Search Results (708)

This study explores the role of solidarity finance in promoting local development and the empowerment of marginalized communities through financial inclusion and access to community credits. It focuses on how solidarity-based financial mechanisms provide accessible credit with fewer barriers, fostering productive activities and economic resilience. This study employed a quantitative and exploratory design, analyzing data from 51 community funds in Ecuador out of a total of 220 through a self-administered online survey, validated by auditing professionals and answered by community representatives. The 25-item questionnaire gathered data on organizational dynamics, financial practices, and perceptions of sustainability. Descriptive analysis was complemented with an analysis of variance to test hypotheses concerning associativity, self-management, and organizational performance. The results show that while associativity, self-management, and organizational management are perceived as institutional strengths, aspects such as autonomy and solidarity received lower evaluations, suggesting critical areas for strategic improvement. Notably, significant differences emerged between self-management–organization and solidarity–organization groups, emphasizing the importance of associativity (collaboration) in enhancing the sustainability of solidarity finance, which proves to be a vital mechanism for community empowerment and local development; however, its long-term sustainability depends on strengthening internal dimensions, particularly autonomy and solidarity, and reinforcing associativity as a core driver of organizational resilience. Full article

Although organizational resilience is well established, refining the systematic quantitative evaluation of health systems resilience (HSR) remains an ongoing opportunity for advancement. Research either focuses on individual HSR indicators, such as social welfare policy, public expenditure, health insurance, healthcare quality, and technology, or broadly examines socio-economic factors, highlighting the need for a more comprehensive methodological approach. This study employed the Slacks-Based Measure (SBM) within Data Envelopment Analysis (DEA) to analyze efficiency by maximizing outputs. It systematically examined key HSR factors across countries, providing insights for improved policymaking and resource allocation. Taking a five-year (2016–2020) dataset that covered 55 to 56 countries and evaluating 17 indicators across governance, health systems, and economic aspects, the paper presents that all sixteen top-ranked countries with a perfect efficiency score of 1 belonged to the high-income group, with ten in Europe, highlighting regional HSR differences. This paper concludes that adequate economic resources form the foundation of HSR and ensure stability and sustained progress. A properly supported healthcare workforce is essential for significantly enhancing health systems and delivering quality care. Last, effective governance and the equitable allocation of resources are crucial for fostering sustainable development and strengthening HSR. Full article

This theoretical essay aims to analyze some of the socio-economic innovations introduced by Platform Capitalism Specifically, it focuses on two main aspects: first, the digital platform as a radical organizational innovation. Digital platforms represent a structural novelty in the market economy, signaling a new organization of production and labor. Second, the essay examines the role of platforms in directly generating value through the concept of “network value”. To this end, it explores the function of “business intelligence” as a strategic and competitive tool. Finally, the paper discusses the key issues associated with platform capitalism, which could threaten its social sustainability and contribute to economic and financial instability. These issues include the increasing commodification of everyday activities, the devaluation of paid labor in favor of free production driven by platform users (the so-called prosumers), and the emergence of proprietary and financial monopolies. Hence, digital platforms do not inherently ensure comprehensive social and environmental sustainability unless supported by targeted economic policy interventions. Conclusively, it is emphasized that defining robust social welfare frameworks—which account for emerging value creation processes—is imperative. Simultaneously, policymakers must incentivize the proliferation of cooperative platforms capable of fostering experimental circular economy models aligned with ecological sustainability. Full article

Oral health during pregnancy is essential for maternal and child well-being, as hormonal and physiological changes increase women’s susceptibility to oral diseases. Despite the recognized importance of prenatal dental care, adherence to dental services remains a challenge in the public health context. This study aimed to analyze oral health and the use of dental services during pregnancy through the perception of pregnant women. It represents the qualitative phase of a mixed-method study conducted with 25 pregnant women (with and without dental care) receiving prenatal care in the Brazilian Unified Health System (SUS). Participants were selected through saturation sampling, and data were collected via semi-structured interviews, followed by content analysis. The findings revealed four major themes: barriers and facilitators to dental care, changes during pregnancy and oral health. Discomfort from oral changes was a common concern. Barriers included misinformation, fear, cultural beliefs, and service organization. In contrast, facilitating factors were identified, such as care prioritization, support from healthcare teams, health education, and access through SUS. This study concludes that emotional, cultural, and contextual aspects shape the use of dental services during pregnancy. Access through SUS is perceived as an important facilitator, which simultaneously presents organizational weaknesses that need to be addressed. Full article

Background/objective: Tailoring involves adapting research findings and evidence to suit specific contexts and audiences. This study examines how international stroke guidelines can be tailored to address gait issues after a stroke. Methods: A three-phase consensus method approach was used. A 10-member health experts panel extracted recommendations from three national clinical guidelines in the first phase. In the second phase, 362 physiotherapists completed an online questionnaire to assess the feasibility of adopting the extracted recommendations. In the third phase, a 15-physical therapist consensus workshop was convened to clarify factors that might affect the tailoring process of the extracted recommendations of gait disorder rehabilitation. Results: In phase one, 21 recommendations reached consensus. In the second phase, 362 stroke physiotherapists rated the applicability of these recommendations: 14 rated high, 7 rated low, and none were rejected. The third phase, a nominal group meeting (NGM), explored four themes related to tailoring. The first theme, “organizational factors”, includes elements such as clinical setting, culture, and regulations. The second theme, “individual clinician factors”, assesses aspects like clinical experience, expertise, abilities, knowledge, and attitudes toward tailoring. The third theme, “patient factors”, addresses issues related to multimorbidity, comorbidities, patient engagement, and shared decision-making. The final theme, “other factors”, examines the impact of research design on tailoring. Conclusions: Tailoring international clinical guidelines involves multiple factors. This situation brings home the importance of a systematic strategy for tailoring that incorporates various assessment criteria to enhance the use of clinical evidence. Future research should investigate additional implementation theories to enhance the translation of evidence into practice. Full article

This study explored the experiences of Hungarian minority parents of children with severe disabilities from Romania. Examining individual life paths and becoming a parent is difficult in all aspects, but the issue of parental responsibility for raising a child with a severe disability suggests a much more complex approach. Participants were parents (female = 8; male = 3) who were purposively sampled from an urban setting (Bihor area) and whose children attended SEN schools in the same area. Data were collected using semi-structured interviews and were thematically analysed. It turned out from the interviews that the challenges parents of children with severe disabilities encounter at home, school, and in society are accumulated emotional stress and exhaustion; however, they also face material challenges. The analysis also revealed that the parents were unsure of what was expected of them in making educational or habilitation–rehabilitation decisions on behalf of their children. The parents’ difficulty with decision-making and their unpreparedness put them under serious stress, often characterized by depressive life stages. The findings reveal the need for ongoing professional development and the establishment of organizational–community networks. Parents of children with disabilities face serious, unresolved challenges that are difficult to overcome. In order to overcome these challenges, we need to develop policies that take the needs of parents into consideration. Full article

Background: Sexuality is a central aspect of being human, even if people experience it in different ways in various stages of life. Sexuality in older people may be expressed, as well as affection, companionship, touch, and physical contact. However, older peoples’ sexual needs are not properly considered by themselves, caregivers, or healthcare professionals. Reviews on barriers related to identification and satisfaction of sexual needs of people living in nursing home are scarce. In this scenario we intended to summarize the state of evidence regarding sexual need identification and satisfaction among older people living in nursing homes and possible barriers that could limit sexual need identification and satisfaction. Methods: We carried out a narrative review. The included studies responded to the research question, using the following key words: nursing homes, sexuality or sexual need, or sexual behavior, older people. Searched databases included PubMed, Embase, CINAHL, PsycInfo, and Scopus. Results: After searching and screening we included 22 studies, finding three main topics: 1. identification of sexual needs by residents and healthcare personnel attitude and practice; 2. barriers and reasons hindering the identification of sexual needs; and 3. manifestation and satisfaction of sexual needs. Conclusions: The findings showed that nursing homes’ residents have different sexual needs, but there are many organizational, educational, and cultural barriers and negative attitudes of healthcare personnel. Supporting nursing home residents to express their sexual needs is a challenge for the healthcare professionals and managers of nursing homes. Full article

The management of transfer pricing operations is considered from the perspective of modeling financial and accounting processes for various organizations, using agricultural enterprises as an example. It is demonstrated that the execution of transfer pricing operations between related parties—which may function as responsibility centers within an organizational holding structure—serves as a managerial lever influencing the financial income and expenses of individual business units. It is revealed that the developed model of managerial accounting for transfer pricing operations, grounded in tax compliance and the balancing of stakeholder interests, is based on two key aspects: first, to ensure the balanced development of the company’s business units, a list of key performance indicators (KPIs) is developed and integrated into a balanced scorecard (BSC), promoting the sustainable and stable operation and growth of the company; second, with access to this list of KPIs, the manager of each business unit can exert indirect influence over a segment of the final product’s value chain by selecting transfer prices that adhere to the arm’s length principle. The practical application of the proposed model is illustrated using previously formed economic operations from the research base. Full article

The construction industry is moving towards the era of industry 4.0; 5.0 with Building Information Modelling (BIM) as the tool gaining significant traction owing to its inherent advantages such as enhancing construction design, process and data management. However, the integration of BIM presents risks that are often overlooked in project implementation. This study aims to develop a novel amalgamated dimensional factor (Techno-organizational Aspect) that is set out to identify and align appropriate management strategies to these risks. Firstly, it encompasses an in-depth analysis of BIM and risk management, through an integrative review approach. The study utilizes an exploratory-based review centered around journal articles and conference papers sourced from Scopus and Google Scholar. Then processed using NVivo 12 Pro software to categorise risks through thematic analysis, resulting in a comprehensive Risk Breakdown Structure (RBS). Then qualitative content analysis was employed to identify and develop management strategies. Further data collection via online survey was crucial for closing the research gap identified. The analysis by mixed method research enabled to determine the risk severity via the quantitative approach using SPSS (version 29), while the qualitative approach linked management strategies to the risk factors. The findings accentuate the crucial linkages of key strategies such as version control system that controls BIM data repository transactions to mitigate challenges controlling transactions in multi-model collaborative environment. The study extends into underexplored amalgamated domains (techno-organisational spectrum). Therefore, a significant contribution to bridging the existing research gap in understanding the intricate relationship between BIM implementation risks and effective management strategies. Full article

Background/Objectives: Access to specialized care for patients with cognitive impairment in remote areas is often limited. Despite the increasing adoption of telemedicine, standardized guidelines have not yet been specified. This study aimed to develop a comprehensive protocol for the specialized neurological, neuropsychological, and neuropsychiatric assessment of patients with cognitive disorders in remote areas through telemedicine. Methods: We analyzed data from (i) a comprehensive literature review of the existing recommendations, reliability studies, and telemedicine models for cognitive disorders, (ii) insights from a three-year experience of a specialized telemedicine outpatient clinic for cognitive movement disorders in Greece, and (iii) suggestions coming from dementia specialists experienced in telemedicine (neurologists, neuropsychologists, psychiatrists) who took part in three focus groups. A critical synthesis of the findings was performed in the end. Results: The final protocol included: technical and organizational requirements (e.g., a high-resolution screen and a camera with zoom, room dimensions adequate for gait assessment, a noise-canceling microphone); medical history; neurological, neuropsychiatric, and neuropsychological assessment adapted to videoconferencing; ethical–legal aspects (e.g., data security, privacy, informed consent); clinician–patient interaction (e.g., empathy, eye contact); diagnostic work-up; linkage to other services (e.g., tele-psychoeducation, caregiver support); and instructions for treatment and follow-up. Conclusions: This protocol is expected to serve as an example of good clinical practice and a source for official telemedicine guidelines for cognitive disorders. Ultimate outcomes include the potential enhanced access to specialized care, minimized financial and logistical costs, and the provision of a standardized, effective model for the remote diagnosis, treatment, and follow-up. This model could be applied not only in Greece, but also in other countries with similar healthcare systems and populations living in remote, difficult-to-access areas. Full article

In China, smart city pilots has become an important scheme to promote the modernization of the national governance system and capacity. Based on the TOE framework, this study takes 35 Chinese smart cities as sample cities and uses the qualitative comparative analysis (QCA) to explore the influencing factors of smart city pilot construction. The results show that: (1) No single factor can constitute the necessary conditions for the high and non-high construction efficiency of a smart city pilot. (2) There are five configurations leading to the high construction efficiency of a smart city pilot, which can be summarized into three driving modes: the organizational mode composed of organizations, the organization–environment mode composed of organizations and environment, and the technology–environment mode composed of technology and environment. There are three driving modes of non-high construction efficiency of a smart city pilot, which have an asymmetric relationship with the driving mode of high construction efficiency of a smart city pilot. (3) There is a potential substitution relationship among relevant factors in the aspects of technology, organization, and environment, which can effectively replace and promote the efficient construction of a smart city. The research results have implications for improving the effectiveness of smart city construction and promoting urban innovative development and sustainable development. Full article

Digital competences (DC) are vital for improving employability, especially in tourism, where adapting to technology and communicating effectively are key. Proficiency in digital tools and a second language (SL) significantly enhances organizational performance and competitiveness, supporting sustainable development and innovation in dynamic business environments. This study explores the causal link between digital competences and employability dimensions, including second-language skills, in SMEs within the tourism sector in Quindío and Valle del Cauca, Colombia. Using a quantitative approach, data from 114 employees were collected through a semi-structured survey and analyzed via partial least squares structural equation modelling (PLS-SEM) to determine significant relationships. The results reveal that digital competences significantly enhance technological management, occupational experience (OE), anticipation and optimization (AO), and personal flexibility (PF). These skills contribute to sustainable tourism by promoting adaptability, innovation, and inclusive employability. Additionally, second-language proficiency demonstrates strong explanatory power in communication-related aspects. The findings highlight the need for tourism enterprises to prioritize digital upskilling, integrate research and innovation into job functions, strengthen adaptability to organizational changes, and view second-language development as a strategic resource. This study offers valuable insights for designing targeted training strategies aligned with the sector’s dynamic demands and advances the broader discourse on digital literacy in workforce development. Full article

The B Corp certification is a voluntary designation granted by B Lab. This nonprofit organization evaluates two main aspects of a company’s operations: the positive impact generated by its daily activities and how its business model reflects unique practices that yield positive outcomes for its stakeholders. Sistema B is at the forefront of the B movement in Latin America and the Caribbean, working to develop an ecosystem that enables B Corps to harness market forces to address social and environmental challenges. However, the B Corp movement in this region faces significant challenges, primarily due to a lack of government support, including tax benefits and legal recognition. This study aims to advance the existing literature on B Corps by examining sustainability-oriented hybrid organizations that strive to reconcile profit generation with social impact within the context of Mexico’s socioeconomic landscape. Additionally, it seeks to enhance the understanding of how ventures navigate trade-offs between financial and social objectives, and to identify factors that can help address these challenges. Twenty semi-structured interviews were conducted with Mexican B Corps to explore the entrepreneurial motivations related to social objectives, the B Corp movement, and the internal organizational dynamics of balancing social and economic logics. We discuss how tensions arise and are managed, as well as the issues regarding regulatory tensions in Mexico and the challenges that stem from organizational complexities. Future research directions are also outlined. Full article

Sustainable rural development seeks to balance social, economic, and environmental needs in rural areas, improving the quality of life of communities and the long-term protection of natural resources. Indigenous local solutions give place to grassroots entrepreneurial initiatives, which together with associative and economic integration are key factors for agricultural production, transformation of products, self-consumption, and commercialization. This study was done in Hñähñu communities with the aim to test if participative workshops based on detonating questions are an effective approach for developing entrepreneurship agriculture initiatives of self-managed social enterprises. The initiatives were proposed by the communities to solve local problems. Three initiatives arose: (1) a community seed bank of local species associated with the Milpa including agave; (2) reforestation with agave to produce agave shoots, leaves, and sap; and (3) a company to produce agave-sap syrup. The participants, based on their traditional knowledge, developed the projects, including economic evaluation, risk analysis, and environmental aspects. Some impacts are the conservation of soil and endangered landraces, accessibility to quality seeds not commercially available, building of local organizational and entrepreneurial capacities, strengthening the community, improving the family’s income, recovery of traditional agroecological techniques, and conservation of agrobiodiversity. In conclusion, the methodology is effective for the Indigenous communities to develop initiatives for sustainable self-managed social enterprises. Full article

The convergence of International Marketing (IM) and Sustainable Supply Chain Management (SSCM) with the help of Institutional Technologies (IT) can be an important tool in the transformation of global business models. However, there is a clear gap in the current literature regarding the role of technology, organization, and environment (TOE) in this integration. In particular, it is unclear how these aspects of institutional technologies enable or impede integration and how the capabilities of enterprises change as a result. To fill this gap, this research describes the role of TOE aspects through a systematic literature review (SLR) of 40 analyzed papers. We used a subjective analysis of secondary data to show that technology modernization, organizational flexibility, and environmental policies are key drivers of integration, while technology incompatibility and limited information-sharing capabilities create barriers to the process. We present a conceptual framework that clarifies the stages of integration and propose 12 questions for future research. The results suggest that moderators should focus on the synergies between TOE aspects to develop effective integration strategies. This research provides a theoretical foundation for understanding the bilateral relationship between institutional technologies and integration, helping to create sustainable global business models. Full article