This study proposes a Geographic Information Systems-based methodology to measure accessibility to urban services from the elderly perspective to support urban planning processes. Specifically, it seeks to understand and clarify how the urban environment can influence the quality of life for older adults, mostly through pedestrian and public transport networks, locations of essential urban services, and the organisation of their resources. In light of a significant demographic change, policymakers will have to promote age-friendly urban planning approaches to guarantee equal access to services and activities. We propose a methodology to measure accessibility to healthcare provision services that considers land-use and mobility features and older adults' behavioural traits. The method belongs to the family of 2SFCA—2 steps floating catchment area—which evaluate accessibility as the combination of both supply and demand of urban services. Therefore, we have introduced innovative elements to shape actual mobility opportunities for the elderly and their travel choices. The methodology was applied to Milan's city to measure accessibility to the Health Protection Agency (ATS) services, which is responsible for healthcare assistance to the elderly dwelling in the city. The outputs show that a significant share of older people (almost 40%) suffer from poor accessibility to primary health services and that they mostly live in the city periphery. Moreover, the application to a case study has shown that the methodology could identify the critical aspects needed to aid urban planning to achieve a high quality of life for elderly people.

In Europe, the share of people aged 65 years and above is expected to increase exponentially, and in 2050, for the first time in human history, the number of older people will be larger than the number of children under the age of 15. Aging is associated with increased vulnerability and dependence on medical care services. For these reasons, providing access to health services to people aged 65 years and over is crucial. From the perspective of social equity, everyone should have the opportunity to access healthcare services equally, but due to economic and geographical issues, achieving this level of equity is challenging. The aim of this study was to fill the gap between scientific and actual practices using an accessibility measure to evaluate urban accessibility to primary healthcare services and to support decision-makers to better allocate resources in local restructuring of welfare policies. The accessibility measure was designed considering both the land use and the transportation components, the local healthcare supply system, and a multimodal transportation network. The methodology was applied to the city of Naples considering Local Health Agency (ASL) healthcare services to the elderly. The ASL is the largest health agency in Europe, consisting of 17 buildings serving nearly 200,000 elderly. The results show that the entire elderly neighborhood population suffers from poor accessibility to primary health services, especially in the city suburbs, and that the methodology could be effectively applied to urban planning strategies to achieve a high quality of life for elderly people. Due to poor dialogue between the authorities, this could help to improve the decision-making process through the lens of social equity.

Many planning support tools have recently been developed aimed at measuring and modelling accessibility (Accessibility Instrument or AI). The main difficulty for tool developers is designing an AI that is at the same time technically rigorous and usable in practice. Measuring accessibility is indeed a complex task, and AI outputs are difficult to communicate to target end-users, in particular, because these users are professionals from several disciplines with different languages and areas of expertise, such as urban geographers, spatial planners, transport planners, and budgeting professionals. In addition to this, AI developers seem to have little awareness of the needs of AI end-users, which in turn tend to have limited ability for using these tools. Against this complex background, our research focuses on the viewpoint of AI developers, with two aims: (1) to provide insights into how AI developers perceive their tools and (2) to understand how their perceptions might change after testing their AI with end-users. With this in mind, an analysis of 15 case studies was performed: groups of end-users tested different AI in structured workshops. Before and after the workshops, two questionnaires explored the AI developers’ perceptions on the tools and their usability. The paper demonstrates that the workshops with end-users were critical for developers to appreciate the importance of specific characteristics the tool should have, namely practical relevance, flexibility, and ease of use. The study provides evidence that AI developers were prone to change their perceptions about AI after interacting directly with end-users

The contributions of this paper are the result of a thematic review conducted on some of the most relevant scientific contributions and policy guidelines about women’s perception of safety while walking in public spaces. The first part of the review focused on 23 scientific references revolving around the keywords “gender”, “safety” and “walkability”. This led to the establishment of three main Safety Factors: (i) Spatial Features (space characteristics/morphological features); (ii) City Use (traces of behavior and presence of city users); and (iii) Hotspots (safe havens and no-go areas); further resulting in 19 sub-factors. The second part of the review covered a collection of 20 reports and 10 guidelines focused on diverse geographical scales, areas of interest and target audiences, as well as data collection methods. This involved the selection of multiple case studies, which are also presented, thus maintaining a geographically diverse sample. As part of the scientific research project “STEP UP—Walkability for Women in Milan”, the outputs of the proposed thematic review will be exploited to help identify challenging areas of Milan (Italy), as samples of analysis to develop a set of policy recommendations to enhance the level of walkability for women.

The extreme events that the planet is experiencing are indisputable proof of climate change. Effective strategies are required to reduce the exposure and vulnerability of cities to such risks. This work aims to contribute to the cultural and technical debate on the governance of urban transformations for limiting the impacts related to global warming, focusing on the cities of the Mediterranean Sea. The research shows how social and economic characteristics influence the response of cities to climate change-related hazards. This consideration reinforces the idea of seeking integrated solutions to improve the resilience of coastal urban areas within the entire basin.