PurposeThis study addresses the impact of the corona crisis on the performance of women small- to medium-sized enterprises (MSMEs) and explores the adopted innovative strategies by these women to stay in their businesses.Design/methodology/approachBoth quantitative and qualitative methods are used in this cross-sectional country-level survey. A representative sample of 260 Palestinian women businesses completed the questionnaire. As well, semi-structured interviews have been conducted with 15 female entrepreneurs who succeeded to survive to collect qualitative data. Frequencies, cross-tabulations and Chi-Square tests are used to analyze quantitative data and thematic analysis is used to analyze the qualitative one.FindingsThe main findings show that the corona crisis harms the performance of many women MSMEs in terms of production, turnover profit. To reduce their lost sales during the crisis, women are more likely to benefit from social media and promotions than other methods. This study highlights the innovation strategies applied by the women MSMEs who managed to survive such as, among others, cash management and digital marketing.Practical implicationsThe innovation strategies could be a road map for other women struggling MSMEs businesses to re-enter businesses again.Originality/valueSo far, little research has focused on women MSMEs in developing countries. The identified innovation strategies will potentially help aspiring women MSMEs to survive during the economic crisis.

BackgroundWhile health needs and expenditure in the Occupied Palestinian Territories (OPT) are growing, the international donations are declining and the economic situation is worsening. The purpose of this paper is twofold, to evaluate the productive efficiency of public hospitals in West Bank and to study contextual factors contributing to efficiency differences.MethodsThis study examined technical efficiency among 11 public hospitals in West Bank from 2010 through 2015 targeting a total of 66 observations. Nationally representative data were extracted from the official annual health reports. We applied input-oriented Data Envelopment Analysis (DEA) models to estimate efficiency scores. To elaborate further on performance, we used Tobit regression to identify contextual factors whose impact on inefficient performance is statistically significant.ResultsDespite the increase in efficiency mean scores by 4% from 2010 to 2015, findings show potential savings of 14.5% of resource consumption without reducing the volume of the provided services. The significant Tobit model showed four predictors explaining the inefficient performance of a hospital (p <  0.01) are: bed occupancy rate (BOR); the outpatient-inpatient ratio (OPIPR); hospital’s size (SIZE); and the availability of primary healthcare centers within the hospital’s catchment area (PRC). There is a strong effect of OPIPR on efficiency differences between hospitals: A one unit increase in OPIPR will lead a decrease of 19.7% in the predicted inefficiency level holding all other factors constant.ConclusionTo date, no previous studies have examined the efficiency of public hospitals in the OPT. Our work identified their efficiency levels for potential improvements and the determinants of efficient performance. Based on the measurement of efficiency, the generated information may guide hospitals’ managers, policymakers, and international donors improving the performance of the main national healthcare provider. The scope of this study is limited to public hospitals in West Bank. For a better understanding of the Palestinian market, further research on private hospitals and hospitals in Gaza Strip will be useful.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3228-1) contains supplementary material, which is available to authorized users.

BackgroundThe structure, function, and capacity of the health care system in the Occupied Palestinian Territories (OPT) had been largely shaped by the complex political history of the country. Since the establishment of the Palestinian Authority in 1994, the reform efforts were subsidized much by the international aids to rebuild the country’s institutional capacity. No previous studies have provided a realistic evaluation of Palestinian achievements in the conduct of public healthcare, we examine the relative productive efficiency of public hospitals (their managers’ success in the usage of resources) during 2010–2015 within West Bank and Jordan. Then, we estimate the efficiency of policies within which managers operate (the program efficiency) across the two countries.MethodsWe employ the Data Envelopment Analysis (DEA) models to distinguish between within-country managerial efficiencies and public policy “program” efficiencies across the two countries. The study follows two key steps, the first step evaluates managerial efficiencies and explores trends in performance within each country. Then, we examine the program efficiencies across the two countries.ResultsPublic hospitals improved their year-specific overall efficiency from 75 to 80% in the West Bank and from 78 to 86% in Jordan in 2010 and 2015 respectively. Changes in efficiency are driven by scale effects in West Bank and by managerial enhancements in Jordan. Program efficiency in West Bank outperformed Jordan during 2010–2012, there was no significant difference in mean program efficiencies between the two countries during 2013–2015.ConclusionsThis work addresses a gap in the DEA literature by empirically investigating the efficiency of public hospitals as distinct from program efficiency in a developing country, namely, Palestine. Findings stimulate hospital managers to enhance potential improvements, policymakers to allocate resources, and international donors to focus on the right adoption of new technology to get better benefits from their considerable investments in public hospitals.

BackgroundUnderstanding the perceived importance of Patient-Centered Care (PCC) among Palestinian doctors and how the provider and other clinical characteristics may impact their views on PCC is essential to determine the extent to which PCC can be implemented. This study investigates the provision of PCC among hospital doctors in a developing and unstable country, namely, Palestine.MethodsThis descriptive, cross-sectional research employed self-report survey among 369 Palestinian doctors working in hospitals in 2016. Respondents completed the Provider-Patient Relationship Questionnaire (PPRQ) and were asked to rate the importance of 16 PCC subjects in a context-free manner. Then they scored the existence of eight contextual attributes in their workplace.ResultsAlthough 71.4% of the participants got training in communication, only 45% of the participants knew about PCC. 48.8% of doctors considered the “exchange of information” with patients most important PCC component. Clustering identified three groups of doctors: 32.4% of doctors reported good perceptions of PCC, 47.5% moderate; and 20.1% poor. Older, married, and specialist doctors and those familiar with PCC are more likely classified in the “good” cluster. Results revealed a significant difference between doctors’ views based on their gender, experience, marital status, previous knowledge about PCC, and type of hospital in favor of males, experienced, married, familiar with PCC, and doctors in private hospital respectively. The level of job interest, nurses’ cooperation, the tendency of patients to hide information, and doctor’s friendly style were positively related with more perceived importance of PCC.ConclusionWe identified benchmark doctors who perceive the high relative importance of PCC. Our results highlighted knowledge gaps and training weaknesses among doctors in public and private hospitals in respect to their views on PCC. Decision makers may invest in the determined contextual predictors to enhance attitudes towards PCC. This work doesn’t address patients’ views on PCC.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3573-0) contains supplementary material, which is available to authorized users.

Jordan is committed to providing healthcare services for more than a million refugees coming from bordering countries in the last five years and face increasing demand for the services of public hospitals. Their efficiency is a key success factor to manage the unique and complex context effectively. This research investigated the technical and scale efficiency of the Jordanian Public Hospitals. The study applied constant and variable returns to scale input-oriented DEA models to rank hospitals and allocate the factors associated with inefficient operations. The work tested 27 general public hospitals from 2010 to 2014, in total, 135 observations were examined with respect to four input-measures and three output-measures. The output-measures characterize three functional areas; inpatient, outpatient, and ambulance and emergency departments. Further, decomposing the technical efficiency allowed considering for scale effects. Findings revealed that 25 observations out of 135 ones were efficient and constructed the efficient frontier. Eight hospitals in 2014 were on the frontier, but weakly efficient and all suffered slacks. Targets and reference sets were identified to guide improvements. Hospitals were sorted into five performance patterns; promising, declining, stable good, stable poor, and unstable. The number of physicians and outpatient services recorded high slacks. On average, 2013 scored the best performance. Scale analysis shows that a capacity of 160 beds is an optimal production size in Jordan. Inefficient and weakly efficient hospitals can target areas of opportunities for performance improvements. The efficiency of Public hospitals in Jordan was not investigated since 1992. The study was limited to public hospitals from 2010 to 2014.

The usual crisis mode of economic operations in Palestine intersects with the adverse consequences of COVID-19 and necessitates an innovative response to survive. This research builds on potential synergies between industry and university to expand the Palestinian agriculture sector resilience. We report on an explorative study that sought to understand the reality of the university–industry linkages (UILs) by considering information and experience gathered from 29 interviews in January 2020 and April 2021. Interviewees represent five key actor groups: farmers and agribusinesses, private institutions, universities, the Ministry of Agriculture, and NGOs. Content analysis revealed a nascent collaboration scope and uncovered the lack of a confident attitude among farmers towards agriculture research efforts, the poor communication performance, and misalignment of purpose. University actors need to encompass the UILs in their mission and touch farmers’ needs by providing novelty evidence research. Yet, farmers and agribusinesses may take the initiative to communicate their problems and search for renovation. We developed a framework of underpinnings to enhance collaboration and a healthier agriculture sector. We suggest activating the cooperatives and diversifying farmers’ income as deemed more resilient to face the pandemic.

No abstract