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activities administration aged alternative analysis aplastic anemia behavior bounded rationality changes characteristics chloramphenicol choice chronic cognitive strain Community general hospitals complex concept conflict constraints costs courses of action death decision problems decision process decision theory decision-maker discussion disease drugs economic effects efficiency elderly elements environment euthanasia example factors feedback feedforward formal function Georgopoulos Gerontology goals hospital human important increased individual information processing input variables institutionalization institutions inventory involves Journal linear programming long-term major managerial market contract measures Medicaid Medicare mental motives needs objectives open system operating optimal organization organization's organizational outcomes output Pareto optimal patients percent performance personalistic persons physical physicians planning production programs psychological rational relationship requires result role satisficing selection social society solution specific strategies structure studies subsystems suggested systems theory techniques technological technostructure tion United utility York