Konstantinos Dinas, Eleftherios Vavoulidis, Georgios Chrysostomos Pratilas, Alexandros Basonidis, Anastasios Liberis, Leonidas Zepiridis, Alexandros Sotiriadis, Dimitra Papaevangeliou, Aliki Stathopoulou, Eirini Leimoni, Konstantinos Pantazis, Konstantinos Tziomalos, Vassilis Aletras and George Tsiotras
Today, quality management systems (QMS) are a promising candidate for the improvement of healthcare services. The purpose of this paper is to investigate the opinions/attitudes of…
Abstract
Purpose
Today, quality management systems (QMS) are a promising candidate for the improvement of healthcare services. The purpose of this paper is to investigate the opinions/attitudes of gynecology healthcare professionals toward quality and quality management in healthcare facilities (HFs) in Greece.
Design/methodology/approach
An anonymous self-administered questionnaire was distributed to healthcare professionals, asking for opinions on quality objectives associated with the everyday workflow in HFs (e.g. management of patients, resources, etc.) and on QMS. The study was conducted in Hippokration Hospital of Thessaloniki, including 187 participants. Statistical assessment and analysis of the questionnaires were carried out.
Findings
Although 87.5 percent recognized the importance of potential QMS implementation and accreditation, over 50 percent believed that it would lead rather to increased workload and bureaucracy than to any considerable quality improvement. More than 60 percent were completely unaware of the implementation of quality objectives such as quality handbook, quality policy, audit meetings and accreditation status in their HFs. This unawareness was also reported in terms of patient, data, human and general resources management. Finally, awareness over medical malpractice and positive attitude toward official reporting were detected.
Originality/value
Most respondents acknowledged the significance of quality, QMS implementation and accreditation in Greek hospitals. However, there was a critical gap in knowledge about quality management objectives/processes that could be possibly resolved by expert teams and well-organized educational programs aiming to educate personnel regarding the various quality objectives in Greek HFs.
Details
Keywords
Konstantinos Dinas, Eleftherios Vavoulidis, Georgios Chrysostomos Pratilas, Kimon Chatzistamatiou, Alexandros Basonidis, Alexandros Sotiriadis, Leonidas Zepiridis, Konstantinos Pantazis, Konstantinos Tziomalos, Vassilis Aletras and George Tsiotras
The purpose of this paper is to investigate the attitudes of healthcare professionals in Greece toward safety practices in gynecological Operation Rooms (ORs).
Abstract
Purpose
The purpose of this paper is to investigate the attitudes of healthcare professionals in Greece toward safety practices in gynecological Operation Rooms (ORs).
Design/methodology/approach
An anonymous self-administered questionnaire was distributed to surgical personnel asking for opinions on safety practices during vaginal deliveries (VDs) and gynecological operations (e.g. sponge/suture counting, counting documentation, etc.). The study took place in Hippokration Hospital of Thessaloniki including 227 participants. The team assessed and statistically analyzed the questionnaires.
Findings
Attitude toward surgical counts and counting documentation, awareness of existence and/or implementation in their workplace of other surgical safety objectives (e.g. WHO safety control list) was assessed. In total, 85.2 percent considered that surgical counting after VDs is essential and 84.9 percent admitted doing so, while far less reported counting documentation as a common practice in their workplace and admitted doing so themselves (50.5/63.3 percent). Furthermore, while 86.5 percent considered a documented protocol as necessary, only 53.9 percent admitted its implementation in their workplace. Remarkably, 53.1 percent were unaware of the WHO safety control list for gynecological surgeries.
Originality/value
Most Greek healthcare professionals are well aware of the significance of surgical counting and counting documentation in gynecology ORs. However, specific tasks and assignments are unclear to them. Greek healthcare professionals consider surgical safety measures as important but there is a critical gap in knowledge when it comes to responsibilities and standardized processes during implementation. More effective implementation and increased personnel awareness of the surgical safety protocols and international guidelines are necessary for enhanced quality of surgical safety in Greece.
Details
Keywords
Androniki Kavoura and Aikaterini Stavrianeas
The purpose of this paper is to examine visitors’ perceptions and relevant importance of social media when choosing a Mediterranean destination and also to explore the extent in…
Abstract
Purpose
The purpose of this paper is to examine visitors’ perceptions and relevant importance of social media when choosing a Mediterranean destination and also to explore the extent in which they believe it is important for them to belong to an online community with shared characteristics among its members.
Design/methodology/approach
A stratified, based on nationality and gender, sample of 301 respondents of foreign arrivals of visitors in the Athens airport, Greece was collected in June and July 2014 based on the official Athens Airport Authorities Arrival Research. This is a partially exploratory research.
Findings
Differences between age groups as far as the importance attributed to social media as sources of information about a tourism destination were found. The respondents, when using the internet for gathering information about a tourism Mediterranean destination, consider different online channels. Facebook is among the most important sources of information for them associated with the tourism destinations. Official web sites/blogs of the destination are the first source and photo sharing sites are the second most preferred source; sharing aesthetics of photos was found to contribute to the feeling of belonging to an on line travel community.
Research limitations/implications
Further research will contribute to the development of greater understanding of the strategic approaches to social media and their use to promote a destination. Greek diaspora would be interesting to examine and geographical differences among groups.
Practical implications
The paper denotes the importance for destination management organizations and companies, to fully employ the social media in their marketing efforts.
Originality/value
The present study increases our understanding of the adoption of online and traditional communications in the visitor’s process for Athens, Greece, shedding light to the literature existing on the significance attributed to the online travel community belonging from visitors through sharing aesthetics of photos and associations of ideas based on age differences.
Details
Keywords
Soultana Tania Kapiki, Jing Fu and Lei Mou
The purpose of this paper is to take a holistic view of the body of knowledge of the second wave of Chinese outbound tourists so as to develop a strategic framework towards…
Abstract
Purpose
The purpose of this paper is to take a holistic view of the body of knowledge of the second wave of Chinese outbound tourists so as to develop a strategic framework towards positioning Greece in the China outbound tourism market.
Design/methodology/approach
The survey adopted a perspective from knowledge management, investigating a deeper understanding of the knowledge about, from and for the Chinese tourists, and Greece was taken as a case study. An online survey with quantitative aspects was conducted from October 2013 to January 2014.
Findings
The knowledge about the Chinese tourists depicts a young, well-educated segment with a predominance of female and western China residents. The knowledge from the Chinese tourists reveals that they prefer: visiting islands and heritage sites; safety while travelling; a faster visa process; a direct flight between China and Greece; and making a trip combined with other Schengen countries. The knowledge for the Chinese tourists indicates that purchasing tourism products/services online provides better price, is enjoyable, convenient and time-saving; and the top five digital platforms often used are Ctrip, Qunar, QQ, Weibo and WeChat, which could be effective tools for the promotion of Greek tourism in China.
Originality/value
This research offers a first step to investigate the knowledge of Chinese tourists for the destination of Greece. The findings help to propose a strategic knowledge framework for the Greek tourism authorities so that Greece can become a more active player in the Chinese outbound tourism market.
Details
Keywords
Michela C. Mason and Andrea Moretti
The purpose of this paper is to provide a better understanding of golf tourism in a Mediterranean golf resort located in Italy. Based on a systematic literature review, this…
Abstract
Purpose
The purpose of this paper is to provide a better understanding of golf tourism in a Mediterranean golf resort located in Italy. Based on a systematic literature review, this research develops and tests a context-specific “integrated model” in order to shed further light on the complex discordance in the literature with new empirical data. Furthermore, the present study attempts to establish a framework to provide a better understanding of golf tourism behavior in terms of specific segmentation profiles. This will contribute to a more targeted approach to marketing and promotional activities.
Design/methodology/approach
This study applied structural equation modeling to verify the path relationship of golf tourists quality, perceived value, satisfaction and behavioral intention. The final step was to include the suggested moderator variables (age and playing experience) into the model in order to gain further insights. Furthermore, multiple group analyses were calculated in comparing two sub-samples.
Findings
This study provides an improved understanding of the role of quality, perceived value, satisfaction on behavioral intentions in golf tourism. Four out of the six hypotheses of the study were confirmed. Precisely, perceived value did not have a direct significant effect on behavioral intentions and quality was not significantly related to overall satisfaction. The empirical results suggest that all three variables appear to have a direct effect on golf tourists’ behavioral intention. Satisfaction was determined to be the best predictor, followed by quality and perceived value. Furthermore, the moderating variables exert a significant influence on some of the proposed relationships.
Research limitations/implications
First, the current model explores the impact of only two moderator variables of golf tourists such as age and years of playing experience. Second, the study is limited to a Mediterranean destination; the analysis and measurements should thus be replicated in different contexts to test their adaptability to different golf tourism destinations. Another important limitation is the cross-sectional nature of the data.
Practical implications
This research provides important insights the ability to generalize this chain of effects across golf tourists under significantly different conditions. Furthermore, it has important implications for managers of companies that have plans to implement adequate market segmentation strategies in order to expand their business. Based on the finding it is crucial for managers in the golf industry to focus on perceived value for young tourists golfers and on quality for experienced golfers. Managers should customize relationship management programs and develop promotional and pricing strategies for younger golf tourists and exclusive quality services for more experienced golfers.
Social implications
As urban lifestyle life becomes more prevalent in modern society, golf tourism relaxes and gives back a sense of calm and peace of mind to the players. Escape from everyday demands and duties is another classic travel motive; many want to get away from the stress and boredom of their daily lives and fill their holidays with a range of exciting and new physically challenging experiences. Therefore, it can be seen that the term of environment conservation improve the sustainability of golf sport tourism in a Mediterranean destination.
Originality/value
The inclusion of moderating variables in the proposed model is one of the unique aspects of this research. Dealing with the different groups of golf tourists, the authors put the emphasize on the importance of using two types of appropriate tools: on the one hand, grouping tools which are appropriate to the tourism consumption (demographic variables), and on the other hand, grouping tools which are appropriate to the study of the sports market (years of a plying experience). Combining these two types of criteria will lead marketers to more accurate analysis of golf tourists’ behavior.
Details
Keywords
Irene Tilikidou and Antonia Delistavrou
The purpose of this paper is to examine simultaneously all types of ethical tourism and investigate some of the factors able to affect it; and to explore the number and the size…
Abstract
Purpose
The purpose of this paper is to examine simultaneously all types of ethical tourism and investigate some of the factors able to affect it; and to explore the number and the size of green hotels’ customers segments.
Design/methodology/approach
A survey in the urban area Thessaloniki, Greece. Probability, large enough household sample. “Intentions to visit a green hotel”, “Boycotting” and “Discursive Activities” towards unethical hotels were investigated. External (EC)/Internal controls (IC) and past experience served as potential antecedents of behavioural intentions.
Findings
Intentions to visit a green hotel were found to correlate strongly both with other people’s impact (EC) and with respondents’ perceptions about their own means (IC); intentions are moderately influenced by previous experience. Clustering indicated that the “Willing” segment (26.6 per cent) gathered consumers, who obtained higher scores than their counterparts in the other two segments, namely “Hesitant” (40.4 per cent) and “Reluctant” (33 per cent).
Research limitations/implications
Incomplete demographical analysis, limited geographical area, social desirability. Future research might consider the employment of Theory of Planned Behaviour.
Practical implications
Communication strategy of green hotels should utilize important people’s suggestions. Targets should be persuaded that green hotels are neither more expensive nor more difficult to find. Travel searching engines should include the green key attribute. Need to create and promote the image of an ethical hotel being a concept beyond a green hotel.
Originality/value
All types of ethical tourism simultaneously examined. EC/IC provided significant evidence of impact on intentions. Cluster analysis of the ethical tourism market.
Details
Keywords
Zhibin Lin, Guangren He and Ilias P. Vlachos
The purpose of this paper is to examine Chinese tourists’ experience of Britain based on a conceptual model of tourist satisfaction and destination loyalty, and to identify key…
Abstract
Purpose
The purpose of this paper is to examine Chinese tourists’ experience of Britain based on a conceptual model of tourist satisfaction and destination loyalty, and to identify key issues that tourism organisations could address to provide an excellent experience for Chinese tourists.
Design/methodology/approach
Data were collected in collaboration with a tour operator; and 275 valid responses were received. Partial Least Square Structural Equation Modelling was used for data analysis.
Findings
The key destination attributes of Britain such as heritage sites, natural scenery and customer service provide an excellent experience for Chinese tourists. Other British destination attributes such as shopping facilities, food, accommodation, entertainment and night life are less impressive.
Research limitations/implications
The sample was drawn from Chinese tourists visiting Britain on package tours, which limits the generalisation of results to other Chinese tourists and other European/Mediterranean destinations.
Practical implications
There are two key challenges for British destination tourism managers: first, to maintain the current quality levels in the attributes that generate tourist satisfaction; and second, to concentrate on improving attributes with low performance ratings such as shopping, food and drink, accommodation, entertainment and night life. As the characteristics of Chinese tourists are culture-specific rather than destination-specific, tourism managers in other European destinations may find these recommendations useful too.
Originality/value
This is one of the first studies to examine Chinese tourists’ experience of a European destination. The results reveal unique characteristics of Chinese tourist requirements, which provide useful implications for tourism organisations to adapt their service strategies to better cater to this growing group of travellers.
Details
Keywords
Walesska Schlesinger, Amparo Cervera and Carmen Pérez-Cabañero
– The purpose of this paper is to examine quality of service experience as reported by tourists in seven northern and southern Mediterranean cities.
Abstract
Purpose
The purpose of this paper is to examine quality of service experience as reported by tourists in seven northern and southern Mediterranean cities.
Design/methodology/approach
A self-report study was used to gather data from 1,362 tourists. Once validity of Otto and Ritchie’s (1996) scale had been confirmed, ANOVA and the non-parametric Kruskal-Wallis test were used to analyse the data.
Findings
Tourists in all destinations highlighted the importance of the dimension peace of mind. Significant differences between tourists in the northern Mediterranean and those in the southern Mediterranean were observed in two quality of service experience dimensions: hedonics and involvement.
Research limitations/implications
Although the sample was large, this study’s scope was limited to seven Mediterranean tourist cities. Further research is therefore required to generalize findings to other Mediterranean tourist destinations.
Practical implications
Knowledge about quality of service experience dimensions may help tourism managers innovate and improve services. Tourists perceive northern Mediterranean destinations differently from destinations in the southern Mediterranean. Tourists report high tourist involvement in northern destinations, whereas in the south, tourists emphasize destinations’ hedonic features. These implications are also valuable for European policymakers.
Originality/value
The study compared quality of service experience in northern and southern Mediterranean tourist destinations. To do so, it analysed a sample of 1,362 tourists from seven Mediterranean cities. This research is the first to analyse quality of service experience in the Mediterranean.