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Integrated care (IC) is mainly studied from the perspectives of organisations or employees. However, less research is focussed on how patients themselves experience person-centred (PC) IC in practice. This context-specific, small-scale study examines what PC-IC means to older patients who went through joint replacement surgery (JRS).

The data consists of ten in-depth interviews of older patients, focussing on their experiences of care during their patient journey related to joint knee or hip replacement surgery. The data were analysed with thematic analysis.

Three central dimensions of PC-IC for older patients were identified: information sharing, continuity of care and compassionate encountering. Human validation and compassionate encountering were experienced as important aspects of PC-IC. Compassionate encountering was concretised through professionals’ very small everyday practices, which made the patient feel comfortable and respected. Instead, probably due to the medical and quite straight-forward nature of the joint replacement care process, patients seem to be pleased to trust the expertise of professionals and did not necessarily expect an active role or participation in the decision-making.

This Finnish case study focusses on the patients’ authentic perceptions of what is central to person-centred IC in the specific context of JRS.

The circular economy (CE) model is seen as an alternative model to the linear economy models, which seem to be reaching their physical limits. The CE business model aims to reuse materials and decrease the need for virgin materials. This requires the implementation of a reverse supply chain, close collaboration between actors, as well as well-organized logistics. For this reason, the CE companies have typically high demand for digitalized processes and the utilization of data on both operational and business development dimensions. Also the utilization of big data collected from the companies’ business environment can provide new opportunities for business development in CE. Despite the fact that utilization of data collected from the business environment and operations enables data-driven approaches for various decision-making functions in companies, many companies still struggle to figure out how to use analytics to take advantage of their data. In the small- and medium-sized enterprises (SMEs), in particular, the managers are facing difficulties with ever-increasing amounts of data and sophisticated analytics. Indeed, prior research identified several kinds of barriers to the effective utilization of data in SMEs. Still, research on data-driven decision-making remains scarce in CE context. This chapter presents a case study consisting of seven cases, all representing SMEs operating in the field of CE in Finland. In the case study, the barriers and practical challenges for data-driven decision-making in CE SMEs are investigated. Based on the case study results, this chapter proposes that utilization of data, lack of resources, lack of capabilities, and regulation are the main barriers to data-driven decision-making in CE SMEs.

In this chapter, we explore a form of young people’s activism taking place in a central societal institution and a central forum in the lives of young people – school – that we conceptualise as ‘active equity’. We present three cases from northern Finland: reindeer herders smashing potatoes, immigrant youth requesting a key and young people lying on sofas during breaks between lessons. We suggest that these acts, in the contexts in which they took place, were an unrecognised form of social action for equity undertaken by young people. We argue that the concept of active equity helps examine the assertion of rights and claims for justice by children and young people. In each case we present, young people make visible an inequity in their contexts: the reindeer herding way of life was overlooked in school, asylum-seeking or refugee immigrants were excluded from the main school building, and non-high-performing young people were excluded from comfortable areas during lessons. These, in turn, linked to broader societal inequities in Finland, a country commonly known for its equality. In school, young people are commonly viewed through intersecting discourses of democracy and education. In both discourses, they are commonly positioned as learners rather than speakers. Through active equity, young people subtly imprint themselves on the scene of education in new ways. For this reason, their acts of active equity remain typically either unrecognised or seen as oppositional in school.

Big data is a buzzword of our times, and yet the awareness of what big data is, how it permeates our daily lives, and how it is applied either in the policy-making process or in the business sector remains relatively low. From a different perspective, while specialists, that is, practitioners and researchers, dealing with the technical facets of big data successfully uncover new features, new domains, and new opportunities related to big data, there is a need of evaluating and examining these findings through the lens of social sciences and management. This chapter offers an insight into key issues and developments that shape the broad and multi-directional big data debate. To this end, the content of the book is elaborated and the key findings are highlighted. In this way, this chapter serves as a very useful guide into the question of how big data is applied across issues and domains and how it is valid and relevant to all of us today.

This opening chapter of the edited volume, Childhood, Youth and Activism: Demands for Rights and Justice from Young People and Their Advocates, explores activism and advocacy – by and for children and young people. It begins by considering how activism has been understood in the scholarly literature, before making a case for a broad and inclusive conceptualisation of what counts as this particular form of social action. Relatedly, it examines the contours of the relationship between activism and advocacy, drawing attention to the ways in which these concepts converge, an issue that is particularly salient when applied to the categories of child and youth. Themes that emerge in research on child and youth activism are then drawn out and we identify some of the key issues that animate this work across various disciplines. These include observations that young people have long been central to social movements, the role of social media in youth activism, the nature of child and adult relationships in social movement organisations, and some of the issues that arise for young activists in relation to intersectional identities. To this we add debates regarding the politics of recognition, questions of voice and agency, and responsibility and their temporal registers. This discussion also foreshadows themes that emerge in the chapters across this volume. Finally, we offer a reflection on some of the conceptual issues raised when considering the book in its entirety, including those of voice, responsibility for the future, the politics of possibility and hope, and the many different forms and practices that activism and advocacy for and by young people take.