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211.
Peak performance is often the beginning of failure. The process of continuously creating peak-to-peak performance defines the Genesis Enterprise. There will always be more problems than there are solutions. We need to install a process that anticipates and solves problems before they are problems and to continuously transform our organization into a championship organization that is nevertheless the underdog.  相似文献   
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Grandinetti DA 《Medical economics》1997,74(14):134-6, 139-40, 142 passim
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"The U.S. economy experienced significant increases in the degree of income inequality over the past two decades.... In this paper we consider the effects of race, age, female headship, and college education on the distribution of family income by developing a multivariate methodology that allows us to gauge the influence of one factor while holding other determinants of family incomes constant. Over the period studied we find that race had only a minor effect on the overall size distribution of income. Age had a somewhat greater effect than race. In contrast, the impact of female heads and college education were quite substantial. The multivariate estimates reveal that the effects of female heads and college education both increase the Gini to a much greater extent than the progressivity of federal income taxes decreases it. The effects of college education and female headed families on inequality have grown larger across time, while the influence of age has declined. We find that the effects of race on inequality have changed little over the 1976 to 1989 period."  相似文献   
218.
The debate on regional political autonomy makes regional economic development a subject of central importance. Current policy is embodied in the Regional Industrial Development Programme (RIDP), as revised in May 1991. Regional industrial policy in South Africa originated in 1956 with the Border Industry Programme, whose objective was to create economically independent sovereign states, Subsequent shifts of emphasis from socio‐political objectives towards a predominantly economic orientation in the 1991 RIDP were expected to concentrate the allocation of resources to industry at locations with greater natural potential for industrial development.

An evaluation of the preliminary results of the 1991 RIDP confirms these expectations in that, as far as capital investment is concerned, a certain degree of concentration is already discernible especially in metropolitan areas and secondary cities. However, it seems there are a number of factors present in the market‐place that are still inhibiting the full realisation of the objective of concentrated industrial development at locations with a natural potential for industrial development. The existing institutional development framework, the availability of relatively cheap excess infrastructure in certain locations and the spatial application of the new RIDP are some of the factors that could possibly have influenced locational decision making during the last 20 months.

Therefore, although the new RIDP is more market orientated than its predecessor and certainly much more economically sustainable, a number of issues still need attention, and further adjustments to the programme should be made if the various regions are to be developed optimally and scarce economic resources utilised effectively.  相似文献   

219.
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.  相似文献   
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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.  相似文献   
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