医态度到中医药使用,从中医药使用到中医药满意度,都存在着积极的关系。然而,中医知识与态度之间的正相关关系尚未得到证实。t检验和单向方差分析显示,性别和年龄组在每个测量项目上没有显著差异。独创性/价值本文为研究人员和政策制定者提供了见解,以了解在中医药使用中对治疗益处的态度和感知的重要性。其他人对中医药的积极体验对于提高使用中医药的意愿至关重要,而教育也是向公众推广中医药的基础。
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引用次数: 4
Logistic planning for pharmaceutical supply chain using multi-objective optimization model 基于多目标优化模型的医药供应链物流规划
IF 1.2 Q2 Medicine Pub Date : 2021-11-03 DOI: 10.1108/ijphm-01-2021-0004
M. Ershadi, Mohamad Sajad Ershadi
PurposeAppropriate logistic planning for the pharmaceutical supply chain can significantly improve many financial and performance aspects. To this aim, a multi-objective optimization model is proposed in this paper that considers different types of pharmaceuticals, different vehicles with determining capacities and multi-period logistic planning. This model can be updated based on new information about resources and newly identified requests.Design/methodology/approachThe main objective function of the proposed model in this paper is minimizing the unsatisfied prioritized requests for pharmaceuticals in the network. Besides, the total transportation activities of different types of vehicles and related costs are considered as other objectives. Therefore, these objectives are optimized hierarchically in the proposed model using the Lexicographic method. This method finds the best value for the first objective function. Then, it tries to optimize the second objective function while maintaining the optimality of the first objective function. The third objective function is optimized based on the optimality of other objective functions, as well. A non-dominated sorting genetic algorithm II-multi-objective particle swarm optimization heuristic method is designed for this aim.FindingsThe performances of the proposed model were analyzed in different cases and its results for different problems were shown within the framework of a case study. Besides, the sensitivity analysis of results shows the logical behavior of the proposed model against various factors.Practical implicationsThe proposed methodology can be applied to find the best logistic plan in real situations.Originality/valueIn this paper, the authors have tried to use a multi-objective optimization model to guide and correct the pharmaceutical supply chain to deal with the related requests. This is important because it can help managers to improve their plans.
目的对药品供应链进行适当的物流规划可以显著改善许多财务和绩效方面。为此,本文提出了一个多目标优化模型,该模型考虑了不同类型的药品、具有决定能力的不同车辆和多阶段物流规划。可以基于关于资源的新信息和新识别的请求来更新该模型。设计/方法/方法本文提出的模型的主要目标函数是最小化网络中未满足的药品优先请求。此外,不同类型车辆的总运输活动和相关成本也被视为其他目标。因此,在所提出的模型中,使用词典方法对这些目标进行了分层优化。该方法为第一个目标函数找到最佳值。然后,它试图优化第二个目标函数,同时保持第一个目标函数的最优性。第三个目标函数也是基于其他目标函数的最优性进行优化的。为此,设计了一种非支配排序遗传算法Ⅱ多目标粒子群优化启发式方法。结果分析了所提出的模型在不同情况下的性能,并在案例研究的框架内展示了其在不同问题下的结果。此外,结果的敏感性分析显示了所提出的模型对各种因素的逻辑行为。实际意义所提出的方法可用于在实际情况下寻找最佳物流计划。原创性/价值在本文中,作者试图使用多目标优化模型来指导和纠正药品供应链的相关要求。这一点很重要,因为它可以帮助管理者改进他们的计划。
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引用次数: 5
期刊
International Journal of Pharmaceutical and Healthcare Marketing
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