Strategic Axes Research Articles

IDENTIFYING THE INTER-RELATIONSHIPS BETWEEN THE COMPANY'S STRATEGIC SECTORS

To reveal the inter-relationships between the strategic axes of the analyzed company, we used the Balanced Scorecard Analysis (BSC)1 and the Partial Least Squares (PLS) technique. The PLS technique identifies strategic areas (or axes) by grouping performance indicators that have the highest percentage of explaining the variance within the indicator group. We linked the strategic axes with the company's performance sectors, while the PLS model illustrated the interaction between the company's strategic lines as well as the interaction between the company's performance indicators and their respective groups. We started with principal component analysis (PCA) to identify the most important activity sectors for the company (for example, axis 1 = Profitability), to which we associated between 4 and 9 relevant performance indicators and selected those that were most correlated with their respective strategic sectors. We used the PLS technique for principal component analysis to show the correlations between the company's strategic sectors. The intensity of the relationships within the company allowed us to predict potential strategic lines for improving managerial performance. The BSC enabled us to explain the relationship between corporate governance variables and company performance. Within the causal relationships, we provided a logical explanation of how the analyzed business sectors are interconnected.

Enhancing employee wellbeing and happiness management in the wine industry: unveiling the role of green human resource management

BackgroundIn today’s business environment, where sustainability has emerged as a strategic axis of business practices, the study of the link between human resources management and environmental management becomes increasingly necessary. In this sense, the present research focuses on analyzing the impact of Green Human Resource Management (GHRM) on the Sustainable Performance (SP) of Spanish wineries, as well as the mediating effect of Employee Wellbeing (EW) and Work Engagement (WE) on this linkage. In addition, age, size and membership in a Protected Designation of Origin (PDO) are introduced as control variables to increase the precision of the cause-effect relationships examined.MethodsThe study proposes a conceptual model based on previous studies, which is tested using structural equations (PLS-SEM) with data collected from 196 Spanish wineries between September 2022 and January 2023.ResultsThe findings of the research reveal the existence of a positive and significant relationship between the GHRM development and the SP of Spanish wineries, as well as the partial mediation of EW and WE in this association.ConclusionsThe uniqueness and significance of this study can be attributed to several crucial factors. First, it enhances the understanding and knowledge regarding the advantages associated with GHRM development. Second, no prior research has conducted a comprehensive study on GHRM as a catalyst for SP within the context of Spanish wineries. Third, to the best of the authors’ knowledge, no previous study has analyzed the mediating role of EW and WE as mediators in the relationship between GHRM and SP of wineries.

The Meloni government and the challenge of ecological transition

ABSTRACT During 2023, the Meloni government had to face the difficult management of the emergencies caused by the calamitous events that hit Emilia Romagna and Tuscany, which brought the long-lasting issue of hydrogeological instability back onto the public agenda. More generally, in the environmental and land protection fields, the government inherited the implementation of the measures associated with the strategic axis of the Ecological Transition, contained in the National Recovery and Resilience Plan (PNRR). However, the position of the government and that of the parliamentary majority not always fitted with the contents of the existing programming, nor with the policies promoted by the European institutions. By adopting a qualitative approach and combining original and secondary sources, in this work we will analyse the actions undertaken by the Meloni government in the environmental field in light of the “responsiveness-responsibility dilemma”. Particular attention will be paid to the points in continuity and to the breaks with the legacies of the past. The analysis shows how the government has progressively deviated from consolidated policy directions and planning, favouring the responsiveness pole to the detriment of responsibility.

Go Green in Neuroradiology: towards reducing the environmental impact of its practice.

Raising public awareness about the relevance of supporting sustainable practices is required owing to the phenomena of global warming caused by the rising production of greenhouse gases. The healthcare sector generates a relevant proportion of the total carbon emissions in developed countries, and radiology is estimated to be a major contributor to this carbon footprint. Neuroradiology markedly contributes to this negative environmental effect, as this radiological subspecialty generates a high proportion of diagnostic and interventional imaging procedures, the majority of them requiring high energy-intensive equipment. Therefore, neuroradiologists and neuroradiological departments are especially responsible for implementing decisions and initiatives able to reduce the unfavourable environmental effects of their activities, by focusing on four strategic pillars-reducing energy, water, and helium use; properly recycling and/or disposing of waste and residues (including contrast media); encouraging environmentally friendly behaviour; and reducing the effects of ionizing radiation on the environment. The purpose of this article is to alert neuroradiologists about their environmental responsibilities and to analyse the most productive strategic axes, goals, and lines of action that contribute to reducing the environmental impact associated with their professional activities.

E-governance as a lever for public administration performance: A qualitative survey.

The digital transformation of the international economy has made it easier for both public and private companies to reinforce the process of migrating value to the Internet. Internet integration has thus become a sine condition for maximizing the chances of success. The new public management (Er Rays et al., 2022) makes e-administration a strategic axis in our country. In Morocco, digital technology is a fundamental part of the system used to modernize the administration. E-administration generates transparency and efficiency, paving the way for e-governance that harmonizes organizational performance (Scupola & Zanfei, 2016). The COVID-19 pandemic required the administration to use digitalization to ensure continuity and modernization of public services. The qualitative exploratory study was carried out to assess perceptions and expectations, and to identify levers for improving the quality of distance learning in order to achieve the desired performance. The results clearly illustrate that this type of teaching has been a success with teachers, despite certain constraints noted by this type of alternative or complementary teaching.

A evolução da legislação da saúde em Portugal e os novos desafios para a gestão a partir de 2024

Abstract In the last 40 years, the National Health Service (SNS) has generated health gains that have placed Portugal at the top regarding quality of life for millions of citizens and reduced many of the inequalities in Portuguese society. We revisit the establishment of the Portuguese National Health Service and all the profound legislative changes introduced after the publication of the new Health Basic Law, the definition of the strategic axes of the SNS human resources policy and the establishment of the respective operationalization mechanisms, the approval of the new SNS Statute and the approval of the Organic and Statutes of the Executive Board of the SNS and the creation of Local Health Units (ULS) as public business entities. These legislative changes could be a fundamental step towards strengthening the construction of a fairer and more inclusive SNS, which better responds to the population’s needs through the necessary structural reforms.

Active Citizenship as an Integrating Axis between Health in All Policies and the Well-being Economy

The persistence of social inequities has affected the quality of life of the population in many countries for a long time. To counteract this situation, multinational agencies have proposed several political/technical alternatives among which Health in All Policies and the Well-being Economy stand out; in which the interaction of various sectors together with society at large is crucial to achieve the goals set in all areas. The aim of this review is to provide an overview of some of the main enablers that bring the two initiatives together, emphasising the active participation of citizens as a support for achieving the social justice and sustainable development goals of governments. In the research, we used an interpretative synthesis method in three phases: an exploration of the empirical work supporting Health in All Policies and its connection to Wellbeing Economy; a study of the theory of community social capital as a basis for building inclusive community participation; and finally, we analysed the fundamental elements that enable population groups, particularly the most vulnerable, to share power in making decisions that concern them according to their real and felt needs and problems. The results lead us to conclude that it is necessary for governments to privilege citizen power as a convergent strategic axis to strengthen their own institutions, both in the design and implementation of actions undertaken in the effort to mitigate social inequities through Health in All Policies and Well-being Economy

쿠바 사회주의 발전전략의 변화와 지속가능한 발전

This article examines how PNDES 2030, based on the Cuban socialist development model, corresponds to the SDGs, and through this, assesses whether Cuba's socialist development model can realize sustainable development. Furthermore, we reviewed the limitations of Cuban-style sustainable development and examined the conditions for the Cuban-style sustainable economic development model to be compatible with the SDGs, the dominant development paradigm in the international community. Since 1990, Cuba has made efforts to transform its development model and establish a sustainable development model in order to break away from external dependence in its economic structure and at the same time actively respond to changes in the global economy. The Cuban government established the 'Cuban National Strategic Plan 2030 (PNDES 2030)' for sustainable development goals centered on six strategic axes, with 17 Sustainable Development Goals (SDGs), the mainstream paradigm, in each strategic axis. Detailed items were placed. These strategic axes were planned to coexist with the 17 sub-goals of the SDGs without significantly departing from the post-revolutionary socialist development perspective. However, in reality, the U.S. economic sanctions that have continued since the revolution are acting as an obstacle to PNDES 2030, which can be considered a Cuban-style sustainable development model, achieving certain economic results. Additionally, overcoming the inefficiencies and low productivity that occur within the framework of a planned economy can also be said to be an important condition for realizing sustainable development in Cuba.

Evaluation, classification and categorization of tourist accommodation for customer satisfaction: Puerto López case

The purpose of this research is the evaluation, classification and categorization of tourist accommodations as a contribution to improving customer satisfaction in the Puerto López destination. The type of research used was a non-experimental design of a descriptive -exploratory nature. The methods used were; analytical-synthetic and inductive-deductive. The study addresses three phases, first, a diagnosis of the hotel sector, where sixty-seven establishments divided into types of hotels in Ecuador were identified, with the research focusing on four establishments. The second phase involves the evaluation, categorization and classification of accommodation establishments, and the third, the evaluation of customer satisfaction, through the application of surveys based on the SERQUAL model, identifying perceptions that are below expectations, demonstrating the poor quality of service. An improvement proposal was designed, with five strategies that led to the design of the programming, structured with four strategic axes as programs that compile thirty-one projects, as well as their respective indicators and those responsible

PP149 Reengineering Of Processes For The Elaboration Of Health Technology Assessment Reports In Catalonia

IntroductionIn order to increase the value of its services and activities, the Agency for Health Quality and Assessment of Catalonia (AQuAS) has incorporated in its strategic plan the commitment to improve the processes, quality and people, while ensuring transparency, independence, rigor and efficiency following the guidelines of the European Foundation for Quality Management. We aim to present the standardization processes to improve the efficiency in elaborating health technology assessment (HTA) reports at AQuAS.MethodsProcess standardization has been developed in seven stages: (i) definition of scope, objectives and creation of working groups; (ii) mapping and analysis of all ongoing processes to determine whether they needed improvement or were already optimal; (iii) creation of new processes by evaluating the inclusion of automatic tools and their possible digitization; (iv) creation of the process map; (v) communication to the team for its implementation after training; (vi) dissemination on corporate website; (vii) monitoring and evaluation of their impact.ResultsThe creation of AQuAS’ HTA report development process map has involved 14 people over the past two years. After an initial two-day workshop, the team was organized in working groups of two to three people, with regular monitoring and the creation of a specific knowledge management unit led by the AQuAS’ evaluation manager. The process map was configured based on three axes. The strategic axis contains legal frameworks, ethical principles, good practices and methodological frameworks (29 specific for HTA reports). The key axis presents in an integrated way the process and methodology followed from the request of the HTA report to the final product’s dissemination. The support axis includes, among other, the management of 31 requests, information specialist processes (37 searches), training (51 courses) and 6 internal procedures with their corresponding 26 templates and 27 tools.ConclusionsWith a process reengineering approach, HTA reporting has become more efficient. We believe this approach can help other agencies improve their internal processes and subsequently improve team and customer satisfaction.

Intelligent MONitoring System for antiviral pharmacotherapy in patients with chronic hepatitis C (SiMON-VC)

Two out of six strategic axes of pharmaceutical care in our hospital are quality and safety of care, and the incorporation of information technologies. Based on this, an information system was developed in the outpatient setting for pharmaceutical care of patients with chronic hepatitis C, SiMON-VC, which would improve the quality and safety of their pharmacotherapy. The objective of this paper is to describe requirements, structure and features of SiMON-VC. Requirements demanded were that the information system would enter automatically all critical data from electronic clinical records at each of the visits to the Outpatient Pharmacy Unit, allowing the generation of events and alerts, documenting the pharmaceutical care provided, and allowing the use of data for research purposes. In order to meet these requirements, 5 sections were structured for each patient in SiMON-VC: Main Record, Events, Notes, Monitoring Graphs and Tables, and Follow-up. Each section presents a number of tabs with those coded data needed to monitor patients in the outpatient unit. The system automatically generates alerts for assisted prescription validation, efficacy and safety of using antivirals for the treatment of this disease. It features a completely versatile Indicator Control Panel, where temporary monitoring standards and alerts can be set. It allows the generation of reports, and their export to the electronic clinical record. It also allows data to be exported to the usual operating systems, through Big Data and Business Intelligence. Summing up, we can state that SiMON-VC improves the quality of pharmaceutical care provided in the outpatient pharmacy unit to patients with chronic hepatitis C, increasing the safety of antiviral therapy.

Implementation gaps of the Portuguese Nacional Health Plan 2012-2021: evidence mapping analysis

Abstract Background The National Institute of Health Doutor Ricardo Jorge (INSA) is responsible for carrying out the evaluation of the Portuguese National Health Plan (PNS) 2012-2016, extended to 2020 (and later to 2021). As part of PNS evaluation, this study aims to identify gaps in the implementation of the PNS 2012-2021, and to identify the degree of alignment and coherence between the strategic axis, goals, and monitoring framework issued by the PNS at different levels of implementation (national, regional, local and municipal). Methods A mix study, employing both qualitative and quantitative approaches was performed based upon a modified scoping review. Portuguese healthcare institutional websites and municipality websites were identified as the main data sources and secondary data were gathered. Evidence (plans, programs, or strategies) with publication date between 2015 and 2020 were included. A data collection matrix was validated by a group of experts from major stakeholders from academia and public health services. The matrix included 3 main categories following the PNS intervention logic (5 strategic axis, 4 goals and 37 monitoring indicators). Results A total of 204 documents met the inclusion criteria. Evidence from national level (55%) and local level (35%) represented about 90% of the sample. Overall, three implementation gaps were identified: 1) absence of two Regional Health Plans (in a total of 5 mainland health regions); 2) lack of about 1/3 of the expected Local Health Plans (16 out of 53) and, 3) low transposition (or approximation) of the PNS monitoring framework into the hospital and primary care contract-programs, one of the main management tools for planning. Conclusions The identification and analysis of implementation gaps contribute to the final evaluation of the PNS. Moreover, the results can guide the next planning cycle pointing out sensitive areas of implementation which need more attention from various stakeholders. Key messages • Implementation gaps can compromise the impact of PNS as the strategic tool to set the necessary health interventions and their alignment at national, regional and local level of implementation. • The next planning cycle should tackle the identified implementation gaps with the purpose of strengthen PNS as a strategic planning platform and with the aim of maximize population health gains.

Project Hep-ØN: A comprehensive approach to reduce chronic viral hepatitis in Portugal

Abstract Issue The World Health Organization considers viral hepatitis a public health problem and aims to eliminate it as a threat by 2030, reducing incidence by 90% and mortality by 65%. To achieve these goals, the National Program for Viral Hepatitis recommends the screening of viral hepatitis at least once in a lifetime. However, this is not a widespread practice. Description of the problem Micro-elimination is an effective, efficient, and cost-effective intervention in addressing chronic hepatitis in specific geographic areas. The ‘Hep-ØN’ project aims to reduce the incidence, mortality, and morbidity of viral hepatitis in the area of influence of Oeste Norte. The project has three strategic axes: screening, patient follow-up, and liver disease literacy, with the support of several partners. Results The goal is to implement viral hepatitis screening at least once in a lifetime for all adult users, improve referral networks, ensure treatment and post-treatment surveillance of viral hepatitis, and empower healthcare professionals. The project aims to cover the 180,000 users registered in Oeste Norte (municipalities of Alcobaça, Bombarral, Caldas da Rainha, Óbidos, Peniche, Nazaré), of which more than 150,000 are over 18 years old. The pilot project is taking place in Peniche until September 2023, and covers more than 27,000 users, of which more than 22,000 are adults. The project's strategies can be applied to other areas, allowing for the rapid identification and treatment of viral hepatitis. Lessons The success of the pilot project in Peniche will demonstrate the importance of integrated and localized interventions in preventing and eliminating chronic viral hepatitis, first in ACES ON and then in other regions of the country. Replication should be adapted to local characteristics, leveraging synergies with local and national partners. Integrated care models are an effective strategy to address the challenges of preventing, treating, and controlling chronic viral hepatitis. Key messages • ‘Hep-ØN’ project aims to screen all adults, treat viral hepatitis, and empower healthcare professionals in Oeste Norte to eliminate chronic hepatitis. • Success of the pilot project in Peniche will show localized interventions’ importance in identifying and treating viral hepatitis rapidly and how integrated care models are an effective strategy.

Shifting the paradigm from illness to wellbeing: development of a Municipal Health Strategy

Abstract Issue Portugal is undergoing a health promotion and healthcare competency transferring process to local governments, requiring the development and implementation of Municipal (local) Health Strategies (MHS). Planning an MHS remains a challenge as no guidelines have been established, being imperative to involve citizens and local stakeholders. Description of the problem The MHS contemplates, at the municipal level and in the field of health, the priority lines of intervention and respective targets, indicators, activities, resources, and timeframes. This communication will describe the participatory mixed-methods design created for the development of one of the largest municipalities of Portugal: Almada. A technical panel was formed to act as a think tank throughout the development of the MHS, involving different public and private local social actors (Almada city hall, parishes councils, schools, faculties, sports clubs, healthcare units, social service organizations, etc.). The world café method was selected for collaborative thinking, involving also public health and health promotions experts and Almada citizens. A population-based survey complemented public registries as a data source for building up a municipal health profile (a diagnostic tool for supporting the MHS definition). What are the vision and values of Almada's MHS, how to involve the community, and what are Almada's MHS strategic axes, these are some of the questions discussed in the world cafés. Results From March to May 2023, six world cafés were conducted, plus one population-based survey focused on municipalities’ health and well-being indicators. The preliminary data point to an MHS “shifting the paradigm from illness prevention to wellbeing promotion”. Lessons Collaborative models are pivotal to building up effective intersectoral municipal policies, reflecting real-world health problems, and tackling real-world solutions. Key messages • The definition of local health strategies require collaborative, co-construction oriented models, with challenging methodological processes. • A multi-sectorial stakeholder panel set out positive health and wellbeing indicators and goals (instead of disease prevention goals) as priority for a Municipality Health Strategy.

STRATEGIC ANALYSIS THEORY OF MICHEL CROZIER

Crozier's work shows, through its strategic axes, that his theory of strategic analysis of organizations is another way to deal with matters of management and management in a sociological manner.As he distinguished between Taylorism's rationalism as the only way to work and the limited rationalism of Herbert Simon. To impose his method in which Crozier focuses on the principles of strategic analysis, such as areas of doubt, margins of freedom, and the pattern of concrete action; However, by criticizing the single view of work, he also tried to impose a single view

Technical protocols of heritage preservation from risk and vulnerability analysis. The case of the vernacular architecture of Quingeo (Azuay, Ecuador)

The vernacular architecture of the rural Parish of Quingeo (Azuay, Ecuador), and therefore, the buildings of its parish downtown, are affected by globalization, neglect, and the scarcity of management and technical preservation tools led to their deterioration. This background motivates the analysis, identification, and prioritization of risks and vulnerabilities of this architecture, taking three priority cases of study; wall stratigraphy, the risk analysis matrix, and the principles of preventive preservation, as tools little applied in rural built heritage, but are very useful to understand the evolutionary process, and improve the protection and enhancement. The results obtained determine three types of specific protocols; 1) monitoring and control, 2) periodic maintenance, and 3) management. Such instruments are viable as a strategic axis for nearby territories, such as Quingeo.

DEVELOPMENT AND INTEGRATION PLAN OF MATO GROSSO DO SUL’S BORDER STRIP: A VIEW FROM THE ECONOMIC INDICATORS

The Development and Integration Plan of the Border Strip of the State of Mato Grosso do Sul - PDIF/MS (2012) was developed. This Plan presented seven strategic axes and the purpose of this paper is to specifically analyze the axis "economic development" to verify the monitoring of the results concerning the established goals. For this, data and socioeconomic and development indicators will be collected. The method will be based on the analysis of descriptive statistics as well as stylized facts. After analyzing the data and indicators, it was pointed out that important improvements occurred in the agricultural sector and storage. But on the other hand, few advances were observed in industrial diversification. Regarding tourism, trade, and services, there have been advances concerning the goals, however, it is important to emphasize that the goals established in the PDIF/MS are not specific, measurable, achievable, relevant, and temporal (SMART), consequently, performance evaluation is difficult. However, it is essential to develop a new Development and Integration Plan for the State of Mato Grosso do Sul’s Border Area that in fact will be able to provide SMART goals, for effective monitoring and of the Plan, and for its results to be robust and significant.

Mutual Health Insurance Model: Strategic Axis for Access to Health Care for Households in the DRC. Case Analysis of the Mutuelle De Santé De Kinshasa

Mutual Health Insurance Model: Strategic Axis for Access to Health Care for Households in the DRC. Case Analysis of the Mutuelle De Santé De Kinshasa

The Draghi Government put to the Test by the National Recovery and Resilience Plan

ABSTRACT The political and institutional trajectory of Italy was clearly punctuated by the economic upheavals of the pandemic. The articles in the special issue aim to assess the character of the institutional change prompted by the economic response to the pandemic, and in particular by the National Recovery and Resilience Plan (NRRP), in different policy areas. Three contributions analyse the reform dynamics related to the strategic axis of the Italian NRRP, namely digitalization and innovation (Ottone and Barbieri), the ecological transition (Cotta and Domorenok), and social inclusion as concerns labour-market policies (Tassinari). Two contributions focus on two overarching priorities of the NRRP: gender equality (Donà) and development of southern Italy (Cerruto, Cersosimo and Raniolo). Finally, one contribution focuses on reform of the public administration, which has been identified as a key area, affecting horizontally all missions in the NRRP (Di Mascio, Natalini and Profeti). Overall, the articles in the special issue highlight that the pandemic has been followed by a process of institutional change that occurred both incrementally and unevenly, often disguising substantial continuity.

The Future of European SMEs: Seven Strategic Axes for the Re-Globalization Phase

The Coronavirus crisis which started at the end of 2019 and the Russian invasion of Ukraine in February 2022 have cut deep into the tissue of Europe’s socio-economic backbone, namely impacting its small and medium sized enterprises. On the basis of seven strategic axes, Roland Benedikter provides an outlook on the future perspective of European SMEs.