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.
The purpose of this study was to explore the relationship between using effective information and communication technology tools and time management skills in school administrations. The study aimed specifically to identify the presence of differences in the responses of school principals towards using technology in time management after isolating the variables of gender, years of experience, and educational level. This study utilized the analytical-descriptive method to achieve its objectives. The study instrument included a questionnaire with 45 items. The study sample consisted of 190 principals from different public schools in four emirates in the UAE (Dubai, Abu Dhabi, Sharjah, and Al-Ain). The principals were selected randomly by sending them an electronic questionnaire. The findings of the study revealed similarities in the responses of the school principals to the questionnaire on the role of information and communication technology in helping them achieve better time management.
This paper aims to investigate the factors of competitive success and examine the relationship between Strategic Management Accounting, management accounting information systems and sustainability performance. This research was conducted with a quantitative approach. The survey involved 125 managers of 4- and 5-star hotels in Bali, Indonesia, a research sample of 154 managers was determined to be given a research questionnaire. Analysis of research data was carried out through Structural Equation Modeling. The results showed that strategic management accounting and Information Management Accounting System had a positive effect on sustainability performance. MAS information also mediates the relationship between strategic management accounting and sustainability performance which can involve a variety of factors. This study only focuses on competitive strategy and MAS information variables, so further research is needed on the sustainability performance of the hospitality industry. The positive relationship between strategic management accounting and social and environmental performance supports the argument that hotels use socio-environmental aspects for their strategic management accounting. Hotel managers also need government regulations and information related to social and environmental issues such as the Indonesian occupational health and safety management system and the Indonesia Green Hotel Award.
In the process of constructing and building the industry English curriculum system in the new era, higher education institutions should clarify the corresponding curriculum teaching focus and direction, analyze, optimize, and improve the defects and deficiencies in the English curriculum teaching system. They should also combine refined and beneficial teaching ideas and strategies, innovate existing teaching methods, and integrate more ideological and political elements into curriculum teaching, to achieve more efficient teaching guidance for students. This article briefly analyzes and explores the strategies for constructing the English course system for waterway transportation and maritime management majors at present.
Food safety in supply chains remains a critical concern due to the complexity of global distribution networks. This study develops a conceptual framework to evaluate how food safety risks influence supply chain performance through predictive analytics. The framework identifies and minimizes food safety risks before they cause serious problems. The study examines the impact of food safety practices, supply chain transparency, and technological integration on adopting predictive analytics. To illustrate the complex dynamics of food safety and supply chain performance, the study presents supply chain transparency, technological integration, and food safety practices and procedures as independent variables and predictive analytics as a mediator. The results show that supply chain managers' capacity to anticipate and control risks related to food safety can be improved by predictive analytics, leading to safer food production and distribution methods. The research recommends that businesses create scalable cloud-based predictive model solutions, combine data sources, and employ cutting-edge AI and machine learning tools. Companies should also note that strong, data-driven approaches to food safety require cooperative data sharing, regulatory compliance, training initiatives and ongoing improvement.
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.
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