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The purpose of this paper is to identify five quality improvement initiatives for healthcare system leaders, produced by such leaders themselves, and to provide some guidance on how these could be implemented.

A multi-stage modified-Delphi process was used, blending the Delphi approach of iterative information collection, analysis and feedback, with the option for participants to revise their judgments.

The process reached consensus on five initiatives: change information privacy laws; overhaul professional training and work in the workplace; use co-design methods; contract for value and outcomes across health and social care; and use data from across the public and private sectors to improve equity for vulnerable populations and the sickest people.

Information could not be gathered from all participants at each stage of the modified-Delphi process, and the participants did not include patients and families, potentially limiting the scope and nature of input.

The practical implications are a set of findings based on what leaders would bring to a decision-making table in an ideal world if given broad scope and capacity to make policy and organisational changes to improve healthcare systems.

This study adds to the literature a suite of recommendations for healthcare quality improvement, produced by a group of experienced healthcare system leaders from a range of contexts.

The objective of the paper is to learn about the enabling factors that fostered the development of the Agtech sector in Argentina. The authors analyze how the local ecosystem (S&T institutions, incubators and accelerators, domestic clients, venture capitals and other actors) contributed to the emergence, consolidation and early internationalization of Agtech ventures.

Throughout 2020 the authors held 16 semi-structured interviews with experts, CEOs and managers of Agtech firms, incubator and accelerator managers, as well as with other stakeholders of the Agtech sector. All the interviews were recorded and then transcribed. The authors also undertook two case studies, one on a consortium of agricultural producers that created an Agtech incubator, and another on a successful Agtech venture. The selection of the case studies was based on the information collected during the interviews with local stakeholders (“snowballing technique”).

Linkages with the actors of the local ecosystem allowed Agtech ventures to validate their services and value proposition, identify business opportunities, improve and develop technologies, obtain funding, and reach out to new national and international customers.

While a case study methodology does not allow for direct generalization to other experiences, the authors’ findings shed light on relevant factors behind the development of the Agtech sector in Argentina which cannot be easily captured through quantitative methods.

This paper contributes to achieve a better understanding of the factors that allow the emergence and consolidation of young ventures based on disruptive technologies in Latin America. Hence, it contributes to the advancement of knowledge in an emerging field: the generation and dissemination of 4.0 technologies in developing regions.

Purpose – This chapter offers an integrative review of psychological and neurobiological differences between younger and older adults that might impact economic behavior. Focusing on key health economic challenges facing the elderly, it offers perspectives on how these psychological and neurobiological factors may influence decision-making over the life course and considers future interdisciplinary research directions.

Methodology/approach – We review relevant literature from three domains that are essential for developing a comprehensive science of decision-making and economic behavior in aging (psychology, neuroscience, and economics), consider implications for prescription drug coverage and long-term care (LTC) insurance, and highlight future research directions.

Findings – Older adults face many complex economic decisions that directly affect their health and well-being, including LTC insurance, prescription drug plans, and end of life care. Economic research suggests that many older Americans are not making cost-effective and economically rational decisions. While economic models provide insight into some of the financial incentives associated with these decisions, they typically do not consider the roles of cognition and affect in decision-making. Research has established that older age is associated with predictable declines in many cognitive functions and evidence is accumulating that distinct social motives and affect-processing profiles emerge in older age. It is unknown how these age differences impact the economic behaviors of older people and implies opportunities for path-breaking interdisciplinary research.

Originality/value of the chapter – Our chapter looks to develop interdisciplinary research to better understand the causes and consequences of age-related changes in economic decision-making and guide interventions to improve public programs and overall social welfare.

The purpose of this paper is to study the factors that act as innovation obstacles in precision agriculture (PA) technologies in Argentina, one of the world leading exporters of cereals and oilseeds. The focus of this study is on the supply side, i.e. the factors that are perceived by PA firms as obstacles for the expansion of their market.

Based on a survey to 67 firms that develop PA technologies in Argentina, this study examines the impact of different types of obstacles on firms’ growth and innovation activities. This analysis is complemented with the results that emerge from a series of interviews with different stakeholders (such as firms’ managers, policymakers and experts).

In this study, it was determined that market and cost factors negatively affect firms’ growth, while institutional obstacles reduce the amount of innovation efforts. In turn, knowledge barriers positively impact on the relevance firms assigned to R&D activities. This study helps identify different strategies that firms have put in place to overcome the barriers they face. Finally, policy implications of the results are discussed.

PA technologies may contribute to greening agricultural production and offer an opportunity for the emergence of domestic suppliers of innovative equipment and services based on the use of data science, artificial intelligence and Internet of Things. To the bets of the authors’ knowledge, this is the first study that explores the obstacles that prevent growth and impact on innovation activities of PA firms. The insights from this study are valuable for both researchers and policymakers aiming to foster emergence of high-tech clusters in developing countries.

El propósito de este trabajo es estudiar los factores que actúan como obstáculos a la innovación en tecnologías emergentes, tomando el caso de la agricultura de precisión en Argentina.

Estudiamos el caso de la agricultura de precisión en Argentina combinando técnicas econométricas y análisis cualitativo. Sobre la base de una encuesta a 67 empresas que desarrollan tecnologías de agricultura de precisión en Argentina, examinamos el impacto de diferentes tipos de obstáculos en el crecimiento de las empresas y las actividades de innovación. Este análisis se complementa con hallazgos derivados de una serie de entrevistas con diferentes actores (gerentes de empresas, responsables de políticas, expertos, agricultores, etc.).

Encontramos que los obstáculos de mercado y de costos afectan negativamente el crecimiento de las empresas, mientras que los obstáculos institucionales reducen la cantidad de esfuerzos de innovación. A su vez, las barreras de conocimiento tienen un impacto positivo en la relevancia que las empresas asignan a las actividades de I + D. También identificamos diferentes estrategias que las empresas han puesto en marcha para superar las barreras que enfrentan. Finalmente, discutimos las implicaciones de política de nuestros hallazgos.

Las tecnologías de AP contribuyen a una agricultura sustentable y ofrecen una oportunidad al surgimiento de proveedores locales de equipamiento y servicios, basados en ciencia de datos, inteligencia artificial e Internet de las Cosas. Para los autores, este es el primer estudio que explora los obstáculos al crecimiento y a la innovación en firmas de AP. Las contribuciones de este estudio son relevantes tanto para futuras investigaciones como para hacedores de políticas interesados en promover el surgimiento de clusters high-tech en países en desarrollo.

Obstáculos a la innovación, Política de innovación, Agricultura de precisión

O objetivo deste artigo é estudar os fatores que atuam como obstáculos à inovação em tecnologias emergentes, tomando o caso da agricultura de precisão na Argentina.

O caso da agricultura de precisão na Argentina é estudado combinando técnicas econométricas e análises qualitativas. Com base numa pesquisa com 67 empresas que desenvolvem tecnologias de agricultura de precisão na Argentina, examinamos o impacto de diferentes tipos de obstáculos nas atividades de crescimento e inovação das empresas. Esta análise é complementada com as conclusões que emergem de uma série de entrevistas com diferentes partes interessadas (gestores das empresas, responsáveis políticos, especialistas, agricultores, etc.).

Descobrimos que os fatores de mercado e custo afetam negativamente o crescimento das empresas, enquanto os obstáculos institucionais reduzem a quantidade de esforços de inovação. Além do mais, as barreiras do conhecimento impactam positivamente na relevância que as empresas atribuem às atividades de P & D. Também identificamos diferentes estratégias que as empresas implementaram para superar as barreiras que enfrentam. Finalmente, discutimos as implicações políticas de nossos resultados.

As tecnologias de AP contribuem para a agricultura sustentável e oferecem uma oportunidade para o surgimento de fornecedores locais de equipamentos e serviços, baseados na ciência de dados, inteligência artificial e na Internet das Coisas. Para os autores, este é o primeiro estudo que explora os obstáculos ao crescimento e inovação nas firmas de PA. As contribuições deste estudo são relevantes tanto para pesquisas futuras quanto para formuladores de políticas interessados em promover o surgimento de clusters de alta tecnologia em países em desenvolvimento.

Obstáculos à inovação, Política de inovação, Agricultura de precisão

Interest in psychological resilience has grown rapidly in the last couple of decades (Britt, Sinclair, & McFadden, 2016; King & Rothstein, 2010; Youssef & Luthans, 2007). Psychological resilience occurs when a person can “recover, re-bound, bounce-back, adjust or even thrive” in the face of adversity (Garcia-Dia, DiNapoli, Garcia-Ona, Jakubowski, & O’flaherty, 2013, p. 264). As such, resilience can be conceptualized as a state-like and malleable construct that can be enhanced in response to stressful events (Kossek & Perrigino, 2016). It incorporates a dynamic process by which individuals use protective factors (internal and external) to positively adapt to stress over time (Luthar, Cicchetti, & Becker, 2000; Rutter, 1987). Building on the dual-pathway model of resilience, we integrate adaptive and proactive coping to the resilience development process and add a heretofore unexamined perspective to the ways in which resilience changes over time. We propose that resilience development trajectories differ depending on the type of adversity or stress experienced in combination with the use of adaptive and proactive coping. We outline the need for future longitudinal studies to examine these relationships and the implications for developing resilience interventions in the workplace.

Following the work of Kastenbaum in 1972, the concept of subjective age has been extensively explored and numerous studies have shown that subjective age often has a greater explanatory power than chronological age. However, to the best of the authors' knowledge, little work has focused specifically on subjective age at work. The purpose of this paper is to help fill this gap. The aim is to show that workers have a subjective age bias specific to the organisational context, and that this reveals their attitudes to work better than their overall subjective age bias.

In total, 508 French salaried workers in three sectors (education, health, retail industry) answered: a French adaptation of Steitz and McClary's questionnaire to working life; the French version of the subjective age questionnaire; a scale of satisfaction with professional life; and a workplace attachment scale.

The results confirm that there is a subjective age bias at work, linked to the type of organisation and constituting a better predictor of attitude to work than overall subjective age. This finding suggests that chronological age is less relevant than subjective age at work.

The existence of subjective age at work, more pertinent than chronological age, can call into question the a priori categorization of workers by age group, an issue already raised by many authors.

The authors believe that the scale of subjective age at work can be used by human relations consultants or managers as a decision‐making tool in the context of professional mobility or in setting up mentoring projects.

The concept of subjective age is interesting from a theoretical level, to understand the subjective relationship of workers to their work‐place, and from an applied level, as a decision‐making tool in the context of professional mobility or in setting up mentoring projects. This research calls into question the a priori categorization of workers by age group, raising the possibility of a different approach to the management of older workers.

The purpose of this paper is to develop a theoretical framework to explain the failure in public management of wholesale policy transfer from well developed to developing economies.

The paper relies extensively on organizational surveys and specialized interviews in both jurisdictions, as well as on a review of government (primary) and other institutional documents. It is qualitative in nature.

The paper reveals that the context in which public sector reform policies are implemented matters. In short, the environment (with structural and contextual variables) is an essential element in the success of policies. It highlights important factors such as culture, institutional dynamism, the role of the external actors, etc. as issues that must be carefully looked at in the development and implementation of reform policies.

The number of cases needs to be expanded to further confirm the results. Furthermore, before it is possible to generalize about the theory's applicability, it is necessary to test the theoretical framework by examining the issue of policy transfer among developing countries.

The findings point to the need for theorists, policy makers, and policy implementers to be open‐minded as they attempt to develop and implement policies for public sector reforms in different circumstances. They thus emphasize the need to adapt reforms to a particular environment rather than pursuing a one‐size‐fits‐all approach. The paper thus argues that the most appropriate management strategies for reforms must be cognizant of local environmental conditions so as to tailor policies that fit the environment.

The paper contributes to both theory and practice by participating in the discussion on what must be considered administrative reforms. The paper will be of interest to those searching for ways to enhance the efficiency and effectiveness of public sector organizations through reforms and, in particular, of performance management, as well as to stakeholders interested in well‐functioning public sector organizations.

The purpose of this qualitative case study was to explore perceptions of the impact of program participation on parenting styles and behavioral changes using observations and in-depth semi-structured interviews with Black and Coloured staff and mothers at a community-based organization (CBO) in the Western Cape Province (WCP) in South Africa (SA). Purposive sampling was utilized in this research via the CBO and narratives from a total of twenty-three (twelve mothers and eleven staff) interviews form the basis of this manuscript. Data was collected between January – February 2017 and was analyzed through the phenomenological and inductive thematic analysis approach. The staff interviews revealed that child abandonment and neglect and the abuse of women are the two main environmental contextual factors that impact program participation. According to staff, improved self-esteem and positive life changes were identified as successful outcomes of participant involvement. The parent interviews provided examples of emotional issues such as domestic abuse and personal issues with alcohol and drugs as individual factors that impact their program participation. Changes in parenting styles was identified as successful outcomes among parent participants. The goal of this study was to provide much-needed insight into this community by presenting a variety of voices, specifically Black and Coloured men and women, that are underreported in the literature. Findings from this research adds to the knowledge of community-based parenting programs (CBPPs) for low-income and underserved populations in SA and internationally.