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As hospitals are the most costly service providers in every healthcare systems, special attention should be given to their performance in terms of resource allocation and consumption. The purpose of this paper is to evaluate technical, allocative and economic efficiency in intensive care units (ICUs) of hospitals affiliated by Yazd University of Medical Sciences (YUMS) in 2015.

This was a descriptive, analytical study conducted in ICUs of seven training hospitals affiliated by YUMS using data envelopment analysis (DEA) in 2015. The number of physicians, nurses, active beds and equipment were regarded as input variables and bed occupancy rate, the number of discharged patients, economic information such as bed price and physicians’ fees were mentioned as output variables of the study. Available data from study variables were retrospectively gathered and analyzed through the Deap 2.1 software using the variable returns to scale methodology.

The study findings revealed the average scores of allocative, economic, technical, managerial and scale efficiency to be relatively 0.956, 0.866, 0.883, 0.89 and 0.913. Regarding to latter three types of efficiency, five hospitals had desirable performance.

Given that additional costs due to an extra number of manpower or unnecessary capital resources impose economic pressure on hospitals also the fact that reduction of surplus production plays a major role in reducing such expenditures in hospitals, it is suggested that departments with low efficiency reduce their input surpluses to achieve the optimal level of performance.

The authors applied a DEA approach to measure allocative, economic, technical, managerial and scale efficiency of under-study hospitals. This is a helpful linear programming method which acts as a powerful and understandable approach for comparative performance assessment in healthcare settings and a guidance for healthcare managers to improve their departments’ performance.

The relationship between economic growth performance and achieving inclusive growth, especially concerning poverty rate, is a subject of continuous argument in economic literature. Although some argue that this relationship is deterministic, i.e. achieving economic growth will definitely reduce poverty and enhance inclusive growth, others believe that the relationship between growth and poverty is conditional, depends mainly on the status of income distribution in this country, i.e. if the growth is combined with a significant improve in distribution then it will reduce poverty.

Africa is a clear example of the nexus between economic growth and poverty reduction. Although many African countries manage to achieve relatively high growth rates, hit two digits in some cases, during the last decades, poverty still widely spread in those countries. Of the 30 poorest countries in the world, 24 are African countries. And about 50% of African people still live under the poverty line. Common Market for Eastern and Southern Africa (COMESA), which could be considered as one of the fastest growing regions in Africa, is not an exception; although the region achieves relatively high growth rates, poverty and inequality are still among the region’s main development challenges.

This paper found that the economic growth rate achieved in COMESA countries could not be considered as inclusive growth as it does not combine with adequate enhancement in inclusiveness indicators. And that the structural characteristics of those countries economy and its inelasticity are the main reasons behind this inefficiency.

In this context, this paper aims to evaluate the effectiveness of economic growth achieved in COMESA countries in achieving inclusive growth and to identify the main factors affecting this relationship by using two steps data envelopment analysis. Although this method is originally developed to evaluate the relative economic efficiencies, the main contribution of this paper is the adaptation of data envelopment analysis to evaluate the efficiency of economic growth achieved in COMESA countries in enhancing inclusive growth dimensions such as poverty rate, inequality, unemployment, education, health, and then to identify in its second step the main indicators that could be used to explain the variation in efficiency scores.

This chapter explores the influence of the banking and insurance sectors on the economic growth of Czechia, a nation with unique financial dynamics ideal for this study. Our aim is to ascertain the contribution of these financial institutions to economic growth, addressing the divergence in empirical findings that have marked this research area for decades. We scrutinise the impact of various factors, including sectoral development and the efficiency and stability of these institutions, all within the Czech context. Utilising the Granger causality test, we assess the role of several indicators related to the development of the banking and insurance sectors. Our findings reveal that in Czechia, the evolution and operational efficiency of these financial institutions significantly drive economic growth. This study provides an in-depth understanding of the role these sectors play in the Czech economic landscape, affirming their crucial contribution to the nation's economic prosperity.

The paper aims at addressing the following research questions: does institutional quality improve countries' environmental efficiency? And which pillars of institutional quality improve countries' environmental efficiency?

By specifying a directional distance function in the context of stochastic frontier method where GHG emissions are considered as the bad output and the GDP is referred as the desirable one, the work computes the environmental efficiency into the appraisal of a production function for the European countries over three decades.

According to the countries' performance, the findings confirm that high and upper middle-income countries have higher environmental efficiency compared to low middle-income countries. In this environmental context, the role of institutional quality turns out to be really important in improving the environmental efficiency for high income countries.

This article attempts to analyze the role of different dimensions of institutional quality in different European countries' performance – in terms of mitigating GHGs (undesirable output) – while trying to raise their economic performance through their GDP (desirable output).

1. The paper aims at addressing the following research question: does institutional quality improve countries' environmental efficiency?

2. We adopt a directional distance function in the context of stochastic frontier method, considering 40 European economies over a 30-year time interval.

3. The findings confirm that high and upper middle-income countries have higher environmental efficiency compared to low middle-income countries.

4. The role of institutional quality turns out to be really important in improving the environmental efficiency for high income countries, while the performance decreases for the low middle-income countries.

The paper aims at addressing the following research question: does institutional quality improve countries' environmental efficiency?

We adopt a directional distance function in the context of stochastic frontier method, considering 40 European economies over a 30-year time interval.

The findings confirm that high and upper middle-income countries have higher environmental efficiency compared to low middle-income countries.

The role of institutional quality turns out to be really important in improving the environmental efficiency for high income countries, while the performance decreases for the low middle-income countries.

The fact that per capita energy consumption in non-OECD (The Organisation for Economic Co-operation and Development) countries makes up only 30% of average consumption in OECD countries, as well as the fact that highly efficient technologies and equipment have been available for many years in developed countries where energy efficiency is one of the top priorities, has often been cited as an argument in favour of the claim that energy efficiency is relevant only for highly developed countries. In this chapter, we attempt to establish if and why this opinion is wrong in the case of Western Balkans (WB6). Evident lack of interest in this area which we identified through analysis of available literature was an important motive for the consideration of the issue of energy efficiency in WB6 countries.

Analysing the basic macroeconomic and energy indicators for WB6 countries and their comparison with indicators for European Union (EU) member countries, we found that all countries have the potential benefit from implementation of energy efficiency and conservation projects. Besides the possible energy savings, wider socio-economic benefits in WB6 countries include harmonization with EU regulations, reduced dependence on import and thus reduced risk of price shocks and potential reduction of trade deficit, creation of jobs, health benefits, better productivity and improved competitiveness.

However, realizing the full potential of energy efficiency requires removal of many financial, institutional, technical and behavioural barriers, whereby WB6 countries can use the help of institutions which provide technical assistance and funds, beside measures which fall under jurisdiction of governments.

This study examines dynamics of global and regional financial market efficiency; and how specific features of the market and other conditions influence variability in such efficiency.

The study employs fixed effects statistical approach in its examination of how specific features of financial markets influence variability in its efficiency.

This study finds that individual IMF defined economic regions tend to exhibits significantly different financial market efficiency characteristics given specific market features and conditions. In regional level comparative analysis (e.g. Europe, Africa, Asia–Pacific etc.) this study finds that incidence of financial market uncertainty is the dominant condition with significant effect on financial market efficiency across all the IMF regions. In the global level analysis, empirical estimates presented suggest that financial market uncertainty, financial institutional depth and financial institutional efficiency tend to have significant positive influence on global financial market efficiency all things being equal. In the same analysis however, this study finds that financial market and financial institutional access growth has significant negative impact on financial market efficiency.

The uniqueness of this study compared to related ones found in the literature stems from its focus on financial market efficiency at the global, and IMF defined regional block level instead of on a specific economy as often found in the literature. Additionally, in contrast to other related studies, this study further examines the role of global financial market uncertainty in its financial market efficiency analysis. Financial market uncertainty variable may be unique to this study because the variable is derived through an econometric process from a base variable.

The purpose of the paper is to describe the concept of sustainable tourism planning, establishing the theoretical foundations, the components that make up the model, and the relationships that ensure the sustainability of a tourist destination.

Tourism planning is based on the principles of sustainability and is defined by three dimensions: environmental, economic and cultural tourism development.

The goal of comprehensive tourism planning is to achieve economic growth and efficiency, ensuring efficiency and social equity by solving the basic needs of the population and on the basis of stable and continuous environmental systems.

The limitation of this paper is the need to validate the dynamic elements raised and test the robustness of the model in an application.

Finding the right balance between these three dimensions is necessary to ensure comprehensive long‐term sustainability, while finding ample references of theoretical and conceptual frameworks of sustainability are based on the triple bottom line, as referred to later in this paper.

The contribution of this paper is to propose, within the model itself, the mechanisms of connection between the three dimensions and the relationships among them, emphasizing the importance of the “stakeholders” in the process.

In the current literature, there is little systematic research on the relationship among adjustment of the income distribution, change in economic structure and improvement of macroeconomic efficiency.

This paper expands Marx's reproduction schema into the “Marx–Sraffa” three-department structure table comprising fixed capital, general means of production and means of consumption and employs China's input–output table from 1987 to 2015 to portray the relationship between income distribution and macroeconomic efficiency under investment-driven growth.

This paper calculates the wage–profit curve of China's economy and evaluates the space of macroeconomic efficiency improvement in China based on the deviation between actual and potential income distribution structure.

The results show that there is a downward trend of the profit rate, which meets Marx's theoretical prediction, and the decline in the profit rate is mainly attributed to an increase in the organic composition of capital arising from the rapid growth of fixed capital investment under extended growth. The analysis of macroeconomic efficiency shows that the space for improving macroeconomic efficiency is extremely limited under traditional growth pattern and that China must transform its economic development pattern and foster new economic growth drivers.

The agribusiness co-operative sector in Canada has been affected by ongoing changes in economic, political, and social policies. Increased competition from local investor-owned firms and multinational companies, deregulation and globalization of trade and increased concentration of suppliers and purchasers have put tremendous competitive pressure on agribusiness marketing co-operatives. The enhanced level of competitive rivalry may force co-operatives into lowering costs and prices. Improvement in cost or operating efficiency of agribusiness marketing co-operatives may be crucial as changes in regulation, technology, and other market developments bring into question the long-term viability of co-operative businesses. Therefore, information as to the efficiency with which agribusiness co-operative firms operate would be useful.

Aims to examine the issue of industrial strategy (IS), paying particular attention to the case of Britain. Sets out to assess the possibility and nature of an industrial strategy for Britain, in Europe, and within the global scene, taking into account the world we live in as we see it. Accordingly, the perspective is driven and shaped by a quest for a realistic, feasible and sustainable industrial strategy. In order to achieve these objectives, first examines the theoretical arguments behind much of British, and more generally, Western industrial policies. Following this, outlines and assesses British industrial policy post‐Second World War then compares and contrasts British industrial policy with that of Europe, the USA, Japan and the newly industrialized countries. Then examines recent developments in economics and management which may explain the “Far Eastern” miracle, and points to the possibility of a successful, narrowly self‐interested, IS for Europe and Britain, based on the lessons from (new) theory and international experience. To assess what is possible, develops a theoretical framework linking firms in their roles as consumers and/or electors. This hints at the possibilities and limits of feasible policies. All these ignore desirability which, in the author′s view, should be seen in terms of distributional considerations, themselves contributors to sustainability. Accordingly, discusses a desirable industrial strategy for Britain in Europe which accounts for distributional considerations, and goes on to examine its implications for the issue of North‐South convergence. Concludes by pointing to the limitations of the analysis and to directions for developments.