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HOW TO NOT MISS A PRODUCTIVITY REVIVAL ONCE AGAIN
- Bart van Ark, Klaas de Vries, Abdul Erumban
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- Journal:
- National Institute Economic Review / Volume 255 / February 2021
- Published online by Cambridge University Press:
- 16 March 2021, pp. 9-24
- Print publication:
- February 2021
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Over the past 15 years, productivity growth in advanced economies has significantly slowed, giving rise to the productivity paradox of the New Digital Economy – that is, the notion of increased business spending on information and communication technology assets and digital services without a noticeable increase in productivity. We argue that time lags are the most important reason for the slow emergence of the productivity effects from digital transformation. This paper provides evidence that underneath the slowing productivity growth rates at the macro level, signs of structural improvements can be detected. In the United States most of the positive contribution to productivity growth is coming from the digital producing sector. The Euro Area and the United Kingdom show larger productivity contributions from the most intensive digital-using sectors, although the United Kingdom also had a fairly large number of less intensive digital-using industries which showed productivity declines. We also find that increases in innovation competencies of the workforce are concentrated in industries showing faster growth in labor productivity, even though more research is needed to identify causality. Finally, we speculate that as the recovery from the COVID-19 recession gets underway the potential for significant productivity gains from digital transformation in the medium term is larger than during the past 15 years.
Implementing a multidisciplinary psychotropic medication review among nursing home residents with dementia: a process evaluation
- Debby L. Gerritsen, Erica de Vries, Martin Smalbrugge, Claudia H. W. Smeets, Klaas van der Spek, Sytse U. Zuidema, Raymond T. C. M. Koopmans
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- Journal:
- International Psychogeriatrics / Volume 33 / Issue 9 / September 2021
- Published online by Cambridge University Press:
- 27 August 2019, pp. 933-945
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Objectives:
Before drawing conclusions on the contribution of an effective intervention to daily practice and initiating dissemination, its quality and implementation in daily practice should be optimal. The aim of this process evaluation was to study these aspects alongside a randomized controlled trial investigating the effects of a multidisciplinary biannual medication review in long-term care organizations (NTR3569).
Design:Process evaluation with multiple measurements.
Setting:Thirteen units for people with dementia in six long-term care organizations in the Netherlands.
Participants:Physicians, pharmacists, and nursing staff of participating units.
Intervention:The PROPER intervention is a structured and biannually repeated multidisciplinary medication review supported by organizational preparation and education, evaluation, and guidance.
Measurements:Web-based questionnaires, interviews, attendance lists of education sessions, medication reviews and evaluation meetings, minutes, evaluation, and registration forms.
Results:Participation rates in education sessions (95%), medication reviews (95%), and evaluation meetings (82%) were high. The intervention’s relevance and feasibility and applied implementation strategies were highly rated. However, the education sessions and conversations during medication reviews were too pharmacologically oriented for several nursing staff members. Identified barriers to implementation were required time, investment, planning issues, and high staff turnover; facilitators were the positive attitude of professionals toward the intervention, the support of higher management, and the appointment of a local implementation coordinator.
Conclusion:Implementation was successful. The commitment of both higher management and professionals was an important factor. This may partly have been due to the subject being topical; Dutch long-term-care organizations are pressed to lower inappropriate psychotropic drug use.
24 - Future scenarios of nitrogen in Europe
- from Part V - European nitrogen policies and future challenges
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- By Wilfried Winiwarter, International Institute for Applied Systems Analysis, Jean-Paul Hettelingh, National Institute for Public Health and the Environment, Alex F. Bouwman, Netherlands Environmental Assessment Agency, Wim de Vries, Wageningen University and Research Centre, Jan Willem Erisman, Energy Research Centre of the Netherlands, James Galloway, University of Virginia, Zbigniew Klimont, International Institute for Applied Systems Analysis, Allison Leach, University of Virginia, Adrian Leip, European Commission Joint Research Centre, Christian Pallière, Fertilizers Europe, Uwe A. Schneider, KlimaCampus, Hamburg University, Till Spranger, Federal Ministry for the Environment, Nature Conservation and Nuclear Safety, Mark A. Sutton, Centre for Ecology and Hydrology, Anastasia Svirejeva-Hopkins, Potsdam Institute for Climate Impact Research, Klaas W. van der Hoek, National Institute for Public Health and the Environment, Peter Witzke, EuroCARE GmbH
- Edited by Mark A. Sutton, NERC Centre for Ecology and Hydrology, UK, Clare M. Howard, NERC Centre for Ecology and Hydrology, UK, Jan Willem Erisman, Gilles Billen, Albert Bleeker, Peringe Grennfelt, Hans van Grinsven, Bruna Grizzetti
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- Book:
- The European Nitrogen Assessment
- Published online:
- 16 May 2011
- Print publication:
- 14 April 2011, pp 551-569
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Summary
Executive summary
Nature of the problem
The future effects of nitrogen in the environment will depend on the extent of nitrogen use and the practical application techniques of nitrogen in a similar way as in the past. Projections and scenarios are appropriate tools for extrapolating current knowledge into the future. However, these tools will not allow future system turnovers to be predicted.
Approaches
In principle, scenarios of nitrogen use follow the approaches currently used for air pollution, climate, or ecosystem projections. Short-term projections (to 2030) are developed using a ‘baseline’ path of development, which considers abatement options that are consistent with European policy. For medium-term projections (to 2050) and long-term projections, the European Nitrogen Assessment (ENA) applies a ‘storyline’ approach similar to that used in the IPCC SRES scenarios. Beyond 2050 in particular, such storylines also take into account technological and behavioral shifts.
Key findings/state of knowledge
The ENA distinguishes between driver-oriented and effect-oriented factors determining nitrogen use. Parameters that cause changes in nitrogen fixation or application are called drivers. In a driver-based approach, it is assumed that any variation of these parameters will also trigger a change in nitrogen pollution. In an effect-based approach, as the adverse effects of nitrogen become evident in the environment, introduction of nitrogen abatement legislation requiring the application of more efficient abatement measures is expected. This approach needs to rely on a target that is likely to be maintained in the future (e.g. human health). Nitrogen abatement legislation based on such targets will aim to counter any growth in adverse environmental effects that occur as a result of increased nitrogen application.
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