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PubMed1984

Private practice.

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Forms and Records Control↗
PubMed1975

Using community psychiatry methods in private practice.

Two cases that incorporate community resources into psychiatric-medical treatment plans for private patients illustrate the use of community psychiatry concepts in a private office. In both cases the private practitioner formed treatment teams with representatives of other community agencies to help the patients return and adapt to the community. Two problems that arise in the author's continuing work with community resources are the time it takes to implement clinical decisions through an agency and the agency staff's feeling of territoriality.

Adult↗
PubMed1974

Maternal expectations and attitudes toward toilet training: a comparison between clinic mothers and private practice mothers.

Mothers at inner city clinics differ from middle-class suburban mothers with private pediatricians in their attitudes and expectations regarding toilet training, such as the ideal age to initiate bladder and bowel training, ideal age for completion of toilet training, response to the child who soils after a program of toilet training has been initiated, and source of information to guide in toilet training. Possible explanations to account for these differences are explored; the implications for training health personnel are discussed.

Attitude↗
PubMed1979

Blood pressure control in private practice: a case report.

High blood pressure is most commonly treated in the offices of private physicians. We have attempted to evaluate the efficacy of such care through review of all patient charts of a Board Certified, University Medical Center affiliated internist in New York City. Seventeen per cent had elevated (greater than or equal to 160/95) blood pressures or were taking antihypertensive medication at the time of their last visit. A selected group of 206 charts was examined to determine attendance and blood pressure outcome. Over one-half of these patients were lost to follow-up within a year of their initial visit. Of those who persisted in therapy, 55 per cent achieved good blood pressure control. Blood pressure outcomes among medicated patients were not different from those of patients who received no prescription. These results suggest that this conventional pattern of ambulatory medical care, characterized by a high attrition rate and a failure to adequately control blood pressure, may not be suitable to the long-term management of high blood pressure.

Female↗
PubMed1992

The rise of private practice: a growing disquiet with public services?

A survey of 325 national patients attending six private clinics in Port Moresby was carried out to determine the characteristics of those using private medical services. Most patients were employed in professional or clerical occupations. A sizeable proportion of private patients were from low and moderate income categories and over 40% of those interviewed said that they had to borrow the money to pay for the consultation. Education level was positively associated with both attending a private practitioner as first choice of treatment and enrollment in a medical insurance scheme. 15% of patients were medically insured, and they were more likely to choose a private practitioner as first treatment choice. The most common reason given for choosing private sector health care was that it was quicker, but a notable proportion, particularly amongst those who had previously attended government health services for the same complaint, thought that private clinics had better doctors or gave better medicine. The findings are discussed and contrasted with those from other developing countries. Conclusions are drawn regarding the significance of these findings both in relation to the upgrading of the public health services and the regulation and monitoring of private health services.

Adolescent↗