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N J McCarthy

Publications and source records attributed to N J McCarthy.

6 recordsLinked to original sources

Benefit-cost and cost-effectiveness analysis: theory and application.

Benefit-cost analysis and cost-effectivensss analysis are terms used with increasing frequency by health planners and those concerned with review and evaluation of specific programs. The economic bases for these formal techniques are however often obscured by adaptations of convenience or misapplications of the concepts by biological scientists (and others). This paper reviews briefly the theory of benefit-cost analysis and its potential as a tool in choosing programs of optimum size, of maximum economic efficiency as a given size, and in choosing amongst worthwhile alternative projects. Because of the difficulties of quantification of necessary data and the political nature of many policy decisions, the technique of benefit-cost analysis seldom finds application but cost-effectiveness emerges as a calculus of more practical use and acceptability. Examples are drawn from WHO papers and the medical literature to illustrate the "benefits and risks" of these techniques.

Cost-Benefit Analysis

Influenza 1978.

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Adolescent

Immunization for the common communicable diseases.

Infectious diseases have dropped from the limelight in developed countries with the advent of immunization and antibiotics, but their worldwide significance in the terms of morbidity and mortality is still considerable. Whereas there are grounds for substantial differences in immunization schedules between the developed and developing countries, the acceptance of simplified immunization schedules in the former remains a crucial factor for gaining significant cover of young children and success in control of the target diseases. In the developed countries, continuing surveillance and re-evaluation of programmes is necessary to ensure that the benefits so far obtained are maintained. This paper summarizes the approach to immunization programmes both in developing countries and in Australia, and outlines the schedule recommended by the National Health and Medical Research Council at its 85th Session in June, 1978.

Adolescent

Community health centre evaluation. Paper 1: Working patterns of allied health professionals.

Community health centres are a new development on the Australian health scene and current indications are that they may play a greater role in the delivery of primary health care of the future. Therefore, information about these centres, what they are doing and who they are affecting, must be forthcoming if more public funds are to be channelled their way. The study reported here and in subsequent papers attempts an in-depth examination of the Southern Memorial Hospital--Community Care Centre for the purpose of establishing a base line from which this centre can measure its progress and with which other centres providing health care can compare. This paper reports the methodology of the evaluation study and the results of a survey of the working patterns of allied health professionals.

Allied Health Personnel

Community health centre evaluation -- a two year follow up study. The southern memorial hospital.

The Community Health Programme has been responsible for the provision of more resources at the primary health care level, and it was forecast that these initiatives would give general practitioners expanded opportunities to develop their skills. An attempt to evaluate this forecast is reported here in a study which surveyed a sample of general practitioners practising in the area now served by the Southern Memorial Hospital Community Care Centre. The results of this study are compared with the results of an earlier study which was completed before the Community Care Centre was established.

Australia