These young people offered their thoughts along five major dimensions of the operationalisation of a residential service: service mission, activities and programs, location of the service, nature of staff, and service rationale or benefits.
For such countries, an appropriate mix of services, of staff and curriculum can be arrived at after piloting in selected areas.
Although feed back from the community is not an adequate substitute for professional appreciation of service delivery of staff, reactions from clients on the service they received can help staff in assessing if their services are 'job satisfiers' and motivate them to put more effort in service delivery.
By using the patient tracker (PT) data, appropriate probability distributions of service times of staff were fitted to model different variability in staff service times.
The analysis of the CRTs showed significant differences in the patients' characteristics and the service practices of staff members on most variables.
By using the patient tracker (PT) data to fit probability distributions of service times of staff, the simulation model was fine-tuned further to test proposed changes to the system.
The questionnaire was distributed by some hospitals involved in the audit, and the results were aggregated nationally The organisation of care including availability of palliative care services, numbers of staff, training, and responsibilities for care.
Ongoing in-service training of staff and a standardized isolation policy should improve these rates.
13 The change strategy focused on structure of care (redesign of the patient flow process), as well as on provider oriented issues (building of a new clinical multidisciplinary team; formal integration of services; improvement of staff satisfaction).
We did not enrol previous users of the service because staff of the Evidence Centre usually facilitate the refinement of clinical questions during consultation sessions and it was postulated that some learning effect would be present.
However the success of these interventions is dependent on local conditions, including health service resources, motivation of staff and integration with mainstream services [ 26].
