Volume 26 - Issue 1, 2026

Client-centred care has moved from aspiration to expectation. People increasingly judge health services not only by clinical outcomes, but by how well systems respect individual needs, preferences and lived realities across the care journey. Meeting those expectations demands more than better bedside interactions. It depends on how organisations design pathways, govern digital change, purchase servic...

EU’s EHDS Regulation grants people new digital health rights: immediate readable access, portability in the EEHRxF format, transparency, restrictions, opt-out, the ability to add notes, proxy access and rectification, with providers obliged to accept patient-supplied data. Yet access across Member States remains uneven. The xShare ‘yellow button’ enables citizens to download or share data in EEHRxF v...

Community Living Algoma in Northern Ontario moved from routine-led, behaviour-focused care towards person-centred support. Staff reframed behaviour as communication, individualised plans and added flexible staffing, scheduling and housing transitions. Reported outcomes included greater autonomy, independence and emotional stability, fewer crises, stronger social belonging and reduced staff burnout, support...

brAIn is an AI-enabled mental prosthesis that supports people when memory, attention or situational awareness falters. Using AR glasses and multimodal, context-aware AI, it delivers timely cues for orientation and safety with minimal cognitive friction. Privacy-by-design avoids surveillance, minimises data and can keep processing on-device, supporting dignity, agency and trust. brAIn is an AI-...

Patient and family-centred care aligns clinical decisions, care processes and digital tools with patient goals, values and capabilities while retaining professional accountability for safety. High-risk care benefits when involvement is built into high reliability organising. Patients and families can report near misses, join rounds, handoffs and learning reviews after adverse events, and use structured sha...

In Gabon, challenges such as inadequate screening programmes, limited rural access, high costs and negative perceptions of cancer and its treatment contribute to delayed hospital consultation and late-stage cancer diagnosis. A 2025 survey of 515 people in Gabon and the diaspora found limited knowledge of early symptoms, especially among men and adults over 50. Late consultation was linked to lack of inform...

Digital transformation across European health systems gives non-clinical managers unprecedented responsibility. The challenge is not deploying technology but leading organisational change that balances innovation with ethics, safety, regulation and human impact. With AI, digital platforms and integrated care, managers must connect strategy to operations and technology to culture, building governance, syste...

Digital health makes care quality an outcome of sociotechnical systems, not individual actions. The ‘care algorithm’ frames how accreditation, embedded in a quality management system and enhanced by AI, can shift from episodic compliance to continuous organisational learning. Strong governance, security and continuity underpin safety, reliable information flows and better patient experience. D...

AI is increasingly embedded across drug discovery and development, from target selection and protein structure prediction to generative design, preclinical safety and trial optimisation. It may compress timelines and reduce attrition, including in antimicrobial R&D, but depends on high-quality data, validation and integration into laboratory workflows. Governance, documentation and post-deployment moni...

Public procurement accounts for about 14% of EU GDP yet processes and documents are often hard for citizens and suppliers to understand. With the 2014 directives under review, procurement must be in the hands of trained, motivated professionals. EU and OECD initiatives such as ProcurCompEU define competencies, identify gaps and support certification. Simplification needs clearer tenders, functional specifi...