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This paper aims to empirically investigate how structural barriers affect the relationship between total quality management (TQM) practices implementation and organizational performance in service industries.

This research hypothesized the moderation effect of structural barriers on the relationship between TQM practices implementation and organizational performance. A questionnaire was adopted to collect data form 153 Egyptian service companies. Moderated regression analysis was used to test the study hypothesis.

The empirical analysis suggests that structural barriers partially moderate the relationship between TQM practices implementation and organizational performance. The analysis reveals that the effect of Quality Improvement, Process Improvement, External and Internal Relations and Employee Development – being as TQM dimensions – on performance is moderated by structural barriers. While the results provided insufficient evidence on the moderating effect of structural barriers on the relationship between both Performance Management – being as a TQM dimension – and performance.

This research presents a new perspective for researches to understand the TQM–Performance relationship in the light of the contingency theory. However, the adopted sampling technique and the small sample size might limit the generalizability of the research findings.

This study provides useful insights for service organizations about the necessity of developing suitable structural platform for supporting their TQM efforts to boost their performance which, in turn, improves their competitiveness.

This research proposed and empirically validated how structural barriers play a significant role as moderators to the relationship between TQM implementation and organizational performance within service organizations context.

The purpose of this paper model and prioritizes barriers to product development in medical device manufacturing industries using an integrated “structural equation modelling” (SEM) and “fuzzy technique for order performance by similarity to ideal solution” (FTOPSIS) framework.

Barriers to medical device development (MDD) are adopted from literature. The initial structural model is proposed, exploratory factor analysis and confirmatory factor analysis are used to determine factor loading and model fit, respectively. Further, FTOPSIS is used to rank the barriers and sensitivity analysis is carried to check the robustness of results. The results are discussed in detail and the recommendations to overcome the barriers are presented.

Barriers analysed and prioritized in this research significantly hinder the MDD. The expert survey is used to develop an initial structural equation model of barriers to MDD, find the reliability and validity of the model. Based on the opinion of the experts, the barriers are divided into three categories – internal, policy and induced barriers. FTOPSIS is applied to rank and prioritize the barriers based on views from these three classes of experts. More reliance on imported devices leading to increased imports (B11) and lack of uniform regulatory standards (B6) are found to have the highest rank together, indicating these to be the most important barriers from the perspective considered here. Sensitivity analysis indicates that the factors are less sensitive to the weights of criteria further confirming the reliability of the initial solution.

The prioritization of barriers may vary based upon experts. Policymakers, existing and new device developers need to give utmost importance to these barriers, which will help to accelerate the indigenous development of medical devices to overcome the present dependence on imports.

This paper demonstrates an integrated structural based modelling and prioritization technique for statistical modelling and prioritization of barriers to MDD. The results and recommendations will help policymakers and manufacturers to increase the indigenous share of medical devices. The integrated methodology can be effectively applied where the need for the combined quantitative and qualitative approach is there.

This paper demonstrates an effective structural based modelling and prioritization technique. It can be effectively applied in various fields, it will help policymakers and manufacturers to increase the indigenous share of medical devices.

In light of the growing number of refugees and immigrants in Canada, this paper aims to identify barriers to mental health services for newcomer immigrants and refugees in Quebec and to examine how mental health services can be improved for these populations.

In this qualitative study, semi-structured individual interviews with Farsi-speaking health professionals and focus group interviews with participants from community organizations in Quebec were conducted.

Participants, both health-care professionals and community members, reported that mental health services are not readily accessible to Farsi-speaking immigrants and refugees. Structural barriers, language barriers, cultural safety and stigma were identified as obstacles to accessing care. Recommended strategies for improving access to mental health care are discussed.

Multiple studies have found that language and cultural barriers are associated with health inequalities and under-utilization of mental health services among linguistic and ethnic minorities. However, there are limited data on many groups and contexts, and a need to better understand how language barriers affect health outcomes, service utilization, patient satisfaction or overall costs to the health system or to society. In response to this gap, the present study explores how access to mental health services for Farsi-speaking newcomers may be limited by structural and linguistic barriers and cultural differences and as well as to identify strategies that can reduce the identified barriers.

Compte tenu du nombre croissant de réfugiés et d'immigrants au Canada, cette étude vise à identifier les obstacles aux services de santé mentale pour les nouveaux arrivants immigrants et réfugiés au Québec et à examiner comment les services de santé mentale peuvent être améliorés pour ces populations.

Dans cette étude qualitative, des entretiens individuels semi-structurés avec professionnels de la santé parlant le Farsi et entretiens avec des participants des organisations communautaires au Québec ont été menées.

Les participants, tant des professionnels de la santé que des membres de la communauté, ont déclaré que les services de santé mentale sont inaccessibles aux immigrants et réfugiés parlant le Farsi. Obstacles structurels, les barrières linguistiques, la sécurité culturelle et la stigmatisation ont été identifiées comme des obstacles à l'accès aux soins. Les stratégies recommandées pour améliorer l'accès aux soins de santé mentale sont discutées.

De nombreuses études ont montré que les barrières linguistiques et culturelles sont associées à les inégalités en matière de santé et la sous-utilisation des services de santé mentale chez les minorités linguistiques et ethniques. Cependant, les données sont limitées sur de nombreux groupes et contextes, et il est nécessaire de mieux comprendre comment les barrières linguistiques ont une incidence sur les résultats de santé, l'utilisation des services, la satisfaction des patients ou les coûts globaux pour le système de santé ou à la société. En réponse à cet écarte, la présente étude examine comment l'accès aux services de santé mentale pour les nouveaux arrivants parlant le farsi peuvent être limités par des barrières structurelles et linguistiques et des différences culturelles, ainsi que d'identifier les stratégies de réduire les obstacles identifiés.

Wine tourism is emerging as a lucrative industrial sector, capable of generating considerable economic development, and there are numerous wine‐producing regions that would like to become new tourist destinations. To do so the agents involved must know the incentives for and barriers to (the participation of) potential tourists, as well as the significance of those incentives and barriers. This paper seeks to address these issues.

An analysis of opinions from a sample of residents in Aragón, an important wine‐producing region of Spain, established the main groups of existing incentives. Subsequently, a model of structural equations was considered, to establish what effect the previously‐obtained incentives and different existing barriers have on the intention to generate wine tourism.

The results indicate that the services offered by wineries and the appeal of the destination are the key incentives. Moreover, personal barriers constitute the main impediment to participating in wine tourism, with structural barriers taking second place.

It is necessary to develop strategies that increase interest in the wine product and in related activities, in order to successfully develop wine tourism, considering that, in the case studied, neither cost nor time nor distance act as barriers for developing wine tourism.

A review of the existing literature shows that, in spite of the growing interest in wine tourism over the last five years in Spain, much remains to be explored. An analysis of the factors that could have an impact on participation in tourism activities related to wine in Spain is among the topics receiving little attention. The tested model includes incentives for, and barriers to, the strategic development of wine tourism. This model represents the first empirical proposal for the Spanish case.

Every year, 311,000 women die of cervical cancer globally, a disease which is preventable and treatable. Pap-testing should be part of a comprehensive approach to tackling cervical cancer; however, barriers to pap-testing do exist and migration may present additional barriers. In 2018, 2.3 million overseas Filipino workers were recorded and uptake of pap-testing for this group is low. The study aims to understand barriers and enablers to screening for overseas Filipino workers, which is essential to improve uptake of pap-testing for this population.

Embedded in a mixed-methods study, an exploratory qualitative study was conducted with Web-based, in-depth interviews (N = 8) with female overseas Filipino workers, mostly domestic workers, based in Kuwait, Qatar, Singapore and Hong Kong. Results were analysed using thematic analysis. A socio-ecological conceptual framework was used to explore barriers to uptake of pap-testing.

Barriers to pap-testing were cognitive factors, such as limited knowledge and fear of the outcome of pap-testing, as well as cultural and structural barriers. Findings revealed structural contexts not conducive to pap-testing, including difficulty navigating the health-care system, poverty, difficult employment circumstances and the overriding need to provide financially for family and children in the Philippines.

This study explored barriers to pap-testing with a hard-to-reach group, who are underrepresented in the literature. Barriers to pap-testing were embedded in structural barriers, resulting in health inequalities. Host and sending countries benefit from overseas Filipino workers and have a responsibility to care for their health and well-being, and should strive to tackle these structural factors.

The purpose of this paper is to focus on studying the concept of “Smart Organization” and providing a comprehensive framework for the various factors as barriers for the smart organization, identifying and classifying the key criterion of these factors based on their direct and indirect relationships.

In this paper an extensive literature survey and experts’ opinion have been used to identify major barriers of smart organization. These barriers are then modeled using interpretative structural modeling (ISM) methodology. The model so developed has been further improved and an integrated model has been developed using fuzzy-MICMAC.

Various barriers of smart organization have been identified and a structural model has been developed for barriers using the ISM methodology. The critical barriers have been found out by fuzzy-MICMAC analysis. The driver power and dependence graph has been plotted for barriers. The barriers are classified into four categories which are, autonomous, linkage, dependent and independent according to their driver power and dependence. From the ISM model and the integrated model, and from further discussions with the experts, it has been found that the barriers “(B1) organizational structure” and “(B6) Managerial actions” are the two most important barriers, every other barrier is directly or indirectly driven by these.

The basis of developing the ISM model, i.e, the structural self-interaction matrix is based on experts’ opinion, therefore the result may get influenced if there is any biasing in judging the barriers. The future research scope for this paper will be to test the model generated in this paper. The testing of the model can be done by applying structural equation modeling technique, it has the capability of testing the hypothetical model. Further a framework of smart organizations can be created to find out the smartness of different organizations.

The paper can be used by organizations in understanding the barriers in becoming “smart” on the basis of their inter-relationships. This model can help manufacturing organization of North India in understanding the barriers which needs to be worked upon and the inter-relationship among these factors. This model-based study may be helpful in understanding and implementing the practices of smart organization by removing the possible critical barriers.

This is the first study to identify the barriers of smart organizations and to develop a model of these barriers using ISM and fuzzy-MICMAC.

The purpose of the paper is to depict a study on analysis of barriers to lean adoption in fabrication industry using interpretive structural modelling (ISM).

From the literature review, 22 barriers to lean adoption in fabrication industry have been recognized . Self-structure interaction matrix has been developed based on expert opinion. Computational steps of ISM are being done to develop the structural model. cross-impact matrix multiplication applied to classification (MICMAC) analysis is being done to group the barriers into four types.

Based on the study, it has been found that “lack of knowledge about lean (philosophy, principles, tools)”, “lack of top management support and commitment” and “poor leadership” are found to be the principal barriers. MICMAC analysis indicated that number of driving, dependent, linkage and autonomous barriers are 9, 8, 4 and 1, respectively.

The study has been executed based on the inputs from industrial practitioners and hence the inferences are found to have practical relevance.

The study is an attempt to analyze the barriers for lean concepts adoption in fabrication kind of industry.

This study aims to identify and prioritize barriers to the implementation of medical equipment (ME) marketing strategies using the analytic hierarchy process (AHP).

This was an applied, cross-sectional and descriptive-analytic study conducted in 2017 in Iran. The study population included 30 medical equipment experts working in the Ministry of Health and Medical Education. A researcher made pair-wise comparison questionnaire was used for collecting the required data. The validity and reliability of this questionnaire were confirmed through getting five related experts’ opinions and inconsistency ratio (IR = 0.04). The AHP technique and Expert Choice 10.0 software were used to prioritize the barriers to the implementation of ME marketing strategies.

The results showed that among four categories of barriers to the implementation of ME marketing strategies, “managerial and strategic barriers” (FW = 0.339) and “structural barriers” (FW = 0.139) were the most important and the least important barriers, respectively.

This study, for the first time, has identified and prioritized barriers to the implementation of medical equipment marketing strategies using the AHP.

The purpose of this paper is to examine early sociological research on the experience of non-impaired siblings in families of children with disabilities for evidence of an approach consistent with aspects of the social model of disability.

Due to the historical nature of this special issue, this work examines research published over a 30-year period beginning with the 1960s and ending with the late 1980s. After an extensive literature search, a mixture of 51 quantitative and qualitative studies on the sibling experience was included in the sample.

Findings indicate that while the focus of much of the early research on the non-impaired sibling experience was on the negative impact of having a sibling with impairments, there were some exceptions in early sociological studies that highlighted the impact of structural barriers and cultural attitudes on sibling adjustment. In particular, results of early studies showed that the transmission of inclusionary attitudes within the family unit can improve the lives of siblings.

This study aims to understand how open innovation (OI) environments can help organizations in implementing knowledge sharing (KS) practices defusing KS barriers.

An in-depth case study analysis on the strategic technology and innovation management (STIM) consortium at the Institute of Manufacturing of the University of Cambridge was performed during the 2019 and 2020 STIM program editions. To analyze data, this paper used the interpretive structural model on a sample of 20 managers participating in the STIM consortium, and this paper carried out an exploratory in-depth case study analysis to validate the results.

The findings shed light on the role of OI environments in defusing KS barriers in the process of inter-organizational KS.

Notwithstanding the importance of KS practices among organizations, only a few studies have recognized and investigated the role played by OI arrangements in enhancing KS practices.