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Health-care systems currently face great challenges, including an increasing elderly population. To respond to this problem, a hospital emergency department, three municipalities, and self-employed general practitioners in Denmark decided to collaborate with the aim of reorganizing treatment of elderly acute ill patients. By establishing a small-scale collaborative community and through an action research process, we show, how to jointly explore and develop a new organization design for in-home hospital treatment that enables the health professionals to collaborate in new ways, and at the same time to investigate and improve this cocreation process and codesign of knowledge among multiple different stakeholders.

Like many countries, the US government-imposed travel restriction policies on selected countries with a high spread of COVID-19 airports to prevent the introduction and spread of COVID-19. Between March 2020 and October 2021, travellers from China, Iran, European Schengen countries, the United Kingdom, Republic of Ireland, Brazil, South Africa and India were restricted with some exceptions. The main objective with this study was to explore the associations between COVID-19 cases and death rates, and the proximity to airports, train stations and time of public transportation. To address the study objective, the authors used the most recent JHU COVID-19 database, the American Community Survey and Airport and Amtrak data from the Bureau of Transportation Statistics from 3,132 US counties. The authors categorised the counties into three groups according to their distance from an airport: less than 25 miles, between 25 and 50 miles and more than 50 miles. The authors then ran negative binomial regressions and Cox regression models, adjusted for population density, population race/ethnicity, travel time, being close to an international airport and the main sources of commutes. The findings showed that the number of airports, the number of train station and the length of commuting time were predictors for the number of deaths and cases in a county. The authors found that counties within 25 miles of an airport had 1.372 times the rate of COVID-19 cases and 1.338 times the rate of COVID-19 deaths compared to the counties that were more than 50 miles from an airport. To prevent the introduction and spread of COVID-19 and any similar pandemic that transfers by air, the timing of the travel restriction policy is a crucial element. Policymakers and officials in transportation and public health should collaborate to promulgate policies and procedures to prevent the spread of airborne infectious diseases.

The economic growth and women’s empowerment nexus features prominently within United Nation’s sustainable development goals (SDGs). While the gendered view of inclusive economic opportunities has received significant attention in recent years, the gap between men and women in developing countries remains significant. Under the assumption that there are fertile prospects to bridge social responsibility and SDGs judiciously, this chapter explores the question: ‘what insights into women’s employment and empowerment can be generated from the state of cooperative enterprises in Nepal?’ The focus is on aspects of women’s employment and empowerment under goal 8, which promotes inclusive and sustainable economic growth, employment and decent work for all. Learning from the Nepalese experiences, the chapter contends that cooperative enterprise social responsibility (CESR) needs to be approached as the vital link between the internal and the external interests of cooperatives to achieve SDGs.

Older adults with memory problems (especially those diagnosed with dementia) consume a great number of health services. However, little is known about the special needs of memory-impaired, noninstitutionalized older adults who seek treatment from primary care physicians (PCPs) for memory problems. The study outlined in this chapter investigated the interrelationships among level of education, residence, physical and mental status, and the use of PCPs for memory problems. A probability-based (random-digit dialing) survey of households with individuals more than 60 years of age occurred in six Southern states: Alabama, Arkansas, Georgia, Louisiana, Mississippi, and Tennessee (N = 1,368). We developed two multivariate logistic regression models. The first estimated the additive effects of sociodemographic and health status characteristics on the likelihood of service utilization. The second model inserted two multiplicative terms: the “instrumental activities of daily living (IADL)” by “memory impairment” and the “low education” by “memory impairment” interaction terms. Three main findings emerged from the analyses: (1) rural/urban differences in use of PCPs approached statistical significance, (2) for lower educated older adults, the odds of using a PCP declined steadily as their number of memory impairments increased, and (3) as older adults experienced increases in IADL limitations and memory impairments, their likelihood of service use declined. The chapter ends with a discussion on program planning, policy, and practice initiatives in light of the findings.

In 2017, US federal agencies awarded over $86 billion in contracts to small businesses owned by members of under-represented groups (minorities, women, service-disabled veterans, and certified businesses located in economically distressed areas). The vast scale and scope of public procurement coupled with policies for supporting small disadvantaged businesses may drive federal agencies toward greater inclusiveness in awarding contracts, which may shape broader societal patterns of economic participation and social equity. However, the level of inclusiveness varies considerably across different federal agencies. The authors posit that differences in three key organizational mechanisms associated with federal agencies’ decision-making processes – administrative discretion, workplace discrimination, and legislative oversight – influence an agency’s level of inclusiveness in awarding contracts. They test these ideas using the annual small business procurement activities of 41 federal agencies, large and small, from 2002 to 2011. The authors find empirical evidence for economically significant effects of discretion, discrimination, and oversight on an agency’s inclusiveness in awarding contracts and discuss the scholarly, managerial, and policy implications.

In this paper, a model to estimate travel time reliability is proposed assuming a stochastic user equilibrium. Travel time reliability is defined as the probability that travel time between the origin and destination does not exceed a standard travel time corresponding to each service level. Also it is shown how to calculate travel time reliability in a large-scale network. This model is applied to the road network in the Hanshin area to evaluate new lines in the national road plan from the viewpoint of travel time reliability. Some important links and lines in the future road network are evaluated from the viewpoint of travel time reliability.