Introduction: 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 primary objectives of the Semmelweis Plan include the optimisation and transformation of the health care system, starting with the integration of hospitals and the state control of previously municipally owned hospitals. The transformation of the health care system can have an impact on health services and thus on meeting the needs of the population. In addition to reducing health inequalities and costs, the relevant benefits include improving patients’ chances of recovery and increasing patient safety. The speciality under study is decubitus care. Our hypothesis is that integration will improve the chances of recovery for decubitus patients through access to smart dressings to promote patient safety. Objective: to investigate and demonstrate the effectiveness of integration in improving the chances of recovery for decubitus ulcer patients. Material and methods: The research compared two time periods in the municipality of Kalocsa, Bács-Kiskun County, Southern Hungary. We collected the number of decubitus patients arriving and leaving the hospital from the nursing records and compared the pre-integration period when decubitus patients were provided with conventional dressings (01.01.2006–2012.12.31) and the post-integration period, which entailed the introduction of smart dressings in decubitus care (01.01.2013–2012.12.31). The target population of the study was men and women aged 0–99 years who had developed some degree of decubitus. The sample size of the study was 4456. Independent samples t-test, Chow test and linear trend statistics were used to evaluate the results. Based on the empirical evidence, a SWOT analysis was conducted to further examine the effectiveness of integration. Results: The independent samples t-test model used was significant (for Phase I: t (166) = −16.872, p < 0.001; for Phase II: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −16.872, p < 0.001). For stage III: t (166) = −10.078, p < 0.001; for stage IV: t (166) = −10.078, p < 0.001; for stage III: t (166) = −10.078, p < 0.001). for stage III: t (166) = −14.066, p < 0.001). For the Chow test, the p-values were highly significant, indicating a structural break. Although the explanatory power of the regression models was variable (R-squared values ranged from 0.007 to 0.617), they generally supported the change in patient dynamics after integration. Both statistical analyses and SWOT analysis supported our hypothesis and showed that integration through access to smart dressings improves patients’ chances of recovery. Conclusions: Although only one segment of the evidence on the effectiveness of hospital integration was examined in this study, integration in the study area had a positive impact on the effective care of patients with decubitus ulcers, reduced inequalities in care and supported patient safety. In the context of the results obtained, these trends may reflect different systemic changes in patient management strategies in addition to efficient allocation of resources and quality of care.

This study aims to identify factors related to the impact of social capital on happiness among multicultural families using the 2019 Community Health Survey, which represents the South Korean population. The study utilized data from the 2019 Korea Community Health Survey, and the study participants, aged 20 years or older, included 3524 members of multicultural families from a total of 229,099 adult households. The study found a significant difference in happiness scores across different age groups (t = 57.00, p < 0.01). Based on the median value of happiness, significant relationships were found with the independent variables: Physical Environment of Trust (t = −5.13, p < 0.001), Social Networks (t = −5.51, p < 0.001), and Social Participation (t = −5.47, p < 0.001). Happiness was found to have a positive correlation with the Physical Environment of Trust (r = 0.12, p < .001), Social Participation (r = 0.11, p < 0.001), and Social Network (r = 0.13, p ≤ 0.001). In contrast, Age (r = −0.13, p ≤ 0.001) and Stress (r = −0.14, p ≤ 0.001) showed negative correlations with happiness (r = 0.57, p < 0.001). The analysis identified a positive community physical environment (t = 3.85, p < 0.01), increased social networks (t = 4.27, p < 0.01), and higher social participation (t = 6.88, p < 0.01) as significant predictors of happiness. This model suggests that the explanation power is 15%, which is statistically significant (R² = 0.15, F = 57.72, p < 0.001). This study highlights the influence of social capital on the happiness of multicultural families living in Korea. Given the increasing number of multicultural families in the country, strategic interventions aimed at enhancing social networks and participation are necessary to promote their happiness.

The COVID-19 pandemic prompted global crises and enforced strict measures like the Movement Control Order (MCO) in Malaysia, significantly impacting societal norms, particularly affecting secondary school students. The current study employs a qualitative methodology to determine how COVID-19 affects the life stress experienced by secondary school students. Secondary school students were recruited in Sabah, Malaysia, from April to August 2022, after Malaysia entered the endemic phase on 1 April 2022. As part of a larger survey, students were asked to respond to an open-ended question about life stressors they face as a result of the pandemic COVID-19 or during home-based teaching and learning (PdPR). A total of 1069 secondary school students from various backgrounds were included in the study. However, only 714 students responded to the open-ended question. The pattern of meaning across the texts was determined using Birks and Mills’s method of multilevel coding. The students’ perspectives on life stressors were classified into five broad categories: restriction stress, emotional stress, online study stress, family-related stress, and others-related stress. Restriction stress, which refers to being confined at home, restricted movement, hampered family, friendship, and outdoor activities, and no freedom were rated as the most significant life stressors associated with the COVID-19 pandemic by students. This research provides valuable insights for policymakers, educators, and parents, emphasizing the profound effect of pandemic-induced restrictions on student life and the essential role of targeted interventions in fostering resilience among students.

COVID-19 is among the tremendous negative pandemics that have been recorded in human history. The study was conducted to give a breakdown of the effect of post-COVID-19 mental health among individuals residing in a developing country. The two scales, namely DASS-21 and IES-R, were employed to collect the essential related data. The findings indicated that anxiety was a typical and common mental issue among the population, including up to 56.75% of the participants having extremely severe anxiety, 13.18% reporting severe anxiety. Notably, no one has anxiety and depression under moderate levels. Additionally, there is 51.92% depression and 43.64% stress ranging from severe to extremely severe levels. Furthermore, there were significant statistical differences among the data on stress, anxiety, and depression according to gender (males and females) and subgroups (students, the elderly, and medical healthcare workers). Besides, the prevalence of post-traumatic stress disorder in the study was relatively high, especially when compared to the figures reported by the World Health Organization. Moreover, stress, anxiety, and depression all displayed positive correlations with post-traumatic stress disorder. This is big data on the mental health of the entire population that helps the country’s government propose policy strategies to support, medical care and social security for the population.

Universal Health Coverage is a health insurance system that ensures every citizen in the population has equitable access to quality and effective promotive, preventive, curative, and rehabilitative health services. Meanwhile, the Medan City Government of Indonesia is trying to improve health services through the Medan Berkah Health Insurance Program by adopting Universal Health Coverage, which aims to provide Universal Health Coverage to the entire community. This study aims to explain the implementation and projection of the development of health services of the Medan City Government with the Universal Health Coverage System in the Medan Berkah Health Insurance Program which is intended as a step in providing opportunities for all people to get equal opportunities in health services, especially for the poor. This research uses qualitative research by using the literacy study method by studying related documents and conducting in-depth observations. Data analysis included data reduction, presentation, and conclusion drawing. The Medan City Government implemented the Universal Health Coverage Program in Jaminan Kesehatan Medan Berkah, which aims to improve health services in the city. The government is committed to simplifying the bureaucracy, managing the medical workforce, and collaborating with stakeholders and the community. However, challenges include low community participation, limited resources, lack of coordination, and limited access to information, which hinder the successful implementation of the program.

The COVID-19 outbreak on international cruise ships during the early stages of the pandemic has exposed deficiencies in the governance of public health emergencies within the framework of existing international law. These deficiencies encompass various aspects, including the shortcomings of the system of flag state jurisdiction, the vague definition and reasonableness of governments’ “additional health measures” as stipulated in the International Health Regulations (IHR) of 2005, the role of World Health Organization (WHO) in the protection of the fundamental rights of passengers and crew members during epidemic outbreaks on cruise ships, the application of the free pratique rule under the international health law, and other challenges that have not been adequately addressed in current international law. In the post-COVID era, it is essential to revisit these core issues of international law and reassess the allocation of responsibilities among all evolving actors to foster effective multilateral cooperation in epidemic control. This paper adopts the “Diamond Princess” incident as a case study, examining how such public health emergencies pose challenges to international laws, particularly when they occur within the context of a cruise ship. The paper argues that cooperation on global health emergencies will continue to be a challenge until responsibility is more clearly allocated among stakeholders. Additionally, the paper formulates three principles for enhancing governmental cooperation, namely the fairness principle, the nationality principle, and the principle of common but differentiated responsibilities. It is advisable to carefully consider these key principles when reevaluating the international laws on public health emergencies in the post-COVID era.