The COVID-19 pandemic outbreak (in early 2020) has dictated significant changes in society and territories by anticipating trends, changing priorities, and creating challenges, which are manifested in the territories. These are influenced by the levels of economic, cultural, and social restructuring, in the measures implemented by public administration or in attempts to redefine strategies for tourism destinations. This paper examines the perceptions and behaviors of tourists before and during COVID-19 in the municipality of Porto, the main area of the Porto Metropolitan Area, in Portugal. Research was based on the application of a questionnaire survey, probing the sensitivity of tourists to the crisis in the decision-making of daily routines, as well as future travel plans in the presence of a serious health concern. A total of 417 surveys were collected in the summers of 2019 and 2020. In addition to descriptive statistics, this paper also includes the results of the analysis of explanatory factors, being a reference for future studies. There were significant changes in the use of public space and the way tourist visits are handled, namely: (i) the concentration of visiting time (shorter visit than usual in certain tourist profiles); (ii) spatially limited visiting areas; and (iii) the ability to attract standard tourists from certain countries where tighter lockdown rules were imposed. Main implications of this study are reflected in the challenges that are imposed on the local agenda, where traditional problems are added to the responsibilities in crisis management and the ability to establish a third order of intervention in tourism.

The recognition of the role of tourism planners in seeking to contribute to local residents’ well-being by mitigating the potential costs of tourism development has been given more attention in the last decades. Several studies on the perception of positive or negative impacts, based on sustainability (namely the three pillars: economic, sociocultural and environmental) have been developed. However, the studies have been somewhat limited in terms of approaches, namely with respect to the contribution and participation of stakeholders. In this study, we attempted to use a bidirectional analysis of involvement and tourism knowledge to segment the residents and analyse their perception of the impacts. A total of 373 valid surveys were applied in a rural mountainous municipality (Boticas) during 2015 and 2016. In this municipality, tourism (activity) is an emergent activity. The results show that more informed and more involved residents have more positive perceptions of tourism than other groups, while less informed and less involved residents have more negative perceptions of it. The study contributes to increasing the knowledge about residents’ perceptions of tourism, adding the aspects of involvement, especially in rural areas. This type of proposal can be applied to any destination to help manage residents’ opinions and, consequently, their support of tourism development.

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Health policies seek to promote access to health care and should provide appropriate geographical accessibility to each demographical functional group. The dispersal demand of health-care services and the provision for such services at fixed locations contribute to the growth of inequality in their access. Therefore, the optimal distribution of health facilities over the space/area can lead to accessibility improvements and to the mitigation of the social exclusion of the groups considered most vulnerable. Requiring for such, the use of planning practices joined with accessibility measures. However, the capacities of Geographic Information Systems in determining and evaluating spatial accessibility in health system planning have not yet been fully exploited. This paper focuses on health-care services planning based on accessibility measures grounded on the network analysis. The case study hinges on mainland Portugal. Different scenarios were developed to measure and compare impact on the population's accessibility. It distinguishes itself from other studies of accessibility measures by integrating network data in a spatial accessibility measure: the enhanced two-step floating catchment area. The convenient location for health-care facilities can increase the accessibility standards of the population and consequently reduce the economic and social costs incurred. Recently, the Portuguese government implemented a reform that aimed to improve, namely, the access and equity in meeting with the most urgent patients. It envisaged, in terms of equity, the allocation of 89 emergency network points that ensured more than 90% of the population be within 30 min from any one point in the network. Consequently, several emergency services were closed, namely, in rural areas. This reform highlighted the need to improve the quality of the emergency care, accessibility to each care facility, and equity in their access. Hence, accessibility measures become an efficient decision-making tool, despite its absence in effective practice planning. According to an application of this type of measure, it was possible to verify which levels of accessibility were decreased, including the most disadvantaged people, with a larger time of dislocation of 12 min between 2001 and 2011. Plain Language Summary Equitable access to health services is a critical goal for overcoming health disparities, and many reform efforts have been carried out worldwide to improve equity. This case study from Portugal, using geospatial analysis of public transportation access points and health services, shows that, in this case, reform efforts failed because they did not take into account connection times between where people live, where transport hubs are, and where emergency services are delivered. According to the Portuguese Health Ministry, the multidimensional nature of adequate access to health care results from the unavoidable link between geographic dimensions: availability and proximity (Furtado &