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The operation of provider units, both NHS Trusts and Directly Managed Units, as competitive organizations in the market place, is as yet rudimentary. Although some have achieved notoriety through radical “business” behaviour, there is little evidence that they have adopted scientific business practices in order to strengthen or re‐orientate their position in the market place. Neither is there as yet any hard evidence that such behaviour would be beneficial in the long term.

This paper describes an exercise of strategic market analysis used as a device to lead and inform the business planning process for an NHS Trust. The primary objective of the analysis is to identify hitherto unrecognized strategies which would enhance the position of the organization in the market place and also to identify areas where business development is possible and desirable.  相似文献   
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The Government's proposals for the reform of local government finance should primarily be evaluated in terms of their impact on the efficiency and accountability of local budget‐making. Criticisms of their distributional implications are largely beside the point.  相似文献   
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This study compared intergenerational earnings mobility in Singapore and the United States by replicating the sample criteria in the Singapore National Youth Survey on the U.S. Panel Study of Income Dynamics. The mean estimated earnings elasticities are almost identical: 0.26 in Singapore and 0.28 in the United States. Transformed to 0.44 and 0.47 respectively to reflect permanent status, mobility in the two countries is moderately low compared internationally. The finding of similar mobility is not surprising given that the two countries have similar economic realities, welfare systems, education regimes, and labor structures. Policy makers face the daunting challenge of overcoming immobility and inequality while maintaining global competitiveness.  相似文献   
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This paper presents an evacuation route planning model that both accounts for demand uncertainty (i.e. the number of evacuees) as well as capacity uncertainty (i.e. the road capacities). To ensure reliability, the model plans for more evacuees (i.e. demand inflation) and less road capacity (i.e. supply deflation). A major contribution is that we provide a framework to determine the amount of demand inflation/supply deflation necessary to ensure a user-specified reliability level. The model is shown to be a natural generalization of previously proposed evacuation models. A small numerical case study reveals the key characteristics of the model.  相似文献   
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This paper reports an empirical study of the factors affecting burden sharing among OECD's 22 DAC members in ‘bankrolling’ the multilateral aid agencies. Annual data over 1970–2000, pooled across the donor countries, form the basis for the empirical estimation of each donor's share in the ODA aid receipts for each multilateral agency. Our findings suggest the existence of reverse exploitation, i.e., the financial burden of the agencies is disproportionally carried by the smaller donors. The study also finds that factors such as inherent donor generosity, donor concern for domestic egalitarianism, and the extent to which donors are pro‐poor in their bilateral aid policies have an impact on their readiness to support multilateral agencies financially. Size of the donor government and its budgetary balance positively influence burden sharing of contributions to other multilateral agencies. But neither the phase of economic cycle nor the rate of economic growth affects the burden‐sharing responsibility of donors. It was also observed that contributions by EU members to the EC do not appear to crowd‐out their contributions to other multilateral aid agencies and that right‐wing donor governments are generally more parsimonious with regard to financial assistance to multilateral aid agencies. The preferred alternative, particularly among EU member countries, appears to be the EC.  相似文献   
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Back to literacy     
One of the seminal works in the development of British cultural studies was Richard Hoggart's The Uses of Literacy , in which he presents a vision of working class communities in the 40 years since the First World War. To do this he drew particularly on his experiences of Hunslet in South Leeds. In this paper we revisit South Leeds 40 years on to examine continuities and changes in the community as evidenced through people's leisure and compare this with Hoggart's analysis. To do this we have drawn on census and other official statistics and our own observation and interviews in the field. In order to interpret today's communities in South Leeds we make use of theoretical developments in the interim. We suggest that in what Bauman (1997) refers to as ‘two nations society mark two’ people try to reinvent community and it is through leisure in particular that this is evidenced. We therefore conclude that any attempt to understand ‘community’ at the millennium must place leisure centre stage.  相似文献   
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