La investigación propone un procedimiento para la mejora de procesos que centra su objetivo en lograr el enfoque al cliente, el alineamiento estratégico y la mejora continua. La propuesta es el resultado del estudio y análisis estadístico de más de 80 procedimientos de mejora encontrados en la literatura, su aplicación parcial por más de 10 años en, al menos, 40 empresas de manufactura y servicio y la inserción de un conjunto de herramientas estadísticas y criterios de decisión que ayudan a su fundamentación científica, a la vez que a la reducción del tiempo de su aplicación. Por otra parte, se logra una exhaustiva representación de los procesos que contribuye a la implementación e integración de los sistemas de gestión asociados a las Normas ISO.

Social responsibility is a key element in meeting the needs of the context in which an organization operates. In the healthcare sector, attention to this concept has involved studying internal aspects, as well as the contribution to its implementation in the management of processes and practices of the organization's agents. In order to analyze the relationship between social responsibility and hospital culture, a mixed study was conducted in two phases. First, a focused ethnography was implemented, followed by a systematic review study. The results showed a poor conceptual development of the category, the importance of organizational ethics, the values in the regulation exerted by hospital culture on social responsibility, and the need for the dual nature of social responsibility in terms of its design as an instrument or strategy of the organization. It is concluded that achieving a better operationalization of social responsibility is necessary for its reproduction in the hospital culture, as such responsibility must be promoted as an individual practice based on a solid worldview, and from this achievement, consolidated as a set of identifiable actions. Thus, quality must be a crossing in the design and description of the dimensions and indicators of social responsibility and an organizational value.

The patient flow, referring to the movement of patients through a healthcare institution, is essential for resource optimization, performance enhancement, and satisfaction level elevation within hospitals. The diagnosis of this flow is pivotal as it allows the identification of primary management inefficiencies. This research introduces a methodology structured in five stages for diagnosing patient trajectory management, integrating strategic and operational perspectives. After its implementation in a General Surgery service of a second-level hospital, its applicability was validated. The key deficiencies detected were grouped into essential variables for patient flow management. This methodology offers a holistic approach for healthcare administrators to evaluate the patient's journey within the hospital setting comprehensively.

Este trabajo tiene como objetivo caracterizar el comportamiento organizacional de empresas comercializadoras ecuatorianas basado en el enfoque de sistema y la evaluación de variables organizacionales. Se realizó un estudio cuasiexperimental en dos empresas comercializadoras de la provincia de Manabí, Ecuador. Se valoró inicialmente a las empresas según los 13 criterios útiles para caracterizar y clasificar sistemas empresariales; mediante métodos de expertos se identificaron las variables del comportamiento organizacional de mayor influencia en el desempeño de la compañía; con estos resultados se diseñó y aplicó un instrumento de evaluación, lo que se tradujo en un plan de mejora, condicionado por los atributos más distintivos de cada organización y por los indicadores más afectados. Se concluye por un lado que el comportamiento organizacional a través del análisis de indicadores asociados a las variables identificadas, puede ser clave en el desempeño de las empresas y, por otro que la caracterización del sistema favorece tanto la evaluación como la adopción de acciones de mejora ajustadas a las particularidades de cada comercializadora.

Framework supporting health care improvement Generalização da gestão por processos como

Logistics has a significant impact on gentrification processes, as it facilitates the transformation of urban areas by improving connectivity and access to essential services, can lead to the arrival of large commercial chains and the modernization of local services, which transforms the cultural identity of the community and exacerbates social tensions between new and old inhabitants. The objective is to analyze the scientific production related to the impacts of logistics on gentrification processes. A quantitative type of research was developed, based on a retrospective and descriptive study, with a bibliometric approach, in the SCOPUS database during the period from 1987 to 2024, without language restriction. The behavior of the research was heterogeneous, with a predominance of research articles with 39 in the area of social sciences. The most productive country was the United States with research that directly influences the transformation of urban areas and the dynamics of the housing market. Two lines of scientific research related to residential segregation and its effects on the health of Caucasian adults and gentrification and its effects on the housing market in urban areas were identified. Logistics significantly impacts urban gentrification processes by improving connectivity and access to essential services, attracting new, higher-income residents and transforming the community's cultural identity, which poses challenges in terms of equity and social sustainability