Explore the vast range of titles available.

Person-centred integrated care is often at odds with how current health care systems are structured, resulting in slower than expected uptake of the model worldwide. Adopting goal-oriented care, an approach which uses patient priorities, or goals, to drive what kinds of care are appropriate and how care is delivered, may offer a way to improve implementation. This case report presents three international cases of community-based primary health care models in Ottawa (Canada), Vermont (USA) and Flanders (Belgium) that adopted goal-oriented care to stimulate clinical, professional, organizational and system integration. The Rainbow Model of Integrated Care is used to demonstrate how goal-oriented care drove integration at all levels. The three cases demonstrate how goal-oriented care has the potential to catalyse integrated care. Exploration of these cases suggests that goal-oriented care can serve to activate formative and normative integration mechanisms; supporting processes that enable integrated care, while providing a framework for a shared philosophy of care. By establishing a common vision and philosophy to drive shared processes, goal-oriented care can be a powerful tool to enable integrated care delivery. Offering plenty of opportunities for training in goal-oriented care within and across teams is essential to support this shift.

The discourse of heritage conservation has developed from a material-centred approach to a people-centred approach (PCA), reflecting a shift towards a relational and dynamic understanding of heritage-making. While the PCA is prominent in global discourse, its local implementation—particularly its interaction with institutional discourses and extradiscursive factors—remains underexplored. These factors shape its capacity to promote social justice and equity in heritage practices. This study examines two models of PCA implementation in China and Thailand to reveal how discursive visions of heritage are enabled or constrained by extradiscursive forces such as governance practices, resource distribution, and actor dynamics. In the coproduction model, the dominance of authorised heritage discourse-led practices reduces community agency through limited participation, misaligned heritage values, unequal resource governance, and tourism market-driven heritage practices. In the bottom-up model, external dependencies and fragmented governance limit local agency and continuity. We argue that realising the PCA’s transformative potential requires acknowledging the extradiscursive factors that constrain and enable discourse while fostering cultural recreation and addressing systemic inequities in heritage governance. This study proposes a staged framework that integrates the PCA discourse with institutions, empowers communities, embeds heritage goals in local planning, and enables iterative feedback mechanisms.

This paper reflects on the recent, rapid rise in the use of “people-centered justice” language in global policy and international cooperation contexts. People-centered justice has provided a valuable common language to achieve policy buy-in and structure discussions on achieving justice for all, and breakfree from path dependencies of earlier rule of law assistance, and donor support long dominated by top-down support to courts and formal institutions of the justice system. However, recent uses of people-centered justice—without additional clarity—gloss over crucial differences in how justice challenges are framed, which could risk undermining some of its initial progress, or repeating past challenges encountered with rule of law support. Experiences of the OECD, USAID and in the United Nations systems provide contrasting examples of charting new paths, or clinging to well-worn path dependencies. We conclude with several reflections to overcome concerns with current uses.

Agenda 2063 of the African union (AU) - the Africa we want” has been implemented for over five years now, however, there is a concern that if implementation is not done 'intentionally', by 2063, it would not have achieved the desired impact. Therefore, this paper attempts to present a clear approach as well as strategies that could contribute to the successful implementation of “Aspiration 6” (A6) in particular, one of the seven identified AU aspirations. This discourse is engaged in from the theoretical approach of Appreciative Inquiry (AI) which focuses on positive outcomes. Firstly, the paper explores Aspiration 6 on people centered development. With majority of Africa's population made up of women, youth and children, this paper argues that these identified segments of the population should be put at the center of all developmental pursuits. The analysis undertaken, examined identified United Nations Sustainable Development Goals (SDGs) specifically 4 & 17, as enablers for the realization of A6. Secondly, this paper identifies points of convergence between these developmental goals and pre-existing indigenous knowledge systems (IKS). In doing so, it is posited that, from an African perspective, IKS presents an opportunity for the effective realization of the “Africa we want”. Lastly, strategies to deliberately support IKS through re-orienting research capacity and capabilities are presented. The paper concludes by making key recommendations.