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At least 217 records · Page 12Linked to original sources
PubMed1978

New health professional practice patterns.

Career patterns and practice correlates of 143 New Health Professionals (NHPs) educated at one institution are studied to determine similarities among different types of practitioners (Health Associates and Nurse Practitioners). Employment since graduation has been high with low job turnover. Nurse Practitioners (NPs) are found most often in metropolitan areas, while over 50 per cent of Health Associates (HAs) are employed in rural settings. More NPs work in hospitals than HAs, who have a higher rate of employment in private practices, HAs are also involved in a wider range of medical specialties than NPs. In terms of patient care, HAs see more patients than NPs and also have larger primary care caseloads. From a functional perspective, only minimal differences are found in comparing the activities of the practitioners. Most NHPs have high job satisfaction, although HAs anticipate a high rate of job turnover; no differences were found in levels of perceived responsibility nor in the amount of supervision in patient care. Although there were only small differences in the activities of the two groups, numerous contextual and practice correlates were found to differentiate the NHPs, a finding which argues against the current practice of conceptualizing NHPs as a single group.

Attitude of Health Personnel↗
PubMed2004

A PEO for your practice? Professional employer organizations can lighten your administrative burden.

Many medical practices turn to professional employer organizations (PEOs) to handle their employee benefits and many other administrative functions. PEOs can assume many risks, eliminate numerous headaches and provide a group's employees with a quality benefits package, often at a lower cost. A PEO can allow a group's management team to focus more on other aspects of the medical practice. Although they're not for everyone, PEOs are worth a look.

Costs and Cost Analysis↗
PubMed2001

Interprofessional education: effects on professional practice and health care outcomes.

BACKGROUND: As patient care becomes more complex, effective collaboration between health and social care professionals is required. However, evidence suggests that these professionals do not collaborate well together. Interprofessional education (IPE) offers a possible way forward in this area. OBJECTIVES: To assess the usefulness of IPE interventions compared to education in which the same professions were learning separately from one another. SEARCH STRATEGY: We searched the Cochrane Effective Practice and Organisation of Care Group specialised register, MEDLINE (1968 to 1998) and Cinahl (1982 to 1998). We also hand searched the Journal of Interprofessional Care (1992 to 1998), the Centre for the Advancement of Interprofessional Education Bulletin (1987 to 1998), conference proceedings, the 'grey literature' held by relevant organisations, and reference lists of articles. SELECTION CRITERIA: Randomised trials, controlled before and after studies and interrupted time series studies of IPE interventions designed to improve collaborative practice between health/social care practitioners and/or the health/well being of patients/clients. The participants included chiropodists/podiatrists, complementary therapists, dentists, dietitians, doctors/physicians, hygienists, psychologists, psychotherapists, midwives, nurses, pharmacists, physiotherapists, occupational therapists, radiographers, speech therapists and/or social workers. The outcomes included objectively measured or self reported (validated instrument) patient/client outcomes and reliable (objective or validated subjective) health care process measures. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed the eligibility of potentially relevant studies. MAIN RESULTS: The total yield from the search strategy was 1042, of which 89 were retained for further consideration. However none of these studies met the inclusion criteria. REVIEWER'S CONCLUSIONS: Despite finding a large body of literature on the evaluation of IPE, these studies lacked the methodological rigour needed to begin to convincingly understand the impact of IPE on professional practice and/or health care outcomes.

Attitude of Health Personnel↗
PubMed1995

No magic bullets: a systematic review of 102 trials of interventions to improve professional practice.

OBJECTIVE: To determine the effectiveness of different types of interventions in improving health professional performance and health outcomes. DATA SOURCES: MEDLINE, SCISEARCH, CINAHL and the Research and Development Resource Base in CME were searched for trials of educational interventions in the health care professions published between 1970 and 1993 inclusive. STUDY SELECTION: Studies were selected if they provided objective measurements of health professional performance or health outcomes and employed random or quasi-random allocation methods in their study designs to assign individual subjects or groups. Interventions included such activities as conferences, outreach visits, the use of local opinion leaders, audit and feedback, and reminder systems. DATA EXTRACTION: Details extracted from the studies included the study design; the unit of allocation (e.g., patient, provider, practice, hospital); the characteristics of the targeted health care professionals, educational interventions and patients (when appropriate); and the main outcome measure. DATA SYNTHESIS: The inclusion criteria were met by 102 trials. Areas of behaviour change included general patient management, preventive services, prescribing practices, treatment of specific conditions such as hypertension or diabetes, and diagnostic service or hospital utilization. Dissemination-only strategies, such as conferences or the mailing of unsolicited materials, demonstrated little or no changes in health professional behaviour or health outcome when used alone. More complex interventions, such as the use of outreach visits or local opinion leaders, ranged from ineffective to highly effective but were most often moderately effective (resulting in reductions of 20% to 50% in the incidence of inappropriate performance). CONCLUSION: There are no "magic bullets" for improving the quality of health care, but there are a wide range of interventions available that, if used appropriately, could lead to important improvements in professional practice and patient outcomes.

Humans↗
PubMedDate not supplied

Migration of healthcare professionals: practical and ethical considerations.

Recruitment of healthcare professionals from developing countries to the U.K. is escalating rapidly, and is severely damaging the fragile healthcare systems of the countries involved. This is happening in spite of the Code of Practice of the Department of Health, which, although voluntary, was supposed to restrict such migration; unfortunately it has not proved effective so far. Steps are now urgently required to reverse this trend, in order to prevent the total collapse of some overseas health services. The Department of Health is planning to implement the Code of Practice more rigorously, but while it remains voluntary it is unlikely to solve the problem, in view of the (relative) shortage of healthcare professionals in this country. Other measures, including promoting the retention of locally trained staff in the U.K., are urgently required.

Developed Countries↗