Figure 7.2 – Air pollution monitoring (SCWFS 2019–2050, 2019) Comparison 2004, 2010, 2020 CO2 emissions & savings from municipal waste management in Vienna, 2004, 2010, 2020 (t CO2 equivalents) 600,000 500,000 400,000 300,000 200,000 100,000 0 –100,000 –200,000 –300,000 2004 2010 (current) 2020 (forecast) 1.5 Medical services services and social care in the city. Furthermore, Austria’s public health system is based on a mandatory contributions Medical services are a fundamental part of the health system that is financed by almost all citizens. Because the dimensions that we analyze in this report, because physical healthcare system is mostly funded through public money, and psychosocial health are essential determinants of an hospitals, clinics, nursing homes, and all therapeutic facilities individual’s well-being and quality of life. In Vienna, the City are designed to be as sustainable as possible over time. Council’s objective is to help the city’s residents to enjoy the highest levels of quality of life and life satisfaction every day, The healthcare sector makes an essential contribution regardless of their sex, background, or age. The Vienna 2030 to economic and social life, but it represents a massive Hospitals program looks to make optimum use of medical consumption of resources, and geeates huge volumes of services and improve patients’ quality of life within the carbon emissions, pollutants, and waste. Therefore, resource constraints of existing medical resources (SCWFS 2019–2050, conservation priorities and climate action programs are 2019). Moreover, “healthcare facilities, particularly hospitals, designed and implemented for all the city's healthcare facilities. health centers, nursing homes and therapeutic facilities, are They seek to deliver energy-efficient operations, renewable operated with a view to maximum environmental sustainability” energy use, sustainable transport and procurement, efficient (Smart City Wien Framework Strategy, 2019–2050: 107). use of materials, and waste prevention through using digital networks and tools. This policy of coordination among different departments aims to concentrate resources at the seven central hospital Vienna’s smart city program also supports healthy and active organizations and to enhance the delivery quality of medical aging. It includes a policy to keep care-dependent citizens services. In the same spirit, Vienna’s response to increasing at home (or close to home) for as long as possible and to social demands and needs is twofold: provision of nursing provide them with high-quality care. Digital technologies care for the elderly in medical centers, and siting of nursing and mobile services allow Vienna’s seniors to continue living facilities near patients’ homes. The general objective is to an independent life in their own homes. The council has reduce hospital expenses through promoting outpatient care prioritized the development of an active and assisted living and assistance. policy whose facilities seniors can make use of as long as they wish to. According to the SCWF, “Active and assisted living (AAL) Vienna City Council’s strategy for medical services prioritizes systems allow elderly people to continue living an independent giving all citizens access to high-quality medical services. life in their own home for as long as they wish to” (Smart City Digitalization is enhancing the quality and efficiency of health Wien Framework Strategy, 2019–2050: 155). Of course, AAL 200 Quélin and Smadja | HEC PARIS | SMART CITIES | The sustainable program of six leading cities | 2021 a/t ni qe OC2snoissimesgnivassgnivas tensnoissimesgnivassgnivastensnoissimesgnivassgnivasten