Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Practice Management”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 343 records · Page 19Linked to original sources
PubMed2005

Survey of paediatric case management practices in Australia for children and young people with acquired brain injury (ABI).

AIM: To investigate the characteristics of paediatric acquired brain injury (ABI) case managers and their organizations in Australia, and to determine the ways in which case managers deliver their service, maintain professional development and evaluate outcomes. METHODS: Postal survey of 57 known paediatric ABI case managers working at 24 separate organizations in Australia. RESULTS: Out of 40 questionnaires returned (70%), the majority of respondents had been providing case management for over 5 years (55%). Co-ordination of services was ranked the most important component of case management, with services most frequently delivered by telephone. Evaluation of case management outcomes was reported by only 52% of the case managers. Whilst the majority of case managers had received some form of training (83%), this varied widely from informal in-house training, to workshops run by insurance companies and government agencies. DISCUSSION: This survey provides information about current case management practices for children with ABI in Australia. Detailing what case managers do is a first step towards developing controlled research designs which are required to demonstrate whether case management is effective in terms of clinical outcomes and cost-benefit.

Adolescent↗
PubMed1999

Herbal Medicine: Is it an Alternative or an Unknown? A Brief Review of Popular Herbals Used by Patients in a Pain and Symptom Management Practice Setting.

This article will briefly discuss herbals frequently used by patients in a pain and symptom management practice setting with regard to common indications, potential side effects, and drug interactions, as well as a review of available research on each substance. An overview of the regulatory morass that continues to surround the herbal products industry will be presented. The author will examine possible ethic implications of providing care to patients utilizing alternative therapies. Future developments and studies in the field of herbal therapies will be considered.

Journal Article↗
PubMed2006

Evaluation of pathogenic indicator bacteria in structural best management practices.

This study evaluated the bacteria removal efficiency, re-suspension and survivability within two structural Best Management Practices (BMPs) called Vortechs installed at two different sites in Providence, Rhode Island. Twelve rain storms were sampled during years 2004 and 2005. Five pathogenic indicator bacteria, E. coli, enterococci, fecal streptococci, total coliform, fecal coliform, were analyzed. Results showed that Vortechs was effective in partial removal of pathogenic indicator bacteria (PIB, 39-86%), however, the PIB concentrations after Vortechs treatment were still significantly high, which could limit the use of receiving waters and raise concerns for public health. The indicator bacteria concentrations in the sump water were 1.2-2.6 times higher than that contributed by the incoming stormwater. This result suggests some bacteria were re-suspended from the sediments within the Vortechs. Low bacterial survivability of bacteria was found in the sump water at both sampling sites; however, much lower bacteria concentrations were detected at Site 2, suggesting a higher bacteria contamination from highway runoff.

Cell Proliferation↗
PubMed1988

Neonatal hypoxic-ischemic encephalopathy: current management practices.

A national survey of training programs in neonatal-perinatal medicine was undertaken to determine neurologic management practices in dealing with the asphyxiated, term newborn. Seventy-two of 105 responses (68.6 per cent) were returned. Commonly used diagnostic tests include routine electroencephalography, cranial sonography, and determinations of arterial blood gases and serum calcium. Fluid restriction and treatment of seizures with phenobarbital are widely used therapies. Many available techniques for both diagnosis and treatment show wide variability in utilization. These results demonstrate a lack of a "standard" approach to the problem and suggest the need for well-designed clinical trials to assess efficacy and safety of treatment measures inconsistently applied to the asphyxiated, term newborn.

Academic Medical Centers↗
PubMed2002

Primary care practice management in rural and urban Veterans Health Administration settings.

Limited access to specialty care in rural settings may result in more expectations of primary care providers and a higher demand for primary care. The authors used survey and administrative data from 1999 from the Veterans Health Administration (VHA) to compare primary care practice management and performance in 19 rural to 103 urban VHA hospitals nationally. Rural VHA hospitals were smaller, less likely to be academically affiliated, and had fewer integrated specialty care services. Primary care providers in rural settings were more likely to manage specialty care services, provide continuity across patient care settings, and have complete responsibility for a broader range of services. However, rural hospitals had more staff per patient allocated to primary care than did urban hospitals. Patients in rural settings received comparable quality care to those in urban settings, and they appeared to be more satisfied with the care they received. Within the VHA system, primary care providers in rural settings provided a broader range of services than those in urban ones. This increased breadth may be attributable to the lack of availability of integrated specialty care services in rural settings. Because of this broader range of responsibilities, the provision of primary care in rural settings may require higher staffing patterns and may be inherently more costly than in urban settings; therefore, researchers should be cautious when comparing primary care expenditures across rural and urban settings.

Female↗
PubMed2004

Practice management based on risk assessment.

The management of a dental practice is most often focused on what clinicians do (production of items), and not so much on what is achieved in terms of oral health. The main reason for this is probably that it is easier to measure production and more difficult to measure health outcome. This paper presents a model based on individual risk assessment that aims to achieve a financially sound economy and good oral health. The close-to-the-clinic management tool, the HIDEP Model (Health Improvement in a DEntal Practice) was pioneered initially in Sweden at the end of 1980s. The experience over a 15-year period with different elements of the model is presented, including: the basis of examination and risk assessment; motivation; task delegation and leadership issues; health-finance evaluations; and quality development within a dental clinic. DentiGroupXL, a software program designed to support the work based on the model, is also described.

Adolescent↗
PubMed1997

Association between management practices, dairy herd characteristics, and somatic cell count of bulk tank milk.

OBJECTIVE: To determine whether particular dairy management practices and herd characteristics were associated with somatic cell count (SCC) of bulk tank milk. DESIGN: Analysis of records. SAMPLE POPULATION: Milk samples collected from 59,435 cows housed in 843 dairy herds between March 1992 and June 1994. PROCEDURE: Results of bacterial culture of milk samples and data on farm housing, sanitation, milking system, and management were collected. Multiple regression analysis was used to determine sources of variation in bulk tank milk SCC among herds. RESULTS: Prevalence of Streptococcus agalactiae and Staphylococcus aureus mastitis was associated with bulk tank milk SCC. In herds free of S agalactiae mastitis, prevalence of S aureus and Corynebacterium bovis mastitis were important. For herds without S agalactiae mastitis, use of sawdust bedding was associated with a decrease in SCC and a dirty loose housing area was associated with an increase. Increased milk production, repeated mastitis control visits, and use of particular predip compounds were significantly associated with reduced SCC in all herds, regardless of whether any cows in the herd had S agalactiae mastitis. In herds with S agalactiae mastitis, use of iodine (certain concentrations), chlorhexidine, peroxide, or sodium chlorite-lactic acid as a predip was associated with a decrease in SCC. Only use of sodium chlorite-lactic acid predip was significantly associated with a decrease in SCC in herds without S agalactiae mastitis. CLINICAL IMPLICATIONS: Important factors associated with bulk tank milk SCC were prevalence of S agalactiae and S aureus mastitis, careful application of particular predip compounds, avoiding a dirty loose housing area, and use of a service to regularly monitor prevalence of mastitis in the herd.

Animal Husbandry↗
PubMed2000

Foaling-management practices associated with the occurrence of enterocolitis attributed to Clostridium perfringens infection in the equine neonate.

Enterocolitis associated with Clostridium perfringens (C. perfringens) infection in neonatal foals is often severe and has been associated with a high case-mortality risk. We designed a premises-based survey to evaluate the associations of regional foaling practices, premises environmental management, periparturient foal and brood-mare management, and periparturient brood-mare ration with the occurrence of neonatal enterocolitis attributed to C. perfringens infection. Potential risk factors individually associated with enterocolitis were breed type, housing type at foaling and in the first three days of life, ground/floor surface type at foaling and in the first three days of life, brood-mare ration before and after foaling, and the presence of livestock other than horses on the premises in the past. From the multivariable-logistic regression models, six variables were significantly associated with an increased risk of the outcome of interest (p<0.05): foals of the stock horse type, housing in a stall or drylot in the first three days of life, other livestock present on the premises in the past, foal born on dirt, sand or gravel surface, and low amounts of grass hay and grain fed post-partum. Low grain amounts fed pre-partum represented a decreased risk of the outcome of interest.

Animal Husbandry↗