An exhaustive analysis and evaluation of fertility indicators in a society including many ethnic groups might provide valuable insights into any discrepancies. This study aims to systematically analyse the fertility rates over specific periods and investigate the differences in levels and patterns between local and expatriate women in Saudi Arabia using the existing data. This analysis used data from credible sources published by the General Authority for Statistics in the Saudi census 2022. The calculation of period fertility indicators started with the most straightforward rates and advanced to more complex ones, followed by a comprehensive description of the advantages and disadvantages of each. The aim was to ascertain fluctuations in fertility rates and analyse temporal patterns. Multiple studies consistently show that the fertility rate among expats in Saudi Arabia is lower than that among Saudi native women. However, the reason for this discrepancy still needs to be discovered since the definitive effect of contraceptive techniques has yet to be confirmed. Moreover, the reproductive trends that have occurred since the early 1980s will persist, although with additional precautions in place.

This article analyses the complex factors contributing to rising medical expenses, focusing on the senior citizen demographic in Malaysia. With the global aging population, notably in lower and middle-income countries, the study highlights the escalating medical and health insurance costs, driven by age, income source, modern healthcare, and geographical residence. The research draws on an extensive literature review, demographic analysis, and quantitative methods to examine these determinants. It critically analyzes Malaysia’s healthcare system, which operates on a dual-tier model, and the financial burden placed on senior citizens. The findings indicate that age, source of income, and geographical residence significantly influence medical expenses, whereas modern healthcare’s impact is not statistically significant. The study calls for government intervention, insurance industry adjustments, and private sector support to mitigate the financial strain on senior citizens. Recommendations include tax relief adjustments, National Health Insurance Scheme implementation, and employment sustainability for seniors. This research provides some recommendations to policymaking, the insurance industry, and academia by providing insights into managing the healthcare needs of an aging population sustainably.

This study aims to guide future research by examining trends and structures in scholarly publications about digital transformation in healthcare. We analyzed English-language, open-access journal articles related to this topic from the Scopus database, irrespective of publication year. Using tools like Microsoft Excel, VOSviewer, and Scopus Analyzer, we found a growing research interest in this area. The most influential article, despite being recent, has been cited 836 times, indicating its impact. Notably, both Western and Eastern countries contribute significantly to this field, with research spanning multiple disciplines, including computer science, medicine, engineering, business, social sciences, and health professions. Our findings can help policymakers allocate resources to impactful research areas, prioritize multidisciplinary collaboration, and promote international partnerships. They also offer insights for technology investment, implementation, and policy decisions. However, this study has limitations. It relied solely on Scopus data and didn’t consider factors like author affiliations. Future research should explore specific collaboration types and the ethical, social, policy, and governance implications of digital transformation in healthcare.

In today’s rapidly evolving organizational landscape, understanding the dynamics of employee incentives is crucial for fostering high performance. This research delves into the intricate interplay between moral and financial incentives and their repercussions on employee performance within the dynamic context of healthcare organizations. Drawing upon a comprehensive analysis of 226 respondents from three healthcare organizations in Klang Valley, Peninsular Malaysia, the study employs a quantitative approach to explore the relationships between independent variables (career growth, recognition, decision-making, salary, bonus, promotion) and the dependent variable of employee performance. The research unveils that moral incentives, including career growth, recognition, and decision-making, significantly impact employee performance. Professionals motivated by opportunities for growth, acknowledgment, and participation in decision-making demonstrate heightened engagement and commitment. In the financial realm, competitive salaries, performance-based bonuses, and transparent promotion pathways are identified as crucial factors influencing employee performance. The study advocates a holistic approach, emphasizing the synergistic integration of both moral and financial incentives. Healthcare organizations are encouraged to tailor their incentive structures to create a supportive and rewarding workplace, addressing the multifaceted needs and motivations of healthcare professionals. The implications extend beyond academia, offering practical guidance for organizations seeking to optimize workforce dynamics, foster job satisfaction, and ensure the sustainability of healthcare organizations.

This scientific study aims to thoroughly assess the current status and evaluate key indicators influencing healthcare and the workforce in selected European Union (EU) member states. Building upon this ambitious research agenda, we focused on a comprehensive descriptive analysis of selected indicators within the healthcare sector, including healthcare financing schemes, overall employment in healthcare and social care, the number of graduates in healthcare (including physicians and general practitioners), as well as migration patterns within the healthcare sector. The data forming the basis of this analysis were systematically gathered from Organization for Economic Co-operation and Development (OECD) and Eurostat databases. Subsequently, we conducted a robust correlation analysis to explore the intricate relationships among these indicators. Our research endeavour aimed to identify and quantify the impact of these indicators on each other, with a focus on their implications for overall healthcare and the workforce in the respective countries. Based on the findings obtained, we derived several significant conclusions and recommendations. For instance, we identified that increasing employment in the healthcare sector may be associated with the overall quality of healthcare provision in a given country. These findings have important implications for policymaking and decision-making at the EU level. Therefore, we recommend that policymakers in these countries consider implementing measures to further develop the healthcare sector while also helping to retain and attract qualified professionals in the healthcare industry. Such recommendations could include improving healthcare infrastructure, incentivizing professional education and further training in the healthcare sector, and implementing policies to support healthcare provision more broadly.

Purpose: This review mainly aims to identify the lean practice conducted in hospitals, determining what problems lean practice can be helpful to solve in the hospitals. Data sources: Four electronic databases (Scopus, Web of science, Medline, and PubMed) were conducted for searching related literature in this review. Study selection: These studies in the hospitals that related lean healthcare practice and contained outcome variables were included. Data extraction: Related information such as research design, countries, lean tools, outcome variables, results were extracted. Results of data synthesis: 20 eligible articles were identified in this review. There was 20% lean practice being conducted in emergency department of hospitals in this review. Six cases have implemented lean in Brazilian hospitals. There were 12 cases implemented lean practice through Value Stream Mapping. Conclusion: Lean practices were highly valued in Brazilian hospitals, and it was frequently implemented in hospital emergency department. Value Stream Mapping and process mapping were the most commonly used lean tool. Waiting time, lead time and Length of Hospital Stay (LOS) were the primary indicators reflecting improvements in this review.