The effectiveness of centralized or community-based local planning of hospital resources is still a subject for debate in most countries. The general problem of overcapitilization on beds and equipment has been review...
The effectiveness of centralized or community-based local planning of hospital resources is still a subject for debate in most countries. The general problem of overcapitilization on beds and equipment has been reviewed in a number of theoretical (Granfield, 1975; Dahlberg 1976) and empirical studies (Cullis et al., 1980; Feldstein, 1967). Hospital planners frequently argue that the resulting direct benefits exceed the costs. The purpose of this paper is to estimate the impact of community-based hospital planning on controlling growth in the supply of beds and plant assets in the United States.
This paper examines an unfavorable cost variance in an institution which employs multiple resources to provide stay specific and ancillary services to patients presenting multiple diagnoses. It partitions the differen...
作者：
Vaupel, James W.Caraley, DemetriosEditorDEMETRIOS CARALEY
Director of the Columbia University Graduate Program in Public Policy and Administration is also Professor of Political Science at Columbia and the Janet H. Robb Professor of the Social Sciences at Barnard College.
作者：
Wahlquist, Glee I.Glee I. Wahlquist
RN PhD is currently assistant professor and coordinator of the neurological specialty in the graduate program of Yale University's School of Nursing Medical-Surgical Nursing Program. She is also the clinical specialist in the multiple sclerosis clinic. West Haven Veterans Administration Hospital West Haven. CT. She received her bachelor of science in nursing from the University of Bridgeport in Bridgeport CT and her master's in nursing and doctoral degree from the University of Pittsburgh. A strong supporter of nursing research Dr. Wahlquist has recently completed a three-group experimental study dealing with urinary tract infection in adults being treated with intermittent catheterization.
作者：
Legge, Jerome S.Webb, LarryJEROME S. LEGGE
JR. is Director of the Graduate Program in Public Administration in the Political Science Department at the University of Georgia. He holds a joint appointment with the Institute of Government. Included among his publications are articles in the Public Administration Review and Administration and Society among others. Presently he is working on a book on abortion policy. LARRY WEBB is the Director of the Management Information Unit of the Division of Youth Services
Georgia Department of Human Resources. He has published articles in the Criminal Justice Review and the Juvenile and Family Courr Journal. Presently he i s working on a study of female delinquency and the determinants of placement of juveniles. He has also served as a political consultant to Georgia political campaigns.
Scholars who work with time series quasi‐experiments have identified “publicity” as a problem in the interpretation of such research designs. The present study utilizes three examples of the role of publicity in th...
Projecting our power to far corners of the earth depends on a strategic mobility triad composed of: airlift, prepositioned equipment, and sealift. Airlift can move personnel effectively and limited supplies quickly ov...
Projecting our power to far corners of the earth depends on a strategic mobility triad composed of: airlift, prepositioned equipment, and sealift. Airlift can move personnel effectively and limited supplies quickly over great distances. Prepositioned equipment and supplies can extend the effectiveness of those personnel if the circumstances are right, and if we have chosen our positioning sites well. Sealift will provision the lion's share of any protracted engagement, and the ships of the Merchant Marine are a key element in our sealift resources. This paper describes various ways that the Merchant Fleet is being made more responsive to its possible role as a naval auxiliary, and it describes a new concept called SEA SHED which can quickly expand the versatility of Containerships. Containerships have revolutionized marine transportation and they now represent a large and growing portion of the Commercial Fleet. They are limited in the types of cargo they can carry, however, excluding much of the larger equipment required by military units. SEA SHED is a cargo module which fits into the cell guides of a Containership and effectively converts it to a 'tween deck, break-bulk ship which can carry almost all military equipment.
Advocates of decision strategies contend or imply that a particular strategy should be used for most, if not all, decision-making tasks. This article demonstrates how decision problems faced by executives alter a deci...
Advocates of decision strategies contend or imply that a particular strategy should be used for most, if not all, decision-making tasks. This article demonstrates how decision problems faced by executives alter a decision strategy's effectiveness, and provides guides to aid the executive in selecting an appropriate strategy.
作者：
TRUXALL, CWis a Senior Program Engineer with Systems Consultants
Inc. Washington D.C. serving as Project Manager for the DD 963 Combat System Engineering Program. Prior to his retirement from the U.S. Navy in 1978 he served in the AEGIS Project Office Naval Sea Systems Command as ASW Systems Manager and Combat Systems/Ship Design Coordinator. His previous assignments involved service in ten ships including engineering duty in Carriers and Submarines and two Destroyer commands. He is a 1957 graduate of the U.S. Naval Academy holds Master's degrees in Business Administration and Systems Management and attended the Program Managers Course at the Defense System Management College Fort Belvoir Va. He is a member of the American Defense Preparedness Association and has been a member of ASNE since 1958 having previously served on the ASNE Audit Committee and presently as the Chairman of the ASNE Membership Committee.
The Top Level Requirement (TLR) is a document that is required by the Chief of Naval Operations to be developed for new ship designs. This document describes in some detail the requirements levied on the ship designer...
The Top Level Requirement (TLR) is a document that is required by the Chief of Naval Operations to be developed for new ship designs. This document describes in some detail the requirements levied on the ship designers for characteristics of the ship and its combat system. The Combat System Engineering program has been developed in the Naval Sea Systems Command (NAVSEA) to provide a disciplined approach to the engineering of upgrades and modernizations to current surface ship complex combat systems. One of the axioms of this systemized approach is that “top down” engineering must take place. That is, the rationale for the upgrade for the new elements being included in the system, and for the way the integration of those elements takes place, must be based upon a set of operational requirements. In order to systems engineer the developments of modernizations properly, the Author proposes that TLRs be developed for each combatant ship class without a TLR that is a candidate for a major modernization or upgrade. The primary focus would be on the combat system requirements, but also there is concern for the other ship operational characteristics as well. The TLR should be contained in a document of about twenty-five pages. As with the current TLRs, a Working Group of representatives from the Office of the Chief of Naval Operations (OPNAV), Naval Material Command (NAVMAT)/Naval Sea Systems Command (NAVSEA), and other activities would be the developers of the new TLR. Because of the numbers of individuals with some responsibility in current Fleet ships, closer coordination between NAVMAT/NAVSEA and OPNAV is required. The process which this paper describes may well support significant cost savings in future-year combat system upgrades, and the Combat System Engineering Community will have a basis for combat system design.
作者：
Kreger, Sally M.Whealon, Rosemary C.Sally M. Kreger
RN MA is a clinical nurse specialist in rehabilitation for nursing service at the Veterans Administration Medical Center in San Diego CA. Ms. Kreger a recipient of a master's degree in rehabilitation for counselors and advisors from New York University is a PhD candidate in the counseling psychology program at the Professional School For Humanistic Studies in San Diego and is author of a research report entitled “Sexuality Disability.” Her career and interests encompass education and training of primary nurses involved in rehabilitation care of the chronically ill and disabled. Rosemary C. Whealon
RN is currently the head nurse on a 60-bed acute inpatient psychiatric unit at the San Diego Veterans Administration Medical Center San Diego CA. She was formerly a head nurse at Massachusetts General Hospital Boston MA where she was actively involved in the implementation of the primary nurse role in a surgical setting. She is a graduate of Creighton Memorial St. Joseph Hospital School of Nursing Omaha NE. Her primary interest is staff development with emphasis on creative and innovative nursing leadership.
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