Sequencing and Scheduling Appointments with Potential Call‐In Patients

This paper studies appointment scheduling for a combination of routine patients who book well in advance and last‐minute patients who call for an appointment later that same day. We determine when these same‐day patients should be scheduled throughout the day, and how the prospect of their arrivals affects the appointment times of the routine patients. By formulating the problem as a stochastic linear program, we are able to incorporate random and heterogeneous service times and no‐show rates, ancillary physician tasks, and appointment delay costs for same‐day patients who prefer to see the doctor as early as possible. We find that the optimal patient sequence is quite sensitive to the no‐show probabilities and the expected number of same‐day patients. We also develop two simple heuristic solutions to this combinatorial sequencing problem.     

A National Survey on Depression,Internalized Homophobia,College Religiosity,and Climate of Acceptance on College Campuses for Sexual Minority Adults

ABSTRACT

Sexual minority persons have an increased risk for negative mental health outcomes in adulthood. This seems to largely be due to experiences of stigma in social settings. This study sought to understand the relationship between attending a religiously conservative college, internalized homophobia (a measure of sexual stigma), and depressive symptoms for sexual minority adults. Sexual minority adult participants (n = 384) from across the U.S. were recruited and completed a Web-based, anonymous survey. A mediation model predicting depression through college religious conservatism, college acceptance of sexual minority identities, and internalized homophobia was tested using path analysis. Results revealed an indirect effect of increased religious conservatism of a college predicted higher depression through lower college acceptance and higher internalized homophobia. Implications for the mental health of sexual minority adults and future research are examined.     

Open and closed birth intervals for once-married spouse-present white women

Using the 1970 1/1,000 Public Use Sample of the U.S. population, the relationships of the closed and open birth intervals with parity and mother's age, with parity and marital duration, and with children ever born/marital duration and mother's age are analyzed. These findings both replicate and expand on Srinivasan's earlier research on the open interval. The open interval is more sensitive as an index of marital fertility when marital duration and parity are controlled than when mother's age and parity are controlled.     

The demographic assessment of family planning programs: a bibliographic essay

Over the past 15-20 years a substantial literature has accumulated in the area of determining the effect of family planning programs upon fertility, and a selected bibliography is provided. The development of modern contraceptive techniques coincided with the development of large national programs designed to reduce the fertility of the general population, and literature is presented on each of the several evaluation methods that have been used to examine program-induced changes in 1 or more fertility measures. 2 methods deal with data on individuals - births averted among acceptors and individual matching; the latter compares the fertility experience of acceptors and matched non-acceptors. A different class of methods is aggregated methods. Either areas and areal variables are the focus of the analysis proceeds with measures on general subgroups identified by such factors as residence, age, or marital status. The aggregate methods are multiple regression, program experiemnts, matching of areas, correspondence between program activity and fertility change, decomposition, and simulation. The disparity in methods has conspired with large differences in programs, data sets, and investigator interests to produce serious problems of non-comparability in results.     

Historical changes in the household division of labor

A number of studies published in the 1970s asserted that the amount of time women spend doing housework shows no historical decline. This article draws on evidence from time-budget surveys—three from the United States (1965, 1975, and 1985) and three from the United Kingdom (1961, 1974, and 1984)—to investigate the evolution of housework time for men and women over the last three decades. Clearly much other than housework has changed over this period. More women have paid jobs, more men are unemployed, and families have gotten smaller on average. Even having controlled for such sociodemographic changes, we conclude that in the two countries, women in the 1980s do substantially less housework than those in equivalent circumstances in the 1960s, and that men do a little more than they did (although still much less than women). These changes correspond closely to developments in four other countries (Canada, Holland, Denmark, and Norway) for which historical time-budget evidence is available.     

Rural electrification and fertility change

This article addresses the possible linkage between the spread of electrification in rural areas and subsequent declines in human fertility. Evidence from nine studies in six countries is reviewed and compared. The conclusion from this review is that there is, in fact, some link and that the higher the level of rural electrification the higher is contraceptive prevalence and the lower is the level of fertility. This link appears puzzling at first glance, but the article proposes a conceptual and theoretical framework for interpreting these results and fitting them into accepted theories of fertility. Finally, some important policy implications are discussed and future directions for research indicated.This paper was prepared for a workshop on The Relationship between Rural Electrification and Fertility Decline sponsored by the National Rural Electrical Cooperatives Association and the Population Issues Research Center of Pennsylvania State University. The workshop was held in Washington, D.C. on November 15, 1984. (Copies of a summary of the proceedings of the workshop can be obtained from Mr. Philip P. Costas, International Programs Division, National Rural Electrical Cooperatives Association, 1800 Massachusetts Avenue N.W., Washington, D.C. 20036, U.S.A.) The authors received helpful comments on the paper from Richard Bilsborrow, Gretchen Cornwell, Gordon DeJong, Ronald Freedman, and Ozzie Simmons as well as many other participants in the workshop.     

Freedom and struggling openly in psychotherapy: A qualitative inquiry with LGBQ young adults from religious families

Lesbian, gay, bisexual, and queer (LGBQ) young people from religious families are at increased risk of family rejection, poor mental health outcomes, and are overrepresented in mental health services. This article describes a two‐part qualitative study aimed at exploring the experiences of LGBQ young adults from religious families in psychotherapy, identifying positive and negative psychotherapy experiences, and understanding the influence of family and religion on the psychotherapy experience. Data were collected through a web‐based survey (n = 77) and interviews (n = 7) with LGBQ young adults (ages 18–25) from religious families. The study followed an interpretative phenomenological approach. Integrated results found often invisible, relational therapy processes, and religious discourses as significant to LGBQ young people who seek psychotherapy. Implications for future research, effective systemic family therapy practices with LGBQ young people from religious families, and a critique on ethical and legal limits of confidentiality with policy implications are outlined.