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The causes of these prescriptive behaviors, especially those listed in points 3, 4, and 5 above, are often independent on the level of specific knowledge of clinicians and result from variables outside of their control, such as a non-thorough application of pharmacoeconomic principles by purchasing decision makers.
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TCO supports purchasing decision-makers in focusing on total value received and not simply price, and it extends ABC concepts and tools to an inter-organizational context.
Moreover, women are becoming the world's most important consumers and purchasing decision-makers; by 2018, their combined income will be $18 trillion.
It has been argued that this is partly due to a disconnect between the organisational purchasing department and decision makers.
Further, in contexts where there is little or no universal drug insurance - the case for most low- and middle-income countries - individual consumers will often be the final decision maker (purchasing the drug from a pharmacist or street vendor) about which drug is appropriate for them and their families, regardless of the actual clinical indication of pharmacogenomic specificity.
There are three employees, in other words, three decision makers, in the purchasing department.
Bowker says IT decision makers are driving technology purchasing decisions both by trying to consolidate their existing workload as well as by thinking about what opportunities are presented by reaching out to a broader data environment.
The unit of analysis is an entrepreneur, the key responses were that of principal owners who had either started, purchased or inherited the business and were the key decision makers of their establishments.
Airline mergers — like United with Continental, Delta with Northwest, Air France with KLM and British Airways with Iberia — mean that fewer decision makers will be controlling larger purchases as the combined fleets are renewed or expanded.
Gruber [18] studied the typical profile and potential to reject new vehicle technologies of individuals and decision makers concluding that factors such as electric range, purchase price and availability of information are essential to enable the adoption of this alternative.
In particular, the piloting of innovative approaches in future years has a practical focus – public policy decision makers will be able to utilize such information in deciding on the mix of purchasing options.
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