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 109 records · Page 6Linked to original sources
PubMed2000

Making legal abortion available in Brazil: partnerships in practice.

This article describes the participation of feminist groups who work in the area of women's reproductive health and rights in campaigns for the provision of legal abortion in public hospitals in Brazil. Brazilian criminal law permits therapeutic abortion in cases where pregnancy is the result of rape or poses a serious risk to the life of the woman. Today, as a result of the combined efforts of feminists, health professionals and policymakers, more than 20 hospitals in Brazil are officially permitted to perform therapeutic abortions within the existing law. A model programme has also been developed to train service providers to do legal abortions, where the agreement of a hospital board can be obtained. This training has also improved care for illegally obtained, incomplete abortions in those hospitals but not in hospitals where doctors have not been trained. Problems with lack of access and concerns about the lack of public acceptance of abortion remain. Women not only need the right to abortion but also more services and health professionals who are trained to perform abortions across the whole country.

Abortion, Legal↗
PubMedDate not supplied

A win-win model for an academic nursing center: community partnership faculty practice.

A number of schools of nursing have established community nursing centers to provide faculty practice sites, student learning experiences, and a service to the community, most often to a poor underserved population. The current literature concludes that these centers provide a quality clinical service and improve access to health care, and they also provide an avenue for research, training, and faculty practice. Acquiring necessary financial support and the ability to achieve financial independence appear to be the most common difficulties for these centers. Most of the current literature includes an examination of issues relating to funding. The model presented in this article focuses on organizational variables that include both the center and its placement in relationship to other functions and programs in the school and a broadening of the meaning of fiscal responsibility to include an awareness of the broad spectrum of benefits that the community nursing center brings to the entire school. Efforts to coordinate and integrate the needs and functions of several groups are described. Establishing goals and priorities that simultaneously meet the needs of all or most of these groups has been an important outcome. The activities of the center have become an integral part of the everyday life of the school. Achieving financial independence and being fiscally aware and responsible is not the same thing.

Community Health Centers↗
PubMedDate not supplied

Addressing children's oral health inequalities in Northern Ireland: a research-practice-community partnership initiative.

OBJECTIVE: Northern Ireland has a high prevalence of childhood dental caries, reflecting heavy consumption of cariogenic snack foods. To develop a policy to promote and facilitate healthier eating, researchers, practitioners, and the school community formed a partnership, together creating the Boost Better Breaks (BBB) school-based policy. The policy was developed with and supported by dieticians, health promotion officers, teachers, school meal advisors, and local suppliers of school milk. Eighty percent of primary schools and preschool groups within the Southern Health and Social Services Board are involved in the program, which permits the consumption of only milk and fruit at break time. METHODS: The authors assessed the effectiveness of the partnership using data from its first two years. RESULTS: Results of the first two years of evaluation are positive. Initial findings indicate that the program had a positive effect in increasing the mean number of sound teeth in children attending schools in areas in which socioeconomic conditions are poor. CONCLUSION: This initiative suggests that collaboration can facilitate improvement in children's dental health and that careful targeting of the policy to schools in poor areas has the potential to narrow disparities.

Child↗
PubMed1995

Perinatal partnerships in practice: a conceptual framework for linking care across the childbearing continuum.

Health care delivery across the childbearing continuum can involve multiple providers and sites, resulting in fragmentation and duplication of services. This article presents a framework for developing linkages across care sites and providers as a potential model for minimizing such fragmentation and duplication. Nurses' presence in all health care settings, dominance in the provision of direct care services, and holistic focus of care establish them as logical leaders in linkage development.

Continuity of Patient Care↗
PubMed1981

An organized locum tenens service and the cost of free time for rural physicians.

Dissatisfaction with the conditions of rural practice perpetuates the geographic maldistribution of physicians. This study evaluates the economic productivity of physicians who participated in an organized locum tenens (LT) service that was designed to improve practice conditions for rural physicians by making time off more feasible and less costly. The productivity of LT physicians, expressed as their average daily billing, was compared with the amount charged to rural clinics for the LT service and with the revenue billed by the clinic physicians during the same month. The clinics were charged $375/$439/day, compared with $584/day billed by the clinic physicians (p less than 0.01). The revenue billed by 85 per cent of the LTs exceeded the amount charged for their services; the revenue billed during 80 per cent of the coverage episodes also exceeded the $375/day level. When LT billing was expressed as a percentage of clinic physician billing LT productivity was found to be significantly higher in solo practices, as compared with partnership practices (97 per cent vs. 73 per cent, p less than 0.01). Assuming that a physician's overhead remains constant when he leaves, the cost of leaving a practice with LT coverage was almost invariable less than the cost of leaving without coverage. The finding justifies cautious optimism about using LTs to increase free time and improve practice conditions for rural physicians.

Ambulatory Care Facilities↗
PubMed1993

Advance directives: partnership and practicalities. Institute of Medical Ethics Working Party on the Ethics of Prolonging Life and Assisting Death.

When patients are no longer able to participate effectively in decision making, an advance directive or living will may assist clinicians faced with choices about whether or not to prolong their lives. But living wills are an imperfect substitute for active patient participation. The opinion of an informed proxy could help to interpret what a patient's wishes might have been in the light of his or her present condition and its possible treatment. Practical suggestions are made about informal arrangements whereby general practitioners might help to make such an opinion available when needed.

Advance Care Planning↗
PubMed1997

Hospital admissions for asthma in east London: associations with characteristics of local general practices, prescribing, and population.

OBJECTIVE: To determine the relative importance of appropriate prescribing for asthma in explaining high rates of hospital admission for asthma among east London general practices. DESIGN: Poisson regression analysis describing relation of each general practice's admission rates for asthma with prescribing for asthma and characteristics of general practitioners, practices, and practice populations. SETTING: East London, a deprived inner city area with high admission rates for asthma. SUBJECTS: All 163 general practices in East London and the City Health Authority (complete data available for 124 practices). MAIN OUTCOME MEASURES: Admission rates for asthma, excluding readmissions, for ages 5-64 years; ratio of asthma prophylaxis to bronchodilator prescribing; selected characteristics of general practitioners, practices, and practice populations. RESULTS: Median admission rate for asthma was 0.9 (range 0-3.6) per 1000 patients per year. Higher admission rates were most strongly associated with small size of practice partnership: admission rates of singlehanded and two partner practices were higher than those of practices with three or more principals by 1.7 times (95% confidence interval 1.4 to 2.0, P < 0.001) and 1.3 times (1.1 to 1.6, P = 0.001) respectively. Practices with higher rates of night visits also had significantly higher admission rates: an increase in night visiting rate by 10 visits per 1000 patients over two years was associated with an increase in admission rates for asthma by 4% (1% to 7%). These associations were independent of asthma prescribing ratios, measures of practice resources, and characteristics of practice populations. CONCLUSIONS: Higher asthma admission rates in east London practices were most strongly associated with smaller partnership size and higher rates of night visiting. Evaluating ways of helping smaller partnerships develop structured proactive care for asthma patients at high risk of admission is a priority.

Adolescent↗
PubMed1984

Problem solving styles of general practitioners in simulated clinical situations.

Self-assessments were received from 210 general practitioners responding to a series of six patients management problems published in a Norwegian medical journal. The physicians were invited to give their ratings on a five-point rating scale for 21 to 24 statements relating to each of the six case histories. From these ratings an answer index was prepared which measured the degree of decisiveness for each individual physician. The responding physicians showed great variations in their problem solving styles. Physicians with a high degree of decisiveness in their problem solving styles had significantly longer experience as general practitioners, were older and were more likely to work in single-handed practices rather than group or partnership practices. Sex, practice economy and work load were some of the variables not related to the observed differences in problem solving styles.

Adult↗
PubMed1986

Group practice in Singapore.

For a group practice to be successful compatibility of the members of the group is of paramount importance; other important considerations must include mutual respect and common objectives. Despite any high ideals, adequate reward for productivity is always expected by members of the group and any agreement must include an equitable financial distribution. In Singapore with a dentist population of 588, only 97 are involved in group practices. The assistantship type of practice is popular among new graduates who do not have the finance to invest in single-handed practices. Associateships do exist but in view of the increasing over supply of dentists it is envisaged that this type of grouping may not be too common in the future. There are 19 partnership practices in Singapore; a personal example is described to illustrate a successful group practice.

Group Practice, Dental↗
PubMed1996

Can we understand partnerships in general practice? A pilot study.

BACKGROUND: Partnerships have been investigated in different professions, but other than identifying problems, little work has been carried out on general practice. OBJECTIVE: The aim of this present study was to develop methods for studying partnerships in general practice. METHOD: A tripartite methodological approach was used, with questionnaires adapted from other instruments in use in other professions, followed by an individual interview with each partner, and non-participant observation at a partnership meeting. Results for one case-study partnership are given. RESULTS: There were no major differences between the partners on all dimensions measured; the minor differences indicated by the results of the questionnaires were corroborated by the partner interviews and observations. CONCLUSIONS: We conclude that the use of such techniques could provide support to partnerships going through significant periods of change.

Family Practice↗