1,721,055 research outputs found

    Italian FDI integration with Southeast Europe: country and firm-level evidence

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    Southeast European countries have experienced significant economic integration into the world economy since 2000, through international capital flows and especially foreign direct investment (FDI). The present work sheds light on recent trends in Italy-Western Balkans economic integration through FDI. The methodology is based on a country level analysis and on case studies, designed to ascertain Italian firms’ underlying motives for investment in the area. Evidence suggests that the phenomenon is broader than official statistics would indicate: Italian firms often set up subsidiaries without formal or direct capital control. As integration in the area is a recent phenomenon, it is not surprising that the main determinants of Italian investments are cost reductions and new market opportunities, typical of initial stages of penetration in a foreign country. What is interesting in this context is that local entrepreneurs regard efficiency-seeking investments as profitable only if they are connected to market-seeking goals. We find evidence also of localized industrial development stimulated by the entry of Italian firms which is activating subcontracting relationships with existing firms in the host region.Southeast Europe-Italy integration,case study,foreign direct investment

    The Healthcare Industry in the Chinese Economy: Insights from Input–Output Analysis

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    In the context of urbanization and rapidly aging population, China faces the need to improve and modernize its domestic healthcare system. The Chinese government has identified the improvement of quality of healthcare services and the adoption of new technologies as key priorities in the future to overcome service disparities.1 Government reforms affect pharmaceutical, medical equipment, and diagnostics industries in the country. In this chapter of the book, after a brief description of market trends and general characteristics of trade flows between Europe and China, we implement a dispersion effects analysis using an Input–Output model in order to determine whether healthcare industry is a “key” sector in the Chinese economy compared to the upstream and downstream connections with all the other sector

    European Healthcare Industry and Chinese FDI: Where Do Chinese Firms Invest?

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    In this chapter of the book, we investigate the internationalization patterns of Chinese companies in the healthcare sector. We analyze the main features and investment decisions of Chinese outward foreign direct investment (OFDI) in the healthcare industry in Europe. Currently, European countries are among the preferential target destinations for Chinese investors. Europe has developed world-class companies in several healthcare subsectors. European firms can offer technology, know-how, and managerial competencies to allow the upgrading of Chinese firms capability and innovation capacity, while supporting their affirmation in the world stage. We specifically focus on three subsectors of the healthcare industry, namely pharmaceutical, medical device and equipment, and biotechnolog

    Healthcare Policies and Systems in Europe and China Comparisons and Synergies

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    While facing different stages of economic development, China and Europe share same demographic concerns and sustainability issues. Europe has developed good practices of universal healthcare systems, but significant and dramatic changes that have taken place over the past two decades have led to a decrease in health expenditure and a decline in public assistance. Several European countries need to improve public services, especially for the growing aging population, while concurrently decreasing healthcare spending. Europe has vast experience in developing and operating healthcare policies including prevention and long-term care assistance. European industries have reached a scale of efficiency, global competitiveness, and sophisticated approaches to innovation in the pharmaceutical, equipment, and para-pharmaceutical sectors. On the other hand, China has embraced large reforms in the healthcare system to upgrade the quality and coverage of assistance provided to the Chinese people. Within this process, the universal healthcare system has been chosen as the benchmark. Multiple strategies have been promoted on both the supply and demand sides. Similar to Europe, China is experiencing the challenges associated with an increasing aging population. The geriatric population requires appropriate, specific, and long-term healthcare assistance, which costs significantly more than those services consumed by a comparatively younger population. A Europe–China partnership in the healthcare domain could be a win–win strategy for several reasons. Potentially, Europe and China have complementarities that could help each other face their specific needs in the long run. In this scenario, China would benefit from gaining knowledge and expertise from European countries at different levels: From how to project and run a universal system and how to plan a specific care program for its aging population to the use of Western medicine (WM) to cope with new and improved medical needs of the population. Europe could “export” to China solutions and best practices, and thus find business opportunities. At the same time, China could export to Europe practices and approaches of traditional Chinese medicine (TCM) that could be cost-saving and effective in specific pathologies. A multidisciplinary team has contributed to this book, following the research activity and international mobility program carried out in the 4 years of the “People Marie Curie Actions Fp7-People-2013-Irses” CHETCH, i.e., China-Europe taking care of Healthcare solutions (GA n. 612589). Researchers in the social science and humanities area have compared the European and Chinese healthcare systems at different levels, including value systems and ethical issues. The economic experts have analyzed the integration reached between China and Europe in the healthcare-related industries (technologies, pharmaceutical, and other). Foreign direct investments and trade flow trends were studied at the regional and provincial levels. The typical cost–benefit tools were used to evaluate the economic impact of integrating WM and TCM practices, supporting the medical team of experts. The legal instruments have defined obstacles and plausible solutions that can be generated by the regulatory environment, as well as appropriate solutions to enhance collaboration both at institutional, medical practice, and business levels. The team of experts in the medical field have investigated several areas of integration. The team has developed a process of recognition and scientific validation of TCM versus complementary alternative medicine (CAM) at different levels, as recommended by the World Health Organization Traditional Medicine Strategy 2003-2005. A central role was played, in the whole project, by acupuncture. Indeed, in the social and historical context of Europe, the integration of acupuncture in European Healthcare Systems is an opportunity. The main motivation is the increase in the elderly population and in chronic diseases: the chronic patient is a frail patient with poor quality of life who generates costs to the healthcare system, with direct and indirect costs. The elderly patient often takes polypharmacological therapy, which reduces therapeutic compliance and causes side effects. Evidence-based medicine (EBM) demonstrates that acupuncture is effective in treating chronic diseases, particularly pain, improves the quality of life, and helps to reduce/eliminate drug intake, significantly reducing the problem of side effects. Other fields of application of acupuncture, alone or integrated with WM, are as a support to fertility and assisted reproduction therapy (ART) and for the treatment of side effects caused by oncological therapies. Acupuncture has proven to be safe and costeffective, and the EBM data are favorable to its integration in the National Healthcare System. Nevertheless, to practice acupuncture, appropriate training is fundamental. The gold standard role is played by the physician (medical doctor), who has to combine western medicine training with an appropriate amount of hours of theoretical and practical learning of acupuncture and Chinese medicine. Other professionals, apart from the medical one, must have theoretical and practical training, at least equal to that offered in China to Chinese medicine students in Chinese traditional medicine universities, to achieve a sufficient expertise in patient management. Thanks to its multi-level analysis, the book contributes to increase the availability of interdisciplinary studies providing a comprehensive overview (including medical, legal, economic, and humanities perspectives) of Europe–China relations in the healthcare domain. This comprehensive study is also the base for further projects where the integration of WM and TCM needs to be further explored and developed, also on the basis of scientific evidence of the strong benefit that both patients and systems can get. Nevertheless, a cultural shift is needed to change the perception, in Europe, about the role and foundations of TCM. Training programs and specific public engagement activities are needed to increase the awareness of the tremendous achievements that Europe could get by deeply integrating TCM with the Western approach for the benefit of the patient and their treatments

    The Chinese Private Hospital Sector and FDI: From Socialization to Opening Up

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    While facing different stages of economic development, China and Europe share same demographic concerns and sustainability issues. Europe has developed good practices of universal healthcare systems, but significant and dramatic changes that have taken place over the past two decades have led to a decrease in health expenditure and a decline in public assistance. Several European countries need to improve public services, especially for the growing aging population, while concurrently decreasing healthcare spending. Europe has vast experience in developing and operating healthcare policies including prevention and long-term care assistance. European industries have reached a scale of efficiency, global competitiveness, and sophisticated approaches to innovation in the pharmaceutical, equipment, and para-pharmaceutical sectors. On the other hand, China has embraced large reforms in the healthcare system to upgrade the quality and coverage of assistance provided to the Chinese people. Within this process, the universal healthcare system has been chosen as the benchmark. Multiple strategies have been promoted on both the supply and demand sides. Similar to Europe, China is experiencing the challenges associated with an increasing aging population. The geriatric population requires appropriate, specific, and long-term healthcare assistance, which costs significantly more than those services consumed by a comparatively younger population. A Europe–China partnership in the healthcare domain could be a win–win strategy for several reasons. Potentially, Europe and China have complementarities that could help each other face their specific needs in the long run. In this scenario, China would benefit from gaining knowledge and expertise from European countries at different levels: From how to project and run a universal system and how to plan a specific care program for its aging population to the use of Western medicine (WM) to cope with new and improved medical needs of the population. Europe could “export” to China solutions and best practices, and thus find business opportunities. At the same time, China could export to Europe practices and approaches of traditional Chinese medicine (TCM) that could be cost-saving and effective in specific pathologies. A multidisciplinary team has contributed to this book, following the research activity and international mobility program carried out in the 4 years of the “People Marie Curie Actions Fp7-People-2013-Irses” CHETCH, i.e., China-Europe taking care of Healthcare solutions (GA n. 612589). Researchers in the social science and humanities area have compared the European and Chinese healthcare systems at different levels, including value systems and ethical issues. The economic experts have analyzed the integration reached between China and Europe in the healthcare-related industries (technologies, pharmaceutical, and other). Foreign direct investments and trade flow trends were studied at the regional and provincial levels. The typical cost–benefit tools were used to evaluate the economic impact of integrating WM and TCM practices, supporting the medical team of experts. The legal instruments have defined obstacles and plausible solutions that can be generated by the regulatory environment, as well as appropriate solutions to enhance collaboration both at institutional, medical practice, and business levels. The team of experts in the medical field have investigated several areas of integration. The team has developed a process of recognition and scientific validation of TCM versus complementary alternative medicine (CAM) at different levels, as recommended by the World Health Organization Traditional Medicine Strategy 2003-2005. A central role was played, in the whole project, by acupuncture. Indeed, in the social and historical context of Europe, the integration of acupuncture in European Healthcare Systems is an opportunity. The main motivation is the increase in the elderly population and in chronic diseases: the chronic patient is a frail patient with poor quality of life who generates costs to the healthcare system, with direct and indirect costs. The elderly patient often takes polypharmacological therapy, which reduces therapeutic compliance and causes side effects. Evidence-based medicine (EBM) demonstrates that acupuncture is effective in treating chronic diseases, particularly pain, improves the quality of life, and helps to reduce/eliminate drug intake, significantly reducing the problem of side effects. Other fields of application of acupuncture, alone or integrated with WM, are as a support to fertility and assisted reproduction therapy (ART) and for the treatment of side effects caused by oncological therapies. Acupuncture has proven to be safe and costeffective, and the EBM data are favorable to its integration in the National Healthcare System. Nevertheless, to practice acupuncture, appropriate training is fundamental. The gold standard role is played by the physician (medical doctor), who has to combine western medicine training with an appropriate amount of hours of theoretical and practical learning of acupuncture and Chinese medicine. Other professionals, apart from the medical one, must have theoretical and practical training, at least equal to that offered in China to Chinese medicine students in Chinese traditional medicine universities, to achieve a sufficient expertise in patient management. Thanks to its multi-level analysis, the book contributes to increase the availability of interdisciplinary studies providing a comprehensive overview (including medical, legal, economic, and humanities perspectives) of Europe–China relations in the healthcare domain. This comprehensive study is also the base for further projects where the integration of WM and TCM needs to be further explored and developed, also on the basis of scientific evidence of the strong benefit that both patients and systems can get. Nevertheless, a cultural shift is needed to change the perception, in Europe, about the role and foundations of TCM. Training programs and specific public engagement activities are needed to increase the awareness of the tremendous achievements that Europe could get by deeply integrating TCM with the Western approach for the benefit of the patient and their treatments

    Policies That Promote Environmental Industry in China

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    This book gathers some of the main findings of the EUfunded project POREEN on partnering opportunities between Europe and China in the renewable energies and environmental industries. As a Marie Curie action, POREEN’s goal was to produce research results which inform policy, while improving knowledge and research skills. Research outputs were developed leveraging academic mobility in China and Europe, particularly of young researchers. Their common objective was to seek to highlight opportunities to expand and develop this important relationship in a way that moves both regions toward a more sustainable future. In a four-year time frame, researchers analyzed the opportunities and potential to boost cooperation between China and Europe in this important area. They used a variety of research approaches and academic perspectives, combining economic, legal, and engineering perspectives. The economic dimensions of the project included the identification of critical issues, gaps, and potential for bilateral foreign direct investments and trade in the broad area of green industries. Legal research had a similar objective, but focused on offshore oil and gas extraction, renewable energies, corporate responsibility, and environmental legislation. The team’s engineering research relates to energy efficiency and carbon dioxide reduction, particularly concerning transportation and low-carbon buildings. The book is structured into three interrelated and connected parts. Part I has an economic and policy orientation. The seven chapters examine different aspects of trade and foreign direct investment relations between Europe and China, in the renewable energies and/or environmental industries. Bilateral trade and FDI flows are analyzed, also in the light of Chinese and European green policy and cooperation initiatives. Authors identify obstacles, barriers, and difficulties faced by European and Chinese firms in initiating, maintaining, and consolidating both trade and investment initiatives in China and Europe, respectively. Key factors and issues to be addressed to further stimulate EUChina trade and investment flows are also considered. Part II addresses the legal framework of EUChina cooperation. The first two chapters describe the Chinese environmental protection system, analyzing both national laws and governance measures. Then, the focus is on three specific themes: the electric sector in China, Corporate Social Responsibility in a comparative perspective, and the legal framework for civil liability for environmental damages deriving from energy misuse Part III is focused on engineering-related research activity. Two main research areas are developed, both related to energy efficiency and carbon dioxide reduction: mobility and the transportation sector and low-carbon buildings. The four chapters in this part highlight the state of the art of the engineering research group in key areas (mobility and the transportation sector and low-carbon buildings) that might have a huge potential impact on bilateral cooperation between Europe and China. One topic is related to the use of methane and biomethane, both in its compressed and liquid form, as an alternative fuel to reduce the environmental impact and GHG emissions in the transport sector. In general, biomass as feedstock energy source in China and its potential has been evaluated in detail. Whereas on the topic of low-carbon buildings, the use of heat pumps and district cooling/ heating networks have been considered in order to increase the energy efficiency for space heating and domestic hot water production. Moreover, smart devices in buildings, studied on experimental test rigs, for thermal comfort and consumption reduction have been presented. Together these diverse inputs seek to contribute to a more integrated, coherent and effective approach to EU-China cooperation in the sector
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