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At least 415 records · Page 23Linked to original sources
PubMed1982

A multivariate approach to the prediction of no-show behavior in a primary care center.

To predict no-show behavior in a primary care center, we analyzed a wide range of factors in 376 patients. Of 1,181 appointments that were scheduled during a six-month follow-up period and that were not cancelled in advance, 968 (82%) were kept and 213 (18%) were no-shows. By multivariate logistic regression analysis based on two thirds of the patient sample, no-show behavior was independently correlated with the following four factors: the patient's age and race, the presence of any physician-identified psychosocial problems, and the percent of noncancelled and appointments that were kept during the prior 12 months. Neither patient satisfaction nor patient-physician concordance in problem identification were independent correlates of appointment keeping. When our four-factor logistic regression equation was independently tested on the other one third of the patients, it accurately predicted no-show behavior. We suggest that our predicted probability of no-show behavior can be used to guide changes in scheduling patterns or to recognize patients appropriate for interventions to change behavior.

Adult↗
PubMedDate not supplied

[Facilities for the aged from an environment psychology viewpoint. An analysis of relationship between ratings of social climate and behavior of home residents].

We present a concept for the quantification of "social climate" in institutions for the aged. To receive such evaluations from the aged, according to our experience, it is necessary to apply special techniques of exploration to reduce response sets of defense and facade. Comparing different institutions and analysing the correlations with behavioral data we can demonstrate the usefulness of these environmental variables. Differential results point to the fact that some characteristics of the aged have to be considered to interpret these variable of "social climate".

Aged↗
PubMed1978

Response to recipiency under public assistance and SSI.

This research focuses on the attitudes, perceptions, and program preferences of aged and disabled persons who received public assistance in 1973 and supplemental security income payments in 1974. The Social Security Administration gathered the data in a nationwide survey of the low-income aged and disabled. Most respondents did not feel embarrassed or bothered about receiving public assistance in 1973 and were generally satisfied with their treatment by the welfare agency. Response to SSI in 1974 was even more favorable. Satisfaction with agency performance remained at a high level and feelings of embarrassment generally declined. SSI was preferred over public assistance by most respondents. Administrative efficiency and the size of cash benefits apparently were more important considerations than the degree of stigma perceived.

Aged↗
PubMed1994

Suicide as social logic.

Although suicide is not viewed as a mental disorder per se, it is viewed by many if not most clinicians, researchers, and lay people as a real or natural symptom of depression. It is at least most typically seen as the unfortunate, severe, yet logical end result of a chain of negative self-appraisals, negative events, and hopelessness. Extending an approach articulated by the early French sociologist Gabriel Tarde, in this paper I argue that suicide is merely an idea, albeit a very bad one, having more in common with societal beliefs and norms regarding such things as divorce, abortion, sex, politics, consumer behavior, and fashion. I make a sharp contrast between perturbation and lethality, concepts central to Edwin S. Shneidman's theory of suicide. Evidence supportive of suicide as an idea is discussed based on what we are learning from the study of history and culture, and about contagion/cluster phenomena, media/communication, and choice of method. It is suggested that certain individuals are more vulnerable to incorporate the idea and act of suicide into their concepts of self, based on the same principles by which ideas are spread throughout society. Just as suicide impacts on society, so does society impact on suicide.

Depressive Disorder↗
PubMed1975

[Users demands on scientific information systems (author's transl)].

It is increasingly difficult for the scientist to keep in touch with research in his technical field because of the increasing number of publications. Scientific information systems of an electronic nature are probably the only way out of this dilemma. In order to be able to offer the best form of service, the modern documentation and information center must know the exact requirements and wishes of their potential users. In this papter the authors are concerned with the methods and results of such user analyses as they have been carried out up to now, principally in England and the USA. In spite of various insufficiencies of method, the results of these analyses have given many interesting glimpses into the standards of behavior of "consumers" of scientific literature.

Consumer Behavior↗
PubMed1995

Geographic variation in primary care visits in Iowa.

OBJECTIVE: This study investigates the determinants of primary care office visit rates. DATA SOURCES: Blue Cross and Blue Shield of Iowa subscriber information was sorted by residence into geographic health service areas. Cost-sharing information was also obtained from Blue Cross. Physician supply data were obtained from The University of Iowa, Office of Community-Based Programs. Hospital data were reported by the Iowa Hospital Association. STUDY DESIGN: Cases were classified into ambulatory care groups (ACGs). Use rates were computed for each group in each service area. Ordinary least squares regression models were developed to model geographic variation in each ACG-specific primary care visit rate. PRINCIPAL FINDINGS: Regression models were not significant for five out of eleven ACGs studied. Out-of-pocket expense significantly affected utilization in three out of six. The number of primary care practices per capita had a significant effect on utilization in two ACGs. The supply of hospital outpatient services was significant in one ACG. CONCLUSIONS: Study findings reveal that some ACGs are price-sensitive and some are not. Policies aimed at changing levels of primary care use should taken into account whether varying cost-sharing will influence consumer behavior in the desired direction.

Adult↗
PubMed1996

Compulsive buying: a review.

Compulsive buying has a long history. Described nearly a century ago by Kraepelin, and later by Bleuler, the disorder has been of interest to psychoanalysts and to the popular media. Recent interest has been rekindled by consumer behavior research that shows it to be widespread and psychiatric research that shows it to have the earmarks of a psychiatric disorder. The author reviews the history, definition, epidemiology, family history, etiology, clinical symptoms, and treatments of compulsive buying. Preliminary data from an open-label study in which subjects received fluvoxamine are also presented.

Adult↗
PubMed1997

[Is TLFB method applicable to Japanese drinking population?: a methodological study on measurement of alcohol consumption].

In order to measure alcohol related problems, it is fundamental task to begin with to know the drinking quantity of the people. This study tries to explore the comparative, methodological possibilities of Timeline Follow Back (TLFB) as well as Self-Monitoring (SM) methods to measure drinking quantity, using the sample of Japanese and Sri Lankans. Especially TLFB method has not being so far utilized in Japan for this purpose. This pilot study has done in two stages. In the first stage, it has focused to get data on the correct drinking quantity up to two months period. After analyzing data of the first pilot survey, it was decided to reduce in the second-staged study the time frame to obtain data on drinking quantity only up to one month period. In the second-staged study, 37 Japanese and 36 Sri Lankans living in Japan has been selected. Results show that it is more appropriate SM method than TLFB method to investigate drinking quantity of the Japanese. Further it was evidenced that in order to employ TLFB method to investigate correct drinking quantity of the general Japanese population, it has to be further improved for overcoming ambiguity of respondents' memory on their alcohol consuming behavior. Moreover, it is understood that some characteristic drinking behaviors, influenced by Japanese drinking culture may be another barrier in getting correct drinking quantity data. However, the hypothesized notion of this cultural barriers was not supported. An alternative hypothesis "reflexive sensitivity to drinking", was implied.

Adult↗
PubMed1997

Health care accountability: communicating quality to the public.

For many years a revolution has been taking place in the area of health care accountability. Making those in health care accountable by evaluating their quality and then communicating that quality effectively to the public (purchasers and consumers) is a major task facing the industry today. This article provides an overview of current initiatives that are attempting to communicate quality to the public.

Adult↗