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It started with good intent; the battleground a different and older Union and an earlier referendum in 2014 over Scotland, not Europe. I didn’t see this at the time, but think if it hadn’t come hot on the heels of the Independence Referendum the civil service would have taken a different and more careful approach in 2016. We would have been more protective of the principle of impartiality and seen the EU Referendum as the deeply political and divisive vote that it turned out to be. It had been okay in Whitehall to express a view in the Scottish Referendum – we wanted the Union to stay together. So, just as we were happy in September 2014, people were upset at the result in June 2016. It was normal to express views in the open that leaving the EU would have grave and damaging consequences, especially economically, as it had been normal in 2014 to say the same about Scotland. For both the commonplace presumption was that the people who had voted to leave had not understood how things worked. We rolled from default remain to default remain.
This chapter emphasizes the foundational importance of clearly defining the scope and goals of an organization as the initial step in the organizational design process. Scope determines how the organization frames its purpose and communicates its identity, which in turn influences strategic choices, stakeholder alignment, and operational priorities. Goals – particularly those related to efficiency and effectiveness – serve as critical dimensions for assessing organizational performance and guiding design decisions. The chapter has illustrated how sustainability considerations and the pursuit of the triple bottom line can reshape both scope and goal formulation, requiring integrated design solutions that balance financial, social, and environmental outcomes. Through examples and empirical evidence, we have shown that organizations must navigate trade-offs and potential misalignments between scope, goals, and design components. Ultimately, a coherent and well-articulated scope, combined with a nuanced understanding of goal priorities, provides the analytical foundation for diagnosing organizational fit and initiating effective design interventions.
The multi-contingency model frames organizational design as a continuous executive task shaped by globalization, digitalization, AI, sustainability, and shifting societal expectations. It identifies nine interdependent components – goals and scope, strategy, environment, configuration, leadership, climate, task design and agents, coordination and control, and incentives and people – whose alignment drives performance. Extending traditional contingency theory, it integrates insights from economics, information processing, and organizational theory, viewing organizations as systems that manage complexity by balancing information-processing demand and capacity. This can mean reducing demand (e.g., modularization, predictive tools) or increasing capacity (e.g., AI, lateral communication, skilled talent). Examples from Microsoft, Aarhus University, Danish healthcare, Uber, and luxury fashion brands show how design adapts to digital innovation, sustainability, and agility. A seven-step method supports the model: getting started, strategic positioning, structuring, defining agents and leadership dynamics, setting coordination and incentives, finalizing architecture, and implementing change.
Edited by
Monika Zalnieriute, Law Institute of the Lithuanian Centre for Social Sciences,Agne Limante, Law Institute of the Lithuanian Centre for Social Sciences
Efficiency is one of the most pervasive arguments in favour of implementing algorithms in courts of law. Across different legal contexts, many judiciaries find themselves pressured towards efficiency by growing caseloads and budgetary constraints. The purported speed of the use of AI can be seen as a solution to many existing problems, and even as a positive contribution to the value of access to justice. Through a case study of the Brazilian Judiciary’s strategy of the implementation of algorithms, the drive towards efficiency is examined and unpacked to reveal a series of tensions. First, there is a lack of conceptual clarity which leads to multiple, and sometimes competing, notions of efficiency, especially in light of the interpretation and interplay of legal principles. Moreover, the neutral appearance of efficiency can obscure political choices that cause substantive changes to the legal system without being submitted to democratic control. In this sense, a more nuanced view of efficiency as a judicial value is necessary, where it can be both contested and balanced against other core judicial values, and also seen as directional and at the service of specific ends of law.
Inflectional morphology refers to the mapping from grammatical information to surface forms, which are typically realized as morphemes. This mapping often exhibits fusion, where several abstract features are expressed in a single morpheme that cannot be decomposed into meaningful parts. Here, we discuss crosslinguistic generalizations of morphological fusion. We argue that fusion reflects principles of efficient processing, as formalized by the memory–surprisal tradeoff (Hahn, Degen, & Futrell 2021), which is based on information-theoretic models of language processing from psycholinguistics. We first show that the existence of fusion itself can, in some situations, lead communicative codes to be more efficient under our processing model. Particularly, we reveal via simulation that the fusion of highly correlated features is more efficient for processing, whereas agglutination is more efficient when features are less correlated. We next discuss crosslinguistic patterns of fusion in real languages. First, we analyze well-known generalizations about features that are commonly fused across languages (e.g. tense, aspect, and mood), as well as a typological pattern regarding suppletion. In both cases, we find that the universals we study tend to reflect a tendency toward more efficient structure under our model of language processing. Finally, we use paradigm and frequency data from four languages to study informational fusion, a gradable measure of fusion defined in Rathi et al. 2021. We find that informational fusion is higher when features are highly correlated, which suggests that gradable fusion is also influenced by optimization for the memory–surprisal tradeoff.
Efficient triage in general practice is critical to optimize appointment allocation and minimize patient delays. Delays in receiving clinical information, such as photographs or symptom questionnaires, lead to unnecessary consultations and inefficiencies. This study evaluated the feasibility and impact of a structured pre-triage protocol requesting photos and questionnaires for common conditions (skin, eye, tonsillitis, and urinary tract infections).
Methods:
A pre-post intervention quality improvement project was conducted in a UK general practice. Triage administrators were instructed to proactively request photographs for skin and eye complaints and symptom questionnaires for tonsillitis and UTIs at initial patient contact. Outcomes included process metrics (number of pre-triage requests, proportion of cases managed directly by the triage GP) and subjective measures of ease, speed, satisfaction, and confidence.
Results:
The protocol increased photo requests for skin (mean increase 4.0/session, Cohen’s d = 7.77) and eye (2.2/session, d = 4.09) conditions, while questionnaire requests remained unchanged. The proportion of skin cases managed directly by the triage GP increased significantly (from 0.2 to 2.2 cases/session, d = 1.65), and eye case management also improved. Questionnaire-based pathways showed minimal change in efficiency or direct management. Subjective feedback indicated a slight reduction in triage speed, but ease and satisfaction were maintained, while diagnostic confidence increased, particularly for photo-supported conditions.
Conclusion:
A structured pre-triage protocol is feasible, acceptable, and potentially effective in enhancing triage efficiency, particularly for visually assessable conditions like skin and eye presentations. By enabling earlier access to essential information, such protocols may reduce unnecessary consultations, improve workflow, and support clinician confidence.
This paper examines the performance of smallholder crop farmers across different land ownership categories in Ghana. Using a metafrontier model, the study estimates technical efficiencies and productivity levels among farmers with formal land deeds, those without deeds, and non-landowners. The results show that land, labor, and capital significantly impact crop production across ownership categories, while social capital, income, and demographics influence managerial performance. Farmers with formal land deeds and those cultivating family-owned land exhibited superior production technologies. Enhancing access to extension services, credit, and farmer-based organizations, alongside collaboration with traditional chiefs and family heads, can improve land tenure security and productivity.
Coase or Pigou? Economic property rights and decentralized bargaining or centralized regulation and potential rent-seeking in the political arena in confronting externalities? What are the tradeoffs if rent-seeking, not efficiency determine environmental regulation. That is the question for this volume.
Chapter 10 synthesizes ten key lessons from Nordic capitalism to guide the transformation toward sustainable capitalism. Drawing on evidence from previous chapters, it demonstrates how Nordic societies have successfully coupled market efficiency with democratic accountability to advance sustainable development. The chapter emphasizes how overcoming denial, establishing universal systems, expanding positive freedoms, and fostering cooperation are essential for addressing global sustainability challenges. Through detailed analysis of Nordic policies and practices – from universal childcare to critical thinking in education – it shows how democratic processes can align market incentives with sustainability goals. The chapter concludes that while Nordic capitalism remains imperfect, it serves as a valuable “North Star” for realizing sustainable capitalism, offering proven approaches for expanding individual freedom through collective investment while operating within planetary boundaries.
This article distinguishes isolationist and integrationist accounts of the legal-economic nexus. Isolationists deny the possibility of integrating different theoretical perspectives, while integrationists try to unify different accounts. Leading legal theorists have recently presented isolationist efficiency-, liberty-, and democracy-centred accounts of the market. It is argued that the legal–economic nexus is an integrationist concept, requiring an integrationist understanding of the constitutive role of law in the economy – a common view within the Law and Political Economy movement. Two integrationist strategies are presented: structural integrations and epistemic translations. Using them, an integrated consumer-centric account of the market is offered: consumers are not mere instruments; they are the lead actor, with all the entitlements in terms of powers, rights, and responsibilities that this position of authority entails.
Private sector entities can invest in and own the means of healthcare provision, creating opportunities and risks for health systems. While private investment can enhance access to capital, promote competition, and foster innovation, it can also exacerbate incentives for providers to engage in supplier-induced demand, undue price increases, quality compromises, and ‘cherry-picking’ of the most profitable patients and services. Despite the growing presence of private investors in the healthcare sector, heterogeneity in investor types remains poorly understood. This limits the ability of policymakers to consider whether, and to what extent, regulatory intervention is called for in relation to different forms of investor-ownership. By drawing on principal-agent theory, this article begins to address this gap by presenting a typology of investor-ownership in health services provision. Examining the policy relevance of such a typology, we present a case study analysis of current regulations directed at ownership across five countries, representing different health system models. We find that regulatory frameworks that differentiate between types of for-profit investor-ownership are largely absent in Europe, but more developed in the US. We argue that growing private investments require a combination of entry regulation and behavioural oversight to better align the incentives of investor-owners with public health objectives.
This work focuses on explaining both grammatical universals of word order and quantitative word-order preferences in usage by means of a simple efficiency principle: dependency locality. In its simplest form, dependency locality holds that words linked in a syntactic dependency (any head–dependent relationship) should be close in linear order. We give large-scale corpus evidence that dependency locality predicts word order in both grammar and usage, beyond what would be expected from independently motivated principles, and demonstrate a means for dissociating grammar and usage in corpus studies. Finally, we discuss previously undocumented variation in dependency length and how it correlates with other linguistic features such as head direction, providing a rich set of explananda for future linguistic theories.
We study how donors decide about which charity to give to. To this end, we construct a theoretical model that clarifies the conditions under which the stand-alone benefit from giving, the charity price (i.e. the fundraising expenditure and overhead costs claimed by the charity providing services), and the information cost (i.e. the cost of information acquisition) inform giving decisions. We define the price of giving as the sum total of charity price and information cost. The model shows that giving decisions might be affected by a price–information trade-off—a condition where donors care about the charity price because they want their donations to maximise charitable output, but dislike searching for the charity price because it is costly. The literature is then reviewed to test the explanatory power of the theoretical model. The review provides evidence in favour of a price–information trade-off.
“Resilience and the Management of Nonprofit Organizations” is a book that explores the concept of resilience management for nonprofit organizations. The authors, Dennis Young and Elizabeth Searing, argue that the current paradigm of nonprofit management, which focuses on trustworthiness and efficiency, needs to be revised to adequately address the challenges facing nonprofit organizations. They propose a new paradigm based on resilience, which they define as the ability of organizations to adapt to changing circumstances and continue serving their missions effectively. The book provides strategies for anticipating and preparing for crises, explores the various dimensions of organizational resilience, and offers management strategies for achieving organizational resilience. It also discusses the need for “organizational slack” in order to be flexible and adaptable in the face of challenges.
Over the last two decades, nonprofit organizations in the United Kingdom (UK) have faced increased pressure to measure their activities in order to demonstrate their competency, to achieve legitimacy, and to obtain funding. This paper draws from recent literature in the sociology of science to examine quantification in the British voluntary sector as a historically situated and socially constructed process. Using archival and secondary documents, I find that quantification is not a new practice for charities in the UK; moreover, while they have employed metrication in the past, what activities nonprofits have measured, and the importance of measurement for their organizational success, has altered over the course of the century.
This article begins by describing the major characteristics and the origins of multi-level governance (MLG). It then discusses the alleged novelty of MLG practices, whether MLG achieves its goals in terms of policy efficiency and acceptance, and the possible consequences of governance networks for the democratic quality of political decisions. In relation to these matters, it concludes that there is a gap between the intensity of theoretical debate and a lack of systematic empirical research. It thus seeks to provide some indications about promising avenues for ‘second generation’ research that would allow us to give more substantial answers to controversial questions concerning MLG.
Key stakeholders in the UK charity sector have, in recent years, advocated greater accountability for charity performance. Part of that debate has focussed on the use of conversion ratios as indicators of efficiency, with importance to stakeholders being contrasted with charities’ apparent reluctance to report such measures. Whilst, before 2005, conversion ratios could have been computed from financial statements, changes in the UK charity SORP have radically altered the ability of users to do this. This article explores the impact on the visibility of such information through an analysis of the financial statements of large UK charities before and after the 2005 changes. Overall, the findings suggest that, despite the stated intention of increasing transparency in respect of charity costs, the application of the changes has resulted in charities ‘managing’ the numbers and limiting their disclosures, possibly to the detriment of external stakeholders.
Hundreds of thousands of people in Europe are daily receiving food, thanks to local food banks, run basically by volunteers who collect donations and distribute them to organizations. In this paper, data from a sample of food banks working in 13 European countries are analysed using Data Envelopment Analysis (DEA), trying to learn about their profiles and find some clues about the efficiency of their operations, comparing them according to variables such as the number of volunteers and permanent staff, the tonnage of food delivered and the number of people served. Significant inefficiencies were found in the sector as a result of high performance of some food banks, thus setting a high level standard of operational efficiency. Some additional results regarding food bank sizes and performance are presented.
What should mostly matter is how successful environmental policies are at satisfying citizens’ policy preferences (e.g., reducing carbon emissions), relative to the policies’ cost. Yet, across 6 studies (N = 2759, 2 pre-registered), we found that French citizens tended to be rather insensitive to policy efficiency. In Experiments 1a–d (N = 854), citizens regarded an environmental policy driven by an altruistic intention that turned out to be inefficient as being more commendable than a policy motivated by selfishness that dramatically reduced carbon emissions. In Experiment 2 (N = 1105), altruistic but low efficiency policies were supported only slightly less than selfish but highly efficient policies. Independent manipulation of intent and efficiency indicated low sensitivity to large differences in efficiency expressed numerically, and substantial sensitivity to actors’ intentions. Moreover, moral commitment predicted stronger support for any environmental policy addressing the issue, regardless of its efficiency. Finally, Experiment 3 (N = 800) found that introducing reference points and qualitative appraisals of a policy’s impact and financial cost can nudge participants towards greater attention to its efficiency. Our paper highlights the importance of using contextual and qualitative (vs. numeric) descriptions of policies to make citizens more focused on their efficiency.