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.
State support for agriculture is a crucial tool for adjusting the competitive advantages of agricultural producers to a volatile market environment. In countries with diverse natural conditions for agriculture, however, the allocation of subsidies often focuses on bridging spatial development gaps rather than maximizing the return on inputs. To improve the efficiency of resource use in agriculture, it is essential to tailor subsidy criteria to regional disparities in agricultural potential. Using the example of Russia’s 81 administrative regions, the authors have tested a five-stage methodology for determining the support-generated parameters of output, efficiency, impact, revenue, and profitability. This methodology takes into account both natural and economic factors that contribute to the competitive advantages of each region. The study aims to identify the parts of the performance indicators, such as gross agricultural output and revenue, that are influenced by the amount of subsidies in five different types of territories, which are categorized by the cadastral value of their farmland. It has been found that the allocation of subsidies is not entirely based on the return on the funds allocated. There is a discrepancy between the competitive advantages of these territories in agricultural production and the amount of funds they receive through government support programs. The efficiency of government support differs significantly depending on the type of agricultural product produced in each territory. The approach developed by the authors provides a tool that policy makers can use when tuning the allocation of subsidies based on the differences in the agricultural potential of each territory.
Creating products and services that satisfy individual and community needs is impossible without raw materials. This study takes a novel approach by integrating the economic dynamics and raw material consumption indicators of the European Union (EU). The study uses different econometric methods to analyze the relationship between GDP (gross domestic product) and the EU’s raw material consumption (RMC) from 2014–2023. Among the results, the panel data analysis model shows that the resource productivity of the EU improved during the period under review, whereas the material intensity decreased significantly. These trends significantly contributed to the relative decoupling of material consumption from GDP in the last decade. The results of the K-means cluster analysis highlight the regional economic differences within the EU. According to the results of the correlation analysis, EU member countries differ significantly in the efficiency of raw material use. Nevertheless, five member countries are robustly vulnerable to large-scale raw material use. The divergence calculation results show that while some countries use raw materials extremely efficiently to produce GDP, others achieve low efficiency. This unique approach and the resulting findings provide a new perspective on the complex relationship between economic growth and raw material use in the EU.
The territorial planning approach to allocating productive forces is based on the fact that territories have competitive advantages in producing specific products. However, in agriculture, the advantages principle cannot be used to shape the allocation patterns, due to a variety of intervening factors, such as the climatic and environmental conditions for agricultural production and the quality of land and availability of water. In the case of Russia, one of the most diverse countries in terms of the territorial disparities in agricultural production, this study examines the location and development patterns of the agricultural sector. The study identifies the competitive advantages of territories by comparing localization of agricultural production, production costs, performance, and profitability of agricultural producers, as well as prices of agricultural products in 78 different administrative regions in Russia. The study reveals which regions have more advantageous conditions for over-concentrating energy capacities, labor resources, fixed capital, and investments. However, at a certain point, over-concentrated production forces can lead to a deterioration in the performance of farmers due to an increase in capital intensity. Therefore, countries with significant regional differences in agricultural production should adjust their spatial development patterns according to the parameters of territories’ comparative advantages.
The construction of gas plants often experiences delays caused by various factors, which can lead to significant financial and operational losses. This research aims to develop an accurate risk model to improve the schedule performance of gas plant projects. The model uses Quantitative Risk Analysis (QRA) and Monte Carlo simulation methods to identify and measure the risks that most significantly impact project schedule performance. A comprehensive literature review was conducted to identify the risk variables that may cause delays. The risk model, pre-simulation modeling, result analysis, and expert validation were all developed using a Focused Group Discussion (FGD). Primavera Risk Analysis (PRA) software was used to perform Monte Carlo simulations. The simulation output provides information on probability distribution, histograms, descriptive statistics, sensitivity analysis, and graphical results that aid in better understanding and decision-making regarding project risks. The research results show that the simulated project completion timeline after mitigation suggested an acceleration of 61–65 days compared to the findings of the baseline simulation. This demonstrates that activity-based mitigation has a major influence on improving schedule performance. This research makes a significant contribution to addressing project delay issues by introducing an innovative and effective risk model. The model empowers project teams to proactively identify, measure, and mitigate risks, thereby improving project schedule performance and delivering more successful projects.
Despite being controversial, teacher tenure policies are understudied, particularly in higher education contexts outside the Western world. Using semi-structured interviews with 15 university faculty members, this study explored how tenure systems influence the teaching practices, motivations, and job satisfaction of language teachers in Macau's universities. It was revealed that Macau implemented competitive, “up or out” tenure policies that were based on research output. Faculty were anxious as vague expectations heightened research priorities over teaching quality and student support. Requirements also strained collegial relationships as faculty goals focused on promotion. Veteran professors demonstrated resilience, maintaining intrinsic motivation despite policies. They advocated improving policies by promoting transparency, balancing workloads, accommodating disciplines, and communicating effectively. Using empirical data, this study identifies key policy implications for supporting teacher motivation while balancing inequality constraints. It provides empirical insight into optimizing tenure for teacher engagement and fulfillment.
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