4,439 research outputs found

    Productivity and quality of Dutch hospitals during system reform

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    This study addresses the productivity of Dutch hospitals since the start of the health systems reform in 2005. We consider DEA based measures, which include efficiency and quality for the complete set of Dutch hospitals and present cross-sectional and longitudinal analysis. In particular, we consider how hospital efficiency has developed. As the reform created an environment of regulated competition, we pay special attention to relative efficiency. Our results suggest that the differences in efficiency among hospitals have become larger. In the years 2009–2010, the number of hospitals identified as (close to) efficient by DEA analysis decreased

    Selecting Telecommunication Carriers to Obtain Volume Discounts

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    During 2001 many European markets for mobile phones reached saturation. Hence, mobile phone operators have shifted their focus from growth and market share to cutting costs. One way of doing so is to reduce spending on international calls, which are routed via network operating companies (carriers). These carriers charge per call-minute for each destination and may use a discount on total business volume to price their services. We developed a software system that supports decisions on allocating destinations to carriers. The core of this system is a min-cost flow routine that is embedded in a branch-and-bound framework. Our system solves the operational problem to optimality and performs what-if analyses and sensitivity analyses. A major telecommunication services provider implemented the system, realizing two benefits: it has structured the business process of allocating carriers to destinations and cut the costs of routing international calls
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