Wesch D, Lutzker J R, Frisch L, Dillon M M
J Behav Med. 1987 Feb;10(1):91-101. doi: 10.1007/BF00845130.
This paper addresses an evaluation of an administrative decision to change the manner in which services were paid for at a Student Health Center (SHC). The impact of the change in payment was observed through monitoring the number of scheduled appointments at the SHC which the patient failed to attend, reschedule, or cancel. The impact was assessed through a comparison of the weekly no-show rates from the year prior to the change in payment practices through the year following the change. A time-series statistical package was used to analyze the no-show data. Collateral measures on the number of students attending the university, staff opinions, and usage of the SHC by different student groups were collected. Evaluations of the impact of administrative decisions on health related behavior were discussed, in addition to a discussion of the usefulness of time-series models for this type of evaluation.
本文论述了对一项行政决定的评估，该决定改变了学生健康中心（SHC）的服务付费方式。通过监测SHC患者未就诊、重新安排就诊时间或取消的预约数量，观察付费方式改变的影响。通过比较付费方式改变前一年至改变后一年的每周爽约率来评估影响。使用时间序列统计软件包分析爽约数据。收集了关于大学入学学生人数、工作人员意见以及不同学生群体对SHC使用情况的相关措施。除了讨论时间序列模型在此类评估中的有用性之外，还讨论了行政决定对健康相关行为影响的评估。
