Introduction, purpose of the study: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The Health Plan aims to optimize and transform the health system. The objectives of hospital integration, as set out in the Plan, started with the state ownership of municipal hospitals in 2012, continued with the launch of integration processes in 2012–2013 and culminated today. The transformation of a health system can have an impact on health services and thus on meeting the needs of the population. We aim to study the effectiveness of integration through access to CT diagnostic testing. Our hypothesis is that integration has resulted in increased access to modern diagnostic services. The specialty under study is computed tomography (CT) diagnostic care. Our research shows that the number of people receiving CT diagnostic care has increased significantly because of integration, which has also brought a number of positive benefits, such as reduced health inequalities, reduced travel time, costs and waiting lists. Test material and method: Our quantitative retrospective research was carried out in the hospital of Kalocsa through document analysis. The research material was comparing two time periods in the Kalocsa site of Bács-Kiskun County, Southern Hungary. The number of patients attending CT examinations by area of duty of care according to postal codes was collected: Pre-integration period 2014.01.01–2017.11.30. (Kalocsa did not have CT equipment, so patients who appeared in Kecskemét Hospital but were under the care of Kalocsa), post-integration period 2017.12.01–2019.12.31. (period after the installation of CT in Kalocsa). The target group of the study consisted of women and men together, aged 0–99 years, who appeared for a CT diagnostic examination. The study sample size was 6721 persons. Linear regression statistics were used to evaluate the results. Based on empirical experience, a SWOT analysis was carried out to further investigate the effectiveness of integration. Results: As a result of the integration, the CT scan machine purchased in the Kalocsa District Hospital has enabled an average of 129.7 patients per month to receive CT scans on site without travelling. The model used is significant, explaining 86% of the change in the number of patients served (F = 43.535; p < 0.001, adjusted R² = 0.860). The variable of integration in the model is significant, with an average increase in the number of patients served of 129.7 per month (t = 22.686; p < 0.001) following the introduction of CT due to integration. None of the month variables representing seasonal effects were found to be significant, with no seasonal effect on care. The SWOT analysis has clearly identified the strengths, weaknesses, opportunities and threats related to the integration, the main outcome of which is the acquisition of a CT diagnostic tool. Conclusions: Although we only looked at one segment of the evidence for the effectiveness of hospital integration, integration in the study area has had a positive impact on CT availability, reducing disparities in care.

In this research, we employed multivariate statistical methods to investigate the perspectives of small and medium-sized enterprises (SMEs) concerning the Extended Producer Responsibility (EPR) regulation and their apprehensions related to EPR compliance. The EPR regulation, which places the responsibility of waste management on producers, has significant financial and administrative implications, particularly for SMEs. A sample of 114 businesses was randomly selected, and the collected data underwent comprehensive analysis. Our findings highlight that a notable proportion of businesses (44.7%) possess knowledge of the EPR regulation’s provisions, whereas only a marginal fraction (1.8%) lacks sufficient familiarity. We also explored the interplay between opinions on the EPR regulation and concerns regarding its financial and administrative implications. Our results establish a significant correlation between EPR regulation opinions and concerns, with adverse opinions prominently influencing concerns, particularly regarding financial burdens and administrative workloads. These outcomes, derived from the application of multivariate statistical techniques, provide valuable insights for enhancing the synergy between environmental regulations and business practices. EPR regulation significantly affects SMEs in terms of financial, administrative, and legal obligations, thus our study highlights that policymakers may need to consider additional support mechanisms to alleviate the regulatory burden on SMEs, fostering a more effective and sustainable implementation of the EPR regulation.

Universities play a crucial role in supporting sustainable development. In recent decades, indicator-based assessment tools have emerged to quantify universities’ efforts towards sustainability. The most widely known is the UI GreenMetric World University Rankings (UI-GWUR): In our paper, we examine the sustainability performance of the three greenest Hungarian universities. The University of Pécs, the University of Szeged and the University of Sopron were among the top 200 higher education institutions (HEIs) in the UI-GWUR in 2023, which proves that they have successfully integrated sustainable development into the components of their system. The aim of the paper is to identify the sustainability measures implemented by the three-top Hungarian HEIs. Their experiences shed light on how it is possible to move forward in the UI GWUR for a Hungarian higher education institution. In order to evaluate the sustainability efforts of the universities, the UI GWUR database was first examined. The websites and sustainability reports of the three universities were also analyzed to gain insight into their activities. Identifying the sustainability actions of the three institutions will help other universities to successfully plan and implement their sustainability initiatives. In the last part of our paper, we evaluate how the three Hungarian universities communicate sustainability through their websites. The results show that advancement in the UI Green Metric World University Rankings primarily requires conscious planning, which means a deeper understanding of the ranking methodology on the one hand, and a clear strategy creation and implementation on the other hand.

Our previous research on social innovation examined the process, levels, and stakeholders of social innovation, as well as its relationship with technical and technological innovation. The present study analyzes the spatial image created by the social innovation potential and investigates its relationship with the economic power of the neighborhoods. The most important conclusion of the study is that the basic territorial inequality dimensions are the same in the case of both the social innovation potential and the district’s economic strength. The difference is primarily to be found in concentration, as economic power is much more concentrated in the capital and the most important economic and tourism centers than the social innovation potential. We can therefore state that developments based on social innovation can solve a lot of the highly concentrated spatial structure in Hungary.

The proportion of elderly people is growing steadily in many countries, and this trend is expected to continue. As a result, ageism—negative discrimination often tied to perceptions of the elderly—becomes especially harmful. Ageism prevents older generations from being fully accepted by society and, in turn, hinders their ability to adapt to today’s technological changes. In this article, we present the results of our survey mapping the extent of ageism among youth in Uzbekistan, known for its cultural tolerance in Central Asia, and in Hungary, a more individualistic society in Central Europe. To interpret the survey results accurately, we included specific questions to measure social desirability bias, enabling a realistic comparison of ageism levels between the two countries. Data was collected through a survey translated into multiple languages, with a final sample of nearly 400 respondents, each either currently pursuing or already holding a college-level diploma. Our methodological approach was twofold. First, we conducted simple chi-square tests to compare levels of negative and positive ageism between the two countries under study. Upon finding significant differences, we used multivariable OLS regression to explain the variance in types of ageism in Uzbekistan and Hungary, accounting for the possible effects of social desirability bias. Uzbek youth demonstrated higher levels of positive ageism and lower levels of negative ageism compared to Hungarian youth. This finding confirms that the cultural tolerance in Uzbek society remains strong and, in many ways, could serve as a model for Hungary. Additionally, our literature review highlights that adequate infrastructure is essential for a society to treat older adults equitably alongside other citizens.