Urban tourism and Covid-19 in Poland

World Tourism Organisation estimates an 80% drop in tourist arrivals by the end of 2020. The Polish tourism industry is also dramatically affected by the ongoing pandemic, with a 30% drop in the number of tourists in July 2020 compared to July 2019. The global lockdown has limited the functioning of the tourism sector, therefore domestic tourism, including urban tourism, may rise in importance. Domestic urban tourism can become a useful response to the growing resilience of the tourism industry, for example in the context of reducing dependence between the tourism industry and mobility which favours the spread of coronavirus. The potential of urban tourism in Poland is clearly visible (in 2019, it was three times higher than rural tourism in terms of overnight stays provided). However, the COVID-19 pandemic is not conducive to urban tourism in Poland, for instance, because infections are much more frequent in cities than in rural areas. The aim of the research, in addition to checking destinations of Poles in the context of urban tourism in the era of the pandemic, was to learn about the behaviour of tourists during their holiday trips. To achieve the aim of the paper, the study was conducted from 16 to 31 August 2020, using CAWI survey method, among people who visited Polish cities starting from May 2020 through the end of August 2020 (following the partial lifting of restrictions). The research indicated, despite the threat, the popularity of the largest tourist destinations in Poland. It also indicated that the behaviour and decisions of tourists were not different from those before the pandemic.

Tourism recovery amid COVID-19: The case of Lombardy, Italy

Travel restrictions and social distancing imposed to curb the spread of the new coronavirus have been strongly hitting tourism since March 2020. Tourism forecasting literature addressed the effects of shocks in contexts characterized by a predictable route to recovery. COVID-19 is without precedents. In this article, monthly overnight stays for the period January 2010 to December 2020 are used to estimate the impact of the pandemic in Lombardy, Italy’s most affected region. A model-based approach is implemented, and the number of overnight stays up to December 2023 is forecasted. Four models are compared. Estimation results from an augmented SARIMA model suggest that, provided a new lockdown is averted, the domestic segment will recover in a relatively short period of time, whereas international tourism might need an external intervention to speed up its recovery process.

English in Madeira: History and features of a lesser-known variety in the Atlantic

‘Lesser-known varieties of English’ (Schreier, 2009; Schreier et al., 2010) have received increasing attention in the last decade. In particular, Englishes on islands with historical and political ties to the United Kingdom or the United States have been described, such as the varieties in Bermuda (Eberle, 2021), Samoa (Biewer, 2020), and Tristan da Cunha (Schreier, 2009). However, Madeira has hitherto received extraordinarily little attention, although it used to be home to a small but enormously influential group of British expatriates who controlled large parts of the economy and owned a considerable amount of land on the island. Even today, approximately 1,000 emigrants from the United Kingdom live permanently in Madeira, which constitutes the second largest group of foreign residents (DREM, 2020b: 11). ‘Madeira’ refers to both a Portuguese archipelago and this archipelago's main island located ca. 737 km west of Morocco's coast (see Figure 1). Overall, Madeira had a population of 267,785 in the last official census from 2011 and is a highly popular tourist destination, with roughly 8 million overnight stays by visitors in 2019 (DREM, 2020a).

How does AirBnb affect local Spanish tourism markets?

This paper analyses the effects of AirBnb on the size of local tourism markets using AirBnb occupancy rates and hotel overnight stays in order to explore the causal relationship in several Spanish cities. A dynamic panel data model is applied at the city level (2014–2017). Our findings show a positive relationship between the increase in the number of properties offered on AirBnb and the implicit volume of tourists received by each city, specifically in two large cities (Madrid and Barcelona), due to higher AirBnb occupancy rate.

Do all outpatient spine surgeries cost the same? Comparison of economic outcomes data from a state-level database for outpatient lumbar decompression performed in an ambulatory surgery center or hospital outpatient setting

OBJECTIVE Spinal procedures are increasingly conducted as outpatient procedures, with a growing proportion conducted in ambulatory surgery centers (ASCs). To date, studies reporting outcomes and cost analyses for outpatient spinal procedures in the US have not distinguished the various outpatient settings from each other. In this study, the authors used a state-level administrative database to compare rates of overnight stays and nonroutine discharges as well as index admission charges and cumulative 7-, 30-, and 90-day charges for patients undergoing outpatient lumbar decompression in freestanding ASCs and hospital outpatient (HO) settings. METHODS For this project, the authors used the Florida State Ambulatory Surgery Database (SASD), offered by the Healthcare Cost and Utilization Project (HCUP), for the years 2013 and 2014. Patients undergoing outpatient lumbar decompression for degenerative diseases were identified using CPT (Current Procedural Terminology) and ICD-9 codes. Outcomes of interest included rates of overnight stays, rate of nonroutine discharges, index admission charges, and subsequent admission cumulative charges at 7, 30, and 90 days. Multivariable analysis was performed to assess the impact of outpatient type on index admission charges. Marginal effect analysis was employed to study the difference in predicted dollar margins between ASCs and HOs for each insurance type. RESULTS A total of 25,486 patients were identified; of these, 7067 patients (27.7%) underwent lumbar decompression in a freestanding ASC and 18,419 (72.3%) in an HO. No patient in the ASC group required an overnight stay compared to 9.2% (n = 1691) in the HO group (p < 0.001). No clinically significant difference in the rate of nonroutine discharge was observed between the two groups. The mean index admission charge for the ASC group was found to be significantly higher than that for the HO group ($35,017.28 ± $14,335.60 vs $33,881.50 ± $15,023.70; p < 0.001). Patients in ASCs were also found to have higher mean 7-day (p < 0.001), 30-day (p < 0.001), and 90-day (p = 0.001) readmission charges. ASC procedures were associated with increased charges compared to HO procedures for patients on Medicare or Medicaid (mean index admission charge increase $4049.27, 95% CI $2577.87–$5520.67, p < 0.001) and for patients on private insurance ($4775.72, 95% CI $4171.06–$5380.38, p < 0.001). For patients on self-pay or no charge, a lumbar decompression procedure at an ASC was associated with a decrease in index admission charge of −$10,995.38 (95% CI −$12124.76 to −$9866.01, p < 0.001) compared to a lumbar decompression procedure at an HO. CONCLUSIONS These “real-world” results from an all-payer statewide database indicate that for outpatient spine surgery, ASCs may be associated with higher index admission and subsequent 7-, 30-, and 90-day charges. Given that ASCs are touted to have lower overall costs for patients and better profit margins for physicians, these analyses warrant further investigation into whether this cost benefit is applicable to outpatient spine procedures.