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This case study describes how two of the Government's key initiatives have been brought together to drive the integration agenda locally. Practice‐based commissioning is being used in one English county to integrate health and social care practice, and so promote independent living in the community. A model of anticipatory case management is being developed at local level, focusing on individuals identified by use of a standard tool (PARR) as at risk of re‐admission to hospital. Historical barriers to this sort of initiative are being overcome.

This article demonstrates how the role of the community matron has developed in Cornwall over the past three years, and how this role can be understood as the lynchpin of an integrated approach to the care and management of patients with complex needs and multiple long‐term conditions. In recent years there has been growing recognition that current models of care delivery would be likely to struggle to meet the future demands of an ageing population. Cornwall's approach is to build on the introduction of the community matron service, and to support a new model of care delivery which will encompass use of assistive technology as an additional tool to support those with long‐term conditions. The article will demonstrate the current effectiveness of the service in terms of savings for the health and social care community, and presents a case study to show how integrated working can be used to facilitate improved outcomes for patients.

Digital transformations are altering service models and care delivery methods in healthcare. Artificial Intelligence (AI) represents the next wave of transformation in healthcare. This study aims to understand patient perceptions of AI and its impact on value co-creation.

A conceptual model was developed to investigate how value co-creation operant resources (digital self-efficacy and relational service quality) impact value co-creation engagement (shared decision-making) and value co-creation outcomes (anticipatory AI value co-creation and intention to adopt AI). Data were collected from 332 respondents and analyzed using structural equation modeling.

The results indicate that the value co-creation process for AI technologies is a function of inputs, experiences and AI outputs. Operant resources were found to be positively associated with shared decision-making. However, not all operant resources directly and positively impacted AI outcomes. The indirect and positive mediated relationships through shared decision-making to AI outcomes suggest an interactive AI value co-creation process.

AI technologies are still in early stages of consumer adoption in healthcare. Future research is warranted that investigates the validity of the model through maturing service life cycles.

Customer perceptions of new digital innovations are formed in the context of previous digital experiences. Marketers need to understand how customers view their current non-AI technologies. Strong engagement and perceived value of current technologies will help ease customers into the usage of AI technologies.

This study investigates the unique stages of the value co-creation process for AI technologies in healthcare. The results demonstrate that the value co-creation process is a function of inputs, tech-enabled experiences and AI outputs.

Older women living in medically underserved areas (MUA) might have particular problems with access to health care. This is an in-depth report of the accessibility issues raised by six frail older women (age 82–93 years) during a longitudinal descriptive phenomenological study of the experience of home care. Three White women lived in the same rural MUA, and three Black women lived in the same urban MUA. The need for health service was understood subjectively and prospectively as the personal perception of a situation requiring relief or supply. Some women reported presenting needs for accessibility to providers, whereas others reported needs for their future accessibility to providers or services. Some intentions were likely linked to residence location, and residence in a rural MUA was relevant to the phenomenon of securing the help that I might need down the road. Feasibility was proposed as a new parameter of access. Research and practice implications were proposed.

For frail older persons, gaining access to care is primarily in the context of long-term care institutions. Based on hypotheses derived from the theory of the total institution (Goffman, 1961) and anticipatory socialization theory (Merton & Kitt, 1950), linkages of intra-institutional and extra-institutional social ties with quality of life outcomes were assessed based on 168 residents’ self-reports of their life and problems experienced in long-term care (Kahana, Kahana, & Young, 1987). Findings reveal that lack of anticipatory socialization was a significant predictor of subsequent wellbeing, whereas the extent of social ties to the outside world did not predict subsequent wellbeing.

This chapter critiques the relationality between care and context to demonstrate how notions of routinised technologies are disrupted when considering the reproductive realities and situated constraints of ethnic and religious minority women. The chapter integrates ethnographic and qualitative data from two minority contexts, including maternity care provision for Orthodox Jews and how providers approach requests for sex-selective abortion (SSA) when caring for women from South Asian backgrounds. By examining responses to caesarean sections and abortion care among ethnic and religious minorities in the United Kingdom, the chapter critiques how routinised interventions are entangled in the anticipation of future reproductive potential. The idea of anticipatory futures serves as a reflection on the reproductive lifecourse, where technologies carry opportunities and implications that women and carers alike are tasked with negotiating. Taking inspiration from the reproductive justice framework, the chapter builds on a body of work that demonstrates how the concept of ‘choice’ is contingent and not inclusive of the situated constraints that can affect the reproductive lives of women from minority backgrounds. By delving into everyday reproductive constraints, the chapter raises implications for what inclusive woman-centred (or person-centred) care can involve, how providers approach ‘choice’, autonomy and justice in practice, and how their considerations reconfigure the otherwise ‘routine’ delivery of reproductive health services and technologies. Technologies increasingly invest the reproductive lifecourse with potential and anticipation, and the chapter calls on feminist scholars to understand the dilemmas posed for inclusive models of care beyond the discourse of ‘choice’.

When coping with complex, but also possibly disruptive and open‐ended social dynamics, the anticipatory system idea, which was developed by Rosen in the realm of physical and biological system observation, remains a reference framework, but one that may need to be reinforced by other theoretical considerations. This paper aims at using a debate that took place in a specific foresight discussion arena on early detection and weak signal analysis, as a constructive epistemic detour to eventually contribute to such a reinforcement of Rosen's anticipatory system proposal.

The author aims at revisiting Rosen's framework with stimulating inputs drawing upon the early detection debates, by first assessing the original concepts brought up by Ansoff in the 1970s and 1980s and its further enhancements by contemporary scholars. A rather constructivist approach is then developed to weak signal analysis, aiming at emphasising the need, in analytical situations involving social system features, for reflexive stages and capacities. Bearing this requirement in mind, the productive value of the “framing” and “meta‐framing” notions is explored, in order to apply them to Rosen's anticipatory systems and possibly contribute to enriching his original concept.

How effective the framing and meta‐framing couple can be for a series of anticipatory issues is described in a detailed manner and, then more specifically, Rosen's anticipatory system concept is revisited in the light of those inputs, aiming at putting into perspective new options for research and anticipation activities in general.

The paper is essentially conceptual and based on a rich but disputable detour by early detection and weak analysis issues so as to emphasise key reflexive references and method. However, most of this material is taken from domains rather untypical of Rosennean debates and in addition would need to be completed by a series of supportive cases, but that is beyond the scope and scale of this paper.

The paper sets clear distinctions and boundaries for when and when not to apply reflexive steps in a foresight exercise, including in the context of rolling out a Rosen type of approach. Research decision making both in the corporate and policy‐making contexts can benefit from such clues and supportive framework conditions.

Social systems are typically complex and involve multiple perspectives and viewpoints; they concern a series of major challenges to be coped with locally or more globally, at environmental, political, cultural or technological level, and in that category of anticipatory endeavor, the framing/meta‐framing epistemic couple may be of great usefulness.

Although rather conceptual, the detour proposed by the paper aims at creating a reflexive distance and enriched capability to evaluate one's potential biases and blind spots in anticipatory modelling activities.

To review the edited anthology Anticipatory Behavior in Adaptive Learning Systems: Foundations, Theories, and Systems.

Comments on the book's 16 articles that rapidly transition from introductory philosophy to specific research reports.

The consensus is that anticipatory behaviors are critical to performance in a variety of natural and built systems – especially adaptive learning systems. This outcome, with some disagreement among the authors, is demonstrated through a variety of exemplars.

The reviewer feels that this book is of seminal importance. The exploration of anticipatory behaviors as a legitimate and promising area of informed discourse and scientific research is novel and definitely a major contribution toward understanding and enhancing the performance of complex systems.

There is a proportion of psychiatric service users whose needs are not met by existing models of care. This can lead to a reliance on acute and crisis services. These service users may be considered high intensity users (HIUs). The purpose of this research is to evaluate the Crisis Plus model, an intervention designed to better support HIUs in the community and reduce dependency on acute and crisis services.

Forty-seven HIUs were involved in Crisis Plus. The core intervention of Crisis Plus was an Anticipatory Management Plan (AMP), produced in collaboration with service users, their families and their care coordinators. AMPs were shared with relevant services and attached to electronic patient notes to ensure a uniform, psychologically informed approach to care.

HIU service use was compared pre and post-AMP. On average, number of inpatient admissions, number of days spent on the ward, accepted psychiatric liaison referrals and accepted home treatment team (HTT) referrals decreased significantly.

Crisis Plus has taken a collaborative, proactive approach to engage HIUs, their families and the services that care for them. Crisis interventions that emphasise collaborative working and service user agency are key.

The provision of dedicated psychological support to HIUs and their professional and personal network is crucial to reduce reliance on acute and crisis care. Crisis Plus is unique in that it instigates co-production and active consultation with HIUs and services to improve clinical outcomes, in addition to reducing NHS expenditure.