Program analysis using the client oriented cost outcome system.

The client oriented cost outcome system has been under development in Pennsylvania community and hospital programs since 1972. The system builds upon the behavioral and decision data generated with or on behalf of consumers. Flexibility for local program system design is permitted if the procedures of consumer intake, review, and termination document each consumer's (a) problems, resources, and goals, (b) overall functioning level in their ordinary community, and (c) services intended and rendered as related to (a), above. While the system's primary application is in providing feedback for local program quality assurance and evaluation procedures, aggregation of data permits program planning and evaluation at county, state, and federal levels in terms of (a) client demographic or diagnostic characteristics, and (b) program service characteristics and objectives.     

Setting health priorities: a review of concepts and approaches

The setting of health priorities is primarily concerned with the equitable distribution of resources and is now more than ever an important part of strategic planning within the National Health Service (NHS). The basic information which can be used to assist in such decision-making and the process by which different agencies become involved are important aspects of priority-setting; this article is based on a major review of the research literature on these aspects and provides a discussion and an analysis of experience within health and other fields. From this material a number of possible approaches to priority-setting are identified and discussed. The article concludes that, before it can be decided how priorities should be set in the future, outstanding questions about how far rational approaches are feasible, about who is to be involved and what role they should play, and about how far such decisions are to be taken nationally or locally will need further consideration.     

Optimal Times to Contact Sample Households

Finding a suitable respondent at home is an essential and expensivecomponent of a household survey. This article reports on theresults of a study of the probabilities of finding someone aged14 or older at home and discusses the application of such datato survey design and budgeting.     

Planning for productivity

In the 1980s the subject of productivity will receive increasing attention as the old macro economic policies are replaced by micro economic policies. Everyone in various ways will discover the changes which will be involved in learning the real economic facts of life. The need to improve productivity and business performance is urgent and yet it is an area which is being neglected by management.     

Trends in marriage and divorce in Peninsular Malaysia

Summary Median age at marriage for women has risen sharply for each of the three major ethnic groups - Malays, Chinese and Indians, in Peninsular Malaysia since 1957. The sharpest rise has been recorded for Malays and Indians, whose median age at marriage was barely over 17 in 1957. A shortage of potential husbands in the traditionally sanctioned ages contributed to the rise for Malays and Indians, but was probably not the paramount reason; average age differences between the spouses narrowed, but median age at marriage for men actually rose. During the same period, the previously extremely high divorce rates amongst Malays have fallen sharply, though wide inter-state differences remain. The sharp changes in marriage patterns reflect, and in turn are partly responsible for, far-reaching social and economic changes. They have profoundly affected fertility levels and patterns, as well as intra-familial relationships.     

Effects of Questionnaire Length on Response Quality

A response tendency resulting from the length of a group-administeredquestionnaire instrument is described. Respondents answeringitems that are included in large sets toward the later partsof a long questionnaire are more likely to give identical answersto most or all of the items, compared with those respondingto items in smaller sets or in shorter questionnaires. Whilemeans and intercorrelations among items within the same setare affected by this "straight-line" response pattern, intercorrelationsbetween items from different sets are much less affected byit. These investigations are based on comparisons between along questionnaire, administered to 1,050 high school seniorsin nine high schools across the nation in 1978, and five shorterquestionnaires administered to large national samples of highschool seniors.