The Managerial and Organizational Impact of Therapeutic Adherence in the National Health System: A Regional Social Welfare Comparison in the Perspective of Planning PNRR Funding and Social Welfare Regulation

This article analyses therapeutic adherence to the national health system from a multidimensional perspective, through a comparative analysis of regulation and planning at different levels of European, national, regional and corporate governance. This analytical path is oriented to identify the critical issues and possible strategies aimed not only to overcome them, but also to implement the current management through organizational tools and alternative management models. In this evolution, an important role is played by the funding deriving from the PNRR intended to implement both territorial medicine and digital innovation, as main axes of the path to improving therapeutic adhesion. The conclusions concern the application of organizational models ( one health, change management, value based health) able to channel these resources towards this area of therapeutic adherence. In the current phase of planning and financing from PNRR mission 6, italian institutions such as AGENAS and the Ministry of Health have initiated the reform of the D.M. n. 70/2015 through outline the lines of development of social protection to support social assistance adherence therapeutic. This programming path is accompanied by the regulation of local health care characterized by a greater continuity of care between hospital and home and multidisciplinary coordination for a wider take-up.

The Social and Health Impact of Accidents at Work: The Analysis of the Italian Case

The months of a gradual exit from the pandemic show some significant data and phenomena regarding the phenomenon of accidents at work and occupational diseases. The Italian figure highlights a recovery in injuries and illnesses, but also in the impact of new risk factors deriving from the digitalization of work, which grew with smart working during the pandemic. At the same time, the new organizational models highlight the increased risk of work-related stress diseases. The Italian situation makes clear the need to intervene on the issue of organizational well-being and welfare, to limit the negative impact of risk factors associated with this economic system on society and the health system through a new work culture.

The role of different school organizational models in the psychological adaptation of refugee adolescents

Given the high number of refugee children and adolescents around the globe, it is critical to determine conditions that foster their adaptation in the receiving country. This study investigated the psychological adaptation of recently arrived adolescent refugees in Germany. We focused on whether psychological adaptation reflects the organizational approach taken by the school that refugee adolescents initially attended. School is an important context for the development and acculturation of young refugees. As in other European countries, the schooling of refugee adolescents in Germany is organized in different models: separate instruction in newcomer classes, direct immersion in regular classes, and mixed approaches. To answer our research questions, we used self-reported data from 700 refugee adolescents (12-, 14-, and 17-year-olds) in a representative survey of refugees in Germany. As indicators of their psychological adaptation, we analyzed their sense of school belonging, their emotional and behavioral problems, and their life satisfaction. Comparing them to non-refugee peers, the refugee adolescents showed similar levels of psychological adaptation, and an even higher level in the case of school belonging. Multiple regression analyses provide limited support for the assumed advantage of the mixed school organizational model: While students who initially attended a mixed approach reported higher levels of school belonging than those in other models, no differences emerged on the other indicators. We discuss the implications of our findings for the schooling of newly arrived refugees.

Mining in Poland in Light of Energy Transition: Case Study of Changes Based on the Knowledge Economy

Implementing climate policy goals, such as achieving climate neutrality by 2050, requires significant transformation of the mining sector—which for some countries and regions where mining is still the basis of the economy and part of the identity is very difficult and results in significant social and economic costs. Focusing on regional aspects and characteristics of the mining sector in Poland and its impact on energy security, the paper provides insight into the noticeable process of mining modernization in the globalized world economy through its transition from the industrial era to a knowledge-based economy and the impact of these changes on regional development. The described process is directly related to implementation of innovative and new technical concepts and technological solutions for the mining industry. The indicated changes imply the need to redefine operating principles and organizational models in the mining industry in order to build responsive solutions based on innovations—shaping modern (intelligent) mining of the future—while at the same time being part of the transformation of (post-)mining regions into a multi-industry region. All the described elements are proposed as supporting elements of the transformation process—to ensure full use of the technological and infrastructural potential during the energy transition process.

Analysis of Organizational Models of Disaster Medicine Service of the Ministry of Health of the Russian Federation at Regional Level

The results of study and analysis of organizational and functional changes in the Disaster Medicine Service of the Ministry of Health of Russia at the regional level, organizational models of the Disaster Medicine Service functioning in the subjects of the Russian Federation are presented. The study was conducted at the All-Russian Center for Disaster Medicine “Zashchita” (since 2015) and at the Federal Center for Disaster Medicine of the National Medical and Surgical Center named after N.I. Pirogov of the Ministry of Health of Russia. The purpose of the study is to analyze organizational models of the Disaster Medicine Service functioning at the regional level. Materials and research methods. The following methods were used in the study: expert evaluation, statistical, analytical, field observation, etc. The method of expert evaluation was applied through questionnaire survey of experts – Russian experts in the field of disaster medicine and emergency medical care. The questionnaires were filled in twice – questionnaire №1 – in 2015 and questionnaire №2 – in 2019-2020; a total of 529 people took part. Questionnaires № 1 and № 2 included questions and provisions relating to organizational models of the Disaster Medicine Service functioning at the regional level and to organizational and functional changes in the Disaster Medicine Service of the subjects. Results of the study and their analysis. The results of the research helped to formulate a number of principle statements on further improvement of the Disaster Medicine Service, including development of organizational structure, implementation of its organizational models at the regional level.

Short Communication: Opportunities and Challenges for Early Person-Centered Care for Older Patients in Emergency Settings

The provision of person-centered care (PCC) for older adults in emergency settings is important. This short communication explores the complexity of providing comprehensive PCC for older adults in emergency settings, based on a synthesis of existing literature and empirical data from a small-scale case study on the potential of improving patient engagement in a Danish emergency department (ED). Our findings highlight overall positive attitudes towards PCC, as patient engagement is perceived as important and feasible during the waiting hours that older patients experience. However, the key challenges include barriers in organizational structures and cross-sectoral care coordination. We conclude that staff education, optimized care coordination across sectors, and increased involvement of geriatric nurses may enhance the provision of PCC for older, complex adults in EDs. We further conclude that future research into the feasibility and effects of structured approaches for providing PCC in EDs is needed, including exploration of organizational models for PCC.

Common Digital Space Scientific Knowledge Designing: Theoretical and Methodological Problems

Unsolved methodological problems of creating a single digital knowledge space are considered. The methodology of information space intellectualization is presented as one of the priority trends of modern information development. The characteristics of the information infrastructure of the digital economy are defined: intellectual type of scientific knowledge storage, visibility. Actual theoretical problems that require operational solutions in the context of designing a single digital space of scientific knowledge are formulated. Solutions to the problems of selecting objects of information modeling and reflection, dialectics of individual and system objects in the structure of a single digital space of scientific knowledge, industry-specific and differentiated approaches to the design of a single digital space of scientific knowledge are proposed. Organizational models of the unified digital space of scientific knowledge are considered. The idea of a single digital space of scientific knowledge is considered through the prism of the experience of organizing inter-organizational projects in the Russian information market.

Prospects for the Nomadic Education Development in Russia

The subjects of the Russian Federation located in the regions of the North, Siberia and the Far East are characterized by attention to the issues of preserving the traditional way of life of nomads-reindeer herders, hunters and fishermen. At the same time, it remains relevant to study the issues of organizing the education of children traveling with their parents in the tundra and taiga. The purpose and objectives of the study are related to the hypothesis of the transformation of educational activities and the creation of new models of education in the nomadic region. Within the framework of the study, the level of education of parents from among representatives of indigenous small numbered peoples engaged in reindeer husbandry, the possibility of expanding the family form of education and increasing the availability of all levels of education in remote form was monitored. The monitoring was attended by representatives of the Amur, Arkhangelsk, Magadan regions, the Republic of Sakha (Yakutia), Khanty-Mansiysk, Yamalo-Nenets, Chukotka Autonomous district, Taimyr Dolgan-Nenets Municipal District of the Krasnoyarsk Territory of the Russian Federation. In addition, cases of pilot family nomadic preschool and school groups have been collected and analyzed. As a result, the need for providing affordable secondary general education, secondary professional pedagogical education in correspondence form, using distance technologies has been identified. Strategies for the further development of nomadic education are proposed. Based on the analysis of empirical material obtained during field research in 2019–2020 and interregional round tables on the topic of nomadic education (March, April 2021), prospect models for organizing the education of the nomadic population in the conditions of digitalization have been developed. The article will be useful for the organizers of indigenous peoples’ education in order to improve the system of nomadic education in Russia. Keywords: transformation of education, nomadic education, indigenous peoples, digitalization, prospect organizational models

PLANEJAMENTO: LEITURA HIERÁRQUICA E ESTRATÉGICA EM UM CONTEXTO GOVERNAMENTAL

From a hierarchical and rational perspective, the main pinpointed advantage in adoption of planning systems is to allow the organizations to delineate its own future, accordingly, aimed environmental development. Understanding the planning as a process implies the acknowledgment that such activity does not exhaust itself with the conception of a plan, a program, or a project. Otherwise, through a strategic perspective literature shows creative organizational models where the conception of planning incorporates intuition, creativity and innovation to the institutional routine and decision-making processes in a way that maximizes value creation. Therefore, it seizes a determinant role to the strategic management of institutions. The aim of this study is to bring an interpretation of the planning activity through strategic and rational perspectives while considering the constitutional attributions of such planning activity in Brazil along the last decade.

COPING WITH THE DYNAMICS OF URBAN SUSTAINABILITY: POSITIONING URBAN EXPERIMENTATION PLATFORMS AS TOOLS FOR POLICY MAKING

This research considers the creation of resilient organizational models of urban governance to foster urban sustainability. Building on large-scale urban experimentation initiatives, we identify relevant factors in establishing urban experimentation with the help of digital platforms as a means to support such resilient organizational models. Our findings suggest that digital platforms help establish urban experimentation platforms (UXPs) as a core means to innovate towards urban sustainability. UXPs utilize digital platforms to coordinate policy measures and stimulate collective intelligence in order to reach a sustained local socio-technical transformation process. Based on these empirical findings, we use a systems lens to decompose urban experimentation into interconnected sub-systems and then describe some characteristics of their dynamic interaction. Our goal is to develop a System Dynamics model and simulations to support urban public authority decision makers in formulating and implementing policy interventions towards urban sustainability.