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Actualmente se estima que el turismo accesible representa casi el 3% del PIB en Europa. Sin embargo, este sector está todavía percibido por gran parte de los operadores y de las autoridades públicas como un nicho. Por ello, el turismo accesible se encuentra actualmente desatendido y con poca presencia en las estrategias de desarrollo del turismo.Este artículo tiene como objetivo ofrecer datos reales y recientes sobre el asombroso potencial de este sector en Europa e invitar a las personas responsables del sector del turismo a tomar las soluciones necesarias para integrar la oferta de turismo accesible en los modelos y canales de comercialización y distribución de productos turísticos.La información recogida en el texto se fundamenta en el estudio llevado a cabo por la Comisión Europea entre 2012 y 2014, en los 27 Estados Miembro para evaluar el impacto económico y analizar las tendencias de viaje en lo que a turismo accesible en Europa se refiere. El estudio fue realizado por un consorcio compuesto por GfK (Bélgica), la Universidad de Surrey (Reino Unido), Neumann Consulting (Alemania) y Pro-A-Solutions en España, bajo la dirección y la supervisión de la Unidad de Políticas de Turismo de la Comisión Europea. Este estudio constituye la evaluación más completa llevada a cabo hasta ahora sobre los modelos económico, demográfico y de conducta del turismo accesible en la UE, ya sea en cuanto a la profundidad del análisis como a la cobertura geográfica.El estudio también incluye un pronóstico sobre cómo la demanda del turismo accesible aumentará de aquí a 2020, teniendo en cuenta además el envejecimiento de la población y los fl ujos turísticos de entrada a Europa. Por otro lado, analiza las principales barreras encontradas por los viajeros e incluye una recopilación de buenas prácticas y recomendaciones para los responsables políticos y la industria.El artículo también quiere disipar la percepción de que la accesibilidad turística “cuesta dinero”: en cambio, lo que sí está costando dinero cada día a los operadores y a los destinos es la falta de accesibilidad.

IntroductionSweden is facing a surge of gun violence that mandates optimized prehospital transport approaches, and a survey of current practice is fundamental for such optimization. Management of severe, penetrating trauma is time sensitive, and there may be a survival benefit in limiting prehospital interventions. An important aspect is unregulated transportation by police or private vehicles to the hospital, which may decrease time but may also be associated with adverse outcomes. It is not known whether transport of patients with penetrating trauma occurs outside the emergency medical services (EMS) in Sweden and whether it affects outcome.MethodThis was a retrospective, descriptive nationwide study of all patients with penetrating trauma and injury severity scores (ISSs) ≥ 15 registered in the Swedish national trauma registry (SweTrau) between June 13, 2011, and December 31, 2019. We hypothesized that transport by police and private vehicles occurred and that it affected mortality.ResultA total of 657 patients were included. EMS transported 612 patients (93.2%), police 10 patients (1.5%), and private vehicles 27 patients (4.1%). Gunshot wounds (GSWs) were more common in police transport, 80% (n = 8), compared with private vehicles, 59% (n = 16), and EMS, 32% (n = 198). The Glasgow coma scale score (GCS) in the emergency department (ED) was lower for patients transported by police, 11.5 (interquartile range [IQR] 3, 15), in relation to EMS, 15 (IQR 14, 15) and private vehicles 15 (IQR 12.5, 15). The 30-day mortality for EMS was 30% (n = 184), 50% (n = 5) for police transport, and 22% (n = 6) for private vehicles. Transport by private vehicle, odds ratio (OR) 0.65, (confidence interval [CI] 0.24, 1.55, p = 0.4) and police OR 2.28 (CI 0.63, 8.3, p = 0.2) were not associated with increased mortality in relation to EMS.ConclusionNon-EMS transports did occur, however with a low incidence and did not affect mortality. GSWs were more common in police transport, and victims had lower GCS scorescores when arriving at the ED, which warrants further investigations of the operational management of shooting victims in Sweden.

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Along the continuous transformations of enterprises, centralized service delivery models have been transitioning from an offshore employee sourcing to digital sourcing. Deploying software robots with robotics process automation (RPA) became one of the most important and fastest growing technologies in the recent years. In this research, the blended qualitative approach was applied, as a survey was followed by interpretative interviews and narrative analysis. This exploratory, empirical study discusses the key drivers behind RPA implementations (financials, employee impact, risks) identified among experts involved in the deployment of intelligent automation solutions at selected Nordic enterprises. The findings highlight the focus on the operational benefits like releasing employees from the most monotonous, nonvalue adding assignments, strengthening enterprise efficiency, compliance, and quality. Notably, the strategic and external (customer) impacts were not at the core of the RPA decision-making process among the studied case companies. The findings suggest that RPA is mainly perceived as an operational tool to automate and improve internal processes with little consideration of its strategic and external impact, including impact on customers and service quality. This is in line with the approach to the way of how benefits are calculated, looking mainly at savings on labor costs.