Contest Success Functions and the Conundrum of Access Pricing

2002 ◽  
Author(s):  
Nick Wills-Johnson
Author(s):  
Curtis L Simmons ◽  
Laura K Harper ◽  
Kathryn J Holst ◽  
Nathan J Brinkman ◽  
Christine U Lee

Abstract Buffered lidocaine is a local anesthetic option during percutaneous needle-directed procedures in the breast. At our institution, sodium bicarbonate (the buffer) is dispensed in volumes that frequently lead to medical waste and shortages. In this study, we describe how moving the buffering of lidocaine from the procedure room to our clinical hospital pharmacy results in a reduction in costs and improves satisfaction across the breast radiology department. While cost savings are difficult to tease out in practices that opt for bundled payments, we were able to access pricing and supply data and coordinate with our pharmacy to change our practice. Making these changes saves our practice $26 000 a year and allows us to continue to offer buffered lidocaine even during sodium bicarbonate shortages. This manuscript describes how these changes came about and their economic impact.


1997 ◽  
Vol 6 (4) ◽  
pp. 757-782 ◽  
Author(s):  
D. F. SPULBER ◽  
J. G. SIDAK

2014 ◽  
Vol 65 (2) ◽  
Author(s):  
Klaus B. Beckmann ◽  
Lennart Reimer

AbstractThis paper is concerned with methods for analysing patterns of conflict. We survey dynamic games, differential games, and simulation as alternative ways of extending the standard static economic model of conflict to study patterns of conflict dynamics, giving examples for each type of model.It turns out that computational requirements and theoretical difficulties impose tight limits on what can be achieved using the first two approaches. In particular, we appear to be forced to model the outcome of conflict as being decided in a single final confrontation if we employ non-linear contest success functions.A simulation study based on a new model of adaptive, boundedly rational decision making, however, is shown not to be subject to this limitation. Plausible patterns of conflict dynamics emerge, which we can link to both historical conflict and standard tenets of military theory.


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