Time dependent solution of a queueing problem with correlated batch arrivals and general service time distribution

This paper considers the transient behaviour of queueing problem in which (i) the arrivals occur in batches of variable size (ii) the arrival and no arrival of a batch at two consecutive transition marks are correlated (iii) the service time distribution for each, unit is general with probability density functionD(x). TheLaplace transform of various probability generating functions of queue length are obtained and some particular cases are derived therefrom.     

The relations among child quality,family structure,and the value of the mother's time in Malaysia

A model of the determinants of child quality and of the value of a woman's time is developed and tested using data from the Malaysian Family Life Survey of 1976-1977. Child quality is measured by educational attainment; factors influencing the value of the mother's time include size and age composition of household, family income, education, and hours worked. The results indicate that size and age composition of household affect a woman's asking wage. However, more data are needed before the effects of family structure on schooling can be measured with confidence.     

A new approach to optimal selection of services in health care organizations.

A new reimbursement policy adopted by Medicare in 1983 caused financial difficulties for many hospitals and health care organizations. Several organizations responded to these difficulties by developing systems to carefully measure their costs of providing services. The purpose of such systems was to provide relevant information about the profitability of hospital services. This paper presents a new method of making hospital service selection decisions: it is based on an optimization model that avoids arbitrary cost allocations as a basis for computing the costs of offering a given service. The new method provides more reliable information about which services are profitable or unprofitable, and it provides an accurate measure of the degree to which a service is profitable or unprofitable. The new method also provides useful information about the sensitivity of the optimal decision to changes in costs and revenues. Specialized algorithms for the optimization model lead to very efficient implementation of the method, even for the largest health care organizations.     

Restructuring materiel management functions: a method for prioritizing changes and reducing costs

The success of any manager depends highly on the ability to seize on opportunities that will achieve the organization's goals. Hospitals are currently searching for ways to reduce costs while maintaining or enhancing the quality of services. Quality services are increasingly being defined as those that are most responsive to customer needs. It is important, as hospital management restructures materiel systems or methods of operation for reduced costs, to focus on the user departments as the customers. The consolidation of materiel management activity should not be seen as a loss of control at the user department level. Instead it can be seen as a new way of providing service with higher quality. User departments should see concrete benefits on a weekly basis, including reduced time spent on materiel management functions; increased planning of purchasing, inventory, and distribution functions; and assistance in meeting restricted supply budgets.     

Children's hospitals: specialty hospitals that treat children specially

Any reader who has children will agree that they make special patients, whether at home or in the hospital. These patients have unique requirements for love and compassionate care, and children's hospitals deliver on their promises. The well-run children's hospitals researched for this article have converted their material management operational challenges to opportunities. They have built thoughtful material management strategic plans, reorganized their support services to provide customer service to end users, and they have centered their materiel management efforts around service and quality improvement.     

The generality/specificity issue in consumer innovativeness research

The purpose of the present study was to explore the role of personality in shaping consumer innovativeness by testing a model of the hierarchical relationships between a global (broad or abstract) personality trait, its domain-specific manifestation in a consumer context, and overt consumer behavior. A survey of 465 adult consumers measured global innovativeness, domain-specific innovativeness for two product categories (clothing and electronics) and self-reported purchase of new clothing and electronic items. Three hypotheses were tested. First, global innovativeness is more highly correlated with domain-specific innovativeness than it is with the purchase of new items. Second, domain-specific innovativeness is more highly correlated with the purchase of new items than is global innovativeness. Finally, the association between global innovativeness and new product purchase is mediated by domain-specific innovativeness. All three hypotheses were supported for both product categories.     

Stability and agreement criteria for the termination of Delphi studies

This paper addresses the question of the methodology of testing for stability between successive Delphi rounds and the necessity of doing so prior to the analysis of the level or type of consensus. Following a discussion of a hierarchical set of a criteria for determining the termination of such studies, the paper reviews some of the more common treatments of the subject in the literature. It is finally proposed that a χ² test be used to test the stability of responses between rounds. The method is demonstrated by a numerical example.     

Mokken scale analysis for polychotomous items: theory,a computer program and an empirical application

This paper contains three subjects. First, an extension of Mokken's nonparametric item response models from dichotomous items to items with two or more ordered answer categories is proposed. Second, a computer program to analyze multicategory item scores is presented. This program is called MSP. The analyses by means of MSP are based on the multicategory extension of Mokken's theory. Finally, an application of MSP to empirical multicategory test data is presented in order to illuminate its possibilities.