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Article
Publication date: 26 March 2021

Nikolaos Grigorakis, Georgios Galyfianakis and Evangelos Tsoukatos

In this paper, the authors assess the responsiveness of OOP healthcare expenditure to macro-fiscal factors, as well as to tax-based, SHI, mixed systems and voluntary PHI…

Abstract

Purpose

In this paper, the authors assess the responsiveness of OOP healthcare expenditure to macro-fiscal factors, as well as to tax-based, SHI, mixed systems and voluntary PHI financing. Although the relationship between OOP expenditure, macroeconomy, aggregate public and PHI financing is well documented in the existing empirical literature, little is known for the impact of several macro-fiscal drivers and the existing health financing arrangements associated with voluntary PHI on OOP expenditure.

Design/methodology/approach

The authors gather panel data by applying three official organizations’ databases. They elaborate static and dynamic panel data methodology to a dataset of 49 European and OECD countries from 2000 to 2015.

Findings

The authors’ findings do not indicate a considerable impact of GDP growth and general government debt as a share of GDP on OOP payments. Unemployment rate presents as a positive driver of OOP payments in all three compulsory national health systems post to the 2008 economic crisis. OOP payments are significantly influenced by countries’ fiscal capacity to increase general government expenditure to GDP in SHI and mixed health systems. Additionally, study findings present that government health financing, irrespective of the different health systems structure characteristics, and OOP healthcare payments follow different directions. Voluntary PHI financing considerably counteracts OOP payments only in tax-based health systems.

Practical implications

In the backdrop of a new economic crisis associated to the COVID-19 epidemic, health policy planners have to deal with the emerging unprecedented challenges in financing of health systems, especially for these economies that have to face the fiscal capacity constraints owing to the 2008 financial crisis and its severe recession.

Originality/value

To the best of authors’ knowledge, there is no empirical consensus on the effects of macro-fiscal parameters, different compulsory health systems financing associated with the parallel voluntary PHI institution funding on OOP expenditure, for the majority of European and OECD settings.

Details

EuroMed Journal of Business, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1450-2194

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Article
Publication date: 6 November 2017

Mariantonietta Fiore, Crescenzio Gallo, Evangelos Tsoukatos and Piermichele La Sala

Healthy and safety food issues are more and more becoming the purchasing process core of conscious consumer. “Type 1” wheat flour means higher protein and ash content. The…

Abstract

Purpose

Healthy and safety food issues are more and more becoming the purchasing process core of conscious consumer. “Type 1” wheat flour means higher protein and ash content. The purpose of this paper is to investigate the attributes usually referred to the characteristics of wheat flour known to consumers and at implementing a predictive model of purchasing that allows to make correct decisions without the necessary experience of a real human expert.

Design/methodology/approach

In order to investigate the research aims of the paper, an online survey was carried out and conducted by means of the Google Forms in the detection time January-April 2016. The online survey collected responses from 467 Italian respondents asked to give feedback about their buying habits of various types of flour. The responses were analyzed through a data mining approach. This paper implements predictive analytics to create a statistical model of future behavior by means of a machine learning algorithms.

Findings

In line with recent healthy and dynamic trends in the food industry, conscious consumer seems to be willing to pay a price for “type 1” wheat flour that is four times higher than the price related to the basic types of wheat flour.

Social implications

Consumer seems not to know well the “type 1” wheat flour and its healthy characteristics; then, it should be crucial to implement promotional strategies and marketing hand in hand. Promotion can be a key element in putting across the health benefits of special kinds of wheat flour.

Originality/value

Highlighting health issues about the “type 1” wheat flour gives insights and sheds some light on the crucial need of changing eating and purchasing behavior. Then, originality of this paper can be found in the used predictive algorithm of the artificial intelligence.

Details

British Food Journal, vol. 119 no. 11
Type: Research Article
ISSN: 0007-070X

Keywords

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Article
Publication date: 29 November 2019

Shosh Shahrabani, Sharon Teitler-Regev, Helena Desivilya Syna, Evangelos Tsoukatos, Vitor Ambrosio, Sandra Maria Correia Loureiro and Fotini Voulgaris

The purpose of this paper is to examine the effects of tourists’ perceptions of political and economic instability and risks of terrorism on their intentions to travel to…

Abstract

Purpose

The purpose of this paper is to examine the effects of tourists’ perceptions of political and economic instability and risks of terrorism on their intentions to travel to countries associated with various risks.

Design/methodology/approach

A total of 648 Greek, Israeli and Portuguese students completed a questionnaire focusing on their perceptions concerning factors that shape their travel decisions.

Findings

The findings showed that among tourists from Greece and Portugal, the experience of economic crisis and the salience of economic and political hardships mitigated their intentions to travel to destinations with similar problems. These factors had no effect on Israelis, who have not experienced such problems in their country. Frequent terrorist incidents diminished the intentions of Greek tourists to travel to destinations marked by terrorism, such as Israel. Thus, different factors affect tourists’ travel-related decisions in each of the three countries.

Originality/value

The study sheds light on how potential tourists construe the risks of traveling to specific destination countries based on hazards in their home countries, a topic that to date has received little research attention.

Details

EuroMed Journal of Business, vol. 15 no. 1
Type: Research Article
ISSN: 1450-2194

Keywords

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Abstract

Details

The Cross-Disciplinary Perspectives of Management: Challenges and Opportunities
Type: Book
ISBN: 978-1-83867-249-2

Abstract

Details

Cross Cultural Management: An International Journal, vol. 18 no. 3
Type: Research Article
ISSN: 1352-7606

Content available
Article
Publication date: 18 July 2011

Evangelos Tsoukatos and Yiannis Dimotikalis

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Abstract

Details

EuroMed Journal of Business, vol. 6 no. 2
Type: Research Article
ISSN: 1450-2194

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Book part
Publication date: 29 November 2019

Abstract

Details

The Cross-Disciplinary Perspectives of Management: Challenges and Opportunities
Type: Book
ISBN: 978-1-83867-249-2

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Article
Publication date: 18 May 2010

Evangelos Tsoukatos and Evmorfia Mastrojianni

The purpose of this study is to build a retail‐banking specific quality scale and, through its examination and comparison with the SERVQUAL and BSQ metrics that are…

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3114

Abstract

Purpose

The purpose of this study is to build a retail‐banking specific quality scale and, through its examination and comparison with the SERVQUAL and BSQ metrics that are currently used in banking, to deepen understanding of quality determinants in the industry. Furthermore, the study is set to provide additional input to the debate over generic against setting/industry/time‐specific quality metrics.

Design/methodology/approach

The study is implemented through a two‐stage process of literature review and empirical survey. Evidence drawn from Greek retail banking, through a specially designed research tool, is analyzed through reliability, factorial and regression analysis to determine the scale's item and factorial structure and assess its reliability and validity.

Findings

The BANQUAL‐R metric is introduced, with key elements assurance/empathy, effectiveness, reliability and confidence, a combination of SERVQUAL and BSQ dimensions. Findings back the setting‐specific approach of service quality and the notion that SERVQUAL provides the skeleton on which setting‐specific scales should be built.

Practical implications

Bank managers are provided with a reliable and valid metric of service quality in retail banking. Its dimensionality implies that under credit‐crunch conditions service delivery should be directed towards reinstating customers' trust and confidence that are put in danger. Banks should redirect resources from tangibles to the human contact‐related service elements.

Originality/value

Although the subject of “service quality measurement” is extensively researched, the continuously changing marketing environment calls for an ongoing assessment of quality factors. With respect to its academic value, the study accumulates knowledge that will eventually outgrow the boundaries of academia and pervade management.

Details

EuroMed Journal of Business, vol. 5 no. 1
Type: Research Article
ISSN: 1450-2194

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Article
Publication date: 17 July 2007

Evangelos Tsoukatos and Graham K. Rand

The purpose of this research is to examine the effect of culture on service quality and customer satisfaction.

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7374

Abstract

Purpose

The purpose of this research is to examine the effect of culture on service quality and customer satisfaction.

Design/methodology/approach

By extending GIQUAL, an instrument developed for measuring service quality in Greek Insurance, to measure the culture of individuals, hypotheses on all 25 possible relationships between the dimensions of culture and of service quality are determined and tested. The relationships between the dimensions of service quality and customer satisfaction, in the light of culture, are further examined.

Findings

Of the 25 hypothesized relationships between the dimensions of culture and of service quality, 23 are confirmed and the remaining two are directionally supported. The hypothesized importance of the service quality dimensions is also confirmed. However, the expected association between the importance of quality dimensions and the strength of their relationships with customer satisfaction is only directionally supported. Although the typology of Hofstede is used in the study, a culture different from the one specified for Greece by Hofstede's scores is exposed.

Research limitations/implications

The main limitations of this study are first, that it is based on a single service industry and secondly, that convenience sampling is used. However, its methodology and conclusions provide a solid basis for future research.

Practical implications

Insight on using culture for directing resources where quality investments are needed most is provided to managers. Although weak, the directional support for the hypothesized effect of the importance of quality dimensions on their relationships with customer satisfaction enhances the value of the findings. Different sub‐cultures that may be found in varying market segments can be used for determining quality investment priorities.

Originality/value

This study explores the effects of culture on service quality and customer satisfaction drawing evidence from Greek Insurance.

Details

Managing Service Quality: An International Journal, vol. 17 no. 4
Type: Research Article
ISSN: 0960-4529

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Article
Publication date: 1 September 2006

Evangelos Tsoukatos and Graham K. Rand

The purpose of this article is to investigate the path service quality → customer satisfaction → loyalty, at the level of constructs, drawing from the Greek insurance industry.

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9521

Abstract

Purpose

The purpose of this article is to investigate the path service quality → customer satisfaction → loyalty, at the level of constructs, drawing from the Greek insurance industry.

Design/methodology/approach

A SERVQUAL type service‐quality instrument is developed for Greek insurance. Confirmatory and exploratory factor analyses are used to determine the scale's dimensionality. Path analysis is utilized to examine a model linking service quality, customer satisfaction and loyalty at the level of constructs' individual determinants.

Findings

SERVQUAL's dimensionality is not confirmed. A non‐tangibles, tangibles structure exists in Greek insurance. “Tangibles” does not affect customer satisfaction while WOM is an antecedent of repurchasing intentions. Satisfaction does not directly influence the latter.

Research limitations/implications

This study suffers the limitation that it tests the fit of the model within the limits of a single service industry. Another limitation is availability sampling. However, the satisfactory fit of the estimated model allows for the study to be a reliable comparison basis for future research.

Practical implications

Insurance managers may use GIQUAL for measuring the quality of insurance services offered. They must improve the intangible rather than the tangible elements of service and direct their support mechanisms towards developing customers willing to engage in positive WOM. The proposed model can be used to provide comparable findings across sectors, countries and time provided that, in each case, an appropriately customized SERVQUAL type scale is used.

Originality/value

This study explores the service quality, satisfaction, and loyalty path at the level of specific dimensions drawing from Greek insurance.

Details

Managing Service Quality: An International Journal, vol. 16 no. 5
Type: Research Article
ISSN: 0960-4529

Keywords

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