By Bie Nio Ong (auth.)
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Extra info for The Practice of Health Services Research
Sample text
Support groups. Haemodialysis Patients Impact on lifestyle. Access to all relevant info. Back-up treatment. Flexibility. Waiting. Transport. Atmosphere on unit. Individual attention. Counselling. Social worker. Support groups. 3 Renal dialysis: main satisfaction issues stressed by groups of interviewees Developing a user feedback survey 39 treatment processes and outcomes. Yet, at the same time, it had to be in a format suitable for self-completion of large samples, and easy to analyse for health service managers.
Staff development was absent, and new ideas were not encouraged to come up from the grass roots. In short, the hallmarks of a backward organization were in evidence. After the creation of the new unit the Unit General Manager (UGM) and Director of Nursing Services (DNS) started by drawing up a philosophy of care for mental health services, appointed a Manager of Human Resources (MHR) in charge of staff training and development and a Manager of Research and Development (MRD), both recruited to support the process of change.
Strategic planning requires both short and long time horizons, and it is important to ascertain the utility of surveys within those two different time frames. Furthermore, because surveys are expensive, other cheaper methods or 'traded down' designs should be carefully considered before opting for a survey. Surveys tend to produce information that is less detailed, but can be applied fairly confidently over a broad area (Giddens, 1989). Thus, the first case example provided an overall picture of the health of a district, without being able to assign causality or give complex explanations of the relationships between beliefs, attitudes, social circumstances and geographical location.