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.
The research explores academia and industry experts’ viewpoints regarding the innovative progression of Virtual Reality (VR)-based safety tools customized for technical and vocational education training (TVET) within commercial kitchen contexts. Developing a VR-based safety tools holistic framework is crucial in identifying constructs to mitigate the risks prevalent in commercial kitchens, encompassing physical, chemical, biological, ergonomic, and psychosocial hazards workers encounter. Introducing VR-based safety training represents a proactive strategy to bolster education and training standards, especially given the historically limited attention directed toward workers’ physical and mental well-being in this sector. This study pursues a primary objective: validating a framework for VR-based kitchen safety within TVET’s hospitality programs. In addition to on-site observations, the research conducted semi-structured interviews with 16 participants, including safety training coordinators, food service coordinators, and IT experts. Participants supplemented qualitative insights by completing a 7-Likert scale survey. Utilizing the Fuzzy Delphi technique, seven constructs were delineated. The validation process underscored three pivotal constructs essential for the VR safety framework’s development: VR kitchen design, interactive applications, and hazard identification. These findings significantly affect the hospitality industry’s safety standards and training methodologies within commercial kitchen environments.
Over the last two decades, governance for global health has garnered more attention from policymakers, decision-makers, and scholars from several disciplines. The health sector has also become more dynamic and complicated as a result of several factors that have influenced organizational development. The issue of sustainability is clearly raised with specific emphasis and urgency in the context of the global healthcare system. Some countries have been altering their healthcare systems to improve healthcare performance. University hospitals as the main providers of high-quality healthcare services in China, have an irreplaceable role in promoting the construction of healthy China. This study strategic triangle as an analytical framework to identify the key factors that influence university hospital in China and better comprehend how public value is conceptualized and implemented in practice. The study was conducted by qualitative method, five university hospitals designated as “Grade A tertiary hospitals” and semi-structed interviews were carried out with 33 participants, including experts, university hospital leadership level, and basic level. The study revealed that there are eight (8) major factors influencing the development of university hospitals in China. University hospital administrators must be prepared to assess and respond to factors that enhance or hinder implementation continuously and methodically. These insights can be used to improve early preparedness, but additional study in this area is required to better understand the driving factors, action models, and techniques for achieving sustainable development in university hospitals.
The benefits of information system users are an important topic in research on information system implementation in general as well as in hospital information systems in particular. The study is applying structural equation modelling in determining the factors affecting personal benefits of information system users, with the antecedents being the combination of perspectives, and the outcomes including individual user results of the system in hospitals. The study was conducted in two phases: a preliminary study and a formal study. The preliminary study aimed to adjust and supplement the observed variables to be suitable for the actual conditions in Vietnam by conducting a preliminary survey with a questionnaire involving 55 samples to assess the internal consistency reliability, convergent validity, and discriminant validity of the measurement scales. The formal quantitative study, which employed linear structural analysis with PLS-SEM, was conducted on 215 samples of individuals who had previously used information systems in several hospitals in Vietnam. The proposed model explained 80.6% of the variance in user engagement with the system and 50.6% of the variance in user satisfaction when using the information system. In more detail, for user benefits, it is worth noting that the strongest impact intensity belongs to information quality and the weakest belongs to support structure. In addition, confidence in one’s own abilities also has a high impact on user benefits when using the information system.
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