From eco-efficiency to eco-effectiveness: The policy-performance paradox

The internalisation level of sustainability issues varies among topics and among countries. Companies give up less internalised issues for more internalised ones. Discrepancies between legal, market and cultural internalisation lead to different escape strategies: firms develop a high level environmental management system and they have nice sustainability policy and reports. These achievements cover the fact that their total emission keeps increasing and they do not proceed in solving the most crucial global community or corporate governance problems. ‘Escaper’ firms are often qualified as ‘leading’ ones, as a current stream of research is also ‘escapist’: it puts too much emphasis on sustainability efforts as compared to sustainability performance. Genuine strategies focus on hardcore sustainability issues and absolute effects rather than on issues easily solved and having high PR effects. They allow for growth in innovative firms, if they crowd out less efficient or more polluting ones. They produce positive environmental value added when sector average eco-efficiency is used as benchmark and do not accelerate market expansion and consumerism.

Az Európai Unió kibővítésének hatása a lisszaboni stratégia hatékonyságára. Tapasztalatok az Európa 2020 stratégia tervezéséhez (The effects of EU enlargement on the effectiveness of the Lisbon strategy - conclusion for the Europe 2020 strategy)

A tanulmány azt vizsgálja, hogy a lisszaboni stratégia utódja, az Európa 2020 stratégia esetén indokolt lehet-e a régi és az új tagállamok eltérő kezelése. Mindehhez elsősorban a lisszaboni stratégia tapasztalatait, illetve a tagállamok teljesítményét tekinti át. Arra következtetésre jutottunk, hogy a kutatás-fejlesztés valamint a környezeti fenntarthatósági szempontot tükröző energiaintenzitási mutató esetében kiemelten szükséges a stratégia finomhangolása. A K+F célkitűzés csak hosszú távon releváns a felzárkózó országok számára, rövid távon elsősorban a kohéziót hatékonyabban támogató beruházásélénkítésre kell helyezni a hangsúlyt. A differenciált megközelítés a foglalkoztatási területre is igaz. E terület sajátossága azonban, hogy a tagállamok közötti törésvonal itt nem az EU15-ök és az EU12-ek között húzódik, hanem megfigyelhető a jól ismert észak-dél törésvonal is. A foglalkoztatás terén tehát a déli tagállamok differenciált kezelése is indokolt lehet. / === / The paper asks whether the differential treatment of EU member states would be warranted in case the successor of the Lisbon Strategy, the Europe 2020 Strategy. It examines the performance of member states in the past decade, and arrives to the conclusion that some "fine-tuning" would be required in case of the new strategy, especially in the fields of R&D and energy intensity. R&D is only relevant for the new member states in the longer run, in the short run however policies promoting cohesion seem more important. Differential treatment would also be required in issues related to employment, but here the main divide is not between the old and new member states, but rather between the northern and southern ones.

Facets of operational performance in an emergency room (ER)

This paper, using detailed time measurements of patients complemented by interviews with hospital management and staff, examines three facets of an emergency room's (ER) operational performance: (1) effectiveness of the triage system in rationing patient treatment; (2) factors influencing ER's operational performance in general and the trade-offs in flow times, inventory levels (that is the number of patients waiting in the system), and resource utilization; (3) the impacts of potential process and staffing changes to improve the ER's performance. Specifically, the paper discusses four proposals for streamlining the patient flow: establishing designated tracks (fast track, diagnostic track), creating a holding area for certain type of patients, introducing a protocol that would reduce the load on physicians by allowing a registered nurse to order testing and treatment for some patients, and potentially and in the longer term, moving from non-ER specialist physicians to ER specialists. The paper's findings are based on analyzing the paths and flow times of close to two thousand patients in the emergency room of the Medical Center of Leeuwarden (MCL), The Netherlands. Using exploratory data analysis the paper presents generalizable findings about the impacts of various factors on ER's lead-time performance and shows how the proposals fit with well-documented process improvement theories. © 2010 Elsevier B.V. All rights reserved.