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Older adults with atrial fibrillation (AF) have put growing demands on a poorly integrated healthcare system. This is of particular concern in rural communities with rapid population aging and few healthcare resources elevating risk of stroke and mortality. The purpose of this paper is to explore healthcare delivery risks for rural older adults with AF.

This qualitative study collected data from AF patients, healthcare providers and decision makers. Ten patients participated in six-month care journeys involving interviews, logs, photos, and chart reviews. In total, 13 different patients and ten healthcare providers participated in focus groups and two decision makers participated in interviews.

Three key health service risks emerged: lack of patient-focussed access and self-management; unplanned care coordination and follow-up across the continuum of care; and ineffective teamwork with variable perspectives among patients, providers, and decision makers.

This study extends the understanding of risks to the health system level. Results provide important information for further research aimed at interventions to improve health service delivery and policy change to mitigate risks for this population.

The management of major inter-firm projects requires a coherent, holistic governance framework to be effective. However, most existing models of project governance are limited to a narrow selection of contractual, structural or procedural aspects, and further neglect contextual factors, such as key characteristics of a project and its partners. The paper aims to discuss these issues.

This conceptual paper proposes an integrative analytical model of inter-firm project governance, building upon contingency theory and drawing from established constructs rooted in organization theory.

The paper aims to integrate two largely distinct streams of research and synthesize the respective constitutive dimensions of project governance into a coherent conceptual model. Further, interrelationships with contextual factors, such as project-related and partner-related characteristics, and project performance are discussed.

The proposed model purposefully merges two complementary streams of project governance research. As the model further provides clear contextual factors, it strengthens an emerging stream of project research by systematically examining external influences of project organizing. Future research may utilize this model and the suggested operationalization for each of the constructs as a basis to empirically investigate the design and effectiveness of governance regimes of major projects.

The approach of biocybernetics and non‐equilibrium systems dynamics is used to analyse biological, psychological, anthropological and cultural evolution. Using experimental data, positive feedback of biological activation and Prigogine‐Einstein fluctuation analysis, the energy dissipation equations for biological and anthropological evolution are developed.