Hospital performance possesses strategic significance in achieving an essential completive advantage for the public hospitals. This study aimed to examine the relationship between patient safety culture (PSC) and the performance of traditional Chinese medicine (TCM) public hospitals in Sichuan, China. To address the research purpose, this study analyses the hospital performance and Patient safety culture in traditional Chinese medicine public hospital in China. We examine the propose model by analyzing cross-sectional survey data from 194 clinical directors at 194 public traditional Chinese medicine hospitals using the Partial least squares structural equation model in Smart PLS 4.0. This study provides predictive evidence that PSC in unit management and management support can lead to better patient safety outcomes. The results revealed patient safety outcomes significantly and positively effects of patient safety related to unit management and management support on overall hospital performance (p-value: 0.000–0.003).

Climate change has adverse effects on ecosystems and several socio-economic sectors including health. Indeed, infrastructure, continuity of medical services, and the hospital environment are all directly affected by the effects of climate-related risks. This study aims to describe the observations of the effects of climate change risks on health systems in the Greater Lomé health region of Togo. We used an interview guide and a questionnaire to collect information. The observations allowed us to assess the effects caused by climate risks. According to the results, 84.62% of respondents attest that health centers experience flooding during rainy periods and damage caused by strong winds is noticeable among 76.92% of respondents. More than 25.40% and 61.86% respectively of respondents mention that droughts and floods have effects on health systems. The results of this study will allow health system managers to become aware of how to plan useful actions to facilitate the management of climate-related risks in health facilities in the Greater Lomé health region. In view of all these results, it is necessary that measures be taken to strengthen the resilience of health systems through awareness campaigns and training of actors throughout the health pyramid.

Fiscal spending for road construction to link Kalabakan, Sabah, Malaysia with North Kalimantan, Indonesia is an idea that have been proposed for over 20 years. The announcement for the relocation of Indonesia’s capital city from Jakarta to East Kalimantan give a strong justification for the construction of the Serudong-Simanggaris road. The fact that population size is big in Kalimantan and strong purchasing power is estimated in North and East Kaliamantan provide a strong argument for the need to have a road link. Having said that, the effect of road construction on output growth is not clear. The purpose of this study is to estimate the impact of road construction and the business activities across two sectors being assumed on output Sabah’s output growth. Based on the input-output analysis conducted using the output multiplier, the one-off road construction would lead to 1.8% growth in Sabah’s overall output.