Facing Digital Transformations in Society: A Pilot Study on Perceptions of the Elderly in Guangdong, China

ЦИФРОВА ПАРАДИГМА ЯК ОСНОВА ВИЗНАЧЕНЬ: ЦИФРОВИЙ БІЗНЕС, ЦИФРОВЕ ПІДПРИЄМСТВО, ЦИФРОВА ТРАНСФОРМАЦІЯ

This study sought to identify racial and ethnic differences in rates of alcohol-related advice given to veterans treated in Veterans Affairs (VA) facilities. This was a cross-sectional analysis of data from the VA Survey of the Healthcare Experiences of Patients (SHEP). Participants were 255,522 veterans treated in VA ambulatory clinics in fiscal year 2005. SHEP measures included alcohol consumption questions from the Alcohol Use Disorders Identification Test and an item inquiring whether a VA clinician had given advice about drinking. Logistic regression was used to examine relationships between race and ethnicity categories and receipt of alcohol-related advice. Covariate measures included demographic characteristics and physical and mental component summary scores from the Veterans RAND Health Survey (VR-12). Among veterans who consumed any alcohol, compared with veterans from the other racial or ethnic groups, Asian, Native Hawaiian, or Pacific Islander veterans were less likely to be in the medium and highest alcohol consumption categories and non-Hispanic white veterans were less likely to be in the highest alcohol consumption category (p<.001). In a model adjusting for demographic characteristics, physical and mental health status, and alcohol consumption category, among veterans who consumed any alcohol, those who were non-Hispanic black (odds ratio [OR]=1.65, 95% confidence interval [CI]=1.47-1.84), Hispanic (OR=1.56, CI=1.35-1.80), or non-Hispanic American Indian or Alaska Native (OR=1.56, CI=1.06-2.29) were more likely to report receiving alcohol-related advice, compared with non-Hispanic white veterans. The results suggest that veterans from certain minority groups are more likely than white veterans to report receiving alcohol-related advice in the VA, after the model is adjusted for demographic characteristics, health status, and alcohol consumption. Further research is needed to understand the underlying reasons for observed differences in receipt of alcohol-related advice and the potential clinical implications.

This Study was done to design and test an instrument to measure the health status of the elderly including physical, psychological and social dimensions. Data collection was done from July 18 to August 17, 1990. Subjects were 412 older persons in Korea. A convenience sample was used but the place of residence was stratified into large, medium and small city and rural areas. Participants located in Sudaemun-Gu, Mapo-Gu, and Kangnam-Gu, Seoul were interviewed by brained nursing students, and those in Chungju, Jonju, Chuncheon, and Jinju by professors of nursing colleges. Rural residents were interviewed by community health practitioners working in Kungsang-Buk-Do, Kyngsang-Nam-Do, Jonla Buk-Do, and Kyung Ki-Do. The tool developed for this study was a structured questionnaire based on previous literature and then tested for reliability and validity. This tool contained 20 physical health status items, 17 mental-emotional health status items and 38 social health status items. Physical health status items clustered in to six factors such as personal hygiene, activity, home management, digestive, sexual, sensory, and climatization functions. Mental-emotional health status items clustered into two factors, mental health and emotional health. Social health status items clustered into seven factors, grandparent, parent, spouse, friend, kinships, group member and religious role functions. Data analysis included percentage, average, S.D., t-test and ANOVA. The results of the analysis were as follows: 1. The tool measuring the health status of the elderly and developed for this research had a relatively high reliability indicated by a Cronbach = 0.97793. 2. Average score of the subjects physical health status was 4,054 in a 5 point likert scale, mental-emotional health status was 3.803, social health status was 2.939 and the total average was 3.521. The social status of the subjects was the lowest and the next was mental-emotional health status; physical health status was the highest. 3. Educational background, perceived health status, the amount of pocket money were related to physical and mental-emotional health status and family structure was related mental-emotional physical and social health status. Occupation was related to physical and mental-emotional status. Area of residence was related to mental-emotional and social status. Source of living in the expenses was related to physical and mental-emotional health status marital status to mental-emotional and social health status, and the number living in the home physical health status and religion to social health status.(ABSTRACT TRUNCATED AT 400 WORDS)

This research aims to fill and expand the gap of existing research on how technology can improve customer satisfaction and provide a competitive advantage for Bali as a tourism destination with digital transformation. One of the technological innovations that the research focuses on is digital tourism services. Digital tourism services are very important to expand relationships, interactions, and customer satisfaction. This research was conducted using purposive sampling technique as a qualitative method. The main informant of this research is the development of applications used to implement digital service transformation. This application is used by the Denpasar Office of Communication, Information and Statistics, as well as related local governments. Data were collected through participatory observation and thorough interviews. The results showed that the implementation of digital transformation in Bali's tourism services significantly improved the efficiency and effectiveness of services due to the use of digital technology and related innovations. Digital service applications, such as Denpasar Prama Sewaka, allow the public to access tourism information and file complaints online, which accelerates problem solving and increases public satisfaction. However, digital transformation also faces obstacles, especially the lack of literacy or public education on the use of digital technology. Therefore, intensive efforts are needed to improve digital literacy in Balinese society. To overcome these obstacles, timely evaluation and updating are also important. Bali's tourism sector can stay relevant and improve services to tourists by conducting evaluations and updates in accordance with technological developments and market needs. This will fulfill the Sustainable Development Goals (SDGs) in achieving sustainable tourism. Keywords : tourism; digital transformation; digital services; customer satisfaction; Bali

The article examines the issues of managing the digital transformation of the Russian industrial sector. The author notes that a new content of the industrial development strategy is currently on the agenda a digital strategy, for the development of which there are a number of prerequisites: the availability of the Internet, the use of digital services, mobile devices, and other digital technologies. The article deals with the issues of digital transformation management and the directions of its development. The author reveals the advantages of implementing digital transformation, suggests directions for implementing the roadmap for digital transformation of the industrial sector, and identifies trends in the digital transformation of the industrial sector. It is noted that digital transformation begins with the creation of a digital platform where the interests of industry, the state and science are united. Digital platforms are proposed to be organized by type of economic activity (FEA), using digital ecosystems. Digital platforms are proposed to be created in the areas of digital transformation, such as: uber-ization, the Internet of things, neural technologies, Big Data, network interaction with partners, blockchain, crowdfunding. The article reflects that one of the types of digitalization is uber-the transformation of the economy, which represents a digital service for the provision of services, the rejection of hierarchical multi-level organizational structures, to production and management structures based on the blockchain. Uber-ization of the economy is a digital management service that includes a whole range of other digital services. In this article, the author proposes a model of digital transformation of the industrial sector of the Russian Federation based on the creation of digital doubles that allow using such advantages as reducing the time of business processes, increasing the accuracy of calculations, and improving the quality of work performed. Digital transformation forms new forms of organizational, innovation and management activities, takes a leading position in the development of domestic industrial potential, new competitive advantages by improving business processes for knowledge and information management, increasing the number of technological innovations, and filling them with professional competencies.

Introduction: The digital era has ushered in transformative changes across industries, with the real estate sector being a pivotal focus. In Guangdong Province, China, real estate enterprises are at the forefront of this digital revolution, navigating the complexities of technological integration and market adaptation. This study delves into the intricacies of digital transformation and its profound implications for the financial performance of these enterprises. The rapid evolution of digital technologies necessitates examining how such advancements redefine operational strategies and financial outcomes within the real estate landscape. The inclusion of government support as a variable in our study is deliberate and stems from its profound influence on shaping the digital landscape. Government policies and initiatives provide a regulatory framework and offer strategic direction and financial incentives that catalyze digital adoption and integration within the real estate sector. By examining the moderating effect of government support, this study aims to uncover the nuanced interplay between policy-driven environments and the financial performance of enterprises undergoing digital transformation. This exploration is essential to understanding the broader implications of public policy on private-sector innovation and growth. Objectives: The primary objective of this research is to evaluate the impact of digital transformation on the financial performance of Guangdong’s real estate enterprises, with a specific focus on return on equity (ROE) and return on assets (ROA). Additionally, this study aims to scrutinize the role of government support as a potential moderator in the relationship between digital transformation and financial success. The research seeks to provide actionable insights for policymakers and industry players by understanding these dynamics. The digital transformation of Guangdong’s real estate sector presents a complex landscape of challenges and opportunities that shape the industry’s evolution. On one hand, the integration of innovative digital technologies into established operational frameworks poses significant challenges. These include the need for substantial investment in new infrastructure, the imperative for a cultural shift towards digital literacy across the workforce, and the continuous demand for upskilling to remain agile in an increasingly digital market. On the other hand, digital transformation affords manifold opportunities. For instance, enhanced operational efficiencies through automation and data analytics offer substantial benefits in terms of cost savings and process optimization. Furthermore, leveraging data-driven insights enables more informed strategic decision-making, which is critical in a competitive real estate market. The capacity to innovate service offerings by tapping into digital platforms and customer relationship management systems also presents a significant opportunity for real estate enterprises to differentiate themselves and capture new market segments. Methods: This study explores the digital transformation of real estate firms in Guangdong, highlighting government support as a critical moderator. Findings show that digital initiatives improve company performance, with government backing amplifying these benefits. Regional disparities in support suggest a need for tailored strategies, indicating the importance of policy in driving digital adoption and innovation in the sector. The study advises firms to leverage local policies and policymakers to address regional imbalances for equitable digital transformation. This study uses a sample of 28 real estate enterprises in Guangdong Province from 2012 to 2022. Panel data analysis with a fixed effects model tests the hypotheses. The study also conducts robustness checks by replacing the key variables. Results: The findings indicate that digital transformation positively impacts the financial performance of real estate firms, as gauged by return on equity (ROE) and return on assets (ROA), albeit marginally. The study also reveals that the relationship between enterprise performance and digital transformation is moderated by government assistance, indicating that solid government backing might amplify the benefits of digital transformation for company success. Conclusion: The present research offers empirical data about the correlation between the financial performance of real estate firms in Guangdong Province, China, and digital transformation. The discussion of these challenges and opportunities is contextualized within the broader economic and technological context of Guangdong Province, reflecting the unique interplay between regional development strategies and the global trend toward digitalization. This nuanced understanding is essential for appreciating the complexities inherent in the digital transformation journey of real estate enterprises. It sets the stage for the relevance and application of our proposed model. The findings suggest that real estate enterprises should consider factors like business size, cash flow, and debt ratios when undergoing digital transformation. Policymakers and industry regulators should also focus on providing appropriate support and guidance to facilitate the long-term development of the real estate industry in the digital era.

The rapid development of financial technologies significantly transforms the architecture of digital financial services and reshapes the role of traditional banks within the financial system. Under conditions of wartime economy and increased digital dependence, there is a growing need for comprehensive academic analysis of the impact of fintech companies on the banking sector in Ukraine. The purpose of this article is to provide a comprehensive analysis of the impact of fintech companies on the transformation of digital financial services in the Ukrainian banking sector, considering market, regulatory, and risk-related factors. The study is based on an integrated theoretical and empirical research design that examines structural changes in the fintech ecosystem, digital service channels, and bank business models. A systemic approach is applied to interpret digital transformation as a holistic process. The analysis covers the period from 2020 to 2024. Particular attention is paid to the interaction between banks and fintech companies within hybrid cooperation models. The main research hypothesis assumes that fintech companies act as a system-forming driver of digital financial services transformation rather than merely an innovative supplement to traditional banking services. The methodological framework includes methods of analysis and synthesis, structural and dynamic analysis, comparative analysis, content analysis of regulatory documents, and methods of classification and generalization. The compound annual growth rate is used to assess fintech market development dynamics. The empirical base is formed using open statistical and analytical data from relevant institutions. As a result of the study, key directions of digital financial services transformation under the influence of fintech companies are identified. Structural shifts within the fintech ecosystem and the growing importance of infrastructure and platform-based solutions are revealed. The impact of fintech companies on bank business models and digital service channels is characterized. Major risks associated with digitalization of financial services are systematized. Regulatory features of digital transformation are generalized. The theoretical contribution of the study lies in the advancement of scientific approaches to analyzing digital transformation in financial services. The practical value consists in the applicability of the findings for banking institutions and regulatory authorities. The originality of the research lies in the comprehensive consideration of fintech companies as a driver of systemic transformation of digital financial services. Future research should focus on quantitative assessment of fintech impact on banking financial stability. This article is empirical in nature.

To examine the effect of physical and mental health status and social support on patient satisfaction with health care in patients with systemic lupus erythematosus (SLE). Using a cross-sectional design, 220 SLE patients were recruited from rheumatology departments in two hospitals in the Montreal (Canada) area. Data comprised physician-rated indices of health status and patient-completed questionnaires. Independent variables included demographics, disease duration, physician-rated indices of disease activity (SLAM-R) and disease damage (SLICC/ACR), patient self-reported health status (SF-36), and perceived social support (ISEL). Patient satisfaction with medical care (PSQ-IV) was the dependent variable. Univariate analyses were performed to describe the sample and examine univariate associations between the independent variables and patient satisfaction with medical care. A hierarchical multiple linear regression analysis was computed to determine the relative importance of physician-rated indices of health status, self-reported physical and mental health status and social support on patient satisfaction after controlling for demographic variables. A multivariate hierarchical regression computed to predict patient satisfaction included the following variables in the equation: age, education, income (step 1), disease duration, SLAM-R, SLICC/ACR (step 2), mental and physical health status (step 3), and perceived social support (step 4). Less education (P< 0.01), better self-reported mental (P< 0.05) and physical health status (P< 0.005) and higher perceived social support (P< 0.005) were significant predictors of patient satisfaction (R2 = 0.15, P< 0.0001). The findings suggest that self-reported physical and mental health status and social support are more important than clinical status variables in understanding patient satisfaction with medical care.

The article examines sociotechnical convergence, which causes hybridization of social space, resulting in simultaneous social interaction in both digital and real space. The subject of the study is the influence of this phenomenon on digital marginalization, expressed in the occupation of individuals in a transitional state between these spaces. And people who limit the use of digital services, devices and technologies or refuse to use them may even be excluded from the digital format of society. When studying digital marginalization, it is important to take into account the dangers and risks of socio-technical convergence. The purpose of this study is to assess the impact of various risks of socio-technical convergence on the process of marginalization of the population. The methodological basis for the study of digital marginalization is the concept of socio-cultural marginalization and the domestic concept of structural marginalization, adapted to the realities of a hybrid social space. The methodological basis for studying the risks of socio-technical convergence is the concept of convergence of dangers into risks. The method of empirical research was an expert survey of specialists associated in their professional activities with digital transformation. The study found that the main risks of sociotechnical convergence are technical and technological, sociotechnical and social vulnerability risks. According to experts, technical and technological and sociotechnical risks that violate the security of using digital services are becoming critically important: it is the lack of security in the hybrid space that inclines people to either limit the use of digital technologies or abandon them, which contributes to their marginalization. Social vulnerability risks that aggravate the process of marginalization include internal resistance to change, lack of skills and knowledge to use digital devices, technologies and services, as well as the lack of necessary technical means to work with them.

The author explains the ambiguity of the meaning of digitization, digitalization and digital transformation expressions. She discusses the genesis of digital transformation of enterprises, and compares the access, scope and quality of used technological innovations, ITC solutions, digital software and hardware in companies in various sectors, and of different sizes and scope of functioning. The digitization, digitalization and digital transformation are often used incorrectly and interchangeably without proper understanding, especially when one talks about business. Digitalization leads to a digital business, which is essential together with full digitization to start the digital transformation of the society, environment and business itself. Investing in appropriate computer equipment, digital devices, machines and robots involves costly purchase and expenditure of money for their software, service and updating. In addition, an extremely important element of transformation is the constant need to acquire more expertise and competences, which can also be, and usually is, expensive.

Purpose. The aim of the article is to identify the main patterns of digital transformation in companies at the present stage in the context of globalization of the world economy. Methodology of research. The following methods were used in the process of research in order to achieve this goal: methods of system analysis (to analyse problems in planning digital business transformation in companies); strategic management theory, category theory (to describe methods and techniques of management in international companies); scientific abstraction, deduction and induction (to formulate a scientific hypothesis of work, laws and principles); abstract and logical (to make theoretical generalizations, substantiate the research methodology, formulate conclusions); monographic (to determine the main features of digital business transformation in companies). Findings. The theoretical, organizational and practical foundations of digital transformation in companies are considered. It is established that today a there is a modernization and revision of a number of issues regarding the effectiveness of the management system in companies in connection with the active transition to digitalization. The vector of innovative development as the main format for transforming digital services of companies is updated. An analysis of the dynamics of spending on digital transformation technologies and services and information technology in the world was carried out, the priorities of IT initiatives in companies around the world were identified, and organizational approaches to digital transformation in 2022 were considered according to individual IT solutions. Originality. The content of digital transformation in companies and their tools have been further developed. The directions of application of digital technologies in creating an effective transformation strategy for the company’s development have been identified. Practical value. The outlined proposals regarding the directions of development of digital transformation processes in companies can be used to improve the efficiency of their activities. Key words: analysis, company, digitalization, digital transformation, management, innovation.

This article focuses on the discussion of digital transformation, a topic of global interest, aiming to empirically analyze the factors necessary for its desirable acceptance by individuals in society. Considering digital technology as a core element of digital transformation, we hypothesize that digital literacy - the ability to operate digital devices and use them for intended purposes - significantly influences an individual’s attitude towards digital transformation. Additionally, we propose that the level of life satisfaction from digital transformation could mediate the relationship between digital literacy and their attitude towards it. To test these hypotheses, we utilize raw data from the “2022 Digital Divide Survey” conducted by the Korea Intelligence and Information Society Agency. We analyze the research model based on the mediation effect model verification method proposed by Baron &amp; Kenny (1986). The results show that an individual's level of digital literacy positively influences their attitude towards digital transformation, and the level of life satisfaction due to digital transformation mediates about 64% of the total effect of digital literacy on this attitude. Consequently, this study suggests policy implications for successfully integrating digital transformation into our society. It emphasizes the need to develop policy alternatives that consider factors related to digital transformation at the individual level, the importance of enhancing national digital literacy, and prioritizing the development and dissemination of digital transformation services that citizens can tangibly experience in their daily lives.

Digital transformation in government services represents a strategic shift that leverages digital technologies to enhance efficiency, accessibility, convenience, and user-centricity. In the wake of the COVID-19 pandemic, many governments accelerated the digitisation of services to support remote access and social distancing. Governments typically progress from digitisation (converting physical processes into digital formats) to digitalisation (automating service delivery and improving process efficiency), and ultimately to full digital transformation, where services are completed instantly and entirely online. However, varying levels of maturity across countries influence service outcomes differently, and indicators related to service quality, convenience, and security remain underexamined, particularly in developing contexts. This study addresses these gaps by examining Kuwait’s progress along the digitalisation–digital transformation continuum. It investigates current trends and user preferences in the use of digital government services based on empirical quantitative data collected from users in Kuwait. Specifically, the research objectives are fourfold: (i) to identify crucial outcome metrics for the success of digital government services, (ii) to assess user evaluations of these services according to these metrics, (iii) to examine significant differences between digital transformation and digitalisation services, and (iv) to develop and empirically test a model for evaluating digital transformation success. Drawing on established Information Systems’ (ISs’) success perspectives, a customised conceptual model incorporating six outcome metrics in three domains—service-related (user satisfaction, service quality), convenience-related (accessibility, ease of use), and security-related (perceived security, perceived trust)—was developed. A survey of 378 users of digital government services in Kuwait was conducted to compare perceptions across service types using independent-samples t-tests and linear regression analyses. The study found that users primarily accessed government services through smartphones and dedicated applications, highlighting the importance of mobile optimisation, and showed a clear preference for real-time, fully automated services over those requiring extended approval processes. The results indicate that digital transformation services significantly outperform digitalisation services across five outcome metrics—satisfaction, service quality, accessibility, ease of use, and perceived security—while trust remains consistent across both. These findings underscore the importance of advancing comprehensive digital transformation to enhance public service delivery. Practical recommendations are provided to support Kuwait’s digital government strategy. Given the purposive sampling and cross-sectional, comparative design, the findings should be interpreted with caution, and future studies are encouraged to apply probability-based sampling and more advanced multivariate techniques (e.g., structural equation modelling) to validate and extend the proposed model.

Purpose: The purpose of this study was to investigate character strengths, physical and mental health status of the homeless. Methods: Data were collected from November 2014 toMarch 2016 through the VIA-IS questionnaires and the DESC vulnerability assessment tool. The participants were 120 adultmen living in two self-reliance support facilities for homeless people, located in S city, Korea. Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/WIN 23.0 program. Results: Physical health status of the participants was as following: `chronicmedical conditions that were not well-managed or significant physical impairment` 11.7%, and `stable significant medical or physical issues, or chronic medical conditions that were being managed` 46.7%. The mental health status included mild 23.3%,moderate 11.7%, and seriousmental health issues 4.2%. There were no significant differences in physical health status by signature character groups, while mental health status (F=2.46, p=.038) of the courage group was worse than that of the temperance group. Conclusion: Findings indicate thatmental health status of homeless people should bemanagedmore appropriately and effective nursing interventions need to be developed using their signature character. However, further research about physical health status by signature character of the homeless is needed.

To determine which factors are predictive of physical and mental health one year after a first measurement of health status in amyotrophic lateral sclerosis (ALS) patients. The Physical Component Summary (PCS) score and the Mental Component Summary (MCS) score of the SF-36 were used as the main outcome measures in patients enrolled in the European ALS Health Profile Study (ALS-HPS). Correlation and stepwise regression procedures were used to determine the relationship between patients' physical and mental health status at follow-up with baseline measures. A total of 1118 patients were recruited into the ALS-HPS, of which 918 (82.11%) returned fully or partially completed baseline and follow-up surveys. PCS scores declined over time. No significant changes were reported for the MCS scores over time for patients with ALS. Baseline scores were found to be significant predictors of patients' health status over time. Overall, patients' physical health status at the time of recruitment was the major predictor of the physical health status at both first and second follow-up time assessments. The same relationship was found between baseline and follow-up mental health status. The study also confirms the appropriateness of the use of the SF-36 in ALS patients.