This issue is the fourth and final issue of the Journal for 2021. It reflects a widespread interest in the Asia Pacific with 30 articles from 11 countries. These countries include Australia, India, Iran, Indonesia, the Philippines, Saudi Arabia, Bangladesh. Vietnam, Thailand, Turkey, and Hong Kong, China. This represents a significant collaboration of healthcare managers, leaders, academics, students, and health professionals from diverse health systems. This is a credit to them all and our reviewers.

Another continuing feature of this issue is the interest in publishing articles from international conferences. There are articles from four recent conferences. These included the 2021 Shape Symposium conducted from Australia and online, “Shaping the future for health management education and research in a time of flux and uncertainty”, held online in July and available at http://shape.org.au/.   The Hong Kong Polytechnic University’s College of Professional and Continuing Education (CPCE) Conference “Post-pandemic health and long-term care: A new paradigm”. September 2021 with online and ‘in presence’ attendance.

Two conferences highlighted in this issue are recognised from India with some eight articles published from these conferences.