This research analyzes the relationships among environmental factors, organizational structure, strategic orientation, and organizational performance within the Romanian medical system, addressing a theoretical gap in this context. A quantitative approach was applied, analyzing data from 502 employees in the Romanian medical sector. The study used a dual framework, integrating gestalt theory and mediation to examine the environment–structure–strategy–performance relationship. Two-stage cluster analysis, one-way analysis of variance, and partial least squares structural equation modeling tested direct and mediated effects among the variables. From a gestalt perspective, five distinct clusters demonstrated the interplay between environment, structure, and strategy. Romanian healthcare organizations align their structural elements and strategic decisions coherently and distinctly, considering contextual constraints, with implications for several performance dimensions, including patient satisfaction, financial stability, innovation, and internal process improvement. From a mediation perspective, both direct and mediated relationships indicate that organizational structure and strategic orientation positively affect organizational performance and suppress the negative contextual effects. This study contributes theoretically by extending contingency and gestalt theories to the Romanian healthcare context, showing that contextual fit, rather than structural uniformity, determines performance variation. Practically, the findings guide healthcare managers and policymakers in attenuating contextual shocks and improving organizational performance through strategic alignment and flexible structural design.

Nowadays, online customer evaluations have developed as an essential source of information for both businesses and consumers, replacing and augmenting previous modes of communication. The goal of this work is to perform a bibliometric analysis to investigate the scientific production surrounding online reviews and the sale of home appliances from 2011 to 2022. We used the Scopus database to acquire primary data and the VOSviewer program to analyze the data and perform the bibliometric analysis to achieve the desired objective. The major findings revealed that the year 2021 delivered the greatest amount of scientific contributions and that the United States of America contributed the greatest number of articles overall. Moreover, for the analyzed period the terms with the highest density present in scientific production are: "online reviews", "quality", "applications", "impact", "reviews", "effects", "consumer", "factors", and "purchase intent." At the end of the analysis, we conclude with some relevant future research directions emerging from our bibliometric analysis.

This study aims to evaluate various categories of internal and external factors contributing to the digitalization of public Romanian institutions, highlighting the minimum necessary levels that condition the digitalization process. A total of 377 responses obtained from public employees through an electronic questionnaire were analyzed. In the first step of the mixed-methods research design, the proposed relationships were examined using structural equation modeling (PLS-SEM), while additional insights into the necessary and sufficient internal and external digitalization conditions were obtained using importance-performance analysis (IPMA) and necessary condition analysis (NCA). The results indicate that certain external factors, such as the conditions needed for IT specialists or government clouds, and certain internal factors, such as institutions designing an appropriate IT component or assimilating innovative technologies, contribute more prominently to the digitalization processes. Post-analysis feedback from practitioners validated the quantitative results and provided additional practical relevance. Thus, from a practical perspective, the research suggests the need to develop appropriate legislative frameworks and organizational structures that encourage the digitalization of public administration. The study also offers a guide to the public sector, which will amplify the use of digital tools (DTs) and technologies and further drive digitization within these institutions. From a theoretical perspective, the research fills an underexplored gap regarding public sector digitalization and complements existing international literature.

A good health system is essential for any country to achieve its social, economic, and political goals and to ensure that all citizens have the opportunity to lead healthy and productive lives. A country’s healthcare system can also have an impact on its reputation and competitiveness on the global stage. Several research studies have examined the healthcare system in Romania from a comprehensive perspective. Recently, the topics most studied include healthcare workers and the impact of the pandemic on the healthcare system. This study aims to analyze the level of resources and the quality of the health system in the 42 counties of Romania. Data was collected from national statistics and several indicators were examined in relation to the resources and quality of the healthcare system. The primary indicators for healthcare resources that we used focused on the average number of doctors and hospitals, among others. While, for quality, we evaluated metrics such as the average of natality, mortality, and others. To analyze the data collected on health resources, we used a two-step cluster grouping method in SPSS, and to assess quality indicators, we performed a one-way ANOVA analysis to determine whether there were significant differences in health care quality between areas with fewer resources and areas with more resources. The findings of our research divided the country into four clusters based on the availability of medical resources per one thousand inhabitants, where medical resources are limited and where resources are high. Furthermore, we discovered that there is a statistically significant difference between medical resources and the mortality rate.