an important determinant of health system performance is contracting. providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. yet contracting is highly imperfect in both single-payer and multi-payer health systems. arguably, in a competitive, multi-payer environment, contractual innovation may occur...

background & aim: nowadays, home health care services play significant roles in modern societies. such services allow the elderly and needy people to pass their treatment process at their own houses in a friendly environment. in this paper, weekly routing and scheduling problem of home health care personnel was investigated. methods & materials: insufficient number of expert personnel or overla...

In this paper, wire electrical discharge machining of D3 tool steel is studied. Influence of pulse-on time, pulse-off time, peak current and wire speed are investigated for MRR, dimensional deviation, gap current and machining time, during intricate machining of D3 tool steel. Taguchi method is used for single characteristics optimization and to optimize all four process parameters simultaneous...

This article examines the performance of Wavelet based Multi-User MIMO OFDM (MUMIMO WOFDM) systems and a comparison is made with classical FFT based multiuser MIMO OFDM system. Wavelet analysis has some strong advantages over fourier analysis, as it allows a time-frequency domain operation, allowing optimal resolution and flexibility. Wavelets have been satisfactorily applied in almost all the ...

One of the key elements in production planning hierarchy is master production scheduling. The aim of this study is to evaluate and compare thirteen alternative MPS development methods, including multi-objective optimization as well as twelve heuristics, in different operating conditions for multi-product single-level capacity-constrained production systems. We extract six critical criteria from...