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In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.
This study assesses the effectiveness of various ways in which food aid can promote food security and poverty alleviation as well as showing that in-kind food aid carries substantial efficiency costs.
This edited volume highlights recent research advances in humanitarian relief logistics. The contributed chapters span the spectrum of key issues and activities from preparedness to mitigation operations (response), planning and execution. The volume also presents state-of-the-art methods and systems through current case studies. Significant issues in planning and execution of humanitarian relief logistics discussed in this volume include the following: • Approaches that tackle realistic relief distribution networks. In addition to large-scale computing issues, heuristics may handle the complexity and particularities of humanitarian supply chains • Methods that integrate real-time information while effectively coping with time pressure and uncertainty, both of which are inherent to a disaster scene • Judicious recourse strategies that allow a quick and effective restoration of pre-planned solutions whenever an unpredictable event occurs • Coordination of multiple parties that are often involved in managing a disaster, including NGOs, local, state and federal agencies. This volume provides robust evidence that research in humanitarian logistics may lead to substantial improvements in effectiveness and efficiency of disaster relief operations. This is quite encouraging, since the unique characteristics of disaster scenes provide significant opportunities for researchers to investigate novel approaches contributing to logistics research while offering a significant service to society.
This volume provides a survey of current research problems and results in humanitarian operations research. Additionally, it discusses existing applications of humanitarian operations research, and considers new research efforts that clearly extend existing research and applications. The book is divided into three sections that provide an overview of the subject, a look at the theory, and an examination of applications. The overview section presents chapters on modeling approaches and metrics to evaluate nonprofit operations; chief findings of fieldwork research in disaster response logistics; the use of cash as a form of relief; and measuring markets that supply cash-based humanitarian interventions. The theory section includes chapters that examine the partner proliferation problem in disaster response networks; a case study of humanitarian logistics that examines how humanitarian culture informs change adoption; and a look at the current state of the art for information visibility in humanitarian operations. Finally, the application section focuses on blood products, vaccines, and food assistance, with individual chapters on efficient inventorying and distribution of blood products during disasters; a detailed look at modeling in the context of the vaccine supply chain; a framework for achieving equity, effectiveness, and efficiency in food bank operations; and a spatio-temporal vulnerabili ty assessment of the resilience of a population affected by sudden lack of food.
The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
This book examines energy management practices within a wide range of public and private sector organisations.
Excessive household debt has allowed for economic growth, but this model has become increasingly unstable. Spooner examines bankruptcy law as a potential solution.