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 research delves into the correlation between institutional quality and tourism development in a panel of nine Mediterranean countries within the European Union spanning from 1996 to 2021. The study gauges tourism development by examining tourist arrivals, while considering GDP growth rate, inflation, higher education, environmental quality, and trade as control variables representing factors influencing tourism. Institutional quality is measured through indicators such as regulatory quality, rule of law, and control of corruption. Utilizing Fully Modified Ordinary Least Square (FMOLS) and Dynamic Ordinary Least Squares (DOLS) models, the study aims to quantify the impact of these factors on tourism development. The findings indicate a positive relationship between institutional quality and tourism, shedding light on the pivotal role of institutions in tourism management and their influence on the sector. These results have implications for shaping national development strategies.

The coronavirus pandemic has reinforced the need for sustainable, smart tourism and local travel, with rural destinations gaining in their popularity and leading to increased potential of smart rural tourism. However, these processes need adjustments to the current trends, incorporating new transformative business concepts and marketing approaches. In this paper we provide real life examples of new marketing approaches, together with new business models within the context of the use of new digital technologies. Via hermeneutic research approach, consisting of the secondary analysis of the addressed subject of smart rural tourism in adversity of the COVID-19 and 6 semi-structured interviews, the importance of technology is underscored in transforming rural tourism to smart rural tourist destinations. The respondents in the interview section were chosen based on their direct involvement in the presented examples and geographical location, i.e. France, Slovenia and Spain, where presented research examples were developed, concretely within European programmes, i.e. Interreg, Horizon and Rural Development Programme (RDP). Interviews were taking place between 2022 and 2023 in person, email or via Zoom. This two-phased study demonstrates that technology is important in transforming rural tourism to smart tourist destinations and that it ushers new approaches that seem particularly useful in applying to rural areas, creating a rural digital innovation ecosystem, which acts as s heuristic rural tourist model that fosters new types of tourism, i.e. smart rural tourism.

Cultural tourism, an important component of the wider tourism industry, has received significant attention due to the complex interplay between cultural heritage and tourism experiences. This form of tourism invites tourists to discover the arts, traditions, and lifestyles of diverse communities, thereby enriching intercultural encounters. Examining the rapidly evolving field of cultural tourism research, this article looks at its many facets, highlighting its growth, thematic focus, and global importance. In order to better understand the wealth and highlight the body of work, this study undertakes a bibliometric analysis of the concept of cultural tourism. This exploration employs bibliometric searching of journals indexed in the web of science database from 1996 to 2023, using the biblioshiny software in rstudio. This approach provides a global perspective, revealing a prolific and multidisciplinary production of the concept of cultural tourism. The study identifies a total of 369 articles published between 1996 and 2023, involving 781 authors and 244 journals. The results underline the widespread engagement with the subject across diverse scientific communities and geographical regions.

This study explores benefits, barriers and willingness to pay for bike-sharing service in tourism context. Based on a sample of 800 individuals who visited Da Nang, Vietnam between July and August 2023, trends in the barriers and benefits related to bike-sharing service from tourists’ point-of-view were explored. The results show that bike-sharing is appreciated for many reasons, notably for its fun/relaxing, cost saving, ease of city exploration, and promotion of better physical and mental health. However, bike-sharing services are considerably less likely to be viewed as options for faster transportation to a destination or reducing traffic hazards. Notably, eighty-six percent of non-riders indicated contentment with their existing transportation options and a lack of interest in bike-sharing services, a proportion significantly higher than any other group. Predictably, barriers related to the availability of bike-sharing and infrastructure, such as lack of sufficient number of shared bikes, far destination, and poor road conditions were notably more likely to be selected by one-time riders. The results are also evident that a significant portion of tourists is willing to pay to enhance their tourist experience with a bike-sharing service. On average, tourists were willing to pay $0.92 per hour (with a standard deviation of $0.24). This amount reflects the tourists’ recognition of the value added to their mode experience. These findings suggest that bike-sharing service play a significant role in fulfilling an essential transportation niche and have the potential to contribute to enhance tourists’ experience. Efforts aimed at addressing barriers associated with bike-sharing usage could further enhance their contribution to improve tourist satisfaction and boost attraction demand.

The recent crisis-filled period has placed a significant burden on various businesses, including in the tourism sector. As a result, the concept of resilience, the flexible ability to resist, has become more and more tangible. This study aims to update the quantitative organizational resilience assessment scale of Orchiston, Prayag and Brown. The paper analyses a sample of 87 tourism service providers managing attractions, and factor analysis was carried out to identify the factors in order to be able to measure the resilience of tourism service providers. Four factors could be identified: Leadership and Organization, Strategy, Independence, and Internal Identity. These identified factors and the included 14 items mean the key contribution, as a new, updated assessment system.