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 present study is designed to analyse how the Public-Private Partnership (PPP) model is helping to create sustainable livelihood opportunities for women. It draws an inference from ‘Marudhara Rangsaaz’, a producer company operating in the textile sector in Rajasthan, India. It explains how this woman-based organisation operates in a PPP model to create economic value for women. It also tries to understand the specific role of the Rajasthan Grameen Aajeevika Vikas Parishad (RAJEEVIKA), The Rajasthan Government partner and ‘Rang Sutra’, the private partner, and the women members of ‘Marudhara Rangsaaz’ in the PPP model. The paper adopted a case study research design. The data was collected using in-depth interviews with all stakeholders and analysis of the documents. The findings indicate that in the said PPP model, Government took the role of mobilizer, financer, mentor, and private player, took the responsibility of building up capacity and arranging market links, and the women members worked together to help themselves sustain the project.
The government’s increased cigarette tariff aims to lower smoking rates and avoid adverse impacts. This study’s goal was to offer process innovation for lowering Asian’ smoking behavior. The participants were chosen by stratified random selection from a total of 738 people residing in Pathum Thani Province, Thailand. The instrument was a questionnaire. A software programmer was used to examine descriptive and inferential statistics using EFA and one-way ANOVA techniques. A strategic framework guideline using a SWOT analysis and TOWS matrix to encourage smoking reduction was proposed. The findings revealed two components: smoking behavior change and continues smoking that were based on SWOT analysis and TOWs matrix. There were nine strategies for the excise department to consider for the adjustment of the next policy in terms of reducing the number of smokers. The practical and policy suggestions could help reduce the negative impact of the cigarette industry on public health and increase government revenue while addressing weaknesses and threats in the industry.
There has always been a subtle connection between the development of science and technology and society's ethical beliefs. They mutually constrain and promote each other, collectively forming the fundamental framework of modern social ethics and moral systems. The exploration of the relationship between the two has significant theoretical value and practical significance. Thus, there is an urgent need for a new research paradigm to establish theoretical and practical guidance for the various issues arising between technology and ethics. This paper aims to analyze the binary structure of "human-nature" in the philosophy of life technology. Based on this research paradigm, it seeks to reveal the dialectical unity between technology and ethics. Furthermore, the paper explores how to construct a new ethical perspective of harmonious coexistence between humans and nature in the present era. It also delves into the methods to confront this ethical dilemma.
Road construction and maintenance are key interventions that support economic potential in the country. However, the deplorable state of some roads in Nigeria, and in Cross River and Akwa Ibom states draws research concerns. This paper seeks to examine the impact of the Niger Delta Development Commission Intervention on road construction and economic activities in Cross River and Akwa Ibom States, Nigeria. Using the Sustainable Development Framework, a survey research design was employed, gathering data from 400 respondents across both states. The chi-square statistical technique was used to test the hypothesis that the Niger Delta Development Commission Intervention has no significant impact on road construction in Akwa Ibom and Cross River States. The result of the data analysis showed the calculated value X2 = 1592 > 16.92. By this result, the null hypothesis was rejected (16.92) at 0.05 level of significance and 9 Degrees of Freedom, and the alternate was accepted. The study concludes that NDDC road projects have positively influenced economic activities and livelihoods in the states. However, it highlights the need for further improvements, particularly on the Calabar-Itu federal highway.
Using data from 31 provinces, municipalities, and autonomous regions in mainland China from 2006 to 2019, we employ a double difference (DID) model and a spatial double difference (SDID) model to estimate the impact of the High-speed Railway (HSR) on the income gap between urban and rural residents, as well as its spatial spillover effects. Our research reveals several key findings. Firstly, the introduction of high-speed railways helps to narrow the income gap between urban and rural residents within local areas, but its spatial effects can lead to an increase in the income gap in neighboring provinces. Secondly, from a spatial perspective, intermediate variables such as industrial structure, education, science and technology, and foreign trade can also contribute to balancing the income gap between urban and rural residents, although the impact of population mobility is not significant. Thirdly, further analysis of the spatial effects demonstrates that education plays a significant role in balancing the income gap both within the local province and neighboring provinces. Additionally, adjustments in industrial structure, advancements in science and technology, and foreign trade have stronger spillover effects in reducing the income gap among neighboring provinces compared to their impact at a local level.
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