Abstract In retail markets, analysis of perceived value in purchasing processes has been a topic of special interest as it focuses on perception of benefits beyond the product itself. In the face of such interest, an exhaustive bibliographical review was performed regarding its concept and components applied to retail dealers. The methodology is quantitative and cross-sectional, with a descriptive and explanative analysis through structural equation models to analyze the effect of dimensions in perceived value in the dependent variable of intent to purchase. Applied surveys on 390 recurring customers of retail dealers in Bogota. The results revealed that: functional value does have a positive effect on intent to purchase; and there is a relation between functional and symbolic value of purchase. The implications of management in the context of marketing are further discussed, focusing on functional value of a purchase. Actions related to quality, communication, employee training and customer service are recommended. These findings contribute to the literature on consumer behavior within the context of consumption by comparing functional and symbolic value.

Resumen En el ámbito del comercio minorista, el análisis del valor percibido en el proceso de compra ha sido objeto de especial interés por enfocarse en la percepción de beneficios que van más allá del producto en sí. Ante tal interés, se realizó una exhaustiva revisión bibliográfica sobre su concepto y componentes aplicado a establecimientos minoristas. La metodología es cuantitativa y transversal, con un análisis descriptivo y explicativo a través de modelos de ecuaciones estructurales para analizar el efecto de las dimensiones del valor percibido en la variable dependiente de la intención de compra. Se aplicaron encuestas a 390 a clientes habituales de comercios minoristas en Bogotá. Los resultados revelaron que el valor funcional tiene un efecto positivo en la intención de compra; y existe una relación entre el valor funcional y el valor simbólico de la compra. Se discuten las implicaciones de la gestión en el ámbito del marketing, centrándose en el valor funcional de la compra. Se sugieren acciones relacionadas con la calidad, la comunicación, la capacitación de los empleados y el servicio al cliente. Estos hallazgos contribuyen a la literatura sobre el comportamiento del consumidor en el contexto del consumo, al comparar el valor funcional y el valor simbólico.

Resumo Dentro do âmbito do comercio de retalho, a análise do valor percebido no processo de compra tem sido objeto de interesse especial por se focalizar em a percepção de benefícios que vão mais longe do produto direito. Com esse interesse, fez-se uma revisão exaustiva da literatura de seu conceito e componentes aplicados aos estabelecimentos de retalho. A metodologia é quantitativa e transversal, com uma análise descritiva e explicativa por meio de modelos de equações estruturares para analisar o efeito das dimensões do valor percebido na variável dependente da intenção de compra. Fizeram-se pesquisas em 390 clientes usuais de lojas de retalho em Bogotá. Os resultados revelaram que: o valor funcional tem um efeito positivo na intenção de compra; e existe uma relação entre o valor funcional e o valor simbólico da compra. Discutem-se as implicações da gestão no âmbito do marketing, focalizando-se no valor funcional da compra. Sugerem-se ações relacionadas à qualidade, comunicação, capacitação dos empregados y serviço ao cliente. Os resultados contribuem à literatura com relação ao comportamento do consumidor no contexto do consumo, ao comparar o valor funcional e o valor simbólico.

Abstract: The integration of electric mobility is real nowadays. Government policies increasingly focus on encouraging the use of electric vehicles (EVs); particularly, replacing conventional public mobility with electric buses. An adequate energy management of electric bus systems must optimize resource usage, and extend the lifespan of transport units and charging stations, while providing quality service to users. The performance of the EV transport system depends on various deterministic and stochastic variables that need to be accurately simulated to analyze its behavior as closely as possible to real conditions. In this study, a model for the energy analysis of EVs has been implemented, by using the software SUMO (Simulation of Urban Mobility) and applying it to public transport routes in Quito, Ecuador. Through the executed simulations, energy consumption has been estimated and, a sensitivity analysis of the energy consumption of electric bus units to the variations in relevant parameters in the energy management of public transport systems, has been carried out. The impact of certain parameters on energy consumption has been verified, by indicating a significant decrease in the autonomy of EVs on the simulated route under very similar to reality operating conditions. For study case, autonomy reduction of electric bus is around 27% in comparison with manufacturer's specifications. The analysis of energy performance under various traffic scenarios will allow future optimizations of the electric public transport system operation, since traffic levels, variable traffic flow, and pronounced changes in terrain elevation, are considered.

Resumen: La integración de la movilidad eléctrica es una realidad en el mundo actual, las políticas gubernamentales se enfocan cada vez más en incentivar el uso de vehículos eléctricos (VE) particulares, pero, principalmente en reemplazar la movilidad pública convencional por el uso de buses eléctricos. Una adecuada gestión energética de los sistemas de buses eléctricos debe optimizar el uso de recursos, prolongando la vida útil de las unidades de transporte, estaciones de carga y brindando siempre un servicio de calidad a sus usuarios. El desempeño del sistema de transporte mediante VE depende de diversas variables determinísticas y estocásticas que necesitan ser debidamente simuladas a fin de analizar su comportamiento, lo más cercano a las condiciones reales. En el presente trabajo, mediante la aplicación del software SUMO (Simulation of Urban Mobility), se ha implementado un modelo para el análisis energético de VE y se lo ha aplicado en rutas de transporte público en Quito-Ecuador. A partir de las simulaciones realizadas se ha estimado el consumo energético y se ha efectuado un análisis de sensibilidad del consumo energético de las unidades de buses eléctricos ante variaciones de parámetros relevantes en la gestión energética de sistemas de transporte público. Para el caso de estudio se comprueba la reducción de la autonomía del bus eléctrico en 27% de acuerdo con la información del fabricante. El análisis del desempeño energético realizado bajo diversos escenarios de tráfico permitirá en futuros trabajos optimizar la operación de los sistemas de transporte público eléctrico, considerando niveles de tráfico, flujo vehicular variable y pronunciados desniveles en su relieve.

Resumen: Los hospitales, como principales entidades proveedoras de servicios médicos, se enfrentan a un punto crucial: cómo garantizar la equidad y la accesibilidad de los servicios médicos en el fortalecimiento de la construcción de la ética de la integridad. La atención centrada en el paciente es el código de conducta de los servicios médicos, que exige a los hospitales la prestación de servicios médicos eficientes y de alta calidad. Este estudio profundiza en las experiencias, necesidades y expectativas de los pacientes en relación con la construcción de una ética de la integridad en los hospitales, con el objetivo de ofrecer orientación y vías prácticas para proteger sus derechos, promover reformas en el sistema de servicios médicos y construir relaciones médico-paciente basadas en la confianza. En el contexto del envejecimiento de la población y el objetivo de lograr una cobertura sanitaria universal, es esencial asignar los recursos médicos de manera razonable, garantizando la calidad y la credibilidad de los servicios médicos. Partiendo de la postura de proteger los derechos del paciente, este estudio analiza el estado actual del sistema de servicios médicos en China y propone medidas concretas para mejorar su calidad y la satisfacción del paciente, esforzándose por ofrecer referencias para promover una interacción positiva entre pacientes y hospitales.

Resumo: Hospitais, como principais entidades fornecedoras de serviços médicos, enfrentam a questão crucial de como garantir equidade e acessibilidade dos serviços médicos no fortalecimento da construção de integridade ética. Cuidados centrados no paciente é o código de conduta para serviços médicos, requerendo que hospitais forneçam serviços médicos de alta qualidade e eficientes.Esse estudo investiga as experiências, necessidades e expectativas dos pacientes a respeito da construção de integridade ética nos hospitais, visando oferecer diretrizes e caminhos práticos para a proteção dos direitos dos pacientes, promovendo reformas no sistema de serviços médicos e construindo relações médico-paciente baseadas na confiança. No contexto do envelhecimento da população e do objetivo de alcançar cobertura universal da saúde, é essencial alocar recursos médicos de forma satisfatória, garantindo a qualidade e credibilidade dos serviços médicos. Baseado na orientação de proteger os direitos dos pacientes, esse estudo analisa o estado atual do sistema de serviços médicos da China e propõe medidas específicas para melhorar a qualidade dos serviços médicos e a satisfação dos pacientes, aspirando fornecer referências valiosas para promover uma interação positiva entre pacientes e hospitais.

Abstract: Hospitals, as the main entities providing medical services, face the crucial question of how to ensure the fairness and accessibility of medical services in strengthening the construction of integrity ethics. Patient-centered care is the code of conduct for medical services, requiring hospitals to provide high-quality and efficient medical services. This study delves into patients’ experiences, needs, and expectations regarding the construction of integrity ethics in hospitals, aiming to offer guidance and practical pathways for protecting patient rights, promoting reforms in the medical service system, and building trust-based doctor-patient relationships. In the context of an aging population and the goal of achieving universal health coverage, it is essential to allocate medical resources reasonably, ensuring the quality and credibility of medical services. Based on the stance of protecting patient rights, this study analyzes the current state of China’s medical service system and proposes specific measures to improve the quality of medical services and patient satisfaction, striving to provide valuable references for fostering positive interaction between patients and hospitals.

Hierdie sewe-jaar longitudinale opvoedingstudie evalueer drie akademiese afleweringsmodusse vir deeltydse MBA-studente in hul Bemarkingsbestuursmodule, naamlik vol kontak (20172019), vol aanlyn tydens COVID-19 se harde inperking (2020-2021 en die daaropvolgende gemengde modus (2022-2023). Die studie het ten doel om te bepaal of die afleweringsmodus studente se akademiese prestasie beduidend beïnvloed. Die eenrigting-variansie-analise (EVA) het beduidende verskille tussen die afleweringsmodusse vir individuele opdragte (normatiewe assessering) en groepgevallestudies (summatiewe assessering) geïdentifiseer. Daar was ook betekenisvolle verskille tussen die akademiese prestasie ten opsigte van die finale saamgestelde portefeulje van kennis (wat as eksamen dien). Hierdie portefeulje bestaan uit 'n prakties-toegepaste bemarkingsplan. Die post-hoc toetse het getoon dat studente aansienlik beter gevaar het tydens die gemengde afleweringsmodus in individuele opdragte, terwyl die volledige aanlyn modus laer punte vir die groepgevallestudies gehad het. Beide die gemengde en volledige kontakmodusse het beduidende opeenvolgende verbetering vir die groepgevallestudies getoon, wat in elke gevallestudie verbetering getoon het namate die semester gevorder het. Dit verskil van volledige aanlyn onderrig. Die gemengde modus het ook aansienlik beter gevaar in die eksamen- en finale modulepunte en het selfs beter gevaar as volkontakklasse.

The COVID-19 pandemic significantly transformed the tertiary education landscape. Traditional contact universities were forced abruptly to adopt a full-distance education mode, a situation neither the students nor lecturers were prepared for. Many lectures and teaching activities were developed on the fly as universities struggled to roll out the needed support in double-time for lecturers and students. This new normal for education required integrating technology, advanced communication software, revised assessment techniques, and recognising the need for flexible and adaptable approaches to teaching and learning. Students also evolved and gained technological proficiency, adaptability, time management, soft skills, social media proficiency, and an awareness of health and well-being. Albeit uncertain in redefining the new normal, universities continue to provide quality education. However, exactly how university education should be delivered to a new breed of students in a new business environment is a challenge. This is even more so in the case of executive MBA students. After the hard lockdown and restrictions were lifted on 21 September 2020, the North-West University Business School started to explore other modes of academic content delivery. Reinstating a full contact delivery mode was not an option because of remaining restrictions. High technological investment, online-educated lecturers and students, and benefits and developments during online learning now form a new normal for the Business School. Which teaching method, or rather, which mode of delivery, is the most relevant and adequate? Should the MBA lectures return to the historic full-contact delivery mode, stick with the newly established full online mode, or attempt to integrate the benefits of both into a hybrid mode of delivering business education to a new breed of technology-savvy students? This study, therefore, examines the academic performance of the different delivery modes by comparing data of Executive MBA Marketing management students at the NWU Business School in South Africa. The study examines the academic performance of these students from 2017 up to 2023. The panel database consists of Executive MBA students'marks for the module in Marketing Management from 2017 up to 2023. The database contains marks for individual assignments, groupwork case studies, final individual- and groupwork marks, exam marks and the final module mark. The final assessment is a portfolio of evidence comprising a detailed marketing plan for a product, service, or organisation of choice. The mode of delivery served as the dependent variable, while the independent variables comprised the marks for each assignment (groupwork, individual and portfolio of evidence). Three delivery modes were compared, namely full-contact (2017-2019), full-online (2020-2021), and the post-pandemic hybrid mode currently in effect (2022-2023). The data comprised 630 cases. However, the analysis of variance (ANOVA) used 532 cases to compare the different groupwork assignments (230 full-contact students, 159 full-online students, and 143 hybrid students). Cronbach's alpha coefficient measured the data's reliability, and one-way ANOVA determined significant differences (p<.05) between the academic performance of the three delivery modes. The analysis confirmed that significant differences exist between the modes of delivery for individual assignments, group case studies and exams (p<.05). The Tukey ab post-hoc tests showed that students performed significantly better during the hybrid delivery mode in individual assignments (69.2%) than full contact (63.8%). Regarding the individual assignment, the full online (63.8%) and full contact (63.7%) delivery modes perform significantly worse than the hybrid (69.2%) delivery mode. Regarding the first group case study (Group Assignment 1), full online performs (67.3%) significantly worse than hybrid (71.1%) and full contact (73.6%) delivery modes. There is no significant difference between the hybrid and full contact delivery modes. In the second, third, and fourth group case studies (Group Assignments 2, 3 & 4), the hybrid delivery mode (82.37%, 75.4%, 82.7%) outperforms the full contact (75.4, 80.1%, 86.6%) and full-online (71.4%, 71.4%, 67.8%) modes. The hybrid delivery mode, therefore, proves to be more conducive towards academic performance in group work. Finally, in considering the final module mark, the hybrid delivery mode (71.0%) is significantly higher than the other two delivery modes. However, there is no significant difference between full online (67.5%) and full-contact (67.2%) delivery modes regarding the final module mark. Nevertheless, it is noteworthy that the better performance in the final module marks is a function of the groupwork where the students analysed case studies together. There are no significant differences in the exam marks between the delivery modes, so better academic performance in the hybrid mode of delivery where groupwork is concerned culminates in the better module mark. Based on the findings, it is evident that the hybrid mode of delivery results in the best academic performance. This observation is based on three reasons, namely 1) students performed better in both the normative and summative assessments during hybrid tuition; 2) there is continuous progressive learning throughout the semester regarding the group case studies (summative assessment). They learn to improve and hone their skills to analyse better and apply business solutions to real-life problems experienced by organisations. This is based on students' improving marks in the group case studies as they become more proficient in analysing and answering the applied case studies because they learn from each case study; and 3) the students perform better academically in their normative assessments and earn higher final module marks (partially due to reason 2). It is concluded that the hybrid delivery mode facilitates the academic performance of post-pandemic executive MBA Marketing management students. JEL KODES: I23, I21, M30

ABSTRACT To improve the quality of the educational service, changes in pedagogical direction are required. This implies the presence of committed teacher leaders who can guide the rest of the team towards the improvement of educational experiences. The objective of the research was to propose a pedagogical management model for teacher leadership in an educational institution in the state. The study, of a quantitative nature and with a non-experimental, descriptive and propositional design, involved the participation of 47 teachers, to whom a questionnaire was applied in order to evaluate their level of teacher leadership, according to the dimensions: professional development, inclusive school improvement and collaborative culture. The results indicated that 87.2% of the teachers surveyed indicated that their teaching leadership was at a medium level and a lower percentage, representing 12.8%, stated that it was at a high level. The dimensions evaluated are also at a medium level: professional development 87.2%, inclusive school improvement 78.7% and collaborative culture 85.1%. Subsequently, the theoretical foundations supporting the proposal were presented and the pedagogical management model was designed and validated by a group of experts. The conclusion of the study highlights the need to implement a pedagogical management model that encourages greater participation of teachers in various educational activities through better leadership.

RESUMEN Para mejorar la calidad del servicio educativo, se requiere implementar cambios en la dirección pedagógica. Esto implica la presencia de maestros líderes comprometidos que puedan orientar al resto del equipo hacia la mejora de las experiencias educativas. El objetivo de la investigación fue proponer un modelo de gestión pedagógica para el liderazgo docente en una institución educativa del estado. El estudio, de naturaleza cuantitativa y con un diseño no experimental, descriptivo propositivo, involucró la participación de 47 docentes; a quienes se les aplicó un cuestionario con la finalidad de evaluar su nivel de liderazgo docente, de acuerdo a las dimensiones: desarrollo profesional, mejora escolar inclusiva y cultura colaborativa. Los resultados indicaron que el 87,2% de los profesores encuestados señalaron que el liderazgo docente se sitúa en un nivel medio y en un menor porcentaje, que representa el 12,8%, afirmaron estar en un nivel alto. Las dimensiones evaluadas también se encuentran en un nivel medio: desarrollo profesional 87,2%, mejora escolar inclusiva 78,7% y cultura colaborativa 85,1%. Posteriormente, se expusieron los fundamentos teóricos que respaldan la propuesta y se diseñó el modelo de gestión pedagógica, el cual fue validado por un grupo de expertos. La conclusión del estudio resalta la necesidad de implementar un modelo de gestión pedagógica que fomente una mayor participación de los docentes en diversas actividades educativas mediante un mejor liderazgo.

RESUMO O artigo propõe contribuir para a reflexão sobre princípios e estratégias promotoras de saúde em territórios vulnerabilizados, tendo como objetivo específico avaliar o papel que pode ser desempenhado por uma política e serviço público de base local, permanente e participativo, desenvolvido por meio de assessoria técnica com enfoque na requalificação do espaço da moradia e do habitat que favoreça a população mais vulnerabilizada e promova soluções positivas em sua qualidade de vida. O trabalho tem sua fundamentação teórico-metodológica no campo da saúde urbana, referenciada na perspectiva crítica da complexidade do fenômeno saúde-doença, mais especificamente quando relaciona a vulnerabilidade socioambiental e os condicionantes do ambiente construído à saúde coletiva. O artigo utiliza como caso referência a experiência desenvolvida pela Fiocruz Mata Atlântica, da Fundação Oswaldo Cruz, e busca verificar a identificação dos fatores determinantes e de processos de determinação social da saúde, bem como a apropriação de princípios e estratégias de ação desse campo disciplinar. Os resultados parciais dessa experiência em curso apresentam avanços não somente nas transformações objetivas dos fatores determinantes relacionados com o ambiente construído, mas também na organização social e na articulação intersetorial nesse contexto, assim como na construção de referências para políticas públicas. vulnerabilizados local participativo vida teóricometodológica teórico metodológica urbana saúdedoença, saúdedoença doença, doença saúde-doença coletiva Atlântica Cruz disciplinar contexto públicas

ABSTRACT The article proposes to contribute to reflection on health promoting principles and strategies in vulnerable territories, aiming at the specific objective to evaluate the role that can be played by a local, permanent, and participatory policy and public service, developed through technical assistance with a focus on improving the housing space and the habitat that favors the most vulnerable population and promotes positive solutions in their quality of life. The work has its theoretical methodological foundation in the field of urban health, referenced from the critical perspective of the complexity of the health-disease phenomenon, more specifically when it relates the social and environmental vulnerability and the conditions of the built environment to collective health. The article uses as a reference the experience developed by FIOCRUZ Mata Atlântica, of the Oswaldo Cruz Foundation, and seeks to verify the identification of social determinants and processes of social determination of health as well as the appropriation of principles and strategies of action of this disciplinary field. The partial results of this ongoing experience have advances not only in the objective transformations of determining factors related to the built environment, but also in the social organization and intersectoral articulation in this context, as well as the construction of references for public policies. territories local permanent service life healthdisease disease phenomenon Atlântica Foundation context policies

ABSTRACT Introduction: This project aimed to recognize relational intelligence as an instrument of cohesion, satisfaction, and professional motivation with inherent repercussions on the quality and safety of care provided, as well as the promotion of healthy work environments. Diagnosis: Was use consensus research to identify the area of intervention, more specifically the “brainstorming” technique, prioritizing relational issues based on the number of times they were mentioned by employees. Objective: Promote relational intelligence in the team at the Surgery A unit, at Hospital Curry Cabral, as a management tool, increasing employee satisfaction in relation to the work environment by at least 20%. Methodology: The methodology used focused on two assessment moments, qualitative and quantitative. The qualitative assessment began with the project “Thinking outside the box…writing inside the box”, in which employees were encouraged to share emotions, suggestions, compliments, complaints, or any other subject they considered relevant. The anonymity of the contributions allowed sincerity and directness in the work environment to emerge without constraints, allowing psychological safety. This strategy was the “driver” of this project because, based on its contributions, it was possible to identify areas that could be improved. For a quantitative analysis, to measure the intended objective, was applied questionnaires on two evaluation moments. Results: With the contributions of the qualitative assessment, mas observed the need for intervention in terms of employees’ mental health. This began new routines, which include weekly reflection meetings, training on interpersonal relationships and health and well-being measures in the team. The strategies used allowed the results obtained in the quantitative evaluation with an increase of 44,1% in the satisfaction of this population. Conclusion: There is an association of the ability to actively listen to employees’ problems and their involvement. Participatory, transformative, and humanized leadership contributed to the well-being of professionals. If is therefore considered that this project added value in terms of improving the working environment, with repercussions on productivity and the quality of service provided to users.

RESUMO Introdução: Este projeto visa reconhecer a inteligência relacional como instrumento de coesão, satisfação e motivação profissional, com inerente repercussão na qualidade e segurança dos cuidados prestados, bem como na promoção de ambientes de trabalho saudáveis. Diagnóstico da situação: Procedeu-se ao diagnóstico da situação utilizando-se a pesquisa de consenso, mais especificamente a técnica de “brainstorming”, para identificar a área de intervenção, priorizando-se as questões relacionais pelo número de vezes que foram mencionadas pelos colaboradores. Objetivo: Promover a inteligência relacional na equipa da unidade Cirurgia A, do Hospital Curry Cabral, como instrumento de gestão, aumentando em pelo menos 20% a satisfação dos colaboradores, em relação ao ambiente de trabalho. Metodologia: A metodologia focou-se em dois momentos de avaliação, qualitativa e quantitativa. A primeira iniciou-se com o projeto “Pensar fora da caixa…escrevendo para dentro da caixa”- nesta os colaboradores foram estimulados a partilhar emoções, sugestões, elogios, reclamações ou qualquer outro assunto que considerassem pertinente. O anonimato dos contributos permitiu que a sinceridade e frontalidade sobre o ambiente de trabalho emergisse sem constrangimentos e em segurança psicológica. Esta estratégia foi, sem dúvida, o “motor” deste projeto pois, a partir dos seus contributos, foi possível identificar as áreas passiveis de melhoria. Para uma análise quantitativa, de forma que existissem indicadores para medir o objetivo pretendido, foram realizados dois momentos de avaliação através da aplicação de questionários. Resultados: Com os contributos da avaliação qualitativa observou-se a necessidade de intervenção a nível da saúde mental dos colaboradores. Deu-se assim inicio a novas rotinas, onde se incluíram reuniões semanais de reflexão, formação sobre relacionamento interpessoal e medidas de saúde e bem-estar na equipa. As estratégias utilizadas permitiram os resultados obtidos na avaliação quantitativa com um aumento de 44,1% na satisfação desta população. Conclusões: A capacidade de escuta ativa dos problemas dos colaboradores e o envolvimento dos mesmos na sua melhoria associado a uma liderança participativa, transformadora e humanizada contribuiu para o bem-estar dos profissionais. Considera-se assim que este projeto acrescentou valor no que diz respeito à melhoria do ambiente de trabalho, com repercussão na produtividade e na qualidade do atendimento feito aos utentes.

Abstract This article presents the results of an analysis of the performance of primary health care in São Paulo state over the last decade against a backdrop of financial crisis and health funding cuts. We conducted a time series analysis (2010-2019) of performance indicators across the following dimensions based on an adapted conceptual framework: health service performance, health system, and determinants of health. Annual percentage change was calculated for each indicator using a log-linear model. Performance across the indicators was generally positive; however, there was a decline in performance across indicators of quality of care (congenital syphilis, cesarean section rate and cervical cancer screening). The findings also show a potential rise in demand for public services (due to population aging and a reduction in the percentage of the population with private health insurance) and increase in health expenditure against a backdrop of falling GDP per capita. cuts 20102019 2010 2019 (2010-2019 framework system loglinear log linear model positive however congenital syphilis screening. screening . screening) due insurance capita 2010201 201 (2010-201 201020 20 (2010-20 20102 2 (2010-2 (2010- (2010 (201 (20 (2 (

Resumo O artigo apresenta uma análise do desempenho da APS no estado de São Paulo na última década, em contexto de crise econômica e retração dos investimentos em saúde. Utilizaram-se indicadores de desempenho, determinantes em saúde e sistema de saúde, em série temporal (2010 a 2019), a partir de matriz conceitual adaptada. Foram calculadas variações percentuais anuais (VPA) de cada indicador em modelo log-linear. Os indicadores de desempenho apresentaram, no geral, evolução favorável; no entanto, ocorreu piora em indicadores relacionados à qualidade do cuidado (sífilis congênita, partos cesáreos e rastreamento de câncer de colo uterino). Verificou-se, ainda, um potencial aumento das demandas ao SUS (envelhecimento da população e redução da cobertura da saúde suplementar) e aumento das despesas em saúde em contexto de redução do PIB per capita. década Utilizaramse Utilizaram se 2010 (201 2019, 2019 , 2019) adaptada VPA (VPA loglinear. loglinear log linear. linear log-linear apresentaram geral favorável entanto sífilis congênita uterino. uterino . uterino) Verificouse, Verificouse Verificou se, Verificou-se ainda envelhecimento suplementar capita 201 (20 20 (2 2 (

Resumo O objetivo do trabalho consiste em avaliar o desempenho de serviços de atenção primária à saúde (APS) do estado de São Paulo para prevenção, detecção e assistência à deficiência. Realizou-se uma pesquisa avaliativa em 2.739 serviços de saúde em 514 municípios com 128 indicadores da qualidade organizacional do instrumento QualiAB referentes à dimensão avaliativa “Atenção à deficiência em serviços de atenção primária à saúde”. Foram utilizadas medidas de desempenho e associações entre os escores de cada domínio e variáveis independentes sobre planejamento, avaliação em saúde e rede de apoio, por meio de regressão linear múltipla. O percentual de desempenho para a dimensão foi de 61,6%, para o domínio estrutura (insumos e recursos humanos), 73,6%, para qualificação da atenção ao pré-natal, 68,7%, qualificação da atenção à saúde da criança, 56,1%, prevenção de incapacidades relacionadas a condições crônicas, 55,8%, e atenção à pessoa com deficiência e ao cuidador, 53,9%. Houve associação significativa com variáveis relacionadas ao tipo de serviço e de participação em avaliações de serviços. Os serviços de APS ainda realizam ações incipientes para prevenção, vigilância e diagnóstico das deficiências, assim como para a atenção integral a pessoas com deficiência. (APS Realizouse Realizou se 2739 2 739 2.73 51 12 Atenção saúde. . saúde” planejamento apoio múltipla 616 61 6 61,6% insumos humanos, humanos , humanos) 736 73 73,6% prénatal, prénatal pré natal, natal pré-natal 687 68 7 68,7% criança 561 56 1 56,1% crônicas 558 55 8 55,8% cuidador 539 53 9 53,9% deficiências 273 2.7 5 61,6 73,6 68,7 56,1 55,8 53,9 27 2. 61, 73, 68, 56, 55, 53,

Abstract The objective of this study was to assess the performance of primary health care (PHC) services for disability prevention, detection and assistance in the state of São Paulo. The study included 2739 health services, from 514 municipalities. 128 organizational quality indicators of the QualiAB instrument referring to the evaluative dimension “Attention to disability in primary health care services”. The association of health care performance score of each domain with independent variables, health assessment, and support network were tested using of multiple linear regression. The performance percentage was 61.6% for all domains, 73.6% for structure (inputs and human resources), 68.7% for qualification of prenatal care, 56.1% for qualification of child health care, 55.8% for prevention of disabilities related to chronic conditions, and 53.9% for attention to people with disabilities and caregivers. There was a significant association with variables related to the type of service and participation in service evaluations. PHC services still perform incipient actions for the prevention, surveillance and diagnosis of disabilities as well as for comprehensive care for people with disabilities. (PHC Paulo 273 51 municipalities 12 Attention services. . services” assessment regression 616 61 6 61.6 domains 736 73 73.6 inputs resources, resources , resources) 687 68 7 68.7 561 56 1 56.1 558 55 8 55.8 conditions 539 53 9 53.9 caregivers evaluations 27 5 61. 73. 68. 56. 55. 53. 2

Abstract: Coastal areas play a vital role in society, creating a favorable environment for a wide range of social, cultural and economic activities, including culinary recreational opportunities. This study analyzes the experiences of visitors to bars and restaurants on the coast of the conurbation of La Serena and Coquimbo, the fourth most populated metropolitan area in Chile and one of the main sun and beach tourist destinations in the country. The data, collected through a survey of 536 visitors, were analyzed using descriptive and multivariate statistical methods. It was revealed that tourists exhibit high satisfaction and loyalty, with key determining factors being the beauty of the establishments, the quality of the service and the gastronomic offer. In addition, it was found that the probability of satisfaction increases for frequent visitors to the area, women, people with lower incomes and with a post-secondary education, and those motivated to escape from routine or meet with family or friends. It is concluded that effectively managing the link between gastronomy and coastal tourism is crucial to position the area as a top-level tourist destination.

Resumen: Las zonas costeras desempeñan un papel vital en la sociedad, creando un entorno favorable para una amplia gama de actividades sociales, culturales y económicas, incluidas oportunidades recreativas culinarias. Este estudio analiza las experiencias de los visitantes de bares y restaurantes en la costa de la conurbación de La Serena y Coquimbo, la cuarta área metropolitana más poblada de Chile y uno de los principales destinos turísticos de sol y playa del país. Los datos, recogidos mediante una encuesta a 536 visitantes, fueron analizados usando métodos estadísticos descriptivos y multivariados. Se reveló que los turistas exhiben alta satisfacción y lealtad, siendo factores determinantes clave la belleza de los establecimientos, la calidad del servicio y la oferta gastronómica. Además, se encontró que la probabilidad de satisfacción aumenta para los visitantes frecuentes de la zona, las mujeres, las personas de menores ingresos y con educación superior y aquellos motivados por escapar de la rutina o reunirse con familiares o amigos. Se concluye que gestionar eficazmente el vínculo entre gastronomía y turismo costero es crucial para posicionar la zona como un destino turístico de primer nivel.

Resumo Este estudo teve como objetivo analisar em que medida o crescimento socioeconômico e o acesso ao saneamento básico influenciam no desenvolvimento socioeconômico municipal da região Norte do Brasil, mensurado pelo Índice Firjan de Desenvolvimento Municipal (IFDM). Para isso, foi utilizado um painel de dados entre os anos de 2005-2016, analisados através das técnicas de estatísticas descritivas e regressão quantílica. Os resultados demonstraram que o atendimento com os serviços de esgotamento sanitário e abastecimento de água ainda estão distantes da universalização, ensejando políticas públicas de expansão do acesso. Nos modelos de regressão analisados, verificou-se que os PIBs setoriais influenciam positivamente no desenvolvimento na maioria dos quartis analisados. Já os serviços de saneamento básico tiveram resultado diferente do esperado: o abastecimento de água se mostrou associado negativamente ao IFDM, o que pode ser atribuído à queda no percentual da população atendida entre 2005 e 2013. Já o esgotamento sanitário influencia positivamente o IFDM somente nos municípios menos desenvolvidos, o que pode estar associado ao baixo provimento desses serviços na região. Este estudo joga luz para a necessidade de políticas públicas que tenham como intuito a ampliação do acesso ao saneamento na região, com ênfase nos serviços de abastecimento de água e esgotamento sanitário, possibilitando melhorias nos índices de desenvolvimento e contribuindo para a majoração na qualidade de vida dos cidadãos. Brasil IFDM. . (IFDM) isso 20052016, 20052016 2016, 2016 2005-2016 quantílica universalização verificouse verificou esperado 200 2013 desenvolvidos cidadãos (IFDM 2005201 201 2005-201 20 200520 2005-20 2 20052 2005-2 2005-

Abstract This study aimed to analyze the extent to which economic growth and access to basic sanitation influence the municipal economic development of the northern region of Brazil, measured by the FIRJAN Index of Municipal Development (IFDM). For this, a panel of data between the years 2005-2016 was used, analyzed using descriptive statistics and quantile regression techniques. The results showed that the service with sewage services and water supply is still far from universalization, giving rise to public policies to expand access. In the regression models analyzed, it was found that sectoral GDPs positively influence development in most of the analyzed quartiles. On the other hand, basic sanitation services had a different result than expected: water supply was negatively associated with the IFDM, which can be attributed to the drop in the percentage of the population served between 2005 and 2013. less developed municipalities, which may be associated with the low provision of these services in the region. This study sheds light on the need for public policies aimed at expanding access to sanitation in the region, with emphasis on water supply and sanitary sewage services, enabling improvements in development rates and contributing to an increase in quality of life of citizens. Brazil IFDM. IFDM . (IFDM) this 20052016 2016 2005-201 used techniques universalization quartiles hand expected 200 2013 municipalities citizens (IFDM 2005201 201 2005-20 20 200520 2005-2 2 20052 2005-

Resumen Este estudio tuvo como objetivo analizar en qué medida el crecimiento económico y el acceso al saneamiento básico influyen en el desarrollo económico municipal de la región norte de Brasil, medido por el Índice de Desarrollo Municipal de FIRJAN (IFDM). Para ello se utilizó un panel de datos entre los años 2005-2016, analizados mediante estadística descriptiva y técnicas de regresión por cuantiles. Los resultados mostraron que el servicio con los servicios de alcantarillado y abastecimiento de agua aún está lejos de la universalización, dando lugar a políticas públicas para ampliar el acceso. En los modelos de regresión analizados se encontró que los PIB sectoriales influyen positivamente en el desarrollo en la mayoría de los cuartiles analizados. Por otro lado, los servicios de saneamiento básico tuvieron un resultado diferente al esperado: el suministro de agua se asoció negativamente con el IFDM, lo que se puede atribuir a la caída en el porcentaje de la población servida entre 2005 y 2013. municipios menos desarrollados, que pueden ser asociado a la baja provisión de estos servicios en la región. Este estudio arroja luz sobre la necesidad de políticas públicas dirigidas a ampliar el acceso al saneamiento en la región, con énfasis en los servicios de abastecimiento de agua y alcantarillado sanitario, que permitan mejorar los índices de desarrollo y contribuir al aumento de la calidad de vida de los ciudadanos. Brasil IFDM. IFDM . (IFDM) 20052016, 20052016 2016, 2016 2005-2016 cuantiles universalización lado esperado 200 2013 desarrollados sanitario ciudadanos (IFDM 2005201 201 2005-201 20 200520 2005-20 2 20052 2005-2 2005-

ABSTRACT The National University and, particularly, the graduate school, have the task of providing a quality service that generates satisfaction among its students. This is essential to improve the quality of graduate programs. This research aims to establish whether satisfaction with the quality of university service in postgraduate students is related. To achieve this, a non-experimental, correlational and transversal design was used with a sample of 180 students, to whom the questionnaire on quality of university service and the questionnaire on user satisfaction were administered. The results obtained allow us to conclude that there are significant relationships between the two study variables (r = 0.80), as well as between their dimensions that make up each variable.

RESUMO A Universidade Nacional e, particularmente, a pós-graduação, têm a missão de prestar um serviço de qualidade que gere satisfação aos seus alunos. Isso é essencial para melhorar a qualidade dos programas de pós-graduação. Esta pesquisa tem como objetivo estabelecer se a satisfação com a qualidade do serviço universitário em estudantes de pós-graduação está relacionada. Para isso, utilizou-se um desenho não experimental, correlacional e transversal com uma amostra de 180 estudantes, aos quais foram aplicados o questionário sobre qualidade do serviço universitário e o questionário sobre satisfação do usuário. Os resultados obtidos permitem-nos concluir que existem relações significativas entre as duas variáveis do estudo (r = 0,80), bem como entre as suas dimensões que compõem cada variável.

RESUMEN La Universidad Nacional y, particularmente, la escuela de posgrado, tienen la tarea de brindar un servicio de calidad que genere satisfacción entre sus estudiantes. Esto es fundamental para mejorar la calidad de los programas de posgrado. La investigación tuvo como objetivo establecer la relación que existen entre la calidad del servicio universitario ofrecido con la satisfacción del usuario en estudiantes de posgrado de una Universidad Pública de Lima. Para lograrlo se utilizó un diseño no experimental, correlacional y transversal con una muestra de 180 estudiantes, a quienes se les administró el cuestionario sobre calidad del servicio universitario y el cuestionario sobre satisfacción del usuario. Los resultados obtenidos permitieron concluir que, existen relaciones significativas entre las dos variables de estudio (r = 0.80), así como entre sus dimensiones que componen cada variable.

Abstract: This paper introduces the Distributed Utility Function Algorithm (D-AFU) as a notable progression in managing and optimizing network traffic within distributed settings. Based on the utility function principle, D-AFU dynamically adjusts data rate in response to ever-changing network demands, with optimal performance and a higher user experience. Contrary to the centralized model, D-AFU employs a distributed, scalable and resilient against failures and system overloads mechanism. Its efficiency was validated using the NS-3 simulator. Three main metrics were used: the data rate allocation, utility per session, and fairness (quantified by the Gini coefficient). D-AFU displays exceptional performance and low latency, particularly vital for real-time applications with high Quality of Service (QoS) requirements.

Resumen: El artículo presenta el Algoritmo de Función de Utilidad Distribuida (D-AFU) como una notable evolución en la gestión y optimización del tráfico de red en entornos distribuidos. Basado en el principio de función de utilidad, D-AFU ajusta dinámicamente la velocidad de datos en respuesta a las demandas cambiantes de la red, con un rendimiento óptimo y una mejor experiencia para el usuario. A diferencia del modelo centralizado, D-AFU emplea un mecanismo distribuido escalable y con mayor resistencia contra fallos y sobrecargas del sistema. Su eficiencia fue validada utilizando el simulador NS-3. Se utilizaron tres métricas principales: la tasa de asignación de transmisión, la utilidad por sesión y la equidad (cuantificada por el coeficiente de Gini). D-AFU mostró un rendimiento excepcional, especialmente vital para aplicaciones en tiempo real que exigen alta Calidad de Servicio (QoS) y baja latencia.

Introduction: Malnutrition is an inpatient complication associated with increased morbidity and mortality, modifiable by improving nutritional intake. For this, it is essential to know the patient's satisfaction regarding intra-hospital feeding. Currently there is no validated and adapted tool for the Chilean population to evaluate this area. Aim: to develop a cross-cultural adaptation of the validated ACHFPSQ questionnaire, which has shown to be capable of identifying aspects to improve in the quality and planning of intrahospital feeding and applying corrective measures based on its observations with a positive impact on the food service. Materials and methods: The methodology of this process, applied in an internal forum between the authors, was based on a series of translations from the original language and reverse into Chilean Spanish that were unified in a consensus instrument with which a pilot test was carried out in 30 patients. After this test, the respondents’ suggestions were collected to apply modifications and a quality control for cross-cultural adaptations to define the final version of the instrument. Results: the authors’ forum evaluated the translations positively, having to apply a single explanatory modification to the instrument. In the pilot test, 93% required assistance to complete the survey. Only two respondents made suggestions, with no impact on the final instrument. Discussion and conclusion: the questionnaire becomes a new tool available to evaluate service quality standards and other nutritional indicators, allowing to objectify the impact of possible changes in food services.

Resumen Introducción: La malnutrición es una complicación hospitalaria asociada a mayor morbimortalidad, modi- ficable al mejorar la ingesta nutricional. Para esto es fundamental conocer la satisfacción del paciente sobre la alimentación intrahospitalaria. Actualmente, no existe una herramienta validada y adaptada a población chilena para evaluar dicha esfera. Objetivo: elaborar una adaptación transcultural del cuestionario validado ACHFPSQ, que ha demostrado ser capaz de identificar aspectos a mejorar en calidad y planificación de la alimentación intrahospitalaria y aplicar medidas correctivas a partir de sus observaciones con un impacto positivo en el servicio de alimentación. Materiales y métodos: La metodología de este proceso, aplicada en un foro interno entre los autores, se basó en una serie de traducciones desde el idioma original e inversas al español de Chile que fueron unificadas en un instrumento consenso con el cual se realizó una prueba piloto en 30 pacientes. Tras dicha prueba, se recogieron las sugerencias de los encuestados para aplicar modificaciones y un control de calidad de adaptaciones transculturales para definir la versión final del instrumento. Resultados: el foro de autores evaluó positivamente las traducciones, debiendo realizar una sola modificación aclarativa al instrumento. En la prueba piloto, un 93% requirió asistencia para completar la encuesta. Solo dos encuestados hicieron sugerencias, sin impacto en el instrumento final. Discusión y conclusión: el cuestionario se convierte en una nueva herramienta disponible para evaluar estándares de calidad de servicio y otros indicadores nutricionales, permitiendo objetivar el impacto de posibles cambios en los servicios de alimentación.

Abstract This conceptual review explores and explains the influence of culture on tourism and hospitality activities from a service quality perspective. The study takes a dyadic perspective, i.e., by taking both marketing and management perspectives into account, particularly in investigating the influence of culture on tourism and hospitality activities on SERVQUAL dimensions of tangibles, reliability, responsiveness, assurance, and empathy. The study shows that culture influences the design and implementation of service quality dimensions and the knowledge of cultural variables may have a significant influence on the efficient and effective management of service quality systems.

Resumen Este artículo explora y explica la influencia de la cultura en las actividades turísticas y hoteleras desde una perspectiva de calidad del servicio. El estudio adopta una perspectiva diádica, es decir, teniendo en cuenta las perspectivas de marketing y gestión, investiga en particular la influencia de la cultura en las actividades turísticas y hoteleras en las dimensiones de SERVQUAL de bienes tangibles, confiabilidad, capacidad de respuesta, seguridad y empatía. El estudio muestra que la cultura influye en el diseño e implementación de las dimensiones de la calidad del servicio y el conocimiento de las variables culturales puede tener una influencia significativa en la gestión eficiente y efectiva de los sistemas de calidad del servicio.