Putting supplies at the bedside via the Friesen concept

Hospitals designed using the concepts of architect Gordon Friesen are especially conducive to reengineering for patient-focused care. The Nurserver, a closet-like space outside each patient's room, makes it very easy for hospitals to redesign their methods for delivering supplies so that caregivers seldom have to go more than a few feet to get what they need. In this article, staff of Monongalia General Hospital in Morgantown, West Virginia, describe how they have used the Friesen design to modify supply distribution processes.     

The market for surrogate motherhood contracts

Surrogate motherhood is a controversial subject, and has not previously been formally modelled by economists. In this paper, a neoclassical model of the market for surrogate motherhood contracts is developed, based on the utility maximizing decisions of potential surrogate mothers and commissioning parties. The presence of both altruistic and self-interested behaviour generates unusual market outcomes.     

Determinants of internal and external R&D: Some Dutch evidence

Summary Innovating firms can choose to engage in either internal or external R&D, or in both. In the current study, we shall examine internal and external R&D separately to determine empirically the market structure characteristics explaining the external R&D share and the differences in market structure determinants between internal and external R&D. Our results indicate that a government policy that aims at stimulating technological progress by offering external research facilities is particularly interesting for smaller, capital-intensive firms operating in less concentrated markets.We would like to thank Alfred Kleinknecht for providing the R&D data and Kees Bakker and Yvonne Prince for providing the market structure data. We thank Alfred Kleinknecht, Bart Nooteboom and an anonymous referee for their comments and suggestions We acknowledge a research grant from the Stichting KMO Fonds.     

Fortress Bethesda

Critics within and outside the National Institutes of Health say that NIH's central administration is hostile and defensive and needs to be shaken up. They hope a new director will do just that.