The Department of Health executed the contract with Tri-Service General Hospital on January 2, 2003, consigning the latter to render Penghu medical treatment services with the newly built ¡§Penghu Medical Care Building of Department of Health¡¨. Under the consignment, the Tri-Service General Hospital will launch an overall integration of the medical care resources of the current Penghu Hospital of Armed Forces and Penghu Hospital of Department of Health. Starting from July 1, 2006, Tri-Service General Hospital, Penghu Branch has officially come into being, bringing in human resources of the Tri-Service General Hospital, creating the medical treatment facitities in Penghu area easily accessible to upgrade the professional medical treatment services in Pengh area, enabling the local community people of Penghu area to enjoy diverse local welfare in medical services. In Penghu County, with limited medical care resources, other than the efforts to help patients release from suffering and reduce the rate of patients being arranged for medical treatment beyond Penghu area, the efforts to upgrade the quality of medical treatment services have gradually become the major goals in the consigned management. The present study aims at the concept mode of ¡§Service Quality Model, PZB¡¨ offered by Parasuraman, Zeithaml&Berry(1988) as the very ground, taking the two local service oriented public hospitals, i.e., ¡§Penghu Branch of Tri-Service General Hospital¡¨ and ¡§Penghu Hospital of Department of Health¡¨ as the target of survey, to probe into the levels of satisfaction on hospital quality of services felt by the hospital department heads, medical care service crew, patients and patients¡¦ families. The study further analizes to make sure whether the hospital department heads, medical care service crew, patients and patients¡¦ families show difference in the level of satisfaction. As indicated by the findings yielded by the present study, the two public hospitals show shortfalls in quality of services which call for immediate improvement. Penghu Hospital of Department of Health takes advantage of the geographical benefits, easy access to transportation, the close connection with the local patients and public praise and should team closely up with Penghu Branch of Tri-Service General Hospital. Penghu Branch of Tri-Service General Hospital attempts to localize the three messions in medical teratment, education and research. The doctors of the two hospitals should participate in various seminars to co-share the resources, strengthen the professional know-how to upgrade the quality of medical treatment services. The management administrator should make the department heads and medical service crew feel of how important the quality of services is. The present study may help better satisfy the needs of patients and their familities in the perspective of a consumer. The upgrade of quality of medical treatment services is a pivotal part of the public affairs on offshore island areas. The administrator should offer prominent systematic strategies in systematic services to take firm command of the quality of services and technological advantages. Only through such efforts can those hospitals create sound image and public praise in medical treatment in Penghu area to assure sustained survival and existence. On the grounds of the results yielded by the present study, the thesis, finally offers proposals for betterment to Penghu Branch of Tri-Service General Hospital and Penghu Hospital of Department of Health in terms of quality of services. Such proposals will function as handy reference to the government authorities and the subsequent researchers regarding medical treatment in Penghu area.

Differentiated-Service networks is designed for solving scalability problems through traffic aggregation. However, it can't guarantee end-to-end QoS of individual flow. In this thesis, we propose a Self-Adaptive Control Scheme for Differentiated-Service networks that can improve the throughput of individual flows dynamically. In this scheme, egress routers monitor the average throughput of individual flow, and send the Self-Adaptive Control Messages to ingress routers if need. The ingress router re-allocate network resources to improve throughput of high-priority flows depending on the Control Messages. We use NS-2 simulator to prove that our scheme that can improve throughput of high-priority flows dynamically, and suggest that a better time interval of Self-Adaptive control can be determined based on the queue sizes, packets arrival rate and departure rate. Finally, we use Random Early Detection (RED) queue instead of Drop-Tail queue to reduce unfairness of individual flows when there are congestion and insufficient network resources.

Didėjant konkurencijai ir sprendžiant viešbučių teikiamų paslaugų kokybės gerinimo klausimus ypač daug dėmesio reikia skirti klientų aptarnavimo kultūrai. Viešbutis, turintis susiformavusias tradicijas ir pažiūras į klientą, vertybių skalę ir elgesio normas, neabejotinai yra teikiamų paslaugų kokybės lyderis. Šio darbo tikslas - numatyti klientų aptarnavimo kultūros gerinimo ypatumus Šiaulių miesto viešbučiuose. Buvo nagrinėjama aptarnavimo kultūros esmė ir jos ryšys su organizacijos kultūra, apžvelgtas klientų aptarnavimo kultūros valdymas, jos ugdymas, tai pat išnagrinėti viešbučių klientų aptarnavimo kultūros ypatumai, jos užtikrinimas ir gerinimo ypatumai. Tyrimo metu paaiškėjo, kad klientų aptarnavimo kultūra Šialių miesto viešbučiuose pastaruoju metu yra gera ir išlieka tokia pati - nei gerėja, nei blogėja. Darbuotojai supranta ir yra orientuoti į puikią viešbučių klientų aptarnavimo kultūrą, gerai žino klientų norus ir vyksta tarpusavio bendradarbiavimas, siekiant tuos norus patenkinti, o kas svarbiausia - yra užtikrinama gera klientų aptranavimo kultūra. Atlikus tyrimą parašytas straipsnis „Klientų aptarnavimo kultūra Šiaulių miesto viešbučiuose“, kuris pristatytas 8-ojoje Studentų mokslinių darbų konferencijoje „Ekonomikos ir vadybos aktualijos“ ir buvo užimta 3-čia vieta. / It’s necessary to pay attention to a clients service culture, when it’s deciding better quality of hotel services. Hotel, that has shaped traditions and notions to a client, scale of values either bahaviour rules, is a leader of services quality, with no doubt. Purpose of this work – to foresee points that makes clients service culture better in Šiauliai city hotels. It was - criticized essence of service culture also it’s link with organizational culture, surved possess of clients service culture, it’s practising, likewise it was criticized points of hotels clients service culture, also it’s ensure and points how to do it better. According to research, it came out, that clients service culture in Šiauliai city hotels are same – neither becoming better nor worser. Workers understand, that they are orientated to an excellent clients service culture, they know clients wishes, there is co–operation trying to satisfy these wishes and what’s the most important – in such a way is ensuring good clients service culture. After the research was done, it was written article “ Clients service culture in Šiauliai city hotels”, that was presented and took III rd place, in 8 th students academic works conference “Actualities of economics and management “.

The aim of the research is to examin the specialists from the Early Rehabilitation services (ERS) and the patients parents‘ attitude towards services for children quality, and introduce recommendations how to improve parents‘ and specialists‘ cooperation while accomplishing the services for children. Methodology. The anonymous questioning was made with 100 parents whose children were visiting specialists of Early Rehabilitation in 3 public medical institutions in Kaunas. The questionnaire used in the research was composed on the base of SERVQUAL methodology. One part of the questionnaire gave possibility to find parents‘ expectations towards servises for children quality, the next part satisfaction in services they get. The evaluation was made in differences which are in parents‘ expectations and satisfaction in the quality of servises they get in the aspect of dimensions (evidence, response, security, empathy). Linkert scale was used for answers. The statistical package SPSS version 13.0 for Windows was used to conduct data analysis. Results. In parent‘s opinion, services quality expectations got less point (mean score 2,80±0,44) than their satisfaction of the service provided (mean score 2,80±0,44) Therefore, the satisfaction of the service provided by ERS was beyond expectations. The largest quality gap was observed in the response, the smallest – in the dimensions of evidence. The parents‘ expectations were: to consult specialists of ERS at the desirable time... [to full text]

Kiekviena įstaiga, siekdama tenkinti kuo aukštesnės kokybės paslaugas, privalo nuolat tirti savo klientų poreikius bei remiantis tyrimo metu gautais duomenis, tobulinti savo teikiamas paslaugas. Tai privalo daryti ne tik privatusis sektorius, tai aktualu ir viešojo sektoriaus įstaigoms. Viena iš viešojo sektoriaus sričių – kultūros įstaigos. Šiauliuose veikia daugybė kultūros įstaigų, tačiau iki šiol nėra tirta šių įstaigų teikiamų paslaugų kokybė. Todėl ši tema tampa aktuali. Šiuo darbu siekiama įvertinti trijų Šiaulių miesto kultūros įstaigų teikiamų paslaugų kokybę (Šiaulių dailės galerijos, Šiaulių miesto kultūros centro „Laiptų galerija“ ir Šiaulių koncertinės įstaigos „Saulė“) akademinio jaunimo požiūrių. Akademinis jaunimas pasirinktas kaip vienas aktyviausių kultūros vartotojų. Darbą sudaro esminės dvi dalys: teorinė ir empirinė. Teorinėje dalyje apibendrinama mokslinėje literatūroje randami paslaugų apibūdinimai, aptariamos savybės, skiriančios paslaugą nuo materialios prekės, pateikiami paslaugų kokybės vertinimo metodai. Taip pat mokslinės literatūros analize siekiama išsiaiškinti viešojo sektoriaus teikiamų paslaugų išskirtinumą bei viešųjų paslaugų kokybės vertinimo ypatumus. Kadangi tiriama kultūros įstaigų teikiamų paslaugų kokybė, teorinėje dalyje bandoma išryškinti kultūrinių įstaigų veiklos specifiką. Empirinėje (praktinėje) darbo dalyje pateikiami apibendrinti tyrimo metu gauti duomenis. Tyrimo metu siekta ne tik įvertinti Šiaulių miesto kultūros... [toliau žr. visą tekstą] / In order to provide the service of a better quality every enterprise must regularly investigate the needs of customers and improve the service according to the data of investigation. This must be done by the private sector enterprises as will as the public sector. Cultural enterprises are those of public sektor spheres. There are numerous cultural enterprises in Siauliai still the quality of services in those enterprises is not investigation. Therefore this theme is of present interest. This work investigates the service quality of thru cultural enterprises (Siauliai art Galerry, The Culture Centre "Staircase Galerry" and Siauliai concert enterprise "Saule") from point of view of youth. The work consists of two main parts: Theoretical and empiric. The theoretical part deals with the generalization of the charakterization of the services found in the scientific literature, the qualities distinguishing the service from any materal good, the methods of service quality are present. By the analysis of is aimed to ascertain the exclusiveness of the services of the public sector as will as the peculiarities of the evaluation of public services means of the analysis of Scientific Literature. The empiric (practical) part of the work presents the data of the investigation. The investigation deals not only the evaluation of the quality of Siauliai cultural enterprises, the needs of Siauliai academic youth are also lysed. The investigation showed that only a small number of the... [to full text]

Darbo objektas. Vartotojų pasitenkinimas slidinėjimo paslaugomis. Darbo tikslas. Įvertinti vartotojų pasitenkinimą Lietuvos slidinėjimo centrų teikiamomis paslaugomis. Darbo uždaviniai: 1. Atskleisti vartotojų pasitenkinimo sampratą. 2. Aptarti vartotojų pasitenkinimo indekso modelius, bei veiksnius lemiančius pasitenkinimą ir pasekmes organizacijai. 3. Apžvelgti ankstesnius tyrimus apie vartotojų pasitenkinimą slidinėjimo paslaugomis. 4. Įvertinti ir palyginti vartotojų pasitenkinimą slidinėjimo centro „Snow arena“ ir bendrą vartotojų pasitenkinimą kitų Lietuvos slidinėjimo centrų teikiamomis paslaugomis. Darbo rezultatai ir išvados. Vartotojų pasitenkinimas yra pasitenkinimo arba nusivylimo išraiška produkto ar paslaugos atžvilgiu, lyginant gautą ir tikėtasi rezultatą. Vartotojų pasitenkinimas yra svarbus rodiklis tolimesnei organizacijos sėkmei. Todėl sukurtas platus vartotojų pasitenkinimo indeksų modelių skaičius visame pasaulyje rodo sistemingai atliekamus vartotojų pasitenkinimo tyrimus įvairiuose sektoriuose. Rekreacijos sektoriuje atliekami vartotojų pasitenkinimo tyrimai, neaplenkė ir vienos sparčiausiai populiarėjančių rekreacijos formų, tokių kaip žiemos pramogos ir slidinėjimas. Šiame darbe tyrimas atliktas slidinėjimo centro „Snow arena“ ir bendrai visų kitų Lietuvos slidinėjimo centrų atžvilgiu, tam, kad įvertinti vartotojų pasitenkinimą slidinėjimo paslaugomis. Tyrimų rezultatų analizė atskleidė, kad vartotojų pasitenkinimas slidinėjimo centro „Snow arena“... [toliau žr. visą tekstą] / Customer satisfaction is satisfaction or disappointment meaning of product or service, comparing received and expected result. Customer satisfaction is important indicator for further organization success. So there are invented wide number of customer satisfaction index models all around the world that shows systemically performing customer satisfaction research in various sectors. Customer satisfaction research performing in Recreation sector didn't outrun one of the most popular growing recreation form, like winter entertainment and skiing. In this project, research was performed in skiing center ,,Snow Arena" and common all other Lithuanian skiing centers, to rate customer satisfaction on skiing services. Analysis of research results showed that customer satisfaction on skiing center ,,Snow Arena" is huge, meanwhile other common Lithuanian skiing centers customer satisfaction on skiing services is low. ,,Snow Arena" high image rating makes influence for quality perception, which is rated respectively good, making sensibility smaller for perceived value, minimizes and dissatisfaction level. As a result ,,Snow Arena" customer are more loyal, so there are less complaints received than in other Lithuanian skiing centers.

Darbo tikslas – įvertinti gimdyvių požiūrį į akušerių, dirbančių akušerijos ginekologijos klinikoje, teikiamų paslaugų kokybę. Darbo uždaviniai – įvertinti gimdyvių požiūrį į akušerių bendravimą, pateikiamos informacijos savybes, atliekamus veiksmus atskiruose akušerijos skyriuose. Tyrimo metodika. Tyrimo objektas – gimdyvių požiūris į akušerių, dirbančių akušerijos ginekologijos klinikoje, teikiamų paslaugų kokybę. Gimdyvėms pateiktos 355 anoniminės anketos (atsakas – 96,06 proc.) parą prieš joms išvykstant arba išvykimo dieną iš akušerijos skyriaus. Statistinė duomenų analizė atlikta, panaudojant „SPSS 17.0“ kompiuterinę programą. Rezultatai. Gimdyvės akušerių bendravimo komponentus nėščiųjų ir gimdyvių priėmimo skyriuje įvertinimo nuo 4,07 iki 4,2 balo, gimdykloje – nuo 4,41 iki 4,4 balo, akušerijos skyriuje pogimdyminiu laikotarpiu – nuo 4,37 iki 4,43 balo iš 5 galimų. Akušerių teikiamos informacijos savybės nėščiųjų ir gimdyvių priėmimo skyriuje įvertintos nuo 4,22 iki 4,31 balo, gimdykloje – nuo 4,46 iki 4,52 balo, akušerijos skyriuje pogimdyminiu laikotarpiu – nuo 4,22 iki 4,31 balo iš 5 galimų. Akušerių atliekamų procedūrų eigos organizavimą bei gebėjimą reaguoti į netikėtai iškilusias problemas gimdyvės nėščiųjų ir gimdyvių priėmimo skyriuje atitinkamai įvertino 4,41 ir 4,18 balo, gimdykloje – 4,46 ir 4,48 balo, akušerijos skyriuje pogimdyminiu laikotarpiu – 4,49 ir 4,51 balo iš 5 galimų. Gimdyvės, turėjusios žemesnį nei aukštesnįjį išsilavinimą ar užtrukusios... [toliau žr. visą tekstą] / Aim of the study – the evaluation of mothers attitude towards the quality of services provided by midwives of the Department of Obstetrics and Gynecology. Objectives – to evaluate the mothers attitude towards the quality of midwives' communication, information provided and actions performed in separate units of obstetrical care. Methods. The object of the study – analysis of the questionnaire considering mothers' attitude towards the quality of services provided by midwives. Anonymous questionnaires were provided to the mothers on the day before or on the day of departure (n=355; response rate – 96.06%). Statistical analysis of the data was performed by SPSS 17.0 software package. Results. The evaluation of midwifery’s communication was scored from 4.07 to 4.2 in obstetrical admission unit, from 4.41 to 4.4 in delivery room and from 4.37 to 4.43 in postnatal wards out of maximum scores of 5, respectively. The information features were scored from 4.22 to 4.31 in the obstetrical admission unit, from 4.46 to 4.52 in delivery room and from 4.22 to 4.31 in postnatal wards, respectively. The organization of the midwifery’s actions and reactions to unexpected problems were evaluated by 4.41 and 4.18 scores in obstetrical admission unit, 4.46 and 4.48 in delivery room, 4.49 and 4.51 scores in postnatal wards, respectively. The evaluation of midwifery’s services by lower scores was performed by women with lower level of education and those who spent longer time in obstetrical... [to full text]

Esta dissertação apresenta um estudo que analisa o grau de satisfação de clientes, pacientes e acompanhantes, acerca da assistência nutricional hospitalar da ISCMPA, que utiliza o índice de satisfação de clientes como indicador de desempenho, demostrando a preocupação em elevar a qualidade do serviço a níveis de excelência. Foi aplicado um questionário, realizando entrevista pessoal com 215 clientes, resultando num estudo descritivo, de corte transversal, de perfil qualitativo e quantitativo. A análise de resultados foi apresentada em três blocos: características dos envolvidos na investigação, nível de satisfação e grau de importância por constructos. Aspectos como percepção dos clientes da imagem da Instituição, posição frente à comunidade, fatores que os levariam a trocar de Hospital e os sentimentos expressos pelos respondentes na ocasião da pesquisa, também foram abordados. O índice de 95 % de satisfação dos clientes, meta da Instituição, foi atingido em quatro dos seis contructos avaliados: Comportamento e Atuação de Funcionários, Comunicação com a Equipe por Telefone, Contato Inicial com a Equipe de Nutrição e Higiene de Material da Copa. Os constructos que não alcançaram a meta foram Refeições e Adequação de Material. O conhecimento do grau de satisfação dos clientes permitiu estabelecer um plano de intervenção, definindo ações corretivas e de melhorias para constructos que não alcançaram a meta e para pontos críticos identificados. / This dissertation presents a study analyzing the degree of satisfaction of customers, patients and people accompanying them to the hospital, with the nutritional care given by the hospital, ISCMPA, using the customer satisfaction index as an indicator of performance, concerning itself with raising the quality of service to levels of excellence. A questionnaire was applied, performing a personal interview with 215 customers, leading to a descriptive, cross-sectional study, with a qualitative and quantitative profile. The analysis of results was presented in three blocks: characteristics of those involved in the investigation, level of satisfaction and degree of importance by constructs. Other aspects discussed in the study were customer’s perception of the image of the institution and position within the community, factors that would lead them to change hospitals and feelings expressed by the respondents at the time of the research. The 95% customer satisfaction index, which is the Institution’s goal, was achieved in four of the six constructs assessed: Employee Behavior and Performance, Telephone Communication with the Team, Initial Contact with the Nutrition Team and Hygiene of Pantry Materials. The constructs that did not achieve the goal were Meals and Adequacy of Material. Corrective actions and improvements are suggested for constructs that did not meet the goal and for critical points identified.

O presente trabalho tem como objetivo principal o desenvolvimento de estruturas que contribuam para avaliação do alinhamento entre percepções de qualidade e planejamento de investimentos que impactem na melhoria da qualidade dos serviços aeroportuários prestados aos passageiros. Para tanto, o trabalho se propõe: (i) realizar o levantamento na literatura dos atributos de qualidade que afetam aos passageiros nos terminais; (ii) criar uma estrutura para avaliação de qualidade em serviços aeroportuários; (iii) hierarquizar atributos de qualidade; (iv) avaliar a qualidade percebida de atributos de qualidade; (v) analisar de gaps de importância atribuída e qualidade percebida, nas percepções de passageiros e gestores; (vi) verificar as relações entre investimentos e atributos de qualidade; e (vii) avaliar o impacto dos investimentos na qualidade percebida por passageiros. Entre as principais contribuições desta dissertação, está a proposição de três estruturas: (i) estrutura para avaliação da qualidade em serviços aeroportuários; (ii) estrutura para análise de gaps de qualidade em serviços aeroportuários; e (iii) uma estrutura para avaliação do impacto dos investimentos na qualidade percebida por passageiros. Utilizando o método proposto, os gestores dos aeroportos podem realizar diagnósticos, verificar oportunidades de melhoria e priorizar a alocação de recursos em planos de investimentos futuros. Além disso, as estruturas propostas nos capítulos deste trabalho podem auxiliar os profissionais aeroportuários a direcionar esforços e políticas estratégicas para atributos importantes e com baixa qualidade percebida pelos passageiros. As características diferenciadoras e específicas dos serviços aeroportuários são consideradas nas pesquisas desenvolvidas, uma vez que foram validadas por especialistas do setor. / This study's main objective is to develop frameworks for contribute to assess the alignment between quality perceptions and investment planning, that impact on improving airport services quality, provided to passengers. Thus, this study proposes: (i) a literature survey of quality attributes that affect passengers in the terminals; (ii) to create a framework for quality assessment in airport services; (iii) prioritize quality attributes; (iv) evaluate quality perceived of quality attributes; (v) analyze gaps of prioritization and perceived quality, on the perceptions of passengers and managers; (vi) verify the relationship between investments and quality attributes; and (vii) evaluate the impact of investments in the quality perceived by passengers. Among the main contributions of this study is the proposition of three frameworks: (i) framework for the evaluation of quality attributes in airport services; (ii) quality gaps framework in airport services; and (iii) framework for evaluate the impact of investments in the quality perceived by passengers. Using the proposed method, airport managers can perform diagnostics, check opportunities for improvement and prioritize the allocation of future investment plans resources. In addition, the proposed frameworks in the chapters of this work can contribute to a structured model for analyse the alignment between perceived quality assessment and planning of airport investiments. This model can help airport managers to direct efforts and strategic policies for important attributes and low quality perceived by passengers. The distinguishing and specific characteristics of the airport services are considered in the research developed, since had been validated by sector experts.

Esta dissertação apresenta um estudo que analisa o grau de satisfação de clientes, pacientes e acompanhantes, acerca da assistência nutricional hospitalar da ISCMPA, que utiliza o índice de satisfação de clientes como indicador de desempenho, demostrando a preocupação em elevar a qualidade do serviço a níveis de excelência. Foi aplicado um questionário, realizando entrevista pessoal com 215 clientes, resultando num estudo descritivo, de corte transversal, de perfil qualitativo e quantitativo. A análise de resultados foi apresentada em três blocos: características dos envolvidos na investigação, nível de satisfação e grau de importância por constructos. Aspectos como percepção dos clientes da imagem da Instituição, posição frente à comunidade, fatores que os levariam a trocar de Hospital e os sentimentos expressos pelos respondentes na ocasião da pesquisa, também foram abordados. O índice de 95 % de satisfação dos clientes, meta da Instituição, foi atingido em quatro dos seis contructos avaliados: Comportamento e Atuação de Funcionários, Comunicação com a Equipe por Telefone, Contato Inicial com a Equipe de Nutrição e Higiene de Material da Copa. Os constructos que não alcançaram a meta foram Refeições e Adequação de Material. O conhecimento do grau de satisfação dos clientes permitiu estabelecer um plano de intervenção, definindo ações corretivas e de melhorias para constructos que não alcançaram a meta e para pontos críticos identificados. / This dissertation presents a study analyzing the degree of satisfaction of customers, patients and people accompanying them to the hospital, with the nutritional care given by the hospital, ISCMPA, using the customer satisfaction index as an indicator of performance, concerning itself with raising the quality of service to levels of excellence. A questionnaire was applied, performing a personal interview with 215 customers, leading to a descriptive, cross-sectional study, with a qualitative and quantitative profile. The analysis of results was presented in three blocks: characteristics of those involved in the investigation, level of satisfaction and degree of importance by constructs. Other aspects discussed in the study were customer’s perception of the image of the institution and position within the community, factors that would lead them to change hospitals and feelings expressed by the respondents at the time of the research. The 95% customer satisfaction index, which is the Institution’s goal, was achieved in four of the six constructs assessed: Employee Behavior and Performance, Telephone Communication with the Team, Initial Contact with the Nutrition Team and Hygiene of Pantry Materials. The constructs that did not achieve the goal were Meals and Adequacy of Material. Corrective actions and improvements are suggested for constructs that did not meet the goal and for critical points identified.