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Results for “Professional Practice Location”

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PubMed2004

The relationship of managed care to business, professional, and organizational aspects of radiology practices.

OBJECTIVE: We sought to determine the extent of managed care involvement among radiology practices of different types, locations, and sizes; the factors associated with differences in involvement; and the impact of managed care on professional, organizational, financial, and hospital-relations aspects of radiology practices. MATERIALS AND METHODS: A survey was mailed in 1999 to a sample of 970 radiology practices; completed, usable surveys were returned by 66% of the practices. Three indicators of managed care were used: a practice's percentage of managed care (HMOs plus preferred provider organizations), local area HMO penetration rate, and self-reported perceived effect of managed care. RESULTS: Percentage of managed care averaged 30% but was 40% for multispecialty groups. It was relatively high in large metropolitan areas, for practices with no hospital activity, and for practices with any owners who were not practice members. The three measures of managed care were only moderately correlated (correlation coefficient, 0.25-0.33). None of the managed care variables had a statistically significant effect on days provided for vacation and continuing medical education, promptness of payment, years required for practice ownership (partnership), and percentage of practice members who were owners. Higher percentage of managed care was associated with higher collection rates, whereas greater perceived impact of managed care had the opposite association. Two thirds of practices belonged to at least one managed care-related organization such as an independent practice association. Most radiology practices reported no involvement in the managed care negotiations of hospitals, which was true even when the hospital's negotiations included the radiologists' fees or when the practice determined its level of involvement. CONCLUSION: Many negative outcomes most feared by radiologists regarding the effect of managed care have not materialized. Perceptions of practices as to the effect of managed care seem to reflect negative aspects of their general situation, not only realities of managed care.

Attitude of Health Personnel↗
PubMed2004

Choosing to practice in rural dietetics: what factors influence that decision?

OBJECTIVE: The present study aimed to identify those factors that influence the decision of a dietitian to consider working in a rural area. DESIGN: A qualitative design using focus groups was chosen for this study to allow for in-depth data to be obtained. SETTING: University of Newcastle, Callaghan Campus. SUBJECTS: Twenty-three students/new graduates from the Bachelor of Health Science (Nutrition and Dietetics) degree at the University of Newcastle. MAIN OUTCOME MEASURES: Not applicable, this project was an exploratory study. RESULTS: A number of factors that influence the decision of dietetic students and newly graduated dietitians to consider working in a rural area were identified. These fell into the following main thematic areas: job prospects; rural lifestyle; comfort zones; support networks; promotion opportunities/professional development; type of work/work role; rural needs; and time frame. CONCLUSIONS: The present study found that choosing a location to work (whether it be a rural one or not) is a complex process and involves a number of interacting factors. Also those factors that may influence one dietitian to choose a career in a rural area may also be the factors that influence another dietitian not to choose a career in a rural area.

Attitude of Health Personnel↗
PubMedDate not supplied

Characteristics of Alaskan family physicians as determinants of practice location.

Characteristics of Alaskan family physicians were studied as determinants of practice location. A four-page questionnaire was mailed to 233 Alaskan family physicians. The background of the physicians and spouses had no significance in predicting future practice locations. Rural physicians were more likely than urban physicians to have had rural experience after entering medical school. Experience in a Third World country was not significant between rural and urban physicians. Significant factors for urban practice location were access to medical consultation, availability of CME, proximity of extended family/friends, employment/educational opportunities for spouse, cultural advantages, a salaried position, and children's educational opportunities. Factors significant for rural practice location were size of community, opportunity for subsistence hunting/fishing, and a feeling of being needed. Future practice location of Alaskan family physicians is not based solely on background prior to medical school, but on activities and attitudes shown predictive of practice location during medical training.

Adult↗
PubMed1989

Early career experiences of young periodontists.

Studies conducted in 1979 and 1984 suggested that young periodontists in the early eighties were faced with a variety of stresses and challenges not faced by their counterparts of previous generations. Among the changes observed was the fact that sharply increased numbers of younger periodontists were practicing in multiple locations. The present study focused on multiple location practice and on other early career experiences in periodontology. Multiple site practice appears to be an outgrowth of expanding group practices and the increased popularity of part-time associateship opportunities. Costs of establishing solo practice, as well as other factors, serve to encourage young specialists to seek such positions. Many specialists see this style of practice as one way to increase their market share, but stresses arising from multiple site practice include travel time and lack of continuity with patients. Thus far, younger periodontists remain satisfied with their careers, but the job market suggests that more and more periodontists will be practicing in multiple locations during the early years of their careers, thus prolonging stabilization of their economic and professional lives.

Dentists↗
PubMed1998

General surgeons and clinical ethics: a survey.

OBJECTIVE: To determine the preoccupation of general surgeons concerning ethics. DESIGN: A survey by questionnaire. PARTICIPANTS: One thousand members of the Canadian Association of General Surgeons were surveyed through a questionnaire, which inquired about the influence of ethics in their clinical practices. The questionnaire contained 12 questions. There was no recall for those who did not respond. MAIN OUTCOME MEASURES: Responses to questions concerning the sex of the respondents, location of practice, number of years in practice, the presence of hospital support, surgeons' interest in ethical issues, use of autonomy, beneficence, nonmaleficence and justice in solving ethical dilemmas and level of education in clinical ethics. RESULTS: Men made up 95% of the respondents; 64% of respondents had been in practice more than 16 years; 58% came from a community or regional hospital; only 10% had no interest in clinical ethics; only 3% stated that they experienced no ethical problems in their practices; and 52% had no formal education in ethics. CONCLUSIONS: There was general sensitivity for clinical ethics but an evident lack of formal education and of the presence of ethics committees and ethics consultants in many hospitals.

Attitude of Health Personnel↗
PubMed1988

The best location.

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Economic Competition↗
PubMed2001

Approach to sustainable primary health care service delivery for rural and remote South Australia.

We describe the operation of four University Teaching Practices established by the South Australian Centre for Rural and Remote Health (SACRRH) and the Adelaide University Department of General Practice. These practices were established in response to the acknowledged difficulty in recruiting and retaining GPs in rural South Australia. The practices are co-located with a hospital or accident and emergency service and community based nurses and allied health professionals. They provide integrated health care and multidisciplinary health care student placements in a learning environment where students experience rural multidisciplinary practice and country life. The study found that although the sites differed in significant ways, they all provided integrated care and effective placements for students. This style of health care delivery is flexible and broadly applicable. Sustainability is achieved through financially viability, attracting and retaining health care professionals and the development of electronic information systems, to support integrated practice.

Allied Health Personnel↗