Introduction: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The primary objectives of the Semmelweis Plan include the optimisation and transformation of the health care system, starting with the integration of hospitals and the state control of previously municipally owned hospitals. The transformation of the health care system can have an impact on health services and thus on meeting the needs of the population. In addition to reducing health inequalities and costs, the relevant benefits include improving patients’ chances of recovery and increasing patient safety. The speciality under study is decubitus care. Our hypothesis is that integration will improve the chances of recovery for decubitus patients through access to smart dressings to promote patient safety. Objective: to investigate and demonstrate the effectiveness of integration in improving the chances of recovery for decubitus ulcer patients. Material and methods: The research compared two time periods in the municipality of Kalocsa, Bács-Kiskun County, Southern Hungary. We collected the number of decubitus patients arriving and leaving the hospital from the nursing records and compared the pre-integration period when decubitus patients were provided with conventional dressings (01.01.2006–2012.12.31) and the post-integration period, which entailed the introduction of smart dressings in decubitus care (01.01.2013–2012.12.31). The target population of the study was men and women aged 0–99 years who had developed some degree of decubitus. The sample size of the study was 4456. Independent samples t-test, Chow test and linear trend statistics were used to evaluate the results. Based on the empirical evidence, a SWOT analysis was conducted to further examine the effectiveness of integration. Results: The independent samples t-test model used was significant (for Phase I: t (166) = −16.872, p < 0.001; for Phase II: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −16.872, p < 0.001). For stage III: t (166) = −10.078, p < 0.001; for stage IV: t (166) = −10.078, p < 0.001; for stage III: t (166) = −10.078, p < 0.001). for stage III: t (166) = −14.066, p < 0.001). For the Chow test, the p-values were highly significant, indicating a structural break. Although the explanatory power of the regression models was variable (R-squared values ranged from 0.007 to 0.617), they generally supported the change in patient dynamics after integration. Both statistical analyses and SWOT analysis supported our hypothesis and showed that integration through access to smart dressings improves patients’ chances of recovery. Conclusions: Although only one segment of the evidence on the effectiveness of hospital integration was examined in this study, integration in the study area had a positive impact on the effective care of patients with decubitus ulcers, reduced inequalities in care and supported patient safety. In the context of the results obtained, these trends may reflect different systemic changes in patient management strategies in addition to efficient allocation of resources and quality of care.
This study aimed to assess the influence of awareness and health habituation techniques, student management activities, the role of stakeholders, and the character of healthy living on health independence. The method used in this study is quantitative with descriptive test analysis techniques, partial t statistics and F test. This research was conducted in elementary schools in East Java Province, consisting of 92 elementary schools in 5 regions at East Java. Samples were taken using purposive techniques, and the number of samples was 348 people, consisting of principals, teachers and students. The results found that awareness and health habituation techniques have a significant influence on the character of healthy life of students, student management activities have a significant influence on the character of healthy life, the role of stakeholders has a significant influence on the character of healthy life, awareness and health habituation technique have a significant influence on health independence, student management activities have a significant influence on health independence, the role of stakeholders has a significant influence on health independence, the character of healthy living has a significant effect on health independence, and student management activities and the role of stakeholders have a significant effect on the character of healthy life, and have a significant impact on health independence.
The purpose of this research study is to identify the factors of knowledge sharing among library professionals of higher educational institutions of Pakistan. There are very few studies on the knowledge exchange between library professionals in Pakistan’s higher education institutions. In this study model which has all the elements used to examine the knowledge sharing, in the study researcher investigate the impact of technological, organizational and individual on library professionals’ knowledge sharing behavior. The study adopted a descriptive survey design as research design and quantitative as type of research type. Questionnaire was adapted and used to collect data from 240 librarians through Google form survey in the higher educational institutions. The population of study is higher educational institutions of Pakistan. Convenience sampling techniques was used for data collection. The data were analyzed through the measurement model and structural equation model (PLS-SEM). The results of the study technological development, organizational development and individual development are significant for knowledge sharing in higher educational intuitions in Pakistan. This study gave new insights through to policy makers for the future polices to higher authorities.
Primary reason for interpretation the paper was the creation of a starting position for setting up e-learning in the structures of the executive forces of the Slovak Republic, which absent in the current dynamic environment. Problems with education arose mainly in connection with the global problem of Europe, such as the influence of illegal migrants, and it was necessary to retrain a large number of police officers in a short time. We reflect on the combined model of LMS Moodle and proctored training through MS TEAMS and their active use in practice. We focused on the efficiency in the number of participants in individual trainings and costs per participant according to the field of training. We compared the processed data with the costs of the pilot introduction of analytical organizational unit providing e-learning and interpreted the positive results in the application of e-learning compared to conventional (face-to-face) educational activities. As a basic (reference) comparative indicator, the costs of educational activities of selected organizational unit of state institution represented by own educational organizations and the number of trained employees for the periods in question were chosen. To measure effectiveness, we set financial—cost KPIs. Our findings clearly demonstrated that it is possible to significantly optimize costs when changing the current form of ICT education to e-learning. The implementation of another educational activities form of education, e-learning, within public institutions, according to the results of the analysis, can simplify and at the same time make education processes more efficient in the context of individual subjects of the Ministry of the Interior of the Slovak Republic.
The primary objective of this paper is to explore the impact of household policies in both Saudi Arabia and Nigeria towards achieving efficient and sustainable economic growth in the 21st century. Fundamentally, the objective of the study was sparked by the basic factors of comparison the importance of culture in international relations, challenges related to terrorism which impede adequate implementations of economic policies, trade facilitation and logistics to enhance economic growth and cross-border movement of goods and services. Systematic literature review (SLR) and content analysis (CA) were used as methodological approaches of the paper. The articles explored for review were accessed using visualization of similarities (VOS) by exploring different database such as: journals, core collection of Web of Science (WOS), peer review sources and library sources. The findings demonstrated that Saudi Arabia and Nigeria have different policies regarding households in achieving sustainable economic growth. On one hand, in Saudi Arabia, the focus is on the economic burden associated with chronic non-communicable diseases (NCDs) and the out-of-pocket spending among individuals diagnosed with these diseases. In addition, the study found that households with older and more educated members, an employed head of household, higher socioeconomic status, health insurance coverage, and urban residency had significantly higher out-of-pocket expenditure in achieving sustainable economic development. On the other hand, Nigeria’s policy is centered around trade liberalization and its impact on household welfare as an integral part of sustainable economic development. The policies implemented in Saudi Arabia and Nigeria have implications for the well-being of their citizens. In Saudi Arabia, the household policies have significantly impacted the quality of life (QoL) of households, particularly those with low income, large size, male-led, urban, and with elderly heads. In Nigeria, trade liberalization policies have mixed welfare implications for households in the aspects of real income, they also induce unemployment in key sectors, such as agriculture and industry. To mitigate negative effects, it is suggested that Saudi Arabia should effectively address chronic non-communicable diseases (NCDs) among the households while Nigeria should efficiently pursue trade liberalization on a sectorial basis, focusing on sectors that do not severely undermine household welfare.
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