scholarly journals Capacity Decisions for an Emergency Service

1978 ◽  
Vol 10 (2) ◽  
pp. 121-123
Author(s):  
James W. Dunn ◽  
Gerald A. Doeksen

Decision makers face two opposing forces in the provision of emergency services. Their constituency wants more and better services, but financial considerations limit the quantity and quality of services provided. This classic economic confrontation requires a decision based on the trade-offs between the benefits of protection provided by additional services and the cost of providing these services. Such a decision is needed for ambulance service, fire protection, and law enforcement.

2021 ◽  
Vol 27 (7) ◽  
pp. 1581-1599
Author(s):  
Semen Yu. BOGATYREV

Subject. The study deals with heuristics as measures of the emotional impact of people who judge about the value and the final result of the valuation. I review ranges of the value variance when influenced by irrational factors. From psychological perspectives, some phenomena are explained with a set of heuristics that exist as part of behavioral finance. Objectives. Referring to the completed studies, I implement elements of behavioral finance, such as heuristics into the method for assessing how financial decision-makers and their emotions influence the value. Methods. The article is based on methods of induction and deduction to process survey results. Results. The article reveals the content of key methods for measuring emotions of financial decision-maker, which conclude on the value, being influenced by heuristics. I demonstrate tools for implementing psychological measurement methods as part of valuation. Conclusions and Relevance. Considering heuristics of value decision-makers, the appraiser and the cost analyst approximate the valuation result to the real conditions, when market actors are irrational. Doing so, they contribute to the quality of the result of appraisal. The findings are applicable to the practice of appraisers, cost analysts, fundamental analysts. Heuristics enrich and expands the classical apparatus of valuation and increases its quality.


Author(s):  
Cristiana Tudor ◽  
Maria Tudor

This chapter covers the essentials of using the Monte Carlo Simulation technique (MSC) for project schedule and cost risk analysis. It offers a description of the steps involved in performing a Monte Carlo simulation and provides the basic probability and statistical concepts that MSC is based on. Further, a simple practical spreadsheet example goes through the steps presented before to show how MCS can be used in practice to assess the cost and duration risk of a project and ultimately to enable decision makers to improve the quality of their judgments.


2001 ◽  
Vol 7 (4-5) ◽  
pp. 805-811
Author(s):  
M. K. Chahed ◽  
N. Somrani ◽  
H. Achour

In order to assess hospital emergency rooms, a comprehensive national epidemiological investigation was conducted in all 155 public emergency structures in Tunisia. Here we present the main results of the levels of availability and use of emergency services. Coverage of the population by services is adequate [one emergency service per 60, 000 people]. Emergency wards admit about 2, 500, 000 patients every year [a quarter of the population of the country]. The university hospital emergency services are the most heavily used [150 patients per day on average]. Emergency services are sought for medical [60%], surgical [18%], paediatric [14%] and gynaecological reasons [5%]. It would be useful to assess the quality of care delivered and the satisfaction of citizens and health workers.


2018 ◽  
Vol 80 ◽  
pp. 119-127
Author(s):  
Grzegorz Krawczyk

The public urban transport market takes the form of a natural monopoly. In some cases, especially in the situation of supply of a relatively large volume of operation work, the implementation of competitive solutions may result in: improving the quality of services or reducing the cost of vehicle-kilometers. The purpose of the article is to present the determinants of functioning of regulated competition on the public urban transport market in Poland. The conducted analysis focuses on the issue of market openness and access to participation in competitive procedures of private operators. The research covered urban transport markets in cities over 200.000 inhabitants and their characteristics in the scope of: the model of public transport organization (with particular emphasis on the level of opening of markets), the level of competition on the operator market and the method of selecting operators. On the basis of the conducted research, the scope of applying pro-competitive solutions in the scope of contracting services by the largest organizers of public urban transport in Poland was characterized.


Energies ◽  
2021 ◽  
Vol 14 (16) ◽  
pp. 5172
Author(s):  
Radu Petrariu ◽  
Marius Constantin ◽  
Mihai Dinu ◽  
Simona Roxana Pătărlăgeanu ◽  
Mădălina Elena Deaconu

Boosting the externalities across the water, energy, food, and waste (WEFW) sectors is challenging, especially considering tightening constraints such as population growth, climate change, resource-intensive lifestyles, increased waste production, sanitary crises and many others. The nexus approach supports the transition to a more sustainable future because intersectoral trade-offs can be reduced and externalities exploited, making imperative for decision makers, entrepreneurs, and civil society to simultaneously engage, with respect to all the components of the nexus. This research addressed intersectoral synergies and trade-offs in the case of the WEFW nexus in Romania, judging from the perspectives of entrepreneurial activity and economic results. The objective of this research was to explore the nexus in-depth by statistically analyzing the financial and economic indicators reported by active enterprises at county-level, based on the Romanian Ministry of Public Finance data. Research results describe the effects of the policies implemented in the fields of WEFW sectors. At the same time, attention was paid to the quality of the entrepreneurial activity, analyzed from the perspective of economic performance. This paper fills a research gap regarding the WEFW nexus by resorting to an economic and entrepreneurial performance assessment in order to find sectoral pathways toward policy cohesion in Romania. Findings suggested the existence of major trade-offs among sectors, owing to the fact that each county has a different development degree.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Christopher S. Chapman ◽  
Anja Kern ◽  
Aziza Laguecir ◽  
Gerardine Doyle ◽  
Nathalie Angelé-Halgand ◽  
...  

PurposeThe purpose is to assess the impact of clinical costing approaches on the quality of cost information in seven countries (Denmark, England, France, Germany, Ireland, the Netherlands and Portugal).Design/methodology/approachCosting practices in seven countries were analysed via questionnaires, interviews and relevant published material.FindingsAlthough clinical costing is intended to support a similar range of purposes, countries display considerable diversity in their approaches to costing in terms of the level of detail contained in regulatory guidance and the percentage of providers subject to such guidance for tariff setting. Guidance in all countries involves a mix of costing methods.Research limitations/implicationsThe authors propose a two-dimensional Materiality and Quality Score (2D MAQS) of costing systems that can support the complex trade-offs in managing the quality of cost information at both policy and provider level, and between financial and clinical concerns.Originality/valueThe authors explore the trade-offs between different dimensions of the quality (accuracy, decision relevance and standardization) and the cost of collecting and analysing cost information for disparate purposes.


Respati ◽  
2017 ◽  
Vol 8 (24) ◽  
Author(s):  
M. Agung Nugroho ◽  
Emma Utami ◽  
Sudarmawan Sudarmawan

The high usage of wireless network will affect the level of data traffic. if there are multiple users to request a connection with the limited capacity of the connection between the user simultaneously then it will wait for their turn in the connect. The simple solution for institutions by adding capacity or bandwidth. But by adding bandwidth, the cost is also quite large. End-to-end monitoring method allows a provider to determine the quality of service QoS using actual data from the availability of services. This information in turn can be useful to know the characteristics of the use of the service, so that the results of monitoring in the form of hotspot service profile may be a reference to determine the user's perception. The final results of this research is profile of network quality service of UGM-Hotspot on PPTIK UGM. It could be a reference to improve QoS, and reference for making policy-based network management. Keyword : QoS, hattingh standard, end-to-end monitoring, wireless network, quality of services


Author(s):  
А. М. БЕРЕСТОВОЙ ◽  
С. Г. ЗИНЧЕНКО ◽  
О, А. ХЛЕСТОВА

Abstract. The article considers the problem of evaluating, on a multicriteria basis, the quality of work of elements of the transport and technological system of the seaport.The method for evaluating the performance indicators of the transport and technological system of the seaport is based on the formation and comparison of a data array of conditional indicators of economic, environmental, social, functional and other types of effectiveness of this system.The management of the international transport system, which is the transport and technological system of the seaport, bears a rather complicated econometric character with the logistic principles of “compromise, non-interference, quality, risks” and others. A simpler is the assessment of quality on a multi-criteria basis using human-machine procedures, which is relevant for evaluating the operation of the transport and technological system of the seaport in modern conditions of deregulation. This is typical for seaports.The human-machine procedure involves the use of two possibilities: the first is reliably necessary and accurate data received from decision makers; the second is the development of an algorithm and program that allows you to speed up the calculations of the necessary estimates and establish estimates of the cost of the quality of work in the transport and technological system of the seaport.Particular attention when using the apparatus of human-machine procedures for calculating the quality assessment on a multi-criteria basis deserves the choice of weight criteria with an assessment of the “importance” of deviations of the cost of the work of a particular element from the indicators in the practice of individual elements of the transport and technological system of the seaport.The quality of work of the elements of the transport and technological system of the seaport should be assessed on a multi-criteria basis at the cost of achieving the value of the corresponding estimated efficiency indicator depending on the value of the cargo.A block diagram of the algorithm has been compiled to accelerate the calculation of the necessary estimated data for establishing an estimate of the cost of the quality of work in the transport and technological system of the seaport, which determines the coefficients of the weight of costs in evaluating the work of its individual elements.Thus, the developed method makes it possible to assess, on a multicriteria basis, the volume of costs, the efficiency and quality of work of any element of the transport and technological system of the seaport in uncertain conditions, especially when deregulating cargo transportation, as well as to outline and develop specific measures to improve the estimated performance of this system.


2018 ◽  
Vol 14 (2) ◽  
pp. 69-84
Author(s):  
Héðinn Sigurðsson ◽  
Sunna Gestsdóttir ◽  
Sigríður Halldórsdóttir ◽  
Kristjan G. Guðmundsson

The organization of health care is one of the most complex present day challenges. Like other countries that run socialized health care systems, Icelanders face the question of the role of private enterprise in health care. The objective of this study was two-fold: to compare the cost of 17 private and state-run health care centers in the metropolitan area, and to compare consumer satisfaction related to these. At the beginning of Icelandic settlement, there were statutory laws decreeing that community services should be provided for those in need. By the Health Care Act in 1973, the Icelandic health care system fell under the Nordic welfare society with equal access and a tight safety net. The results show that the private health care centers had a low cost per work unit, but not the lowest. Four to seven state run health care centers had less expenditure per patient than the private centers. The cost of each doctor’s position was highest in one of the private clinics. Patient satisfaction surveys showed that there is no difference in the quality of services between these two different operating modes. A conclusion can be drawn from this study that it is not clear whether private health care improves the use of public funds or increases the quality of services.


2020 ◽  
Vol 31 (10) ◽  
pp. 1294-1301
Author(s):  
Jonathan Z. Berman ◽  
Daniella Kupor

Past research suggests that actors often seek to minimize harm at the cost of maximizing social welfare. However, this prior research has confounded a desire to minimize the negative impact caused by one’s actions (harm aversion) with a desire to avoid causing any harm whatsoever (harm avoidance). Across six studies ( N = 2,152), we demonstrate that these two motives are distinct. When decision-makers can completely avoid committing a harmful act, they strongly prefer to do so. However, harming cannot always be avoided. Often, decision-makers must choose between committing less harm for less benefit and committing more harm for more benefit. In these cases, harm aversion diminishes substantially, and decision-makers become increasingly willing to commit greater harm to obtain greater benefits. Thus, value trade-offs that decision-makers refuse to accept when it is possible to completely avoid committing harm can suddenly become desirable when some harm must be committed.


Sign in / Sign up

Export Citation Format

Share Document