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1 – 10 of over 5000Sophie Guthmuller, Paolo Paruolo and Stefano Verzillo
This chapter summarises the role of EU actions in supporting healthcare policies in the EU Member States, both looking at implemented actions and describing current priorities for…
Abstract
This chapter summarises the role of EU actions in supporting healthcare policies in the EU Member States, both looking at implemented actions and describing current priorities for the future. It argues that these coordinated actions can be beneficial for EU Member States by helping them to avoid duplication of effort and to attain economies of scale. Moreover, data sharing with proper safeguards can unleash vast amount of ‘learning what works’ both for medical treatments and for healthcare sustainability measures. The need for this common learning appears ever more urgent while facing the health and economic consequences of the present pandemic.
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The development of Research Management and Administration (RMA) in Europe is strongly connected with the development of the Science and Technology (S&T) policy of the European…
Abstract
The development of Research Management and Administration (RMA) in Europe is strongly connected with the development of the Science and Technology (S&T) policy of the European Union (EU). These policies were the result of a continuous debate between the member states and the European Commission and European Parliament.
Although there is no data on the early development of RMA, there are some publications on the history of the development of the S&T policy in Europe: the excellent publication ‘A History of European Union Research Policy’ by Luca Guzzetti (Guzzetti, 1995). Guzzetti’s book investigates the history of EU research policies from 1948 up to the preparation of the Fourth Framework Programme (FP) (1994–1998).
The RMA aspects are constructed mainly by oral history complemented with some written sources. The history shows a gradual development of the profession unevenly spread in time and European geography. This has mainly with the EU enlargement in the same period, when new member states were connected to the FP. The profession started with a few colleagues’ way back in the eighties of the last century as financial people were dealing with the first European financial reporting up to the present day where RMA is becoming a field of work attracting many new colleagues.
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Stefania Kollia and Athanasios A. Pallis
Container liner shipping companies started expanding their business by investing in container port terminals in the late 1990s. This market entry results in an extensive presence…
Abstract
Purpose
Container liner shipping companies started expanding their business by investing in container port terminals in the late 1990s. This market entry results in an extensive presence of vertically integrated liners and terminals. This study aims to explore the competition effects of this vertical integration trend based on a regional (European) analysis. In particular, it extracts lessons from the European Commission (EC) cases on the competition effects of vertical integration. The critical analysis of the cases examined at the institutional level intends to reach conclusions on whether liner–terminal vertical integration harmed or advanced competition in the relevant markets and/or the extent that there is a need to revise the current policy practices.
Design/methodology/approach
This study critically assesses the EC’s decisional practices in port container terminal vertical mergers in the last 25 years (1997–2021). Based on a literature review comparing maritime and competition economists' perspectives, it reviews the types of mergers examined, the methodology followed for relevant market definition and calculation of market shares and the estimated competition effects. The Hamburg–Le Havre area is the port range used as a case study for comparing the decisional practice with actual market developments. These container ports serve the greatest consuming market of final and intermediate goods in Europe and are gateways to Central and Eastern Europe.
Findings
The assessment identifies a need for expanding the investigation as a precondition for reaching conclusions on both the anti- and pro-competitive effects. First, only a limited number of transactions have been notified to the EC. Second, the empirical research identified a gap in this process, as there were no decisions (phase I) on vertical mergers between 2008 and 2016. Third, the exante assessment has not applied a phase II in-depth analysis to any case due to the absence of competition concerns. Finally, due to the absence of complaints, there is a lack of any ex post assessment of the effects of vertical integration.
Research limitations/implications
This assessment is important for understanding the current and emerging features of intra-port and inter-port competition and the potential effects that the continuation and expansion of liner companies' vertical integration strategies will have along maritime supply chains. It also contributes to the broader discussion on liner companies' strategies, such as the research and policy-making efforts around the globe to understand the impact of both vertical and horizontal integration.
Practical implications
These discussions are critical for a diversity of businesses that use liner shipping services or provide facilities and services to container shipping lines or ports. They are important for the interests of customers and consumers as they could inform any needed re-visiting of competition policy to protect from the dominance of any market developments that would lead to conditions limiting competition. Expanding analysis on the competition effects of non-notified mergers would help a better understanding of market changes.
Social implications
Enhancing competition and limiting monopolies is valuable from a consumer's perspective. This is more so in the case of maritime trade that serves the needs of societies. The study contributes by generating a better understanding of how decision-makers have worked towards that direction and what realignments are worthy.
Originality/value
There are no previous comprehensive reviews and analyses of the ways that policy-makers at the regional level have addressed the competition effects of vertical integration strategies of liner shipping companies when enhancing competition is valuable from a consumer perspective. Comparing maritime economists and competition, the study, via its literature review, also offers a comparison of maritime and competition perspectives on these competition effects, allowing positioning of how effective decisional-making practices have been.
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The purpose of this paper is to develop an integrated theoretical framework for energy security concept and to shed light on the policies and strategies applied by the European…
Abstract
Purpose
The purpose of this paper is to develop an integrated theoretical framework for energy security concept and to shed light on the policies and strategies applied by the European Union countries to confront the challenges that faces them.
Design/methodology/approach
The research paper uses Regional Security complexes theory, which mainly developed in Copenhagen school for security studies, that founded by Barry Buzan. This school tried to clarify the untraditional security aspects, through expanding its scope by adding new dimensions than military perspective.
Findings
Despite the consolidated efforts exerted by the European Union to assure safe levels of energy security, and their continuous pursuit to be liberated from Russian energy over dependence, but the results are still limited.
Originality/value
The value of this research paper stems from the fact that it encompass the theoretical aspect by shedding light on all the developments occurred to energy security concept, in addition to the Empirical side, by analyzing various European energy security challenges and their confrontation strategies.
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Lorena Androutsou and Theodore Metaxas
Under the Directive 2011/24/EU, medical tourism and cross-border health are interrelated terms regarding the freedom to move to get the most accessible medical treatment into EU…
Abstract
Purpose
Under the Directive 2011/24/EU, medical tourism and cross-border health are interrelated terms regarding the freedom to move to get the most accessible medical treatment into EU Member State within the defined procedures for reimbursement. Little known empirically regarding the efficiency of the cross-border health/medical tourism industry. This study aims to measure its efficiency in Europe for the years 2010-2014, by using Data Envelopment Analysis (DEA).
Design/methodology/approach
Data obtained from OECD and the European Core Health Indicators (ECHI), which is collecting the data through Eurostat. Eurostat collects data on health-care activities and provides data on hospital discharges, including the hospital discharges of non-residents and these include hospital discharges of in-patients and day care patients. The analysis uses “DEA.P, 2.1 for windows” by Coelli (1996).
Findings
The results show that the Members States health systems were very efficient in handling non-residents in-patients; however, when managing day cases/outpatients, the efficiency scores dropped.
Practical implications
The findings would have significant associations affecting intentions to revisit clinics and the destination country. In addition, will be useful to those seeking a better understanding of the cross-border health and medical tourism industry efficiency.
Originality/value
Extending the findings of the European Commission report (2015c) by examining how well medical tourists are informed about the decision they are making, would be of perceived value. These are important indicators at European level by helping each Member State to measure its medical tourism services.
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Igor Calzada and Esteve Almirall
This paper aims to spark a debate by presenting the need for developing data ecosystems in Europe that meet the social and public good while committing to democratic and ethical…
Abstract
Purpose
This paper aims to spark a debate by presenting the need for developing data ecosystems in Europe that meet the social and public good while committing to democratic and ethical standards; suggesting a taxonomy of data infrastructures and institutions to support this need; using the case study of Barcelona as the flagship city trailblazing a critical policy agenda of smart cities to show the limitations and contradictions of the current state of affairs; and ultimately, proposing a preliminary roadmap for institutional and governance empowerment that could enable effective data ecosystems in Europe.
Design/methodology/approach
This paper draws on lessons learned in previous publications available in the sustainability (Calzada, 2018), regions (Calzada and Cowie, 2017; Calzada, 2019), Zenodo (Calzada and Almirall, 2019), RSA Journal (Calzada, 2019) and IJIS (Calzada, 2020) journals and ongoing and updated fieldwork about the Barcelona case study stemming from an intensive fieldwork action research that started in 2017. The methodology used in these publications was based on the mixed-method technique of triangulation via action research encompassing in-depth interviews, direct participation in policy events and desk research. The case study was identified as the most effective methodology.
Findings
This paper, drawing from lessons learned from the Barcelona case study, elucidates on the need to establish pan-European data infrastructures and institutions – collectively data ecosystems – to protect citizens’ digital rights in European cities and regions. The paper reveals three main priorities proposing a preliminary roadmap for local and regional governments, namely, advocacy, suggesting the need for city and regional networks; governance, requiring guidance and applied, neutral and non-partisan research in policy; and pan-European agencies, leading and mobilising data infrastructures and institutions at the European level.
Research limitations/implications
From the very beginning, this paper acknowledges its ambition, and thus its limitations and clarifies its attempt to provide just an overview rather than a deep research analysis. This paper presents several research limitations and implications regarding the scope. The paper starts by presenting the need for data ecosystems, then structures this need through two taxonomies, all illustrated through the Barcelona case study and finally, concludes with a roadmap consisting of three priorities. The paper uses previous published and ongoing fieldwork findings in Barcelona as a way to lead, and thus encourage the proliferation of more cases through Cities Coalition for Digital Rights (CCDR).
Practical implications
This paper presents practical implications for local and regional authorities of the CCDR network. As such, the main three priorities of the preliminary roadmap could help those European cities and regions already part of the CCDR network to establish and build operational data ecosystems by establishing a comprehensive pan-European policy from the bottom-up that aligns with the timely policy developments advocated by the European Commission. This paper can inspire policymakers by providing guidelines to better coordinate among a diverse set of cities and regions in Europe.
Social implications
The leading data governance models worldwide from China and the USA and the advent of Big Data are dramatically reshaping citizens’ relationship with data. Against this backdrop and directly influenced by the General Data Protection Regulation (GDPR), Europe has, perhaps, for the first time, spoken with its own voice by blending data and smart city research and policy formulations. Inquiries and emerging insights into the potential urban experiments on data ecosystems, consisting of data infrastructures and institutions operating in European cities and regions, become increasingly crucial. Thus, the main social implications are for those multi-stakeholder policy schemes already operating in European cities and regions.
Originality/value
In previous research, data ecosystems were not directly related to digital rights amidst the global digital geopolitical context and, more specifically, were not connected to the two taxonomies (on data infrastructures and institutions) that could be directly applied to a case study, like the one presented about Barcelona. Thus, this paper shows novelty and originality by also opening up (based on previous fieldwork action research) a way to take strategic action to establish a pan-European strategy among cities and regions through three specific priorities. This paper can ultimately support practice and lead to new research and policy avenues.
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