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People don't like change. That includes materiel managers, administrators, and clinical providers. Managed competition or managed care will work if, and only if, the American professions and the American public recognize the value of highly educated and qualified clinical and nonclinical providers and if the health care industry responds in kind.  相似文献   
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We address a fundamental question in relationship banking: whydo banks that make relationship loans finance themselves primarilywith core deposits and when would it be optimal to finance suchloans with purchased money? We show that not only are relationshiploans informationally opaque and illiquid, but they also requirethe relationship between the bank and the borrower to endurein order for the bank to add value. However, the informationalopacity of relationship loans gives rise to endogenous withdrawalrisk that makes the bank fragile. Core deposits are an attractivefunding source for such loans because the bank provides liquidityservices to core depositors and this diminishes the likelihoodof premature deposit withdrawal, thereby facilitating the continuityof relationship loans. That is, we show that banks will wishto match the highest value-added liabilities with the highestvalue-added loans and that doing so simultaneously minimizesthe bank's fragility owing to withdrawal risk and maximizesthe value the bank adds in relationship lending. We also examinethe impact of interbank competition on the bank's asset-liabilitymatching and extract numerous testable predictions.  相似文献   
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In this paper, a literature review conducted to study the characteristics of advanced models of quality function deployment (QFD) that have appeared in the literature arena is reported. QFD technique emerged in Japan in the 1970s. QFD has been proving to be a powerful tool that can be used for translating the voice of customers into technical languages. Yet from the beginning of this century, researchers began to point out the need to refine, modify and improve the features of QFD technique. In order to fulfil this need, few researchers brought out several advanced models of QFD. While conducting the literature review reported in this paper, six types of such advanced models of QFD were identified in the literature arena and their characteristics were studied. The result of this study revealed that the procedural and computational complexities are least in the case of an advanced model called total quality function deployment (TQFD). TQFD technique replaces the complex computations involved in applying conventional QFD technique with simple ratings. Besides the formation of teams to translate the voice of customers into work instructions ensures the quick reactions to the customers’ desires in the actual field of implementation. In this background, at end of this paper, it is suggested to adopt TQFD for implementation in traditional organizations in which the prevalence of adequate education for adopting complex procedures is found to be least.  相似文献   
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Quality & Quantity - The content of this article is a paper about a complex mathematical model of terrain passability which respects geographical and meteorological conditions in terrain and...  相似文献   
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