Germany has two tier health service, study shows

Service network design models for two-tier city logistics

This paper focuses on two-tier City Logistics systems for advanced management of urban freight activities and, in particular, on the first layer of such systems where freight is moved from distributions centers on the outskirts of the city to satellite platforms’ by urban vehicles, from where it will be distributed to customers by other, dedicated vehicles. We address the issue of planning the ...

NHS medical director proposes two tier emergency service.

BMJ | 16 NOVEMBER 2013 | VOLUME 347 1 NHS medical director proposes two tier emergency service Zosia Kmietowicz BMJ The NHS 111 urgent care telephone service increased the use of ambulances in England during its first year of operation—contrary to what it was designed to do—shows an evaluation of pilot sites published in BMJ Open. The Department of Health commissioned the study to evaluate NHS ...

Bringing an end to two-tier mental health care.

Two-Tier Leadership Election

Current leadership election algorithms do not explicitly plan for the failure of the leader, and thus must do system wide elections each time a leader fails. To this end we propose an algorithm that removes the need for system wide elections after a leadership failure. Our technique has an initial system wide election to elect a leader, and after the leader is confirmed chooses subordinates wit...

Two-tier Network Economics

An efficient and well-operated network is designed so that its parts function well together. This coordinated efficiency arises from having each element of a network perform those tasks for which it is best designed. Similar to the division of labor in a human society, the division of labor amongst elements in a communications network allows them to maximize the network’s output (e.g., bandwidt...