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.
Increasing populations in cities have created challenges for the urban environment and also public health. Today, lacking sport participation opportunities in urban settings is a global concern. This study conceptualizes and develops a theoretical framework that identifies factors associated with effective urban built environments that help shape and reshape residents’ attitude toward sport activities and enhances their participation. Based on a comprehensive review of literature and by following the Stimulus-Organism-Response (SOR) theory and attitude change theory, a four-factor measurement model is proposed for studying urban built environment, including Availability, Accessibility, Design, and Safety. Further examinations are made on how these factors are channeled to transform residents’ attitudes and behavior associated with participating in sport activities, with Affordability as a moderator. Discussions are centered around the viability of the developed framework and its application for future research investigations.
This study explores the impact of technology effectiveness, social development, and opportunities on higher education accessibility in Myanmar, focusing on private higher education institutions. Utilizing a sample of 199 respondents, with an average age of X (SD = Y), the research employs standardized questionnaires and descriptive statistics, correlation analysis, and multiple regression analysis to examine the relationships between these variables. The findings indicate that technology effectiveness significantly enhances higher education accessibility, with strong positive correlations (r = 0.752, p < 0.001) and substantial impacts on educational outcomes (β = 0.334, p = 0.001). Social development also plays a crucial role, demonstrating that supportive social norms and community engagement significantly improve accessibility (β = 0.405, p < 0.001). Opportunities provided by technological advancements further contribute to enhanced accessibility (β = 0.356, p < 0.001), although socio-political and economic challenges pose significant barriers. The study highlights the interconnectedness of these factors and their collective influence on educational accessibility. Practical implications include the need for strategic investments in technological infrastructure, promotion of supportive social environments, and innovative solutions to leverage opportunities. Future research directions suggest longitudinal studies, broader demographic scopes, and in-depth analyses of specific technological and infrastructural challenges. By addressing these areas, stakeholders can develop effective strategies to improve higher education accessibility, ultimately contributing to the socio-economic development of Myanmar.
This study aims to explore the factors influencing people’s intention to use home fitness mobile apps in the post-pandemic era. By incorporating the perspective of playfulness into the decomposed theory of planned behavior, it seeks to construct a behavioral model for the public's use of AR sports games for home exercise. The research focuses on Active Arcade users residing in Taiwan, employing the snowball sampling method to conduct an online questionnaire survey. A total of 340 valid questionnaires were collected and analyzed using linear structural equations. The study reveals three main findings: first, the behavioral model for Active Arcade users constructed based on the decomposed theory of planned behavior demonstrates a good fit; second, users’ attitudes, subjective norms, and perceived behavioral control have a positive and significant impact on behavioral intention; third, perceived usefulness, perceived ease of use, and perceived playfulness all positively and significantly influence attitudes, with perceived playfulness having the highest impact coefficient; fourth, perceived benefits of exercise are the most crucial factor affecting subjective norms; and fifth, convenience technologies are the key factor influencing perceived behavioral control. This study provides valuable insights for theory and management practice, offering guidance on the use of home fitness apps in the post-pandemic era while addressing research limitations and suggesting future directions.
Short-form content has the potential for virality and broad sharing, allowing businesses to reach large audiences in a short period of time. This type of content has transformed traditional marketing approaches, capturing the attention and curiosity of Generation Z, thereby leading to the rise of digital marketing. As Generation Z is the next generation of consumers and their purchasing power increases as they enter the workforce, marketers need to understand the factors influencing their attitudes and purchase intentions. This study aims to explore the relationship between the growing presence of short-form advertising content in corporate marketing strategies and consumer behavioral intentions. To achieve this, the sub-characteristics of short-form content were categorized into expertise, ease of use, and entertainment value, while information reliability was set as a mediating variable. Data was collected through a survey of 256 adults residing in Busan and Gyeongnam, and analyzed using SPSS 28.0. The findings of the study revealed that most sub-characteristics of short-form content advertisements positively influenced both recommendation and purchase intentions. Additionally, information reliability was identified as a significant mediating factor between short-form content and consumer behavioral intentions. These results provide important insights for corporate marketers and advertising professionals, as they offer valuable guidance on how to influence consumer purchase intentions effectively.
India has experienced notable advancements in trade liberalization, innovation tactics, urbanization, financial expansion, and sophisticated economic development. Researchers are focusing more on how much energy consumption of both renewable and non-renewable accounts for overall system energy consumption in light of these dynamics. In order to gain an understanding of this important and contentious issue, we aim to examine the impact of trade openness, inventions, urbanization, financial expansion, economic development, and carbon emissions affected the usage of renewable and non-renewable energy (REU and N-REU) in India between 1980 and 2020. We apply the econometric approach involving unit root tests, FE-OLS, D-OLS, and FM-OLS, and a new Quantile Regression approach (QR). The empirical results demonstrate that trade openness, urbanization and CO2 emissions are statistically significant and negatively linked with renewable energy utilization. In contrast, technological innovations, financial development, and economic development in India have become a source of increase in renewable energy utilization. Technological innovations were considered negatively and statistically significant in connection with non-renewable energy utilization, whereas the trade, urbanization, financial growth, economic growth, and carbon emissions have been established that positively and statistically significant influence non-renewable energy utilization. The empirical results of this study offer some policy recommendations. For instance, as financial markets are the primary drivers of economic growth and the renewable energy sector in India, they should be supported in order to reduce CO2 emissions.
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