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Journal articles on the topic 'Specialisation and Centralisation'

Author: Grafiati
Published: 7 June 2025
Last updated: 2 August 2025

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1

Holbe, Fabian. "Föderalismus im Rettungsdienst – der arztbegleitete Sekundärtransport im Ländervergleich." Monitor Versorgungsforschung 2024, no. 06 (2024): 73–75. https://doi.org/10.24945/mvf.06.24.1866-0533.2672.

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The consolidation of the hospital market is being driven by economic constraints, as smaller facilities are often no longer able to operate profitably. The trend towards centralisation is being driven politically by the hospital reform and is intended to improve the quality of care through specialisation and concentration of resources. However, by 2022, only 1075 hospitals in Germany will still have the capacity to provide intensive care [1].
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2

Pal, Samidh. "Measuring the Industrial Concentration and Regional Specialisation of Major Indian Industrial States." Indian Economic Journal 67, no. 3-4 (2019): 216–32. http://dx.doi.org/10.1177/0019466220946330.

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This article analyses the influence of industrial disparity and centralisation (concentration) on major industrial states in India. Accordingly, we are using two mathematical models: (a) localisation coefficients to identify major industries that are suffering by industrial concentration and (b) location quotient to measure regional industrial specialisation. Consequently, it shows the natural tendency of distribution of industries in a particular way between the six major Indian industrial states. Therefore, we determine the reasons for lack of industrialisation within those states. Afterward
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3

Buchholz, Noor NP, Andrew Hitchings, and Stephanos Albanis. "The (Soon Forgotten) Art of Open Stone Surgery: To Train or Not To Train?" Annals of The Royal College of Surgeons of England 88, no. 2 (2006): 214–17. http://dx.doi.org/10.1308/003588406x95075.

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To date, open stone surgery is now performed in a very limited number of selected cases. A review of our own cases revealed that open surgery constituted 1% of all procedures. These procedures were mostly ablative, or operations to deal with complications of failed minimally invasive therapies. Given two continuing trends towards sub-specialisation in urology on the one hand, and minimally invasive therapy on the other, the question arises whether and how sub-specialised stone surgeons should and can learn open stone surgery. Is it merely a lost art not to be bothered with, or is it something
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4

Gray, Clive, and Vikki McCall. "Analysing the Adjectival Museum: Exploring the bureaucratic nature of museums and the implications for researchers and the research process." Museum and Society 16, no. 2 (2018): 124–37. http://dx.doi.org/10.29311/mas.v16i2.2809.

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The proliferation of titles for types of museum has resulted in an adjectival explosion in recent years (with museums being engaging, relevant, professional, adaptive, community, national, universal, local, independent, people’s, children’s, scientific, natural history, labour, virtual, symbolic, connected, trust and charitable, amongst many other labels). This paper argues that the adoption of an organizational focus on bureaucratic features such as hierarchical authority, centralisation of power, functional specialisation and research processes can show commonalities in the understandings an
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Gomóła, Anna. "Kompleks Narcyza: wzór — cechy — elementy. Stare metody i coraz bardziej aktualne problemy." Prace Kulturoznawcze 23, no. 1 (2019): 115–23. http://dx.doi.org/10.19195/0860-6668.23.1.8.

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Narcissus complex: Pattern and traits. Old concepts and problems that keep being validIn this paper I ponder on the dominance of the “narcistic culture,” or a culture in which narcissism disseminates as a basic behaviour type, with its characteristic values inspired by Ruth Bene­dict’s idea. I describe the “narcissism culture” typologically: I put it in an opposition towards the “culture of common good” and characterise it as a diffusive net of traits inspired by Alfred L. Kroe­ber’s idea, which actualises itself in concrete local conditions. “Narcissism culture” is based upon individualism, a
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6

Erarslan, Alev. "The Ubaid Period In The Urbanisation Process; The Birth Of Urbanism In The Near East (5500-3800 B.C.)." Belleten 72, no. 264 (2008): 395–412. http://dx.doi.org/10.37879/belleten.2008.395.

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The Ubaid culture, which takes its name from Tell-al Ubaid, plays a crucial role in the process of urbanization in the Near East. Surviving for more than 1500 years (5500-3800 BC), it was characterised by important social, economic and political developments which influenced the development of urban polities both the Near East and the East and Southeastern Anatolia Regions. With this culture, certain radical structural changes peculiar to complex societies, urban societies, such as political and economic centralisation based on control over product, production and labor organisation with seali
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7

Awala, Frank. "Organisational Structure and Employee Performance: A Study of Ernst & Young Nigeria." International Journal of Research and Innovation in Social Science VIII, no. VII (2024): 881–96. http://dx.doi.org/10.47772/ijriss.2024.807070.

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The study focused on one professional services company in Nigerian. These new realities have forced many organisations to reorganise to move quicker, adapt more quickly, foster rapid learning, and meet people’ changing career goals. The study’s major goal was to assess how organisational structure affected employee performance. In the study, formalisation, centralisation of authority, specialism, command and control chain, breadth of control, and traditionalism were examined as indicators of effect. This year’s theme was “Excellence in the Workplace.” The evaluation of the research used public
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8

Kapsaskis, Dionysios. "Professional identity and training of translators in the context of globalisation: the example of subtitling." Journal of Specialised Translation, no. 16 (July 25, 2011): 162–84. https://doi.org/10.26034/cm.jostrans.2011.492.

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This paper argues that the pressures placed on translators working in a globalised context amount to a professional identity crisis which should also concern academic translator training programmes. Focusing on the example of subtitling, the paper first shows that the role of subtitlers within the subtitling workflow has been fragmented because of structural changes in the industry, such as outsourcing and the use of template files. The issue of translation quality is key in this context. An analysis of the French and Greek subtitles of an episode of the The Sopranos, which were based on a tem
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9

Robert, Lauriane, Rachel Bocquet, and Elodie Gardet. "Intra-organisational drivers of purchasing social responsibility." European Business Review 28, no. 3 (2016): 352–74. http://dx.doi.org/10.1108/ebr-08-2015-0083.

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Purpose This study aims to identify intra-organisational drivers that enhance the implementation of a purchasing social responsibility (PSR) approach and drivers that influence PSR throughout the phases of the process. Design/methodology/approach The conceptual framework presents PSR as a process, rather than merely a decision. It focuses on three dimensions (centralisation, specialisation and formalisation) to highlight the role and evolution of key drivers through a three-phase process (set-up, operating and sustaining). The empirical analysis is based on a single qualitative case study of S
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10

Pohjosenperä, Timo, Päivi Kekkonen, Saara Pekkarinen, and Jari Juga. "Service modularity in managing healthcare logistics." International Journal of Logistics Management 30, no. 1 (2019): 174–94. http://dx.doi.org/10.1108/ijlm-12-2017-0338.

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PurposeThe purpose of this paper is to examine how modularity is used for enabling value creation in managing healthcare logistics services.Design/methodology/approachMaterial logistics of four different kinds of hospitals is examined through a qualitative case study. The theoretical framework builds on the literature on healthcare logistics, service modularity and value creation.FindingsThe case hospitals have developed their material logistics independently from others when looking at the modularity of offerings, processes and organisations. Services, such as assortment management, shelving
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11

Kaya, Sezgin, and Keith Alexander. "Classifying client side FM organisations in the United Kingdom." Journal of Facilities Management 4, no. 2 (2006): 86–98. http://dx.doi.org/10.1108/14725960610651188.

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PurposeTo demonstrate the negative results of market sector based classification of client side FM organisations (FMOs) in benchmarking studies, and propose collection of both external and internal organisational patterns as the key characteristics of FMOs.Design/methodology/approachInterviews with leading consultants, clients and academics on the negative side effects of the current benchmarking studies in FM, followed by a critique of published FM and Organisational management studies to explore the characteristics of FMOs. As a result, it is proposed that characteristics of FMOs depend on i
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12

Aydoğan, İnan. "Guillermo Algaze'nin Uruk Dünya Sistemine Dair Çalışmalarına Eleştirel Bir Bakış." Septem Artes 3, no. 1 (2025): 86–105. https://doi.org/10.5281/zenodo.15470874.

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The 4th millennium BC marks the Uruk Period in the southern Mesopotamian chronology and aligns with the Late Chalcolithic 2 to 5 phases in the northern Mesopotamian context. During the Late Chalcolithic Period, settlements in both Southern and Northern Mesopotamia developed complex socio-economic structures of varying scales and characteristics, often centred around temples or monumental buildings that arose in response to ecological and social demands. Archaeological research in these regions indicates that the system embodied by these structures played a central role in shaping daily life an
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13

Ashraf, SQ, A. Bajwa, TR Magee, and RB Galland. "Vascular Surgery within General Surgery: An Analysis of Workload 1989–2005." Annals of The Royal College of Surgeons of England 89, no. 7 (2007): 682–84. http://dx.doi.org/10.1308/003588407x209284.

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INTRODUCTION There is considerable debate as to whether vascular surgery should be a subspecialty separate from general surgery. This study examines the changing relationship between general and vascular surgery in a district general surgical unit over 16 years. PATIENTS AND METHODS A detailed survey of referrals, admissions and operations to one unit was carried out over 3 months in 003. This was compared with similar surveys in 1989, 1990 and 1995. In addition a 3-month audit of operations performed was carried out in 2005 following a decision by the Primary Care Trust (PCT) to reduce varico
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14

Dr., Manisha Shekhawat. "Cultural Aspects of Employment Relations." Young Researcher 13, no. 3 (2024): 1 to 12. https://doi.org/10.5281/zenodo.13909687.

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The management of industrial relations at the industry or enterprise level inthe fast changing business environment will present an odd picture in which theconflict between the traditional beliefs and values which have evolved over a periodof 50-60 years and internalized into the mindsets of employees and trade unions willbe pitted against the new imperatives driven by product-market considerations. Thatthe trade unions and unionism are on the defensive with their numbers depletingcontinuously is not in dispute. It is also not in dispute that the Governments in manycountries, which have all al
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15

Bjorvatn, Torbjørn, and Trond Randøy. "The “costs of doing business abroad” in a cross-border context characterised by extreme political volatility." Review of International Business and Strategy, December 6, 2022. http://dx.doi.org/10.1108/ribs-03-2022-0032.

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Purpose The purpose of this study is to describe and explain the organisation design antecedents of coordination, learning and trust in an international strategic alliance in a cross-border context characterised by extreme political volatility. Design/methodology/approach The research was carried out as a single-case study in situ in a humanitarian international strategic alliance in Pyongyang, the Democratic People’s Republic of Korea (North Korea). Findings In addition to explaining the effects of interface, specialisation, formalisation and centralisation on coordination, learning and trust
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16

Jayasinghe, Liyanaarachchige Anushan Hiranya. "“Centralisation and Sub-Specialisation”: Is it cost-effective and sustainable for the state sector oral and maxillofacial surgery services in Sri Lanka?" Journal of the Postgraduate Institute of Medicine 12, no. 1 (2025). https://doi.org/10.4038/jpgim.8507.

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