Oxana Tsigengagel

JCI Accreditation and Outpatient Surgery: A Scoping Review of Evidence on Healthcare Quality, Risk Management, and Policy

Background: The global healthcare landscape is increasingly shaped by two pivotal trends: the adoption of international quality frameworks, such as Joint Commission International (JCI) accreditation, and the strategic shift towards resource-efficient models like outpatient surger...

National time zone unification in Kazakhstan altered healthcare utilization and circadian re-entrainment patterns

Abstract In March 2024, the Republic of Kazakhstan unified its administrative time to UTC + 5, creating a nationwide natural experiment across a 30-degree longitudinal gradient. This structural shift offered a rare opportunity to evaluate how abrupt temporal restructuring correla...