Search results

Improvements in neonatal and paediatric care mean that many children with complex care needs (CCNs) now survive into adulthood. This cohort of children places great challenges on health and social care delivery in the community: they require dynamic and responsive health and social care over a long period of time; they require organisational and delivery coordination functions; and health issues such as minor illnesses, normally presented to primary care, must be addressed in the context of the complex health issues. Their clinical presentation may challenge local care management. The project explored the interface between primary care and specialised health services and found that it is not easily navigated by children with CCNs and their families across the European Union and the European Economic Area countries. We described the referral-discharge interface, the management of a child with CCNs at the acute–community interface, social care, nursing preparedness for practice and the experiences of the child and family in all Models of Child Health Appraised countries. We investigated data integration and the presence of validated standards of care, including governance and co-creation of care. A separate enquiry was conducted into how care is accessed for children with enduring mental health disorders. This included the level of parental involvement and the presence of multidisciplinary teams in their care. For all children with CCNs, we found wide variation in access to, and governance of, care. Effective communication between the child, family and health services remains challenging, often with fragmentation of care delivery across the health and social care sector and limited service availability.

Given that the workforce constitutes a principal resource of primary care, appraisal of models of care requires thorough investigation of the health workforce in all Models of Child Health Appraised (MOCHA) countries. This chapter explores this in terms of workforce composition, remuneration, qualifications and training in relation to the needs of children and young people. We have focused on two principal disciplines of primary care; medicine and nursing, with a specific focus on training and skills to care for children in primary care, particularly those with complex care needs, adolescents and vulnerable groups. We found significant disparities in workforce provision and remuneration, in training curricula and in resultant skills of physicians and nurses in European Union and European Economic Area Countries. A lack of overarching standards and recognition of some of the specific needs of children reflected in training of physicians and nurses may lead to suboptimal care for children. There are, of course, many other professions that also contribute to primary care services for children, some of which are discussed in Chapter 15, but we have not had resources to study these to the same detail.

This chapter investigates the coffee value chain in Latin America. By drawing on the concept of just transitions as a “connective tissue” between the sustainable development goals (SDGs), the discussion zooms in on the promise of agroforestry for environmental upgrading. The chapter concludes by providing examples of trade-offs between environmental, social and economic aspects.

The chapter illustrates the relationships between concepts, theories, and processes presented so far in the book.

The cases explored show how this model can be recognized first and foremost in publicly owned waste operators linked to the territory where the service is provided. The content that justifies and legitimizes their presence is that of the integral recovery of materials through the zero waste strategy.

Innovation, responsibility, stakeholder engagement, and knowledge sharing have been highlighted as the four key drivers of sustainable urban waste management. These drivers reciprocally reinforce each other in a virtuous exploitation system that generates a positive circular path of new managerial and technical resources and competencies, and new responsibility schemes shared among managers, policymakers, employees, and users.

Further, each key driver impacts the economic, environmental, and social performance of urban waste operators, increasing the overall impact and strengthening the effect of the other drivers in a virtuous exploitation of benefits for waste operators and stakeholders beyond the served territory.

Cities are becoming smarter and more optimized because of digital transformation, reducing costs, increasing safety, attracting investment, ensuring sustainability, and increasing viability. As a result of this optimization, they are becoming smart cities. Smart cities use the Internet of Things’ devices, such as connected sensors, lights, and smart meters, to improve infrastructure and design by gathering and analyzing real-time citizen data. In this research, different conceptions of smart cities and their interconnections with digital transformation are presented. Therefore, the purpose of this chapter is to analyze how digital transformation may help manage smart cities. As a result, a thorough and integrated evaluation of the SCOPUS database will be conducted in order to address the following questions: (1) What are smart cities? (2) What is digital transformation? (3) How does digital transformation help to manage smart cities? The results point out that technologies and digital abundance, which include artificial intelligence, blockchain, and Internet of Things, play a crucial role in managing a controlled and automated infrastructure in smart cities. These favor the development of suitable places to live, work, and have fun, with a better quality of life for everyone.