Exploring Mobile Social Networking Sites Continuance Intention from the Perspective of Network Externalities and Mobile Value

Key shifts in the nature and characteristics of technology have led to evolutions in social media usage. For the first time in history, the internet is being accessed from more mobile devices than desktop computers. This revolution is especially felt among social networking sites, many of whom have presciently developed and released mobile applications of their platforms. Drawing from the Perceived Value Theory, Network Externalities and the Expectation Confirmation Theory of IS Continuance, we tested a model that sought to explain the effect of Network Externalities on Perceived Value and in turn Continuance Intention. Data was collected from 452 students from a university in Ghana and analyzed using the Partial Least Square approach to Structural Equation Modeling. Results from the current study showed that Referent Network Size and Perceived Complementarity had significant effects on both Utilitarian and Hedonic Value as well as Satisfaction. Hedonic Value, Utilitarian Value and Satisfaction in turn were found to be significant predictors of Continuance Intention. In all, the model accounted for 58.0% of the variance in continuance intention. The implications and limitations of the current study are discussed, and directions for future research proposed

Operational and Financial Performance of Georgia\u27s Critical Access Hospitals

Background: Georgia’s Critical Access Hospitals (CAHs) face increasingly complex threats to financial sustainability, as demonstrated by the disproportionally high number of closures in comparison to other states in the nation. Methods: Financial performance measures (including profitability, revenue, liquidity, debt, utilization, and productivity), site visits, key personnel interviews, and a revenue cycle management assessment were used to assess the strategic landscape of CAHs in Georgia, analyze financial and operational performance, and provide recommendations. Results: For CAHs in Georgia, financial and operating performance indicators, interviews, and assessments depict a challenging operating environment, but opportunities for improvement exist through implementation of a Lean Six Sigma program and improved benchmarking processes. Conclusions: Georgia’s CAHs operate in a challenging environment, but operational improvement strategies (such as a Lean Six Sigma program) and benchmarking directed towards business processes, including revenue cycle management, provide opportunities for sustainability in the future. Key words: Critical Access Hospital, financial performance, Process Improvement, LEAN Six Sigma, rural hospita

Georgia\u27s Critical Access Hospitals: Financial Performance and Process Improvement

Background: Georgia’s Critical Access Hospitals (CAH) are in crisis. Within the last 2 years, four CAHs have closed their doors due to failed financial and operational performance. Evidence points to the risk that several more are on the brink of closure. CAH closures have far-reaching impact on residents. Negative impacts include the extra distance that patients must travel to seek care, the displacement of health professionals and the unravelling of the entire fabric of the communities these hospitals serve. We hope to help participants understand the financial and operational challenges of CAHs, and to identify realistic strategies to enhance the resilience of these hospitals. Methods: The Georgia Southern team worked with a cohort of CAHs across the state of Georgia to identify financial and operational best practices. Year 1 of this project focused on data collection, analysis and benchmarking. Year 2 is currently focused on performance improvement through Lean Six Sigma. Results: CAHs face financial constraints due to factors such as low volume, declining market share, unfavorable payer mix, challenges relating to collections, and difficulties in recruiting providers. CAHs in Georgia performed more poorly on the financial indicators assessed, in comparison to respective national medians. Many CAHs in our cohort are better organized to deal with crises – utilizing strong executive and bureaucratic structures – than to pursue ongoing improvement through employee empowerment and a process focus. Conclusions: Improvements in the operational and financial management practices of Georgia’s CAHs may significantly improve performance. Evidence-based strategies for operational and financial improvement are vital to sustainability. Opportunities exist for collaboration between public health systems and rural hospitals, including CAHs in assuring healthcare access for rural populations

Supplier integration, operational capability and firm performance: an investigation in an emerging economy environment

This is an accepted manuscript of an article published by Taylor & Francis in Production Planning and Control on 12/12/2019, available online: https://doi.org/10.1080/09537287.2019.1700570 The accepted version of the publication may differ from the final published version.© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group. The literature on supplier integration’s (SI) impact on firm performance is intertwined with mixed findings in terms of definitional differences, study context, specific integration components, and the types of relationships examined. This study contributes to the supplier integration and firm performance (SI-FP) literature by investigating how and when supplier integration influences firm performance. Drawing on the relational view, the resource-based view, and the Dynamics Capability theories, we suggest that improvements in firm performance from the supplier integration perspective are dependent on gains in operational capabilities. We test this dependency with survey data from firms in Ghana, a developing economy. The results show positive significant relationships between supplier integration and competitive operational capabilities and between supplier integration and firm performance. Our results highlight the importance for managers in developing economies and elsewhere to improve their firms’ operational capabilities and competitiveness by investing in supplier integration. We also discuss implications of these findings for research.Published versio

Factors Influencing Mobile Data Service (MDS) Continuance Intention: An Empirical Study

The mobile industry has become a key cornerstone of the global economy. Despite the rapid growth in mobile data services (MDS), operators of MDS have to deal with the issue of building user loyalty and maintaining continued usage. Utilizing an integrated model drawn from the theory of planned behavior and quality frameworks, we examine the impact of both system service quality and service mobility on continuance intention and the mediating effect of customer experience among MDS users. The research model was empirically tested on data collected from 196 customers of mobile data services, using partial least squares analyses. Results indicated that 41.4% of MDS users’ continuance intention is explained by system service quality, service mobility, and customer experience. A key finding of this study is that customer experience, as a decision tool, has a positive relationship with MDS continuance intention, partially mediating the relationship between system service quality, service mobility, and MDS continuance intention. The study contributes to the literature of IS continuance by showing that system service quality, service mobility, and customer experience are the most important factors affecting the decision of continuing to MDS. We discuss theoretical and practical implications of the findings and conclude with recommendations for possible future research

A Relationship-based Cross National Customer Decision-making Model in the Service Industry

In 2012, the CIA World Fact Book showed that the service sector contributed about 76.6% and 51.4% of the 2010 gross national product of both the United States and Ghana, respectively. Research in the services area shows that a firm's success in today's competitive business environment is dependent upon its ability to deliver superior service quality. However, these studies have yet to address factors that influence customers to remain committed to a mass service in economically diverse countries. In addition, there is little research on established service quality measures pertaining to the mass service domain. This dissertation applies Rusbult's investment model of relationship commitment and examines its psychological impact on the commitment level of a customer towards a service in two economically diverse countries. In addition, service quality is conceptualized as a hierarchical construct in the mass service (banking) and specific dimensions are developed on which customers assess their quality evaluations. Using, PLS path modeling, a structural equation modeling approach to data analysis, service quality as a hierarchical third-order construct was found to have three primary dimensions and six sub-dimensions. The results also established that a country's national economy has a moderating effect on the relationship between service quality and investment size, and service satisfaction on investment size. This study is the first to conceptualize and use the hierarchical approach to service quality in mass services. Not only does this study build upon the investment model to provide a comprehensive decision model for service organizations to increase their return on investment but also, provides a congruence of work between service quality and the investment model in the management and decision sciences discipline

The Impact of Servitization on Firm Performance: A Service Dominant (S-D) Orientation Perspective

Servitization (i.e., integrating service design, strategy, delivery, and processes) as a manufacturing firm strategy has produced ambiguous findings in its relationship with firm performance. Thus, we propose a service dominant (S-D) orientation approach to help firms develop capabilities needed to cover various methods of customer value co-creation to improve performance

Knowledge Sharing Among Academics: The Impact of Organizational Fairness, Trust, and Openness in Communications

The effective management of knowledge is both a vital strategic resource and a significant source of competitive advantage in academic settings. We explore the interrelationships among organizational justice, identification trust, openness in communication and knowledge-sharing behavior among academics. Results could be useful in designing strategies to improve knowledge sharing