Big chains thrive because they provide goods and services of greater variety, better quality, and lower cost than would otherwise be available... Size is the key. It gives them buying power, lets them centralize common functions, and allows them to adopt and diffuse innovations faster than they could if they were a bunch of small, independent operations. Such advantages have made Walmart the most successful retailer on earth. Pizza Hut alone runs one in eight pizza restaurants in the country. The Cheesecake Factory’s major competitor, Darden, owns Olive Garden, LongHorn Steakhouse, Red Lobster, and the Capital Grille; it has more than two thousand restaurants across the country and employs more than a hundred and eighty thousand people. We can bristle at the idea of chains and m***** production, with their homogeneity, predictability, and constant genuflection to the value-for-money god. Then you spend a bad night in a â€squaint” â€sone of a kind” bed-and-breakfast that turns out to have a manic, halitoxic innkeeper who can’t keep the hot water running, and it’s right back to the Hyatt.
Medicine, though, had held out against the trend. Physicians were always predominantly self-employed, working alone or in small private-practice groups. American hospitals tended to be community-based. But that’s changing. Hospitals and clinics have been forming into large conglomerates. And physicians—facing escalating demands to lower costs, adopt expensive information technology, and account for performance—have been flocking to join them. According to the Bureau of Labor Statistics, only a quarter of doctors are self-employed—an extraordinary turnabout from a decade ago, when a majority were independent. They’ve decided to become employees, and health systems have become chains...
I’m no exception. I am an employee of an academic, nonprofit health system called Partners HealthCare, which owns the Brigham and Women’s Hospital and the M*****achusetts General Hospital, along with seven other hospitals, and is affiliated with dozens of clinics around eastern M*****achusetts. Partners has sixty thousand employees, including six thousand doctors. Our competitors include CareGroup, a system of five regional hospitals, and a new for-profit chain called the Steward Health Care System.

Geschrieben von:
zr8s1pg (fx6trxifsr)

- 26 Dec 2012, 22:35:20
Uslug medycznych rozliczeniowe, analizowac inne aspekty ich uslug podobnie. Jesli projekty domow nowoczesnych jestes usatysfakcjonowany z nich w nastepujacych obszarach nadmiernie, mozna powolac az do nich: • specjalistyczne rozwiazania oferowane na danej specjalnosci medycznej.

Geschrieben von:
n9wiyy2l (dhlhzgdwjh)

- 26 Dec 2012, 21:31:25
Praca duplikacji plyt tudziez replikacji, przechowywac sie na swoje koszty utrzymania oferujac montaz klimatyzacji w biurze uslugi powielania zas replikacji dyskow luzem do swoich klientow. Dodatkowe uslugi oferowane przez kreatywne powielaczy tarczowych Apart w srodku uslugi duplikacji.

Geschrieben von:
fqu368vq4 (n3n72gxs1u)

- 26 Dec 2012, 20:06:32
W dysku dublowania, ludzie sa w stanie skopiowac cala sklad serwis klimatyzacji w mieszkaniu sposrod jednej plycie glownej az do kilku pustych plytach DVD. Ta technologia jest rozbrajajacy podarunek dla roznych przedsiebiorstw, ktore poszukuja uslug DVD / Kompakt produkcji,.

Geschrieben von:
wkl9156q6b (ih1vpxkj)

- 26 Dec 2012, 19:54:34
Ich zagadka pozyskiwania funduszy jest to, ze prowadzic rozmowe z kazdym, styropian Radom iz spelniaja sie z angazowania sie w organizacji, wszak jestes introwertykiem, ze rada pod zadnym pozorem nie bedzie pracowac dla Ciebie. Biorac te ​​rade podkresli was tudziez.

Geschrieben von:
osw1fr (m2jyws)

- 26 Dec 2012, 19:18:18