Survey Of Stakeholders Research Articles

Evaluation of the Integrated Service and Referral System Program in Poverty Alleviation In Bantaeng Regency

This study aims to determine the supporting and inhibiting factors in the Implementation of the integrated service and referral system program for poverty alleviation in Bantaeng Regency. This study uses the Convergent Parallel Design approach, which combines qualitative and quantitative methods. Data sources were obtained through in-depth interviews, observations, and surveys of stakeholders and program beneficiaries. Data analysis techniques involve SWOT analysis to identify strengths, weaknesses, opportunities, and threats in program implementation. The results of the study indicate that supporting factors for program implementation include local government commitment and community support. Meanwhile, inhibiting factors include limited Human Resources at the implementing level and challenges in providing accurate and real-time data.

Ethical Implications of AI-Driven Decision-Making in Cloud-Based Services

This paper explores the ethical implications of AI-driven decision-making in cloud-based services, highlighting key concerns such as algorithmic bias, data privacy, accountability, and transparency. As AI systems become increasingly embedded in cloud infrastructures, they raise significant ethical challenges that must be addressed to ensure responsible and fair deployment. The paper examines emerging trends, including explainable AI (XAI), automated fairness tools, and the importance of data governance, which offer solutions to mitigate these challenges. However, it also identifies ongoing issues such as bias in AI models, inadequate data privacy protection, cybersecurity vulnerabilities, and the lack of a consistent global regulatory framework. A survey of industry stakeholders reveals that data privacy and algorithmic bias are perceived as the most pressing challenges. The paper also discusses strategies to overcome these issues, such as fostering collaboration across stakeholders, investing in continuous monitoring, and developing global ethical standards for AI systems. Ultimately, the paper calls for a multi-faceted approach combining innovation, regulation, and accountability to ensure that AI-driven decision-making in cloud-based services is ethical, transparent, and beneficial for all stakeholders.

The Impact of Stakeholder Communication and Coordination on Project Outcome

Stakeholder communication and coordination are crucial for project success. Effective communication keeps stakeholders informed about project progress, promoting openness and trust. Coordination allocates tasks and resources, preventing misunderstandings and enhancing decision- making. Poor engagement can lead to misunderstandings, rework, and missed deadlines. The impact of communication on project quality, highlighting that it goes beyond time, money, and quality standards, requiring stakeholder satisfaction. Effective stakeholder communication significantly influences project success in complex construction projects, reducing failure rates due to inadequate communication. Stakeholder conflicts in construction often arise from conflicting interests, leading to reworks, disputes, and cost overruns. Effective involvement of stakeholders during pre-construction stages is crucial, as demonstrated in Malaysia and New Zealand case studies. the importance of clear project scope and effective internal communication in enhancing project success, cost, and schedule performance among stakeholders. A survey of Turkish overseas stakeholders revealed that communication barriers negatively impact stakeholder management (SMP), while communication behaviours and strategies positively correlate with SMP. Effective communication is crucial for successful international project management. The construction failure factors (CFFs) and stakeholder coordination performance in high-rise building projects are linked, with consultants' lack of capability, overlapping construction sequences, and contractors' lack of experience being the most significant CFFs. Stakeholder involvement is crucial for infrastructure project success. Interviews with professionals reveal organizational characteristics, activities, and success factors. A framework model identifies three management levels and project success degrees. Effective communication and stakeholder coordination are crucial for successful construction projects, ensuring efficiency, clarity, and teamwork across all stages, reducing misunderstandings and promoting trust. Key Words: stakeholder, communication, project, time, qualitative.

Knowledge mobilisation of rapid evidence reviews to inform health and social care policy and practice in a public health emergency: Appraisal of the Wales COVID-19 Evidence Centre processes and impact, 2021-23.

The Wales COVID-19 Evidence Centre (WCEC) was established from 2021-23 to ensure that the latest coronavirus (COVID-19) relevant research evidence was readily available to inform health and social care policy and practice decision-makers. Although decisions need to be evidence-based, ensuring that accessible and relevant research evidence is available to decision-makers is challenging, especially in a rapidly evolving pandemic environment when timeframes for decision-making are days or weeks rather than months or years. We set up knowledge mobilisation processes to bridge the gap between evidence review and informing decisions, making sure that the right information reaches the right people at the right time. To describe the knowledge mobilisation processes used by the WCEC, evaluate the impact of the WCEC rapid evidence reviews, and share lessons learned. Our knowledge mobilisation methods were flexible and tailored to meet stakeholders' needs. They included stakeholder co-production in our rapid evidence review processes, stakeholder-informed and participatory knowledge mobilisation, wider dissemination of outputs and associated activities including public engagement, capacity building and sharing of methodologies. Feedback on processes and evidence of impact was collected via stakeholder engagement and a stakeholder survey. Findings indicate that knowledge mobilisation processes successfully enabled use of the WCEC's rapid evidence reviews to inform policy and practice decision-makers during the COVID-19 pandemic in Wales. Realising actual public and patient benefit from this 'pathway to impact' work will take further time and resources. The WCEC knowledge mobilisation processes successfully supported co-production and use of rapid evidence review findings by scientific advisors and policy and practice decision-makers during the COVID-19 pandemic. Identified barriers and facilitators are of potential relevance to wider evidence initiatives, for setting up similar Centres during crisis situations, and supporting future evidence-based policy and practice decision-making.

Readiness assessment of mountain universities of Pakistan for green campus initiatives

The UN agenda of Sustainable Development Goals (SDGs) 2015–2030 is a holistic approach. Universities play an important role in dissemination of quality knowledge, developing the skills and attitudes of a large number of youth across the world. Though the emphasis on Education for Sustainable Development (ESD) started as early as 1992, yet Universities adopted the concept of Green Campus integrating the environmental, social and economic aspects of sustainability quite recently. In developing countries including Pakistan, the Green Campus Initiatives (GCI) have not been implemented in the majority of the Universities. Northern Pakistan comprising Azad Jammu & Kashmir (AJ&K) and Gilgit Baltistan (GB) faces multiple challenges including Climate Impacts at the top. The fragile ecosystem of the region requires more sustainable initiatives at the University and community levels. In this research, the readiness of the seven universities located in Northern Pakistan have been assessed for GCI on the basis scanning of the websites and questionnaire survey of the relevant stakeholders. The results have shown that there is little commitment of resources for sustainability from senior management, lack of awareness in faculty & staff and less research focus on the related themes of green campus. The co-curricular activities in universities are not linked with sustainability and there are no incentives for faculty, staff and students to this end. It has been recommended that Green Campus Framework may be developed for Pakistani Mountain Universities, with commitment from leaders of the universities and allocation of sufficient resources for development of sustainable campuses. The Higher Education Commission of Pakistan (HEC) needs to allocate special funds for promoting GCI across universities in Pakistan.

Dietary counselling to increase soluble fibre in patients with gynaecological cancers undergoing pelvic radiotherapy: A feasibility study.

This study aimed to determine the feasibility of increasing soluble fibre intake via dietary counselling to improve gastrointestinal toxicity and quality of life in patients with gynaecological cancers undergoing pelvic radiotherapy without adverse consequences on radiation treatment (RT) delivery accuracy. A single-arm, single-centre intervention feasibility trial included patients with gynaecological cancers undergoing pelvic RT ± chemotherapy at a tertiary hospital. Participants were provided weekly dietary counselling over the duration of their RT (5-6 weeks) to increase soluble fibre intake incrementally each week. Stakeholder surveys were also completed. In total, 9 of 14 eligible patients participated (55 years old [SD 13.2], diagnosis: cervical [n = 3], endometrial/uterine [n = 5] and vaginal [n = 1]), with the majority categorised as low fibre consumers at baseline (n = 6). On average, soluble fibre intake increased by 150% throughout treatment. There were no adverse events or major adjustments required for RT delivery. There were improving trends in the functional subset identified. Results may be confounded by the sample size resulting from limited eligibility (n = 14) and a high attrition rate (n = 4). Most participants successfully increased their soluble fibre intake throughout treatment, without significant adverse events noted for RT delivery accuracy. These results provide preliminary data to calculate the sample size required to produce meaningful effect sizes. However, this study highlighted challenges in participant recruitment and retention, with limited organisational support and perceived compatibility.

Exploring perspectives on implementing the World Health Assembly’s Resolution for Strengthening Rehabilitation in Health Systems in Switzerland: a representative rehabilitation stakeholder survey

Purpose In 2023, the World Health Assembly endorsed a Resolution on Strengthening Rehabilitation in Health Systems. This study aims to explore the perspectives of Swiss rehabilitation stakeholders regarding the relevance, challenges, and opportunities of the Resolution for Switzerland. Methods A cross-sectional online survey was conducted among Swiss rehabilitation stakeholders. Purposive snowball sampling with a quota system ensured a representative sample. Survey development and reporting adhered to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Descriptive analysis was applied to quantitative data, while thematic analysis was used for free-text responses. Results A representative sample of 282 Swiss rehabilitation stakeholders completed the survey. Developing multidisciplinary rehabilitation skills emerged as the most relevant action in the Resolution. Primary challenges centred on financing and workforce issues and integrated care, while main opportunities included policy development and advocacy efforts. Conclusion This study enhances the understanding of current challenges and opportunities for rehabilitation in Switzerland. Leveraging this approach and related findings into national and international policy considerations can support policymakers responding in a contextualised manner to the urges of the Resolution.

Development of a core outcome set for psychological therapy trials on acute psychiatric inpatient wards

BackgroundConsensus on what outcomes should be included in trials of psychological therapies on acute psychiatric inpatient wards is currently lacking. Inclusion of different viewpoints, including service user perspectives, is crucial in ensuring that future trials measure outcomes which are meaningful and important. Development of a Core Outcome Set (COS), a minimum standardised set of outcomes to be measured and reported, would help improve synthesis and interpretation of clinical trial data in this area.MethodsStage 1 of the COS development involved compiling a comprehensive long-list of outcomes from key sources including i) a systematic review of outcomes from published trials, ii) online survey of key stakeholders (service users, carers, healthcare professionals, researchers, and end users of research), iii) qualitative interviews with service users and carers. Stage 2 involved stakeholder groups short-listing the outcomes using consensus methods (e-Delphi survey). The final outcome set was derived from the short-list at a consensus meeting of stakeholders, facilitated by an Independent Chair.ResultsA long-list of 68 outcomes was compiled from the systematic review (n = 30 trials), online stakeholder survey (n = 100 participants) and qualitative interviews (n = 15 participants). Fifty stakeholders took part in the e-Delphi study, where the long-list was cut down to a short-list of 12 outcomes over 2 rounds. Nine stakeholders took part in the final consensus meeting, and after some outcomes were removed and/or amalgamated, a final set of 6 outcomes was recommended for inclusion in the COS. These were Ability to Cope, Hopefulness, Quality of Life, Psychosis Symptoms, Mood, and Self-Harm Behaviours.ConclusionsWidespread future adoption of the COS will reduce research waste by ensuring that outcomes are more easily comparable across trials, and that the full range of stakeholder priorities are represented in trial outcomes. This makes it more likely that effective therapies will be identified in a timely fashion and successfully implemented in routine clinical practice. The final 6-outcome COS should be feasible to implement given the need keep participant burden to a minimum in inpatient trials. Further work is needed to make recommendations for the best outcome measurement instruments to use, including the use of patient-reported outcomes alongside clinician-rated measures.Trial registrationNot applicable.

Global Policy and Advocacy Initiatives for Improving Kidney Care: Report from the 2023 ISN-GKHA Study.

National strategies to address chronic kidney disease (CKD) are crucial to support kidney health. Lack of political support in the form of policy decisions and funding leads to fragmentation of kidney care and catastrophic health expenditure. This study used data from the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) to obtain a global overview of the existence and reach of national strategies for kidney care. We leveraged data from an international survey of stakeholders (clinicians, policymakers, and patient advocates) conducted by the ISN between July and September 2022. Data were extracted on existence and scope of national non-communicable disease (NCD) and/or CKD-specific strategies and policies, as well as recognition of kidney disease as a national health priority through participant perception and existence of CKD advocacy groups. Overall, stakeholders from 167 countries responded to the survey representing 97.4% of the global population. National strategies for NCDs were reported by 56% of countries. In 29% of countries CKD was addressed within an NCD strategy while 25% of countries reported CKD-specific strategies. Countries with CKD-specific strategies were more likely to address all CKD populations (non-dialysis dependent CKD, chronic dialysis and kidney transplantation) compared to those with NCD strategies only (51.2% versus 19%). Of the 54% of countries with any CKD strategy 89% reported public funding of the full spectrum of CKD care compared to 64% of those with no CKD strategy. KF, CKD and AKI were reported to be recognized as national health priorities by 63%, 48% and 19% of countries respectively. The inclusion of CKD and kidney failure within national health strategies is frequently lacking. Countries with CKD-specific policies tend to include a broader spectrum of kidney disease populations and to fund kidney care more than those with CKD policies integrated within NCD strategies. Greater global and national prioritization of kidney health are required to reduce global inequities in access to kidney care.

Assessment of Tourism Development in Belarus: A Comprehensive Analysis of Infrastructure, Cultural Heritage and Natural Resources

Purpose: This study examines the development of tourism in Belarus, evaluating its infrastructure, cultural heritage potential, and natural resources. The research aims to identify key factors influencing tourism development and assess their relative impact on the sector's growth. Design/methodology/approach: The study employs a mixed-methods approach, primarily utilizing a quantitative survey (n=512) of local stakeholders across six regions of Belarus, supplemented by comprehensive statistical analysis. The research instrument included 17 structured questions measuring perceptions of tourism development across multiple dimensions. Data analysis was conducted using chi-square tests and Cramér's V coefficient to determine statistical significance and relationship strength. Findings: The results indicate moderate tourism development in Belarus (39% of respondents rated it as average, 42% as high). Infrastructure quality shows significant regional variation (χ2(4)=31.50, p<0.001, V=0.56). Cultural heritage emerged as a primary attraction (72% agreement), while natural resources received varied evaluations (57% highlighting landscape value). The study identified key development barriers: visa restrictions (74% of respondents), insufficient marketing (62%), and underdeveloped transport infrastructure (51%). Research limitations/implications: The study's cross-sectional nature and focus on domestic stakeholders may limit its generalizability. Future longitudinal studies incorporating international perspectives could provide additional insights. Conclusion: The study reveals that Belarus's tourism development exhibits a complex pattern of strengths and challenges. While the country possesses significant potential through its cultural heritage (72% positive evaluation) and natural resources (57% positive assessment), its tourism development is constrained by structural barriers. The research demonstrates that future tourism growth requires a three-pronged approach: (1) systematic infrastructure modernization, particularly in regional areas; (2) reform of visa policies to enhance accessibility; and (3) development of comprehensive marketing strategies. The statistical significance of these findings (p<0.001) supports the need for evidence-based policy interventions. This research contributes to both theoretical understanding of tourism development in transition economies and practical policy formulation, while establishing a methodological framework for future studies in similar contexts.

How and why music therapy reduces distress and improves well-being in advanced dementia care: a realist review

People with advanced dementia are at increased risk of institutionalization and experiencing distress. Research suggests that music therapy could reduce distress, but less is known about the causal mechanisms. Here we conducted a realist review to develop a program theory for how music therapy may reduce distress and improve well-being for people with advanced dementia in institutional settings. Initially, data were extracted from key literature alongside secondary reflexive thematic analysis of semi-structured interviews and stakeholder consultation. Subsequently, systematic literature searches were conducted along with a stakeholder survey. Data were extracted to iteratively refine the rough theory. Finally, the program theory was presented to stakeholder groups for consolidation. The theory outlines the core elements of the music therapy intervention alongside the individual, interpersonal and institutional contexts required to instigate hidden mechanisms, including meeting the unmeet needs of the person with dementia in the moment and increasing communication and understanding of music therapy among staff and family members. Outcomes include short-term reductions in distress and improved well-being, with the potential for music to become embedded in the management of distress and regulation of the care environment within the institution. Insufficient data were found to theorize infrastructural factors impacting the use of music therapy with this population. This theory should be tested through empirical research and used to inform clinical practice and policy.

EDI&S SO05 Barriers to delivering a net zero NHS: An evaluation of Sustainability in Surgery across the Midlands

Abstract Background The healthcare sector is under increasing scrutiny for contributing approximately 4.6% of the UK’s total carbon footprint and 25% of the public sector’s carbon footprint. With support from the UK Health Alliance on Climate Change, the NHS aims to reach a net zero carbon target by 2045 through its Greener NHS campaign. This study aimed to identify key barriers to implementing sustainable practices in the surgical environment. It involved reviewing Green Plans published by Integrated Care Systems (ICSs) in the Midlands, conducting a thematic analysis of relevant literature, and surveying key stakeholders within NHS Trusts in the Midlands. Method Between June and September 2023, Green Plans from 11 ICSs across the Midlands were evaluated by two reviewers for the inclusion of the "key areas of focus" outlined by the NHS Green Plan Guidance. Additionally, three computerised searches were conducted using Ovid MEDLINE and Embase to retrieve abstracts published before May 2023 on reusable surgical gowns, re-sterilisation of surgical energy devices, and operating theatre waste management. Three reviewers screened the abstracts to identify barriers to implementing change. Based on these findings, a framework was developed for the “Supporting a Greener NHS Survey” and disseminated to key stakeholders in the Midlands. Results A heat map was created to assess compliance of each Green Plan with NHS England guidance (Figure 1). The literature search yielded 82 abstracts and key barriers to sustainability were identified as infection control, cost implications, instrument damage, and waste management practices. The survey received 89 responses; 45% did not use reusable drapes at their Trust, 35% did not use reusable gowns, 46% did not use reusable laparoscopic ports, and 59% didn’t know whether their energy devices were recyclable. Key barriers to implementing sustainable change included surgeon preference, financial constraints, and infection control concerns. Conclusion The literature analysis and survey of stakeholders in the Midlands identified several barriers to implementing sustainable changes. With national, regional and local organisational impetus coupled with clinical leadership commitment to sustainability, these barriers can be overcome with multi-disciplinary involvement. By investing in comprehensive training programmes and implementing rigorous quality control measures with input from infection prevention and control teams, clinical leaders and clinicians are best placed to help overcome these barriers and promote sustainability in the surgical environment.

Building Engagement-Capable Environments for Health System Transformation: Development and Early Implementation of a Capability Framework for Patient, Family and Caregiver Engagement in Ontario Health Teams.

Despite widespread calls to involve patients, families and caregivers (PFCs) as partners at all levels of health system planning and design, there is unevenness in how engagement efforts are supported across these settings. The concept of 'engagement-capable environments' offers a way forward to uncover the key requirements for sustainable, high-quality engagement, but more work is needed to identify the specific competencies required to create these environments. We addressed this gap by developing a capability framework for Ontario Health Teams (OHTs), a newly established structure for planning, designing, organizing and delivering care in Ontario, Canada. The framework was co-developed by a Working Group of OHT staff and leaders, PFC partners, researchers and government personnel. Project activities occurred over four phases: (1) planning, (2) evidence review and surveying of intended users to identify key competencies, (3) framework design and (4) implementation. An evidence review identified more than 90 potential competencies for this work. These results were contextualized and expanded through a survey of OHT stakeholders to brainstorm potential competencies, supports and enablers for engagement. Surveys were completed by 69 individuals; 689 knowledge and skill competency statements, 462 attitude and behaviour competency statements and 250 supports and enablers were brainstormed. The statements were analysed and organized into initial competency categories, which were reviewed, discussed and iteratively refined by Working Group members and through broader consultations with the OHT community. The final framework includes six competency domains and four support and enabler domains, each with sub-domain elements, mapped across a three-stage maturity model. The framework has been disseminated across OHTs, and its adoption and implementation are now requirements within OHT agreements. The framework combines a strong conceptual foundation with actionable elements informed by the literature and consultations with the intended users of the framework. Although developed for OHTs, the framework should be broadly applicable to other health system organizations seeking similar health system transformation goals. Patient, family and caregiver partners were involved at all stages and in all aspects of the work. As end users of the framework, their perspectives, knowledge and opinions were critical.

A starting framework for urban AI applications

There has been a growing concern about the ethical implications of Artificial Intelligence (AI) in urban environments. Scholars have highlighted the dual nature of AI, which can both enhance urban sustainability and pose significant privacy risks. The literature acknowledges that AI introduces specific challenges in urban contexts. However, there remains a gap in comprehensive sector-specific ethical frameworks tailored to the unique challenges posed by AI applications in cities. This study aims to fill this gap by proposing a starting framework for the ethics of Urban AI applications, providing principles to guide responsible AI development and deployment in urban settings. The study employed a two-phase methodology: a content analysis of 100 AI ethics documents to develop a preliminary framework, followed by a survey of experts and stakeholders to validate and expand this framework by identifying urban-specific risks and ethical considerations. The developed ethical framework for Urban AI applications provides a starting point to pave the way for ethical and sustainable urban AI systems that enhance the quality of life for all city residents.

Increasing uptake of Live Attenuated Influenza Vaccination (LAIV) in two-year-olds through appointment times and dates: A pilot intervention in Cwm Taf Morgannwg University Health Board

BackgroundThe Live Attenuated Influenza Vaccine (LAIV) protects two-year-old children against influenza and serious illness, however uptake across Wales is sub-optimal and below Welsh Government targets. Awareness of the vaccine and its effectiveness, convenience of appointments/clinics and lack of central appointment provision may influence uptake. We piloted provision of set appointment dates and times to investigate impact on uptake of LAIV amongst two-year-olds and identify potential operational issues in a pragmatic selection of general practices. MethodsParents/guardians of two-year-olds in pilot practices (n=9) were sent a personalised letter using the UK Government Notify System, a scheduled vaccination appointment and an evidence-based Frequently Asked Questions sheet. Children in non-pilot practices (n=37) received a general letter and FAQ sheet, without a scheduled appointment. Intervention practices were selected based on low LAIV uptake amongst two-year-olds in the two previous influenza seasons. A mixed-methods, uncontrolled, evaluation of the pilot included analysis of vaccination practice-level uptake data and qualitative data from baseline and follow-up stakeholder surveys. Further patient-level analysis of the intervention to determine individual effects and impact on deprivation-based health inequalities is planned. FindingsCompared to the previous year, pilot practices saw a median increase in LAIV uptake amongst two-year-olds of 30·4% (IQR 11·7% to 33·6%), whilst non-pilot practices saw a median decrease of 4·7% (IQR 16·0% to 2·2%). Uptake increased for 100% (9/9) of the pilot practices, but for only 35% (13/37) of non-pilot practices, compared to the previous year. Qualitative feedback noted advantages including saved administration time and improved planning, but also disadvantages including wasted clinical time from non-attenders. InterpretationThe findings indicate that issuing appointment dates and times should be considered as part of a range of measures to improve LAIV uptake in two-year-olds amongst low performing practices. However, the pragmatic, unblinded nature of the study design and the within practice annual comparisons are limitations, and mean results should be interpreted with caution. Further controlled evaluation, including assessment of lost time due to DNAs and feasibility of scaling, is needed. FundingThere was no additional funding provided to undertake this study. Staff time was contributed by Cwm Taf Morgannwg University Health Board and Public Health Wales.

3.L. Round table: Outcomes from a public debate on the future health priorities of the European Union

Abstract Objective and background In the run up to the European elections, the European Observatory on Health Systems and Policies facilitated a public debate on the future health priorities of the European Union. The purpose of the debate was to provide insights to the European Commission on the views of stakeholders and the public health community with regards to the future of the European Health Union (EHU). The EHU was established as a comprehensive health systems and public health response to the COVID-19 pandemic, featuring enhanced budgets, expanded mandates for existing bodies, and the introduction of new entities like the Health Emergency Response Authority (HERA) alongside new strategies. Methods The methodology for this comprehensive debate included workshops and plenary sessions at various conferences like the 2023 EUPHA conference in Dublin, an interactive webinar series, and a detailed stakeholder survey featuring both closed and open-ended questions. Data was collected and analyzed using diverse qualitative and quantitative tools, including AI-driven analysis of survey responses. Preliminary outcomes Preliminary analysis shows that participants actively engaged in the debate, and mostly expressed support for the EHU’s achievements to date. There was a consensus on the significant value added by the EHU, with many advocating for stronger EU action on a range of discussion topics. Stakeholders and the public health community could also relate to the discussion framework designed to guide the public debate, which included nine topics: enhancing health security; addressing the determinants of health through Health in All Policies and Health for All Policies; supporting health system transformation; enhancing the labour market for health and care workers; achieving universal health coverage; implementing digital solutions and AI; improving the performance and resilience of health systems; addressing long-term challenges, such as population ageing or climate change; and strengthening the EU’s global voice and leadership. The importance placed on these topics varied among different groups. Young participants prioritized climate-related actions, the public health community emphasized addressing the determinants of health, and policymakers concentrated on issues related to health system resilience, universal coverage, and transformation. Digital solutions and AI were recognized as crucial, but they were typically considered integral and transversal to broader issues rather than standalone priorities. The debate also surfaced priorities not initially included in the discussion framework, such as health promotion, prevention, and equity within health systems, which were repeatedly highlighted. Key messages • The debate on the EU’s future health priorities demonstrates that stakeholders and the public health community acknowledge the value of the EHU and would like to see further action to build on it. • Stakeholders and the public health community have formulated concrete action to take the EHU further. Speakers/Panelists Giada Scarpetti TU Berlin, Berlin, Germany Caroline Costongs EuroHealthNet, Brussels, Belgium Isabel de La Mata DG SANTE, European Commission, Luxembourg, Luxembourg

Engaging Burn Survivors, Their Families, and the Burn Community in Patient-Centered Outcomes Research: A Burn Survivor- and Burn Community Stakeholder-Generated and Prioritized Research Agenda.

Burn survivors are involved in burn research, but typically in the role of research subject. We believe that the outcomes and impact of burn research can be improved by engaging survivors as collaborators in the planning, implementation, and dissemination of burn research. The goal of this work was to produce the first burn research agenda generated and prioritized by burn survivors and other stakeholders from the burn community. A series of structured focus groups covering five topics (Patient and Family Education, Aftercare, Navigating the Healthcare System, Recovery: Physical and Psychosocial, and Barriers to Research) were held with burn survivors and their family members. Specific research questions/topics were identified from the transcripts and prioritized via an anonymous survey of burn survivors, their caregivers, and other stakeholders from the burn community. From these sessions, 37 specific research questions/topics were identified and ranked. In addition, 19 research barriers were identified and ranked. This work presents an innovative approach to burn research through co-production with survivors and other stakeholders. Burn survivors and their caregivers are experts in their lived experiences. By involving them in burn research as collaborators and contributors from the very first steps of research and throughout the continuum of the research planning, conducting projects, and distributing findings, we believe that the research will be both more successful and more impactful. We have taken the first steps in burn research co-production with this novel stakeholder-generated research agenda for the burn community.

Improving Access to Community-Based Services for Sexual Assault Survivors

ABSTRACT Background Emergency department (ED) encounters are often the only healthcare provider encounter for patients seeking care after a reported sexual assault (SA), making the encounter a crucial opportunity to connect patients to support services in the community. An opportunity existed at an urban Level II trauma center to standardize SA discharge planning. Aims This quality improvement project aimed to improve access to SA support services. Methods The Model for Improvement guided two plan–do–study–act (PDSA) cycles. Implementation included (a) creation of a QR-code-accessible SA resource website, (b) ED standardized patient print and electronic medical record after-visit summaries with follow-up guidelines and the QR code, (c) ED staff education, and (d) a community stakeholder survey to assess facilitators and barriers to support services. Results During the first PDSA cycle, 19 reported SA survivors were seen in the ED (18 adult, one pediatric) and 14 SA resource website visits. During the second PDSA cycle, 13 reported SA survivors (10 adult, three pediatric) were seen in the ED and 29 website visits. Stakeholder survey data revealed barriers to support services were transportation, overloaded support services, and survivor knowledge of existing services. Conclusion The QR code intervention model is a discrete method of improving access to resources and is applicable to other vulnerable populations. The multiagency SA response team will utilize partner survey data to improve access to community resources such as housing and transportation.

Promoting Sustainable Mobility: A Walkability Analysis for School Zone Safety

Promoting sustainable mobility and planning walkable school zones is a pressing priority, as it involves the movement of Vulnerable Road Users (VRUs), such as children aged 5–19, along with adult companions, parents, and school staff or faculty. If these children have a safe walking experience today, they will grow up to become ambassadors of sustainable mobility. In this study, several school zone areas were considered in the capital city of India, Delhi. To conduct a comprehensive walkability analysis, three distinct methods were employed: a stakeholder survey, an evaluation of existing walkable corridors, and a microscopic simulation using the Social Force Model (SFM). The limited focus on school zone safety issues in developing nations presents a case for studying the specific concerns of the school zone pedestrians, aiming to assess the magnitude of the problem, provide design centric solutions, and pick an efficient solution for implementation. The results highlight the parameters influencing pedestrian safety in school zones and their effect on pedestrian attributes. This research work can be replicated for school zone safety assessments across the world. This study will benefit the policymakers, urban planners, local government agencies, and traffic management professionals by assisting them in evaluating the walkability of school zones and promoting sustainable mobility choices.

Application of PV on Commercial Building Facades: An Investigation into the Impact of Architectural and Structural Features

The rapid global transition toward renewable energy necessitates innovative solar PV deployment strategies beyond conventional roof installations. In this context, commercial building facades represent an expansive yet underutilized resource for solar energy harvesting in urban areas. However, existing studies on commercial rooftop solar PV predominantly focus on European contexts, neglecting the unique design constraints and performance trade-offs present in regions such as the Middle East. This study addresses this gap by specifically investigating the impact of architectural and structural features on the utilizable facade area for PV deployment in commercial buildings within the hot desert climate of Saudi Arabia. Detailed case studies of twelve representative buildings are conducted, combining architectural drawing analysis, on-site measurements, and stakeholder surveys. The methodology identified sixteen parameters across three categories—facade functionality, orientation suitability, and surrounding obstructions—that impose technical and non-technical restrictions on photovoltaic integration 3D modeling, and irradiance simulations revealed that, on average, just 31% of the total vertical facade area remained suitable for PV systems after accounting for the diverse architectural and contextual limitations. The study considered 698 kWh/m2 of solar irradiance as the minimum threshold for PV integration. Shopping malls displayed the lowest utilizability, with near-zero potential, as extensive opaque construction, brand signage, and shading diminish viability. Offices exhibited the highest utilizability of 36%, owing to glazed facades and unobstructed surroundings. Hotels and hospitals presented intermediate potential. Overall, the average facade utilizability factor across buildings was a mere 16%, highlighting the significant hurdles imposed by contemporary envelope configurations. Orientation unsuitability further eliminated 12% of the initially viable area. Surrounding shading contributed an additional 0.92% loss. The results quantify the sensitivity of facades to aspects such as material choices, geometric complexity, building form, and urban context. While posing challenges, the building facade resource holds immense untapped potential for solar-based urban renewal. The study highlights the need for early architectural integration, facade-specific PV product development, and urban planning interventions to maximize the renewable energy potential of commercial facades as our cities rapidly evolve into smart solar energy landscapes.