scholarly journals ORIENTACIÓN AL MERCADO EN HOSPITALES Y CLÍNICAS DE LOS

2014 ◽  
Vol 19 (54) ◽  
pp. 55-66
Author(s):  
Miguel Ángel Ramírez Martínez ◽  
Clara Luz Lamoyi Bocanegra

RESUMEN Objetivo: Mostrar el grado de Orientación al Mercado (OM) que tienen las empresas (hospitales y clínicas) de los Estados de Aguascalientes y Tabasco, utilizando el Modelo de Orientación al Mercado, desarrollado por Kohli y Jaworski (1990) y Narver y Slater (1990) y que fueron adaptados a México por Martínez Serna y Pinzón (2009). Material y método: Se aplicó un cuestionario a los propietarios y/o gerentes de los establecimientos, este utiliza la escala de Likert; los resultados son evaluados con el paquete SPSS 15, obteniendo las medias de cada una de las variables evaluadas para establecer el grado de orientación al mercado. Resultados: La investigación comprueba que el modelo puede ser aplicado a las empresas medianas y grandes de esta rama del sector servicios de la economía mexicana. Conclusiones: La mayor parte de las empresas del sector servicio (hospitales y clínicas) de los dos Estados, tienen un alto grado de Orientación al Mercado, aunque el Estado de Aguascalientes cuenta con un mayor número de empresas con un grado de OM bajo, por lo anterior se elaboran una serie de estrategias que al ser aplicadas podrían mejorar el grado de OM de las empresas que se encuentran en el nivel bajo e incrementar la competitividad. ABSTRACT Objective: Research shows the degree of market orientation (MO) that the companies (hospitals and clinics) have in the states of Aguascalientes and Tabasco by using the model of market orientation developed by Kohli and Jaworski (1990), and Narver and Slater (1990), which was adapted to Mexico by Martinez Serna and Pinzon (2009). Material and method: A questionnaire that uses the Likert scale is applied to the owners and/or managers of establishments; the results are evaluated with the SPSS 15 package to calculate the mean of each of the evaluated variables so that the degree of market orientation is determined. Results: The research demonstrates that the model can be applied to medium and large companies of this branch of the service sector of the Mexican economy. Conclusions: Most of the companies in the service sector (hospitals and clinics) of both states have a high degree of market orientation, although the state of Aguascalientes has a greater number of companies with a low MO degree, that is why a series of strategies are developed so that they could be applied in order to improve the degree of MO of businesses that are in the low level and increase their competitiveness.

Author(s):  
Elena Patricia Mojica Carrillo ◽  
María del Carmen Martínez Serna

Las empresas pequeñas y medianas (Pymes) requieren mejorar sus niveles de desempeño y sus expectativas de supervivencia, sin embargo, por lo general carecen de estrategias y mecanismos pertinentes para ello en el contexto mexicano. La teoría de recursos y capacidades enfatiza la necesidad de que las empresas desarrollen fortalezas para tener mayores posibilidades de éxito competitivo, entre las que destacan por su importancia las capacidades humanas, comerciales, directivas, asociativas, de innovación y financieras, que además de ser cruciales para competir, son transferibles a diversos mercados. Con este trabajo se pretende profundizar en el conocimiento de estrategias y orientaciones empresariales que permitan a las Pymes fortalecerse. Al respecto, se han definido factores como la orientación al mercado y la innovación, detonantes de los buenos resultados empresariales y a la vez factores clave para el aprendizaje y la generación de conocimiento al interior de las organizaciones.  Las empresas más orientadas al mercado desarrollan maneras para captar información de sus consumidores, la comparten con eficiencia entre sus colaboradores y la emplean para responder más acertadamente a las necesidades de sus mercados; asimismo, las empresas más innovadoras implementan constantemente cambios en sus productos, en sus procesos operativos, en su mercadotecnia y en sus sistemas de gestión, lo cual les permite aventajar a sus competidores. Con base en estas reflexiones se fijó como objetivo de la investigación analizar la influencia de la orientación al mercado y la innovación en las capacidades competitivas y en el desempeño de las Pymes, para lo cual se formularon seis hipótesis integradas en un modelo teórico que orientó la investigación.  La información empírica se recopiló a través de la aplicación de un cuestionario a una muestra de 200 propietarios y/o directivos de Pymes ubicadas en el Estado de Aguascalientes. El análisis de los datos se realizó mediante los software SPSS 19.0 y EQS 6.1., empleando para ello la técnica de modelaje de ecuaciones estructurales. Como resultado se aporta evidencia de una influencia directa y positiva de la orientación al mercado y de la innovación en las capacidades competitivas, y de las capacidades competitivas en el desempeño, mientras que, tanto la orientación al mercado como la innovación presentan una influencia indirecta en el desempeño que puede explicarse a partir de su contribución a la formación de mayores capacidades al interior de las empresas. Lo anterior implica la conveniencia de que las Pymes implementen estrategias específicas para desarrollar habilidades comerciales, directivas, asociativas, humanas, financieras y de innovación, estimulando prácticas para recopilar información relevante de sus mercados, distribuirla en todos los niveles organizacionales y para responder con mayor eficiencia a sus consumidores ofertando productos/servicios y sistemas de atención innovadores. Para el futuro se propone la medición del modelo en otros contextos a fin de realizar estudios comparativos.


2021 ◽  
Vol 6 (4) ◽  
pp. 1015-1030
Author(s):  
Jeanie A. Aird ◽  
Rebecca J. Barthelmie ◽  
Tristan J. Shepherd ◽  
Sara C. Pryor

Abstract. Output from 6 months of high-resolution simulations with the Weather Research and Forecasting (WRF) model are analyzed to characterize local low-level jets (LLJs) over Iowa for winter and spring in the contemporary climate. Low-level jets affect rotor plane aerodynamic loading, turbine structural loading and turbine performance, and thus accurate characterization and identification are pertinent. Analyses using a detection algorithm wherein the wind speed above and below the jet maximum must be below 80 % of the jet wind speed within a vertical window of approximately 20–530 m a.g.l. (above ground level) indicate the presence of an LLJ in at least one of the 14 700 4 km×4 km grid cells over Iowa on 98 % of nights. Nocturnal LLJs are most frequently associated with stable stratification and low turbulent kinetic energy (TKE) and hence are more frequent during the winter months. The spatiotemporal mean LLJ maximum (jet core) wind speed is 9.55 m s−1, and the mean height is 182 m. Locations of high LLJ frequency and duration across the state are seasonally varying, with a mean duration of 3.5 h. The highest frequency occurs in the topographically complex northwest of the state in winter and in the flatter northeast of the state in spring. Sensitivity of LLJ characteristics to the (i) LLJ definition and (ii) vertical resolution at which the WRF output is sampled is examined. LLJ definitions commonly used in the literature are considered in the first sensitivity analysis. These sensitivity analyses indicate that LLJ characteristics are highly variable with definition. Use of different definitions identifies both different frequencies of LLJs and different LLJ events. Further, when the model output is down-sampled to lower vertical resolution, the mean jet core wind speed height decreases, but spatial distributions of regions of high frequency and duration are conserved. Implementation of a polynomial interpolation to extrapolate down-sampled output to full-resolution results in reduced sensitivity of LLJ characteristics to down-sampling.


2019 ◽  
Vol 62 (5) ◽  
pp. 254-258
Author(s):  
Yuliya G. Nagornyak ◽  
T. A. Kanakina ◽  
V. A. Fokin

According to many studies, the activity of medical students is one of intense emotional types of labor, which affects the state of their mental and physical (somatic) health. The degree of emotional burnout in students of the Faculty of Pharmacy was studied. A high degree of emotional exhaustion and depersonalization was found in 27.6% of students and depersonalization in 23.7% of students, medium level - 22.4% and 26.3% respectively, low level of psychological depletion determined in half of the students in study group. 17.2% of respondents revealed diminished importance of personal achievements and dissatisfaction with learning process to a large extent. Conducted research manifested statistically reliable factors that cause professional burnout, such as: accommodation conditions, occupation in accordance to degree, gender.


2020 ◽  
Vol 4 (2-3) ◽  
pp. 170-184
Author(s):  
Suvi Nenonen ◽  
Kaj Storbacka

In reconnecting marketing to more plastic and malleable markets, we need more understanding about market evolution. In this research we explore how to assess the state of a market, and how the roles of a market-shaping actor vary depending on this state. We view markets as configurations of 25 interdependent elements and argue that well-functioning markets have a high degree of configurational fit between elements. The level of configurational fit describes the state of a market as a continuum from low to high marketness. The clout of a market actor to influence a market configuration is an amalgamation of the actor’s capabilities, network position and relative power. By exploring marketness and clout as contextual contingencies, we identify four market-shaping roles: market maker, market activist, market champion, and market complementor. The focus of a market-shaping actor, in terms of which elements to influence and in which order, vary significantly between roles.


1980 ◽  
Vol 45 (3) ◽  
pp. 777-782 ◽  
Author(s):  
Milan Šolc

The establishment of chemical equilibrium in a system with a reversible first order reaction is characterized in terms of the distribution of first passage times for the state of exact chemical equilibrium. The mean first passage time of this state is a linear function of the logarithm of the total number of particles in the system. The equilibrium fluctuations of composition in the system are characterized by the distribution of the recurrence times for the state of exact chemical equilibrium. The mean recurrence time is inversely proportional to the square root of the total number of particles in the system.


Author(s):  
Georg Menz

Despite the state being such a central actor in establishing and policing the rules of the game of any given political economy, its role is often neglected. In this chapter, we briefly review relevant state theories and explore changes to the nature and appearance of the capitalist state. The awesome increase in the political fire power of the financial service sector has unfortunately led to regulatory capture. The state can no longer be considered a neutral umpire, being heavily influenced by the prerogatives of major banking institutions. This state of affairs corrupts the hopes that liberals place in the self-policing powers of the marketplace and reflects certain fears on the political left regarding the pernicious effects of ‘financialization’.


Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 998
Author(s):  
Lucija Gosak ◽  
Nino Fijačko ◽  
Carolina Chabrera ◽  
Esther Cabrera ◽  
Gregor Štiglic

At the time of the outbreak of the coronavirus pandemic, several measures were in place to limit the spread of the virus, such as lockdown and restriction of social contacts. Many colleges thus had to shift their education from personal to online form overnight. The educational environment itself has a significant influence on students’ learning outcomes, knowledge, and satisfaction. This study aims to validate the tool for assessing the educational environment in the Slovenian nursing student population. To assess the educational environment, we used the DREEM tool distributed among nursing students using an online platform. First, we translated the survey questionnaire from English into Slovenian using the reverse translation technique. We also validated the DREEM survey questionnaire. We performed psychometric testing and content validation. I-CVI and S-CVI are at an acceptable level. A high degree of internal consistency was present, as Cronbach’s alpha was 0.951. The questionnaire was completed by 174 participants, of whom 30 were men and 143 were women. One person did not define gender. The mean age of students was 21.1 years (SD = 3.96). The mean DREEM score was 122.2. The mean grade of student perception of learning was 58.54%, student perception of teachers was 65.68%, student academic self-perception was 61.88%, student perception of the atmosphere was 60.63%, and social self-perception of students was 58.93%. Although coronavirus has affected the educational process, students still perceive the educational environment as positive. Nevertheless, there is still room for improvement in all assessed areas.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jung-Hee Kim ◽  
Seonmin Park ◽  
Hyeongji Lim

Abstract Background The purpose of this study was (1) to develop a virtual reality (VR) intervention program based on the psychological needs of patients residing in nursing facilities in South Korea to alleviate their behavioral and psychological symptoms and (2) to confirm the possibility of utilizing VR in patients with dementia. Methods In the first phase, patients with dementia residing in nursing homes and experiencing behavioral and psychological symptoms were recruited. Surveys and questionnaires were used to identify activities that alleviated the behavioral and psychological symptoms of dementia (BPSD) among the patients. These activities were classified into five types of psychological needs. In the second phase, a fully immersive, interactive, easy-to-use VR platform was developed that reflected these psychological needs. Patients with dementia experienced the VR content. The researchers assessed the level of the participants’ immersion, preference, and interaction with the VR using a 5-point Likert scale. Results In the feasibility test, 10 nursing home residents were recruited. The mean immersion score was 4.93 ± 0.16 points, the mean preference score was 4.35 ± 0.41 points, and the mean interaction score was 3.84 ± 0.43 points using a 5-point Likert scale. Higher mean scores indicated a more positive outcome. Six of the 10 participants required assistance while using the VR. The mean VR experience duration was 10.00 ± 3.46 min. Conclusions The VR-based intervention program that was developed to reduce BPSD was feasible for the participants and provided them with a high degree of satisfaction and immersion. Furthermore, this study also confirmed the convenience and safety of the program. These findings support the potential use of VR-based BPSD intervention programs to treat patients with dementia.


Agriculture ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 614
Author(s):  
Ayan Orazov ◽  
Liudmila Nadtochii ◽  
Kazybay Bozymov ◽  
Mariam Muradova ◽  
Araigul Zhumayeva

This paper examines the problem of food security in the Republic of Kazakhstan over the past 10 years. Based on statistical data, an assessment was made of the prevalence of malnutrition among the population of the country, including children under 5 years of age. There has been a trend towards for an improvement in the nutrition of the population for a few indicators; however, further optimization of food security indicators is required to achieve the goals of sustainable development (SDGs) of the FAO WHO Agenda for the period up to 2050 in Kazakhstan and in its individual regions. The paper reflects data on demographic changes over the past 10 years and its self-sufficiency in basic foods for 2019. A high degree of self-sufficiency in meat products (117.6%) is revealed in the population of the Republic of Kazakhstan. However, self-sufficiency in dairy products is at an extremely low level (0.1%). Camel breeding has been successfully developing in the country over the past 10 years. However, the number of camels in the country is still at a low level. Camel milk can be considered as a great source of macronutrients, its daily consumption partially facilitates the problem of Food Security in Kazakhstan.


2019 ◽  
Vol 185 (16) ◽  
pp. 508-508 ◽  
Author(s):  
Isobel Barker ◽  
Sarah L Freeman

Colic is the most common emergency problem in horses. The aims of this study were to survey costs of different referral treatments and to review insurance policies relevant to horses with colic. Data were collected retrospectively from nine equine hospitals for case costs, categorised into four different outcomes: admitted and euthanased; euthanased during or immediately after surgery; medical treatment and survived more than 24 hours; and surgical treatment and survived more than 24 hours. Data from five UK equine insurance companies were extracted and analysed using a standardised case example. Costs were obtained for 108 cases. The mean cost for horses admitted and euthanased was £873.89 (range £459.72–£1471.51), and for surgical treatment and survival more than 24 hours was £6437.80 (range £3178.87–£9100.00). Insurance cover for veterinary fees ranged from £5000 to £7500, and monthly premium rates for a standardised case ranged from £27.06 to £47.06. The terms and conditions for the insurance policies ranged in length from 2098 to 17,701 words; Flesch Kincaid Reading Ease scores ranged from 21.6 to 57.7, indicating a high degree of complexity and low readability. This study highlights the complexity and challenges for decision-making in critical cases of colic.


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