This Special Issue “Ecocentric education” contains articles focused on ecological values in environmental education (EE) and education for sustainable development (ESD). Ecocentric education is based on a critical theory, originating from Erich Fromm [1], Herbert Marcuse [2], and Paulo Freire [3], and on ecological pedagogy (ecopedagogy), developed by Richard Kahn [4]. These critical theorists served as catalysts in the transformation of education towards the recognition of the “domination” of capitalist, corporate, and/or political power in shaping societies, challenging the broadly shared assumptions and practices [5]. Fromm [1] and his peers believed that education makes learners internalize alienation from humanity and nature, a process which is inherent in the industrial capitalist society. This process increases uncritical adherence to dominant values such as consumerism, downplaying the negative side effects of technocratically defined “progress”. https://doi.org/10.3390/educsci10090217 LinkedIn: https://www.linkedin.com/in/helenkopnina/
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Rationale, aims and objective: Primary Care Plus (PC+) focuses on the substitution of hospital-based medical care to the primary care setting without moving hospital facilities. The aim of this study was to examine whether population health and experience of care in PC+ could be maintained. Therefore, health-related quality of life (HRQoL) and experienced quality of care from a patient perspective were compared between patients referred to PC+ and to hospital-based outpatient care (HBOC). Methods: This cohort study included patients from a Dutch region, visiting PC+ or HBOC between December 2014 and April 2018. With patient questionnaires (T0, T1 and T2), the HRQoL and experience of care were measured. One-to-two nearest neighbour calliper propensity score matching (PSM) was used to control for potential selection bias. Outcomes were compared using marginal linear models and Pearson chi-square tests. Results: One thousand one hundred thirteen PC+ patients were matched to 606 HBOC patients with well-balanced baseline characteristics (SMDs <0.1). Regarding HRQoL outcomes, no significant interaction terms between time and group were found (P > .05), indicating no difference in HRQoL development between the groups over time. Regarding experienced quality of care, no differences were found between PC+ and HBOC patients. Only travel time was significantly shorter in the HBOC group (P ≤ .001). Conclusion: Results show equal effects on HRQoL outcomes over time between the groups. Regarding experienced quality of care, only differences in travel time were found. Taken as a whole, population health and quality of care were maintained with PC+ and future research should focus more on cost-related outcomes.