A generalized hierarchical model of resource allocation

This study presents a three-level, linear version of the Generalized Hierarchical Model (GHM) and demonstrates how the model can be used in allocating resources for a hypothetical university. The GHM uses a composition approach to organizational modeling. By applying the model to a rather large university planning problem, it is demonstrated that the composition approach can serve as a planning tool that may be useful in allocating resources within hierarchical organizations.     

Resource allocation. The cost of care: two troublesome cases in health care ethics.

With the cost of health care rising rapidly, both physicians and administrators regularly face resource allocation decisions. Under these conditions of relative scarcity, the equitable and appropriate distribution of limited resources becomes an ethical as well as a financial issue. Through ethical analysis, physician executives can assist their physician colleagues and fellow administrators to find rationally defensible answers to questions regarding the distribution of limited resources. Six criteria are frequently "weighted in the balance" by ethicists when analyzing whether justice is served in the distribution of a limited resource: need, equality, contribution, ability to pay, effort, and merit. The authors argue that, from an ethical standpoint, the best single criterion upon which one can base an allocation decision is that of merit, defined as the potential to benefit from the investment of additional resources.     

Cost containment in health care: a model for management research.

Cost containment is a dominant problem in the health care field, but it has not been addressed from a comprehensive management perspective. To fill this gap, we have developed an inclusive model of the cost containment process. The model has implications for management research in several areas: cost containment baselines, incentive systems, organization structures, cost/quality trade-offs, and cost containment constraints.     

A location–allocation model for service providers with application to not-for-profit health care organizations

In this paper, we develop and solve a model for the location and allocation of specialized health care services such as traumatic brain injury (TBI) treatment. The model is based on and applied to one of the Department of Veterans Affairs’ integrated service networks. A cost minimization model with service proportion requirements is solved using simulated annealing. Large instances of the model with 100 candidate medical center locations and 15 open treatment units are solved in about 1000 s. In order to test the real-world applicability of our model, an extensive managerial experiment is conducted using data derived from our health care setting. In this experiment, the effects of three critical factors: (1) degree of centralization of services, (2) the role of patient retention as a function of distance to a treatment unit, and (3) the geographic density of the patient population are investigated with respect to the important trade-off between the cost of providing service and the need to provide such service. Our analysis shows that all three factors of the experiment are both relevant and useful to decision-makers when selecting locations for their services.     

并联系统资源和目标配置双准则DEA模型

针对决策单元内部资源和目标配置问题,以并联生产系统为研究对象,研究数据包络分析方法在组织的资源分配与目标设定方面的应用.首先考虑决策单元内部评价的特点:(1)固定投入和固定产出;(2)子单元评价的权重选择之间的关系;(3)内部评价权重选择与决策单元整体评价的关系.在此基础上,提出基于效率与公平的决策单元内部资源和目标配置双准则DEA模型,最后用算例演示其使用,以说明模型的合理性.     

Medical resource allocation: rationing and ethical considerations--Part I

The United States' system of high-quality but expensive and poorly distributed medical care is in trouble. Dramatic advances in medical knowledge and procedures, combined with soaring demands created by growing public awareness, the cost of private hospital and medical insurance, and Medicare and Medicaid, are burdening the medical care delivery systems. The costs of medical care have reached levels that can no longer be sustained. Government officials, insurance planners, labor leaders responsible for union health care benefits, and ordinary citizens are questioning whether it is acceptable to limit health care based on economic considerations. If health care is deemed a social good, the method of allocation must be addressed. Unless society decides that other priorities of the infrastructure are to be subjugated to health service delivery, difficult decisions will be forced upon us, consciously or by default. The discussion in this two-part article explores the ethical considerations of the more formalized approaches to resource allocation that presently exist in our society.     

Leadership wholeness: a human resource development model

This paper presents a phenomenological study of leaders' quest for wholeness from the perspective of contemporary human resource development (HRD). The experience of economic, ethical and spiritual crises in contemporary society, especially in organizational leadership, calls for a deeper quest for meaning and wholeness. However, little is known about how prominent leaders across the world and cultures, who have a reputation for wholeness, experience their journey. In order to gain insight into lived experience, 10 top spiritual leaders from different organizational contexts and across the globe engaged in in-depth conversational interviews to describe their experience of the quest. Four essential themes of spiritual leaders' quest for wholeness emerged from an analysis of the interview texts: (1) experiencing existential crisis; (2) embracing light and shadow; (3) unfolding ultimate dimension of being; (4) fostering an ethic of co-responsibility. From the analysis of the themes, a model of wholeness was constructed from a human resource development point of view: the Leadership Wholeness Model portrays the intra-dynamics of leaders' ongoing quest for wholeness penetrating through their existential, learning, spiritual, and moral dimensions of being and five ethical dimensions of wholeness permeating through the personal, organizational, social, global, and environmental spheres of life.     

指令配置:微观结构与资产配置的统一框架

本文将资产配置的方法推广到限价指令簿市场上.在投资者效用函数符合指数效用的假设下,考虑了限价指令簿中委托的执行概率,将限价指令簿的边际订单递交纳入到资产配置的框架中.首先,推导出投资者在限价指令市场上对市价委托指令和限价委托指令配置的解析式,从而将资产定价模型与限价指令簿的微观结构理论模型统一到一个模型中.其次,还证明了传统的单资产CAPM是本文模型在只能递交边际市价委托时的一个特例.     

Research and development project selection and resource allocation: a review of quantitative modelling approaches

This paper reviews the literature on quantitative modelling for research and development (R&;D) project selection and resource allocation. The topic has been a subject of operations research for about four decades. Its importance stems from the fact that R&D projects are a core element of corporate renewal, heavily influence a firm's market success and, if not properly chosen and trimmed, may waste large amounts of resources or even ruin the enterprise. Our survey classifies and characterizes the various modelling approaches.     

Incorporating balance concerns in resource allocation decisions: A bi-criteria modelling approach

We consider resource allocation problems where inputs are allocated to different entities such as activities, projects or departments. In such problems a common goal is achieving a desired balance in the allocation over different categories of the entities. We propose a bi-criteria framework for trading balance off against efficiency. We define and categorise indicators based on balance distribution and propose formulations and solution algorithms which provide insight into the balance-efficiency tradeoff. We illustrate our models by applying them to the data of a portfolio selection problem faced by a science funding agency and to randomly generated large-sized problem instances to demonstrate computational feasibility.     

Beyond expectancy theory: an integrative motivational model from health care

Expectancy theory has been criticized for its omission of normative, habitual, and other motivational elements. This paper describes the sources and features of an integrative motivational model from the field of preventive health care that combines expectancy/valence factors with habitual, normative, and conative motivational elements. The model is viewed as having implications for work motivation as well.     

Intra-Organizational and inter-organizational resource allocation in two-stage network systems

There are organizational systems, such as bank branches and two-stage supply chains, which are composed of multiple parallel two-stage structures. Resource allocation in these systems is to maximize the benefit of the overall organization from a global viewpoint. In this study, we consider two types of systems at an organizational level: a centralized organizational system treating the whole two-stage production process as a basic unit, and a decentralized organizational system including two sub-organizations (groups) treating one of the two-stage production processes as a basic unit. We propose intra-organizational and inter-organizational resource allocation plans for two different organizational systems, respectively. Specially, two modes of free intermediate resource allocation (Free IRA) and fixed intermediate resource allocation (Fixed IRA) are discussed for the decentralized organizational system. The proposed allocation plans are based on two-stage data envelopment analysis models with bi-level formulations, in which the upper-level model is to maximize the entire organizational effectiveness (total outputs minus total inputs) by determining the optimized input resources and output targets while the lower-level model is concerned with efficiency constraints of all decision-making units simultaneously. The developed methods are illustrated by an application to a real-world problem with 17 city bank branches.     

IPO 募资双重管制与资源配置——基于自然实验的经验证据

本文探讨我国首发市场中针对募集资金的两种管制政策的交互效应对资源配置的影响.研究结果发现,募资用途和募资额度管制的交互作用会导致募资不足,从而加大公司上市后融资约束的程度,进而引起投资不足. 2009年放开募资额度管制后,公司的融资约束得到缓解,但持有过量的超募资金又会引发过度投资.进一步研究发现,企业持有的超募资金与其长期绩效呈倒U型关系.本文的研究结论对目前处于酝酿中的IPO注册制的相关政策制定和制度设计具有参考意义.     

Medical resource allocation: rationing and ethical considerations, Part II

The proliferation of medical technology during the past decade has doubtless surpassed that of any other recent period. We have witnessed and are continuing to witness rapid advances in human genetic engineering, reproductive technology, and biomedical intervention in the life process. Our population has benefitted from this technology as a result of its ability to extend the life of individuals, particularly the elderly sector of our society. This technological proliferation has caused philosophers, physicians, engineers, and policy strategists to focus upon questions of ethics and mortality relating to their application. In approaching the ethics of rationing, consideration must be given to both the deontological concepts of the individual and the utilitarian principles of societal preservation. This article continues a discussion of the issues of resource allocation that was begun in the February 1994 issue of Physician Executive.     

Personnel turnover in health care organizations: Test of a predictive model based on work assessments by employees

It is predicted that institutions in Dutch intramural health care will be increasingly confronted with problems in personnel supply. Instead of making great efforts to keep the inflow of new personnel on the desired level, control of turnover is an alternative solution. In this paper, an explanatory model is constructed, based on previous theories and research findings. It is hypothesized that the more employees have positive attitudes concerning their work and work situation, the greater their satisfaction and commitment and hence the less their intention to leave and the lower actual turnover. This model was tested using a large scale employee questionnaire. The instrument turned out to be reliable (internal consistencies above .70). The questionnaire was administered in eight institutions in four health care sectors (n = 1456). Results indicate that attitudes about work content and personnel management are relevant in predicting intention to leave. All in all, 8 work-related aspects predicted 21% of intention to leave. Aspects with the most predictive value were career guidance, work safety, responsibilities and job discretion. Furthermore, general satisfaction was shown to play an intermediary role in predicting intention to leave. It is concluded that improvements in work content and personnel management can reduce intention to leave and hence the demand for new personnel.     

Personnel turnover in health care organizations: Test of a predictive model based on work assessments by employees

Abstract

It is predicted that institutions in Dutch intramural health care will be increasingly confronted with problems in personnel supply. Instead of making great efforts to keep the inflow of new personnel on the desired level, control of turnover is an alternative solution. In this paper, an explanatory model is constructed, based on previous theories and research findings. It is hypothesized that the more employees have positive attitudes concerning their work and work situation, the greater their satisfaction and commitment and hence the less their intention to leave and the lower actual turnover. This model was tested using a large scale employee questionnaire. The instrument turned out to be reliable (internal consistencies above .70). The questionnaire was administered in eight institutions in four health care sectors (n = 1456). Results indicate that attitudes about work content and personnel management are relevant in predicting intention to leave. All in all, 8 work-related aspects predicted 21% of intention to leave. Aspects with the most predictive value were career guidance, work safety, responsibilities and job discretion. Furthermore, general satisfaction was shown to play an intermediary role in predicting intention to leave. It is concluded that improvements in work content and personnel management can reduce intention to leave and hence the demand for new personnel.     

基于CPN 的信息系统资源配置动态模型的建立

针对信息资源配置问题提出了一种基于有色Pet ri 网的规范化建模方法, 并对整个建模 过程进行了详细的描述. 提出了系统层次模型结构和执行图的概念, 对执行图和Pet ri 网之间 的转换过程进行了分析、定义, 从而减少了大系统建模的复杂程度和工作量. 利用相关的计算 机工具, 可以方便地实现系统建模和对信息资源配置情况的评价、分析和调整     

Counterterrorism resource allocation during a pandemic: The effects of dynamic target valuations when facing a strategic terrorist

The outbreak of pandemics such as COVID-19 can result in cascading effects for global systemic risk. To combat an ongoing pandemic, governmental resources are largely allocated toward supporting the health of the public and economy. This shift in attention can lead to security vulnerabilities which are exploited by terrorists. In view of this, counterterrorism during a pandemic is of critical interest to the safety and well-being of the global society. Most notably, the population flows among potential targets are likely to change in conjunction with the trend of the health crisis, which leads to fluctuations in target valuations. In this situation, a new challenge for the defender is to optimally allocate his/her resources among targets that have changing valuations, where his/her intention is to minimize the expected losses from potential terrorist attacks. In order to deal with this challenge, in this paper, we first develop a defender–attacker game in sequential form, where the target valuations can change as a result of the pandemic. Then we analyze the effects of a pandemic on counterterrorism resource allocation from the perspective of dynamic target valuations. Finally, we provide some examples to display the theoretical results, and present a case study to illustrate the usability of our proposed model during a pandemic.     

Partnerships in health care: creating a strong value chain

The health care climate is one of stormy relations between various entities. Employers, managed care organizations, hospitals, and physicians battle over premiums, inpatient rates, fee schedules, and percent of premium dollars. Patients are angry at health plans over problems with access, choice, and quality of care. Employers dicker with managed care organizations over prices, benefits, and access. Hospitals struggle to maintain operations, as occupancy rates decline and the shift to ambulatory care continues. Physicians strive to assure their patients get quality care while they try to maintain stable incomes. Businesses, faced with similar challenges in the competitive marketplace, have formed partnerships for mutual benefit. Successful partnerships are based upon trust and the concept of "win-win." Communication, ongoing evaluation, long-term relations, and shared values are also essential. In Japan, the keiretsu contains the elements of a bonafide partnership. Examples in U.S. businesses abound. In health care, partnerships will improve quality and access. When health care purchasers and providers link together, these partnerships create a new value chain that has patients as the focal point.     

The consumer choice model: a humane reconstruction of the U.S. health care system

"Consumer choice," "defined contribution health programs," "voucher systems," and "health marts" are variations on a theme: employees buying their own health care. This new approach to health care purchasing, which is designed to minimize the role of employers, is being proposed by an array of economists and by both Republican and Democratic legislators as the best way to address the nation's health care ills. Although enabling national legislation is unlikely to pass soon, the debate will nevertheless change the face of health care in America. The prospect is reminiscent of the debate over "Clinton Care" in 1993--although legislation was never passed, managed care rapidly came to dominate the U.S. health care system. As this reform takes hold, beneficiaries will make their own health plan selections but will have more responsibility and may bear more cost. Providers will have to adapt to new, customer-driven requirements for performance, accountability, and communications but will also find opportunities in a marketplace that they will have a major role in shaping. Physicians, health plans, and insurers should understand how these proposals will transform their role in health care.