Search Results (1,026)

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

Sexual health constitutes a fundamental aspect of overall well-being, with direct implications for individual development and the broader social and economic progress of communities. Promoting environments that ensure sexual experiences free from coercion, discrimination, and violence is a key public health priority. Sexuality, in this regard, should be understood as an inherent dimension of human experience, shaped by biological, cultural, cognitive, and ideological factors. Accordingly, sexual health education requires a holistic and multidimensional approach that integrates sociocultural, biographical, and professional perspectives. This study aims to examine the level of knowledge and training in sexual health among nursing students and healthcare professionals, as well as to assess the extent to which sexual health content is incorporated into nursing curricula at Spanish universities. A scoping review was conducted using the Dialectical Structural Model of Care (DSMC) as the theoretical framework. The findings indicate a significant lack of knowledge regarding sexual health among both nursing students and healthcare professionals, largely due to educational and structural limitations. Furthermore, sexual health education remains underrepresented in nursing curricula and is frequently addressed from a narrow, fragmented biomedical perspective. These results highlight the urgent need for the comprehensive integration of sexual health content into nursing education. Strengthening curricular inclusion is essential to ensure the preparation of competent professionals capable of delivering holistic, inclusive, and empowering care in this critical area of health. Full article

(1) Background: This article aims to understand the forms and elements through which the inhabitants of the city of Medellin have configured their subjectivity in the context of the application of neoliberal policies in the last two decades. In this way, we can approach the frameworks of understanding that constitute a fundamental part of the individuation processes in which the incorporation of their subjectivities is evidenced in neoliberal contexts that, in the historical process, have been converging with authoritarian, antidemocratic and neoconservative elements. (2) Method: A qualitative approach with a hermeneutic-interpretative paradigm was used. In-depth semi-structured interviews were conducted with 41 inhabitants of Medellín who were politically identified with right-wing or center-right positions. Data analysis included thematic coding to identify patterns of thought and points of view. (3) Results: Participants associate success with individual effort and see state intervention as an obstacle to development. They reject redistributive policies, arguing that they generate dependency. In addition, they justify authoritarian models of government in the name of security and progress, from a moral superiority, which is related to a negative and stigmatizing perception of progressive sectors and a negative view of the social rule of law and public policies with social sense. (4) Conclusions: The naturalization of merit as a guiding principle, the perception of themselves as morally superior based on religious values that grant a subjective place of certainty and goodness; the criminalization of expressions of political leftism, mobilizations and redistributive reforms and support for policies that establish authoritarianism and perpetuate exclusion and structural inequalities, closes roads to a participatory democracy that enables social and economic transformations. Full article

As the world’s largest developing and carbon-emitting country, China is accelerating its greenhouse gas (GHG) emission reduction process, and it is of vital importance in achieving the goals set out in the Paris Agreement. This paper examines the historical development and current operation of China’s carbon emissions trading market (CETM). The current progress of research on the implementation of carbon emissions trading policy (CETP) is described in four dimensions: environment, economy, innovation, and society. The results show that CETP generates clear environmental and social benefits but exhibits mixed economic and innovation effects. Furthermore, this paper analyses the challenges of China’s carbon market, including the green paradox, the low carbon price, the imperfections in cap setting and allocation of allowances, the small scope of coverage, and the weakness of the legal supervision system. Ultimately, this paper proposes recommendations for fostering China’s CETM with the anticipation of offering a comprehensive outlook for future research. Full article

Digital technology has become an essential engine of green development and economic progress due to the meteoric rise of new technologies. Our paper seeks to explore the impact of digitalization on environmental, social and governance (ESG) performance in different business contexts. Data were collected from listed firms across 19 Asian countries from 2015 to 2024, covering 1839 firms, yielding 18,390 firm-year observations and establishing a balanced panel data set. We used the dynamic panel data model to test the proposed hypotheses. The findings revealed that digitalization has a significant and positive impact on ESG performance. It also revealed that environmental uncertainty moderates this relationship. Moreover, our analysis indicated that the impact of digitalization on ESG performance is stronger for product (vs. service) firms, stronger for B2B (vs. B2C) firms and stronger for firms in IT-intensive industries. In addition, the analysis indicated that the impact of digitalization on ESG performance is stronger in more dynamic, complex and munificent environments. Our examination offers meaningful implications for theory and practice by expanding our knowledge of the complex mechanism underpinning the positive correlation between digitalization and ESG performance. Full article

This study focuses on the impact of China’s digital economy on sustainable modernization from 2011 to 2021, using provincial panel data for empirical analysis. By applying threshold and mediation models, we find that the digital economy promotes modernization through industrial upgrading (with a mediating effect of 38%) and trade openness (coefficient = 0.234). The research reveals “U-shaped” nonlinear threshold effects at specific levels of digital development (2.218), market efficiency (9.212), and technological progress (12.224). Eastern provinces benefit significantly (coefficient ranging from 0.12 to 0.15 ***), while western regions initially experience some inhibition (coefficient = −0.08 *). Industrial digitalization (coefficient = 0.13 ***) and innovation ecosystems (coefficient = 0.09 ***) play crucial roles in driving eco-efficiency and equity, in line with Sustainable Development Goals 9 and 13. Meanwhile, the impacts of infrastructure (coefficient = 0.07) and industrialization (coefficient = 0.085) are delayed. Economic modernization improves (coefficient = 0.37 ***), yet social modernization declines (coefficient = −0.12 *). This study not only enriches economic theory but also extends the environmental Kuznets curve to the digital economy domain. We propose tiered policy recommendations, including the construction of green digital infrastructure, carbon pricing, and rural digital transformation, which are applicable to China and offer valuable references for emerging economies aiming to achieve inclusive low-carbon growth in the digital era. Future research could further explore the differentiated mechanisms of various digital technologies in the modernization process across different regions and how to optimize policy combinations to better balance digital innovation with sustainable development goals. Full article

This study developed an Energy Quadrilemma Index (EQI) for Latin American countries, analyzing data from six countries from 2014 to 2020. Using the Principal Component Analysis method, this work reduced the dimensionality of 20 indicators grouped into four dimensions: energy security, energy equity, sustainable development, and a new social context axis. The results reveal significant disparities among the countries in the study. For example, Uruguay shows robust indicators, Paraguay exhibits low utilization of the energy it produces, and Chile displays the poorest results in the sustainable development axis. Many countries’ widespread dependence on hydroelectricity makes them vulnerable to water crises. The results show that social, economic, and structural inequalities represent the main barriers to the energy transition, often marginalizing low-income populations. Ensuring a fair and inclusive transition requires implementing targeted policies and solutions adapted to each country’s specific context. Although Costa Rica leads in performance, it faces significant challenges in the field of sustainability. In contrast, Honduras has made some progress with sustainable development but still demonstrates weaknesses in other areas. These results highlight that standardized solutions can exacerbate regional inequalities, demanding approaches more tailored to local needs. This work’s novelty lies in the use of the social context dimension as a feature to assess energy poverty in selected countries. Full article

With an economic model characterized by high energy consumption and low efficiency, China is facing serious energy shortages and environmental problems. However, education, as the cornerstone of social progress, has been overlooked in its role in improving energy efficiency. This study aims to enhance our understanding of the impact of educational competitiveness on urban green total factor energy efficiency (GTFEE), helping policymakers to achieve sustainable urban development. This study utilizes panel data from 20 major Chinese cities spanning from 2012 to 2022 and applies a two-way fixed effects model to investigate the relationship and pathways of educational competitiveness (Ec) on GTFEE. Our results show that the Ec index can enhance the major urban GTFEE. Among them, educational resource competitiveness, input competitiveness, efficiency competitiveness, and sustainable competitiveness can all enhance urban GTFEE, but the coefficient of the educational scale is not significant. In addition, Ec can effectively improve GTFEE by promoting green technological innovation, alleviating human resource mismatch, and driving industrial structure upgrading. Furthermore, the impact of Ec on GTFEE shows significant regional heterogeneity, with its effect weakening from the eastern coastal areas to the western inland regions. Full article

Deep-sea mining presents a critical sustainability paradox; it offers access to essential minerals for the technologies of the green transition (e.g., batteries, wind turbines, electric vehicles) yet threatens fragile marine ecosystems. As the terrestrial sources of these materials face mounting geopolitical, environmental, and ethical constraints, undersea deposits are increasingly being viewed as alternatives. However, the extraction technologies remain unproven at large scales, posing risks related to biodiversity loss, sediment disruption, and altered oceanic carbon cycles. This paper explores how deep-sea mining might be reconciled with sustainable development, arguing that its viability hinges on addressing five interdependent challenges—technological readiness, environmental protection, economic feasibility, robust governance, and social acceptability. Progress requires parallel advancements across all domains. This paper reviews the current knowledge of deep-sea resources and extraction methods, analyzes the ecological and sociopolitical risks, and proposes systemic solutions, including the implementation of stringent regulatory frameworks, technological innovation, responsible terrestrial sourcing, and circular economy strategies. A precautionary and integrated approach is emphasized to ensure that the securing of critical minerals does not compromise marine ecosystem health or long-term sustainability objectives. Full article

With the growing impact of environmental challenges, the need for well-planned and effectively executed actions to support progress and sustainable social development has become increasingly evident. Geoparks play a vital role in this endeavor by fostering the development of products that celebrate local heritage and promote its conservation, utilizing the natural and cultural resources unique to each region in sustainable ways. Geoproducts, in particular, aim to enrich cultural identity and elevate the value of the landscape and geodiversity by integrating communities into innovative approaches and technologies, engaging them in commercialization, and ensuring sustainability alongside social inclusion. Within the framework of the Safi Geopark Project, this article delves into the concept of geoproducts, their definitions, and their potential to bolster local identity and social and economic development. Leveraging the abundant geological and cultural resources of Safi province, the study presents both tangible and intangible geoproducts that merge traditional craftsmanship with modern sustainability practices. Notable examples include ammonite-inspired ceramics, educational materials, and eco-friendly cosmetics, each carefully designed to reflect and celebrate the region’s geoheritage. This article underscores the crucial role of community involvement in the creation of geoproducts, highlighting their impact on conservation, education, and the promotion of sustainable tourism. By proposing actionable strategies, this study not only broadens the understanding of geoproducts within geoparks but also reinforces their importance as instruments for regional development, heritage conservation, and sustainable economic growth. Full article

In the digital age, e-commerce has become a critical part of modern economies, shaping global economic growth and the pursuit of the Sustainable Development Goals (SDGs). This study uses robust statistical methods to explore the complex relationships between traditional trade, e-commerce, and key economic and sustainability indicators. The General Linear Model (GLM), factor analysis, and linear regression reveal that conventional trade remains vital for GDP growth, even though e-commerce clearly influences SDG performance. The study emphasizes the catalytic role of e-commerce in advancing sustainability by showing how treating it as a dependent variable speeds up SDG progress through Brown, Holt, and ARIMA forecasting models. Additionally, cluster analysis uncovers a strong link between higher SDG scores and increased e-commerce activity, with countries scoring better on sustainability often having more companies in the digital economy and earning more online. This research provides a comprehensive understanding of how e-commerce can support global sustainability goals, along with integrated policy recommendations that promote digital transformation and long-term environmental and social resilience. Full article

This article examines the relevance of Smart Specialisation Strategies (RIS3) in structurally weak but non-peripheral regions, using Poland’s Lubusz Voivodeship as a case study. Based on employment data from 2009 and 2021, this study uses Location Quotient (LQ) analysis to evaluate the alignment between the region’s economic structure and its RIS3 domains: Innovative Industry, Health and Quality of Life, and Green Economy. The findings show that while Innovative Industry and Health and Quality of Life strengthened their relative specialisation, the Green Economy domain made only limited progress. Notably, sectors such as metal fabrication and social care services emerged as new specialisations, while several traditional industries declined. These results support the hypothesis that RIS3 priorities only partially reflect endogenous economic strengths, and they highlight the challenges of implementing innovation strategies in territorially fragmented and capacity-constrained regions. This article calls for dynamic priority reviews, improved multi-level coordination, and targeted instruments to better align RIS3 frameworks with the structural realities of “in-between” regions in the EU. Full article

As China enters a high-quality development stage, balancing economic growth and environmental sustainability is essential. Can industrial intelligence reconcile these goals? Using theoretical modeling, this paper integrates production decisions, pollution emissions, and environmental regulations to construct a micro-level analytical framework incorporating technology choice and emission reduction investment. It theoretically explores how robot adoption affects firms’ emission reduction behaviors and empirically tests the model using data from Chinese listed companies (2011–2022). Results indicate that industrial robots significantly reduce firms’ pollution emission intensity through productivity boost, technological progress, and emission reduction effects. Additionally, heterogeneity analyses show that robots have stronger pollution-reducing impacts in heavily polluting industries, state-owned enterprises, and regions with stringent environmental regulations. Therefore, policymakers should encourage robot adoption based on local contexts, formulate differentiated environmental regulations, and implement targeted strategies to maximize robots’ emission reduction potential. Accelerating green and intelligent transformation of enterprises will further align ecological protection with sustainable economic and social development. Full article

While interest in indoor environmental quality (IEQ) in Latin American housing has been growing over the past decade, the COVID-19 pandemic has further highlighted its critical importance due to increased residential occupancy time, exposure to indoor pollutants, and their implications for health. Recognising the climatic, cultural, infrastructural, and socio-economic diversity of the region, this study presents a bibliometric review of research and policy advances with the aim of examining progress towards effective pathways for sustainable housing, focusing on the integrated vision of energy efficiency, IEQ, and regulations as the key thematic axes. This review, conducted using the Scopus database, synthesises findings, methodological practices, and policy developments from 2013 to 2023. Based on the qualitative thematic analysis of studies included in the narrative synthesis, the results reveal that energy efficiency and indoor environmental quality frameworks in the region are still insufficient and fragmented, hindering improvements in residential energy efficiency and thermal comfort, particularly in low-income housing. This study underscores the urgent need for updated public policies with the explicit incorporation of IEQ and health indicators, stronger enforcement of energy efficiency and building regulations, and the improved dissemination of IEQ benefits to promote sustainable governance. Further research on evaluating the long-term impacts of implemented policies and interventions in public health is also essential to address ongoing social, political, and environmental challenges in the region. Full article

The economic downturns in South Africa present a significant threat, with the potential to disrupt the nation’s notable advances in addressing the persistent challenges of high unemployment, widespread poverty and stark inequality. In the absence of substantial and extensive structural transformation, South Africa’s aspirations to achieve its ambitious development goals may remain unattainable. Building on the precedent of a blend of literature review, comprehensive ex post analysis, and applied general equilibrium modelling tailored for ex ante assessments, this paper assesses options and impacts of alternative ambitious developmental interventions. The results indicate that, despite implementing a variety of strategies, there remains a disheartening underperformance in economic indicators. However, ex ante evaluations indicate that with targeted interventions and supportive government policies, the country can achieve economic growth and job creation. Simulation results identify sectors of personal and social service activities, transport, finance, and insurance as having the most formidable potential to significantly reduce unemployment while simultaneously catalysing robust economic growth. These pivotal sectors, nestled within the broader services and industries, are uniquely poised to bolster overall productivity and diminish unemployment, while adeptly absorbing a considerable influx of highly educated and skilled labour. This suggests that South Africa can decisively accelerate its economic progress by embracing a dual-pronged approach: fostering structural shifts towards manufacturing and services, while steadfastly advancing the upskilling of its dynamic workforce. Full article