Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Group Practice”

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 487 records · Page 27Linked to original sources
PubMed1976

An audit of the care of diabetics in a group practice.

The diabetics in a general practice of 20,175 patients were identified during one year and 119 were found-a prevalence of 5.9 per thousand.The age and sex distribution, method of treatment, criteria of diabetic control, complications, and present method of care were analysed from the medical records to examine the process of medical care of a chronic disease in general practice.

Adolescent↗
PubMed1996

Hispanic patients in an academic group practice: measurement issues and comparisons with non-Hispanics.

Health services researchers face a challenge when analyzing populations that include patients of Hispanic cultural heritage. Definitions of Hispanic have changed over the past 25 years. Methods of ascertaining race and ethnicity are flawed, particularly within health care institutions. This study was designed to address these problems by applying a new and unique methodology for identifying Hispanics in a clinical practice. Physicians in a hospital-based academic group practice were asked to identify all Hispanics in their patient panels. A random sample of patients identified as Hispanics were then surveyed by telephone to establish country of origin, length of time in the United States, and bilinguality. This demonstrated a great diversity of country of origin among Hispanics. The 2630 Hispanic patients identified by these methods were compared with non-Hispanics in terms of demographics, case mix, and health care utilization. Health services researchers should consider identification by physicians as a useful method for identifying Hispanics in clinical practice settings.

Aged↗
PubMedDate not supplied

The changing shape of the physician workforce in prepaid group practice.

Multiple factors have combined to change the size and specialty composition of the physician workforce in the nation's largest prepaid group practices over the past two decades. An examination of these changes can shed some light on the past and potential future impact that changes in medical technology are likely to have on the physician workforce of these organizations and the greater physician community.

Employment↗
PubMed1979

Assessing depression outcomes in group practice clinics.

The application of a protocol for the initial assessment of medical care outcomes of geriatric depression management in four multispecialty group practice clinics is described. The clinical findings of this study are limited, but the protocol for the assessment of depression outcomes was found to be feasible, practical and acceptable in all four clinics. The success of the study has positive implications both for improving management of depressed clinic patients and for adapting this quality assurance approach to other health conditions and care settings.

Adolescent↗
PubMedDate not supplied

Evaluation of an intervention to change benzodiazepine-prescribing behavior in a prepaid group practice setting.

To determine the effect of two levels of educational intervention on benzodiazepine-prescribing behavior in an elderly population in a controlled prepaid group practice (PPGP) setting, we designed a prospective controlled trial, with six-month follow-up. Our setting was a 270,000 member group-model PPGP in Colorado, from 1990 to 1991. Participants included 91 physicians, 62 men and 29 women; median age was 38.7 years. Group 1 received a one-on-one educational presentation by a clinical pharmacist, written educational materials, a brief follow-up visit, and feedback with recommendations. Group 2 received only a face-to-face presentation, given to departmental groups, as well as the same written educational materials used in group 1. Controls received no intervention. Our primary outcome measure was the benzodiazepine "on/off" status of the elderly PPGP members. The secondary outcome measure was the median change (preintervention minus postintervention) in a standardized amount of benzodiazepines prescribed per physician. Logistic regression analysis failed to show a significant effect on postintervention benzodiazepine on/off status between study groups, when controlling for preintervention on/off status, PPGP-member age, PPGP-member gender, and all possible interactions. Analysis of variance failed to demonstrate an effect of either intervention on the median change in standardized amount of benzodiazepines prescribed per physician, with groups 1, 2, and controls yielding values of -278 (range: -4,137, 2,844), -330 (-1,531, 1,358), and -541 (range: -3,716, 2,185), respectively. We conclude that strategies effective in changing physician prescribing behavior in other settings may not be effective in a PPGP setting with benzodiazepines in the elderly as the target for change.

Adult↗
PubMed1985

Physician and patient satisfaction as factors related to the organization of internal medicine group practices.

The present study compares patient satisfaction scores with job satisfaction scores of the physicians providing their care in 16 general internal medicine teaching hospital group practices. Practice sites with more satisfied patients were also more likely to have more satisfied housestaff and faculty physicians. Additionally, higher satisfaction scores for both physician groups and patients were consistently associated with a greater percentage of patients experiencing continuity of care, lower patient no-show rates, more efficient use of ancillary staff in providing direct patient care, and more reasonable charges for a routine follow-up visit. These findings suggest that improving physician and patient satisfaction may have economic as well as psychological and social benefits.

Consumer Behavior↗
PubMed1986

An expanded social work role in a university hospital-based group practice: service provider, physician educator and organizational consultant.

This paper reports the development of social work role and functions in a primary medical group practice which was established to replace the general medical clinics of a large urban voluntary teaching hospital in an academic medical center. It traces the shaping and implementation of a role which is functionally integral to the care, teaching and research goals of the practice; is operationalized into its service delivery system; and utilizes a full range of sophisticated social work skills. Along with physicians and nurse practitioners, the social worker is a principal provider of patient care, as well as physician educator and organizational consultant who contributes to coordinated, comprehensive and resource conservative care. Implications for other settings are noted.

Academic Medical Centers↗
PubMed1986

Effect on prescribing of the limited list in a computerised group practice.

The prescribing of drugs in the therapeutic classes that are affected by the government's limited list was investigated in a computerised group practice of just over 3,000 patients. Prescribable drugs in categories that are affected by the list were identified for two consecutive six month periods before and one six month period after the introduction of the list. A significant decrease in the prescribing of cough and cold remedies, vitamins, and antacids occurred after the list was introduced, whereas no change occurred in the prescribing of laxatives, benzodiazepines, or analgesics. The prescribing of iron and penicillin increased significantly after the list was introduced, whereas the use of H2 antagonists and non-steroidal anti-inflammatory drugs showed no significant change.

Drug Prescriptions↗