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    1.0 Chapter one: Introduction “As global healthcare expenditure soars, and as systems are increasingly required to deliver better care to more people using less resource, the challenge to explore the promises of lean thinking is compelling” (Young and McClean, 2009 p.309). In the United Kingdom (UK) for instance there was a serious rise in public healthcare spending from 3% in 1960 to 7.8% in 2010 (Pettinger, 2015). Although healthcare spending has falling as percentage of a GDP in the UK…

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    Task Shifting – An Alternative Survival Strategy for Health-care Organizations Architha Aithal1, and P. S. Aithal2 1Third year Pharma D., Srinivas College of Pharmacy, Valachil, Mangalore-574143, INDIA 2Srinivas Institute of Management Studies, Srinivas University, Mangalore – 575001, India E-mail : psaithal@gmail.com ABSTRACT There are many types of strategies to be followed by managers and leaders depending on the type of problems, objectives, circumstances, privileges, preferences,…

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    Introduction: According to the North Dakota Cancer Coalition (2011), one out of two men and one out of three women will develop cancer in their lifetimes. Research estimates at least 10% of cancer patients do not receive effective relief of their cancer pain identified by the World Health Organization (WHO) three-step ladder guidelines, and an upwards to 30% of patients receive poor pain control, especially in their last year of life (Raphael et al., 2010). For patients with refractory cancer…

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