scholarly journals Responsiveness: A Measure to Improve Performance of Rehabili-tation Organizations in Developing Countries

Author(s):  
Farshad Fathi ◽  
Ali Khezri ◽  
Kianoush Abdi

The article's abstract is not available.  

2018 ◽  
pp. 1706-1735

We have argued in Chapters 1-3 that the construction industry in developing countries is dominated by the strong presence of SMEs and “jobbers”. The informal sector workers constitute the essential provider of human resources construction industry. So far, the weaknesses of the construction industry in developing countries have been identified. As a result, various decision models were proposed for largely improving labor cost management and scheduling (time) with the aim of improving productivity. In a single volume like this, it is unrealistic to cover all aspects to improve performance. This chapter will now provide ideas on how quality of projects can also be improved so as to maintain a balance between cost, time and quality. Furthermore, the management of onsite workshops that can lead to construction productivity will be examined.


We have argued in Chapters 1-3 that the construction industry in developing countries is dominated by the strong presence of SMEs and “jobbers”. The informal sector workers constitute the essential provider of human resources construction industry. So far, the weaknesses of the construction industry in developing countries have been identified. As a result, various decision models were proposed for largely improving labor cost management and scheduling (time) with the aim of improving productivity. In a single volume like this, it is unrealistic to cover all aspects to improve performance. This chapter will now provide ideas on how quality of projects can also be improved so as to maintain a balance between cost, time and quality. Furthermore, the management of onsite workshops that can lead to construction productivity will be examined.


2019 ◽  
Vol 10 (4) ◽  
pp. 335-342
Author(s):  
Ruben Joaquim Pinto Loureiro ◽  
◽  
Jorge Manuel Marques Simões ◽  
Sílvio Manuel Valente da Silva ◽  
António Gabriel Simão de Castro ◽  
...  

Innovation can be the key element of a company, yet it is dependent on business resources. The relationship between innovation and performance is addressed by several authors who advocate this theme as a driver to solve problems at the business level and subsequently improve performance. Innovation is essentially under great uncertainty, but little information exists about innovation in developing countries. The present research aims to add knowledge about innovation in developing countries, analyzing whether innovation improves business performance (influenced by technology). Thus, the research question is: What is the relationship between innovation and performance in companies? These hypotheses are related to a specific objective: to identify the factors that improve the company’s performance. Using secondary data obtained by the World Bank, and seeking to make known developments in innovation and the relationship with technology and performance in developing countries, the correlation of several variables was worked out in a first approach to the theme through an analysis factorial. It is concluded that there is no positive relationship between performance and innovation in developing countries.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
S Mehta ◽  
R Botelho ◽  
F Fernandez ◽  
F Feres ◽  
A Abizaid ◽  
...  

Abstract Background In resource-constrained nations, population-based AMI coverage is daunting. Telemedicine can transform the situation through an efficient, cost-effective and scalable program called the Latin America Telemedicine Infarct Network (LATIN). We present our innovative hub-spoke strategy, that has served >780,000 patients. Purpose To use telemedicine protocols to demonstrate appropriate access to quality AMI care, encompassing remote areas. Methods LATIN required technology and process metrics optimization as well as a scrupulous site selection, during a 12-month pilot. Spokes represent our strategy's nucleus; they consist of small, rural clinics and resource-limited facilities that are connected to PCI-capable hubs. Spokes require constant (3-T) training: Triage, Telemedicine, and Transportation. The latter two categories are the most challenging because they demand constant upgrading. Results 784,395 patients were screened at 350 LATIN centers (Brazil 143, Colombia 118, Mexico 82, Argentina 7). A total of 8,440 (1.08%) patients were diagnosed with AMI; 3,924 (46.5%) were urgently reperfused including 3,048 (77.7%) who underwent PCI. Globally, Time to Telemedicine Diagnosis (TTD) was 3 min exhibiting 98.9% tele-accuracy, D2B was 51 min, additionally, in-hospital mortality was 5.2%. Major reasons for non-treatment of patients were insurance, lack of ICU beds and delayed presentation. Conclusions LATIN is a valuable healthcare system prototype for developing countries. Our hub-spoke strategy focuses on providing adequate AMI management for populations. However, aspects such as ambulance availability, insurance denial and lack of ICU beds must be targeted to improve performance.


2012 ◽  
Vol 57 (03) ◽  
pp. 1250020 ◽  
Author(s):  
MEHMET HUSEYIN BILGIN ◽  
CHI KEUNG MARCO LAU ◽  
ENDER DEMIR

This paper attempts to explore the determinants for small and medium enterprise (SME) performance. In particular, we investigate how training, technology adoption, finance channels and exporting behavior affect SMEs' performance by examining the determinants of the profit per worker. Using a rich and up to date firm-level dataset, we find evidence that SMEs can improve performance by importing more foreign materials inputs and by utilizing foreign technologies from technologically advanced economies. This effect of technology spillover is particularly important for smaller enterprises in developing countries because in-house innovation is expensive. We further find that both informal finance sources and formal finance channels do not enhance the performance of smaller enterprises in financing daily operations and interestingly, informal channels hamper a firm's performance. There is no evidence for the effect of on-the-job training on firm performance. The exporting behavior of firms measured by the percentage of exports has no significant impact on firm performance.


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