Knowledge Acquisition and Loss

Metaphorically, the energy conservation law that is applied to all physical systems can be transferred to organizations as the dynamic equilibrium of organizational knowledge. The balance equation for organizational knowledge includes knowledge creation, knowledge acquisition, and knowledge loss. Knowledge acquisition means to bring in organization fluxes of knowledge from the external environment, while knowledge loss means to have fluxes of knowledge crossing the interface toward the external environment. The purpose of this chapter is to present the main issues that are related to knowledge acquisition and knowledge loss for organizations. Knowledge loss became a hot issue in the last decade when the wave of baby boomers reached the retirement age. In the United States and in Europe, ageing of workforce, as well as the downsizing strategies during economic crises, generated many problems due to knowledge loss, which leads to a decreasing capacity for business competition.

2019 ◽  
Vol 134 (6) ◽  
pp. 685-694
Author(s):  
Shaoman Yin ◽  
Laurie Barker ◽  
Eyasu H. Teshale ◽  
Ruth B. Jiles

Objective: Emergency departments (EDs) are critical settings for hepatitis C care in the United States. We assessed trends and characteristics of hepatitis C–associated ED visits during 2006-2014. Methods: We used data from the 2006-2014 Nationwide Emergency Department Sample to estimate numbers, rates, and costs of hepatitis C–associated ED visits, defined by either first-listed diagnosis of hepatitis C or all-listed diagnosis of hepatitis C. We assessed trends by demographic characteristics, liver disease severity, and patients’ disposition by using joinpoint analysis, and we calculated the average annual percentage change (AAPC) from 2006 to 2014. Results: During 2006-2014, the rate per 100 000 visits of first-listed and all-listed hepatitis C–associated ED visits increased significantly from 10.1 to 25.4 (AAPC = 13.0%; P < .001) and from 484.4 to 631.6 (AAPC = 3.4%; P < .001), respectively. Approximately 70% of these visits were made by persons born during 1945-1965 (baby boomers); 30% of visits were made by Medicare beneficiaries and 40% by Medicaid beneficiaries. Significant rate increases were among visits by baby boomers (first-listed: AAPC = 13.8%; all-listed: AAPC = 2.6%), persons born after 1965 (first-listed: AAPC = 14.3%; all-listed: AAPC = 9.2%), Medicare beneficiaries (first-listed: AAPC = 18.0%; all-listed: AAPC = 3.9%), and persons hospitalized after ED visits (first-listed: AAPC = 20.0%; all-listed: AAPC = 2.3%; all P < .001). Increasing proportions of compensated cirrhosis were among visits by baby boomers (first-listed: AAPC = 11.5%; all-listed: AAPC = 6.3%). Annual hepatitis C–associated total ED costs increased by 400.0% (first-listed) and 192.0% (all-listed) during 2006-2014. Conclusion: Public health efforts are needed to address the growing burden of hepatitis C care in the ED.


2013 ◽  
Vol 173 (5) ◽  
pp. 385 ◽  
Author(s):  
Dana E. King ◽  
Eric Matheson ◽  
Svetlana Chirina ◽  
Anoop Shankar ◽  
Jordan Broman-Fulks

2020 ◽  
Author(s):  
Enrique Acosta ◽  
Alain Gagnon ◽  
Nadine Ouellette ◽  
Robert R. Bourbeau ◽  
Marilia Nepomuceno ◽  
...  

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Linda F. Ettinger

This paper provides a profile of the population niche known as baby boomers, seniors and retired, collectively called the silver tsunami, relative to the potential for growth of the number of asynchronous online learners. General contextual information concerning population statistics, computer use and access trends, prefaces a listing of learning in retirement programs associated with institutions of higher education in the United States.


2017 ◽  
Vol 60 (4) ◽  
pp. 315-328 ◽  
Author(s):  
Xiuwen Sue Dong ◽  
Xuanwen Wang ◽  
Knut Ringen ◽  
Rosemary Sokas

2019 ◽  
pp. 53-70
Author(s):  
William G. Gale

Chapter 3 outlines the fiscal challenge. Under current policies, the debt will rise from about 78 percent of GDP in 2018 to almost 180 percent by 2050. Social Security, Medicare, and Medicaid will grow as the baby boomers retire and healthcare costs will likely rise. Interest payments will rise with higher debt and higher interest rates. Other spending—defense, investment, social programs—will actually shrink relative to the economy. Taxes won’t grow as fast as overall spending, leaving a growing mismatch between what people expect from government and what they contribute. Considering both objective and subjective factors, the optimal debt-to-GDP ratio should be around 60 percent by 2050. That’s high relative to historical norms for the United States, but even so, reaching that goal that would require a 24 percent tax increase or a 21 percent spending reduction, starting in 2021. Delay raises the required adjustment.


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