our aim was to make right and informative decision about choosing the most cost-effectiveness heterogeneous infectious waste treatment methods and devices.in this descriptive study, decision tree analysis, with 10-yr time horizon in bottom-up approach was used to estimate the costs and effectiveness criteria of the employed devices at provider perspective in iranian hospitals. we used the one-w...

Objective: Determine whether it is cost-effective to update the existing § 50.44 requirements on combustible gas control to require passive autocatalytic recombiners for all PWRs with large-dry containment buildings. Under this approach, a backfit would be required of licensees with plants that have large dry containments in that they would have to install PARs and maintain them for the duratio...

In temporal document databases and temporal XML databases, temporal text-containment queries are a potential performance bottleneck. In this paper we describe how to manage documents and index structures in such databases in way that makes temporal text-containment querying feasible. We describe and discuss different index structures that can improve such queries. Three of the alternatives have...

This article seeks to examine the conflict between non-cost-conscious medical malpractice liability standards and health care cost cutting measures within the context of Accountable Care Organizations ("ACOs") under the new health care reform law. This article begins by providing an overview of the high level of health care spending within the United States health care system in order to provid...

Adopting a frontline employee (FLE) perspective, this study models a performance loss process during an organization’s strategic change implementation. The process is activated by changes in unit management’s emphases on cost containment and revenue-generating strategies and is governed by FLE detachment. The authors also examine an intervention mechanism for mitigating performance loss by incl...

1 This page intentionally left blank. Background Medical device manufacturers (suppliers) and hospitals (providers) face financial and operational stressors exacerbated by recent healthcare reform. Providers now face the prospect of decreased reimbursements and financial penalties associated with quality of care metrics while suppliers must cope with product commoditization and increased scruti...