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At least 271 records · Page 15Linked to original sources
PubMed1994

[Practice patterns of dentists and maxillofacial surgeons in private practice, in 1993, in France].

Actually, oral medicine and maxillo-facial surgery are really moving. There is no detail's study of the different aspects of our specialty, so we had like to realise a "picture" of our activity in the private sector in 1993. In this evaluation, an answering has been sent to the whole professional. Per 37.2% of answers have been received. The aim of this article is describing you the oral medicine and maxillo-facial surgery population following, in 4 points: old and sex demography; university and post-university formation; surgical or no activity repartition; exercises and installations.

Adult↗
PubMed1991

[Frequency and antibiotic susceptibility of bacteria responsible for urinary infections in private practice from 1986 to 1990. Results of 5398 samples].

For each year from 1986 to 1990, fourteen private laboratories from all over France collected epidemiological data on germs discovered in urinary infections in France. This retrospective and comparative study covers 5,398 dossiers. The sensitivity of germs in private practice in urinary infections (ampicillin, AM-AC, cephalosporin, ceftriaxone, gentamicin, pipemidic acid, pefloxacin, cotrimoxazol) were analysed. Germ resistance tests carried out by the CMI study in the centre of reference (Pr Thabaut, HIA Bégin) showed variable divergences according to the different antibiogram techniques employed by the private laboratories.

Adolescent↗
PubMed1981

Training internists: insights from private practice.

University internal medicine training programs concentrate on the traditional curriculum designed to produce well-trained academicians and researchers. Increasingly internists are involved in primary patient care with over two-thirds being office based practitioners. Residency training at these institutions must make available to all residents the opportunity to learn the skills taught by primary care programs. Clinical problem solving, skills in patient-physician negotiations and patient comfort, psychiatric techniques, medical ethics, cost effectiveness analysis, and practice management are areas in which the private practitioner frequently needs help. Feedback from training program graduates in private practice could help identify such deficiencies which could be incorporated into the teaching responsibility of a division of general internal medicine.

Cost-Benefit Analysis↗
PubMed2000

From private practice to public policy.

A dentist describes her journey from private practice to legislative assistant. Beginning with work in the ADA's Government Relations Office and then through the American Dental Association's Congressional Fellowship, Dr. Skoulas has now taken a full-time position monitoring and developing legislation for Congressman Edward J. Markey.

American Dental Association↗
PubMed1980

Family pharmacy and family medicine: a viable private practice alliance.

The association of the new roles of the family physician and the family pharmacist in a model private practice is described. The pharmacist works closely with the family physician to offer personalized patient education and follow-up for therapeutic effectiveness. He also serves as a consultant to the physician for up-to-date drug information and assists in solving difficult therapeutic problems. Reimbursement for pharmacy services occurs for consultative time as well as by traditional methods. Initial response by the professionals themselves as well as the patients and staff has been very positive. An appropriate physical plant and ongoing communication between physician and pharmacist are mandatory for the success of this model. Some specifics of this practice at its present stage of development are included.

Family Practice↗
PubMed2000

Confidential billing accounts for adolescents in private practice.

The purpose of this study was to determine how individual confidential billing accounts for adolescents in private practice would be received, and to assess the impact of these accounts on practice reimbursement. Adolescents wishing to keep confidential any part of the charges for an office visit were offered individual billing accounts. Enrollees agreed to pay whenever and whatever they could. One attempt was made to contact nonpayers at least 3 months after starting their accounts. The mean charge for 40 confidential accounts was $42 (total charges $1489) and all of the charges were for laboratory testing. Participants reimbursed 38% of the total charged ($565/$1489). Confidential accounts were well-received by study participants and may improve access to confidential care.

Adolescent↗
PubMed1992

Effect of a public relations staff member on new patient visits in an established private practice.

The purpose of this study is to relate the short-term effect of implementation of a public relations program (internal marketing), utilizing a public relations staff member (PRSM) in an established pediatric dental private practice. The public relations staff member performed numerous duties previously performed by many staff members. The results showed an increase in new patients for the six months studied between 22 percent to 111 percent. The number of Hispanic new patients was also compared and also increased significantly. Consideration should be given to having a public relations staff member to handle all incoming calls.

Administrative Personnel↗
PubMedDate not supplied

[Regional disparities in the distribution of French physicians in private practice (1998-2008)].

Forecasts are showing that the gap among French regions as concerns supply of doctors in private practice will narrow during the decade 1998-2008. However the trend will be more pronounced for GPs. Unequal supply of specialists at regional level will remain. For GPs and specialists as well, unequal supply is more important within a region that between various regions. The feature will remain during the coming decade.

Adult↗
PubMed1985

Long-term use of intrauterine contraceptive devices in a private practice.

Clinical experience with 1504 insertions of intrauterine contraceptive devices (Lippes Loop, Dalkon Shield, Cu-7) in a private practice is evaluated. Expulsion rates and removal rates for bleeding and/or pain and personal reasons differed for the three types of devices. Pregnancy rates associated with use of the three types of devices were similar. Pelvic inflammatory disease rates were similar for Dalkon Shield and Cu-7 users but were higher than the rate for Lippes Loop users. Use of intrauterine contraceptive devices did not appear to compromise future fertility based on the experience of women who had the devices removed. The study shows that long-term IUD use (up to 5 years) provides a safe and effective method of contraception.

Actuarial Analysis↗
PubMed2003

Empirical validation of a mental health intensive outpatient program in a private practice setting.

This article demonstrates the treatment effectiveness of a mental health Intensive Outpatient Program (IOP) in a private practice setting. Pretreatment and posttreatment symptom and clinician-rated Global Assessment of Functioning (GAP; American Psychiatric Association, 2000) scores were used to determine treatment effectiveness. Reliable change indices and clinically significant change scores were used to control for measurement error and to validate functional change. The IOP patients demonstrated statistically and clinically significant symptom reductions on all 9 clinical scales and 4 global measures of distress, demonstrated movement to less severe levels of functioning, and reported a very high degree of consumer satisfaction. Follow-up data indicated continued improvement and satisfaction. Client satisfaction data and follow-up survey data are also reported.

Activities of Daily Living↗
PubMed1986

Clinical experience of medical students in model family practices and private family practices.

The clinical experience of 21 Duke medical students during their family medicine clerkship is analyzed to compare experience in model family practices with that in private family practices. In model practices where 50 percent of the time involved patient care, students saw an average of 41 different patients for 45 encounters and 73 problem contacts during the month. In private practices with 100 percent time devoted to patient care, students saw 140 patients for 193 encounters and 346 problem contacts during the month. Most patients were seen in the physician office in both sites (89.0 percent model and 70.4 percent private), but fewer were seen as hospital inpatients in the model than in the private practices (6.3 vs 25.7 percent). The types of patient problems were alike, with the same 11 problems ranking in the top 15 most frequently seen in the two locations. The major difference in experience relates to the larger volume of patients and problems encountered in the private than in the model sites.

Clinical Clerkship↗
PubMed1990

Implementation of a systematic health maintenance protocol in a private practice.

The impact of a policy to introduce a simple health maintenance protocol systematically to all patients belonging to a private practice is reported. Results after 18 months' experience in over 1400 patients indicate that (1) physician compliance was excellent (97% of eligible patients were included, and physician time taken to introduce the protocol at the index visit took less than 4 minutes), and (2) patient acceptance (which varied from procedure to procedure) was good to excellent (minimum acceptance: 77% for sigmoidoscopy; maximum acceptance: 97% for cholesterol screening). For patients seen once, acceptance rates for procedures were generally comparable to prior published performance rates for highly selected patient populations. Integration of a simple health maintenance protocol into routine office care of unselected primary care patients was feasible, effective, and acceptable to patients. Patient refusal was a minor barrier to performance of health maintenance.

Adult↗
PubMed2000

Private practice and community activities in sports dentistry.

For dentists interested in sports dentistry, there are a wide variety of private practice and community activities available for involvement. These activities include, among others, volunteering for mouth guard programs, participating as a sports team dentist, and becoming an active member in the Academy for Sports Dentistry.

Athletic Injuries↗
PubMedDate not supplied

Prosthetic complications with dental implants: from an up-to-8-year experience in private practice.

PURPOSE: Evaluation of prosthetic complication was performed on 236 patients treated with 528 implants in an 8-year private practice experience. MATERIALS AND METHODS: The study sample included 55 overdentures (ODs) and 265 fixed partial dentures (FPDs). Among the latter, 231 FPDs were cemented and 34 were screw-retained. The type and frequency of prosthetic incidents were recorded, including adjustments and complications. Statistical analysis was performed using a chi-square test to identify risk factors associated with complications. RESULTS AND DISCUSSION: Over this period, 1 abut ment fractured and 2 became loose, leading to a cumulative implant component success rate of 99.2%. Patients with removable prostheses had more complications than those with fixed ones, 66.0% versus 11.5%; the difference was significant (P < .001). Posterior fixed prostheses had more complications than anterior ones, 11.0% versus 0%; however, the difference was not significant (P = .16). The complication rates for cemented and screw-retained prostheses did not differ significantly (10.4% versus 5.9%; P = .61). Prostheses with an extension cantilever had more complications, 29.4% versus 7.9%; the difference was significant (P = .01). In the OD group, the ball-retained prostheses had a significantly higher rate of complications than the bar-retained ones (77.5% versus 42.9%; P = .04). In the FPD group, complications were not recurrent; most occurred during the first 2 years, and the rate of complications did not increase with time. In the OD group, 1.3 incidents per prosthesis were recorded. Incidents were often recurrent, and the rate of complications did not decrease with time. CONCLUSIONS: Removable and fixed prostheses were associated with complications at different frequencies and of different types. In the removable group, adjustments and foreseeable complications were numerous, recurrent, and usually easy to manage. Bar-retained prostheses had fewer complications than ball-retained ones. In the fixed group, complications were limited in number and did not increase with time. Complications were restricted to the posterior region.

Adolescent↗
PubMed2005

Comparison of university and private-practice orthodontic treatment outcomes with the American Board of Orthodontics objective grading system.

INTRODUCTION: Treatment outcomes and duration of treatment for patients treated in university graduate orthodontic programs and private orthodontic practices were assessed and compared with the ABO objective grading system. METHODS: The treatment records of 139 randomly selected adolescents who had received comprehensive orthodontic treatment were examined. Seventy-seven subjects had been treated in 3 postgraduate orthodontic clinics, and 62 had been treated in 3 private orthodontic practices. Pretreatment, all subjects had Class II Division 1 malocclusions and ANB angles equal to or greater than 4 degrees . All patients were treated with premolar extractions. Posttreatment dental casts were measured and scored with the ABO objective grading system. RESULTS: No significant differences were found between the groups in the alignment, buccolingual inclination, and overjet components. Patients treated in private practice had significantly lower scores for marginal ridge height and occlusal relationship. Patients treated in the university programs had significantly lower scores for occlusal contact and interproximal contact components. CONCLUSIONS: There was no significant difference in the overall score, thus no significant difference in the overall quality of orthodontic treatment outcome between patients treated in university programs and private practices. However, the university group had a significantly larger sample variance for the overall score. There was no significant difference in the duration of the treatment between patients treated in a university setting and in a private practice.

Adolescent↗
PubMed2004

Influence of compliance and smoking habits on the outcomes of supportive periodontal therapy (SPT) in a private practice.

PURPOSE: The purpose of this retrospective cohort study was to evaluate the effect of smoking habits and patient compliance on the outcomes of supportive periodontal therapy (SPT) (tooth loss and residual pockets defined by probing depth of > or = 5 mm) in a private practice situation. MATERIALS AND METHODS: Eighty-seven patients, who completed active periodontal treatment and then followed an SPT program for at least 5 years, were recruited from the patient pool of a private dental practice. After active periodontal therapy and at the follow-up examination 5-11 years later, pocket probing depths (PPD) and tooth loss were assessed, and the patients were divided into 4 subgroups based on their smoking history: non-smokers (NS); occasional smokers (OS); moderate smokers (S); and heavy smokers (HS). The patient cohort was also divided into 4 subgroups based on patient compliance (mean delay from the scheduled recall sessions): fully compliant (< 1 week); compliant within 1-3 weeks; compliant within 3-6 weeks; and not compliant (> 6 weeks). RESULTS: The mean tooth loss per patient and year ranged from 0.11 - 0.18 in the various subgroups with no significant differences between them. After a mean observation period of 7.3+/-1.5 years, the incidence of new sites with residual probing depth of > or =5 mm varied between 1.2% for the NS and 13.8% for the HS (p < 0.05,), and between 3.2% for the compliant and 5.8% for the non-compliant patients. CONCLUSION: Smoking habits significantly influenced the treatment outcomes of SPT, while compliance was less influential regarding the incidence of new residual pockets during 7.3 years of SPT.

Adult↗