Introduction, purpose of the study: 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 Health Plan aims to optimize and transform the health system. The objectives of hospital integration, as set out in the Plan, started with the state ownership of municipal hospitals in 2012, continued with the launch of integration processes in 2012–2013 and culminated today. The transformation of a health system can have an impact on health services and thus on meeting the needs of the population. We aim to study the effectiveness of integration through access to CT diagnostic testing. Our hypothesis is that integration has resulted in increased access to modern diagnostic services. The specialty under study is computed tomography (CT) diagnostic care. Our research shows that the number of people receiving CT diagnostic care has increased significantly because of integration, which has also brought a number of positive benefits, such as reduced health inequalities, reduced travel time, costs and waiting lists. Test material and method: Our quantitative retrospective research was carried out in the hospital of Kalocsa through document analysis. The research material was comparing two time periods in the Kalocsa site of Bács-Kiskun County, Southern Hungary. The number of patients attending CT examinations by area of duty of care according to postal codes was collected: Pre-integration period 2014.01.01–2017.11.30. (Kalocsa did not have CT equipment, so patients who appeared in Kecskemét Hospital but were under the care of Kalocsa), post-integration period 2017.12.01–2019.12.31. (period after the installation of CT in Kalocsa). The target group of the study consisted of women and men together, aged 0–99 years, who appeared for a CT diagnostic examination. The study sample size was 6721 persons. Linear regression statistics were used to evaluate the results. Based on empirical experience, a SWOT analysis was carried out to further investigate the effectiveness of integration. Results: As a result of the integration, the CT scan machine purchased in the Kalocsa District Hospital has enabled an average of 129.7 patients per month to receive CT scans on site without travelling. The model used is significant, explaining 86% of the change in the number of patients served (F = 43.535; p < 0.001, adjusted R2 = 0.860). The variable of integration in the model is significant, with an average increase in the number of patients served of 129.7 per month (t = 22.686; p < 0.001) following the introduction of CT due to integration. None of the month variables representing seasonal effects were found to be significant, with no seasonal effect on care. The SWOT analysis has clearly identified the strengths, weaknesses, opportunities and threats related to the integration, the main outcome of which is the acquisition of a CT diagnostic tool. Conclusions: Although we only looked at one segment of the evidence for the effectiveness of hospital integration, integration in the study area has had a positive impact on CT availability, reducing disparities in care.
Recently, there has been a burgeoning fascination with the influence of urban green spaces (UGS) on physical activity (PA) and health. This interest has been accompanied by a mounting body of evidence that establishes a connection between UGS and residents’ PA levels. Numerous studies have been conducted to investigate the significance of UGS and have generally agreed on their connection with health. However, there is still considerable variation in viewpoints regarding the intermediate factors contributing to this association. The primary objective of this study was to investigate the potential correlation between different qualitative factors of UGS and PA. The study involved the collection of data from four parks located in Edinburgh. Four trained observers utilised the Environmental Assessment of Public Recreational Spaces (EARPS Mini) tool to code various environmental characteristics. Additionally, the Method for Observing Physical Activity and Wellbeing (MOHAWk) observation tool was employed to code instances of on-site incivility and the characteristics and behaviours of residents engaging in UGS activities. The results of this study show that the facilities and environment, area and socioeconomic status (SES) of UGS positively affect the type of PA and the level of PA, as well as influence residents’ attentiveness to the environment and their interactions with each other. Demographics such as gender and age group are also significantly related to the level and type of PA. Significant differences in the level and type of PA, and race only differed significantly in the choice of activity type. These results suggest that the quality of the UGS environment affects the level, type, and status of PA among residents and that resident characteristics also have an impact. Future research suggests increasing data collection related to PA frequency and PA duration and considering longitudinal observations over time for refinement.
The purpose of this study is to investigate customer satisfaction with quality of service known as SERVQUAL improvement or service quality competitiveness in emerging markets. Using Indonesian government medical care as an example the author examines the satisfaction of patients. Information and data were collected through a survey of 399 BPJS users in Indonesia. All data were analyzed using Smart PLS. This study demonstrates that there is a negative value associated with the five-dimensional gap. As a result, the care provided to BPJS patients is below par. Specifically, the sensitivity dimension has the largest disparity at 0.15, while the physical evidence dimension has the smallest at 0.49. In order to raise the level of service provided, it may be necessary to take direct measures or examine tangible evidence. This study develops the relationship between different quality service models. There appears to be a substantial increase in the body of literature in the area of service quality, allowing for constant updates and the incorporation of the lessons learned from the experiences of the departed. These revised guidelines are intended to aid SERVQUAL study participants. The study gives practical support to academics and practitioners in directing service quality improvement through the use of data collected from large-scale surveys of patients and medical professionals as doctors in Indonesia.
This study examines the viability and user acceptance of a Cultural Healing Virtual Museum as a novel method for enhancing employee well-being and psychological health in organizational environments. The research shows how combining art and design can create engaging cultural experiences, looking at how visual appeal, space layout, and interactive technology can help reduce stress, build emotional strength, and teach employees about culture. The study focuses on middle-aged working individuals, especially those facing stress and sub-health issues, utilizing a mixed-methods approach with 381 participants. Notably, 87.14% of participants reported awareness of the concept of cultural healing, and over 78% indicated a willingness to engage with immersive cultural wellness tools. Research indicates a pronounced inclination toward culturally relevant virtual settings that integrate traditional healing practices—such as Traditional Chinese Medicine (TCM), calligraphy, and meditation themes—with modern digital aesthetics. The findings demonstrate that art-based immersive components markedly improve emotional well-being, cultivate trust in organizational health programs, and elevate the propensity to participate in preventative self-care activities. Principal elements influencing engagement comprised visual coherence, symbolic significance, and emotional impact. Even though most feedback was positive, some participants expressed concerns about how comfortable they were with technology and using virtual reality, pointing out the need for easy training and designs that include everyone. These findings suggest that immersive wellness strategies rooted in art and heritage can contribute directly to human capital development by boosting proactive health behavior and reducing psychological strain. This research highlights the possibility of incorporating art, cultural heritage, and immersive technology into workplace wellness initiatives to bolster employee well-being, improve psychological health, and facilitate human capital development.
Potassium is an essential macronutrient for living creatures on earth and in plants, it plays a very significant role in determining the overall health of the plants. Although potassium is present in the soil, it is present in a form that is inaccessible to the plants, and hence synthetic harmful non-eco-friendly potassium fertilizers are used. To overcome this problem, the use of eco-friendly potassium-solubilizing bacteria comes into play. The goal of the present study was to assess the potassium-solubilizing bacteria that inhabit the farm rhizosphere, which demonstrate the presence of enzymes associated with plant growth promotion and antagonistic properties. A total of thirty-four isolates were isolated from the rhizosphere. All these isolates were subjected to a potassium solubilization test on Aleksandrov agar medium, out of which fourteen were found to possess potassium solubilizing ability. On the basis of the 16S rRNA gene sequencing, the most potential potassium-solubilizing bacterium was identified as Proteus mirabilis PSCR17. The plant growth promoting abilities and production of biocontrol enzymes of this isolate were evaluated, and the results indicated, in addition to potassium solubilization, the isolate was positive for indole acetic acid production, hydrogen cyanide production, amylase, catalase, cellulase, chitinase, and protease. The use of potassium fertilizers is harmful to the environment and ecosystem; hence, this study concludes that P. mirabilis PSCR17 can be used as a substitute for chemical potassium fertilizers to improve the growth and biocontrol traits of the plants in a sustainable manner after further research.
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