Browsing by Issue Date, starting with "2025-05-15"
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- Does strategic focus on environmental sustainability favor servitization?Publication . Sousa, Rui; Soares-Silva, Danilo; Julião, JorgeIncreasingly, investors, consumers, employees, and policymakers are demanding sustainable practices from manufacturers. As a result, the focus on sustainability has become a crucial aspect of companies' strategic agendas. In recent years, environmental sustainability (ES) has emerged as a significant driver of servitization for two primary reasons. First, the recognition of the potential of servitization to reduce the negative environmental impact of products throughout their lifecycle. For instance, servitized business models that focus on delivering product functionality rather than ownership (through sharing, renting, and leasing arrangements with customers) are expected to reduce resource consumption, enhance efficiency in use, improve product longevity and durability, and facilitate the reuse of materials. Additionally, manufacturers can offer high-value advanced services aimed directly at improving energy efficiency and reducing product emissions, leveraging the wealth of data and knowledge from their installed product base. Second, the proliferation of new and increasingly demanding ES disclosure standards (such as the Scope 3 emissions disclosure and the Global Reporting Initiative) has intensified the pressure on manufacturing companies to report their negative or positive contributions to sustainable environmental development, not only from their own operations but also from activities across the broader supply chain (i.e., from the goods they purchase to the disposal of the products they sell). Thus, firms look at servitization as an important strategy to meet mounting environmental requirements. Despite the important role of ES in driving servitization, there remains a dearth of both theoretical insights and empirical evidence linking a firm’s focus on ES to the implementation of servitization strategies. This study theoretically articulates and empirically tests the relationship between a manufacturing firm’s focus on ES and servitization.
- Evaluating the impact of patient blood management implementation: a protocol for a quasiexperimental study in a Portuguese tertiary care settingPublication . Paupério, Diana Castro; Coelho, Henrique; Jorge, Sandrine; Rabello, Guilherme; Sphan, Donat R.; Firmino-Machado, JoãoIntroduction Patient blood management (PBM), an evidence-based, patient-centred approach for optimising blood health, faces significant implementation challenges despite regulatory support, and this study explores its adoption within a Portuguese hospital to enhance education, develop tailored protocols and address healthcare system complexities, thereby contributing a unique perspective to the global discourse on PBM in Portuguese-speaking countries. This study will evaluate the clinical outcomes and cost-effectiveness of implementing a PBM programme in elective surgical patients at a tertiary Portuguese hospital, with secondary objectives focusing on preoperative anaemia prevalence and aetiology, PBM protocol adherence, transfusion practices guided by viscoelastic tests and the impact of cell salvage techniques. Methods A baseline evaluation will be conducted in 2018, and postintervention assessments will follow from 2019 to 2024. The control group comprised patients who underwent selected elective surgeries - including cardiac, general, orthopaedic, urological and gynaecological procedures - during 2018 without exposure to targeted PBM interventions. The intervention group consisted of patients scheduled for the same elective surgeries, who were referred for preanaesthesia evaluation to identify the need for PBM interventions. These interventions, where indicated, were implemented during the preoperative phase and extended to the intraoperative and postoperative periods to ensure a comprehensive and standardised approach to PBM application. Data will be extracted from pseudoanonymised medical records, ensuring full compliance with ethical standards and data protection regulations. Statistical analyses will be performed using robust methods suitable for categorical and continuous variables, enabling the evaluation of temporal trends and the overall effectiveness of PBM interventions in improving clinical outcomes. Ethics and dissemination Our research has been ethically approved by the Vila Nova de Gaia/Espinho Hospital Centre's Ethical Health Committee (approval number 196/2023-1). We plan to disseminate our findings through posters, lectures at conferences and in scientific journals.