Health systems worldwide are grappling with the need to control costs to maintain system viability. With the combination of worsening economic conditions, an aging population and reductions in tax revenues, the pressures to make structural changes are expected to continue growing. Common cost control mechanisms, e.g. curtailment of patient access and treatment prioritization, are likely to be a...

Appropriate selection of holistic management strategies for livestock farming systems requires: (1) understanding of the behaviour of, and interrelations between, the di€erent parts of the system; (2) knowledge of the basic objectives of the decision maker managing such enterprise; and (3) understanding of the system as a whole in its agro-ecoregional context. A decision-support system based on...

This study developed a systematic decision-making process for water supply capacity expansion using the analytic hierarchy process. The decision-making criteria were categorized into environmental, economic, technical and socio-cultural aspects. Capacity expansion of three water resources (Kpong, Weija and Teshie plants) of Accra-Tema Metropolitan Area (Ghana) was studied as a test case. The re...

This study recommends a GIS-based (Geographic Information Systems) and multi-criteria evaluation for site selection of gas power plant in Natanz City of Iran. The multi-criteria decision framework integrates legal requirements and physical constraints related to environmental and economic concerns. It also builds a hierarchy model for gas power plant suitability. The methodologies used for site...

In this paper, the electrical consumption of Hamedan University is derived of the bills, Then with defining of fuzzy Bus Thermal Coefficient objective function for heating, the amount of available heat selling to university consumer that is produced by Biomass CHP plant is calculated. With the capacity determination of Biomass CHP plant to provide Thermal and electrical energy of university and...

We discuss how to properly decompose economic efficiency when the underlying technology is non-homothetic using alternative allocative and technical efficiency criteria. We first show that only under the production of one output and assuming the particular case of constant returns to scale homotheticity, we may claim that the standard radial models correctly measure pure technical efficiency. O...

AIM To determine a cost-efficient strategy for HNPCC molecular diagnostic testing. METHODS 138 families referred to a Regional Genetics Service had hMLH1 and hMSH2 mutation analysis. The sensitivity and specificity of clinical selection criteria with or without immunohistochemistry (IHC) and microsatellite instability (MSI) analysis to further refine case selection and the effect of these app...

In this study, different battery types to be used in the conversion of a small and light (600-1000 kg) internal combustion engine vehicle into an electric were analyzed. The study was conducted ensure that is suitable for urban use has range approximately 100 km. Each technology capacity evaluated 15 kWh. While performing techno-economic analysis types, it taken account they provide necessary e...