A simulation study of the operations of a telephone bureau

This paper presents a priority queueing situation: a telephone bureau which has to deal with two distinct classes of caller. The first group are making urgent calls which must be dealt with as soon as possible, while the second group are making a variety of different types of routine enquiry which are not considered to be as important. Management are concerned with a number of issues associated with the operations of their bureau, these include the levels of service offered to the different groups of caller, the effects of different levels of staffing, and the effects of changing the mix of call types. The use of applied probability theory to analyse this situation is briefly discussed, and then simulation proposed as a means to analyse the operations of the bureau. The development of this simulation is outlined, some typical results presented and its usefulness discussed.     

The application of microcomputers in production management

The findings reported result from a questionnaire survey, and a number of company interviews. Further questions which need to be answered are identified, and a research project to provide these answers is outlined.     

The use of formal inventory control models: A preliminary survey

Of the many papers and texts on the subject of inventory control, relatively few report the successful implementation of systems based on formal mathematical models developed with specific objectives in mind. This could be considered rather strange in the light of the relatively high number of papers reporting the development of models for dealing with a multitude of different hypothetical situations, and the widespread availability of computer systems capable of exploiting such models. Various reasons for this anomaly can be put forward. This paper reports the results of a preliminary survey designed to investigate this more deeply, and draws some necessarily tentative conclusions relating to factors contributing to the successful application of such systems.     

Individual- and Neighbourhood-Level Indicators of Subjective Well-Being in a Small and Poor Eastern Cape Township: The Effect of Health,Social Capital,Marital Status,and Income

Our study used multilevel regression analysis to identify individual- and neighbourhood-level factors that determine individual-level subjective well-being in Rhini, a deprived suburb of Grahamstown in the Eastern Cape province of South Africa. The Townsend index and Gini coefficient were used to investigate whether contextual neighbourhood-level differences in socioeconomic status determined individual-level subjective well-being. Crime experience, health status, social capital, and demographic variables were assessed at the individual level. The indicators of subjective well-being were estimated with a two-level random-intercepts and fixed slopes model. Social capital, health and marital status (all p < .001), followed by income level (p < .01) and the Townsend score (p < .05) were significantly related to individual-level subjective well-being outcomes. Our findings showed that individual-level subjective well-being is influenced by neighbourhood-level socioeconomic status as measured by the Townsend deprivation score. Individuals reported higher levels of subjective well-being in less deprived neighbourhoods. Here we wish to highlight the role of context for subjective well-being, and to suggest that subjective well-being outcomes may also be defined in ecological terms. We hope the findings are useful for implementing programs and interventions designed to achieve greater subjective well-being for people living in deprived areas.     

Development and Validation of the Older Patient Assessment of Chronic Illness Care (O-PACIC) Scale After Hospitalization

Objectives of this study were to develop and validate an instrument to assess older patients’ experiences with integrated care delivery after hospitalization. Our study was conducted among older individuals (≥65) who had recently been discharged from a hospital. At T1, 3 months after hospital admission, 296/457 patients (65 % response) were interviewed in their homes. At T2 12 months after hospital admission, 242/436 patients (56 % response) were interviewed. Point of departure for the development of the scale was the 20-item Patient Assessment of Chronic Illness Care (PACIC), which is proven to be a valid measure to assess chronically-ill patients’ assessment of integrated primary care delivery. We tested both the PACIC and new instrument by means of structural equation modeling, and examined its validity and reliability. After eliminating 10 items of the PACIC, the confirmatory factor analyses revealed good indices of fit with the 10-item Older Patient Assessment of Chronic Illness Care (O-PACIC) Scale. To estimate construct validity of the instrument, we looked at correlations between PACIC and O-PACIC scores and the satisfaction with stroke care home subscale (SASC-Home) questionnaire. Both the PACIC and O-PACIC significantly correlated with SASC-Home subscale (at p ≤ 0.001), which indicated validity. This study demonstrated that O-PACIC is a feasible, reliable and valid tool, with strong psychometric properties. We conclude that the O-PACIC is a promising instrument to evaluate integrated care delivery after hospitalization among older patients.     

The Importance of General Self-Efficacy for the Quality of Life of Adolescents with Chronic Conditions

We investigated the influence of general self-efficacy perceived by adolescents with chronic conditions and parents on quality of life. This cross-sectional study used the general self-efficacy scale and DISABKIDS condition-generic module to survey adolescents (92/293; 31 %) with type I diabetes, juvenile rheumatoid arthritis, cystic fibrosis, kidney/urological conditions, and neuromuscular disorders; and parents (121/293; 41 %). Self perceived and parents’ perceived general self-efficacy of adolescents was compared using paired t-tests, and adolescents’ quality of life and general self-efficacy were compared among conditions using analysis of variance. Bivariate correlations between general self-efficacy and quality of life were identified, and multiple regression sought predictors of quality of life after controlling for background variables. Social quality of life was lowest among those with neuromuscular disorders. General self-efficacy was highest among adolescents with cystic fibrosis and lowest among those with urological conditions. Parents’ perceptions of general self-efficacy were higher than adolescents’ (p ≤ 0.05), although absolute differences were small. General self-efficacy perceived by parents and adolescents was related to emotional, physical, and social quality of life. Adolescents’ perceived self-efficacy predicted all quality of life domains. Parents’ perceptions of the adolescents self-efficacy predicted the adolescents’ social quality of life (β = 0.19; p ≤ 0.01). General self-efficacy of adolescents with chronic conditions as perceived by themselves and their parents is important for adolescents’ quality of life. Interventions to improve general self-efficacy should benefit quality of life among these adolescents.     

A comparison of applications of microcomputers in production

Earlier research has established that the full potential of microcomputers is not being achieved by production management in small companies. Moreover, questionnaire results and in-company interviews were used to support suggested reasons for this situation. This paper reports further work carried out to examine the issues raised in far more detail. Collaboration took place with nine separate companies over a range of applications. Three of these case studies are presented in detail, and general conclusions drawn relating both to these specific studies and to the total collaboration.