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Owing to the increasing debt students are accumulating to finance their tertiary study, many are having to work during term time. The aim of this study is to explore the impact of this paid employment on their study time and other aspects of their lives.

Eighty three undergraduates completed a questionnaire about their academic workload, their paid employment commitments during term time, their earnings and expenditure, and their recreational and cultural activities.

Results indicated that 81 per cent of the students held at least one job during term time for an average of 14 hours per week. The money earned was typically spent on essential living expenses. Working left less time than desired for social activities, study and recreation.

The findings are limited by the relatively small sample size of self‐selected students: mainly young, female and enrolled in Arts courses.

The results suggest that working is not always detrimental to students' academic efforts, particularly if the hours worked are manageable given their course load. Lecturers should be more aware of the busy lives students lead and try to structure assignments and course requirements to recognise this, including the scheduling of class times and the offering of study support services.

The study adds to the growing body of international data that reports on the effects of a user‐pays approach in tertiary education. There is no similar data in New Zealand.

An experiment was conducted to examine the relationship between patient satisfaction and patients’ freedom to choose a physician and the outcome of a health service encounter. Each construct with corresponding measurements is discussed and their relationship with satisfaction is reviewed. Hypotheses were developed and tested for each relationship using pencil and paper scenarios of a patient’s service encounter at a health clinic. The study yielded four major findings. First, patients who experienced a good health outcome were significantly more satisfied than patients who received a bad health outcome. Second, patient satisfaction ratings differed significantly only in the bad outcome condition, suggesting an outcome bias. Third, patients who were given the freedom to select a physician but did not receive their chosen physician were least satisfied. Fourth, there was no difference in satisfaction between patients who had a choice of physician and those who did not.

An experiment was conducted to examine the impact of patients’ freedom to choose a physician and health locus of control on patient satisfaction. The experiment was set within the scenario of a patient suffering from a lengthy viral infection after visiting a health clinic for the first time. All constructs with corresponding measurements are discussed and their relationships with satisfaction are examined. Hypotheses are developed and tested for each relationship using pencil and paper scenarios of a patient’s service encounter at a health clinic. A 2 × 2 full factorial between subjects experimental design was used with 99 subjects. Results of the experiment indicated different patterns of satisfaction among subjects based on measures of health locus of control (HLC). Individuals with an internal HLC were more satisfied with having a choice of a physician than not having a choice and were also more satisfied than external HLC individuals who had a choice. In contrast, individuals with an external HLC did not discriminate between having or not having the opportunity to choose a physician.

Accelerating environmental turbulence in the health care industry has led to a significant interest in strategic management and work redesign. This paper examines different types of generic hospital strategies and alternative approaches to work redesign, and proposes a contingency framework consisting of these two important organizational elements for improved hospital effectiveness.

On April 2, 1987, IBM unveiled a series of long‐awaited new hardware and software products. The new computer line, dubbed the Personal Systems 30, 50, 60, and 80, seems destined to replace the XT and AT models that are the mainstay of the firm's current personal computer offerings. The numerous changes in hardware and software, while representing improvements on previous IBM technology, will require users purchasing additional computers to make difficult choices as to which of the two IBM architectures to adopt.