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 complex interactions of industrial Policy, structural transformation, economic growth, and competitive strategy within regional industries are examined in this research. Using a dynamic capabilities framework, the study examines the mediating roles of organizational innovation and adaptability in the link between competitiveness and macroeconomic variables. A two-way fixed effects model is used in this study to examine the influence of structural transformation (ST) on Industrial Policy (IP). Using regional data covering the years 2010 to 2022, the research undertaken in this paper explores the dynamics of the Indonesian economy by empirically assessing the consequences of structural change on industrial Policy. In order to establish a comprehensive model that clarifies the mechanisms through which industrial policies and structural shifts impact the development of dynamic capabilities, ultimately influencing competitiveness strategies, this research draws on a large amount of empirical data and integrates insights from seminal works. Our research adds to our knowledge of strategic management in regional industries by providing detailed information on how economic development and policy interventions influence businesses’ ability to adapt and gain a competitive edge. In addition to advancing scholarly discourse, this study offers business executives and politicians valuable insights for managing the intricacies of global economic processes.
The success of a city’s entrepreneurial ecosystem (EE) depends on a combination of interconnected factors that foster innovation, collaboration and growth. Urban planning, infrastructure management and an entrepreneurial culture are essential factors for the success of cities’ Entrepreneurial Ecosystems (EEs). Land use and infrastructure management create opportunities for growth and industry expansion. EEs are local, social, business, institutional and cultural stakeholders that encourage and enhance the formation and growth of new businesses, which are supported by enabling infrastructure. The objective of this study was to investigate how urban planning affects EEs in the metropolitan region, Nelson Mandela Bay (NMB), South Africa. NMB is known for poor land use management, which hinders the management of diverse spatial needs, as well as bureaucratic processes for land rezoning for commercial activity. In order to better understand the fundamental issues, a qualitative case study was conducted. The data were collected from fifteen economic development role players from NMB using semi-structured interviews combined with secondary data from the NMB Integrated Development Plan (IDP). The data analysis included thematic analysis using Atlas.ti and Claude 2.0. In order to validate the findings, qualitative data were cross-referenced with secondary sources from the NMB IDP. The key themes that emerged effect the NMB metropole’s management of infrastructure to support the EE. These include, Land use issues, Poor oversight by metropolitan leadership, Lack of infrastructure maintenance and pushing out potential investment and economic growth. The results highlight that the NMB metropole fails to prioritise land use and infrastructure challenges, impacting the NMB metropolitan area’s economic development and worsening inequality among different groups. The findings from this study add to the current research on cities’ EEs and The Right to the City Theory, which supports the UN Sustainable Development Goals 8, 9 and 11.
Today it is obvious that corporate social responsibility (CSR) is more than just a volunteer activity, it is also related to the operation of the firms and to competitive advantages. Many factors influence CSR and CSR-competitiveness relations; firm size could be the most crucial one. Originally CSR is related to large companies, although smaller firms can be active in CSR mainly in different ways with different background. Based on this idea the paper aims to explore the correlation between small and medium-sized enterprises’ (SMEs) corporate social responsibility (CSR) and competitive advantages. An interview research was conducted among thirty SMEs in a Hungarian city of Győr in 2021/22 to reveal how owner-managers interpret CSR, competitiveness and their relations. As SMEs cannot provide exact data on this topic the personal perception method was used to explore the CSR-competitiveness relation. A moderate relation was observed between CSR and competitiveness and the research revealed that different methodologies have to be applied for SMEs than large companies which results from the fact that SMEs’ CSR is less formal and lacks exact data.
Choosing a university is a crucial decision for each field of study, as it significantly influences the quality of graduates. An important factor in this decision is the university’s annual benchmark scores. The benchmark score represents the minimum score required for admission. This study evaluates the benchmark scores in the logistics sector for several prominent universities in Vietnam during the period 2021–2023. The research process utilized data on the benchmark scores for the years 2021, 2022, and 2023. The weights of these benchmark scores were calculated using the Rank Order Centroid (ROC) method, and the Probability method was employed to compare the benchmark scores of the universities. The analysis identified C3 as the criterion with the highest importance, while U3 emerged as the top-ranked alternative. The two-stage comprehensive sensitivity analysis revealed that universities consistently ranked high or low regardless of the method used to calculate benchmark score weights or the method employed for ranking. Additionally, the smallest weight change that affected the overall Probability ranking was 4.61%. This study provides significant guidance for students in selecting a university for logistics studies and serves as a foundational reference for universities to assess their capabilities in logistics education, thereby fostering healthy competition among institutions.
The rapid increase in the aging population has raised significant concerns about the living conditions and well-being of elderly residents in old communities. This study addresses these concerns by proposing a Sustainable Urban Renovation Assessment Model (SURAM) specifically designed to enhance elderly-friendly environments in Chongqing City. The model encompasses multiple dimensions, including the comfort of public facilities, service safety and convenience, medical travel services, infrastructure security, life service convenience, neighbor relations, ambulance aid accessibility, commercial service facilities, privacy protection, elderly care facilities and service supply, and medical and health facilities. By employing factor analysis, the study reduces the dimensionality of the 49 indicator factors, allowing for a more focused and comprehensive evaluation of the effectiveness of aging-friendly renovation efforts. The main factors identified in the proposed model include community infrastructure security, elderly comfort of community public facilities, completeness and convenience of surrounding living services, and security and convenience of elderly care services. The results reveal that the age-appropriate comfort of public facilities plays a significant role in achieving successful aging-appropriate renovation outcomes. The findings demonstrate that by addressing specific needs such as safety, accessibility, and convenience, communities can significantly improve the quality of life for elderly residents. Moreover, the application of SURAM provides actionable insights for policymakers, urban planners, and community stakeholders, guiding them in implementing targeted initiatives for sustainable and inclusive urban development.
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