JEROLD J. KREISMAN, M.D.St. Louis, Oct. 3 To the Editor: Much of the pharmaceutical mess began with the public advertising of prescription drugs, which encouraged the industry to change from a business model emphasizing efficacy to one emphasizing marketability.
Additionally, look for outcome-based business models where efficacy for the engagement can be measured in expense savings, increased revenue, or higher uptimes.
We find that impacts can be mitigated through various incremental changes to utility regulatory and business models, though the efficacy varies considerably depending on design and particular utility circumstances.
Schwartz' recent article, "Why You Hate Work," is a business case for social-efficacy.
Both state and the role of the individual interviewed were significantly associated with response efficacy, with businesses in NSW and non-owners being about twice as likely to be able to identify actions which could protect their business in the event of a pandemic than businesses in WA and owners.
It is possible to applaud "Pacific Rim" for the efficacy of its business model while deploring the tale that has been engendered — long, loud, dark, and very wet.
So it is no surprise that alternative medicine, which offers valuable support and sympathy along with treatments of less obvious efficacy, is big business.
However, the longer term efficacy of their business model is perhaps somewhat unsettling; if profits can't be found in greatly expanded revenues, from whence can they be sourced?
Improvements in the quality attributes of an RA (e.g., reuse, maintainability, security) are extremely difficult to evaluate in an analytic and quantitative fashion contrary to the efficacy of the business (e.g., sales) (Carriere et al. [2010]).
And maybe especially so for Natural Cycles — whose product relies so acutely on users trusting the efficacy claims its business makes because it hasn't yet conducted a randomized control trial to be able to robustly prove out those claims via the standard science.
