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This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland.

This retrospective chart audit describes patient demographic characteristics, types of presentations and management for Sundays in 2015.

The majority of patients (97%) did not require admission to hospital or office investigations (95%) and presented with one condition (94%). Of the presentations, 66.5% were represented by 30 conditions. Most patients received a prescription (57%), some were referred to the pathology laboratory (15%) and some were referred to radiology (12%). A majority (54%) of patients presented in the first three hours. Approximately half (51%) of patients presenting were aged under 25. More females (53%) presented than males. A majority (53%) lived in the same postcode as the clinic. The three most common office tests ordered were urinalysis, electrocardiogram (ECG) and urine pregnancy test. Some patients (19%) needed procedures, and only 3% were referred to hospital.

The study offers analysis of the client group that can be served by an urgent care clinic in a GP super clinic on a Sunday. The study provides an option for emergency department avoidance.

Despite calls for more research into community-based urgent care clinics, little is known in Australia about what constitutes an urgent care clinic. The study proposes a classification system for walk-in presentations to an urgent care clinic, which is comparable to emergency department presentations.

The purpose of this paper is to determine which factors are associated with 6,065 patient presentations with non-life-threatening urgent conditions (NLTUCs) to an after-hours general practice, an urgent care clinic (UCC) and an emergency department (ED) on Sundays in Southeast Queensland (Qld).

A retrospective, comparative and observational study was conducted involving the auditing of medical records of patients with NLTUCs consulting three medical services between 0,800 and 1,700 h, on Sundays, over a one-year period. The study was limited to 6,065 patients.

There were statistically significant differences in choice of location according to age, number of postcodes from the patient's residence, time of the day, season, patient presentations for infection and injury, non-infectious, non-injurious conditions of the circulatory, gastrointestinal and genitourinary systems, and need for imaging, pathology, plastering/back-slab application, splinting and wound closure. Older adults were more likely to be admitted to the hospital and Ed Short Stay Unit, compared with other age groups.

Based on international models of UCC healthcare systems in United Kingdom (UK), USA and New Zealand (NZ) and the results of this study, it is recommended that UCCs in Australia have extended hours, walk-in availability, access to on-site radiology, ability to treat fractures and wounds and staffing by medical practitioners able to manage these conditions. Recommendations also include setting a national standard for UCC operation (National Urgent Care Centre Accreditation, 2018; NHS, 2020; RNZCUC, 2015) and requirements for vocational registration for medical practitioners (National Urgent Care Centre Accreditation, 2018; RNZCUC, 2015; The Royal College of Surgeons of Edinburgh, 2021a, b).

This study has highlighted three key areas for future research: first, research involving general practitioners (GPs), emergency physicians, urgent care physicians, nurse practitioners, urgent care pharmacists and paramedics could help to predict the type of patients more accurately, patient presentations and associated comorbidities that might be encouraged to attend or be diverted to Urgent Care Clinics. Second, larger studies of more facilities and more patients could improve the accuracy and generalisability of the findings. Lastly, studies of public health messaging need to be undertaken to determine how best to encourage patients with NLTUCs (especially infections and injuries) to present to UCCs.

The Urgent Care Clinic model has existed in developed countries since 1973. The adoption of this model in Australia close to a patient's home, open extended hours and with onsite radiology could provide a community option, to ED, for NLTUCs (especially patient presentations with infections and injuries).

This study reviewed three types of medical facilities for the management of NLTUCs. They were an after-hours general practice, an urgent care clinic and an emergency department. This study found that the patient choice of destination depends on the ability of the service to manage their NLTUCs, patient age, type of condition, postcodes lived away from the facility, availability of testing and provision of consumables. This study also provides recommendations for the development of an urgent care healthcare system in Australia based on international models and includes requirements for extended hours, walk-in availability, radiology on-site, national standard and national requirements for vocational registration for medical professionals.

IT was in February that we condemned the Finniston Report on the grounds that it had failed to tackle what was surely the first consideration: the definition of what an engineer is. Out of the dozens of recognised qualifications and the countless unqualified people who can and do call themselves engineers, albeit of one sort or another, it is surely impossible to set up one colossal Authority to control the lot, without that definition.

Roots of global Terrorism are in ‘failed’ states carved out of multiracial empires after World Wars I and II in name of ‘national self‐determination’. Both sides in the Cold War competed to exploit the process of disintegration with armed and covert interventions. In effect, they were colluding at the expense of the ‘liberated’ peoples. The ‘Vietnam Trauma’ prevented effective action against the resulting terrorist buildup and blowback until 9/11. As those vultures come home to roost, the war broadens to en vision overdue but coercive reforms to the postwar system of nation states, first in the Middle East. Mirages of Vietnam blur the vision; can the sole Superpower finish the job before fiscal and/or imperial overstretch implode it?

Bob McKee, OCLC Principal Lecturer in the Department of Librarianship and Information Studies at Birmingham Polytechnic, got the conference off to a flying start with a lively paper on ‘Systems astigmatism’. He warned of the dangers of ‘technofervour’ — where the technology itself becomes the predominant consideration rather than its appropriate application. He urged a re‐think of the term to describe library users, ‘user’ suggests someone without expectations, grateful for anything we can provide and ‘client’ suggests dependency, whereas ‘customer’ or ‘consumer’ suggests someone with rights to expect a good and professional service.

The market equilibrium model predicts that the supply and demand schedules of labor to an industry will cross at a level at which labor receives the value of its marginal product as contributed to the output produced. The imposition of an effective minimum wage in that industry creates a price floor for labor which will reduce employment as it promotes incentives to substitute capital for labor and/or workers with higher marginal productivity for those with lower skill and lower marginal productivity. This means in effect that it will lead employers to eliminate less productive jobs. Teenagers (youths 16–19 years old) with little training or work‐experience may be priced out of the market because they are not “worth” (in terms of productivity) the minimum wage.

The purpose of this study is to provide a series of indicators to determine the limits to urban tourism growth, tourism gentrification and overtourism. The study addresses overtourism within the frame of urban liveability through a proxy analysis of tourism-relevant indicators for major European tourist cities.

Based on the various indicators, a composite overtourism indicator is derived. The following dimensions are considered for the composite indicator: total number of overnight stays per relevant tourist area in km²; number of museum visitors per population; average annual change in total nights between 2009 and 2017; and foreign nights per population.

Based on the results, Venice is the city with the highest degree of overtourism, followed by Florence, Seville and Lisbon. The remaining cities have a lower than average overtourism potential as indicated by the negative z-score.

This study and the composite overtourism indicators are only a starting point that can lead to further research in the field. Recommendations for further studies include the assessment of visitor flow and overtourism at different times of the year and to expand the study to other European urban destinations.

The paper suggests that policymakers should use these indicators when managing urban tourism development and monitoring visitor growth. Furthermore, they can be a starting point from which to assess the impact of tourism on the quality of life of local residents.

This study provides a starting point from which to assess the causes for social unrest tied to overtourism. If the city under study is found to have a lower than average overtourism potential, this indicates that there may be other social or psychological issues at play apart from sheer overcrowding.

To date, there has been no composite indicator that considered the different numerical aspects of overtourism altogether. This study provides a set of key indicators and a composite overtourism indicator to provide a preliminary appraisal of overtourism as a demand-side phenomenon with evidence from a range of established European urban destinations.

Existing literature on state socialist and communist heritage as a form of tourist consumption predominately focuses on destination contexts, such as the former Soviet countries and the few remaining state communist countries (i.e. China, North Korea and Cuba). As a result, the visitation to places linked to the history of socialism and communism in the so-called western pluralist democracies has often been overlooked and, at most, unacknowledged, especially as most research on “socialist” heritage focuses on sites connected to statist heritage rather than sites connected to socialist movements. The paper aims to discuss these issues.

This paper aims to fill the gap in terms of research focusing on these types of sites, with evidence from a range of countries in Europe and the Americas. It does so by illustrating the presence and engagement with official and non-official communist/socialist heritage at varying levels of commodification.

The paper concludes that not only is there a need to broaden the concept of socialist heritage but that its framing needs to continue to be understood from present day ideological discourses and struggles with respect to the marking of urban heritage tourist locations.

This contribution advocates the broadening of the concept of socialist heritage by acknowledging the relevance of “hidden” urban sites related to key socialist thinkers, socialist opposition to fascism, and civil wars in which the socialist movement was involved, while also drawing parallels between the levels of socialist/heritage recognition and use as a commodity in relation to the historical narrative within the studied countries.

The purpose of this paper is to map the variety in organizational design approaches, to clarify their differences, and to find out what constitutes good designing in practice.

A series of in‐depth interviews with experienced, high‐reputation consultants is used to reconstruct organizational design practice.

The paper presents a typology with three organizational design approaches, stemming from different theoretical traditions. The paper demonstrates that the three approaches comprise both traditional design activities – analysis, design, implementation, and evaluation – experimental activities, and political activities, but that the emphasis, elaboration, rationale and order of these activities are very different for each approach.

The study provides a framework for further research on the contextualization of design processes, investigating which design approaches work under which conditions.

Practitioners can use the results of this study to clarify, improve and enrich their own approach of organizational designing.

Management literature contains many models of organization design processes, but empirical studies of these processes are rare, and not yet existing in the context of management consulting. The paper fills some of the gaps.

The authors explore the emergence of altmetrics and Open Access (OA) publishing and discuss why their adoption in the management field lags behind other fields such as life sciences. The authors draw on the status literature to discuss the knowledge production and consumption underpinned by the ‘Impact Factor’ metric and high-status ‘Toll Access’ journals and their implications. The authors explain the rise of altmetrics and OA publishing and their implications on the production and consumption of knowledge. The authors then examine the current situation, challenges and offer reflections on the management field’s progression towards a more open research regime in the digital era.