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PubMedDate not supplied

First-trimester prenatal counseling in private practice.

The future of first-trimester prenatal counseling in private practice is as bright as office nurses choose to make it. Currently, counseling of this kind is being offered only at two places, the Sunnyside office and at the office of another obstetrician whose nurse was trained for counseling by the author. A huge network of private practice counseling is possible, however, if office nurses would learn these skills. Despite some reports of opposition, many physicians would welcome nurses in this counselor's role. A 1972 survey of obstetrician-gynecologists showed that 51% favored delegating more tasks to the office nurse, if only to free the physicians's time to see additional patients. According to the physicians surveyed, the "maternity nurse could perform many of the prevention and counseling routines" the physicians felt took up roughly 75% of their office time. First-trimester prenatal counseling in private practice is not only possible in a structured, group-oriented sense, but it is necessary and worthwhile as well. Patients have become increasingly aware of their rights as consumers of health care. Where they get their information-and how accurate and complete it is-is largely up to the nursing profession.

Counseling↗
PubMed2005

A descriptive study of private practice in music therapy.

Of professional music therapists in the American Music Therapy Association, 9% report being self-employed or in private practice. The purpose of this paper was to provide initial data concerning music therapists who are in private practice. The researchers successfully sent out 353 surveys and 118 were completed and returned via electronic mail for a response rate of 33.4%. Although general, results indicate that music therapists in private practice are active within the profession, doing presentations and inservices, conducting research, supervising practica students and interns, and keeping current with forthcoming research. Data indicate that most music therapists chose private practice due to a more flexible schedule, increased salary, and the lack of previously established job opportunities. Additionally, 65.8% of respondents reported having a bachelor's degree in music therapy, 29.2% reported having a master's degree, and 5.1 % reported having a doctoral degree. Quantitative results, rationale, and suggestions are included in an attempt to assist music therapists who are interested in starting private practices.

Attitude of Health Personnel↗
PubMed1996

Nurse practitioner private practice: three legal pitfalls to avoid.

Private practice is now a viable option for nurse practitioners. NPs who open their own practice will be wise if they anticipate, consider, and act to prevent certain potential legal problems. Awareness and avoidance of these problems--risk avoidance--is the legal equivalent of preventive medicine. This article gives NPs an attorney's perspective on setting up a practice and some of the legal pitfalls to avoid.

Humans↗
PubMed1992

The changing private practice environment: how to analyze opportunities.

The search by physicians for opportunities to improve the short-term performance and long-term value of their practices has resulted in the creation of a range of affiliation and group practice structures and changed the traditional private practice profile. The resulting ability to structure an environment that is optimal for each practitioner or group of practitioners can enhance the delivery of medical care and serve to attract an array of individuals to private practice. In order for this evolution to be successful, however, the entities must be developed with thoughtful and detailed analysis and should be flexible enough to adapt to the continually changing environment.

Ambulatory Care↗
PubMed2004

Preanesthetic evaluation in private practice.

The preanesthetic evaluation is an essential element of the anesthetic management of a patient. The type of practice, academic or private, should have no bearing on the quality of the evaluation. The practice environment may play a significant role in the type of patient and procedure but should not diminish the quality of care for any particular patient. However the extent, timing methodologies for the preanesthetic evaluation will vary according to patient medical requirements, surgical procedures, resource availability, patient convenience and,perhaps the key element, staffing availability. Each practice environment needs to develop its own solutions. Private practice, especially in the smaller locations,may need to be more sensitive to staffing and personnel issues and patient satisfaction. Technology, especially in the smaller private practice environments where staffing is more likely to be an issue, may greatly facilitate the process and improve the quality. However, technology may require extensive support (time and money) to implement, but the indirect gains should justify the effort.

Anesthesia↗
PubMed1991

Environmental-scanning behavior among private practice physical therapy firms.

This study examined the extent to which private practice physical therapy firms focused on specific environmental sectors in the process of making business decisions. Furthermore, the relationship between scanning behavior and both entrepreneurship level (high, middle, low) and direct-access status (complete, partial, none) were analyzed. The sample consisted of 450 randomly selected private practice decision makers (eg, owners, chief executive officers) from throughout the United States. Data were gathered using a mailed, structured questionnaire. Physical therapy private practices were found to differentially attend to environmental sectors with the customer sector ranked the highest followed, in descending order, by the technological, regulatory, socio-cultural-political, competitive, and economic sectors. In addition, firms in the high-level entrepreneurship group scanned the technological and marketing (customer, competitive) environments to a significantly greater degree than did the middle- and low-level groups. Direct-access status had no effect on scanning behavior.

Adult↗
PubMed1994

Issues involved in setting up a private practice.

Jen Byrne and Vicki Bruce conduct Parenting Education for expectant parents, a private practice of childbirth education in Adelaide. How the practice evolved and what goals were set, the time lines, commitment to the cause and taking risks to achieve results all required careful thought. There were barriers too, in setting up this practice. This paper discusses the particular issues involved in setting up a private practice in childbirth education. Midwives and nurses are new to the area of private practice and our education has not prepared us for this expansion of our role. Issues such as the legal aspects, financial survival, professional support and marketing are discussed.

Australia↗
PubMedDate not supplied

Design and implementation of a nuclear cardiology testing facility in a private-practice cardiology office setting.

Nuclear cardiology services increasingly are being provided in private-practice cardiology office settings. Because training programs are hospital based, trainees in nuclear cardiology may find only limited guidance on how to set up a private-practice nuclear laboratory. Furthermore, there is no literature to date advancing "models" for such facilities that might be useful for practice managers. The purpose of this review is to address common issues related to setting up and administering a nuclear cardiology laboratory in a private-practice cardiology office.

Cardiology↗
PubMedDate not supplied

Factors influencing dental hygiene retention in private practice.

PURPOSE: The objective of this study was to identity specific factors that contribute to dental hygienists remaining in the same private practice employment setting for five or more years. Working conditions, the employer and the organizational structure of the employment setting, scope of practice, and personal factors were assessed. METHODS: In 1992, a self-designed questionnaire was sent to a sample of 1,200 licensed dental hygienists. One state was randomly chosen from each of the 12 American Dental Hygienists' Association (ADHA) regions of the United States, and 100 licensed dental hygienists were randomly selected from each of these twelve states. Data were analyzed using univariate analysis (frequency distribution) and multivariate analyses (factor analyses). RESULTS: A 62.9% (n = 755) response rate was obtained from the 1200 questionnaires mailed. Of those dental hygienists, 14.3% (n = 108) were not practicing, and 85.7% (n = 647) were currently practicing. Nearly two-thirds (63.3%; n = 480) of the total number of respondents had been practicing five or more years in the same practice setting. Six major factors were identified by dental hygienists as reasons for remaining in one private practice setting for at least five years (1) quality/safe work environment, (2) time management for high-quality dental hygiene services, (3) effective employer office policies/procedures and personnel management, (4) employer support of professional career, (5) supportive work environment, and (6) variety in scope of practice. CONCLUSIONS: Factors identified in this study as influential in dental hygienists' retention in private practice are similar to those identified as reasons for leaving the profession in previous attrition and reentry studies. To increase retention and job satisfaction of dental hygienists in the private practice setting, strategies for effectively working with employers should be emphasized in dental hygiene and dental curriculums and in continuing education programs.

Adult↗
PubMed1994

Does subsidizing rural community health centers hurt private practice physicians?

One reason for the shortage of primary care physicians in rural areas may be these physicians' reluctance to compete for patients with federally subsidized Community Health Centers (CHCs). Yet little is known about the relationship between private practice physicians and physicians in federally subsidized practices who share service areas. We used surveys from a two-state subset of a nationally representative sample to compare practice characteristics of three types of physicians: those who work in CHCs; those in private practice within CHC service areas; and private practice physicians in other rural areas. We found that rural physicians who compete with CHCs earn incomes comparable to physicians in rural areas who do not compete with CHCs, and that the percentage of Medicaid and uninsured patients seen in private physician practices does not increase when a CHC is not in the county. We conclude that CHCs do not provide competitive barriers to physicians in private practice, although we do not know if the presence of a CHC inhibits new private physicians from entering practices in these communities.

Adult↗
PubMed1989

Employment choices and earnings of social workers: comparing private practice and salaried employment.

Direct recognition statutes, such as freedom of choice and vendorship laws, have the potential to increase the number of independent providers of psychotherapy, and thus to increase competition in the market for psychotherapy. These laws increase the economic return to private practice by requiring that third-party payers directly reimburse psychologists and social workers. There has been, however, little empirical investigation of the responsiveness of psychotherapists' employment choices to changes in the economic return to private practice. In this study, a structural model of social workers' earnings and employment choices between private practice and salaried employment is estimated. After correcting for the potential self selection bias, the results suggest that increasing the relative return to private practice does not increase the probability that a social worker will enter private practice.

Economic Competition↗
PubMed2004

[Cognitive disorders and dementias in the private practice of specialists: pilot study of a self-assessment survey].

OBJECTIVES: To know about the features of cognitive disorders and dementias in the private practice of specialists and these doctor's skills on that area. METHOD: In this pilot study, self-assessment questionnaires were delivered to neurologists of São Paulo State and 196 (22.8%) were respondents. RESULTS: Many neurologists are involved, besides the private practice, with teaching (61.5%) and/or research (59.5%) activities. Most of them assessed as not good the training on cognitive disorders and dementias they had had during both the graduate (77.3%) and residence (63.1%) courses; nevertheless 60.8% self rated their knowledge on that subject as satisfactory and 83.0% declared their interest on it as at least equal to other areas. The most frequent cognitive complaints occurring as primary reason for appointment are memory loss (73.0%) and attention/concentration deficits (48.0%). Dementia of Alzheimer type (54.9%) and vascular dementia (23.0%) are the most frequent ones in the neurologist private practice. CONCLUSION: Cognitive disorders and dementias represent a significant proportion in the neurological private practice. Although they had not had a good training on the area of cognitive disorders and dementias, the respondent neurologists demonstrated great interest on it.

Adult↗
PubMedDate not supplied

Adult clients' recall of oral health education services received in private practice.

PURPOSE: The purpose of this study was to determine adult clients' recall of oral health education services they received in private practice settings. METHODS: A written questionnaire was completed by a convenience sample of 199 adult clients who each had an appointment at a university dental hygiene clinic. Responses were statistically analyzed to generate frequency distributions of recall of oral health education services received in private practice and to determine if statistical differences existed in the number of services recalled according to selected client characteristics. RESULTS: The results indicated that 14 of the 22 oral health education services included on the questionnaire were reported to have been provided to fewer than half of the study participants when they were treated in their private dental care setting. The subjects were most likely to recall they were given a toothbrush. Chi-square analysis of selected client characteristic variables indicated that only four of the services were statistically significant between the reported frequencies and client age and periodontal health status. The differences between the reported frequency of services for females and males were not statistically significant. Subjects recalled that more oral health education services had been provided in conjunction with a prophylaxis by a dental hygienist; the differences in the reported frequencies for 16 of the 22 services were statistically significant. (p < or = .05) CONCLUSIONS: The convenience sample and data constraints, which depended on the clients' recall of services received in a private practice setting, must be considered in interpreting the results. Even though dental hygienists provide more oral health education services than other oral healthcare practitioners, the generally low frequencies of adult client recall of oral health education services received in private practice settings indicate that oral healthcare providers may not incorporate effective learning strategies into their health education programs.

Adult↗
PubMedDate not supplied

[A survey of private practice psychiatrist's training and activity in activity in Aquitaine, France, in 1993].

UNLABELLED: This study was conducted to gather information regarding the current professional activities of French private practice psychiatrists. METHOD: A mail survey was carried out in an attempt to find more about the characteristics of the 380 private practice psychiatrists in Aquitaine (south west France) in 1993. Data are reported in terms of psychiatrist's characteristics (demographics, training and practice activities), patient characteristics and trends in treatment modalities. RESULTS: There was a good response rate (55%), and this enabled us to statistically analyze the data to determine profiles of activities. For the respondents in this survey, the median age is 45 years and 30.7% of respondents are women. The portion of responders reporting a qualification in Neuropsychiatry versus Psychiatry, is low (1/7). The patients seen in private practice are generally young females with anxiety and affective disorders. An important feature was the trend for psychotherapy training and practice. Psychoanalytically oriented and individual psychotherapy were predominant over other forms of psychotherapy. Half of the psychiatrists reported using pharmacotherapy in combination with psychotherapy. There are only little differences in the practice of young and female psychiatrists. CONCLUSION: The impact of psychodynamic theories on the training of French private practice psychiatrists is still very important. Interestingly, these same psychiatrists seem to use an eclectic approach to their practice of psychiatry; about half of the respondents report using pharmacological treatments in combination with psychoanalytically oriented psychotherapy.

Adult↗
PubMed1977

Methodology and results of a survey of adverse reactons to a drug in private practice.

A survey of tolerance of a drug, determined in private practice under "naturalistic" conditions by 591 physicians, and involving 22277 patients is presented. The procedure used in private practice to gather systematic information about reactions to the drug involved a system of data sheets with detachable cards for optical reading and computer analysis. The survey was conducted under the responsiblity at regional level of a team of scientific coordinators-hospital pharmacologists and poison control centres. Possible side effects were noticed in 13,82% of patients, a figure similar to known nocebo reactions. Tolerance was significantly related to sex, age, weight, geographical area, duration of treatment, association with other durgs and therapeutic result. When related to individual physicians, the overall number of side effects and the frequency of three of them in particular did not follow a binomial distribution; the rate of adverse reactions was significantly related to the number of years of practice of the physicians.

Adult↗