This study investigates the potential of developing a maritime tourism project within the blue economy of Pakistan and explores the factors influencing blue growth and maritime tourism. A quantitative research approach has been adopted. The research gathered primary data from diverse experts and stakeholders within the maritime sector and related industries. The study’s target population comprised on various entities involved in these sectors. A sample of around 250 individuals was selected using a convenient sampling technique. The collected data underwent analysis using the Statistical Package for the Social Sciences (SPSS) and the Partial Least Square (PLS) method. This approach was chosen to explore and understand the intricate relationships between variables in the context of the maritime industry. Structural Equation Modeling (SEM) and Confirmatory Factor Analysis (CFA) techniques were then employed to scrutinize the data further, allowing for a comprehensive examination of the interconnections among the variables identified in the study. This robust methodological approach enhances the study’s credibility and provides valuable insights into the dynamics of the maritime sector and its associated industries. The findings indicate that a balanced approach, valuing business sustainability, top management support, and enabling innovation structures positively impact blue growth. Additionally, uncertainty avoidance and promoting short-term goals have an appositive impact on the blue economy. Moreover, two potential barriers, Functional strategy, and weak competency, do not significantly affect the blue economy. This study lays the foundation for further exploration and implementation of strategies that promote sustainable growth and development in Pakistan’s blue economy. By integrating the insights gained from this study into policy and decision-making processes, stakeholders can work together to create a vibrant and sustainable maritime tourism sector that benefits both local communities and the environment.

This study examines the rapid convergence of the tourism industry with other sectors, driven by the expanding experience economy. A conceptual model was introduced encompassing industry convergence patterns, paths, and effects to assess this convergence’s effectiveness. Using a survey of 392 tourists in Macau, these findings reveal that the tourism industry convergence path and mode positively influence the convergence effect, thereby shaping tourists’ perceived value. Moreover, this study identifies that convergence mode and effect mediate the relationship between the tourism industry convergence path and perceived value. This study validates the efficacy of industrial convergence paths and models in fostering regional industry convergence within the tourism sector. Additionally, it contributes a theoretical framework for evaluating industry convergence effects at a micro level, enhancing both the theoretical understanding and practical applications of Macao’s tourism industry and industrial convergence theory.

Tourism city brand image construction is a strategic measure to enhance the city’s core competitiveness, and has received great attention from various tourism cities. As a new force in promoting urban development, local youth must accurately grasp their perception of the city’s brand image, to realize the simultaneous development of youth development and urban development, and the integrated development of youth, industry, and city. This paper focuses on the city brand building of tourist cities among local youth, adopts the brand association measurement tool “brand concept map”, takes Chongqing, a tourist city in China, as the field, and the local youth as the research object, and establishes the analysis perspective of the correlation strength of results based on traditional methods. Based on exploring the characteristics of brand image perception, this paper further explores the formation mechanism behind the characteristics from the perspective of the diversity of local youth’s perception channels of city brand image.

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.

This study investigates the impact of tourism and institutional quality on environmental preservation, utilizing principal component analysis to generate three composite indices of environmental sustainability for 134 countries from 2002 to 2020. The results reveal that environmental sustainability indices have generally improved in lower- and middle-income nations but have declined in certain high-income countries. The findings also underscore the critical role of institutional quality—particularly regulatory standards, government effectiveness, anti-corruption efforts, and adherence to legal frameworks—in promoting environmental sustainability. However, the study shows that both domestic and international tourism expenditures can have adverse effects on environmental sustainability. Notably, these negative effects are exacerbated in countries with well-developed institutions, which is an unexpected outcome. This highlights the need for careful, thoughtful policymaking to ensure that the tourism sector supports sustainable development, rather than undermining environmental objectives.