Financial Health Research Articles

Progress of nations in the organisation of, and structures for, kidney care delivery between 2019 and 2023: cross sectional survey in 148 countries

ObjectiveTo assess changes in key measures of kidney care using data reported in 2019 and 2023.DesignCross sectional survey in 148 countries.SettingSurveys from International Society of Nephrology Global Kidney Health Atlas...

PENGARUH KASUS COVID-19, KAPITALISASI PASAR, MARKET BOOK RATIO, DAN PROFITABILITAS TERHADAP STOCK RETURN

The purpose of this study is to analyze the effect of Covid-19 cases, market capitalization, market book ratio, and profitability on daily stock returns in property and real estate and telecommunications sector companies listed in Indonesia Stock Exchange during 2020. This study uses 29 samples, which were selected by purposive sampling method with a total observation of 5,800 data. The research data was collected and calculated using Microsoft Excel 2013 program and then processed with multiple regression analysis using the Eviews 9.0 program. The results of this study prove that the Covid-19 case and the market book ratio have a significant effect on stock returns, while market capitalization and profitability have no significant effect on stock returns. The implication of this research is to become a consideration for investors to see the condition of the company's shares not only from its financial statements, but also to see other factors that can affect the condition of the company's shares. For companies, it is necessary to improve their financial health in order to convince investors to consider investing.

Promotion of good governance within local government: a case of municipal public accounts committee in South Africa

The aim of this article was to explore the role of Municipal Public Accounts Committee (MPAC) in promoting good governance, with the contextual setting being Blouberg Local Municipality. There is general consensus among academics, practitioners and policy makers alike in South Africa that the allocation of functions and responsibilities of municipal council and that of executives are often not clear, thus creating confusion in the officialdom and weakening oversight structures including MPAC. Hence the qualified audit reports in four consecutive years in Blouberg Municipality (see Auditor General, 2016-2021), signals internal failure not only to improve the municipal financial health status but to promote good governance generally. Methodologically, the study adopted qualitative designs and used interviews as instrument to collect data from key members of the committee. Consequently, the study revealed many underlying weaknesses, but the critical one was the demonstrable poor capacity within the committee which is twofold; (1) lack of expertise to facilitate oversight and (2) insufficient budget to enable performance of the Committee. Essentially, these challenges affect the proper functioning of MPAC which is constitutionally bestowed the responsibility of holding the executive accountable and guard against any misappropriation of municipal funds. The study recommended a number of solutions to improve the state of MPAC in the municipality, amongst them were that, council should develop an integrated reporting mechanism framework to conduct an oversight role which can be done with the assistance from experts in governance. The committee’s programme of action must also be funded, sufficiently.

Analysis of Financial Stability in Indian Automobile Industry

The Indian automobile industry plays a pivotal role in the nation's economic landscape, contributing significantly to GDP, employment, and technological advancement. In recent years, the sector has faced considerable challenges, including shifting consumer preferences, regulatory changes, economic uncertainties, and the impact of global disruptions such as the COVID-19 pandemic. This paper aims to analyze the financial stability of the Indian automobile industry by evaluating key financial indicators, such as profitability, liquidity, and solvency. It also explores the industry's adaptability in the face of macroeconomic challenges, including supply chain disruptions, rising input costs, and changing regulatory landscapes related to environmental standards. Furthermore, the paper assesses the influence of government initiatives like the Production-Linked Incentive (PLI) scheme and electric vehicle adoption on the overall financial health of the sector. By employing both qualitative and quantitative analyses, the study provides insights into the sustainability and resilience of the Indian automobile industry, highlighting the critical factors that determine its financial stability and its potential for future growth in a dynamic economic environment.

A Financial Analysis and Valuation of Shell

In todays era of global energy transition, the strategic choices made by energy giants like Shell carry immense significance, shaping not only their own future blueprint but also profoundly influencing the overall energy sectors trends. The article provides a comprehensive analysis of Shell plc with liquidity, solvency, profitability, and valuation analysis of 2023 with its main competitors in the oil and gas industry. Despite facing challenges from fluctuating commodity prices and regulatory changes, Shell maintains a competitive advantage and favorable market position. The company demonstrates robust financial health, with strong liquidity, solvency, and profitability ratios compared to industry peers. Nevertheless, the analysis reveals the companys profitability ratios lag behind competitors, indicating room for improvement. Although facing uncertainties in future commodity prices and regulatory environments, the analysis highlights Shells commitment to balancing environmental goals with shareholder value, as evidenced by its energy transition strategy. Shells stock is still fairly valued according to the analysis, presenting a compelling investment opportunity with its well-constructed financial framework. Overall, Shells strategic plans and adjustments aim to ensure resilience and adaptability, promising investors sustainable development amidst evolving market dynamics.

Financial Health Among Louisiana Medicaid Enrollees

This cross-sectional study compares average credit scores and unpaid medical and nonmedical debts in collections among Black, Hispanic, and White adults with Medicaid coverage.

Psychosocial and pandemic-related circumstances of suicide deaths in 2020: Evidence from the National Violent Death Reporting System.

To describe and explore variation in 'pandemic-related circumstances' among suicide decedents during the first year of the COVID-19 pandemic. We identified pandemic-related circumstances using decedents' text narratives in the 2020 National Violent Death Reporting System. We use time-series analysis to compare other psychosocial characteristics (e.g., mental health history, interpersonal difficulties, financial strain) of decedents pre-pandemic (2017/2018: n = 56,968 suicide and n = 7,551 undetermined deaths) to those in 2020 (n = 31,887 suicide and n = 4,100 undetermined). We characterize common themes in the narratives with pandemic-related circumstances using topic modeling, and explore variation in topics by age and other psychosocial circumstances. In 2020, n = 2,502 (6.98%) narratives described pandemic-related circumstances. Compared to other deaths in 2020 and to the pre-pandemic period, decedents with pandemic-related circumstances were older and more highly educated. Common themes of pandemic-related circumstances narratives included: concerns about shutdown restrictions, financial losses, and infection risk. Relative to decedents of the same age that did not have pandemic-related circumstances in 2020, those with pandemic-related circumstances were more likely to also have financial (e.g., for 25-44 years, 43% vs. 12%) and mental health (76% vs. 66%) psychosocial circumstances, but had similar or lower prevalence of substance abuse (47% vs. 49%) and interpersonal (40% vs. 42%) circumstances. While descriptive, these findings help contextualize suicide mortality during the acute phase of the COVID-19 pandemic and can inform mental health promotion efforts during similar public health emergencies.

Key Risk-Factors Contributing to Cardiovascular Disease: Lifestyle Modifications to Improve Cardiovascular Health

Cardiovascular disease is a preventable public health issue. The aim of this review is to identify modifiable risk-factors for cardiovascular disease and recommend lifestyle modification to prevent cardiovascular disease. PubMed, ScienceDirect, SAGE, Google Scholar, World Health Organisation websites, as well as public and community health textbooks, were hand searched and academic resources which are relevant for this review were selected for inclusion. Cardiovascular disease is leading cause of deaths in all continents of the world. While deaths from cardiovascular disease is increasing in Africa and Asia, it is decreasing in Australia and fluctuating in the USA. Premature deaths from cardiovascular disease are preeminent across middle income countries in Europe compared with high income countries. Cardiovascular disease is higher in rural areas of South America compared with urban areas. Trends in lifestyle patterns, including physical inactivity, smoking behaviour, and diets contribute to cardiovascular disease-prone conditions. Prevention includes health promotion activities that facilitate healthy living across life course and limit the initial onset of cardiovascular disease. Investment in prevention is the critical sustainable solution for the cardiovascular disease epidemic. Adopting WHO existing policies within individual countries in Africa, Asia, and middle-income countries in Europe, and ensuring robust implementation of such policies across life course and from different layers of sectors such as education and workplaces would have wider impacts in reducing risk and cardiovascular disease burden in the respective continents. Government of countries with worsening cardiovascular events should also increase health financing and focus on strengthening primary health care services for prevention and treatment of cardiovascular disease.

California ballot item could reduce major mental health funding source

California ballot item could reduce major mental health funding source

Performance-Based Efficiency and Effectiveness Analysis of Technology Companies Listed on Borsa Istanbul Using Data Envelopment and Logistic Regression Analysis

This study analyses the performance-based efficiency and effectiveness of technology companies listed on Borsa Istanbul using Data Envelopment Analysis (DEA) and Logistic Regression (LR). The research focuses on evaluating the relative efficiency of selected technology firms over the period 2015-2023. DEA, a non-parametric technique, is used to measure the efficiency of decision-making units, while logistic regression helps identify the factors influencing efficiency. The study aims to assess the impact of financial ratios, such as current ratio, net profit margin, accounts receivable turnover, and others, on the firms' technical efficiency. The results indicate that Net Profit Margin (NPM) and Accounts Receivable Turnover (ADH) have the most significant positive effects on efficiency, while the Fixed Assets to Equity ratio (MDVOZK) negatively impacts efficiency. This analysis provides insights into the financial health and operational performance of technology firms, offering actionable recommendations for improving efficiency and guiding investment decisions. Key Words: Data Envelopment, Logistic Regression, BİST JEL: C45, C88, G21

Socioeconomic Profiling and Dynamics: Insights from a Rural Community Study in Kedah

This study provides a socio-economic profile of Mahang and Nagalilit, two sub-districts in Kulim, Kedah, Malaysia. Residents of Mahang primarily rely on rubber tapping and oil palm cultivation, industries vulnerable to monsoon weather. In Desa Keda Nagalilit, locals are employed in the nearby hi-tech industrial area, oil palm plantations, or as shop assistants. Many households earn below the minimum wage, compelling residents to take on multiple jobs for financial stability. Data was systematically collected through questionnaires focusing on household demographics, socio-economic conditions, and lifestyle patterns. The analysis offers valuable insights into the living conditions and challenges these communities face, especially in light of the COVID-19 pandemic. The research revealed income disparities and variations in living standards between sub-districts, underscoring the socio-economic impact of the pandemic. It further examined how variables such as age, income, employment status, and education correlate with financial strain, mental health issues, and disruptions to daily life. Findings demonstrate significant relationships between socioeconomic factors and the pandemic's effects, emphasizing the need for targeted measures to alleviate poverty, improve education, and enhance residents’ overall quality of life while addressing financial and mental health challenges

Upaya Meningkatkan Kepedulian Masyarakat Dalam Pembayaran Pajak Bumi dan Bangunan

Land and Building Tax (PBB) is one of the revenues for local governments which is very important for funding infrastructure development, health services, education and other public services. PBB has a very significant role in community compliance and awareness in paying PBB in various regions is still said to be low. This is usually caused by several factors such as a lack of socialization, minimal transparency in the use of PBB funds, and low public awareness of the use of PBB payments, which is the main cause of low taxpayer compliance. The aim of this research is to identify strategies to be implemented to increase public awareness and compliance in paying PBB. This research uses a qualitative approach using observation and documentation methods. This research shows that the results show that by having regular outreach campaigns or outreach, utilizing information technology in the payment process, as well as developing a compensation and public quality improvement system funded by PPB, it will be an effective step to increase public compliance in paying taxes. Apart from that, involving several community leaders and non-governmental organizations in tax awareness outreach or education is also able to strengthen community responsibility and participation in regional development. By implementing existing strategies, it is hoped that we will be able to overcome problems such as low awareness and low community compliance in PBB payments, which will then be able to support the sustainability of the ability to achieve goals in implementing regional development programs

THE INFLUENCE OF CURRENT RATIO AND DEBT TO EQUITY RATIO ON RETURN ON ASSETS AT PT HANJAYA MANDALA SAMPOERNA TBK FOR THE PERIOD 2013 - 2022

This study examines the influence of Current Ratio (CR) and Debt to Equity Ratio (DER) on Return on Assets (ROA) at PT Hanjaya Mandala Sampoerna Tbk over the period from 2013 to 2022. Using a descriptive quantitative approach, the research aims to clarify the relationship between CR, DER, and ROA in evaluating the company’s financial health and profitability. The findings reveal that CR does not have a significant individual impact on ROA, indicating that the company’s short-term liquidity does not directly affect its asset profitability. Conversely, DER has a significant negative impact on ROA, suggesting that higher debt relative to equity reduces asset returns, primarily due to increased interest burden. Simultaneously, CR and DER together have a significant impact on ROA, highlighting the need for balanced management of liquidity and leverage to maximize profitability. This study provides insights for company management and investors in assessing the financial strategies related to liquidity and debt structure to improve asset returns.

Effect of Asset Quality, Rentability, and Liquidity on the Book Value of Bank Companies Listed on the IDX in 2015-2020

<span lang="EN-US">The purpose of this study is to measure how strong the impact of asset quality, profitability, and liquidity is on a company's book value. This research study utilized secondary data sourced from the Bank's annual reports for 6 years (2015-2020) as a sample of 23 banks equivalent to 138 data which were then analyzed using statistical tests. The results of the data test show that NPL, ROE, ROA, OER, and LDR together have a positive significant impact on the Book Value of Shares, individually NPL has a significant positive impact, ROE has a significant positive impact, ROA has a positive and significant impact, OER has no impact and liquidity has a significant positive impact on the Book Value of Shares. Asset quality, profitability and liquidity scores are indicators of financial performance that can be used by fund owners to determine the condition of a bank's financial health when investing in banking stocks based on the right decisions.</span>

Towards the cost of health in Africa: examining the synergistic effect of climate change and renewable energy on health expenditure

AbstractClimate change has become the centre of discussion among scholars and practitioners globally. This is believed to have severe consequences for the environment and human health, leading to significant implications for health financing. However, empirical investigations examining the climate change-health nexus remain scarce and underexplored. Hence, this study contributes to knowledge by exploring the direct and synergistic influence of renewable energy and climate change on health expenditure (i.e., national, public, private and external) in Africa. The study employs annual data from a panel of 47 African countries between 2006 and 2019, which are estimated using the generalised method of moments. Robustness checks are performed using alternative proxies for climate change and the Driscoll-Kraay estimation technique. The empirical outcomes reveal that high CO2 emissions increase the various indices of health expenditure, implying environmental degradation triggers higher costs in health spending. The empirical results further show that renewable energy presents a negative and significant influence on health expenditure, showing that health expenditure decreases due to the adoption of renewable energy. Additionally, the study finds that renewable energy weakens the effect of carbon emissions on health spending, including public, private and external health expenditures. This implies that the severe impact of climate change on health expenditure is reduced through the intervening role of renewable energy sources. The study recommends that policymakers implement targeted policies towards reducing carbon emissions and increasing renewable energy consumption to improve health outcomes. Governments must also promote universal health coverage to ensure inclusive coverage as climate change becomes increasingly apparent.

Influence of Health Insurance Financing on Economic Growth In Kenya

Economic growth positively impacts population health, providing access to quality healthcare, environmental protection, clean water, and better preventative behavior. However, Kenya's declining growth rate affects health financing, causing many citizens to struggle with access to care due to rising medical costs. This study sought to analyse the influence of health insurance financing on economic growth in kenya. The study was guided by the Solow-Swan Exogenous Growth Model. The study was conducted in Kenya. Data used in study was longitudinal data for twenty two years. The study period was from 2000 to 2022. A descriptive and inferential analysis performed where Auto-Regressive Distributive Lag (ARDL) model was used. Analyzed data were presented in the form of tables and discussions. The health insurance financing indicated a positive and statistically significant (b=0.2935; p = 0.0280.05), implying that one unit increase in health insurance financing could result in 0.2935 units in economic growth in Kenya. The study showed that adjusted R-squared was 0.9271, implying that the model explains approximately 92.71% of the variation in the economic growth in Kenya. The study concluded that, health insurance financing, is positively related to economic growth in the long run in Kenya. The study recommends that there is need for enhancing health insurance financing sources and gradually shifting towards sustainable domestic financing sources.

Implementation and development of hospital-based health technology assessment in Poland from the perspective of hospital representatives: qualitative research.

The analysis of health technologies in Poland has so far mainly concerned drugs assessed by the Agency for Health Technology Assessment and Tariffication, which was established for this purpose. Due to the implementation of various forms of investment (hardware, diagnostic, and organizational) in hospitals, and the growing need to properly assess the costs of implemented solutions, Hospital-Based Health Technology Assessment (HB-HTA) began to develop. In order to implement HB-HTA in the Polish healthcare system, in 2019-2022 a project was carried out, the consortium members of which were: the National Health Fund (NHF), the National Institute of Cardiology in Warsaw (NIKARD), and Lazarski University (UŁ). Analyzing the possibilities of developing HB-HTA in Polish hospitals based on the experiences of the study participants. Presenting benefits and barriers for HB-HTA units implementation to Polish hospitals. Qualitative analysis of in-depth interviews with the representatives of hospitals that participated in the HB-HTA project using the Nvivo12 program. A specially prepared questionnaire with questions regarding the pre-project, design, and post-project phases was presented to respondents from five of the seven hospitals participating in the pilot phase of the project, during which HB-HTA reports were prepared for selected medical technologies. The remaining two facilities that were invited refused to participate in the study. The Ethics Committee of the Jagiellonian University Medical College gave consent to conduct the study. Hospital representatives indicate that the HB-HTA methodology allows for the assessment of investments in facilities based on appropriate data. Thanks to the project, employees of hospital units gained new skills, such as becoming familiar with literature reviews in medical bibliographic databases. However, HB-HTA in Poland has not been fully implemented because facilities do not obtain adequate benefits from the implementation of HB-HTA at the organizational and financial level. According to the study participants, the methodology itself should be modified to take into account the needs of the facility. The hospitals participating in the HB-HTA project are developing the field of analyzing how innovative solutions are implemented in their facilities, but not to the extent that was intended in the project design.

Predicting Financial Failure of Public Teaching Hospitals: An Application of Fuzzy Clustering Analysis

Purpose –To develop a novel prediction model and determine the variables that best predict hospitals’ financial failures. Design/methodology/approach –A fuzzy C-means clustering analysis was conducted using financial ratios from MoH Hospitals’ financial databases. Hospital Fuzzy Financial Health Scores (HF-HFS) then were calculated the as the degree of financial failure measured through the selected n-cluster model. Findings –The results show that the number of teaching hospitals experiencing financial failure has increased. HF-FHS scores also were compared with the modified Altman Z scoresa commonly used financial distress measure in the hospital service sector. The HF-FHS scores in good and poor financial conditions differ significantly. The HF-FHS scores were also strongly correlated with the Altman Z scores. Discussion –The rising trend in the number of hospitals experiencing financial difficulties over the years may cause some hospitals in financial distress to fail to fulfill their obligations, which may disrupt the services provided. In such a situation, good management skills, which are the most important factor reducing the financial risks of hospitals, will not work after a certain point.Conclusions –The findings indicate Fuzzy C Means clustering as a viable option to evaluate the financial failure of hospitals compared to more traditional methods such as Altman Z scores. Hospitals still face financial pressures due to market and structural factors such as the global budget repayment system, pricing and collection time, and insufficient competition conditions.Predicting hospitals’ financial failures can help develop managerial policies and strategies to recognize and combat risks, improveperformance, and improve the current situation of hospitals.

Review of The Financial Health of Bank During Increasing Foreclosed Assets and The Application of Analytic Hierarchy Process (AHP) in Selecting Strategies to Reduce Them

PT Bank Laju International Tbk (the Bank) has struggled with its increased foreclosed assets, particularly those originating from mortgage loans, which could affect its financial health. The research assessed Bank’s financial health using Risk Based Bank Rating (RBBR) framework by analysing key financial ratios and investigating the root causes of rising foreclosed assets through Fishbone and Pareto analysis. Key factors include customer income instability, slow progress in selling foreclosed assets, and lack of insurance protection during economic downturns. To select effective strategies for managing foreclosed assets, the research utilized Analytic Hierarchy Process (AHP), a Multi-Criteria Decision-Making method, to evaluate multiple alternatives based on various criteria, which were derived from Focus Group Discussion (FGD) with Bank’s officers, who directly involved in mortgage loans and foreclosed assets activities, also reference with Bank’s SWOT analysis. The research evaluated three alternatives strategy: Protection Insurance for Customer’s Mortgage Loans. Actively Partnering with property agents to accelerate sale of foreclosed assets as-is. Collaborating with property agents to renovate foreclosed assets. The result showed that despite the increase in foreclosed assets, the Bank remains financially sound, with key financial ratios within acceptable regulatory limits. AHP analysis revealed that alternative 1 stands in first place to be prioritized, followed by alternative 2, however between both alternatives indicates a very small difference in prioritization weight, which means that both strategies are important to be executed and prioritized. Proposal to implement both alternatives in parallel would be a very effective strategy, where alternative 1 conduct as Preventive Strategy in preventing customer’s mortgage loans defaults, while alternative 2 as Corrective Strategy in lowering foreclosed assets volume. Alternative 3 acts as a complement strategy, where renovating foreclosed assets could facilitate quicker sales, however it’ll take longer time for renovation itself.

Organization and financing of the health care system in Kazakhstan

Despite the challenges posed by the consequences of the global pandemic, achieving the country's national development goals remains a strategic direction of public health policy. The article aims to study the dynamics of healthcare financing in Kazakhstan, provide forecasts of upcoming development, and compare it with healthcare systems of developed countries. Based on the analysis of the current state and potential problems, recommendations were developed to improve the healthcare financing system in Kazakhstan. This article also analyzes the main parameters of health financing in the Republic of Kazakhstan for the period 2012–2022 and, in comparison with developed countries, provides the main reasons for maintaining low parameters of public health financing, which becomes a real obstacle to the implementation of measures aimed at achieving universal health coverage. During the research, a wide range of methodological approaches was applied, including system analysis (the study of an object as an integral system, interrelated elements), comparative analysis (comparison of the studied object with others in a number of characteristics), functional analysis (identification of the functions of the elements of the object and their interrelations), economic and statistical analysis and synthesis (collection, processing, interpretation of economic and statistical data), mathematical methods (modeling of studied processes and phenomena using mathematical models), dialectical methods (the study of an object in its development, change and contradictions), analysis of the burden of the disease (assessment of the economic and social consequences of the disease).