Mobile, high-technology joint ventures.

The research objective is to understand and analyze health services in hospitals in utilizing health legal experts. The research paradigm used is the constructive paradigm. Research Specifications, which are used are Analytical descriptive categories. The research approach method used is socio legal research. The types of data needed in this study include primary and secondary data. Data Collection Techniques with Literature Study, Observation, and Interview. Data Analysis in this research is a qualitative descriptive analysis with inductive methods. The results showed that the utilization of health legal experts in health services in hospitals today is very far from the expectations known from the many who still do not understand what health lawyers are and what are the benefits for hospitals. Problems with the lack of use of health legal experts at the hospital at this time are very numerous, such as the socialization of laws and regulations in the health sector that is not running optimally, the number of patient complaints about health services, malpractice cases occur everywhere and feelings of discrimination in the profession that occur due to the birth of legislation in the health sector was not resolved properly and correctly. The use of health legal experts in health services in hospitals must reflect a sense of justice for all health workers based on Pancasila and the 1945 Constitution and special health law fields must be present in all hospitals and make health legal experts included in the health workforce group so that strength and Health legal authority is increasing so as to minimize the cases of malpractice that often occur lately. The use of health legal experts in health services in a hospital based on justice is the use of health legal experts in hospitals to prevent malpractice and create a balanced sense of justice between patients, the interests of health workers and the interests of hospitals.

The author examines the issues of administering the library sector on the territory of the Russian Federation during the Great Patriotic War (1941–1945) with the focus on the role of the People’s Education Commissariat (Narkompros) in reorganizing the sector of librarianship. The author analyzes the status of libraries during the early war years: the system of library services and library staffing were deteriorating, the libraries were unreasonably closing. The problems of library collections evacuation are accentuated. Narkompros’ leading role in reorganizing librarianship during the war, stabilizing the library network, solving the tasks of war, defense and economy, is emphasized. Narkompros supported the library services in hospitals and contributed to stabilizing the national system of librarianship administration, and leaded the revival of the libraries destroyed by the nazis. The author concludes that the libraries’ war experience of the libraries can be used today.

Mental health remains one of the most overlooked issues in Nigeria. The burden posed by traditional healers in the provision of mental health services is becoming a public health concern in the country. This article presents a review of the present situation on the mental health service provision in Nigeria by traditional healers and highlights way forward actions for policy makers, government, and other stakeholders. These include the need for a policy direction on the need for establishing an improved system of psychiatric and mental health services in hospitals that will drive cultural acceptability, accessibility, and affordability. Further, there is a need for policy measures to be in place towards creating long term directions and sustainability of documentations of traditional healer's activities, harmful avoidance and improved mental health services in primary health centers. The fact that traditional healers are indispensable in provision of mental health services, call for collaborative effort to improve services such as behavioral change, capacity building and referral practice that could save more lives and reduce severity of complications.

Various advancements have been made in technology and automation. However, one service sector which remains relatively unexplored is automated room service in hospitals. This work is an effective and plausible automation solution to room service in hospital environment where isolated patients are under observation. Automation of the room service system in the hospital sector is more needed where the patient is isolated due to infectious diseases and more prone to contagious. In a bid to prevent doctors and medical staff from getting infected with the disease. This can be done efficiently, since it is just a task of delivering medicines, food and other common daily needs to respective rooms of isolated patients. The solution is a simple system of implementing line follower robots to accomplish the delivery task to the rooms available in the defined area. The robots are controlled through IoT over a Wi-Fi wireless network since most service environments already have such a network which enables retrofitting. The main advantage of this system is its increased efficiency, collision avoidance, and minimal delay.

Hospitals represent a significant part of healthcare systems and account for no less than 60% of the entire healthcare service in most of developed countries. Therefore, improving service in hospitals is an important element to the process of healthcare reform. Better use of resources, more consistent quality, and a higher service level are the keys to rationalise the huge expenditure in healthcare systems due to higher growth in demand. Even though massive spending has been directed towards hospital improvement in Ireland, services provided in Irish hospitals are ranked relatively low comparing to the other European countries. Growth of population, aging, European Union regulations, and demanding patients place more pressure on healthcare researchers to provide innovation solutions for Irish hospitals. In the last two decades, the use of technology had a significant impact on hospital performance in terms of responsiveness, quality, and management practices. Radio Frequency Identification (RFID) technology has been successfully implemented in a number of hospital systems in many developed countries. It is an emerging technology for applications such as managing and tracking patients, equipment, and drugs. Integrating RFID technology into hospital systems allows a dramatic enhancement in hospital efficiency and effectiveness measures to happen. This paper gives a comprehensive review on the up-to-date applications of RFID technology in hospital systems. It includes a classification of RFID applications at different areas of hospitals. Inclusive analysis of the impact of RFID implementation on the overall performance of the hospitals is presented. As new technology, this paper looks into the challenges and problems facing the management in employing the technology. Recommendations on potential impact of using RFID in Irish hospitals are discussed.

This community service activity was carried out by the Lancang Kuning University Postgraduate School Lecturer Team in the Riau Province Ministry of Health Polytechnic Meeting Room. The aim of this activity is for students to understand the legal aspects of health and understand the legal responsibilities of health workers in health services in hospitals. This community service uses lecture and interactive dialogue methods. In addition, participants filled out a pre-test questionnaire before the lecture and completed a post-test after the lecture. The results of this activity show that participants' understanding of legal counseling material has increased. The increase in participants' understanding was shown by the participants' answers, most of whom chose the correct answer regarding the 3 Main Actors, namely Hospitals, Health Workers and Patients who play a role in the hospital, Doctors/Health Personnel and Patients are legal subjects who have equal status, the rights of patients who has not been implemented, resulting in complaints due to complicated services, the Hospital can be sued if it does not provide good service, and the Hospital is responsible under administrative law for all losses arising from the negligence of health workers. Students from other universities need to receive knowledge regarding aspects of health law so they can understand the legal responsibilities of health workers in health services in hospitals.

Previous main body of research on end-life-care in South Korea has focused on developing services quality in hospital settings or service payment system in National Health Insurance Program. The delivery system of hospice and palliative care services has evolved in diverse ways but there is little research on reviewing the past history of development and whole picture of them so far. So, the aim of this study is to review the old hospice and palliative care system and also to introduce the current one supported by the National Health Insurance Program in South Korea. The palliative care or hospice services in South Korea have been available in diverse settings and provided by different organizations (i.e. catholic hospitals or charity organizations). Finally, it was set up in 2004 that the hospice team or official Palliative Care Units (PCUs) was established in hospitals, in order to meet the end-of-life care for the patients with terminal cancer under the Cancer Control Act. The current hospice and palliative care services such as pain management, bereavement services, and counselling can be reimbursed by National Health Insurance program since 2008. Nevertheless hospice and palliative care services are available to dying patients, yet the utilization rate of hospice and palliative care services or the length of stay in the palliative care unit (PCU) is still relatively short compared to other country systems. South Korea is undergoing several efforts to expand the services in PCU along with the development of quality indicators for PCU. Hospice and palliative care services are still new in the health care system and unfamiliar to the public so it requires raising awareness for medical professionals and the public as well as further research.

BackgroundAmbulance patients are usually transported to the hospital in the emergency medical service (EMS) system. The aim of this study was to describe the non‐conveyance practice in the Helsinki EMS system and to report mortality following non‐conveyance decisions.MethodsAll prehospital patients ≥16 years attended by the EMS but not transported to a hospital during 2013–2017 were included in the study. EMS mission‐ and patient‐related factors were collected and examined in relation to patient death within 30 days of the EMS non‐conveyance decision.ResultsThe EMS performed 324,207 missions with a patient during the study period. The patient was not transported in 95,909 (29.6%) missions; 72,233 missions met the study criteria. The patient mean age (standard deviation) was 59.5 (22.5) years; 55.5% of patients were female. The most common dispatch codes were malaise (15.0%), suspected decline in vital signs (14.0%), and falling over (12.9%). A total of 960 (1.3%) patients died within 30 days after the non‐conveyance decision. Multivariate logistic regression analysis revealed that mortality was associated with the patient's inability to walk (odds ratio 3.19, 95% confidence interval 2.67–3.80), ambulance dispatch due to shortness of breath (2.73, 2.27–3.27), decreased level of consciousness (2.72, 1.75–4.10), decreased blood oxygen saturation (2.64, 2.27–3.06), and abnormal systolic blood pressure (2.48, 1.79–3.37).ConclusionOne‐third of EMS missions did not result in patient transport to the hospital. Thirty‐day mortality was 1.3%. Abnormalities in multiple respiratory‐related vital signs were associated with an increased likelihood of death within 30 days.

The purpose of this study is to examine the effect of the knowledge management (KM) system on the hospital services performance. The hospital located in DKI Jakarta (Indonesia) that has implemented the KM system as a pilot project is the population of this research. Where the respondents are medical personnel at the hospital. This study analyzes the correlation between the use of KM systems and the performance of hospital services, using independent-samples T-tests and ANOVA tests from SPSS and R Commander programs to prove the hypothesis of the two variables, namely the use of KM systems (capabilities) and hospital services performance. The results of this research have succeeded in proving that there are significant differences between medical personnel who rarely use the KM system and who often use it, with those who often have a greater level of service performance. Thus, it can be concluded that the KM system used by hospital has a positive effect seen in the performance of medical personnel.

Factors related to the quality of a hospital's service are the Job Attitude of health workers with a good nurse's Job Attitude, it can also create good health services for patients, where one of the dimensions of Job Attitude is job satisfaction. Employees who do not get job satisfaction will not achieve psychological satisfaction and eventually negative behavior arises. Conversely, employees who get job satisfaction will work well, enthusiastically, actively, thereby encouraging work passion and being able to perform better. Job Attitude/work attitude can be reflected in 4 indicators, namely leaving/exit, aspirations/voice, loyalty/loyalty, and neglect/neglect. Based on a report from the Human Resources (HR) unit for 2022, in the last 1 year there were 15 out of 66 nurses (± 23%) at Murni Teguh Sudirman Hospital Jakarta who resigned which according to Hasibuan (2012) the turnover should not be more than 10% . Even with the easing of the Covid-19 pandemic, the nurse turnover rate is getting higher. Researchers conducted a search, namely that more and more nurses felt that the compensation provided by the hospital was not in accordance with the workload given, the organizational climate was less supportive in professional development so that it had an impact on decreased work motivation.The purpose of this study was to analyze the effect of compensation and organizational climate on job attitudes mediated by the motivation of nurses at Murni Teguh Sudirman Hospital, Jakarta. This study uses a survey method, which is research that takes samples from a population using a questionnaire as the principal data collection tool to examine the observed symptoms or phenomena. This study uses a causality design based on the cross-sectional time dimension, namely measurements of the independent and dependent variables are carried out at the same time. The unit of analysis is the individual, the data analysis method uses Regression. The number of samples obtained and fulfilling the inclusion criteria was 55 samples. Based on the research results, it was found that compensation, organizational climate and motivation simultaneously had an influence on job attitude, but motivation could not be an intervening variable. The implications of this research in theory will prove the influence of research variables and managerially can improve the compensation system in hospitals.

Providing Gender Confirmation Surgery at an Academic Medical Center: Analysis of Use, Insurance Payer, and Fiscal Impact

The first service that is directly related to patients is the registration service. The quality of health services can be improved to achieve optimal health. The effectiveness of patient registration services is one of the main indicators of improving the quality of hospital services. Therefore, patient registration services in hospitals and the factors that influence them are of interest to researchers. Customers who receive fast service do not have to wait long, which indicates high quality service. Substandard service at the registration counter can contribute to low customer satisfaction.9 The outpatient registration process at each health facility varies within the service system based on the institution's internal policies. However, there are still several obstacles in the outpatient registration process at the hospital, and some patients still do not fully understand the procedure. This study aims to provide a comprehensive overview of the outpatient registration services at Waluyo Jati Kraksaan Regional Hospital. At RSUD Waluyo Jati Kraksaan, a qualitative research approach was used through a series of direct observations and interviews. This research reveals that the outpatient registration system at RSUD Waluyo Jati Kraksaan operates both directly and indirectly. Several problems arose during the service process, including patients forgetting to bring identification. Keywords: Registration, Service, Outpatient ABSTRAK Layanan pertama yang berhubungan langsung dengan pasien adalah layanan registrasi. Mutu pelayanan kesehatan dapat ditingkatkan untuk mencapai derajat kesehatan yang optimal. Efektivitas pelayanan registrasi pasien merupakan salah satu indikator utama peningkatan mutu pelayanan rumah sakit. Oleh karena itu pelayanan pendaftaran pasien di rumah sakit serta faktor-faktor yang mempengaruhinya menjadi menarik bagi peneliti. Pelanggan yang mendapat pelayanan cepat tidak perlu menunggu lama, yang menandakan pelayanan berkualitas tinggi. Pelayanan yang kurang lancar di loket pendaftaran dapat berkontribusi terhadap rendahnya kepuasan pelanggan.9 Proses pendaftaran rawat jalan di setiap fasilitas kesehatan berbeda-beda dalam sistem pelayanan berdasarkan kebijakan internal institusi. Namun, masih terdapat beberapa kendala dalam proses pendaftaran rawat jalan di rumah sakit, dan sebagian pasien masih belum memahami sepenuhnya prosedurnya. Penelitian ini bertujuan untuk memberikan gambaran menyeluruh mengenai pelayanan pendaftaran rawat jalan RSUD Waluyo Jati Kraksaan. Di RSUD Waluyo Jati Kraksaan, pendekatan penelitian kualitatif digunakan melalui serangkaian observasi langsung dan wawancara. Penelitian ini mengungkapkan bahwa sistem registrasi rawat jalan RSUD Waluyo Jati Kraksaan beroperasi baik secara langsung maupun tidak langsung. Beberapa permasalahan muncul selama proses pelayanan, antara lain pasien lupa membawa identitas. Kata Kunci: Pendaftaran, Pelayanan, Rawat Jalan

Patient satisfaction with the quality of pharmaceutical services is an essential indicator in the variety of health services in hospitals. Service quality is said to be enjoyable and satisfying if the services received are by or exceeding expectations. Otherwise, service quality is supposed to be inadequate or unsatisfactory if the service received is lower than expected. This study aims to determine the percentage level of patient satisfaction with pharmacy services at hospital outpatient pharmacies in Padang and to find out the pharmaceutical service system carried out by pharmacists on duty at hospital outpatient pharmacies that were located in Padang. This study used descriptive data collection. Satisfaction was assessed by giving questionnaires to respondents, and then the surveys were analyzed descriptively. Assessment of patient satisfaction was conducted by taking data through a poll of 100 respondents. Satisfaction analysis was carried out using a Likert scale, and then the data was displayed in the cartesian form.

The main purpose of hospital services is to provide quality, professional and acceptable services to the community. One of the efforts to achieve quality and professional health services in hospitals is to comply with the rules listed in the Hospital Code of Ethics. Hospital Ethics and Legal Committee (HELC) can be an effective means of seeking mutual understanding between the various parties involved such as doctors, nurses, other health workers, patients, patients' families and the community regarding various ethical, legal, and medical issues in hospitals. The success of the health care system depends on health workers who are equipped with good knowledge, positive attitudes, and full awareness of the existence of HELC. So that research is needed that can be input for improving the performance of HELC in the future. The priority problem that will be resolved is the improvement of the HELC service system by gathering information from selected employees who are willing to become respondents. The type of this research is observational analytic with cross sectional approach. This study aims to obtain information about the level of knowledge, attitudes, awareness and expectations of the employees of Zainoel Abidin Hospital (ZAH) Banda Aceh on the existence of the HELC. This research was conducted for 4 months, starting from May to October 2021 at ZAH starting from the preparation of proposals to seminars on research results. This study involved all employees of ZAH who were selected proportionally for each profession and type of work with 280 participants. A total of 273 people (97.5%) have very good/good knowledge related to HELC. A very positive attitude towards HELC performance was shown by 245 respondents (87.5%). A total of 118 respondents have a high awareness of the existence of HELC (42.1%), while respondents' opinions about the importance of the existence of HELC obtained 263 respondents stated that it is very important/important (93.9%). From the results of the Chi square statistical test, it was found that there was a significant relationship between knowledge and the existence of HELC with p value = 0.000, attitude and existence of HELC with p value = 0.000, but there was no relationship between awareness and existence of HELC with p value = 0.352. The conclusion in this study was that the employees of ZAH had very good knowledge, a very positive attitude, but were not aware of the existence of the HELC of ZAH. The expectations expressed by the respondents concentrated to the socialization of HELC activities, improving performance, increasing active roles in hospital services and being able to work in accordance with standard operating procedures.

The megatrend in automation driven by exponential increase in computing power and data is transforming diverse service industries and the service systems within them. Here a service system can be viewed as dynamic configurations of people, technology, organizations, and information interconnected by value propositions. Service innovation can be viewed as advances integrating (i) technologies that amplify capabilities; (ii) business models that scale up benefits rapidly; and (iii) institutional arrangements that scale down potential harm to underserved populations, the planet, and future generations.During 2024 Penn State University (PSU) and the International Society of Service Innovation Professionals (ISSIP) collaborated to organize a series of panel discussions to explore the transformation underway across industry sectors as we engineer our 21st century service economy. Panels covered six service industries: healthcare, finance, education, retail & hospitality, and supply chain & logistics, energy & IT. Experts from industry, government, NGO, and academia served as panelists and discussed trends, tools, challenges, and ways to define and measure progress and excellence in the emerging service economy. The key challenges related to the human side of service innovation and transformation:Resistance to Change: Implementing new technologies and processes can be difficult due to resistance from both employees and customers. A significant cultural shift is often needed for successful adoption, and if the culture is not ready, even the best ideas can fail. It's important to bring people along, explaining why changes are needed, and demonstrating how new technologies can improve accuracy and workflow.The Need for New Skills: The digital transformation requires new skills, and companies are actively hiring for roles that didn't exist before. There's also a need for employees to upskill and reskill as technology changes, especially with the rapid advancement of AI. This includes not just technical skills but also soft skills like communication, teamwork, and listening, which are critical in team-based environments. Traditional education may not be adequately preparing individuals for these new roles.Over-reliance on Technology: There is concern that an over-reliance on technology, particularly among younger generations, may be hindering critical thinking and creativity. While AI can assist with many tasks, it cannot replace human skills like interpersonal communication or the ability to engage in nuanced thinking.Bias and Fairness: AI systems are trained on human data, which can perpetuate existing biases and unfairness. It is important to build fairness and unbiased approaches into these systems, ensuring that the benefits of technology are shared across diverse populations.Trust and Transparency: Trust is a major factor in the adoption of new technologies, especially in sectors like healthcare. People may be skeptical of AI and other new technologies if they are perceived as being removed from human interaction. It's critical to establish clear governance structures and controls, and prioritize transparency in how data is used and how decisions are made by AI systems.Data Ownership and Privacy: There are complex questions around who owns the data generated by AI systems. For example, in the context of healthcare, there can be questions about whether data belongs to the patient, the healthcare system, or the company that developed the tool. There are also concerns about the security and privacy of data, and the need for regulations.Balancing Automation and Augmentation: It is important to consider whether to use technology to automate processes or to augment human capabilities. The focus should be on creating human-technology synergies that empower people, rather than simply replacing them. In hospitality, for instance, the application of digital transformation is about augmenting the human experience by removing distractors, whereas automation is more central in the retail industry.Ethical Citation: This abstract was generated using Google’s NotebookLM on January 13th, 2025, based on information assembled by the co-authors. The material has been reviewed by the co-authors and accurately reflects key challenges highlighted by speakers in the series and those who took the survey.