Archivio istituzionale della Ricerca - Bocconi
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    Improving access to healthcare services for people experiencing homelessness: evidence from a scoping review of interventions

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    Purpose People experiencing homelessness display substantial health inequalities when compared to the housedpopulation. Existing studies on access tend to focus on isolated initiatives within specific geographic contexts, oftenlacking in comparative analyses. The research aims to address this gap, answering to the question “which types ofinterventions support access to care for people experiencing homelessness?” and thus providing evidence on the types ofinterventions that foster access to healthcare services for people experiencing homelessness.Design We performed a scoping review of scientific literature published between 2000 and 2023. Included studiesfocused on interventions improving access to care services for people experiencing homelessness. Qualitative andquantitative data were extracted, and findings were synthesised and assessed against the Levesque framework ofaccess to care.Findings Forty-eight studies were included. Healthcare services varied from primary care to outpatient, mentalhealth, prevention, emergency and hospital-based care. Four main types of interventions were determined,answering various access needs. Outreach and community-based interventions were found to ensure available andacceptable responses for people experiencing homelessness; case management and peer support were consideredrelevant for navigation across and towards services; service integration and coordination efforts were deemed asessential in offering complete responses for multifaceted and complex needs; and digital healthcare interventionsproved to make health information more reachable.Originality This paper sheds light on the inner complexity of this target population and informs about valuablestrategies and approaches that can be pursued when designing and implementing interventions to improve peopleexperiencing homelessness access to care

    Institutional investor engagement and sustainable finance

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    TThis chapter briefly introduces the concepts of shareholder engagement and stewardship and their relevance in the practice of shareholder-issuer relationships and analyses the relevant EU regulatory framework underpinning private dialogue as a tool to promote active share ownership. It then focuses on sustainable investing as a driver of institutions’ engagement, and the new disclosure obligations imposed on them by the Sustainable Finance Disclosure Regulation and the Taxonomy Regulation. It discusses issuer disclosures under the Non-Financial Reporting Directive (now amended by the Corporate Sustainability Reporting Directive) and the Corporate Sustainability Due Diligence Directive, mainly from the standpoint of institutional investors as the primary users of corporate sustainability information. The chapter then provides an analysis of the incentive structures typical of (different kinds of) institutional investors as a foundation based on which to evaluate, by also taking account of a number of further factors, largely independent of the asset managers themselves, institutions’ actual readiness, and ability, to effectively take on the stewardship role they are assigned by the EU

    Régimen energético y energías renovables en Italia

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    Il capitolo analizza la disciplina italiana in tema di transizione verde

    Pragmatisme et devoir-être

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    La maxime pragmatique de Peirce a été conçue pour rendre compte de la signification des concepts empiriques (tels que le concept de dureté), déterminant les conséquences empiriques de leur application. Le même dispositif ne semble pas pouvoir déterminer de la même manière la signification des concepts normatifs (comme celui de négligence) ; en effet, la détermination des conséquences de leur application ne doit pas concerner ce qui découlerait de certaines conditions mais ce qui devrait en découler. Ce travail aborde ce problème et en propose une solution : le pragmatiste n’est pas forcé de prendre cela comme un dilemme, puisqu’il peut faire deux choses qui ne sont pas incompatibles, à savoir rendre compte, du point de vue conceptuel, des conséquences normatives de ces concepts et rendre compte, du point de vue empirique, des attitudes des sujets qui appliquent ces concepts

    Taking Public Service Logic into the digital environment: Co-designing public services in a virtual setting

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    This chapter analyses the co-design of local neighbourhood services for vulnerable elderly people. It is based upon the design stage of a major project in Scotland (‘Peoplehood’) to develop a supportive community approach to the needs of vulnerable elderly people. The project commenced in early 2020 and was planned to utilise ‘traditional’ face-to-face (F2F) co-design approaches for public services. These approaches have their own challenges for working with vulnerable adults, such as the impact of cognitive impairment and the resolution of differing perceptions of need across different stakeholder groups – including the elderly person themselves and their friends and/or family

    Global sensitivity analysis of integrated assessment models with multivariate outputs

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    Risk assessments of complex systems are often supported by quantitative models. Thesophistication of these models and the presence of various uncertainties call for sys-tematic robustness and sensitivity analyses. The multivariate nature of their responsechallenges the use of traditional approaches. We propose a structured methodology toperform uncertainty quantification and global sensitivity analysis for risk assessmentmodels with multivariate outputs. At the core of the approach are novel sensitivitymeasures based on the theory of optimal transport. We apply the approach to the uncer-tainty quantification and global sensitivity analysis of emissions pathways estimatedvia an eminent open-source climate–economy model (RICE50+). The model has manycorrelated inputs and multivariate outputs. We use up-to-date input distributions andlong-term projections of key demographic and socioeconomic drivers. The sensitivityof the model is explored under alternative policy architectures: a cost-benefit analy-sis with and without international cooperation and a cost-effective analysis consistentwith the Paris Agreement objective of keeping temperature increase below 2◦C. In thecost-benefit scenarios, the key drivers of uncertainty are the emission intensity of theeconomy and the emission reduction costs. In the Paris Agreement scenario, the maindriver is the sensitivity of the climate system, followed by the projected carbon inten-sity. We present insights at the multivariate model output level and discuss how theimportance of inputs changes across regions and over time

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