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.     

Flunking economics?

Economists are in revolt over President Clinton's health care reform proposal. Many contend that the Administration is abandoning free-market principles and embracing price controls that could have disastrous consequences. But others argue that traditional rules of supply and demand don't apply to the health care sector.     

Methods for estimating the population contribution to environmental change.

"This paper introduces general methods for quantitative analysis of the role of population in environmental change. The approach is applicable over a wide range of environmental issues, and arbitrary regions and time periods. First, a single region is considered, appropriate formulae derived, and the limitations to quantitative approaches discussed. The approach is contrasted to earlier formulations, and shown to avoid weaknesses in a common approximation. Next, the analysis is extended to the multiple region problem. An apparent paradox in aggregating regional estimates is illuminated, and the risk of misleading results is underscored. The methods are applied to the problem of climate change with two case studies, an historical period and a future scenario, used to illustrate the results. The contribution of change in population to change in green house gas emissions is shown to be significant, but not dominant in both industrialized and developing regions."