Relationship of interpersonal behaviors and health-related control appraisals to patient satisfaction and compliance in a university health center

OBJECTIVE: The authors' aim was to evaluate patient-provider relationships in a college health center. PARTICIPANTS: Eighty student patients and their health-care providers. METHODS: Patients completed a measure of perceived health competence before a consultation and measures of provider participatory behavior and interpersonal behavior before and after the consultation. They evaluated their satisfaction with care and compliance after the consultation and again 2 weeks later. Providers completed measures of their participatory behavior and patients' interpersonal behavior after the consultation. RESULTS: Patients preferred to be well informed and to have their preferences taken into account, and generally felt competent at managing their own health affairs. They indicated they obtained the high level of participation they desired. Patients desired and actually experienced friendly and submissive providers. Degree of match between patients' desired and actual level of involvement in their care was associated with greater satisfaction. A greater match between the extent to which they desired the provider to be affiliative and the provider's actual affiliative behavior was associated with more satisfaction. No variables were predictive of patient compliance. CONCLUSION: The authors discuss results in terms of the influence of situational factors characteristic of a college health center.     

Internet Paradox Revisited

Kraut et al. (1998) reported negative effects of using the Internet on social involvement and psychological well-being among new Internet users in 1995–96. We called the effects a "paradox" because participants used the Internet heavily for communication, which generally has positive effects. A 3-year follow-up of 208 of these respondents found that negative effects dissipated. We also report findings from a longitudinal survey in 1998–99 of 406 new computer and television purchasers. This sample generally experienced positive effects of using the Internet on communication, social involvement, and well-being. However, consistent with a "rich get richer" model, using the Internet predicted better outcomes for extraverts and those with more social support but worse outcomes for introverts and those with less support.     

Socio-political forecasting and management information systems

This paper is an attempt to place the forecasting of socio-political variables in the context of actual information needs of industrial companies. Initially discussion is of the effect of socio-political variables upon companies with a review of this significance for decision makers and decision takers. An attempt is then made to categorise existing forecasting techniques in the context of socio-political data whilst regard is paid to the possible effects of socio-political variables on companies. Discussion is then broadened to a consideration of current practice both in the UK and in the USA. Problems implicit in current practice are commented upon and the paper ends with the conclusion that socio-political forecasting is currently significant to many companies and that there is a major potential role for management scientists to play in the development and implementation of appropriate techniques.     

Fossil fuel supplies simulation 1972–1979

Fossil fuels are an important source of energy for Ontario Hydro and purchases exceed $100 million per year. This paper describes a computer simulation of the inventory situation over an eight-year period, which is being used to assess the relationship between order flexibility and the target carry-over stocks at the beginning of each shipping season. A simple way of presenting the results for management evaluation is illustrated. Variations of the model are used to assess random influences, such as strikes, and to determine the economic balance between holding costs and stock-outs.     

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.     

Response Effects in the Electronic Survey

This report examines the electronic survey as a research tool.In an electronic survey, respondents use a text processing programto self-administer a computer-based questionnaire. As more peoplehave access to computers, electronic surveys may become widespread.The electronic survey can reduce processing costs because itautomates the transformation of raw data into computer-readableform. It can combine advantages of interviews (e.g., prompts,complex branching) with those of paper mail surveys (e.g., standardization,anonymity). An important issue is how the electronic surveyaffects the responses of people who use it. We conducted anexperimental sample survey on health attitudes, behaviors, andpersonal traits using two forms of administration: electronicand paper mail. Closed-end responses in the electronic surveywere less socially desirable and tended to be more extreme thanwere responses in the paper survey. Open-ended responses thatcould be edited by respondents were relatively long and disclosing.These findings are consistent with other research on computer-mediatedcommunication, raising general issues about using computersto collect self-report data.     

A model of completed length of service

The measurement of labour turnover is important both because high turnover is regarded as a sign that something is wrong in a firm and also because quantitative information is important in planning recruitment programmes. This paper describes a statistical technique which has proved useful for the measurement and prediction of turnover.     

Methods for testing subblock patterns

A number of statistical tests have been recommended over the last twenty years for assessing the randomness of long binary strings used in cryptographic algorithms. Several of these tests include methods of examining subblock patterns. These tests are the uniformity test, the universal test and the repetition test. The effectiveness of these tests are compared based on the subblock length, the limitations on data requirements, and on their power in detecting deviations from randomness. Due to the complexity of the test statistics, the power functions are estimated by simulation methods. The results show that for small subblocks the uniformity test is more powerful than the universal test, and that there is some doubt about the parameters of the hypothesised distribution for the universal test statistic. For larger subblocks the results show that the repetition test is the most effective test, since it requires far less data than either of the other two tests and is an efficient test in detecting deviations from randomness in binary strings.     

A model for national planning policies

This paper attempts to develop a multiobjective model to help policy-makers choose the most appropriate mix of economic policies concurrent with the elimination of serious gaps. Each individual policy attempts to achieve a specific goal or a set of subgoals; but it may hinder the achievement of some other subgoals. To differentiate between the importance of different objectives, the analyst assigns different priorities to each of the given set of subgoals. Three sets of results are provided by three separate computer runs of this model. Each set of results corresponds to one of the three priority structures, and each run indicates quite differing underachievements or over-achievements of individual subgoals. A detailed explanation for each of these deviations (gaps) from the targeted subgoals is attempted in an overall framework and some interactions between various gaps (savings gaps, foreign exchange gap, domestic growth gap, GNP gap, etc.) are also identified.