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.

Gender inequality is a structural social problem, associated with history, culture, education, religion and politics, this difficulty occurs in all social institutions due to the heterogeneity of the structure in the sexual division of labor, socioeconomic inequality, inclusion and inequity in participation in the public space between men and women. Public policies and attitudes towards gender equality in Peruvian university students were analyzed according to socio-academic variables. A descriptive-comparative study, with a quantitative approach, and not experimental cross-sectional, involved 776 university students from a public and a private university in Peru, intentionally selected. Adaptive attitudes (57.9%) were found to tend to be sexist; Likewise, in the study dimensions, the same trend was found in the sociocultural and relational levels, while in the personal dimension students develop sexist attitudes (62.4%). It is concluded, attitudes towards gender equality are sexist reproduction that is influenced by the sociocultural environment of the family, this situation occurs to a greater extent in men, while female students present attitudes of equality in greater intensity to seek equity in the distribution of roles.

This paper analyses the impact of an integrated business management system on business operations in trade in Republic of Croatia. The integration of management systems provides various benefits to a company, so the aim of this paper is to analyse the impacts of integrated management systems on the business operations of trade companies in the Republic of Croatia. The purpose of this paper is to examine and analyse, but also to adequately theoretically argue the impact of transformational leadership, quality culture, and the degree of integration on the development of integrated management systems. Empirical research investigated integrated management systems in companies in the trade sector in the Republic of Croatia. Based on the set conceptual model and research results, we conclude that companies with a highly developed quality culture have proven management system integration. Our research didn’t confirm the significance of transformational leadership in interpreting changes in the degree of management system integration, but it highlights the positive correlation between the application of quality culture and integration; confirms the substantial impact of integrated management systems on both internal and external benefits, emphasizing its strategic imperative for sustained business success.

This paper proposes a floating-interest-rate infrastructure bond, where the interest of a government bond is paid to investors during the period of construction and the early period of operation. Unlike the usual government bond, which provides a fixed interest rate, the proposed floating-interest-rate infrastructure bond pays a floating interest, the rate of which depends on spillover tax revenues. Effective infrastructure projects have a positive effect on the economic growth of a region, known as the spillover effect. When user charges and the return from spillover tax revenues are below the fixed rate of the government bond, the interest rate will equal to the fixed rate of the government bond. In this case, investors in the infrastructure will receive interest on the government bond at the minimum rate. As the spillover effect of the infrastructure increases, the rate of return for infrastructure investment will become greater than the fixed rate of the government bond. The success of the floating-interest-rate infrastructure bond depends on the spillover effect and on transparency and accountability. Policy recommendations are provided in this paper on how to increase the spillover effect and improve transparency and accountability. 

Some developmental projects are created by people-private partnerships (PPP), particularly where recovery is acquirable by levying the users. Such PPPs are successful for construction of roads, bridges, running toilet facilities and conveyance facility in mode of use and pay. Likewise, public-scientist partnerships (PSPs) will be successful, where monitored impacts can be used to derive benefit. But such example cases are not so popular in utilizing new research results and derive benefits from natural resources and enhance productivity. There is a demand for similar partnership projects in research area. In this study modality of the PSP to create boost engine for natural resource conservation and bring economic prosperity is established. A novel PSP launch was synthesized on useful food crop viz. finger millet (Elusiane corcona (l)), which has been known since long past, and now is regaining popularity. It was possible to enhance additional annual production of 5.755 million tonnes of finger millet grain, equivalent to additional income of Rs 11,510 crores. Against this the scientist partnership share was 0.49x million tonnes grain and economic equivalency of Rs 992 crores, which was just 7–8%, with same level of input in agriculture. Additional benefits were sustainability of production and resources consecration, reduction of greenhouse gas emission (GHGs), particularly nitrous oxide (N₂O), largely emanating from agriculture and responsible for depletion of ozone layer. The finger millet stiff stem will be useable for production of ply-board filling material that will be innovative building material for housing and infrastructure developments and making furniture.