The increase in energy consumption is closely linked to environmental pollution. Healthcare spending has increased significantly in recent years in all countries, especially after the pandemic. The link between healthcare spending, greenhouse gas emissions and gross domestic product has led many researchers to use modelling techniques to assess this relationship. For this purpose, this paper analyzes the relationship between per capita healthcare expenditure, per capita gross domestic product and per capita greenhouse gas emissions in the 27 EU countries for the period 2000 to 2020 using Error Correction Westerlund, and Westerlund and Edgerton Lagrange Multiplier (LM) bootstrap panel cointegration test. The estimation of model coefficients was carried out using the Augmented Mean Group (AMG) method adopted by Eberhardt and Teal, when there is heterogeneity and cross-sectional dependence in cross-sectional units. In addition, Dumitrescu and Hurlin test has been used to detect causality. The findings of the study showed that in the long run, per capita emissions of greenhouse gases have a negative effect on per capita health expenditure, except from the case of Greece, Lithuania, Luxembourg and Latvia. On the other hand, long-term individual co-integration factors of GDP per capita have a positively strong impact on health expenditure per capita in all EU countries. Finally, Dumitrescu and Urlin’s causality results reveal a significant one-way causality relationship from GDP per capita and CO₂ emissions per capita to healthcare expenditure per capita for all EU countries.

Diagnosis-related groups (DRGs) are gaining prominence in healthcare systems worldwide to standardize potential payments to hospitals. This study, conducted across public hospitals, investigates the impact of DRG implementation on human resource allocation and management practices. The research findings reveal significant changes in job roles and skill requirements based on a mixed-methods approach involving 70 healthcare professionals across various roles. 50% of respondents reported changes in daily responsibilities, and 42% noted the creation of new roles in their organizations. Significant challenges include inadequate training (46%), and coding complexity (38%). Factor analysis revealed a complex relationship between DRG familiarity, job satisfaction, and staff morale. The study also found a moderate negative correlation between the impact on morale and years of service in the current hospital, suggesting that longer-tenured staff may require additional support in adapting to DRG systems. This study addresses a knowledge gap in the human resource aspects of DRG implementation. It provides healthcare administrators and policymakers with evidence to inform strategies for effective DRG adoption and workforce management in public hospitals.

Global economic competition is leading companies to improve their competitiveness by increasing production and eliminating the main obstacles to the process of making products available. This approach concerns both SMEs and SMIs as well as multinationals. Thus, the Compagnie Minière de l’Ogooué (COMILOG), a subsidiary of the French group ERAMET, which until recently had a monopoly on manganese mining in Gabon, must now face competition from Asian operators. To export its ore, COMILOG must first transport it by rail for nearly 650 km, from the Moanda site (south-east of the country) to the port of Owendo. However, port operations, which until then took place exclusively during the day, limited the company’s export capacities and the profits made, while increasing the stopover time of ships and their operating costs. To remedy this, the French company introduced nighttime docking and departures. This work addresses the challenges of the performance of port operations at the Owendo ore terminal and the security and natural risks of night manoeuvres. The general objective of the study is to assess the impact of these night services on ship traffic, on the one hand, and to identify the related socio-economic and security issues, on the other hand. Data collection was carried out using documentary research in libraries and research centres, consultation of websites, semi-directed interviews, questionnaire surveys and participatory observation. The sample of 50 people surveyed took into account management staff, supervisors and line managers, integrating the diversity of actors involved in the processing of ships calling at the port of Owendo. Finally, the surveys attest to a clear reduction in the time spent by ships at the Owendo Ore Port and an increase in their number calling. They also confirm the improvement in tonnages embarked and the improvement in turnover achieved by COMILOG. This study led to the conclusion that the introduction of night manoeuvres at the port of Owendo allowed COMILOG to increase its exports and the number of ore carriers received in stopover and then improve its turnover.