Abstract
Hospital Information System is the most fragile component of the health care system in the countries in development process. The modernization of the health care system does not integrate a rigid reflection on the installation of these tools into hospitals, which remain foreign with the strategies of these countries. The main objective of this research is to present a systematic review on the relationship between process approach and continuous improvement with the development and continuity of hospital information systems. Hospital Information System and its sustainability are key factors for the functioning of services in Hospital Institutions which requires principles respect of quality management as the process approach among others. The main question to be treated in this paper is " Which reasons have been given for the views that the process approach is or isn't helping to have and give a Hospital Information System in continuous development?", in order to contribute to the systematization of knowledge in this area, the main objective of this research is to present a systematic review on the relationship between process approach and continuous improvement with the development and continuity of hospital information systems. The systematic review methodology was the PRISMA Statement (R), the search granted to find 7735 based on defined key-words, and after a preliminary examination, according to the exclusion conditions and the eligibility criteria 20 papers were considered relevant to a more detailed study. After an analysis of all relevant documents we have tried to reveal the important gap, which we will try to explore more in future investigations.

Abstract
This study aims to evaluate the economic efficiency of Nursing Homes owned by 96 Santas Casas da Misericordia (SCM) and the determinants that influenced their efficiency in 2012 and 2013. The SCM are the oldest non-profit entities, which belong to Third Sector in Portugal, provide this social response and receive significant financial contributions annually from the state. The study is developed in two stages. In the first stage, the efficiency scores were calculated through the non-parametric DEA technique. In the second stage, Tobit regression is used to verify the effect of certain organizational variables on efficiency, namely the number of users and existence of Nursing Home chains. The results of the DEA model show that the efficiency average is 81.9%, and only 10 out of 96 Nursing Homes are efficient. Tobit regression shows that the number of users has a positive effect on the efficiency of Nursing Homes, whereas the existence of Nursing Home chains affects their efficiency negatively.

Abstract
This paper aims to analyse the bi-directional relationship between technical efficiency, as a measure of companies' performance, and capital structure, under the agency cost theory as well as the pecking order and trade-off theory, to explain the capital structure decisions. The technical efficiency was estimated by the DEA method and corrected by using a suitable bootstrap to obtain statistical inferences. To test the agency cost hypothesis, asymmetric information hypothesis, risk-efficiency hypothesis and franchise value hypothesis (under pecking order and trade off theories framework), two models were applied using some determinants of capital structure such as size, profitability, tangibility, liquidity as control and explanatory variables through a truncated regression with bootstrapping. From an initial sample of 1024 small and medium sized companies from the interior of Portugal, for the period 2006-2009, a subsample of 210 SMEs from secondary and tertiary sectors was selected. The results suggest that medium sized companies have higher average bias-corrected efficiency than small companies; that short-term leverage is positively related to efficiency and that the companies in the sample follow pecking order theory.

Abstract
The Portuguese footwear industry registered a strong performance over the last few years and the openness to adopt new technologies was a key factor. Among these, the implementation of innovative logistic systems for the transport and assignment of work-in-process in manufacturing processes was a key technology. By means of case research it was analyzed an internal logistic system, deployed in a Portuguese large footwear producer, which reveals some weaknesses at the physical and cyber levels. A lack of managing applications was detected at the factory and enterprise levels, which contribute to lower levels of visibility of production and productivity. This article presents the development of a Cyber-Physical Production System, in the context of the Horizon 2020 research and innovation program BEinCPPS, that comprises four application experiments. These experiments were successful and the results demonstrated a relevant increase of production efficiency and decrease of maintenance costs.

Abstract

Abstract
Manufacturing companies increasingly try to innovate in their offers to consumers by creating more complete solutions that combine product and service components. However, shifting from a product-centric perspective to a solution oriented perspective is challenging. The present study adopted a design research methodology and built on Service-Dominant logic, integrating the human oriented perspective of Service Design with an organizational network-oriented perspective of Product-Service System. It creates a new Integrative PSS approach, evolves design models, and provides an application in a manufacturing industry. This paper details how the application supports the design of product service system solutions from the exploration to the implementation stages, highlighting the physical evidence of service, and contributes to advance design research at the intersection of PSS and Service Design.