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.
This article is devoted to studying the principles of the relationship between democracy and demoethics as tools for transforming the sustainable development of society. The study is based on the assumption that the effective functioning of democracy is associated with such social phenomena as elections and electoral behavior. The study examined electoral behavior and surveyed members of society about the qualities of candidates to which they pay special attention. An analysis of qualitative and quantitative data demonstrating the democratic foundations of elections of members of society was conducted, and an analysis of the choice of voters in the extraordinary elections of the President of the Republic of Kazakhstan by region was conducted. In this study, Bayesian network modeling is experimentally applied to formalize the problem of identifying and analyzing the behavior of virtuous personality traits. A sociological survey of public opinion was conducted using the questionnaire method with the participation of 826 people from all regions of Kazakhstan from May to June 2023. A questionnaire was used to collect data, the main purpose of which was to compare attitudes and find out what values are considered important for people, what norms of behavior are considered acceptable, and to understand what values and norms prevail in society. It is concluded that the concept of demoethics promotes a positive transformation of humanity and helps to form a new leader of virtue, a ruler of the city, capable of making ethical rational decisions that can ensure a balance between the economic, social, and environmental needs of humanity.
South Africa’s border posts are increasingly becoming crucial hubs for organized crime posing serious national and regional security implications with far-reaching consequences. The country’s national security, economic stability, and community safety are significantly jeopardised by organised criminal enterprises at border posts. As a result, the porous borders of South Africa have fostered an environment that is conducive to a variety of unlawful activities, such as the smuggling of drugs into the country and human trafficking. This paper seeks to identify political, economic, and social factors that lead to organised crime, corruption, and weak border management systems. The paper employed a secondary data analysis of existing scholarly articles, government reports as well as relevant case studies. The study found that local communities are most affected by illegal activities at the ports of entry. The findings further emphasize the importance of inclusive approaches in responding to security challenges that address cross-border flow regulation, fight corruption in service delivery, and promote community resilience. The paper concludes with recommendations for strengthening border controls towards enhancing cooperation between countries and curbing transnational crime networks.
This article investigates the income and expenditure patterns of individuals, with a specific focus on investments in luxury items, real estate, and expensive modes of transportation. Using global databases such as “Luxury Goods—Worldwide/Statista Market Forecast” and “Data—WID—World Inequality Database”, the authors explore the correlation between high demand for luxury items and economic inequality. The study emphasizes the role of luxury tax as essential for implementing a progressive personal income tax system in Russia. By examining country-specific factors, particularly in China and Russia, and conducting a comparative analysis of progressive tax systems globally, the research highlights the potential of luxury tax to enhance the efficacy of income tax in reducing inequality.
This study seeks to examine the factors affecting the intention of Indonesian MSMEs to adopt QRIS. It leverages variables from the Technology Acceptance Model (TAM), customizing the TAM framework to address the unique perceptions of risk and cost among MSMEs in Indonesia. Data were gathered from 212 MSME participants in Brebes Regency through convenience sampling, a non-probability sampling technique, using Google Forms for survey distribution. The findings indicate that perceived ease of use positively and significantly influences attitudes, which, in turn, positively and significantly impact the intention to continue using QRIS. However, perceived benefits, perceived risks, and perceived costs did not significantly affect the intention to continue use.
considering the rate of the currency channel, this study aims to analyze the effect of government foreign debt on labour demand in Indonesia. The Real Effective Exchange Rate (REER) is used to quantify the exchange rate, while estimates of the labour force participation rate characterize labour demand. this study expands upon the cobb-Douglass production function by including public debt as an integral element of the statistical model. The current study examines time series data from 1994 to 2022 and uses the Vector Error Correction Model (VECM) for estimation. in conclusion, the results suggest that an increase in government external debt would result in a decline in labour demand, especially during economic shock associated with an expansion of the government deficit. Moreover, the Real Effective Exchange Rate has a beneficial long-term impact on labour demand. enhancing the purchasing power and stimulating investment through the appreciation of the domestic currency against foreign currencies will consequently increase economic productivity.
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