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The resurgence of left governments in Latin America raised expectations for the reincorporation of popular sectors broadly writ into the political arena from which they largely had been excluded by governments committed to Washington Consensus policies. This was particularly true in cases where mobilization by broad-based, heterogeneous social movement coalitions set the stage for their election. In some cases highly contentious cycles of mass mobilization in the context of economic crisis and party system collapse opened opportunities for outsider left candidates and their new political movements and parties to sweep into office. This was the case of Venezuela, Ecuador, Bolivia, and, partially, Argentina. In other cases institutional continuity prevailed but mass discontent with low average growth, increasing poverty and inequality, and declining opportunities drove the electorate to vote for more established left parties. Brazil, Uruguay, and Chile are the emblematic cases. In all cases, to a greater or lesser degree, there was an assumption of a closer alignment between left governments and social movements than before. This chapter tests such assumption in the case of Bolivia because it exhibited exceptionally favorable conditions for a close alignment of social movements and the government of Evo Morales, the country’s first president of indigenous origin.

We discuss the impact of complexity science on the design and management of health care organizations over the past decade. We provide an overview of complexity science issues and their impact on thinking about health care systems, particularly with the rising importance of information systems. We also present a complexity science perspective on current issues in today’s health care organizations and suggest ways that this perspective might help in approaching these issues.

We review selected research, focusing on work in which we participated, to identify specific examples of applications of complexity science. We then take a look at information systems in health care organizations from a complexity viewpoint.

Complexity science is a fundamentally different way of understanding nature and has influenced the thinking of scholars and practitioners as they have attempted to understand health care organizations. Many scholars study health care organizations as complex adaptive systems and through this perspective develop new management strategies. Most important, perhaps, is the understanding that attention to relationships and interdependencies is critical for developing effective management strategies.

Increased understanding of complexity science can enhance the ability of researchers and practitioners to develop new ways of understanding and improving health care organizations.

This analysis opens new vistas for scholars and practitioners attempting to understand health care organizations as complex adaptive systems. The analysis holds value for those already familiar with this approach as well as those who may not be as familiar.

Longitudinally (2008–2012) assess whether community-level sociodemographic characteristics were associated with patient-centered medical home (PCMH) capacity among primary care and specialty physician practices, and the extent to which variation in PCMH capacity can be accounted for by sociodemographic characteristics of the community.

Linear growth curve models among 523 small and medium-sized physician practices that were members of a consortium of physician organizations pursuing the PCMH.

Our analysis indicated that the average level of sociodemographic characteristics was typically not associated with the level of PCMH capacity, but the heterogeneity of the surrounding community is generally associated with lower levels of capacity. Furthermore, these relationships differed for interpersonal and technical dimensions of the PCMH.

Our findings suggest that PCMH capabilities may not be evenly distributed across communities and raise questions about whether such distributional differences influence the PCMH’s ability to improve population health, especially the health of vulnerable populations. Such nuances highlight the challenges faced by practitioners and policy makers who advocate the continued expansion of the PCMH as a means of improving the health of local communities.

To date, most studies have focused cross-sectionally on practice characteristics and their association with PCMH adoption. Less understood is how physician practices’ PCMH adoption varies as a function of the sociodemographic characteristics of the community in which the practice is located, despite work that acknowledges the importance of social context in decisions about adoption and implementation that can affect the dissemination of innovations.

The turbulent phase of COVID-19 has caused uncertainty as governments fail to develop coherent strategies for cutting emissions and are struggling to match the rhetoric of sustainable activities with actions (Barbier & Burgess, 2020; Cawthorn, Kennaugh, & Ferreira, 2021). In the recent past, firms have failed in their plans to decarbonise their key sectors such as the retail sector in the United Kingdom So far, retailers' commitment to achieving net zero emissions has been an important pledge but delivery is nowhere closer to their promises (Henriques, 2020). The firms' climate targets are not going to be met by magic as serious action is needed to fulfil the promises.

Fossil fuels have led to a drastic increase in carbon emissions in the world over the last decade. Firms championing cleaner energy and low carbon technologies are needed to cut emissions. Renewable energy sources such as wind energy can help reducing the dependency of fossil fuels (Boretti, 2020; Ebhota & Jen, 2020). Wind is an indirect form of solar energy which can provide environment-friendly option in uncertain times and can provide long-term sustainability of global economy. Solar energy technologies have the potential to decrease climate change through energy-related emissions (Li, Dai, & Cui, 2020). Increasing energy demand has initiated a focus on using hydrogen from water as a substitute for oil and fossil fuels (Boretti, 2020).

The first part of the chapter discusses theoretical perspectives of sustainable development and environmental performance with regards to three main issues: energy, water and carbon emissions, whereas the later part highlights the importance of solar technology as a low-polluted alternative to fossil fuels in the retail sector. Sustainable development of energy, water and environmental precautions such as reducing carbon emissions are of interest to wider branches of industries including retail, energy and water sector, governmental policymakers, researchers, educators and society. The purpose of this chapter is to increase the debate of the key issues of sustainable development regarding environment, energy and water in the modern times.

Both Bolivia and Uruguay broke ranks with the global drug prohibition regime by introducing novel drug policies. State control of the production and supply of coca and cannabis represents a clear departure from both the spirit and the letter of the international drug conventions. Although, the rationale, processes and outcomes of policy change were distinctive in many regards, this chapter posits that there are conceptual resemblances. In both countries, the leadership of a charismatic and idiosyncratic president has to be considered. Furthermore, in both countries, mobilisation and activism were also decisive. Lastly, in both countries novel drug policy responded to specific problems that decision-makers faced. Approaching drug policy reforms in Bolivia and Uruguay in terms of personal leadership, mobilisation and policy problems provides a useful analytical first-cut to assess the continuity and change in drug policy observable elsewhere. Additionally, scrutinising the reasons and motivations for undertaking drug policy reform also allows to better understand each country’s behaviour on the international stage.

Literature about autistic females remains scant despite the amount of research about the autism spectrum substantially increasing over the previous decade. This chapter begins with an examination of the discrepancies between research about autistic males and females. It then examines three reasons why autistic females have rarely been researched, followed by some of the main topics that have been researched about autistic females. This chapter concludes with several suggestions for the creation of research about autistic females.

The original contribution that this chapter makes to the field of autism spectrum research is to explain the lack of research about autistic females. This objective is accomplished by presenting a synthesis of the literature about some of the barriers that prevent females from being diagnosed as autistic.

In this book it was proposed that autistic females and African American autistics are usually not participants in autistic research because they rarely receive an autism diagnosis. If diagnostic services were made more congenial for autistics from these groups, then the prospect of them being diagnosed as autistic and being available to be research participants would increase. To help achieve this outcome, this chapter begins by presenting some typical barriers that autistics encounter when trying to access autism diagnostic services. This is followed by an explanation of some consequences of this exclusion for autistics, their families and the research community. In an attempt to mitigate these consequences, and to increase the pool of potential autistic candidates for research, this chapter concludes with a series of suggestions to improve the public's accessibility to autism diagnostic services as well as suggestions for improving the autism diagnostic process for both children and adults.

The contribution that this chapter makes to the field of autism spectrum research is to provide clinicians with some important concepts that will help autistics feel valued and accepted during the diagnostic process. A potential flow-on effect of this knowledge is that more autistics who have experienced feeling valued and accepted by clinicians will be more inclined to be involved in research.