Human Geography Research Articles

System-wide health needs segmentation: innovating integrated care for complex needs households

Abstract Background Health needs segmentation is increasingly used in healthcare delivery and health policy planning to cater for diverse population groups and develop effective and equitable health policies. But existing models often lack a systemic approach, focusing instead on single conditions or settings. This leads to fragmentation, gaps and inefficiencies in service provision and inequities in health outcomes, particularly when addressing complexity, and specifically for children, as adversity clusters in families. Aims To develop a household health needs segmentation model to identify those households with children with high levels of complex cross-sectoral needs, to plan for integrated care services. Methods Data linkage of primary, secondary, mental, community and social care services, mortality records, residential information, and small-area multiple deprivation measures was used to design a rule-based model to identifying households with children with the most complex needs in the UK region of Cheshire and Merseyside (C&M), with large variation in demography, (human) geography, and deprivation. Results Of 2,645,329 individuals in C&M (97% of the registered population in 2021), 1,022,840 lived in 266,939 households with children aged 0-16: 21,527 households had complex needs. This 8% of families accounted for an estimated 34% of health and social care costs for families, £362 million in total, 42% of which spent on children in care of local authorities. Implications The model identified a specific group of families with complex service use patterns, high mental and physical comorbidity and socioeconomic vulnerabilities. These exhibit potential for improved outcomes through better integration of services and targeting of community building and family support resources. Conclusions Our model represents a significant innovation in health needs segmentation. By using whole system linked data, it provides a pragmatic way of profiling complexity for proactive care. Key messages • Complex health and social problems in children cluster in families with adults also having complex needs, so we need to transform fragmented services to support the whole family to improve outcomes. • Household level segmentation using cross-sectoral, whole system data is an innovation to identify households with complex needs with respect to their locality to improve integration of support.

Challenges and opportunities for open access book publishing: A perspective from a society publisher in the geosciences

AbstractThe American Geophysical Union (AGU), a scholarly society serving the Earth and space sciences, has a conventional books portfolio with their publisher, Wiley, and a new partnership with the Geological Society of London for an open access (OA) book series. The latter serves authors who need (because of funding mandates) or want to publish OA and comes with added benefits, including a production workflow to facilitate faster times to online publication. Flexibility in how the costs of individual volumes can be covered aims to encourage uptake, but challenges lie ahead in ensuring that all authors can equitably choose OA for their book project. This commentary contributes to the collection in Area about the evolving OA books landscape, addressing many of the challenges described by Gandy, and describing the start of AGU's journey towards OA books. It brings a perspective from the sciences, where books are mostly large, edited volumes with many international contributors, many of them physical geographers. Their experiences of funding, motivation and recognition for contributing to books may be quite different to human geographers more familiar with the sole‐authored monograph format.

Amorphous infrastructure: Contesting the proposed Yuam River water diversion project in the Salween River Basin

Recent studies in human geography and political ecology have examined the anticipatory politics of proposed infrastructure and their effects. Less work analyses how speculation and rumour are mobilised to promote or resist such infrastructures. In this paper, I examine how speculative ideas about long-proposed hydropower dams and transbasin water diversions in the Salween River Basin are strategically deployed by differently placed actors working towards project development or demise. I draw on empirical research on the proposed Yuam River water diversion project in Northwest Thailand and near the Thai–Myanmar border. I develop a conceptualisation of proposed infrastructures as amorphous as they constantly change form and enrol a shifting network of actors, and development plans and imaginaries. The Yuam diversion becomes amorphous through the contested ‘facts’ of the case and over time. I illustrate this using two longitudinal examples. First, infrastructure is made amorphous through protracted development processes for the Yuam diversion and earlier iterations. Second, I examine speculative ideas about how the Yuam diversion is intertwined with proposed dams in the Basin including the Hatgyi Dam in Myanmar. In this case, the lack of confirmed project developers and financiers for the Yuam diversion, and rumours of Chinese actors’ involvement under the Belt and Road Initiative, creates strategic space for project promotion and resistance. What is at stake is not just theorising proposed infrastructures as speculative ideas but how the ‘amorphous’ qualities of infrastructure are deployed strategically, by whom, and to what effect.

When the ‘inclusive turn’ fuels the entrepreneurial city: Critical perspectives from Singapore

The rise of the notion of ‘inclusion’ in urban planning, seen in phrases like inclusive city, calls for a critical analysis of its evolving meaning and its spatial, social and political implications. Paradoxically, the meaning of urban inclusion has narrowed such that it now primarily refers to accessibility for people with disabilities. At the intersection of urban studies and critical disability studies, our article investigates the conceptions, criteria and modes of production underlying the implementation of urban inclusion in Singapore's ‘Enabling Village’, a purportedly inclusive space opened in 2015. We use a mixed‐methods approach, analysing official narratives and conducting site visits to understand the site as both an appropriated and a branded space. We show that, in Singapore, the inclusion agenda interacts with the city‐state's distinctive approach to planning and governance, where social issues are ‘engineered’ and give rise to replicable operational models. Our hypothesis is that implementing the inclusive city through the production and promotion of ‘inclusive’ urban projects such as the Enabling Village fuels the expansion of Singapore as a state‐led ‘entrepreneurial city’ (Harvey, Geografiska Annaler. Series B, Human Geography 1989; 71(1):3–17). In particular, operationalising ‘urban inclusion’ in this way allows for the reinvention of Singapore as a global urban model.

Alternative organization without vertical hierarchies of spatial scale?

Vertical hierarchies of spatial scale—where society in general, and organizations in particular, are differentiated into levels of spatial size—have often been criticized by those encouraging alternatives to capitalist organizing. These vertical scalings are said to promote authoritarianism, a monolithic capitalist economic system, uneven concentrations of social and organizational power and wealth, and ecologically destructive organizational growth. Consequently, so the argument goes, alternative organizing must scale horizontally whereby smaller organizations autonomously associate together into loose networks or federations. The aim of this contribution is to problematize such critiques of vertical hierarchies of scaling for alternative organization. To do so, I combine Management and Organization Studies (MOS) scholarship on scaling alternative organization with two theorizations of the politics of scale in human geography—namely those derived from Neo-Marxist Political Economy and Actor-Network Theories. My argument is that all those looking to understand and encourage the scaling of alternatives to capitalist organizing should engage with and not simply reject vertical scalar hierarchies.

Critical geographies of the circular economy

Critical geographies of the circular economy

Advocating a place-space duality for an accounting research agenda

PurposeThe paper proposes a place-space duality, rather than a dualism, for accounting research.Design/methodology/approachThe discussion is informed by the literature in human geography, which, while developing the concept of space, has made an important distinction between abstract space and place as a site of experiential learning and memory.FindingsThe lack of a concept of place is a serious omission in the accounting literature and perpetuates an abstract sense of space, which can restrict the scope of accounting research.Research limitations/implicationsThe paper calls for further research to study accounting in place and to explore both the collective and individual senses of place, as well as conscious and unconscious place associations. We recognise that there is limited prior accounting research on this topic and that there are challenges in conducting such interdisciplinary research, especially as there is a lack of common ground between research in human geography and accounting and little integration of the two literatures.Practical implicationsThe paper proposes an accounting research agenda based on a place-space duality, which reflects the strength of people-place relationships, including place identities, place attachment and place dependence.Originality/valueThe paper provides a critique of the conceptualisation of space in accounting research, identifies place-space as a duality (rather than a dualism) and suggests a novel distinction between studying accounting in context and in place.

Critique beyond relation: The stakes of working with the negative, the void and the abyss

AbstractThe ‘relational turn’ has been widely embraced in Human Geography and related fields over the last couple of decades as an alternative to the hubris of modern and colonial reasoning. Yet, increasingly, concerns over the extent that contemporary conceptualisations are overly ‘generative’, ‘productivist’ and ‘affirmational’ has come to the fore. There is significant interest in the possibilities for more negative understandings, highlighting failure, attrition, voiding, exhaustion, impotentiality, incompleteness and attributes of ‘non‐relation’. We draw out how, to date, most of these approaches have developed a hermeneutic approach, seeking to bring the negative and the non‐relational into the world as forces of disruption and refusal, holding open other possibilities of knowing and being in the world and enabling alternative political imaginaries. This paper seeks to outline an alternative mode of critique, one that places both relational and negative approaches under the scrutiny of an ‘abyssal’ approach. Here, after Fanon, the world violently forged into the global colour line is bifurcated via the construction of the modern subject, capable of reading itself as a subject in the world and through Human Geography as a field of study. In this always already antiblack world, the goal of ‘Abyssal Geography’ is not to continue worlding the modern subject in new ways, but to analyse and critique the mechanisms and shifts in critical thought through which Human Geography continues to salvage and to redeem the purchase of the modern subject and the world.

The impossible and its vicissitudes

In this response, I address the commentaries by Friedrich and Tups and Allahyari on my paper, ‘Geographies of the Impossible’, by engaging with their main arguments, highlighting some key commonalities, and identifying further aspects that could be considered when exploring the impossible in human geography.

Henri Lefebvre and the spatial revolution that never ends: Towards the reconciliation of anarchist and Marxist approaches in geography?

AbstractIt is widely accepted that Henri Lefebvre's Marxism had anarchistic traits, but few have tried to specify what these traits are, or what they mean. This paper argues that Lefebvre's work should be seen as first and foremost an anti‐authoritarian theory that uses space, rather than a spatial theory. Written from a position that refuses to be either just ‘Marxist’ or just ‘anarchist’, this paper makes a claim to the possibility of a radical geography that can engage with and beyond both.

DCV2I$\text{DCV}^2\text{I}$: Leveraging deep vision models to support geographers' visual interpretation in dune segmentation

AbstractVisual interpretation is extremely important in human geography as the primary technique for geographers to use photograph data in identifying, classifying, and quantifying geographic and topological objects or regions. However, it is also time‐consuming and requires overwhelming manual effort from professional geographers. This paper describes our interdisciplinary team's efforts in integrating computer vision models with geographers' visual image interpretation process to reduce their workload in interpreting images. Focusing on the dune segmentation task, we proposed an approach called featuring a deep dune segmentation model to identify dunes and label their ranges in an automated way. By developing a tool to connect our model with ArcGIS—one of the most popular workbenches for visual interpretation, geographers can further refine the automatically generated dune segmentation on images without learning any CV or deep learning techniques. Our approach thus realized a noninvasive change to geographers' visual interpretation routines, reducing their manual efforts while incurring minimal interruptions to their work routines and tools they are familiar with. Deployment with a leading Chinese geography research institution demonstrated the potential of in supporting geographers in researching and solving drylands desertification.

Geography of research networks in the Big South of Russia

The geography of research and innovation activity is a traditional topic of research in human geography. Classical studies of the clustering and diffusion of innovation in the 1960s and 70s received a new impetus in the 21st century with the understanding of the openness of innovation and the importance of interregional collaborative networks. Digitalization has played an important role, providing access to new sources of large geocoded data on the movement of key elements of the knowledge economy, including publications as a formalized outcome of scientific activity. The purpose of the article is to identify the center-periphery research ties of one of the largest macroregions of Russia – the Big South of Russia. The aim was to assess the territorial patterns of interregional research networks with the identification of gravity poles and interconnections at the local and national levels. The study uses the method of spatial scientometrics. Geocoded data on publications from the Scopus bibliographic database were used. In the course of the study the hypotheses of “Moscow-centricity” and “St. Petersburg-centricity” of the knowledge domain of the macroregion are tested, the influence of the factor of geographical proximity and the role of the diversity of interregional ties are evaluated, and the “heights-lowlands” of the landscape are revealed. The results of the research have shown a high degree of connectivity between the regions of the Big South of Russia in the research area. The hypothesis about the presence of several centers of gravity of scientific activity in the macroregion was confirmed. First of all, the peaks of the “scientific ridge” of the Big South form Rostov oblast with the largest urban agglomeration in the south of the country, the Rostov urban agglomeration, as well as the Krasnodar krai and Volgograd oblast. The hypothesis of the existence of several centers of scientific activity in the macroregion was confirmed. The influence of the factor of territorial proximity in the formation of research ties is not high and is manifested mainly in the southern Russian regions with relatively low indicators of research output (primarily, it is typical for national republics). Interregional research cooperation between advanced regions is not limited to immediate geographical proximity but is due to a combination of non-territorial factors. The “Moscow-centricity” of the scientific agenda of the regions of the Big South of Russia is true for most of the southern regions of the Russian Federation, which is particularly pronounced in regions with low internal scientific potential and in new regions undergoing a period of transformation of their scientific systems.

A JOURNEY THROUGH PLACES OF BELONGING

Via a journey through the academic background of the author, this article aims at articulating the importance of places of belonging for an older migrant population. This work focuses on the sense of attachment to and the identification with places inhabited in later life from the perspective of older Italians in Newcastle upon Tyne, UK. This work offers reflections on ethnography, video documentary and oral history approaches for researchers in the field of social sciences, social gerontology and human geography. Keywords: Ageing, Migration, Place Attachment, Place Identity.

Compensation landscapes

In this contribution, I explore compensation landscapes as a concept through which we can question the nature of ecological urbanism today, as an alliance of environmental degradation, urban development and landscape design. In urbanism and landscape studies, there is currently almost no debate on the spatial dynamics created by the compensation of environmental harm. This is remarkable, as green urban landscapes are increasingly developed through biodiversity offsetting, i.e. the process where open space assets that have been destroyed through urban development are replaced elsewhere. While the literature on these topics is booming in critical geography and political ecology, I explore three scopes in which biodiversity offsetting can be studied as part of urbanism and landscape studies. Through the spatialization of compensation, the linking of offsetting to planning research, and by giving attention to landscape design, this paper frames compensation as a socio-spatial urbanisation project.

Watt sense of community? A human geography agenda on energy communities

Energy communities can potentially advance just transitions towards low-carbon systems by devolving energy production and consumption to local scales. During vibrant debates on evolving energy geographies for more than a decade, human geographers have engaged with conceptualization and emergent models of energy communities in generative ways. We argue for a research agenda where these understandings of space, place and scale enhance research on energy communities. Three points hold particular importance and relevance for this agenda: (a) Pluralising understandings of energy communities, (b) Spatializing perspectives on the potential of energy communities to advance just transitions, and (c) Contextually situating technological-energy innovation strategies.

Cartografía temática y recursos TIC en la enseñanza y aprendizaje de la Geografía regional de Europa

In this article, we present a classroom experience with university students in training to be secondary school geography teachers. It is based on a didactic proposal using thematic cartography (Eurostat, ESPON, ESPON-SIESTA and the Information Society Atlas in Galicia) and ICT resources (statistical sources, free picture banks, aerial photography, Google Earth and Google Maps). The proposal´s aim is to use contents from the regional geography of Europe as a base or starting point to show a series of didactic recommendations for the teaching and learning of geography and social sciences. What is more, everything is with a clear idea, from a descriptive and rote geography to an active and critical geography, in which students participate in the construction of knowledge and increase their ability to reflect on geographical issues. The results of the experience will highlight the value of these tools in secondary education. We had also previously assessed the presence of thematic cartography and ICT resources within the required official Galicia curriculum to teach geography in compulsory secondary education. The idea is to deepen the value of the curriculum in didactic code, to know what tools it offers, how it offers them and with what intentions. This solution, among other opportunities, will allow us to identify a curriculum offering a specific teaching model. On the other hand, it will also give us the opportunity to firmly rebuke all the proposals considered to be erroneous, repetitive, or of little didactic value.

Critical pedagogical engagement with Muslim geographies

In this commentary, I delve into critical pedagogical engagement with Muslim geographies and the Dīn of Islam, daring to go beyond the decolonial. I begin with an exploration of Sidaway's (2023a) discussion of ‘decolonising Muslim Geographies’ in the context of the pedagogical engagement of a female Muslim teacher of geography. I will develop an argument which will encourage critical geographers to ‘learn’ from Muslim geographies in deep and meaningful ways through the rich influential and intellectual traditions within the Dīn of Islam. My reflections will directly respond to Sidaway's call for a possible paradigm shift within the parameters of Eurocentric thinking to share Islamic epistemologies embedded in my own pedagogical approach. This will encompass rich and diverse intellectual traditions of Islam and geographical understanding of the concept of al-Mizān (balance) for the world that we all share.

Geográfia és turizmus. Interjú Hanusz Árpád professzorral [Interjú] = Geography and Tourism: Interview with Professor Árpád Hanusz [Interview

Árpád Hanusz was born in 1946 in Ipolytölgyes. His talent was noticed early on, and at the recommendation of his headmaster, he continued his secondary school studies at the Sztáron Sándor High School, where he graduated in 1964. He completed his higher education at the Nyíregyháza Teacher Training College, majoring in Geography and Biology, and even when he was a college student he considered it important that, in addition to acquiring theoretical knowledge, it is also necessary to make use of practical experience. In 1994, he defended his PhD thesis and successfully completed his habilitation. He was appointed university professor in 2001 in recognition of his decades of teaching and research work of an exceptionally high standard. His field of research changed over time, his interest turned from caving to exploring the issues in human geography. This is how he became a nationally recognized specialist on the socio-economic effects of tourism and its consequences on rural development. Professor Hanusz, known as the ”Teacher of Szatmár”, did a lot for the development of rural tourism not only in Szabolcs-Szatmár-Bereg county, but also beyond the borders of Hungary.

Navigating research ethics during COVID-19 in authoritarian Southeast Asia: a feminist approach to combining online and in-person qualitative methods

ABSTRACT In-person data collection remains the cornerstone of much critical feminist and human geography research, while online and in-person methods are rarely positioned as complementary. Conducting fieldwork during the COVID-19 pandemic prompted me to combine multiple online and in-person qualitative methods in ways that extend methodological debates in human geography. Guided by feminist research ethics, I developed a methodological approach that was necessarily flexible, reflexive, and collaborative to navigate the dilemmas of conducting qualitative fieldwork during COVID-19 and in authoritarian Southeast Asia. Inspired by Guasco’s ‘ethic of not (always) going there,’ I show how online methods can generate meaningful long-term collaborations with civil society actors and build the foundations for engaged in-person fieldwork, if the researcher chooses to ‘go there.’ In-person fieldwork can enrich online methods by providing different embodied experiences and opportunities to build rapport ‘outside’ the formal interview. These research findings are relevant as geographers increasingly turn to online and hybrid methods in a range of contexts where in-person fieldwork is restricted. The ethical considerations outlined here are important for different modes of fieldwork and across contexts, authoritarian or otherwise.

Unbounding the future: New directions for climate‐changed geographies

AbstractThis commentary reflects on the contributions that human geography has made to climate change research, as well as future directions for human geographic work on climate change. I suggest that one of the key achievements of the field is to render climate change a boundary object: an entity whose interpretive flexibility allows it to become a shared object of knowledge that, in principle, facilitates collaboration across disparate communities of practice. However, the ways in which that contribution has been made, and made possible, have effects that ripple elsewhere. While the subfield of political ecology and its historiographical methods have played vital roles in laying the intellectual foundations for human geographic work on climate change, and thus its ability to construct climate change as a boundary object in the first place, I suggest that they and other neo‐Marxian approaches to the study of the (climate‐changing) environment tend to diminish human geographic engagement with the future as an object of scholarly inquiry. To address that limitation and help push climate‐changed geographies in novel directions, I suggest that climate‐changed futures be engaged problematically. I then conclude with a discussion of key empirical domains—chiefly climate reparations and climate adaptation—where such problem‐oriented work may be productively applied.