Análisis del servicio de Urgencias aplicando teoría de líneas de espera

Those responsible for making decisions in hospitals are increasingly aware of the need to efficiently manage hospital systems. An option for analysis is done by queuing models. In this paper is analyzed the service area ER, in a public hospital applying the concepts and relationships of waiting lines. From the model results, it is concluded that in the emergency department does not have the required minimum number of doctors to allow a steady flow of patients. With the model, the minimum required number of doctors is calculated to meet current and future demand for service with the same service time and the same discipline of service. Analytical models, allowing direct understand the relationships between service demand, number of doctors and patient care priority viewed as a queuing system. The work is useful for administrators and managers of hospital systems.     

Business Cycle Synchronization between Euro Area and Central and Eastern European Countries

We analyze the degree of co‐movements in real macroeconomic aggregates across selected euro area and Central and Eastern European (CEE) countries applying a multi‐factor model. Our results suggest that the evolution of the global European factor matches well the narrative of main economic events between 1995 and 2011, capturing among others the recession during the recent global financial and economic crisis. This factor plays a central role in explaining real output growth variability in euro area and is negligible in CEE countries. Furthermore, using Markov switching models and concordance indices, we shed light on an increase in business cycle synchronization, with the degree of concordance between country‐specific and European business cycles being high.     

Market Research for the Optimization of the Consumers Response to the Recent Award of a Protected Geographical Indication to a Local Product,Beans from “La Bañeza-León” (Spain)

Abstract

In Europe several low involvement food products with reduced productions have been awarded with a PGI or PDO during the last few years. The beans from La Bañeza-León (Spain) are an example of this and received a PGI in September 2005. The general objective was to appraise the effect that the award of the PGI to such kinds of food products has in consumers, in order to optimize the managerial and public policies, and to get maximum advantage from the PGI distinction in the commercialization of them. For low involvement products with PGI, the general guidelines should be to keep the prices as low as possible, to develop intensive public information campaigns about the award of the PGI, and to offer the product in medium or high involvement restaurants, in order to reach those consumers willing to pay more for the product, that are mainly in the age range of 36 to 45 years. It is also discussed that the PGI label would have more interest than a private brand. Specifically for beans from “La Bañeza-León,” the PGI Council should urgently tackle a promotional campaign about the product and the PGI award that should reach to most of the consumers in the target markets, taking into account that as the distance from the production area increases the knowledge of the product decreases. This campaign should help the consumer to clearly identify the beans from the PGI by using an attractive logo, and to inform them that the beans from the PGI are superior than substitutive beans in taste and cooking time. Finally, public campaigns that promote the consumption of beans among youth would be necessary.     

Marketing practices in the Spanish rural tourism sector and their contribution to business outcomes

This paper sets out to highlight the importance of entrepreneurial and market orientations for the success of enterprises operating out of a rural base. Using these two strategic frameworks, this paper identifies the marketing practices undertaken by rural enterprises, and evaluates their effect on business performance, on the local entrepreneur, and on the rural area itself. Enterprises operating from a rural location play a strategic role in the sustainable development of economies, in the context of which the rural tourism sector particularly stands out. The use of marketing practices appropriate to the aims, capacities and resources of such enterprises is proposed as a mechanism for improving their performance. Using the Spanish rural tourism sector as the basis, a scale measuring marketing practices, and another scale reflecting three different types of outcome – financial, those linked personally to the entrepreneur, and those in terms of development of the rural environment – are proposed and validated, and the effect of marketing practices on the performance of such enterprises is analysed. The findings, which reveal that marketing practices have a significant effect on the achievement of outcomes, have implications of interest for the literature and for practitioners in the rural enterprise sector.     

Capital structure and institutional setting: a decompositional and international analysis

The legal and institutional setting is more and more influential in firms’ financial decisions. Our article analyses firms’ capital structure in an international framework in order to assess the different level of debt use across countries and to identify both common and differential explanatory factors. Although the level of financial leverage is quite different, the factors that have traditionally driven capital structure decisions have much in common in all the legal and institutional settings. The performance and size of the firm, the assets tangibility and the growth opportunities have a relevant but differential effect across the different institutional systems. Consequently, our results suggest that the legal and institutional system of each country does not only affect firms’ capital structure but also creates the conditions to explain a differential effect of the common determinants of firms’ financial choices.     

Export activity,persistence and mark-ups

This article addresses the differences in margins across exporting and nonexporting firms. We jointly estimate a translog cost function, a variable factor share equation and price-cost margin equations to analyse the effect of persistence in export activity on margins. Results indicate that nonexporters have smaller margins than persistent exporters and firms that entered foreign markets during the nineties. However, larger export ratio is negatively associated with margins for persistent exporters. It suggests that efficiency advantages for exporters are partially compensated by higher competitive pressure in international markets. These results are in accordance with the predictions of Melitz and Ottaviano (2005 Melitz, MJ and Ottaviano, GIP. 2005. Market size trade, and productivity, NBER Working Paper Series No. 11393 (forthcoming in The Review of Economic Studies) [Google Scholar]).     

The Value Relevance of Financial and Non-Financial Environmental Reporting

Previous literature on the analysis of the relationship between environmental reporting and financial performance shows mixed results, due to the use of a broad variety of research methods and the lack of objective environmental performance measures. This paper adopts a new approach to explore this relationship, analysing the value relevance of different types of financial and non-financial environmental disclosures. Furthermore, the analysis includes two different types of environmental reporting: compulsory and voluntary. This study examines a sample of listed Spanish companies, using a regression model based on the Ohlson equity-valuation framework. Results suggest a significant market valuation of financial environmental disclosures (investments, costs and contingencies), but not of non-financial. Furthermore, our evidence corroborates the increase of the value relevance of compulsory environmental information.     

Much ado about nothing: No fear of becoming a multinational

This paper compares the home employment performance of Spanish “switching” companies, which carry out Foreign Direct Investment for the first time, with employment performance corresponding to non investing local (national) companies. We use data from manufacturing firms for the period 2000–2013. The counterfactual group of national companies is obtained using the Propensity Score Matching technique with a large sample of firms. The analysis shows that the reduction in employment was less relevant among switching companies in comparison with local ones. This result permits us to conclude that internationalization through foreign direct investment is not causing a more intense reduction in employment among parent companies than among local firms. This holds also true for the period prior to the crisis (2000–2007).     

Inequality Stagnation in Latin America in the Aftermath of the Global Financial Crisis

Between 2003 and 2010, Latin America experienced a solid record of economic growth, coupled with a notable reduction in income inequality. The regional Gini coefficient fell from 0.556 to 0.521 and declined in all 15 out of 17 countries in which frequent data are available. However, previous studies have warned about problems in the sustainability of the decline in income inequality and this study presents evidence of stagnation on this front between 2010 and 2013. The results are robust to various measures of income inequality, but differ across the region. While largely attributable to the recovery from the global financial crisis in Mexico and some countries in Central America, the results are also supported by the demonstrated slowdown in inequality reduction in other countries, including Brazil, Ecuador and Bolivia.