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.

Public open spaces, such as squares, parks, and sports fields, serve as crucial hubs during and after disasters, fostering a sense of normalcy and community, promoting social cohesion, and facilitating community recovery. Additionally, they offer opportunities for promoting physical and mental well-being during such crises. This study aims to enhance the responsiveness of public open spaces to disasters by prioritizing disaster resilience in their planning and design. This study consists of two main stages. Firstly, a literature review is conducted to explore the current trends in research on public open space planning and design and the incorporation of disaster resilience. Results indicate that the primary focus of the current research on planning and designing public open spaces centers around sociocultural, psychological, environmental, and economic benefits. There is limited emphasis on integrating disaster resilience into public open space planning and design, leading to a lack of clear guidance for planners and architects. The emphasis on disaster resilience in public open space planning and design mainly began after 2010, with a notable increase observed in the last six years (2017–2023). This emphasis notably centers on climate change impacts, followed by floods, and then earthquakes. Secondly, drawing on the pivotal role of public open spaces during disasters, the importance of urban planning and design, and the existing gap in incorporating disaster resilience in current research on public open space planning and design, this study develops a novel framework for enhancing public open spaces’ responsiveness to disasters through resilient urban planning and design, based on four main disaster resilience criteria: multifunctionality, efficiency, safety, and accessibility. The insights gleaned from this study offer invaluable guidance to planners, architects, and decision-makers, empowering them to develop public open spaces that can effectively respond to various circumstances, ultimately contributing to bolstering community resilience and sustainability.

The rise of fintech in the financial sector presents a transformative shift towards digitalisation and sustainability on a global scale, leveraging technologies like AI to minimise environmental footprint. Neobanks not only challenge traditional banking models but also offer innovative solutions that align with sustainable objectives. The purpose of this paper is to analyse the impact of neobanks on global sustainability from economic, environmental, and social points of view. A comprehensive literature review of existing literature and current sustainable practices of neobanks was conducted. Results reveal that neobanks significantly positively contribute towards environmental sustainability with reduced paper use and logistics requirements of banking services. By offering more accessible and affordable banking services they importantly contribute towards higher financial inclusion, and with innovative products towards more competitive and innovative financial markets. AI-based tools they employ are increasing financial literacy and social inclusion. This article also highlights concerns regarding electronic waste management, potential high energy consumption, required digital literacy and cybersecurity risks. In conclusion, despite the mentioned risks, neobanks importantly contribute to global sustainability in many ways and will even more in the future. These findings can help neobanks shape sustainable practices and guide policymaking, as well as spread awareness of the sustainable impact of banking services.

This article using thematic and content analysis investigated the contribution of innovation in achieving sustainable economic development. The objective of the bibliometric research was to assess the literature on this subject it identified research trends, ideas, and authors who contributed to this area so that future research and policy directions could be suggested. The data was derived from the Scopus database and was extracted between January 2020 and February 2024 by applying inclusion and exclusion criteria. The Scopus database search yielded 66 articles, published between 2020 and February 2024. Scopus analytics and Microsoft Excel were used for descriptive analysis and VOS Viewer software was used for network visualization of keywords. The descriptive analysis showed the trajectory of research, the prolific authors, their publication outlets, authors affiliation, and county of origin of the documents. The prolific visualization showed five clusters: red, green, blue, purple, and yellow. The main clusters are economic development, alternative energy, sustainable development, and innovation. This research showed where consideration should be given to drive sustainability and sustainable economic development. This research outcome will assist government agencies, corporations, and non-profit organizations in planning appropriate action and policies to support innovative and renewable energy initiatives so that participation in those fields could enhance the opportunity to achieve sustainable economic development.

Over the past twenty years, service organizations have adopted total quality management to enhance their service quality, significantly impacting business performance, customer satisfaction, and profitability. This study delves into policy development of sustainable quality management theory, benefits, and various service components, while reviewing its implementation in services industries and policy innovation. The concept of Sustainable Quality Management 4.0 (SQM 4.0) integrates sustainable management, traditional quality management, and Quality 4.0 principles to optimize resources, reduce environmental impacts, and enhance decision-making through Industry 4.0, IoT, AI, and big data analytics. The findings offer valuable framework and policy insights for managers and practitioners on quality management and service systems, providing an implementation framework for Sustainable Quality Management in the service sector. The paper outlines comprehensive elements and strategies for implementation as a SQM framework for attaining sustainable quality management in the services industry.

The covid-19 pandemic has adversely affected the sustainability of micro and small enterprises (MSEs), with a particularly pronounced impact in Central Java. Entrepreneurs who struggle to adapt to reduced consumer purchasing power and the increasing reliance on digital technology are at heightened risk of business closure. Despite these challenges, inclusivity remains a crucial element for MSEs in fostering local economic development. Accordingly, this study seeks to examine the role of inclusivity in the sustainability of MSEs that are based on digital technology. Data were collected through the use of questionnaires and focus group discussions. Respondents were digital-based MSEs entrepreneurs from five selected regions, with Central Java having the largest number of digital media users. Key informants included experts from Diponegoro University, the International Council of Small Business (ICSB), the Department of Cooperatives and Micro, Small and Medium Enterprises at the provincial and district levels, and non-governmental organizations. The collected data was analyzed using the Rapid Appraisal for Micro and Small Enterprises (Rap-MSE’s) method. To assess the sustainability status, the study utilized several dimensions, including economic, environmental, social, institutional, technological, and inclusivity factors. Both multidimensional and individual analyses indicated that the sustainability status was relatively robust. MSEs that integrated digital technology into their operations were able to withstand the challenges posed by covid-19 and adapt to the new normal. In conclusion, the inclusivity dimension in the adoption of digital technology has gained increased importance in driving local economic development.