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.     

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.     

Evaluating a private foundation's health program

Public policy decisions in health are increasingly difficult and expensive. Although there will never be enough information available, private foundations can help to bridge the most important gaps in knowledge. Larger foundations may also wish to respond to those who doubt the value of foundation activities. This article reviews the experiences over the past eight years of The Robert Wood Johnson Foundation in employing evaluation and related social research procedures in the planning and implementation of a major philanthropic effort to improve the health and medical care of Americans. Discussed are the still evolving Foundation evaluation framework, the unanticipated problems in undertaking specific evaluations, and the substantive findings of some of the studies.     

Further research in theories of population being carried out]

The 2nd Chinese Scientific Symposium on Theories of Population was held in Chengdu, Sichuan, on December 7-13, 1979. The symposium was jointly sponsored by the Department of Family Planning of the Chinese Central Government, Chinese Academy of Sociology, Sichuan Provincial Revolutionary Committee (SPRC), and the Institute of Population Theories of the Chinese People's University (IPT). There were 255 attendants, representing 60 academic institutions, 14 scientific research organizations and 31 provincial, municipal, and autonomous regional departments of family planning. The main theme of the meeting was "Population Problems and Their Solutions Facing the Four Modernizations in China." 147 papers were read at the meeting. The meeting opened with a welcoming speech by Comrade Liu Haiquan, Vice-Chairman of SPRC, who pointed out the challenge Chinese family planners would face in advocating the 1 child family policy. Long speeches were made by Comrade Chen Dao who stressed the training of workers for Chinese population research and by Comrade Du Xinyuan (secretary of SPRC) who summarized results on recent family planning efforts in Sichuan. During the meeting, based on their contents, the papers were divided into 7 groups for separate discussions: 1) population development in the socialistic society, 2) relationship between population and economic developments and between population control and the 4 modernizations in China, 3) possible population problems in China, their nature, etiology and methods of solution, 4) population policies and family planning in China, 5) trends in population development and population planning in China, 6) problems of population distribution in China, and 7) development of population theories in China during the past 30 years. The meeting discussions were summarized by Comrade Liu Zheng of IPT who noted that there were 84 more attendants and 110 more papers in this meeting than the first held in 1978.     

Perceived morbidity, utilisation of health services and factors affecting it in a rural area

A survey of perceived morbidity was carried out in rural population in eight villages and four wards of Saoner town, covering a total population of 8,876. The nature of illness was assessed by weekly visits to the families. History regarding treatment taken for disease and its source was taken. The overall incidence of perceived morbidity was 176.35 spells of sickness per 1000 population per month. Health care agency was contacted for 36.7 per cent spells of sickness. Utilisation of health services was found to be affected significantly by factors like age (chi 2 = 138.36), literacy (chi 2 = 14.123), type of occupation (chi 2 = 433.74), nature of illness (chi 2 = 83.578) and accessibility of health services. A health behaviour model of the population has also been discussed in this paper.     

The transition to marriage

Cohabitation has often been viewed as easing the transition to marriage. The question is therefore asked, what characterizes relationships in which couples live together for an extended period of time prior to marriage, then decide to marry, and within two to three years are divorced? Four groups were interviewed (cohabitated/married; cohabitated/married/divorced; dated/married; dated/married/divorced) with the hope of analyzing the differences or similarities in the marital transitions made by individuals within these groups. The total sample consisted of 40 respondents who were given an in-depth, face-to-face interview. It was found that the degree of congruence between dyad members regarding perceptions and expectations surrounding marriage and marital life was an important factor in the success with which couples were able to make the marital transition.