Diagnosis-related groups (DRGs) are gaining prominence in healthcare systems worldwide to standardize potential payments to hospitals. This study, conducted across public hospitals, investigates the impact of DRG implementation on human resource allocation and management practices. The research findings reveal significant changes in job roles and skill requirements based on a mixed-methods approach involving 70 healthcare professionals across various roles. 50% of respondents reported changes in daily responsibilities, and 42% noted the creation of new roles in their organizations. Significant challenges include inadequate training (46%), and coding complexity (38%). Factor analysis revealed a complex relationship between DRG familiarity, job satisfaction, and staff morale. The study also found a moderate negative correlation between the impact on morale and years of service in the current hospital, suggesting that longer-tenured staff may require additional support in adapting to DRG systems. This study addresses a knowledge gap in the human resource aspects of DRG implementation. It provides healthcare administrators and policymakers with evidence to inform strategies for effective DRG adoption and workforce management in public hospitals.
In the human and economic development context, this study examines the relationship between human capital, life expectancy, labor force participation rate, and education level in Indonesia, Malaysia, and Thailand. The World Bank’s 2001–2021 data are examined using a panel vector autoregressive model. The findings demonstrate the substantial influence of health expenditure from the prior period on present health expenditure. Though not significantly different, life expectancy and education levels from earlier periods also impact present health spending. A slight positive correlation exists between prior labor force involvement and present healthcare costs. An increase in current health expenditure supports an increase in life expectancy. Health expenditure in the previous period had a significant positive effect on education, although insignificant. Life expectancy in the previous period harms current education but is also insignificant. Education in the previous period significantly positively affects current education, indicating a sustained impact of education investment. Labor force participation in the previous period also positively affected education, although not significantly. The prior period’s health spending, life expectancy, and educational attainment impact the current labor force participation rate. The length of life has a significant favorable impact on entering the labor sector. Currently being in the job field has a good correlation with prior education as well. These findings support that higher education levels lead to higher labor force participation rates. Life expectancy, health care costs, education level, and prior work experience all influence current life expectancy. While prior life expectancy significantly influences current life expectancy, health expenditures have a negligible negative impact. Prior education positively impacts life expectancy but negatively impacts prior labor force engagement. These results reject the hypothesis that increasing life expectancy causes current health expenditure to increase.
The spiritual dimensions contained in New Quality Productive Forces are not only the core driving force for its vigorous development but also the key to leading it towards high-quality development. These spiritual dimensions include the scientific spirit of daring to innovate and continuous exploration, the fighting spirit of being unyielding and enterprising in the face of challenges, the collaborative spirit of being innovative and entrepreneurial in the face of challenges, and the spiritual spirit of being a good teacher. These spiritual dimensions include the scientific spirit of daring to innovate and continuous exploration, the fighting spirit of being unyielding and enterprising in the face of challenges, the collaborative spirit of advocating These spiritual dimensions include the scientific spirit of daring to innovate and continuous exploration, the fighting spirit of being unyielding and enterprising in the face of challenges, the collaborative spirit of advocating cross-disciplinary cooperation and open sharing, and the dedication of serving society and benefiting humanity. the concept of green development ensures that New Quality Productive Forces, while pursuing economic benefits, is also committed to achieving These spiritual dimensions are interwoven and complement each other, jointly constructing the spiritual core of New Quality Productive Forces. These spiritual dimensions are interwoven and complement each other, jointly constructing the spiritual core of New Quality Productive Forces and injecting it with profound moral depth and a continuous source of development momentum.
The fifth-generation technology standard (5G) is the cellular technology standard of this decade and its adoption leaves room for research and disclosure of new insights. 5G demands specific skillsets for the workforce to cope with its unprecedented use cases. The rapid progress of technology in various industries necessitates a constant effort from workers to acquire the latest skills demanded by the tech sector. The successful implementation of 5G hinges on the presence of competent individuals who can propel its progress. Most of the existing works related to 5G explore this technology from a multitude of applied and industrial viewpoints, but very few of them take a rigorous look at the 5G competencies associated with talent development. A competency model will help shape the required educational and training activities for preparing the 5G workforce, thereby improving workforce planning and performance in industrial settings. This study has opted to utilize the Fuzzy Delphi Method (FDM) to investigate and evaluate the perspectives of a group of experts, with the aim of proposing a 5G competency model. Based on the findings of this study, a model consisting of 46 elements under three categories is presented for utilization by any contingent of 5G. This competency model identifies, assesses, and introduces the necessary competencies, knowledge, and attributes for effective performance in a 5G-related job role in an industrial environment, guiding hiring, training, and development. Companies and academic institutions may utilize the suggested competency model in the real world to create job descriptions for 5G positions and to develop curriculum based on competencies. Such a model can be extended beyond the scope of 5G and lay the foundation of future wireless cellular network competency models, such as 6G competency models, by being refined and revised.
This study investigates seismic risk and potential impacts of future earthquakes in the Sunda Strait region, known for its susceptibility to significant seismic events due to the subduction of the Indo-Australian Plate beneath the Eurasian Plate. The aim is to assess the likelihood of major earthquakes, estimate their impact, and propose strategies to mitigate associated risks. The research uses historical seismic data and probabilistic models to forecast earthquakes with magnitudes ranging from 6.0 to 8.2 Mw. The Gutenberg-Richter model helps project potential earthquake occurrences and their impacts. The findings suggest that the probability of a major earthquake could occur as early as 2026–2027, with a more significant event estimated to likely occur around 2031. Economic estimates for a 7.8–8.2 Mw earthquake suggest potential damage of up to USD 1.255 billion with significant loss of life. The study identifies key vulnerabilities, such as inadequate building foundations and ineffective disaster management infrastructure, which could worsen the impact of future seismic events. In conclusion, the research highlights the urgent need for comprehensive seismic risk mitigation strategies. Recommendations include reinforcing infrastructure to comply with seismic standards, implementing advanced early warning systems, and enhancing public education on earthquake preparedness. Additionally, government policies must address these issues by increasing funding for disaster management, enforcing building regulations, and incorporating traditional knowledge into construction practices. These measures are essential to reducing future earthquake impacts and improving community resilience.
State-owned enterprises (SOEs) manage significant portion of world economy, including in the developing countries. SOEs are expected to be active and play significant role in improving the country’s economic performance and welfare through enhancing innovation performance. However, closed innovation process and lack of collaboration hinders SOEs to reach satisfying innovation performance level. This paper explores the construction and role of innovation ecosystem in the strategic entrepreneurship process of SOEs, of which is represented by dynamic capability framework, business model innovation, and collaborative advantage. Based on the analysis, this paper concluded that the collaboration between actors in the Innovation Ecosystem (IE) has positive effect to strengthening SOE’s Sensing Capabilities (SC) related to the process of exploring and identifying innovation opportunities. The increase of Sensing Capabilities (SC) will play significant role as input or antecedent on formulating proactive Innovation Strategy (IS) in orchestrating SOE’s innovation process. SOEs which has implementing proactive Innovation Strategy (IS) will be able to build collaboration and finding right Business Model Innovation (BMI). Finally, by building collaboration with other actors through the innovative business model has significant role to increase SOE’s Collaborative Advantage (CA), which considered as a proxy for competitiveness of SOEs.
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