Management and efficiency have a fundamental impact on the performance of public hospitals, as well as on their philanthropic mission. Various studies have shown that the financial weaknesses of these entities affect the planning, setting of goals and objectives, monitoring, evaluation and feedback necessary to improve health systems and guarantee accessibility as an inalienable right. This study aims to analyze the management and efficiency of third-level and/or high-complexity hospitals in Colombia, through a statistical model that uses financial analysis and key performance indicators (KPIs) such as ROA, ROE and EBITDA. A non-experimental cross-sectional design is used, with an analytical-synthetic, documentary, exploratory and descriptive approach. The results show financial deficiencies in the hospitals evaluated; hence it is recommended to make adjustments in the operating cycle to increase efficiency rates. In addition, the use of the KPIs ROA and ROE under adjusted models is suggested for a more precise analysis of the financial ratios, since these adequately explain the variability of each indicator and are appropriate to evaluate hospital management and efficiency, but not in EBITDA ratio, hence the latter is not recommended to evaluate hospital efficiency reliably. This study provides relevant information for public health policy makers, hospital managers and researchers, in order to promote the efficiency and improvement of health services.

This paper aims to investigate the determinants of performance for insurance companies in Tunisia from 2004 to 2017. Namely, we consider three dimensions of determinants; those related to firms’ microenvironment, macroenvironment and meso or industry environment. The performance of insurance companies is measured using three criteria: Return On Assets (ROA), Return On Equity (ROE), and Combined Ratio. The independent variables are categorized into three groups: microeconomic variables (Firm Size, Financial leverage, Capital management risk, Volume of capital, and Age of the firm), meso-economic variables (Concentration ratio and Insurance Sector Size), and macroeconomic variables (Inflation, Unemployment, and Population Growth). The General Least Squares (GLS) regression technique is employed for the analysis. The study reveals that the financial performance of Tunisian insurance companies is positively influenced by firm size, capital amount, and risk capital management. On the other hand, it is negatively influenced by leverage level, industry size, concentration index, inflation, and unemployment. In terms of technical performance, the capital amount of the firm, industry size, age of the firm, and population growth have a positive impact. However, firm size, leverage, concentration index, and risk capital management negatively affect technical performance. This paper contributes to the existing literature by examining the determinants of performance specifically for insurance companies in Tunisia. Besides the classical proxies of performance, this paper has the originality of using the technical performance which is the most suitable for the case of Insurance companies.

A The meaning of life is the purpose that defines a person’s existence based on a set of fundamental objectives that give meaning to life or not. Furthermore, not all individuals have a meaning in life, and it may be absent at some point or stage of life. Objective: To analyze Peruvian older adults’ socioeconomic factors and the meaning of life. Method: A descriptive, comparative, quantitative cross-sectional study was conducted. One thousand older adults were intentionally selected through quotas of 100 older adults in 10 localities in Arequipa, Peru. They were administered a survey validated with high levels of reliability on the meaning of life and socioeconomic factors. Results: A moderate level of meaning in life was found. Most older adults believe that increasing age decreases the purpose of living, and existential emptiness grows. Conclusions: Statistically significant differences (p < 0.05) were found between the meaning of life and the following socioeconomic factors: retirement, religion, educational level, cohabitation, marital status, income, and occupation. It is understood that older adults who scored higher on these factors indicate having meaning in life because they still fulfill the role of providers for the family economy, being util to their families compared to the majority who scored low, which indicates an absence of meaning of life leading to an increase existential void.

Several studies have explored green economy and the needs for improvement on the standard of living among low-income families or households in many developing countries including Bangladesh. Similarly, there is an emphasis on economic growth and vision 2030 is regarded stressed. Nonetheless, there is less attention in exploring green economy in propelling sustainable financial inclusion among low-income families and households in Bangladesh in order to attain vision 2030 and overall economic growth.  The primary objective is to explore green economy in fostering sustainable financial inclusion among low-income families and households in Bangladesh in enhancing economic growth and vision 2030 in Bangladesh. Content Analysis (CA) and systematic literature review (SLR) as an integral part of qualitative research. Secondary data were gathered through different sources such as: Web of Science (WOS), related journals, published references, research papers, library sources and reports. The results indicated that poverty is a prime challenge impeding sustainable financial inclusion among low-income families and households in Bangladesh. The study has further established the potential of green economy in improving well-beings and social fairness in fostering sustainable and inclusive finance among families or households with low-income in the country. The paper also highlighted the necessity of implementing policy relating to vision 2030 by enhancing sustainable and inclusive finance among low-income households in particular and overall economic growth in the country in general. In conclusion, it has been reiterated that green economy has been a mechanism for achieving sustainable development in general and poverty eradication among low-income households in Bangladesh. It is therefore suggested that the government and economic policymakers should provide enabling environment for improving green economy among low-income households in achieving Vision 2030 and overall economic growth in the country.

This study analyzes the social and individual stigmatization toward Venezuelan immigrants in Peru within the context of the largest migratory movement in Latin America, driven by the political, economic, and humanitarian crisis in Venezuela. The study employs a qualitative approach, using semi-structured in-depth interviews with a diverse sample of 24 participants from major Peruvian cities, including Lima, Arequipa, Cusco, and Trujillo. These in-depth interviews provide insights into the complexity of perceptions toward Venezuelan migrants, ranging from stigmatizing views driven by associations with economic threats and criminality to more positive perceptions that acknowledge the migrants’ adaptability and economic contributions. The findings reveal that while negative stereotypes perpetuate social exclusion and pressures for cultural assimilation threaten the preservation of migrant identities, there are also narratives highlighting resilience and successful integration. The study emphasizes the importance of implementing intercultural education programs, promoting labor integration policies, and collaborating with the media to combat stigma. It concludes that addressing these challenges through a multidimensional, human-rights-based approach can foster greater social cohesion and better integration of migrants, benefiting both the migrant population and Peruvian society.

The purpose of this study is to examine the impact of tourist spending and the growth of Oman’s tourism industry on the country’s GDP from 1996 to 2018. The study uses the error correction model and other tests for assessing the link among variables, such as the cointegration test and the Granger causality test, to accomplish its aims. Findings from the error correlation model and cointegration test show that there is a link between the variables in Oman over the long and short term. There is a positive and statistically significant relationship between tourist expenditures and economic growth, as well as a negative and statistically significant relationship between tourism expansion and economic growth. We now use ARDL regression estimators to assess the robustness of the empirical results. There is no evidence of a direct relationship between increased tourism and GDP growth, according to the study’s results. According to the research, sustainable tourism development is an achievable economic growth driver, and Oman should prioritize economic policies that support this trend.