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Outpatient departments (OPDs) need to monitor the quality of care and patient satisfaction for continuous quality improvement. Additionally, there is a need for an increase in focused literature on patient satisfaction and quality of health care at a tertiary care level. The purpose of this paper is to attempt to fulfil this need.

A cross‐sectional hospital‐based study among OPD patients was undertaken, where investigators conducted interviews with 120 patients at entry (registration), 120 patients at the OPD clinic (60 doctor‐patient interactions and 60 exit interviews), and a further 120 patients at investigation facilities. Patient satisfaction, client convenience facilities, prescription quality, doctor‐patient interaction and other quality elements as described in the study were given score of 0 or 1.

At exit, 52 (86.6 percent) patients were satisfied with the OPD care. The mean total quality score was 80.9 percent of the total scores. It was above 90 percent of the total score for patient convenience facilities and for doctor‐patient interaction, 76 percent for the prescription quality of the doctors and 43.3 percent for signage display. The mean score for patient‐doctor interaction was found to be significantly lower (3.6/5) among dissatisfied patients compared to the satisfied patients (4.7/5). Satisfied patients reported a significantly higher consultation time (12.4 minutes) with a doctor compared to dissatisfied patients (8.5 minutes) (p=0.04).

Not using a Likert scale to measure patient satisfaction could be considered a limitation. However, the authors also arrived at similar conclusions with their tools as with the use of Likert scales in other studies. Furthermore, findings are limited to medicine and surgery general OPDs in a tertiary care setting. Any interpretation beyond this frame may be done with caution.

Hospitals should encourage good patient‐doctor interaction as it has emerged as the key factor associated with patient satisfaction.

Quality improvements in public sector health institutes can lead to better utilization of health care by the poor and compromised sections of society and can lead to a reduction in the inequity associated with health care.

This paper fulfils the need to evaluate quality of hospital care in public sector hospitals at the tertiary care level. The methods and tools used are simple and extensive enough to capture information at multiple service points.

The manufacturing industry is presently experiencing technological disruption on a global scale. Consequently, to tackle such disruption, firms are identifying a volatile, uncertain, complex and ambiguous (VUCA) scenario and seeking ways to counter it. Accordingly, this paper aims to investigate the employee performance through assessing organizational citizenship behaviour (OCB) among the shop floor employees of the fast-moving consumer goods (FMCG) industry where a high-performance work system (HPWS) has been implemented.

A descriptive research design was used in the study, and 395 shop floor employees working in leading multinational firms, with a minimum global turnover of US$1bn, were interviewed. These manufacturing firms were located in three industrial clusters in the northern part of India.

The results indicate that HPWS influences OCB. Most of the dimensions of HPWS and OCB were found to be positively associated. The findings also disprove the labour process theory in the context of the study.

The findings report a broad view of the relationship between HPWS and OCB in the Indian manufacturing context. The study offers the practical insights that HPWS is a universally accepted framework and that organizations should focus on the effective implementation of HPWS in a VUCA scenario, which is in line with past studies. The study also provides future directions for research.

This paper has established the relationship between HPWS and OCB in the manufacturing sector, especially for shop floor employees.

The purpose of this study is to develop and test a model on antecedents and consequences of employee engagement in the context of information technology (IT) employees.

In this descriptive research, the data were collected from 432 employees working in IT companies operating in India. The authors performed structural equation modeling to test the proposed relationships.

The results of this study indicate a positive effect of perceived procedural justice, perceived distributive justice and perceived organizational support on employee engagement. Further, the results of this study show a positive effect of employee engagement on employees’ organizational commitment (OC) and a negative effect on employees’ turnover intentions.

As this study uses self-reported and cross-sectional research design to collect the data, therefore, it limits the generalizations of the results.

The findings of this study can be beneficial for the senior managers and human resources functionaries by examining the antecedents and consequences of employee engagement.

To the best of the authors’ knowledge, this study is one of the few studies that have examined the mediating role of employee engagement on the relationship among organizational justice, organizational support, OC and employee turnover intentions.

The relationship between medicine and video games is growing tremendously. In the field of medicine, realistic simulation and games have risen in popularity, and in turn, gamification has transformed the game elements into a non-gaming world for human engagement like motivation and performance. It is not surprising that game-based learning has branched out in the realm of the medical world. The person’s psychological state determines the effectiveness of education during training. This study aims to examine how the usage of immersive technology impacts users’ tendency to access immersive resources for learning during an emergency like the COVID-19 pandemic. Augmented reality (AR) apps have grown to be a popular tool in education nowadays. The purpose of using AR applications is to impart knowledge during the COVID-19 pandemic. An investigation was conducted to test the effectiveness of immersive technology in learning by developing a game-based experimental model and testing it on 100 non-randomly selected users of various ages. This study shows that users are open to new teaching approaches, including AR applications, in response to the challenges presented by the pandemic. AR applications provide a potential solution to the difficulties associated with education by providing an immersive and interesting experience that enhances learning-based results. This demonstrates that while using AR apps, an individual’s viewpoints and sense of control over their learning are more essential in influencing their conduct. By integrating AR apps into learning systems, immersive education may enhance users’ engagement, motivation and overall learning experiences.

Convenience sampling was chosen as the method for data analysis. One hundred users from a leading private university in the northwest part of India participated in this study. This gave a minimum sample size of 79 participants. To analyse the user experience (UX), a UX questionnaire was adopted. In this research paper, the researcher explores the importance of immersive games that emphasise awareness and experience through a series of questionnaires to assess the effective awareness of COVID through immersive technology, because the immersive element plays a major role in the quality and success of awareness through COVID-19 fighter video games as an interactive learning platform.

Results showed that most people do not know how to deal with an infected person in a critical situation; either they feel scared or deal without taking precautions. COVID-19 fighters are empowered with a virtual patient, which players can interact with. Once the user finishes the FPS game, he must find out the source of viruses that will be an AR-based virtual patient. The first step of the instruction will ask the user to give the mask to the infected person; in the second step, it will ask the user to sanitise his body. In the third step, it will ask to hospitalise.

The research offers empirical evidence on the effectiveness of augmented reality-based game approaches to increase reality in basic education to boost the awareness of individuals. The report also gives an example of good cross-cutting education materials that provide the player with a very valuable tool for understanding knowledge of covid awareness by playing the COVID-19 fighter game.

This study aims to explore the influence of creative tourist experiences (CTE) on tourists’ recommendation intentions (RCI) toward creative tourist destinations. This study examines the roles of tourist engagement and satisfaction in this relationship, proposing a sequential mediation model based on the cognitive-affective-conative model.

The research surveyed travelers to Kinnaur, Himachal Pradesh, India, using a structured questionnaire. Through purposive sampling data were collected from 413 generation Z (Gen Z in short) tourists. The study used exploratory factor analysis, confirmatory factor analysis and sequential mediation analysis. The present research used Model 6 by Andrew Hayes in the SPSS process macro to test the serial mediation.

The findings emphasize the importance of active engagement in creative tourism and its potential to transform cultural heritage into enriching experiences, thereby influencing tourists’ recommendation behaviors. Results of sequential mediation analysis show that there is a significant and positive impact of CTE on tourist’s RCI. Further, results showed the sequential mediation effect of tourist engagement and satisfaction on the relationship between CTE and RCI.

The findings offer valuable insights for destination managers and policymakers in creative tourism. Enhancing tourist engagement and satisfaction through creative experiences can effectively increase RCI, contributing to the sustainable management of cultural resources and preventing the over-commercialization of cultural heritage.

This research contributes to the literature on creative tourism by empirically testing the sequential mediation model and highlighting the pivotal role of tourist engagement and satisfaction in transforming creative experiences into positive behavioral outcomes. This study provides a nuanced understanding of the factors influencing tourists’ RCI in creative tourism contexts.

This study investigates the caste-based disparities in employment probabilities and wage earnings within India’s rapidly growing IT industry, using insights from the labour market segmentation theory. Our theoretical conceptualization attempts to pin down the inaccessibility of marginalised sections of the population to the high productivity job market.

We rely on the National Sample Survey rounds of 2011–2012 and 2020–2021 to estimate employment probabilities and wage differentials using linear and logic regression models, controlling for educational attainments and other important determinants of individual’s job market outcomes.

The results indicate a significant −1.24 odds differential, even after considering education and other control variables. Notably, this disparity has increased since 2011–2012, with lower caste graduate pass-outs facing a mere 13% probability of IT sector employment compared to their upper caste counterparts at 41%. Further, our findings expose gender and rural-urban differentials, highlighting the vulnerability faced by females and individuals from rural areas. The wage analysis shows a 24% and a 22% earning gap for SCs and OBCs, respectively, which remain statistically significant even after controlling for educational attainments and employment arrangements.

This is first micro-level study that counters Indian IT sector’s claim of “castelessness” and “pro-merit”, identifying significant presence of labour market segmentation in the sector. The caste-based labour market segmentation has far-reaching consequences as it can perpetuate income inequalities and hurt industrial efficiency, stifling economic growth in the long-run. Concerted policy responses are imperative to eliminate structural barriers, ensuring equitable access to quality education and employment opportunities for marginalized sections of the society.

To cater to the senior tourist market, it is essential to comprehend the factors motivating and deterring them from international travel post-COVID-19. This study aims to focus on senior citizens’ destination choice intentions and aims to develop a model that prioritizes positive and negative factors leading to international travel destination choices. It uses push–pull factors, perceived travel risks (PTRs) and perceived travel constraints (PTCs).

Decision-making trial and evaluation laboratory (DEMATEL) and fuzzy technique for order of preference by similarity to ideal solution (Fuzzy TOPSIS) are two multi-criteria decision-making (MCDM) techniques used to identify connections between variables and determine their relative importance in the decision-making model.

DEMATEL found push and pull factors are “effects” while PTCs and PTRs are “causes” affecting senior citizens’ destination choices. Push factors and PTCs have a greater impact than pull factors and PTRs. Fuzzy TOPSIS highlighted “improving health and wellness” and “self-fulfillment and spirituality” as key push factors, “health safety and security quotient” as the most important pull factor, and “interpersonal constraints” as the most critical PTC. Finally, “health risks” is the top PTR.

This paper adds to the tourism literature by looking at the relationship between senior tourists’ motivation, PTRs and PTCs and showing how the subfactors affect their choice of destination rank. The data analysis techniques used in this study are also novel, having never been used before in senior tourism research. Finally, even though there is a lot of research on senior tourism, not much is known about how Indian senior tourists act. In light of this study’s findings, practical recommendations were offered to tourism stakeholders worldwide, interested in tapping into the market of Indian outbound senior tourists or repositioning product or destination offerings to take this promising market or similar markets into account.

为了成功迎合蓬勃发展的老年旅游市场, 了解激励和阻止老年人国际旅行的因素尤为重要, 尤其是在 COVID-19 之后。本研究侧重于老年人的目的地选择意向, 并基于推拉因素、感知旅行风险 (PTR) 和感知旅行限制 (PTC), 旨在开发影响老年人国际旅游目的地选择的积极和消极因素的模型。

决策试验和评估实验室 (DEMATEL), 和与理想解决方案相似度的模糊偏好顺序 (Fuzzy TOPSIS) 是两种多标准决策 (MCDM) 技术, 用于识别变量之间的联系并找出它们在决策模型中的相对重要性。

DEMATEL的结果表明, 推力和拉力因素是“影响”, 而感知旅行约束（PTC）和感知旅行风险（PTR）是影响老年人目的地选择意愿的因素中的“原因”。推动因素和 PTC 比拉动因素和 PTR 发挥更重要的作用。 Fuzzy TOPSIS分析结果表明, “改善健康”和“自我实现和精神”是推动因素下最重要的因素。此外, 目的地的“健康安全商数”是拉动因素中最重要的, “人际约束”是PTC中最重要的。最后, 研究结果表明, “健康风险”是 PTR 中最重要的。

本文通过评估旅游动机、PTR 和老年游客 PTC 之间的相互关系, 为现有的旅游文献做出了贡献。此外, 该研究展示了影响老年游客目的地选择意愿的因素中各个子因素的比较优先级。本研究中使用的数据分析技术也很新颖, 以前从未在老年人旅游研究中使用过。最后, 虽然对老年旅游有丰富的研究, 但印度老年旅游者的行为相对不为人知。研究结果向有兴趣进入印度出境老年游客市场或重新定位产品或目的地的全球旅游利益相关者提供了切实可行的建议, 以考虑这个有前景的市场或类似市场。

Para atender a un mercado turístico de la tercera edad, es esencial comprender los factores que les motivan y les disuaden de realizar viajes internacionales tras el COVID-19. Este estudio se centra en las intenciones de elección de destino de las personas mayores y pretende desarrollar un modelo que priorice los factores positivos y negativos que conducen a la elección de un destino de viaje internacional. Utiliza los factores push-pull, los riesgos de viaje percibidos (PTR) y las limitaciones de viaje percibidas (PTC).

Decision Making Trial and Evaluation Laboratory (DEMATEL) y Fuzzy Order of Preference by Similarity to Ideal Solution (Fuzzy TOPSIS) son dos técnicas de toma de decisiones multicriterio (MCDM) utilizadas para identificar las conexiones entre variables y determinar su importancia relativa en el modelo de toma de decisiones.

DEMATEL descubrió que los factores de empuje y atracción son “efectos,” mientras que las PTC y las PTR son “causas” que afectan a las elecciones de destino de las personas mayores. Los factores de empuje y los PTC tienen un mayor impacto que los factores de atracción y los PTR. El Fuzzy TOPSIS destacó la “mejora de la salud y el bienestar” y la “autorrealización y espiritualidad” como factores de empuje clave, el “cociente de seguridad y protección de la salud” como el factor de atracción más importante y las “limitaciones interpersonales” como el PTC más crítico. Por último, los “riesgos para la salud” son el principal PTR.

Este artículo se suma a la literatura turística al estudiar la relación entre la motivación de los turistas sénior, los PTR y los PTC y mostrar cómo afectan los subfactores a su elección del destino. Las técnicas de análisis de datos empleadas en este estudio también son novedosas, ya que nunca se habían utilizado en la investigación sobre el turismo senior. Por último, aunque existen muchas investigaciones sobre el turismo sénior, el comportamiento de los turistas de la tercera edad en la India es relativamente desconocido. A la luz de los resultados del estudio, se ofrecen recomendaciones prácticas a las partes interesadas en el turismo de todo el mundo, interesadas en aprovechar el mercado de los turistas senior indios emisores o en reposicionar la oferta de productos o destinos para tener en cuenta este prometedor mercado o mercados similares.

The question of whether tourist destinations established in the aftermath of a disaster will attract visitors remains unanswered. This study attempts to answer this question by examining the effect of nation identity on tourists' loyalty in dark heritage tourism through place attachment using the social identity and attachment theory.

In this quantitative study, data were collected from 622 tourists through a survey method at Jallianwala Bagh, Amritsar, India. Data analysis was performed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and structural equation modelling.

The findings of the study suggest that tourists' national identity is a very important variable, not only in retaining the tourists at a destination but also in increasing their attachment towards that particular destination. Place attachment is found to be a predictor of tourist loyalty at a dark tourist destination. Finally, results of the mediation analysis show that place attachment mediates the relationship between national identity and tourist loyalty.

The findings of the study contribute to the research knowledge about a dark heritage tourist destination by exploring the role of national identity in explaining the place attachment and tourist loyalty towards a dark heritage tourist destination. The practical implications for site managers have also been discussed.

The study used the social identity theory and attachment theory to come up with an empirical model of place attachment for a dark heritage tourist destination. This study adds value to understanding national identity, place attachment and tourists' loyalty by exploring their inter-relationship. The focus on diverse characteristics of place attachment is what makes this study unique.

The personality of an individual plays a vital role in the way an individual perceives organizational politics and justice in the workplace. However, there is meager research on how an individual's personality affects the perceptions of organizational politics and justice. This study endeavors to fill this gap by analyzing the mediating role of organizational politics perceptions on the relationship between Big Five personality dimensions and organizational justice by controlling various demographic variables. The study also proposes a benchmarking model that the policymakers can use to create positive organizational justice perceptions.

In this cross-sectional research, the data were collected through a multi-stage random sampling technique from 493 faculty members working in four public universities of Punjab, India. Out of 493 employees, 76.9% of the employees were assistant professors, 12.0% were associate professors and 11.2% were assistant professors. 51.5% of the employees were female, and 48.5% of the employees were male. To test the proposed hypothesized relationships, a structural equation modeling technique was used.

Results of the structural equation modeling showed that openness to experience, conscientiousness and extraversion have a negative relationship with perceptions of organizational politics. However, their relationship with perceptions of organizational justice is positive. Neuroticism has a positive relationship with perceptions of organizational politics, whereas it has a negative relationship with perceptions of organizational justice. Results also showed that high perceptions of organizational politics have a negative effect on employee's perceptions regarding organizational justice. The mediation analysis results showed that perceptions of organizational politics mediate the relationship between an individual's personality and perceptions of organizational justice.

There is a scant amount of research available that considers Big Five personality dimensions and organizational politics as the antecedents of organizational justice. Hence, the current study tries to fill this research gap by proposing a research model on antecedents and consequences of perceptions of organizational politics based on the cognitive-affective processing system (CAPS).

Conventionally, consumers perceive luxury products as a means of displaying their wealth and prosperity. Consumption of luxury products has usually been considered the prerogative of the Western world. Although there are a number of studies capturing the pre-purchase and purchase behaviour of consumers, there is a dearth of quality studies that have been conducted in this field to understand the post-purchase behaviour of consumers towards luxury brands, especially in the context of young shoppers in an emerging market context. Studying the post-purchase behaviour of shoppers is important to understand their experience with the brand. A negative experience could lead to a post-purchase dissonance, which in turn could lead to an unbalanced or distorted attitude towards the brand and other marketing stimuli. Keeping this in consideration, the purpose of this study is to explore the experiences and attitudes of young shoppers in India towards luxury consumption.

The study captured responses from young shoppers of Chandigarh and its satellite cities located in the relatively prosperous northwest region of India. The data were collected from 200 participants through a structured questionnaire that was based on an adapted “Attitude towards the concept of luxury” scale by Dubois and Laurent (1994) and “Brand Experience” Scale by Brakus et al. (2009). The structural equation modeling technique was applied to test the proposed model.

The empirical results indicate that sensory, intellectual, behavioural and affective experience play a significant role in building the attitude of consumers towards luxury brands.

The study selected university students from Chandigarh (India) Tricity region as target respondents, which may limit the generalisability of the results to other target respondents in different regions of India or other countries.

The study is useful for researchers, academicians, marketers and retailers of luxury brands, as it gives fresh insights into understanding the consumer behaviour of a young segment towards the consumption of luxury brands in the post-purchase scenario, especially in the context of an emerging market.

The uniqueness of the study lies in the fact that it examines the post-purchase behaviour of a segment consisting of young, educated and aspirational individuals in one of the world’s fastest-growing major economies.