1,420 research outputs found
Goethe's Faust / Translated By J. Birch
No full textGOETHE'S FAUST / TRANSLATED BY J. BIRCH
Goethe's Faust / Translated By J. Birch (1)
Cover (3)
Titelseite (4)
The Prelude (5)
The Prologue in heaven (8)
Faust: A tragedy (10)
Intermezzo (62
A nurse practitioner service for nursing and residential care homes
No full textAn economic component was added retrospectively to an evaluation that sought to discover
whether the provision of a Nurse Practitioner service would improve the health of nursing and
residential home residents (Jerram, 2001). The residents of 28 homes on the south coast were
recruited; 191 residents in 14 study homes and 154 residents in control group homes who would
continue to receive routine care. The combined study also aimed to examine whether the nurse
practitioner service would improve residents’ access to health care and reduce GPs workload, and
to estimate the relative cost implications.
An important part of the research was to estimate unit costs for the Nurse Practitioner (NP). NPs
have advanced skills in assessment and clinical decision-making and work with many client
groups and in different service contexts (Horrocks et al., 2002). It was important therefore that a
unit cost was estimated for this study that reflected the resources and working patterns put in place
to support this client group. This short article outlines the service-specific estimation work
following the four-stage methodology summarised in Netten and Beecham (1999)
Unit Costs: Not Exactly Child’s Play
No full textThis short guide tries to make a complicated, some would say alien, accounting procedure accessible and comprehensible to a wide readership of local authority staff, researchers and trainers. The main aim has been to produce a tool kit versatile enough to cater for the multiplicity of local authority arrangements and cost demands. It should put into the hands of finance managers and policy makers a coherent method for calculating unit costs that is convincing in its relationship with the work of social services departments and the realities of children's needs.
Foreword by John Hutton MP:If we are to discover whether we are getting the best value for money from social services, we have to know their true cost. Expenditure needs to be connected directly to the needs of children and families, and the services they receive. The help they receive is usually a mixture of services varying in both amount and costs. The only way to find out the real cost is to build it up from the unit costs of the component services.
There is no escaping that finding out how much services really cost at the point of delivery is not a simple business. But I hope this guide shows that it need not be dull. It sets out to make the subject of calculating unit costs accessible by means of striking graphic design and a light touch, without losing the necessary rigour and attention to detail.
The book is intended to help managers of children’s services, particularly non-financial managers, get to grips with how unit cost are calculated. It is intended to be helpful in the final stages of this year’s Children in Need Data Collection when unit costs are applied to activity measures. In addition it is meant to be a launch pad for improvements to unit cost methodology aimed at achieving greater accuracy, consistency and comprehensiveness in future years as part of the general drive for performance measurement and best value. Although they are applied here to the way children’s services are delivered, the theory and general application will be useful in the field of adult social care also.
I hope that this handbook will prove to be accessible, instructive and a convenient source of reference for busy managers
Assessing services, supports and costs for young families under stress
No full textBackground Despite the attention paid to family support services in legislation and guidance, there is still relatively little evidence on which to base the development of effective services, and even less on the costs and cost-effectiveness of different models of support.Methods The study designed and examined the practical feasibility of a methodology for collecting service use data and other information on families. Unit costs of services were calculated and data were collected in interviews with 177 young families under stress in Northern Ireland and South-East England. Service use patterns and costs were analysed.Results Comparisons showed that families made greater use than the general population of many services. There were marked variations within the sample in the patterns of service use and costs, to some extent reflecting differences in the needs of the young families.Discussion The methods developed for collecting service use data, calculating unit costs and estimating costs for families were feasible
Routine outcome monitoring in clinical practice: service and non-service costs of psychiatric patients attending a Community Mental Health Centre in Italy
No full textBACKGROUND : There is a paucity of economic studies carried out in the routine clinical practice of psychiatric services. This study estimated service and non-service costs in a random sample of patients attending a community psychiatric mental health centre in Italy. Costs of different diagnostic subgroups and variables associated with service and non-service costs were calculated. METHODS : A randomly selected sample of patients identified during one week of routine clinical activity was enrolled. Information was collected using the Italian-language checklist Questionario Economico per l’attività clinica dei Servizi Psichiatrici (QESP). Costs were classified in two categories: service costs (from the provision of services) and non-service costs (loss of productivity and informal care). RESULTS : One hundred and twenty patients were included. In patients suffering from schizophrenia the monthly service cost per patient was nearly double that for patients with other diagnoses. Non-service costs associated with patients’ lack of job opportunities were more than three times higher for patients with schizophrenia, accounting for a total monthly non-service cost per patient more than three times higher than that for patients with other diagnoses. Non-service costs associated with patients’ and caregivers’ time off work were similar in the two groups. In the multivariate analysis being unemployed was associated with higher service costs. Younger age, length of illness and diagnosis of schizophrenia were determinants of higher non-service costs. The latter three independent variables were also associated with overall (service and non-service) costs. CONCLUSION : The present study estimated service and non-service costs under routine circumstances to provide information on costs that community psychiatric services, patients and care-givers sustain when dealing with psychiatric problems
ICAP, un'intervista per la raccolta dei dati necessari per la valutazione dei costi dell'assistenza psichiatrica
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