Disposable versus reusable linen: back to the future

Decisions regarding health care practices and technology are never static. As new information becomes available, and internal and external forces shift, new decisions may have to be made. Such is the decision regarding reusable versus disposable linen. Until very recently, reusable linens were not comparable with disposable linen in the quality characteristics that directly impact patient and staff safety and health. Given the current test results on the latest generation of reusable fabrics, it is time to go back to reconsider this decision for the future.     

Health care costs in workers' compensation

Although the costs of both the medical and indemnity components of workers' compensation have increased substantially in the past several years, the costs of medical benefits grew far more dramatically.     

Companies hate the health plan

After a close look at President Clinton's proposal, many employers conclude they'd be stuck paying for a huge new entitlement they could not afford.     

An appropriate development strategy for Southern Africa∗

The limited successes achieved with development in the Third World and the national states in Southern Africa have necessitated a considerable change in development thinking and practice. The conventional developmental approach, which is based on growth models, is inappropriate for the conditions in the LDCs. A new development approach, coupled with an appropriate development strategy, has culminated in the development literature.

In this article the poverty problem in Southern Africa is outlined as a general background, whereafter the new development approach and a few guidelines for an appropriate development strategy is discussed. The application of the new strategy in the circumstances of Southern Africa is highlighted.     

A new approach to household fertility behavior

A 1st step is taken in this discussion towards the explicit theoretical recognition that fertility decisions are made by pairs of individuals who conceivably have different preferences or are in different circumstances. The focus is on disagreements between spouses over desired family size. The discussion begins by identifying the costs and benefits of child services to each spouse, which involves consideration of the type of interdependency of the utility functions as well as the nature of the externality problem in the production of child service. Specific examples are included of situations in which disagreement is likely to occur. Using the National Fertility Survey of 1965, it is possible to test whether disagreements are more likely to occur in these identified cases. 2 types of fertility conflict are predicted: the wife desires fewer children than the husband and the reverse. The National Fertility Survey (NFS) data set contains 5617 interview records. A sample of 1559 women who were married once, husband present, nonmenopausal, aged 25-39 with valid answers to all questions were selected. Husband's schooling in excess of wife's increased the probability that conflict of the husband demanding fewer children type will arise and the probability was increased at higher levels of income. The demand for quality rose with income and placed additional pressure on a husband with more education to assist (via lost leisure time) in the creation of quality. The effects were highly nonlinear. Higher levels of status of the wife's (potential) job had the predicted effect of making wife demands fewer children conflict more likely, but only through intermediate levels of status. Another variable which had a significant influence on the probability of conflict was the husband's age, with higher husband's age leading to husband demanding fewer children than wife conflict.     

Buyer and seller perceptions of transportation purchasing variables

The study in this article involved the investigation of 15 carrier selection variables over three dimensions by three groups with high involvement in the purchasing decision—traffic managers, sales representatives, and sales managers. The primary focus of the study was the identification of significant differences in the assessment of importance of the technical abilities of a carrier, the service orientation of a carrier and the image of a carrier as perceived by sales managers and sales representatives representing the selling systems, and traffic managers representing the buying systems.