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  • Item type: Publicação , Access status: Acesso aberto ,
    Integration oh the social and health sectors: A comparative analysis of European models
    (2026) Matos, Ricardo Jorge Correia de; Silva, Pedro Adão e; Fernandes, Adalberto Campos
    Health and social care systems across Europe are under increasing pressure due to population ageing, multimorbidity and widening social inequalities, exposing the limitations of fragmented, silo-based services. In this context, the integration between health and social care has emerged as a strategic priority in public policy, aimed at improving continuity and coordination of care, strengthening person-centred approaches and enhancing system efficiency. This thesis examines how health–social care integration has been conceptualised and implemented internationally, analyses its practical development in Scotland - one of Europe’s most advanced reform contexts - and identifies governance priorities for Portugal. Drawing on two book chapters and six interrelated scientific articles, the thesis develops a cumulative, multi-method contribution combining narrative and umbrella reviews, comparative policy analysis, an in-depth case study of Scotland and a national Delphi consensus exercise. International evidence identifies recurrent facilitators of integration, including joint governancestructures, aligned or pooled budgets, strong primary and community-based care, interoperable digital systems and community-oriented approaches, alongside persistent barriers such as institutional fragmentation and workforce constraints. The Scottish case demonstrates measurable progress in reducing delayed hospital discharges and strengthening community-based care, while simultaneously revealing the limits of large-scale structural integration, particularly in relation to reducing hospital admissions. In Portugal, the Delphi consensus identified fragmented governance, separated budgets and limited interoperability of information systems as central obstacles, converging on the need for a national integration strategy, interministerial governance mechanisms, shared funding models and sustained investment in digital infrastructure and workforce development. Overall, the thesis frames health and social care integration as a long-term governance challenge that requires sustained alignment of responsibilities, resources, information flows and accountability mechanisms across sectors.
  • Item type: Publicação , Access status: Acesso aberto ,
    Coming back to life: A study of generalized complexity, or, the search for the missing middle
    (2026-09-18) Yanez, Mario Manuel; Lopes, Gil Pessanha Penha
    Humanity finds itself in a pickle - an existential metacrises of cosmic proportions - one of its own making. Our mode of realization introduces an internal conflict into our Biosphere's operating system. At its root, this conflict is one of self-image - a myopic view of itself and of its Universe. Our Western Intellectual tradition has perpetuated an epistemology incompatible with the complex nature of our Universe, an epistemology currently incapacitated by its own fractured nature. This study broaches the nascent field of generalized complexity to discover its implicate qualities. Qualities that human social systems ought aspire to. It shapes an approach to epistemology and inquiry imbued with these. An approach with sufficiently complex theoretical capacity to render a Universe in its fullest dimensionality, dimensionality potentially translatable to the ecosocial realm, where the question arises: what would it mean to be fully Human? The research aims to understand generalized complexity on its own terms, in an attempt to reconcile the internal conflict. It takes an open-ended approach inspired by the natural philosophical tradition, progressive approximation, to bring ever-greater clarity to the workings of our world and our place within it. This study confirms the initial intuition that how we perceive our reality is how we repeatedly bring it into being. We are the Universe in Human form, yearning to understand itself in its fullest significance. This implies that we have a cosmic role to play in consciously manifesting our own reality. We've played this role before; will we dare play it again?
  • Item type: Item , Access status: Acesso aberto ,
    Perfil do controller e escolhas estratégicas: Uma análise qualitativa à luz da Teoria dos Altos Escalões
    (2025) Ferreira, M. A.; Edvalda, L. A.; Ferreira, A. M. D. S. da C.; Ferreira, L. V.
    Objetivo: Compreender como o perfil, os valores e a base cognitiva, propostos pela Teoria dos Altos Escalões, são percebidos nas escolhas estratégicas do controller em empresas atuantes no Brasil e em Portugal. Método: Trata-se de uma pesquisa qualitativa com paradigma de investigação interpretativista. Foram realizados dois estudos de caso em organizações com realidades empresariais distintas, sediadas no Brasil e em Portugal. Utilizou-se o shadowing para a coleta de evidências e, complementarmente, foi feita a triangulação das fontes mediante a realização de entrevistas e coleta de documentos. Originalidade/Relevância: Averiguar as características pessoais, sob a perspectiva dos valores e da base cognitiva, propostos pela Teoria dos Altos Escalões, em uma abordagem qualitativa no campo de pesquisa considerando o controller. Resultados: Os resultados apontam que a experiência profissional anterior e a formação acadêmica são percebidas nas escolhas estratégicas realizadas pelos controllers investigados nos dois países. Sobre a formação acadêmica, percebe-se que aspectos peculiares são determinantes: no Brasil, a formação em Contabilidade foi predominante, enquanto em Portugal prevaleceu a formação em Gestão entre os controllers. Valores como coletivismo, racionalidade, dever e inovação foram destacados como esperados para o exercício do cargo de controller. Contribuições: O estudo amplia o campo de aplicabilidade da Teoria dos Altos Escalões; avança na discussão sobre o perfil e as funções dos controllers, bem como no envolvimento desse profissional frente à s diferentes escolhas estratégicas. Na perspectiva empírica, evidencia como as características pessoais do controller estão presentes em suas escolhas estratégicas, impactando nas decisões organizacionais. Ademais, elucida o quanto a formação acadêmica, as experiências profissionais e os valores pessoais de cada controller influenciam na visão gerencial desse gestor, permitindo à s organizações estruturarem os seus recursos humanos de forma hierárquica, a fim de alcançar e otimizar os resultados.