Background: Health care provided to older adults must take into account the characteristics of chronic diseases and the comorbidities resulting from ageing. However, health services are still too oriented towards acute situations. To overcome this problem, the World Health Organization (WHO) proposed a set of Age-Friendly Principles that seek to optimize the provision of health care for this population. This article aims to understand how such Principles are considered in the implementation of age-friendly health care worldwide. Methods: A systematic review was conducted to synthesize the literature on age-friendly health care in accordance with the PRISMA recommendations in the PubMed, Web of Science, and Scopus databases. Results: The research identified 34 articles, with only seven recognizing the WHO Principles and only four using the implementation toolkit. In addition, in the context of primary care, three studies recognize the WHO Principles, but only two use the toolkit. Conclusions: The WHO Principles are being implemented in health care, but in a smaller scale than desired, which reveals possible flaws in their dissemination and standardization. Thus, a greater scientific investment in age-friendly health care should be considered, which represents a greater operationalization of the Principles and an evaluation of their effectiveness and impacts.

The 2030 Agenda for Sustainable Development now guides public administrations in conveying all their functions. The 17 Sustainable Development Goals (SDG), directly or indirectly, need effective public services and officials for successful implementation. Although working in public entities has been related to ‘a sense of duty and morality’, literature reports that motivation and sense of self-worth among public officials have been declining for many years, which in turn can endanger their performance, diminish their willingness to attend to civic affairs, and become committed to their organisation. Public officials’ motivation has been widely addressed through the lens of public service motivation and public sector motivation. Fewer studies, however, have focused on the factors of choice at a pre-level entry. This paper intends to address this gap by pondering on what influences student’s intention to work in the public sector. Understanding what drives potential future public officials’ motivation is crucial for public service sector effectiveness. Following a case study approach with a sample of 2251 undergraduate and post-graduate students of a Portuguese university, findings show an attribution of similar strengths and shortcomings to public and nonprofit sectors, a more positive perception of the private sector and job stability as the strongest motivation.

As electric vehicle (EV) adoption accelerates, integrating Vehicle-to-Grid (V2G) technology is increasingly essential to support grid stability and renewable energy uptake. This study systematically reviews empirical literature on citizen perceptions and expectations regarding V2G, addressing the often-overlooked social and behavioural dimensions of its adoption. Following the PRISMA protocol, 18 peer-reviewed studies published between 2018 and 2024 were selected from Scopus and Web of Science databases. The review finds that perceived economic benefits, environmental values, and financial incentives are key enablers of V2G adoption, while barriers include concerns over battery degradation, charging control, range limitations, and data privacy. A significant gap in the literature is the limited attention to governance mechanisms, regulatory frameworks, and public engagement strategies. The results highlight the importance of citizen-centred policy design to build trust and promote inclusive V2G implementation. This review contributes to the field by consolidating fragmented empirical evidence, offering actionable recommendations for policymakers, urban planners, and energy stakeholders, and identifying pathways for socially equitable deployment aligned with energy justice and the Sustainable Development Goals (SDGs).

Countries worldwide are grappling with a pressing demographic challenge characterized by a growing older population. This poses a significant healthcare dilemma, presenting challenges for healthcare systems and providers. To address these challenges, the World Health Organization (WHO) has devised a set of Age-Friendly Principles, aimed at optimizing healthcare provision for older people. This article delves into the current state of healthcare adaptation for older adults in Portugal and assesses the implementation of the WHO Principles. Case studies were conducted in three distinct regions of Portugal, involving semistructured interviews with key decision makers from both the healthcare sector and organizations wielding direct influence over health policies (n = 11). A comprehensive content analysis was conducted employing the webQDA software. The findings unveiled a noteworthy trend in which most interviewees displayed limited familiarity with the WHO Principles. Nevertheless, all interviewees acknowledged the need to adapt the healthcare system accordingly. Strengths were identified, primarily within the healthcare management system, but noteworthy gaps were also revealed, particularly in terms of facility preparedness and professional training. Interviewees proposed various interventions to enhance age-friendly healthcare provision; however, they concurrently pinpointed challenges related to human resources, infrastructure, and financial management. In their concluding recommendations, interviewees underscored the development of tools to facilitate the application and evaluation of the WHO Principles, as well as the development by the WHO of an accreditation system to encourage the application of the principles in healthcare providers across the world.

Demographic ageing has emphasized the need to adapt current healthcare systems to the comorbidity profile of older adults. In 2004, the World Health Organization (WHO) developed the Age-Friendly Principles, but the approach to their implementation in the health systems still remains uncertain. This article intends to address this gap by assessing how the Principles are perceived and implemented in the Portuguese National Health Service (NHS), where this topic has recently been placed on the political agenda. A questionnaire survey was administered to primary care directors and hospital administrators, covering a total of 173 health units. Findings show that most respondents are unaware of the WHO Principles (71%) and do not identify the current organizational structure of care as a problem for the provision of care (80%). However, the implementation of the WHO Principles is lower than desired, especially regarding professional training and the management system (50% and 28% of the criteria are implemented, respectively). These criteria defined by the WHO are implemented in a reduced number of health units, as opposed to the physical environment where implementation is more widespread (64%). Accordingly, further dissemination and implementation support in the national territory are needed in order to improve the health outcomes of older adults and increase the performance of health units.

Several studies report an overall critical judgement to the Portuguese health system by national citizens, who focus not only on the increased costs associated with healthcare, waiting lists for appointments, and waiting times for emergency services, but also on the lack of appropriate tools and means that can help them to make more informed decisions concerning healthcare. This chapter aims to explore and test the potential development of a digital tool capable of offering accurate, updated, and extended information on care providers and services as well as access to care facilities. Overall, this application is perceived as useful in conveying a wider knowledge of healthcare options that may not only foster more informed and rational choices, but also help policymakers to understand the main factors underlying citizens' choices of healthcare providers.