This paper studies the choice between centralisation and decentralisation of ...scal policy in a political economy setting. With centralisation, regional delegates vote over agendas comprising sets of region-speci...c projects. The outcome is ine¢cient because the choice of projects is insu¢ciently sensitive to within-region bene...ts. The number of projects funded may be non-monotonic in the s...

This paper will focus on relating organisational structure with organisational performance. We first outline the motivation behind this research, from both industrial and academic perspectives. After defining the problem and the research aim, an outline of organisational performance metrics is provided, followed by a detailed look at the centralisation metric. Finally, using our testbed simulat...

UNLABELLED In this paper, we propose a relational complexity (RC) network framework based on RC metric and network theory to model controllers' workload in conflict detection and resolution. We suggest that, at the sector level, air traffic showing a centralised network pattern can provide cognitive benefits in visual search and resolution decision which will in turn result in lower workload. W...

PURPOSE To review the outcome of wide resection and wrist fusion through centralisation of the ulna for recurrent giant cell tumour (GCT) of the distal radius in 10 patients. METHODS Records of 7 women and 3 men aged 25 to 40 years who underwent wide resection and wrist fusion through centralisation of the ulna for grade I (n=6) and grade II (n=4) recurrent GCT of the distal radius were revie...

We evaluated the results of fibular centralisation as a stand alone technique to reconstruct defects that occurred after resection of tumours involving the tibial diaphysis and distal metaphysis. Between January 2003 and December 2006, 15 patients underwent excision of tumours of the tibial diaphysis or distal metaphysis and reconstruction by fibular centralisation. Their mean age was 17 years ...

BACKGROUND Centralisation of thrombolysis may offer substantial benefits. The aim of this study was to assess short term costs and effects of centralisation of thrombolysis and optimised care in a decentralised system. METHODS Using simulation modelling, three scenarios to improve decentralised settings in the North of Netherlands were compared from the perspective of the policy maker and com...

BACKGROUND To determine the views of Clinical Directors working in the United Kingdom (U.K.) Cleft Service with regard to centralisation, commissioning and impact on cleft service provision. METHODS In-depth qualitative interviews were conducted with 11 Clinical Directors representing regional cleft services. Interviews were transcribed verbatim, a coding frame was developed by two researcher...