The effects of user-generated design modifications in a general hospital

The present study investigated the effects of relatively minor design modifications in one wing of a local hospital on the organizational climate of the institution and the behavior of various user groups. Results showed that the changes had positive effects for patients and staff members on mood and morale and on the perceived quality of health care, while visitors reacted negatively to the modifications. Use of the more public areas of the experimental ward increased as a result of the alterations, especially in the evenings when more visitors were present. The positive effects occasionally spread to other wards as well.The research reported in this paper was funded by Grant SOC7508784 from the National Science Foundation.     

Setting standards of performance for program evaluations: the case of the teaching hospital general medicine group practice program.

Program evaluation is like research in its use of the scientific method. An important difference is that evaluations result in judgments of merit. What are the standards for making the judgments? Little attention has been paid to their selection and use. This article reports on how standards were set in an evaluation of the structure of fifteen of the nation's university hospitals who participated in the Teaching Hospital General Medicine Group Practice Program (sponsored by the Robert Wood Johnson Foundation). Many sources were used to select standards including a review of the literature, expert advice and actual data from two years of the programs's performance. Also, the standard-setting process was a participatory one in which all potentially competing views were provided with a forum for discussion. Finally, standards were set in advance of the collection of information, facilitating the selection of study designs and analysis techniques. Almost all project directors stated that the process helped them in program planning and gave them ideas for research and evaluation. Because standard-setting has mutual benefits, we recommend that it take place during program planning.     

Experience in developing a Transitional Employment Program (TEP) for the psychiatric patients in an acute general hospital in Hong Kong

This paper describes the application of a transitional employment program (TEP) for psychiatric patients in Hong Kong. The TEP and its values in psychiatric rehabilitation are introduced. The differences between TEP and Supported Employment (SE) were also highlighted. A TEP for psychiatric patients in an acute general hospital is outlined. Interviews of employer and trainees showed that, apart from increasing income, qualitative changes in the trainees were observed such as increased self-confidence, improved assertive and social skills, and increased work tolerance. Ongoing objective measurement should be conducted to demonstrate its effectiveness. TEP could be considered as a feasible alternative of vocational rehabilitation for patients with mental illness.     

Fund-raising by hospital foundations

1986–87 data for eighty hospitals in Ontario and their foundations are used to assess the influence of various socioeconomic characteristics of the constituent populations and selected characteristics of the beneficiary hospitals on foundation revenue. Six factors appear to increase hospital foundation revenue: a higher percentage of the population that is elderly, a lower percentage of the population born outside Canada, a higher percentage of the population that has not moved within the past year, a larger hospital market share, teaching-status for the beneficiary hospital, and a higher level of foundation expenses.     

The child in hospital

Group therapy is assuming considerable popularity in the field of alcoholism as in other mental health areas. Its efficacy in the treatment of alcoholism has not been well established, but many therapists believe it holds the most promise.     

Public relations in hospital

In this paper, the authors have dealt with the salient features of public relations function in a hospital situation while providing health care services to the patients. Public relations is an important function to build up corporate image of the hospitals in the minds of the public and the patients. The authors, therefore, suggest that proper attention may be paid to this aspect for greater appreciation of the services by the community at large.     

A general concept of scoring rules: general definitions,statistical inference,and empirical illustrations

We develop the general conceptual, mathematical and statistical foundations of behavioral social choice for scoring rules. Traditional scoring rules are difficult to assess empirically because one rarely observes the deterministic complete linear orders that they require as input. We provide a general concept of scoring rules in terms of a broad range of mathematical representations of preference or utility, namely arbitrary finite binary relations, probability distributions over such relations, real valued multi-criteria utility vectors and real valued random utility representations. We extend Regenwetter et al.’s (Behavioral social choice. Cambridge University Press, Cambridge, 2006) statistical framework to a more general setting. We illustrate the general modeling and statistical tools by applying them to four well known sets of survey data. We illustrate two potential problems that have previously received little attention and that deserve systematic study in the future: (1) Scoring rule outcomes can suffer from model dependence in that the social welfare functions computed from ballot, survey, or hypothetical data may depend on implicit or explicit modeling assumptions. (2) Scoring rule outcomes may suffer from low statistical confidence in that the correct assessment of social orders from empirical data can be far from certain. We also illustrate the empirical congruence among conceptually competing social choice methods.     

A general moodel of crisis intervention

This article presents a general model of crisis intervention designed to be used in most practice settings. The model is a synthesis of what has previously been written about crisis intervention theory and practice along with the author's own contributions. The various definitions of what constitutes a crisis and the stages of a crisis reaction are discussed. In the beginning phases of crisis treatment it is suggested that the clinician should complete six tasks, one of which is identifying with the client and precipitating event that led to the crisis. As the treatment process continues it is suggested that the clinician should complete six tasks, one of which is designing psychological and behavioral tasks that will reduce stress and help the client resolve the crisis. Finally, the termination process is reviewed.     

Factors associated with general sexual permissiveness

This study examines the predictors of premarital, extramarital, and homosexual permissiveness in an attempt to arrive at a framework of general sexual permissiveness. Data from a national probability sample were used. The results indicate that the three types of permissivieness are strongly correlated with one another and have some common predictors. Age and religiosity are found to be negative predictors and education and freedom of expression are found to be positive predictors. A potential framework of general sexual permissivieness emerges from these results.     

Propositionwise judgment aggregation: the general case

In the theory of judgment aggregation, it is known for which agendas of propositions it is possible to aggregate individual judgments into collective ones in accordance with the Arrow-inspired requirements of universal domain, collective rationality, unanimity preservation, non-dictatorship and propositionwise independence. But it is only partially known (e.g., only in the monotonic case) for which agendas it is possible to respect additional requirements, notably non-oligarchy, anonymity, no individual veto power, or extended unanimity preservation. We fully characterize the agendas for which there are such possibilities, thereby answering the most salient open questions about propositionwise judgment aggregation. Our results build on earlier results by Nehring and Puppe (Strategy-proof social choice on single-peaked domains: possibility, impossibility and the space between, 2002), Nehring (Oligarchies in judgment aggregation: a characterization, 2006), Dietrich and List (Soc Choice Welf 29(1):19–33, 2007a) and Dokow and Holzman (J Econ Theory 145(2):495–511, 2010a).     

Network items and the general social survey

This is an argument for obtaining network data in the General Social Survey (GSS). The proposal requires a discussion of how and why at least minimal network data ought to be obtained in a probability sample survey of attitudes and behaviors.I begin with general concerns; briefly describing the proposal, available experience with the proposed items in large probability samples, how the proposed items are different from existing GSS items, kinds of variables that the proposed items would generate, and kinds of research questions that could be addressed if the proposed items were included in the GSS.I then address comparatively focused questions likely to arise in deliberations over the proposal; explaining how much interview time the proposed items are expected to require, why one rather than multiple name generators are proposed, why recording five alters is proposed, why intimacy is proposed as the name generator criterion content, why a short form is proposed for obtaining formal data, how priorities among name interpreter attribute items were established, how the proposed items elicit data on the strength and content of relationships, and how the proposed data might be coded for easy access by GSS users.