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This study investigates the nuanced challenges of fine-grained word sense disambiguation (WSD) tasks with regular polysemy detection (RPD) of the named entity, focusing on evaluating the trade-offs between encoder and decoder-based model performance and computational efficiency. The datasets, including Chinese Wordnet 2.0 (CWN) as sense inventory, the Social Media Corpus (PTT) for user-generated content, and the Academia Sinica Balanced Corpus (ASBC) for formal linguistic data, were chosen to provide a diverse and representative framework for evaluating both common nouns and proper nouns with regular polysemy in Taiwan Mandarin. This analysis evaluated ten encoder- and decoder-based models, assessing their performance on two tasks. The encoder-based models demonstrate comparable accuracy to the decoder-based models on WSD tasks (77.5% vs. 78.5%), and similarly strong performance in RPD tasks (84.2% vs. 83.8%). On a large-scale all-words WSD task, the encoder model not only outperformed the decoder model but also generated substantially lower carbon emissions – an eight-fold reduction. These differences underscore the trade-offs between model architecture and task-specific performance, highlighting the necessity for balancing performance and energy efficiency in the design and application of language models, advocating for sustainable and eco-friendly practices in natural language processing development.
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.
Mediation is an alternative dispute resolution (ADR) mechanism where a neutral third party intervenes in a dispute to help the parties achieve their goals, such as finding an agreement. In this chapter, we examine how artificial intelligence (AI) can be used to further enhance and expand the process of mediation. We explore a variety of different integration points between AI and mediation as illustrated by academic research projects, focused on supporting the disputants and mediator. Then, we discuss some overall insights that can be gained from these projects, including opportunities and challenges that arise when integrating AI in mediation. Overall, we see AI as having significant potential in both increasing the efficiency of mediation and introducing new elements to mediation. Hopefully, these integrations will increase the accessibility and further enhance the benefits of mediation, thus contributing to a more harmonious society.
This chapter examines the evolution and deployment of AI tools in the delivery of dispute resolution in sub-Sahara Africa (SSA) with particular focus on arbitration. The chapter draws on publicly available original data to argue that there indeed is greater opportunity to deploy AI in arbitration as a tool for efficiency, which may lead to cost and time savings. It also explores the emerging regulation of these tools globally, regionally, and in some SSA countries and concludes that regulation of the use of AI must maintain the right balance of achieving efficiency in the process of arbitration and mitigation of its negative effects.
This chapter sets forth a framework based on a historical analysis of the role of efficiency in ICA. This chapter asserts that more so than party-autonomy, arbitrator discretion, the right to second instance review, or emphasis on privacy (and even confidentiality), the main historical principle upon which the legitimacy of ICA was premised, concerns a very narrow concept of efficiency. This legacy construct of efficiency is one that prioritizes the rendering of a binding and enforceable award over all other considerations. The primacy of “process efficiency” is such that even due process has been sacrificed at the altar of expediency. The text explores the interplay between efficiency and due process. It is suggested that only a voluntary settlement can yield “optimal efficiency,” and thereby redeem ICA’s promise to be efficient
Edited by
Jonathan Cylus, European Observatory on Health Systems and Policies,Rebecca Forman, European Observatory on Health Systems and Policies,Nathan Shuftan, Technische Universität Berlin,Elias Mossialos, London School of Economics and Political Science,Peter C. Smith, Imperial College of Science, Technology and Medicine, London
Chapter 1.1 discusses the use of taxes and social health insurance contributions. A key objective of health financing is to redistribute financial resources from the healthy to the sick and from the well-off to the poor. This can be best achieved through compulsory prepayment mechanisms like taxes and social contributions. Key learning includes that
A high reliance on public revenue raising instruments (taxes and/or social health insurance) is essential to progress towards universal health coverage.
Large informal economies and poor governance can make collecting public revenues difficult.
Health financing systems have to be able to adapt to
– Offset challenges to the revenue base such as economic decline, low levels of economic development or a preponderance of informal employment or economic activity and
– Meet increasing health care demands which grow with rising expectations and population.
The traditional distinction between health systems that rely on general taxation (Beveridge or NHS systems) and social insurance contributions (Bismarck or SHI systems) has blurred with time.
Health systems increasingly rely on a diverse mix of revenue raising instruments to finance health care.
There is a growing focus on de-linking employment from entitlement to services in historically SHI-based systems and on emphasizing general taxation as a preferred source of revenues.
Edited by
Jonathan Cylus, European Observatory on Health Systems and Policies,Rebecca Forman, European Observatory on Health Systems and Policies,Nathan Shuftan, Technische Universität Berlin,Elias Mossialos, London School of Economics and Political Science,Peter C. Smith, Imperial College of Science, Technology and Medicine, London
Health financing is a key component of any health system, but its role is more complex than simply raising and spending money on health. It is a crucial determinant of the overall performance of the health system, defining, among other things, how much money is available to be spent on health and who pays for it, who gets to benefit fromthose financial resources, what services that money can purchase and who ultimately receives resources from the health system as income. Without careful attention to the way health financing systems are designed, incentives for providers or patients can bemisaligned with policy goals, leading to poor health outcomes, financial hardship for users of health care, wasted resources, failure to address inequalities and disruption of countries’ progress towards universal health coverage (UHC) (Box 0.2.1).
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.
Health care financing is key in defining interactions between providers and the generalpopulation. It determines who is required to pay for care, how much they pay, and what types of services patients can receive. It also helps shape markets for health service providers and innovations in service delivery, pharmaceuticals and medical devices. Paying for Health brings together insights from over 50 global experts to provide a vital analysis of health care financing around the world, explaining issues related to funding both health and social care. It explores key aspects of health financing, delving into critical policy questions and examining strategies that shape sustainable, effective health systems. Offering real-world examples and evidence-based insights, this essential volume equips policymakers, researchers, and health leaders with the tools to design financing systems that drive progress now and in the future towards universal health coverage. This title is also available as Open Access on Cambridge Core.
This chapter reviews specific steps for operating room designing and perioperative planning. It covers efficient means of designing a floorplan for an operating room enviornment that eliminates waste, decreases staff inefficiencies, and improves patient experience. Included in this chapter are figures and diagrams process mapping this goal of improving efficiency in the perioperative enviornment.
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.
As a first example of a transformation trading simplicity for efficiency, it’s shown in detail how to take the Fibonacci-number program from its simple, but slow O(N) formulation to a blinding fast O(log N) version that –on its own– is completely incomprehensible. It is correct, but you can’t see that at all by just browsing its concrete code. Your conviction that it is nevertheless correct is based on your step-by-step careful reasoning in the data-refinement style introduced here.
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.