Evaluation Index System of Surgical Tourism Service Organizations in China: An Empirical Research

Background: Healthcare tourism is an emerging economy with the most potential in China's health industry before the COVID-19 pandemic. Surgical medical health tourism accounts for a large part of medical tourism services in China, which has higher requirements for quality and safety. By contrast, measurement tools and theoretical research are insufficient in China. The aim of this study was to develop a set of reliable and feasible indicators by augmenting the original Donabedian’s quality model to evaluate surgical tourism services’ quality.Methods: Literature review and focus group interview were used to generate indicators for surgical tourism services’ quality. The basic framework of the evaluation system was based on the structure-process-outcome Donabedian model. The screening and weight setting were conducted through analytic hierarchy process (AHP) and a two-round Delphi consultation with 13 panelists. Validity and reliability of experts were tested by the experts' positive coefficient, authority coefficient, and coordination coefficient. Reliability of the questionnaire was assessed by a pretest distributed within an international medical department of a public hospital in China.Results: Based on the Donabedian’s quality theory, the novel evaluation system of surgical tourism service institutions with 3 dimensions, 9 first-level items and 39 second-level items was constructed. The three dimensions consist of structure (0.315), process (0.287), and outcome (0.398), with each dimension set several indicators and each indicator given a weight. Of the two rounds of Delphi consultation, the response rates were 86.67% and 100%. The coordination coefficient of expert opinions in the two rounds of consultation were 0.49 and 0.65 (p<0.05). For the empirical study, the self-evaluation score of a public hospital was 86, which could obtain a rating of two stars.Conclusions: The established evaluation system identified three different dimensions of surgical tourism services’ quality which fit for practical healthcare improvement in safety and quality. It can reflect the access criterion of surgical tourism institutions, provide references on better choices of surgical services for tourists, and can be applied by healthcare managers and policy makers to allocate resources more efficiently and promote more surgical tourism services to international standards.

Public Services Quality Analyze in The Tourism Sector in South Garut Province of West Java

Public services in the tourism sector are one of the most important parts to support the increase in the Human Development Index (HDI) in the economic sector. This requires quality services based on the government's development strategy through public policies that are linked to regional potential, especially the tourism potential of the South Garut area. Based on the results of research with a qualitative approach that the tourism potential of South Garut, both coastal and mountainous areas, is very potential and really needs the attention of all parties, especially the government to make public policies in the tourism sector.

EVALUATION OF VOICE TRANSMISSION QUALITY IN THE LTE NETWORKS

Background. LTE mobile networks combine packet network technology and radio technology. Parameters of packet and radio subsystems significantly affects the quality of all traffic types transmission, especially telephone traffic, as the most demanding to such parameters of network transmission as delay, jitter and packet loss rate. The recommendations of the International Telecommunication Union and the documents of the partner organization of telecommunications operators (3GPP) contain hypothetical reference models, targets for end-to-end connection quality, and lists the factors that affect the quality (QoS) of VoLTE services. In addition, the network points are shown where you need to measure the quality of telephone traffic and tools for quality assessment. The quality of telephony services is assessed according to the E-model using the method of determining the mean opinion score (MOS). However, this technique is intended primarily to determine the MOS during the network planning. To calculate the MOS in a working network, you have to measure such network performance first such as voice delay and packet loss rate. This article presents the method of calculating MOS in the LTE network based on the E-model and presents the results of practical quality studies. Objective. The purpose of this article is research the impact of delay and packet loss ratio and voice codec characteristics in the real LTE network on quality of telephone services. Methods. Analysis of factors affecting on telephone services quality and analysis MOS assessment methods. Practical studies of the delay and packet loss ratio affect the MOS level in various conditions of radio coverage and network load. Results. Practical results of delay and packet loss ratio influence on the telephone services quality in the LTE network. Calculated MOS based on the practically measured delay and packet loss ratio. Conclusions. The combination of packet technologies, modern AMR-WB codecs and QoS support mechanisms in the LTE networks provides high quality perception of voice messages at the level of not less than 4 on the MOS scale. With a delay not exceeding 180 ms, a sufficiently high quality of voice transmission is ensured (MOS ≈ 4). VoLTE technology using the AMR-WB codec is quite resistant to packet loss and provides high quality perception of voice messages at a packet loss ratio of up to 1%.

Introduction of Financial Technologies in Digital Banking

Presently, the whole world is concerning about digitalization that has affected all areas of people's lives, and financial sector is no exception. Today, Financial Technology (FinTech) is recognized as one of the most important and rapidly evolving innovations in the financial industry. FinTech has promised that technology startups will reduce costs, improve financial services quality and create a more diverse and sustainable financial outlook. Fintech services are indispensable part of every single financial products and services. In this regards, it is of great importance to consider carefully their services in banking system and opportunities provided by them in, which is the main subject of this article. Keywords: financial technologies, digital banking, digital economy.

Perbaikan Kualitas Pelayanan Publik Berbasis Karakteristik Individu dan Pengembangan Karir Pegawai

This study examines the impact of individual characteristics and employee career development on public service quality, both simultaneously or partially and finds the most influential variables. This research is essential since government institutions have to improve the quality of public services continuously. The research approach utilized in this study was quantitative research, with the sampling technique being saturated sampling by 42 respondents. Data analysis used multiple linear regression, including F-test, t-test, and determination-coefficients by using SPSS software. The results show a significant effect of individual characteristics and career development on public services quality. Individual characteristics and career development affect public services quality both simultaneously and partially. Individual characteristic is the dominant variable. Based on the finding, the individual characteristics of an employee and career development will improve the public services quality. The implication of this study indicates that government institutions need to provide opportunities for employees in self-development activities such as training and short course. The limitations of this study are still using two independent variables. Therefore, future research can append other variables, such as mediation or moderation variables. Abstrak Penelitian ini bertujuan untuk mengetahui pengaruh karakteristik individu dan pengembangan karir pegawai terhadap kualitas pelayanan publik. Penelitian ini juga menguji variabel yang paling dominan mempengaruhi kualitas pelayanan publik. Sebagaimana diketahui bahwa instansi pemerintah perlu terus meningkatkan kualitas layanan publiknya kepada masyarakat. Pendekatan penelitian yang digunakan aalah penelitian kuantitatif. Teknik sampling menggunakan teknik sampel jenuh dengan jumlah responden sebanyak 42 orang. Analisis data menggunakan regresi linier berganda, dengan melakukan uji statistik berupa uji-F, uji-t, dan koefisien determinasi. Proses analisis data dilakukan menggunakan bantuan program SPSS. Hasil analisis menunjukkan bahwa karakteristik individu dan pengembangan karir memiliki pengaruh terhadap kualitas pelayanan publik. Karakteristik individu dan pengembangan karir mempengaruhi kualitas layanan publik baik secara parsial maupun secara bersama-sama. Karakteristik individu merupakan variabel yang paling berpengaruh. Berdasarkan hasil penelitian menunjukkan bahwa karakteristik individu yang terdapat pada seorang pegawai dan juga pengembangan karir akan mampu meningkatkan kualitas pelayanan publik yang diberikannya di instansi pegawai tersebut bekerja. Implikasi dari penelitian ini menunjukkan perlunya lembaga pemerintah untuk memberikan kesempatan bagi pegawai dalam mengikuti kegiatan pengembangan diri seperti diklat dan bimtek. Penelitian ini memiliki keterbatasan yakni masih menggunakan dua variable bebas, untuk itu penelitian selanjutnya dapat menambahkan variabel lainnya, seperti variabel mediasi maupun variabel moderasi. Kata kunci: kualitas layanan publik, pengembangan karir, karakteristik individu

MEASURING THE TOURIST SATISFACTION ON ECOTOURISM SERVICE QUALITY AT KUALA TAHAN NATIONAL PARK: AN INVESTIGATION ON VISITORS PERCEPTIONS

Ecotourism is a sub-component of sustainable tourism that involves a visit to a natural area and manages the living parts of the natural environment. Moreover, ecotourism’s perceived potential as an effective tool for sustainable development, including economic development and conservation strategies. Currently, the importance of ecotourism service quality is gaining tremendous attention due to the growing demand for ecotourism worldwide and increasing expectations from visitors. A challenge remains in identifying how natural resource and nature-based tourism providers can best achieve those benefits and increase the visitor’s satisfaction levels, while at the same time minimising the effects of degradation to the natural resource being used. Hence, the main purpose of this study is to assess the ecotourism services quality at Kuala Tahan National Park. This study will adopt the ECOSERV instrument to measure visitor’s expectations and perceptions of service quality. This study was conducted using a quantitative approach by obtaining responses from 153 tourists. Based on service quality provided at Kuala Tahan National Park, visitor’s were satisfied with the services provided there. The data collected was analysed using descriptive statistics and Multiple Regression Analysis to achieve the objectives of the study. This study also finds the responsiveness, empathy, and assurance have a significant relationship with service quality at Kuala Tahan National Park. However, they have an unsignificant relation between ecotangibles, tangible and reliability with tourist’s satisfaction. The finding of this study is important for ecotourism activity at Kuala Tahan National Park and for government be able to promote ecotourism product as the main attraction in Malaysia.