Objectors on ethical grounds to the use of QALYs in priority-setting in public health care systems are here categorised as (1) those who reject all collective priority-setting as unethical; (2) those who accept the need for collective priority-setting but believe that it is contrary to medical ethics; (3) those who accept the need for collective priority-setting and do not believe that it is co...

Readmission reduction is at the focus of health care systems worldwide in efforts to improve efficiency across care settings. Yet, setting targets for readmission reduction is complicated due to inconsistencies in evidence pointing to effective organization-wide interventions and because of inverse incentives (such as maintaining high occupancy rates). Nonetheless, readmission reduction is one ...

INTRODUCTION ............................................................................................... 641 I. THE FLAWED ACCOUNTABILITY AXIOM ............................................. 643 A. Accountability Deficit .................................................................. 643 B. Asymmetries in Accountability .................................................... 647 II. THE INTE...

In this paper we consider a single-server cyclic polling system. Between visits to successive queues, the server is delayed by a random switch-over time. The order in which customers are served in each queue is determined by a priority level that is assigned to each customer at his arrival. For this situation the following service disciplines are considered: gated, exhaustive, and globally gate...

A well-constrained geometric system seldom occurs in practice, especially at the sketchbased initial conceptual design stage. Usually, it is either underor overconstrained because design is a progressive process and it is difficult for a designer to specify all involved constraints in a consistent way. This paper presents a priority-based graphreduction solution, in which each constraint is ass...

As public organizations increasingly rely on IT-enabled development to provide faster cycle times and better services, IT Project Portfolio Management (IT PPM) has become a high priority issue. This research adopts engaged scholarship to investigate IT PPM practices within a large local government. The investigation applies Control Theory to analyze rich data from the local government covering ...