Diffusion and management of electronic data interchange: barriers and qpportunities in the uk pharmaceutical and healthciare industries

This paper is based on evidence from a survey, conducted during 1992, investigating the adoption of electronic data interchange (EDI) amog neraly 20 furms in the pharmaceutical and healthcare sector within the UK. In particular, it focuses on the factors behind the adoption and diffusion of EDI, and the barriers to its uptake and spread. It also analyzes some of the strategic, organizational and managerial issues behind its implementatio and development. The survey highlights the relatively slow rate of adoption of EDI within this sector and key problems that inhibit its uptake. These include issues of costs, standards and the increasingly fragmented nature of purchasing and logistics that results from reorganization within the UK healthcare system.     

Endometriosis,an unknown entity: the consumer's perspective

This paper reports the findings of a consumer‐driven investigation conducted by the Centre for Clinical Nursing Research at Epworth Hospital in conjunction with the Endometriosis Association (Victoria, Australia) aimed at identifying the information and support needs of women experiencing endometriosis. Women's experiences of endometriosis and laparoscopy were examined. A questionnaire was designed to explore women's experiences of, and informational need for, the four categories of: diagnosis of endometriosis, endometriosis, laparoscopy and managing at home. A total of 465 women who had a positive diagnosis of endometriosis, including patients at the Epworth Endometriosis Centre and members of the Endometriosis Association, were included. The data were analysed in terms of frequency of responses and themes that arose from the research. Five main themes consistently emerged from the overall analysis of the questionnaire; these included: lack of communication, no‐one listens, the emotional turmoil, expressions of gratitude to the Endometriosis Association and being young and helpless. Also identified was a lack of understanding of endometriosis and laparoscopy, on behalf of both the patient and the practitioner, which has led to communication of misinformation, extended physical pain and emotional distress. Based on these findings, recommendations were made for education strategies to be focused towards increasing awareness of endometriosis and for information to be disseminated using the preferred printed format and to be made available from gynaecologists, hospitals and schools. Through consumer participation, the information obtained in this study is of benefit to all women who come in contact with endometriosis by (a) validating women's experiences of endometriosis and (b) identifying women's needs in relation to the disease.     

The Political Myopia of Economic Activism

Should long-term money targets be abandoned in favour of a more interventionist approach to the management of the economy? Professor Geoffrey Wood, of the City University Business School in London, distinguishes the long-term importance of monetarist theory from the short-sighted unreliability of political intervention.     

Give Heckscher and Ohlin a chance!

Give Heckscher and Ohlin a Chance! — This paper argues that criticism of the empirical inaccuracy of Heckscher-Ohlin theory has been much exaggerated. Most tests have mis-specified the theory, particularly in their treatment of capital, a factor of production which is internationally mobile and therefore generally does not influence the pattern of trade. The argument is illustrated by a review of empirical studies of North-South trade in manufactures, which is well explained by a skill-only Heckscher-Ohlin model.