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Results for “Health Services Needs and Demand”

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At least 19 recordsLinked to original sources
PubMed1976

Planning health services--demand or need?

This paper discusses the currently popular approach to planning health services which is based on demand predictions. From a consideration of the demand concept, the problems of measuring present demand and forecasting future demand, it is concluded that this approach to planning will not provide health care which serves the best interest of patients, or achieves an overall efficient use of scarce resources. The development of an approach which is based on need rather than demand is seen as compatible with providing health services in the best interests of the individual as patient, and the community as tax payers.

Australia↗
PubMed1979

[Efficient organisational structures of in-patient and out-patient practice for satisfactory gynecologico-obstetric attention (author's transl)].

The strong need for integrated management of gynaecologico-obstetric attention as well as the role played by interdisciplinary cooperation as a prerequisite for high-continuity medico-social services are expounded against the background of health policies established for the current period up to 1980 and with close reference to experience obtained in every-day practice. The introduction of demand-oriented organisational forms by which to enhance the standards and effectiveness of health care for mother and child is essential to the general practice of sociogynaecology.

Ambulatory Care↗
PubMed1979

Questions of supply and demand in dynamic psychotherapy.

Out-patient psychotherapy resources are severely limited in the face of a considerable mental health problem in the community. A review is made of the literature pertinent to the attempt to estimate the number of patients who receive, or might benefit from receiving, dynamic psychotherapy in the National Health Service. Among the many variables involved, problems of definition and the interests and opinions of general practitioners and hospital psychiatrists are prominent. Implications for the planning of psychotherapy training and service programmes are discussed.

Female↗
PubMed1979

Psychiatric manpower ratios. A beguiling numbers game?

Many characteristics of California's counties that correlate with physician-population ratios also correlate with psychiatrist-population ratios, with their changes through time and with rural counties' ability to attract psychiatrists. These same county characteristics seem to influence the uneven distribution of lawyers throughout the state, a fact that should help physicians help legislators understand problems in attempting to equalize manpower distribution. California's relatively high psychiatrist-population ratio and the presence of counties that are statistically anomalous should preclude the application of these findings to other states. Despite government interest in psychiatrist-population ratios as a device to estimate manpower needs, these ratios are a poor measure of access to services. Barriers to care such as lack of private insurance coverage and Medicaid and Medicare restrictions appear more powerful than uneven manpower distribution. Proposals for influencing psychiatrists' distribution should be compared with other methods of decreasing mental illness morbidity, such as mandating insurance coverage and increasing funds for preventive services and research.

Adult↗
PubMed1979

The nature of needs assessment in community mental health.

Confusion in defining needs assessment is discussed. A tripartite model of needs assessment is proposed: an identification of a problem; a statement about priorities; and a chosen solution. The parts can be used independently or linked together to plan new or altered services. Various needs assessment techniques are examined for their usefulness in each area. Two examples of needs assessment processes are given.

Community Mental Health Services↗