Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Partnership 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 757 records · Page 42Linked to original sources
PubMed2004

Generational differences in practice patterns of dermatologists in the United States: implications for workforce planning.

OBJECTIVE: To examine the effect of age and other demographic factors on dermatologists' practice characteristics. DESIGN: Anonymous practice profile survey. PARTICIPANTS: Dermatologist members of the American Academy of Dermatology Association. MAIN OUTCOME MEASURES: Analyzed survey questions included information about legal practice entity, geographic area served, weekly patient care hours, patients seen per hour, and scope of patient care activities. RESULTS: Of 4090 surveys sent, 1425 (35%) were returned. As the age of the cohorts increased, the percentage practicing in solo practices increased (range, 21%-39%), as did the percentage serving urban areas (range, 31%-46%). Measures of physician productivity increased in the older age cohorts; however, age was not a significant factor after controlling for other variables. More patient-hours per week were associated with male sex (P < .001), solo practices (P < .001), and non-urban-based practices (P = .04), whereas a greater number of patients per hour was associated with non-rural-based practices (P = .02) and male sex (P = .03). As the cohorts progressed in age, more time was spent practicing medical dermatology. The number of hours spent practicing cosmetic dermatology peaked in the 41- to 50-year-old cohort (P = .03). CONCLUSIONS: Practice patterns differ significantly among dermatologists of different ages. As the current cohorts age and new dermatologists emerge from training, changes in scope of practice and generational differences in productivity are likely to cause a contraction in the effective supply of dermatologists, which has important implications for dermatology workforce planning.

Adult↗
PubMed1997

Two graduating master's students struggle to find meaning.

This article was initiated to help two graduating Master's students learn what might be expected of them upon graduation. The purpose of this article is to provide insight from reviewing the current literature on clinical nurse specialist's (CNS's) characteristics. The authors believe that this information is especially useful for graduate CNS students and helpful for those who currently hold CNS positions. Based on a literature review, the article categorizes descriptions of the characteristics of the CNS role as perceived by the CNS, management, staff nurses, and physicians. Within the identified perceptions of each group were the following similarly common CNS role components: (a) clinical practice, (b) education, (c) administration, (d) research, and (e) consultation. The key to congruent expectations and understanding of the CNS role is clear communication between the members of each group. Without this communication, the common result is ambiguity, conflict, and frustration.

Hospital Administrators↗
PubMed1991

Associateships: trends and opportunities.

Interest in associateship dental practice arrangements has increased rapidly in recent years. Surveys by the American Association of Dental School indicate most new graduates who go directly into private practice are now doing so as associates. Although the percentage of Texas graduates planning to immediately enter solo private practice is higher than the national average, the trend toward associateship preference for the Texas graduate follows the same curve as the national average. Associateships can be rewarding, stimulating experiences and dentists who already own established practices should be aware that there are many well-educated young graduates seeking associateships. The Texas Dental Association has a well organized, systematized placement service (TDA Placement Service). Students review the Placement Service computer printout regularly, and practitioners seeking an associate should consider utilizing this same free listing service.

Dentists↗
PubMed1994

Factors influencing the implementation of the CNS role in a private practice.

Factors to be considered by the CNS before implementing the role in private practice with a physician are discussed. Four CNSs were interviewed regarding their experiences in such a practice. The CNS subroles of expert practitioner, educator, consultant, and researcher are described as they apply in private practice with a physician. A four-step process is proposed to guide the CNS considering entry into private practice. The steps discussed are: self-assessment, evaluation of the legal and financial aspects, development of marketing and cost-justification strategies, and negotiating for a position. A method for cost justification is proposed, and some elements of marketing and negotiating are reviewed.

Financial Management↗
PubMed1993

The orthodontic practice ownership transition.

Any orthodontist contemplating a transfer of ownership interests would be well served ensuring that the decision-making process is handled objectively and analytically and that appropriate advice is acquired before entering into an arrangement. Boiler plate agreements and rules of thumb do not work any more effectively than developing a single diagnosis and treatment plan for all patients.

Economics, Dental↗
PubMed2001

Building community capacity in public health: the role of action-oriented partnerships.

Public health practice increasingly is concerned with the capacity and performance of communities to identify, implement, strengthen, and sustain collective efforts to improve health. The authors developed ways to assist local Turning Point partnerships to improve their community public health system as a secondary outcome of their work on the expressed needs of the community. Using focus groups, meeting minutes, attendance records, and meeting observation, the authors fed information back to the partnerships on systems change. A public health systems improvement plan supportive of local partnerships' work on specific health issues was funded and the collaborative research agenda was further refined.

Arizona↗
PubMed1986

Business management in agricultural practices.

Veterinarians tend to look upon themselves as professionals first, and as businessmen either second or not at all. This was the main conclusion of a study of 10 livestock practices mainly in the Lakelands area. The study attempts to show that by ignoring standard marketing and accounting procedures, they are wasting an opportunity to improve their financial efficiency and the quality of service they provide. Both these qualities will become more and more important in an increasingly competitive world, it says.

Agriculture↗
PubMed1996

Independent contractor/employee issues.

When deciding to expand a practice to include an associate, many dentists are unsure whether to classify the worker as an independent contractor or an employee. Incorrectly classifying a worker can carry significant financial ramifications. This article outlines the parameters the Internal Revenue Service uses to make its determination of a worker's status so dentists can avoid a costly financial mistake.

California↗
PubMed1991

Evaluating whether a combined internal medicine-pediatrics practice was successful.

Will primary care practices set up by physicians trained in combined internal medicine-pediatrics residencies be successful? To address this question, the recruitment of patients to the medicine-pediatrics office established in May 1985 by a northeastern medical center and the patients' understanding of and satisfaction with the combined practice were studied via the billing system and a questionnaire mailed to 1,001 households of patients in November 1988. Although equally divided between children and adults, the patient population had two large bulges, infants less than 2 years old and young adults aged 18-39 years. Most of the 833 patients (from 406 households) who returned the questionnaires were well educated and professional. They indicated they were aware of the nature of the practice; had been looking for a specialist, not a "doctor for the family"; and were highly satisfied. Therefore, the medicine-pediatrics residency program studied appears to have been very successful in preparing primary care physicians. These physicians had a particular appeal to young upper-middle-class families.

Attitude to Health↗
PubMed1988

The practice of dentistry by male and female dentists.

Increasing numbers of women are entering the once male-dominated dental profession in Australia. Determining what differences exist in the practice of dentistry between male and female dentists has therefore become an important task. The purpose of the present study was to examine differences in practice between male and female dentists. Data were available from a weighted, stratified random sample of 730 dentists (486 male and 294 female dentists) in each State or Territory of Australia. Using discriminant analysis age, practice setting, number of other dentists in the practice, inputs to the practice of dentistry either hired, acquired or contributed, direct demand and community size were all found significant in separating male and female dentists. It was more difficult to separate younger male and female dentists, indicating some convergence between the sexes. However, some differences persisted. Possible reasons for the differences are discussed and some implications noted.

Adult↗
PubMed1988

Collaborative practice: the nurse practitioner's role in its success or failure.

This study critically analyzes the underlying values, beliefs and behaviors of 18 family nurse practitioners and physicians who identified themselves as being in a joint practice relationship. Participants in the study were interviewed separately and in pairs around issues related to their reasons for joint practice, their interactional patterns, and how these patterns could be different. Transcribed interviews and data summaries for each practice were returned to the participants for review, discussion and validation. Results of the study suggested that the language, values and behaviors of the nurses continued to support, to varying degrees, the authoritarian and dominant position of the physician. In addition, nurses tended to demonstrate distorted communication and non-meaningful interactions. The possibility for nurses to create conditions in the practice relationship oriented toward mutual understanding and effective collaboration was clearly apparent in a few of these practices. Steps essential in achieving these conditions include the following: 1) self reflection; 2) clarification of goals; 3) examination of interactional patterns; 4) analysis of the level of commitment to mutual understanding; 5) willingness to risk calling issues into question; 6) conscious commitment to maintaining this level of communication over time; and 7) facilitating the physician partner's commitment to these goals.

Attitude of Health Personnel↗
PubMed1988

Practice expansion. The decision-making process and related strategies.

Expansion decisions in a dental practice may involve the addition of equipment and personnel. There is a logical sequence for expansion that necessitates an analytic assessment of practice needs. This article provides methodology for determining the need and strategies for increasing resources. A detailed description of the technique of breakeven analysis is used to illustrate the potential level of profitability derived from the addition of hygienist and associate profit centers. The concept of decreasing idle capacity through the process of space sharing is presented as an option for increasing profitability.

Costs and Cost Analysis↗
PubMed2001

Characteristics of general practices involved in undergraduate medical teaching.

BACKGROUND: The movement of medical education into the community has accelerated the development of a new model of general practice in which core clinical services are complemented by educational and research activities involving the whole primary care team. AIM: To compare quality indicators, workload characteristics, and health authority income of general practices involved in undergraduate medical education in east London with those of other practices in the area and national figures where available. DESIGN OF STUDY: A comprehensive survey of undergraduate and postgraduate clinical placements and practice-based research activity within general practice. SETTING: One-hundred and sixty-one practices based in East London and the City Health Authority (ELCHA). METHOD: Cross-sectional survey comparing routinely-collected information on practice resources, workload, income, and performance between teaching and non-teaching practices. RESULTS: In east London, teaching practices are larger partnerships with smaller list sizes, higher staff costs, and better quality premises than non-teaching practices. Teaching practices demonstrate significantly better performance on quality indicators, such as cervical cytology coverage and prescribing indicators. Patient-related health authority income per whole time equivalent (WTE) general practitioner (GP) is significantly lower among teaching practices. A multiple regression analysis was used to explore the association between teaching status and income. Eighty-eight per cent of the variation in patient-related income could be explained by the combination of list size, list turnover, removals at doctor's request, quality of premises, and immunisation and cytology rates. CONCLUSION: This study demonstrates that practice involvement in undergraduate education in east London is associated with higher scores on a range of organisational and performance quality indicators. The lower patient-related income of teaching practices is associated with smaller list sizes and may only be partially replaced by teaching income. Lower vacancy rates suggest that teaching practices are more attractive to doctors seeking partnerships in east London.

Education, Medical, Graduate↗
PubMedDate not supplied

Clinical Scholar Model: providing excellence in clinical supervision of nursing students.

The Clinical Scholar Model (CSM) is a practice-education partnership focused on improving the outcomes of clinical nursing education by bridging the academic and service settings. An expert clinical nurse serves as a clinical scholar (CS) to coordinate, supervise, and evaluate the clinical education of nursing students in collaboration with school of nursing faculty. This article describes the model's evolution, how the model is differentiated from traditional clinical instruction roles and responsibilities, and the benefits to the collaborating clinical agency and school of nursing.

Colorado↗
PubMed1975

Comprehensive pediatric care: the patient viewpoint.

Two meanings of the term comprehensive care are delineated. The first refers to a wide scope of health services, the second to a humanistic approach to the patient. Findings from a sample of patients from one pediatric practice suggest that the two meanings constitute two independent variables with respect to patient expeciations. Patient responses to questions regarding their expectations of the pediatrician revealed a tendency to hold a traditional disease orientation. Comprehensive care as a broad scope of health services that include mother guidance in child rearing is not a common goal for mothers utilizing the pediatric practice under study. On the other hand, a comprehensive approach by the pediatrician is a standard shared by most respondents in the sample: high priority is accorded the pattern of the personal physician with whom a patient forms a continuous doctor-patient relationship which instills in the patient trust that the physician's recommendations are based on thorough knowledge of the patient as an individual.

Black or African American↗
PubMed2006

Integrating research, surveillance, and practice in environmental public health tracking.

The Centers for Disease Control and Prevention in the U.S. Department of Health and Human Services is working with selected state and local health departments, academic centers, and others to develop an environmental public health tracking initiative to improve geographic and temporal surveillance of environmental hazards, exposures, and related health outcomes. The objective is to support policy strategies and interventions for disease prevention by communities and environmental health agencies at the federal, state, and local levels. The first 3 years of the initiative focused on supporting states and cities in developing capacity, information technology infrastructure, and pilot projects to demonstrate electronic linkage of environmental hazard or exposure data and disease data. The next phase requires implementation across states. This transition could provide opportunities to further integrate research, surveillance, and practice through attention to four areas. The first is to develop a shared and transparent knowledge base that draws on environmental health research and substantiates decisions about what to track and the interpretation of results. The second is to identify and address information needs of policy and stakeholder audiences in environmental health. The third is to adopt mechanisms for coordination, decision making, and governance that can incorporate and support the major entities involved. The fourth is to promote disease prevention by systematically identifying and addressing population-level environmental determinants of health and disease.

Disease↗
PubMed2006

Effective laboratory communication...it's a two-way street.

Working as part of your team, your dental laboratory can increase your predictable success and decrease the stress of daily practice. This partnership should begin during the treatment planning phase and continue through to the insertion appointment. Many dentists are beginning to view their laboratory technician as a bonafide member of their patient care team. Thorough communication on both sides is crucial to reaching this predictable success. A trusting relationship will enable the dentist and the laboratory technician to communicate effectively. The laboratory must take the responsibility to communicate its concerns to the dentist, just as the dentist must take the responsibility to communicate effectively with the laboratory his or her needs and desires for each case. When effective communication techniques are followed, everyone is a winner. The dentist is more productive per hour and has reduced stress. The dental laboratory does not have to bear the burden of remakes, and spends less time on the phone or sending e-mail for routine cases. And most importantly, the patient receives an exceptional restoration that meets his or her expectations. In the end, the true measure of a great relationship between the dentist and the laboratory is happy patients who refer friends and family to your practice for years to come.

Communication↗
PubMed1998

Understanding medical systems.

The prominence of physicians in highly interdependent medical systems confers tremendous power on them, individually and as a profession. With this power comes an ethical responsibility to be deeply concerned about medical systems. Examples of medical systems include the process of treating patients with diabetes; a hospital; the development and testing of new medical procedures; and a medical practice, including locations of care, billing, and collection of fees for medical care. The physician who is willing to learn about the nature of systems, how to control them, and how to improve them can significantly influence medical systems. Many persons in health care organizations identify strongly with their individual profession or department. Management structures, professional organizations, and methods of billing for services reinforce these divisions. This fragmented environment allows the structure of medical systems to evolve piecemeal from the various actions and points of view of physicians, nurses, administrators, patients, and payers. Improvement results from new structures that are purposefully designed. To achieve improvement, people must look beyond their own professional or organizational identities and see themselves as part of the larger system. Even a rudimentary understanding of the structures and dynamics of systems combined with clinical knowledge can equip a physician to collaborate with colleagues to diagnose faults of a system and design remedies. This paper explores the nature of medical systems and develops ideas their proper application to medicine and the activities of physicians.

Clinical Laboratory Techniques↗