Rethinking health planning: a framework for organising information to underpin collaborative health planning

Barriers and Facilitators to Accessing Digital Health Tools Faced by South Asian Canadians in Surrey, British Columbia: Community-Based Participatory Action Exploration Using Photovoice

BACKGROUND

South Asian community members in Canada experience a higher burden of chronic disease than the general population. Digital health innovations provide a significant opportunity to address various health care challenges such as supporting patients in their disease self-management. However, South Asian community members are less likely to use digital tools for their health and face significant barriers in accessing them because of language or cultural factors.

OBJECTIVE

The aim of this study is to understand the barriers to and facilitators of digital health tool uptake experienced by South Asian community members residing in Canada.

METHODS

This study used a qualitative community-based participatory action research approach. Residents from Surrey, British Columbia, Canada, who spoke 1 of 4 South Asian languages (Hindi, Punjabi, Urdu, or Tamil) were invited to participate in focus group discussions. A subsample of the participants were invited to use photovoice methods in greater depth to explore the research topics.

RESULTS

A total of 197 participants consented to the focus group discussions, with 12 (6.1%) participating in the photovoice phase. The findings revealed several key obstacles (older age, lack of education, and poor digital health literacy) and facilitators (social support from family or community members and positive attitudes toward technology) to using digital health tools.

CONCLUSIONS

The results support the value of using a community-based participatory action research approach and photovoice methods to engage the South Asian community in Canada to better understand digital health competencies and needs. There were several important implications for policy makers and future research, such as continued engagement of community leaders by health care providers and administrators to learn about attitudes and preferences.

Different Roles of Telehealth and Telemedicine on Medical Tourism: An Empirical Study from Azerbaijan

With the rapid progress in mobile healthcare and Internet medicine, the impact of telehealth and telemedicine on the satisfaction of patients and their willingness to travel has become a focus of the academic research community. This study analyses the differences between telehealth and telemedicine and their role in medical tourism. We examine how the information quality and communication quality of telehealth and telemedicine influence patient satisfaction, and their effects on patients' willingness to undertake medical travel and on their medical travel behaviours. We conducted an empirical study on the use of telehealth and telemedicine and on medical travel behaviour in Azerbaijan using a survey for data collection. A total of 500 results were collected and analysed using SmartPLS 3.0. Results show that (1) the communication quality and information quality of telehealth and telemedicine and their effects on satisfaction have significantly positive influences on willingness to undertake medical travel; (2) the psychological expectations of value and cost (perceived value and perceived cost) have a positive influence on medical travel; and (3) willingness to participate in medical travel positively influences medical travel behaviour. Moreover, results of this study have implications for research on, and the practice of, using telehealth and telemedicine as they relate to medical tourism. This research may help improve knowledge about telehealth and telemedicine and understand the differences between them in detail. This empirical research model may also be useful for researchers from other countries who wish to measure medical travel behaviour.

Social Inclusion Indicators for Building Citizen-Centric Smart Cities: A Systematic Literature Review

Despite the rhetoric of “citizen-first,” which has been tokenized in recent years by the smart city administrations, what it means has long been unclear to many, including the public at large. Put simply, this rhetoric concerns the mindset of the members of a local community and places them at the heart of the smart city initiatives. In order to bring further clarity to this issue under the current neoliberal urbanism, this study aimed to identify the key indicators of citizen-centric smart cities from the perspective of participative governance practices and citizens’ responsibilities. To achieve this aim, this study involved a systematic literature review of the social inclusion indicators for building citizen-centric smart cities. The social inclusion indicators that were formed were verified by practitioners to suit the local contexts of an emerging and developing country, in this case, Malaysia. The findings of the review revealed that: (a) the acceptance of social inclusion indicators was mainly limited to the realm of democratic developed countries, leaders’ understanding of citizenship, the delegation of decision-making power in governance practices, the participative culture of societies, and individual citizens’ self-discipline; (b) the social inclusion indicators may not be welcomed in emerging and developing countries; (c) in the long term, these indicators would shed light on the rise of self-organizing cities that will gain popularity in potential city developments, be it in developed or developing countries.

Towards Australian Regional Turnaround: Insights into Sustainably Accommodating Post-Pandemic Urban Growth in Regional Towns and Cities

The COVID-19 pandemic has made many urban policymakers, planners, and scholars, all around the globe, rethink conventional, neoliberal growth strategies of cities. The trend of rapid urbanization, particularly around capital cities, has been questioned, and alternative growth models and locations have been the subjects of countless discussions. This is particularly the case for the Australian context: The COVID-19 pandemic heightened the debates in urban circles on post-pandemic urban growth strategies and boosting the growth of towns and cities across regional Australia is a popular alternative strategy. While some scholars argue that regional Australia poses an invaluable opportunity for post-pandemic growth by ‘taking off the pressure from the capital cities’; others warn us about the risks of growing regional towns and cities without carefully designed national, regional, and local planning, design, and development strategies. Superimposing planning and development policies meant for metropolitan cities could simply result in transferring the ills of capital cities to regions and exacerbate unsustainable development and heightened socioeconomic inequalities. This opinion piece, by keeping both of these perspectives in mind, explores approaches to regional community and economic development of Australia’s towns and cities, along with identifying sustainable urban growth locations in the post-pandemic era. It also offers new insights that could help re-shape the policy debate on regional growth and development.

How can social media analytics assist authorities in pandemic-related policy decisions? Insights from Australian states and territories

BACKGROUND AND OBJECTIVES

Due to COVID-19, various countries introduced lockdowns and limited citizen movements. These restrictions triggered an increased use of digital technologies and platforms by the public. This provides an opportunity for the authorities to capture public perceptions on COVID-19 from social media channels to make informed decisions. The use of social media analytics during pandemics for decision-making, however, is an understudied area of research. Thus, this study aims to generate insights into how social media analytics can assist authorities in pandemic-related policy decisions.

METHODS

This study involved a social media analysis approach-i.e., systematic geo-Twitter analysis-that contains descriptive, content, sentiment, and spatial analyses. Australian states and territories are selected as the case study context for the empirical investigation. This study collected 96,666 geotagged tweets (originated from Australia between 1 January and 4 May 2020), and analysed 35,969 of them after data cleaning.

RESULTS

The findings disclose that: (a) Social media analytics is an efficient approach to capture the attitudes and perceptions of the public during a pandemic; (b) Crowdsourced social media data can guide interventions and decisions of the authorities during a pandemic, and; (c) Effective use of government social media channels can help the public to follow the introduced measures/restrictions.

CONCLUSION

The findings are invaluable for authorities to understand community perceptions and identify communities in needs and demands in a pandemic situation, where authorities are not in a position to conduct direct and lengthily public consultations.

Social Care Insurance: A Review of Psychological Influences on Uptake

There is not currently a developed market for long-term social care insurance in England. Policymakers are interested in what behavioral influences should be considered in the design of insurance products for long-term social care to increase uptake. This review describes the behavioral factors that might be barriers or facilitators of uptake and could be considered in future policy solutions. Behavioral factors include psychological capabilities (knowledge and understanding), which are important given that public knowledge on this topic is poor. Psychological motivations (reflective or automatic biases) may also influence consumers' decision-making. Cultural factors such as language barriers and family norms for caring are considered. Overall, the authors demonstrate processes by which the uptake of long-term social care insurance can be encouraged, pertinent to policymakers.

Factors Affecting Electric Vehicle Uptake: Insights from a Descriptive Analysis in Australia

Transport activities are among the major contributors of greenhouse gas emissions and the resulting global climate crisis. Despite some efforts in shifting from internal combustion engines to electric motors, the global market share of electric vehicles (EVs) is very low—about 1%. This figure even goes as low as 0.4% for some developed countries—e.g., Australia. There is a growing, but still limited, number of studies investigating the key factors affecting the uptake of EVs. Additionally, there is no regional analysis in late-moving countries, which would provide knowledge for a better understanding why some countries are falling behind in the EV market. This paper focuses on Australia as a late mover in the EV market and generates insights into a regional analysis of key factors affecting the uptake of EVs. The unit of analysis for this study is determined as the states and territories of Australia. The methodologic approach of the study includes a descriptive analysis of publicly accessible fast and slow charging stations in Australia, the distribution of renewable energy, as well as electric vehicle sales in Australia, along with further factors relating to differences in income and education and subsidies for EVs from the government. The findings of the study reveal that (a) EV uptake conditions is an emerging research topic; (b) renewable energy, EV subsidies, charging stations, income, and education do generally favor EV sales in Australia; (c) the Australian Capital Territory has the highest readiness level among all the Australian states and territories; and (d) future research should be conducted on a local government level to capture the local readiness levels accurately. The study findings inform policymakers, car manufacturers, the energy sector, and scholars on the critical success factors for the uptake of EVs in Australia.

A Comparison of a Smart City’s Trends in Urban Planning before and after 2016 through Keyword Network Analysis

The aim of this study was to explore the keywords related to smart city concepts, and to understand their flow. This research used a keyword network analysis by collecting keywords from papers published on the web from Scopus, which is an international scholarly papers engine. The data were collected from before and after 2016, and since the amount of data has been growing rapidly after global agreements such as the United Nations’ Sustainable Development Goals (SDGs) in 2015, we attempted to focus on adjacent years of publication. In order to understand the flow of research, we conducted a central analysis, which is widely used in quantitative research relating to social network analysis, and performed cluster analysis to identify relationships with related research. The results of the analysis are represented in the form of network maps, and the role of each keyword was clarified based on these network maps. In addition, the overall flow explained the change of flow through discarded and emerging keywords, and the relationships with related fields were explained through cluster analysis. The findings could serve as a basis for policymakers, urban managers, and researchers seeking a comprehensive understanding of the smart city concept in urban planning areas.

Blue and Green Spaces as Therapeutic Landscapes: Health Effects of Urban Water Canal Areas of Isfahan

Blue and green spaces contribute to the quality of cities in various ways—ranging from providing air corridors and visual amenities to positively affecting public psychological health and wellbeing. Urban blue and green spaces had geopolitical and agricultural functions in the past. These functions are still evident in many cities. They also provide ecological qualities for the surrounding (sub)urban neighborhoods. While in recent decades, many studies have explored the features and characteristics of urban blue and green spaces that are associated with positive health benefits, the healthy lifestyle promoting role of artificial water canals has received little attention. This case report investigates the canals in Isfahan from Iran that branch off from the Zayandeh Rood River and provide blue and green corridors to the city. The aim of this case report study is to explore the health aspects of urban water canals in physical, mental, and social dimensions based on the residents’ experiences. The study develops a framework for assessing the quality of therapeutic effect of canals in Isfahan, Iran. The paper employs qualitative content analysis as the methodological approach. In total, 200 people from the residential neighborhoods of the Niasarm Canal participated in semi-structured interviews in early 2018. The results of this research reveal that the canal—with ‘upgrade of active life’, ‘sense of rehabilitation, relaxation and concentration along with the canal’, ‘promotion of social life’, and ‘place identity’ characteristics—plays an important therapeutic role on the physical, psychological, and social health conditions of local residents.

Health and human development in Kenya

Purpose

This paper aims to critically analyze the empirical literature on health and human development in high-, middle- and low-income countries to develop a sustainable model for investing in human health. The model is critical in building a comprehensive health-care system that fosters the stakeholders’ financial stability, economic growth and high-quality education for the local community.

Design/methodology/approach

A comprehensive literature review was carried out on health, human development and sustainable health investment. After thoroughly examining theoretical frameworks underlying the strategies of successful human health systems, a summary of empirical articles is created. Summaries provided in this paper represent relevant health-care strategies for Kenya.

Findings

Based on the empirical review of literature, a Nexus Health Care model focusing on human development, social and cultural development, economic development and environmental development in high-, middle- and low-income countries is proposed. The goal of this model is to enhance sustainable development where wealth creation is accompanied with environmental uplifting and protection of social and material well-being.

Research limitations/implications

This paper is limited to a comprehensive literature review presenting empirical evidence of human development and sustainability.

Originality/value

Kenya like other developing nations aspires to contribute significantly in improving health through development of health products but the approaches used have been limiting. In most cases, the use of Western theories, lack of empowering the community and dependence on donor support have hindered the country from achieving comprehensive health and human development. This papers seeks to develop a model for health-care investment and provide strategies, operations and structure of successful health systems and human development for a developing country, such as Kenya.

Spaces of knowing: an Australian case study of capacity building across boundaries in a health promotion learning network

This article explores the potential for health promotion capacity building across boundaries in a place-based health promotion learning network generated as part of a recent Australian Research Council-funded project in Queensland, Australia. We emphasise in particular the potential of creating new 'at the boundary' spaces of knowing that encourage and enable health promotion workers to work in interdisciplinary and intersectoral ways. The article discusses the way that diverse health promotion workers from different disciplines and government and non-government organisations came together to learn 'how to do' in new or re-invigorated ways. For many network participants, this cross-boundary space of knowing and capacity building provided a welcome respite from their daily contexts of practice which may be limited by institutional, disciplinary or other boundaries.

Web-based geo-visualisation of spatial information to support evidence-based health policy: a case study of the development process of HealthTracks

Place is of critical importance to health as it can reveal patterns of disease spread and clustering, associations with risk factors, and areas with greatest need for, or least access to healthcare services and promotion activities. Furthermore, in order to get a good understanding of the health status and needs of a particular area a broad range of data are required which can often be difficult and time consuming to obtain and collate. This process has been expedited by bringing together multiple data sources and making them available in an online geo-visualisation, HealthTracks, which consists of a mapping and reporting component. The overall aim of the HealthTracks project is to make spatial health information more accessible to policymakers, analysts, planners and program managers to inform decision-making across the Department of Health Western Australia. Preliminary mapping and reporting applications that have been utilised to inform service planning, increased awareness of the utility of spatial information and improved efficiency in data access were developed. The future for HealthTracks involves expanding the range of data available and developing new analytical capabilities in order to work towards providing external agencies, researchers and eventually the general public access to rich local area spatial data.

A Review and Framework for Categorizing Current Research and Development in Health Related Geographical Information Systems (GIS) Studies

OBJECTIVES

The application of GIS in health science has increased over the last decade and new innovative application areas have emerged. This study reviews the literature and builds a framework to provide a conceptual overview of the domain, and to promote strategic planning for further research of GIS in health.

METHOD

The framework is based on literature from the library databases Scopus and Web of Science. The articles were identified based on keywords and initially selected for further study based on titles and abstracts. A grounded theory-inspired method was applied to categorize the selected articles in main focus areas. Subsequent frequency analysis was performed on the identified articles in areas of infectious and non-infectious diseases and continent of origin.

RESULTS

A total of 865 articles were included. Four conceptual domains within GIS in health sciences comprise the framework: spatial analysis of disease, spatial analysis of health service planning, public health, health technologies and tools. Frequency analysis by disease status and location show that malaria and schistosomiasis are the most commonly analyzed infectious diseases where cancer and asthma are the most frequently analyzed non-infectious diseases. Across categories, articles from North America predominate, and in the category of spatial analysis of diseases an equal number of studies concern Asia.

CONCLUSION

Spatial analysis of diseases and health service planning are well-established research areas. The development of future technologies and new application areas for GIS and data-gathering technologies such as GPS, smartphones, remote sensing etc. will be nudging the research in GIS and health.