Measuring the effectiveness of health care systems.
Much economic analysis of health care systems employs measures of effectiveness which relate to workload or provision rather than to the health status of the individual. A conceptually correct measure is sketched out, and it is argued that such a measure is operationally feasible, though it requires careful analytical treatment, and a clearly specified division of responsibility between various research disciplines, administrators and policy-makers, all of whom would be involved in generating and processing the relevant information. It is also argued that some effort should be devoted to wide-ranging, routine, longitudinal monitoring of individual health states as a source of such information, and a brief account is given of a proposed field trial, relating to the care of the elderly in Britain, designed to demonstrate the possibility and usefulness of this approach.
Examines New Zealand business students’ perceptions of service quality in education. Describes a study in which the respondents identified seven determinants of service quality. Unlike prior studies, uses an importance/performance‐based approach to evaluate service quality in education. Identifies some perceptual problems, such as the least important factors being the best performers. Presents the implications for education administrators and makes some suggestions for future research.