Correlates of honor ratings in a clinical clerkship employing a faculty forum evaluation system

5he purpose of this study was to determine whether or not suspected variables affected a surgery clerk's chances of being awarded an honor rating. Findings indicated a significant relationship between a student receiving an honor rating and his or her preceptor's predetermined level of student advocacy, the number of completed patient interview and physical examination write-ups, and final examination scores. There was no significant relationship found between honor ratings and the preceptor's status, the sequence in which the student was discussed or the length of time spent discussing the student at the final evaluation meeting, or the number of clinical faculty present at the meeting. These results lend support to the faculty forum evaluation approach, but suggest a need for further scrutiny of some influencing variables to ensure all students are fairly considered and honor ratings judiciously awarded.     

The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill

This study of chronically mentally disabled persons in community residences examined the discriminant validity of subjective quality of life indicators and self-report mental health indices to determine the potential confounding effects of psychopathology on the assessment of quality of life (QOL). Factor analyses and difference-score reliabilities identified a general QOL construct and a general mental health construct with 27% common variance. However, psychiatric symptoms did not significantly (p less than .05) alter the bivariate and multivariate relationships among the QOL ratings, except in the health domain in which the correlations of health-related QOL indicators with global QOL were significantly (p less than .05) attenuated after removing the effects of psychopathology. The results suggest that psychopathology does not introduce bias into the overall structure of QOL data, but they also indicate the importance of controlling for mental health effects in the assessment of patients' self-rated health and satisfaction with health care.     

On the limiting properties of social indicators

Characteristics of the population and economic measures that constitute traditional social indicators are compared with more recent “quality of life” measures to demonstrate that social indicators are always value statements at the policy level. The possibility of alternative perspectives is illustrated. It is suggested that an awareness of the assumptions implicit in any given indicator is as important as the data they provide.     

The public and private purposes of case records

Social welfare agencies have official reasons and requirements for the construction of case records. Sociologists have detected a set of unofficial reasons that shape case records in practice. This paper suggests that case records that record the lives of children in child welfare systems are written, inter alia, to deny the failure of interventions, to justify the refusal to serve “bad clients,” and to justify the decision to extend hegemony over “good” clients.     

Determinants of fertility levels and change among developed countries: 1958–1978

This article provides a multivariate cross-national test of the hypothesis that national population/family planning policies have effected levels, and changes in fertility in developed nations over the past two decades. Variation is assessed in the total fertility rates (TFR) in 1978, and in the change in these rates between 1958 and 1978, among thirty developed countries. Measures include socioeconomic development, divorce, percent in consensual unions, female labor force participation, abortion policy, and level of contraceptive use by married couples and, government population/family planning policy. Seventy percent of the variation in 1978 TFR is related to the percent contracepting, female labor force, and the population/family planning policy measures. These are the only measures with significant direct effects. A longitudinal analysis of 1958 to 1978 change in TFRs is also conducted. This model increases R² to 75%, and the three independent variables remain significant. Implications of these findings for policy makers interested in increasing or decreasing fertility rates are noted.     

Chance in Guttman scaling

In their recent paper (1977, Social Science Research, 6, 188–196), Kenny and Rubin offer an interpretation of “chance” in Guttman scaling. Their approach is based on the matrix of probabilities p_ij, giving the chance that the ith respondent passes the jth item. It is shown that their interpretation of chance in fact corresponds to a stochastic model of a perfect unidimensional scale. An alternative condition for chance based on the matrix of p_ij's is proposed. This is then proved to be equivalent to the usual interpretation.     

How trade/GNP ratio decreases with country size

The ratio of a country's foreign trade (i.e., exports plus imports) to its GNP has a known tendency to decrease with country size. Previous studies have used a single year's data; but trade fluctuates greatly from year to year. This paper makes available a compilation of 1953–1972 export/GNP and import/GNP figures for 110 countries. The average import/GNP figure is found to correlate strongly with population size; the simple expression, Imports/GNP = 40 $\text{P}{}^{\mathrm{<mtext>?1</mtext><mtext>3</mtext>}}$, applies, within a factor of 2, in 94% of cases. No correlation with development level can be seen. The United States data throughout its history (1799–1972) follow the same inverse cube root pattern, but with a constant of 20 instead of 40. Correlation is much poorer in the case of export/GNP ration. Export and import figures are only marginally correlated to each other.     

On the mode of administering a questionnaire and responses to open-ended items

Concurrently administered personal and telephone surveys are compared to measure differences between the modes for identical questions. Speed of questioning is found to be greater in telephone interviews than personal interviews. The faster pace of telephone interviews is linked to shorter answers to open-ended items on the telephone. The tendency to reduce such responses is disproportionately exhibited by younger, affluent respondents who tend to provide detailed responses in personal interviews.     

Studying categorical data over time

A review of recently developed simple techniques for analyzing data in the form of proportions from replicated, cross-sectional, sample surveys. (A) One variable over time—tests for homogeneity, pooling homogeneous proportions, tests for linear trends with as few as three time points, tests for departures from linearity; (B) Two variables with a constant percentage difference—four fold tables as rudimentary causal models, decomposing change with linear flow graphs; (C) Extension of the flow graph techniques to—three or more variables and changing coefficients; (D) Comments implying panel designs are somewhat over-rated and successive cross-sections somewhat under-rated.