Suchergebnisse

There is evidence that increased levels of community engagement and social participation can improve population health. Community currencies such as Time Credits are one way to support and encourage people to be more involved in their local community. As a result, they have attracted investment by local governments in the UK, with the hope of finding new ways to work with deprived communities, improve individual outcomes that lead to better health, and reduce the use of public services at a time of financial austerity.

In Ethiopia a woman's identity is linked to her family and the prescribed gender role as a mother and home-maker, yet throughout Ethiopia's history there are examples of women who have roles that extend beyond the home and family into public, political life. This paper briefly describes this dominant gender identity of Ethiopian women before charting the changes to Ethiopian politics and women's place within them. It discusses how the shift to democratic politics opened new spaces for women's civil society activism. However, more recent political moves towards greater repression of civil society have closed the space for women's public, political activism, leaving the future of women's public role in question.

Purpose
This paper asks how the introduction of "smart" digital technologies might affect the goals that can be attributed to telecare for older people, by those coordinating its provision.


Design/methodology/approach
A total of 29 in-depth, qualitative interviews were conducted with local authorities, housing associations and other organisations coordinating smart telecare provision, as well as telecare manufacturers and suppliers. Interviews were analysed by using qualitative thematic analysis.


Findings
The analysis reveals discrepancies between the goals and outcomes of smart telecare provision, according to those coordinating service delivery. This study concludes that the goal for smart telecare to be preventative and cost-efficient may be complicated by various organisational and operational challenges associated with coordinating provision.


Originality/value
New, "smart" telecare technology for older people stands apart from earlier, user-activated or automatic devices. It may have distinct and under-researched organisational and ethical implications.

Time Credits are a form of community currency based upon the reciprocal exchange of time and represent an interpretation of 'time banking' by a UK social enterprise, Spice. This article sets out the contribution made by research on Time Credits to the theory and practice of co-production in public services. Time Credits are intended to improve wellbeing through volunteering and ultimately increase economic participation. There is a focus on communities exhibiting high levels of deprivation within a small Cambridgeshire town (Wisbech, UK) which is geographically isolated and characterised by low-skilled, agri-food based employment opportunities that attracted high levels of inward migration from the A8 EU accession countries. In separating the rhetoric from the reality of co-production, the research aims to shed some light upon the extent to which such initiatives can realistically engender a shift towards a more reciprocal economy in the context of an ongoing programme of fiscal austerity.

OBJECTIVES: Austerity in government funding, and public service reform, has heightened expectations on UK communities to develop activities and resources supportive of population health and become part of a transformed place-based system of community health and social care. As non-monetary place-based approaches, Community Exchange/Time Currencies could improve social contact and cohesion, and help mobilise families, neighbourhoods, communities and their assets in beneficial ways for health. Despite this interest, the evidence base for health outcomes resulting from such initiatives is underdeveloped. STUDY DESIGN: A systematic review. METHODS: A literature review was conducted to identify evidence gaps and advance understanding of the potential of Community Exchange System. Studies were quality assessed, and evidence was synthesised on 'typology', population targeted and health-related and wider community outcomes. RESULTS: The overall study quality was low, with few using objective measures of impact on health or well-being, and none reporting costs. Many drew on qualitative accounts of impact on health, well-being and broader community outcomes. Although many studies lacked methodological rigour, there was consistent evidence of positive impacts on key indicators of health and social capital, and the data have potential to inform theory. CONCLUSIONS: Methodologies for capturing impacts are often insufficiently robust to inform policy requirements and economic assessment, and there remains a need for objective, systematic evaluation of Community Exchange and Time Currency systems. There is also a strong argument for deeper investigation of 'programme theories' underpinning these activities, to better understand what needs to be in place to trigger their potential for generating positive health and well-being outcomes.

Abstract
Today, technological developments are ever-growing yet fragmented. Alongside inconsistent digital approaches and attitudes across city administrations, such developments have made it difficult to reap the benefits of city digital twins. Bringing together experiences from five research projects, this paper discusses these digital twins based on two digital integration methodologies—systems and semantic integration. We revisit the nature of the underlying technologies, and their implications for interoperability and compatibility in the context of planning processes and smart urbanism. Semantic approaches present a new opportunity for bidirectional data flows that can inform both governance processes and technological systems to co-create, cross-pollinate, and support optimal outcomes. Building on this opportunity, we suggest that considering the technological dimension as a new addition to the trifecta of economic, environmental, and social sustainability goals that guide planning processes, can aid governments to address this conundrum of fragmentation, interoperability, and compatibility.