The soundscape studied has gained increasingly frequent attention across multiple disciplines, especially in tourism and leisure domain. While it has already indicated a unique soundscape provides dynamic and memorable tourism experiences, a clearly mapped perspective across different segmentations of soundscapes, both natural and acoustically created, remains missing. Therefore, a comprehensive mapping and review of soundscape studies is imperative to understand its implications for potential inbound tourism research in future. This article aimed to explore potential soundscape studies by assessing trends and developments in recent decades (2013–2023). We applied a bibliometric approach, using a PRISMA framework and under NVivo 12 Plus, VOSViewer, and Biblioshiny-R-Studio software as analytical tools. Significant yield discoveries showed that tourism soundscape research is undergoing steady growth, as evidenced by quantity of publications and citation trends. Single and multi-country international collaborations characterized by soundscape outreach research playing an influential role were highlighted. We identified multiple research themes, such as anthropogenic noise and music heritage, and pointed out how we approached this research from two perspectives: environmental/natural and manufacturing/acoustics. In our review, several keywords and predominant themes were identified, which suggested soundscape studies have recently become an increasingly popular topic in tourism research. The broad spectrum of key themes, such a tourism, tourists, sustainability, areas, and development perspectives, are evidence points of significant diversity in these topics. Most importantly, our research offers significant theoretical and conceptual implications for future direction of soundscape studies. We identified three originality main focus domains in soundscape tourism research: urban and natural environments, technological advancements, and tourists’ perceptions and behaviors.

The Huaiyang Canal, a significant section of the Grand Canal, boasts representative tourist attractions. This study analysis of online reviews from Ctrip and Mahive using R language, Gephi, ROST CM, and SPSS has provided insights into tourists’ perceptions of the Huaiyang Canal’s image. Key findings include: (1) Dominant landscape images encompass gardens, canals, and buildings, emphasizing the historical and cultural assets. Both cultural and natural landscapes equally captivate tourists. (2) The canal’s tourism image perception follows a “garden-history-canal” hierarchy with the canal as the central space and history expanding its tourism features. (3) The perceptions can be categorized into historical and cultural landscapes, man-made projects, and attraction perception. Despite varying tourist numbers in Huaian and Yangzhou, scenic spot experiences are similar. The overall perception of tourists is largely positive, but some express concerns about service attitudes and travel time planning.

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.