Competition and The Operational Performance of Hospitals: The Role of Hospital Objectives

We examine the effect of a hospital's objective (i.e., non‐profit vs. for‐profit) in hospital markets for elective care. Using game‐theoretic analysis and queueing models to capture the operational performance of hospitals, we compare the equilibrium behavior of three market settings in terms of such criteria as waiting times and patient costs from waiting and hospital payments. In the first setting, a monopoly, patients are served exclusively by a single non‐profit hospital; in the second, a homogeneous duopoly, patients are served by two competing non‐profit hospitals. In our third setting, a heterogeneous duopoly, the market is served by one non‐profit hospital and one for‐profit hospital. A non‐profit hospital provides free care to patients, although they may have to wait; for‐profit hospitals charge a fee to provide care with minimal waiting. A comparison between the monopolistic and each of the duopolistic settings reveals that the introduction of competition can hamper a hospital's ability to attain economies of scale and can also increase waiting times. Moreover, the presence of a for‐profit sector may be desirable only when the hospital market is sufficiently competitive. A comparison across the duopolistic settings indicates that the choice between homogeneous and heterogeneous competition depends on the patients' willingness to wait before receiving care and the reimbursement level of the non‐profit sector. When the public funder is not financially constrained, the presence of a for‐profit sector may allow the funder to lower both the financial costs of providing coverage and the total costs to patients. Finally, our analysis suggests that the public funder should exercise caution when using policy tools that support the for‐profit sector—for example, patient subsidies—because such tools may increase patient costs in the long run; it might be preferable to raise the non‐profit sector's level of reimbursement.     

部分中间产出作为最终产品的两阶段合作效率

网络DEA模型研究多个进程和多个子系统的复杂系统的效率度量.针对中间产出无法为第2阶段完全消耗的情形,传统DEA模型对系统效率的评价偏高,已有网络DEA模型则对系统效率的评价偏低.本文提出部分中间产出作为最终产品,进入流通渠道的两阶段效率模型,用来测度两阶段生产过程的真实效率.采用乘积形式描述两阶段合作的特征,给出不同...     

Uncertainty,pluralism, and the knowledge-based theory of the firm: From J.-C. Spender’s contribution to a socio-cognitive approach

J.-C. Spender’s award-winning, knowledge-based theory of the firm is based on four premises: (1) The firm can be sufficiently understood as a system of knowledge, (2) explicit and implicit knowing can be clearly dissociated, (3) organizations are conceived as cognizing entities, and (4) intuition shaped by shared cultural practices is a superior source of managerial knowledge. This line of reasoning represents a social constructionist view of the enactment, transfer, and storage of knowledge according to which managerial knowledge is largely tacitly shaped by industry recipes and the firm’s socio-cultural conventions and other social processes. Although comprehensive in scope, we argue that a knowledge-based theory of the firm needs to integrate a cognitivist approach that includes the synergetic production of tacit and explicit knowledge, the role of reflective thinking in resolving strategic uncertainties, and the interaction between the individual and the social. This socio-cognitive theory of the firm posits that sustained competitive advantage of a firm is founded on the ability to align knowledge internally within the firm as well as externally with its stakeholders through the individual sense-making of feedback from other individuals.     

Stakeholders’ Perspective on Ecological Modeling in Environmental Risk Assessment of Pesticides: Challenges and Opportunities

The article closely examines the role of mechanistic effect models (e.g., population models) in the European environmental risk assessment (ERA) of pesticides. We studied perspectives of three stakeholder groups on population modeling in ERA of pesticides. Forty‐three in‐depth, semi‐structured interviews were conducted with stakeholders from regulatory authorities, industry, and academia all over Europe. The key informant approach was employed in recruiting our participants. They were first identified as key stakeholders in the field and then sampled by means of a purposive sampling, where each stakeholder identified as important by others was interviewed and asked to suggest another potential participant for our study. Our results show that participants, although having different institutional backgrounds often presented similar perspectives and concerns about modeling. Analysis of repeating ideas and keywords revealed that all stakeholders had very high and often contradicting expectations from models. Still, all three groups expected effect models to become integrated in future ERA of pesticides. Main hopes associated with effect models were to reduce the amount of expensive and complex testing and field monitoring, both at the product development stage, and as an aid to develop mitigation measures. Our analysis suggests that, although the needs of stakeholders often overlapped, subtle differences and lack of trust hinder the process of introducing mechanistic effect models into ERA.     

Distribution lot-sizing models for arborescent supply chains with discrete-period variable demand

This study formulates a novel mixed-integer programming lot-sizing model for arborescent supply chains with discrete-period variable demand and then develops an efficient two-phase heuristic method, in which a combined multi-period demand ordering policy, rather than the lot-for-lot ordering policy usually assumed in previous papers, is adopted. Two important properties are introduced and used to obtain a better initial feasible solution. The good performance of the proposed heuristic method is verified through a comparison with the optimal solution method. It is also shown that the performance of the proposed combined multi-period demand ordering method is superior to that of the lot-for-lot ordering method. Sensitivity analysis is conducted to explore the impacts of changing the values of relevant parameters on the total supply chain cost, the total number of orders and the total number of opened members. Finally, a well-known logistics company in Taiwan is chosen to demonstrate the excellent performance and the aptness of the proposed ordering method.     

Response-Response Relationships in Organizational Behavior Management

Abstract

The issue of behavioral covariation has been a topic of interest to behavior analysts for many years. Many writers have used the term response generalization interchangeably with behavioral covariation. In this paper, we argue from the extant literature that the term “response generalization” should be used to describe only very specific occasions of behavioral covariation. In fact, we argue, response generalization is merely one of at least six types of behavioral covariation observed in organizational behavior management studies. After describing response generalization, the remaining five types of response-response relations we describe are: (1) physiological relations, (2) when target behaviors occasion related behaviors, (3) when target behaviors reinforce related behaviors, (4) when target and related behaviors are maintained by the same reinforcing stimulus, and (5) covariation through participation in verbal relations. We conclude by discussing the potential for additional research on this topic in the area of verbal relations.     

The potential of integrated modelling in conservation biology: A case study of the black‐footed albatross (Phoebastria nigripes)

Conservation biology aims at assessing the status of a population, based on information which is often incomplete. Integrated population modelling based on state‐space models appears to be a powerful and relevant way of combining into a single likelihood several types of information such as capture‐recapture data and population surveys. In this paper, the authors describe the principles of integrated population modelling and they evaluate its performance for conservation biology based on a case study, that of the black‐footed albatross, a northern Pacific albatross species suspected to be impacted by longline fishing     

Inference in the presence of ranking error in ranked set sampling

The author proposes inference techniques for ranked set sample data in the presence of judgment ranking errors. He bases his analysis on the models of Bohn & Wolfe (1994) and Frey (2007a, b), of which parameters are estimated by minimizing a distance measure. He then uses the fitted models to calibrate confidence intervals and tests. He shows the validity of his approach through simulation and illustrates its application through the construction of distribution‐free confidence intervals for the median area of apple tree leaves covered by a spray.     

A mixture model for random graphs

The Erdös–Rényi model of a network is simple and possesses many explicit expressions for average and asymptotic properties, but it does not fit well to real-world networks. The vertices of those networks are often structured in unknown classes (functionally related proteins or social communities) with different connectivity properties. The stochastic block structures model was proposed for this purpose in the context of social sciences, using a Bayesian approach. We consider the same model in a frequentest statistical framework. We give the degree distribution and the clustering coefficient associated with this model, a variational method to estimate its parameters and a model selection criterion to select the number of classes. This estimation procedure allows us to deal with large networks containing thousands of vertices. The method is used to uncover the modular structure of a network of enzymatic reactions.     

A spatiotemporal auto-regressive moving average model for solar radiation

Summary.  To investigate the variability in energy output from a network of photovoltaic cells, solar radiation was recorded at 10 sites every 10 min in the Pentland Hills to the south of Edinburgh. We identify spatiotemporal auto-regressive moving average models as the most appropriate to address this problem. Although previously considered computationally prohibitive to work with, we show that by approximating using toroidal space and fitting by matching auto-correlations, calculations can be substantially reduced. We find that a first-order spatiotemporal auto-regressive (STAR(1)) process with a first-order neighbourhood structure and a Matern noise process provide an adequate fit to the data, and we demonstrate its use in simulating realizations of energy output.