[Aspects of the pathology of the Dogon of Sangha].
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This study investigates how accurately the waiting times of patients about to join a waiting list are predicted by the types of statistics disseminated via web-based waiting time information services. Data were collected at a public hospital in Sydney, Australia, on elective surgery activity and waiting list behaviour from July 1995 to June 1998. The data covered 46 surgeons in 10 surgical specialties. The accuracy of the tested statistics varied greatly, being affected more by the characteristics and behaviour of a surgeon's waiting list than by how the statistics were derived. For those surgeons whose waiting times were often over six months, commonly used statistics can be very poor at forecasting patient waiting times.
"This paper provides a brief history of the ABS [Australian Bureau of Statistics] projection [service] in the context of its role as the central statistical agency in Australia. It also presents an overview of the methodology used for generating the projections and details the procedures used for compiling the various components of change incorporated in the projections. The accuracy of the ABS past projections is assessed by comparing their results, both at the national and state/territory levels, with corresponding estimated resident population figures. The paper also describes the range of projection services currently provided by the ABS, lists present unmet needs and indicates some of the developments likely to occur in the future in satisfying unmet demand, consolidation of existing services and dissemination of output." The evaluation concerns the period from 1978 to the present.
This study examined whether inpatient bed reductions at a Department of Veterans Affairs (VA) medical center increased VA patients' use of state mental health agency services. Veterans residing in two Connecticut cities who used VA psychiatric services during fiscal years 1993 through 1998 (n = 2,943) were identified from computerized files. Then their records were merged with state files. Coinciding with the time of VA bed closures, the proportion of VA patients who used any state services increased from 2.6%, 2.8%, and 2.7% from 1993 through 1995 to 3.6%, 3.5%, and 3.6% from 1996 through 1998 (p < .03). These changes reflect increased likelihood of state outpatient service use, but not inpatient services. No statistically significant changes occurred in the cost of state services used by VA patients. Bed closure impact may be reflected in increased cross-system service use, which may be a useful indicator of unmet needs resulting from system changes.