ESG2-Artigos (em revistas ou actas indexadas)
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Percorrer ESG2-Artigos (em revistas ou actas indexadas) por Objetivos de Desenvolvimento Sustentável (ODS) "10:Reduzir as Desigualdades"
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- Resident empowerment in all-inclusive context: cost–benefit perception and support for sustainable tourism development in a small island destinationPublication . Santos, Edson Redy Moreira dos; Nobre Pereira, Luis; Pinto, Patrícia; Ribeiro, Manuel AlectorThis study examines the relationships among resident empowerment, perceptions of tourism costs and benefits, and support for sustainable tourism development (SSTD) in a small island destination dominated by all-inclusive resorts. Using survey data from 341 residents in Cape Verde and employing PLS-SEM analysis, results reveal significant relationships between empowerment, benefits, and SSTD. The perception of all-inclusive resorts' positive impacts moderates the relationship between empowerment and SSTD, while the perception of all-inclusive resorts' costs does not moderate any relationships. The study contributes to understanding how all-inclusive tourism development influences resident attitudes and support for sustainability in small island contexts. The findings underscore the importance of empowering residents and managing perceptions of tourism impacts to foster SSTD. Practical implications include the need for policies that promote local empowerment, equitable benefit distribution, and mitigation of negative impacts to ensure long-term sustainability of small island destinations and beyond.
- Rethinking speaking in ELT: where does intelligibility stand in the EFL classroom?Publication . Constantino Correia, RúbenLearning a Foreign Language (FL) is, as a rule, seen by experts as a major asset for global understanding and the mobility of people. English is found at the top of the pyramid as the number one language to achieve these goals. Nowadays, being able to express oneself intelligibly in English is decisive for students who want to thrive both academically and professionally. Indeed, the concept of intelligibility is now firmly established in the field of Applied Linguistics as one of the key factors in explaining success or otherwise in communication between interlocutors from diverse cultural and linguistic backgrounds. Accordingly, the essence of this article lies in the analysis of the communicative teaching practices of EFL teachers in Portugal and how they reflect on the learners’ speaking proficiency and intelligibility. Findings show that English continues to be taught with little regard to its real-world use, creating a gap between the learners’ needs/expectations and their true learning. Overall, the article focuses on the need for a reconceptualisation of speaking within an intelligibility frame of mind. Thus, it poses a challenge to traditional approaches to language teaching and learning practices by claiming a need to rethink approaches to learners’ oral proficiency grounded in the intelligibility principle.
- Stroke rehabilitation pathways during the first year: A cost-effectiveness analysis from a cohort of 460 individualsPublication . Barbosa, Pedro Maciel; Szrek, Helena; Ferreira, Lara; Cruz, Vitor Tedim; Firmino-Machado, JoãoBackground: Stroke burden challenges global health, and social and economic policies. Although stroke recovery encompasses a wide range of care, including in-hospital, outpatient, and community-based rehabilitation, there are no published cost-effectiveness studies of integrated post-stroke pathways. Objective: To determine the most cost-effective rehabilitation pathway during the first 12 months after a first-ever stroke. Methods: A cohort of people in the acute phase of a first stroke was followed after hospital discharge; 51 % women, mean (SD) age 74.4 (12.9) years, mean National Institute of Health Stroke Scale score 11.7 (8.5) points, and mode modified Rankin Scale score 3 points. We developed a decision tree model of 9 sequences of rehabilitation care organised in 3 stages (3, 6 and 12 months) through a combination of public, semi-public and private entities, considering both the individual and healthcare service perspectives. Health outcomes were expressed as quality-adjusted life years (QALY) over a 1-year time horizon. Costs included healthcare, social care, and productivity losses. Sensitivity analyses were con ducted on model input values. Results: From the individual perspective, pathway 3 (Short-term Inpatient Unit » Community Clinic) was the most cost-effective, followed by pathway 1 (Rehabilitation Centre » Community Clinic). From the healthcare service perspective, pathway 3 was the most cost-effective followed by pathway 7 (Outpatient Hospital » Private Clinic). All other pathways were considered strongly dominated and excluded from the analysis. The total 1-year mean cost ranged between €12104 and €23024 from the individual’s perspective and between €10992 and €31319 from the healthcare service perspective. Conclusion: Assuming a willingness-to-pay threshold of one times the national gross domestic product (€20633/QALY), pathway 3 (Short-term Inpatient Unit » Community Clinic) was the most cost-effective strategy from both the individual and healthcare service perspectives. Rehabilitation pathway data contribute to the development of a future integrated care system adapted to different stroke profiles.