Systemic design for sustainable community care for older adults: A case study in Turin, Piedmont, Italy

The COVID-19 pandemic has significantly impacted various industries across the world, leading to changes in industries and the widespread adoption of teleworking networks. As countries transition from urban lockdowns to community lockdowns, community telemedicine has become a crucial agenda item. The pandemic has posed an unprecedented health challenge, particularly for older adults with chronic diseases due to its highly contagious nature and prolonged duration. The aim of this paper is to explore the impact and challenges of the COVID-19 pandemic governance model on older adults care in the Turin A.S.L.TO3 community. This paper was conducted within the methodology framework of systemic design, through literature review of the design approach to sustainable care development with the aim of identifying the gap in the current research, and semi-structured interviews with A.S.L.TO3 community care managers to ensure the accuracy of the data collected and the understanding of system issues from the manager's perspective, and cross-cutting multi-level analysis was conducted using case studies research methods in conjunction with the design tools community cross-scale model and stakeholder map, in order to understand the complexity of the community care system in its entirety and to clarify the relationships that occur in the system over time through strategic foresight. This paper explores key criteria for environmentally innovative sustainability decision-making interventions for community care transformation. This can help to govern and facilitate adaptive governance feedback systems in emergency situations from the perspectives of social, economic, environmental sustainability, and ageing inclusiveness when specific problems are identified.