Artificial Intelligence and Automation in Hospital Administrative Systems: A Scoping Review

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Background: Hospital administrative processes including billing, scheduling, and medical records management—are critical to health system performance but are often characterized by inefficiencies, high operational costs, and workforce burden. Artificial intelligence (AI) and automation technologies, including robotic process automation (RPA) and natural language processing (NLP), have emerged as potential solutions to streamline these processes and enhance productivity.

Objective: This scoping review aimed to synthesize existing evidence on the use of AI and automation in hospital administrative functions, focusing on efficiency gains, cost savings, implementation barriers, and ethical and regulatory considerations.

Methods: A scoping search of peer-reviewed literature was conducted across major electronic databases including PubMed, Scopus, Web of Science, and Google Scholar. Studies published between 2015 and 2025 that examined AI-based or automation-driven interventions in hospital administrative settings were included. Eligible studies addressed applications in billing, scheduling, records management, hospital information systems, or workflow optimization. Data was extracted and synthesized narratively due to heterogeneity in study designs and outcome measures.

Results: The review identified substantial evidence that AI and automation improve administrative efficiency through reduction of processing time, minimization of manual errors, and optimization of resource allocation. RPA demonstrated significant benefits in billing and claims processing, while NLP enhanced documentation accuracy and records retrieval. Several studies reported measurable cost savings and productivity improvements following implementation. However, common barriers included integration challenges with legacy systems, limited interoperability, data quality concerns, staff resistance, insufficient training, high upfront costs, and uncertain short-term return on investment. Regulatory and governance challenges, particularly data protection compliance and algorithm transparency were also frequently highlighted.

Conclusion: AI and automation technologies show considerable promise in transforming hospital administrative processes by improving efficiency and reducing operational costs. Nevertheless, successful implementation requires strong governance frameworks, workforce capacity building, financial planning, and ethical oversight. Future research should focus on longitudinal cost-effectiveness evaluations and context-specific implementation strategies, particularly in resource-limited health systems.

Phytomining as an Emerging Metal Recovery Route: A Critical Review of Plant Uptake Mechanisms, Processing Strategies, And Industrial Constraints (2020–2025)

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Phytomining has re-emerged as a promising strategy for the sustainable recovery of valuable and critical metals from soils, mine tailings, and industrial residues, while simultaneously contributing to environmental remediation. This critical review synthesizes advances published between 2020 and 2025, focusing on the biological, agronomic, and metallurgical foundations that govern phytomining performance and scalability. Recent progress in hyperaccumulator selection, soil amendments, plant–microbe interactions, and biomass processing has expanded the range of target metals beyond nickel to include gold, platinum-group metals, rare-earth elements, and scandium. However, field-scale deployment remains constrained by trade-offs between biomass productivity and metal concentration, as well as by the efficiency and cost of downstream ash processing and metal recovery. By integrating reported case studies, techno-economic assessments, and environmental indicators, this review positions phytomining within circular economy and nature-based remediation frameworks. Key knowledge gaps have been identified in process integration, quantitative performance metrics, and long-term sustainability, providing a roadmap for transitioning phytomining from experimental trials to industrially relevant applications.

Factors Influencing English Teachers’ Use of Generative Ai for Teaching Speaking Activities at a Language Center in Ca Mau

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Despite the potential of Generative AI (GenAI) to reduce Foreign Language Anxiety (FLA) in speaking instruction, its implementation in resource-constrained settings like a language center in Ca Mau province, Vietnam, remains underexplored. This study investigates the paradox of “digital native” instructors who possess high digital literacy but face infrastructural and pedagogical barriers in the Mekong Delta region of Vietnam. Employing an explanatory sequential mixed-methods design, quantitative data were collected from 58 EFL teachers via surveys, followed by semi-structured interviews. Utilizing the SAMR model as a diagnostic framework, the findings revealed the existence of a Substitution Plateau. Although teachers frequently used GenAI for administrative tasks (Substitution level, M = 3.91), its application for transformative, real-time voice interactions was notably limited (Redefinition level, M = 1.96). Stepwise multiple regression and thematic analyses demonstrated that infrastructural barriers (beta = -.52) and ethical concerns regarding “synthetic fluency” significantly inhibited advanced GenAI adoption, outweighing the positive influence of teachers’ TPACK competence. The study concludes that in peripheral educational settings, the primary limiting factor is not technological illiteracy, but rather a contextually driven “safety-first” pedagogical strategy. These findings challenge the universality of tech-integration models and provide localized implications for AI adoption in the Global South.

Integrating Targeting, Branding, And Advertising Through Instagram: A Case Study of Marketing Strategy at Rumah Cantik Cila

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This study examines Instagram as a central platform in the marketing strategy of DRW Skincare at Rumah Cantik Cila. In the digital era, social media has evolved beyond communication functions to become an integrated marketing instrument encompassing targeting, branding, advertising, and social media management. Employing a qualitative descriptive case study approach, this research investigates how Instagram’s features and account management practices are utilized to enhance brand awareness, expand market reach, and maintain customer engagement. Data were collected through interviews, observation, and documentation involving the business owner and a social media specialist. The findings indicate that Instagram plays a pivotal role in supporting marketing performance through professional account management and the strategic use of features such as feeds, stories, reels, live streaming, and paid advertising. These tools enable Rumah Cantik Cila to access both local and international audiences while fostering interactive relationships with customers. The study also reveals that Instagram functions as a central hub integrating social media management, diverse promotional features, and wide market reach, which collectively support the implementation of targeting, branding, and advertising strategies in a cohesive framework. Overall, Instagram contributes not only to increased sales but also to sustained brand loyalty through consistent and strategic engagement. This study highlights Instagram’s significance as an effective digital marketing platform for small businesses in the beauty industry, offering practical insights for enterprises seeking to optimize social media–based marketing strategies.

Factors Influencing Low Utilization of Postnatal Care at Six Days Among Mothers in Rural Zambia: A Case of Siavonga District Hospital

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Postnatal care (PNC) is a critical intervention for reducing maternal and neonatal morbidity and mortality, yet its utilization remains low in many rural African settings. This study assessed factors influencing low attendance of postnatal mothers at six days at Siavonga District Hospital, Zambia. A cross-sectional study design was employed involving 384 postnatal women selected from Maternal and Child Health (MCH) registers. Data were collected using structured questionnaires and analysed using SPSS version 24. Descriptive statistics and Pearson’s chi-square tests were used to determine associations between socio-demographic variables and PNC attendance.

Only 14.2% of mothers attended postnatal services at six days, indicating critically low utilization. Significant factors associated with non-attendance included maternal age, parity, education level, distance to the health facility, and knowledge of PNC services. Social and cultural practices such as postpartum seclusion, negative perceptions of health workers, long waiting times, and limited partner support were also identified as key barriers.

The findings highlight the need for community-based awareness programs, improved quality of care at facilities, and strengthened male involvement strategies. Enhancing early postnatal follow-up services could substantially improve maternal and newborn health outcomes in rural Zambia.

Intergenerational Caregiver Strategies in Caring for Parents and Maintaining Personal Well-Being

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This study explores how young intergenerational caregivers navigate caregiving responsibilities toward aging parents while maintaining their personal well-being. Employing a qualitative descriptive design, the research examines the lived experiences of three university students in Jakarta who simultaneously manage academic commitments, paid employment, and family caregiving. Data were collected through in-depth interviews, observation, and documentation, and analyzed using Miles and Huberman’s interactive model supported by NVivo 12 Plus. The findings reveal that caregiving among young adults operates as a multidimensional process involving financial management, emotional regulation, and role negotiation. Participants adopted structured income allocation strategies, pursued flexible supplementary work, and practiced careful time management to balance parental care with personal and educational needs. Despite these adaptive efforts, caregivers experienced significant psychosocial pressures, including stress, fatigue, and heightened moral responsibility, shaped by cultural expectations of filial duty and uneven family role distribution. Caregiving responsibilities frequently concentrated on individuals who were structurally available, accelerating their transition into adult roles and constraining personal aspirations.The study highlights forms of everyday resilience developed through pragmatic coping practices and family solidarity. However, reliance on individual adaptability also exposes gaps in formal support systems. These findings underscore the need to reconceptualize intergenerational caregiving as a shared social responsibility rather than an individual burden. Policy interventions integrating financial assistance, educational flexibility, mental health services, and community-based caregiver support are essential to sustain the well-being of young caregivers. The study contributes to caregiving and social development literature by providing empirical insight into how young adults construct meaning, strategy, and identity within intergenerational care arrangements in urban Indonesia.

The Relationship of a Balanced Diet with Blood Pressure and Blood Sugar in Patients with type 2 Diabetes Mellitus in Urang agung Sidoarjo Village

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Type 2 diabetes mellitus (T2DM) causes metabolic disorders related to a pathological condition characterized by an increase in glucose concentration in the bloodstream beyond a set threshold (hyperglycemia). Hyperglycemia often accompanies metabolic syndrome especially involving hypertension which can worsen complications in people with diabetes. One effective way to control blood sugar and blood pressure levels is by implementing a balanced diet. There are 50 people with T2DM in the village of Urang Agung Sidoarjo with an increase of 1-3 people every month. The purpose of this study was to determine the relationship between a balanced diet with blood pressure and blood sugar levels measured by the GOD-POD method. This research is a quantitative study using chi-square analysis. tional. The study sample of 44 people was taken with purposive sampling technique. The results showed that blood sugar levels were significantly associated with blood pressure, especially systole in patients with T2DM. In addition, a balanced diet was also found to be significantly related to blood sugar levels, but not significantly related to blood pressure.

Exploring The Impacts of online Game-Based Applications on Enhancing Learning Motivation among Primary School Students

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This study investigates the impact of online game-based applications (OGBA) on enhancing learning motivation among primary students in English as a Foreign Language (EFL) classrooms in Vietnam. Although digital game-based learning has been widely associated with increased engagement, limited research has systematically examined its motivational mechanisms within primary-level EFL contexts in developing countries. Drawing upon Self-Determination Theory and Flow Theory, this study employed a convergent mixed-methods design involving 50 Grade 5 students and three teachers over a 12-week instructional intervention. Quantitative data were collected through a validated Likert-scale questionnaire measuring five motivational dimensions, while qualitative insights were obtained from semi-structured interviews and classroom observations. Descriptive and thematic analyses revealed consistently high levels of student motivation, particularly in interest, participation, and perceived competence. Students reported increased concentration, confidence, and willingness to engage when OGBA platforms such as Kahoot and Wordwall were integrated into instruction. However, moderate challenges related to time constraints, competitive pressure, and technological issues were also identified. The findings suggest that OGBA can effectively strengthen intrinsic and identified forms of motivation when pedagogically aligned with learning objectives. This study contributes context-sensitive evidence to the growing literature on digital game-based learning in primary EFL education and offers practical implications for sustainable technology integration in similar educational settings.

Optimizing Company Profile as a Public Communication Tool in Educational Institutions

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This study aims to analyze the public communication strategy implemented by Bimbel CEC, a non-formal educational institution, through the use of its company profile. The company profile functions not merely as an informational medium but as a strategic communication tool to build institutional image, convey vision and mission, and reach wider audiences, including prospective franchise partners. This research adopts a descriptive qualitative approach, with data collected through in-depth interviews with two key informants: the Chief Executive Officer and the Co-Founder. Data analysis was conducted using NVivo software with thematic coding to identify key themes. The findings reveal that Bimbel CEC employs a multi-channel communication strategy, utilizing digital, print, electronic, and face-to-face media in an integrated manner. Message formulation emphasizes structured content, audience-based customization, visual storytelling, and soft selling approaches. Strategic adjustments are made regularly in response to technological advancements, curriculum changes, and social media trends. This study concludes that the company profile is not only a promotional asset but also a dynamic communication medium that embodies the institution’s values and positioning aligned with Kotler’s concepts of integrated marketing communication and strategic branding.