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 1,423 records · Page 79Linked to original sources
PubMed2001

Dental education in Queensland I: the 1-3-1 model.

Dental education worldwide is under great pressure. This pressure is being driven not only by changing patterns of oral disease but also by economic factors both inside and outside universities. Technological advances and changing educational philosophies across the board also impact significantly on what we do and how we do it. This article outlines how the School of Dentistry at The University of Queensland is responding to these pressures within the context of local political, educational and economic realities. The so-called 1-3-1 model that has been adopted involves one year of basic science, three years of applied dental science and one year of extramural clinical practice. This model represents a partnership with the Queensland Department of Health and will: Involve dental education and the Dental School in the provision of health care to the community. Place the Dental School in a position to influence the delivery and quality of oral health care in the population and to assume some of the responsibility for it. Provide a wide range of clinical and community experiences for students prior to graduation. Allow the adoption of modern teaching methods such as Problem Based Learning (PBL) in Years II-IV with all the additional benefits e.g. communication skills. Provide an extended clinical period for the acquisition and development of clinical and technical skills prior to graduation. Be cost-effective both to the university and the health service. Allow for outside input without compromising the knowledge and research base. It is recognised that while the 1-3-1 model may meet the demands of a large, decentralised state such as Queensland, it may not be suitable for all institutions. In this context diversity in approach is one of the strengths of dental education, nationally and internationally.

Clinical Competence↗
PubMed1997

Bridging prevention and practice: public health and family violence.

Public health approaches the primary prevention of family violence by focusing on surveillance, the identification of risk factors, and the development, evaluation, and dissemination of interventions. Physicians and other health care providers are crucial in this process because they are in a unique position to identify at-risk individuals and populations and to implement both broad-based and targeted preventive and intervention initiatives. Incorporating public health principles into medical education and medical practice not only can reduce the severity of this epidemic by strengthening efforts in early detection and expert intervention but also can create effective primary prevention, an important necessary step towards eradicating every disease or condition. This article discusses the role of public health professionals in preventing family and intimate violence. It notes specific findings from public health research, including the cycle of violence and the need to incorporate issues of abuse across the life span, and other factors, into medical education. Addressing family and intimate violence in a caring and sensitive manner is difficult, and incorporating public health principles into medical education and medical practice can forge an effective partnership between medical practitioners and public health professionals. This new partnership represents both an important challenge and a unique opportunity to understand family and intimate violence and thus to develop and evaluate effective short- and long-term solutions.

Attitude of Health Personnel↗
PubMed1998

Developing models for pediatric residency training in managed care settings.

The preparation of pediatric residents to function optimally in managed care environments challenges educators to create a new set of educational objectives and competencies and to incorporate these into curricula that are already full. Many of the skills needed to practice managed care are those that have been required for the practice of pediatrics in any setting. Nevertheless, the emergence of managed care requires the identification of new knowledge to be acquired and new skills and attitudes to be incorporated into daily practice. These competencies can be identified most thoroughly through collaboration among physicians, educators, and leaders of managed care organizations. This joint effort should also serve to establish a foundation on which collaborative, mutually beneficial learning environments can be created. The development of curricula that provide the opportunities needed to attain managed care proficiencies requires an individualized approach for each program that takes into account the degree of managed care penetration in each training environment. Programs in which a managed care approach to patient care predominates will be able to promote most easily their trainees' incorporation of these principles into routine practice. Those with less regular exposure will be forced either to promote managed care principles in an environment in which they may not be accepted or practiced, or to join in partnership with managed care organizations (MCOs) to train residents. Regardless of the setting, evaluation methodologies must be developed to ensure that each of the core competencies has been learned, can be applied to clinical situations, and is retained throughout the training period. These efforts require the development of faculty who understand and can model a managed care approach to patient management. The ongoing evolution of managed care systems encourages the development of new, creative strategies to train faculty, who may find themselves learning about this emerging environment at the same time as are their trainees.

Curriculum↗
PubMed2000

Investing in self-care: a midrange theory of self-care grounded in the lived experience of low-income HIV-positive white women.

Little is known about the types of interventions that invite low-income women into partnerships that motivate self-care practices when living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). The increasing incidence of HIV infection in low-income women with histories of inattention to self-care calls for nursing theories that address self-care practices. The purpose of this article is to describe a midrange theory developed from grounded theory research and to discuss implications of theoretical construction for future knowledge development. For the 12 women in this study, self-care practices developed over time and through four categories: focusing self, fitting resources, feeling emotions, and finding meaning. The core category, investing in self-care, linked the categories and carried explanatory power for developing midrange theory. Implications for nursing knowledge development through partnerships with low-income women are discussed.

Adaptation, Psychological↗
PubMed2000

Healing relationships with nature.

Our health is intimately connected to the health of our environment. The contemporary world view which sees a radical distinction between humans as subjects and world as object can obscure our recognition of how much we rely on nature for health and survival. Indigenous traditions and contemporary scholars remind us that we live in a universe in which all things are connected, and in which nature continues to offer its gifts in co-creative partnership for the health and wellbeing of all. Living in awareness of our relationship with nature enables us to open more to the experience of nature's nurturing. Many complementary therapies derive from ancient practices that involve nature in healing partnership. As nurses and midwives we must learn to expand our boundaries to encompass the many ways that nature partners with us for healing.

Aromatherapy↗
PubMedDate not supplied

Shared territories: an element of culturally sensitive practice.

Culturally sensitive practice is expected of all professionals whether working domestically or internationally. This essay explores concepts relative to such practice, specifically discussing 'shared territories', multidimensionality, partnership, and ethnocentrism, and arguing for a view that places all of humanity in the diversity mix. The author writes out of her role as an academician with responsibilities for preparing students for future practice.

Cognition↗
PubMed2001

Partnerships, community participation and intersectoral collaboration in South Africa.

Five community partnerships (CP) were initiated in South Africa as demonstration projects aimed at the re-orientation of health professionals' education (HPE) to be more community responsive and interprofessional. A cluster evaluation of these partnerships has demonstrated that, in addition to motivating all stakeholders to forge closer working relationships, it is necessary for partnerships to pay close attention to a variety of structural and operational dimensions, the lack of which could prove to be major constraints to effective partnership functioning. This study critically reviews the challenges to collaborative working as experienced by the South African cluster. Within the context of the post-apartheid restructuring and development, the discussion highlights the insights that partnerships offer to clarify the extent to which potential barriers could affect the stakeholder groups. The paper identifies potential impediments, and makes explicit how they impact on partnership fostering. Evidence is also presented for their early detection and possible solutions are identified. The lessons learnt from these South African cases are that wide representation, commitment and a sense of ownership, sound leadership skills, regular and effective communication, reliable member expertise and capabilities and attention to power issues are crucial elements in the partnership equation. The paper concludes with an invitation to health administrators and partnership executives to devote attention to the array of interacting components that, collectively, could impinge on the effectiveness of the multifaceted nature of interprofessional joint working arrangements.

Cluster Analysis↗
PubMed2000

Citizens Advice Bureaux in general practice: an illuminative evaluation.

A number of Citizens Advice Bureaux (CAB) have entered into partnerships with Health Authorities in order to provide advice in general practice surgeries as part of the health care services offered by the primary health care team. This illuminative evaluation has involved an exploration of the impacts of the service from the perspective of its users, the CAB advisers and the referral agents. Data was collected from questionnaires, individual interviews and focus group interviews from participants in both a rural and urban setting. The findings of the study suggest that locating CAB advisers in GP surgeries facilitates access for people who would otherwise be effectively excluded by reason of age, poor health, poverty or lack of transport. Overall, consultations with the CAB advisers were perceived very positively. This study would suggest that Citizens Advice Bureaux in GP surgeries are a viable and useful adjunct to primary health care teams in terms of information-giving, social support, up-take of benefits and co-ordination of services.

Journal Article↗
PubMed2026

Development of a Blockchain-Based Platform to Enable Indigenous Data Sovereignty and Shared Research Participation With Indigenous Communities: Technology Prototyping and Community Engagement Study.

BACKGROUND: Historic and ongoing problematic practices regarding the collection, storage, and use of Indigenous health data have led to the need to ensure principles of Indigenous Data Sovereignty (IDS) are followed in research practices and technology development. OBJECTIVE: This project, a partnership between UC San Diego and the Native BioData Consortium (NativeBio), sought to explore the practical application of blockchain technology and its potential to facilitate Indigenous-led research collaboration. METHODS: This project first undertook purposeful relationship building with NativeBio to form a Community Advisory Board (CAB) for identifying community and technology needs for a blockchain research collaboration platform with an initial focus on genomic data. Over a 2-year project period, a series of public meetings and presentations at Indigenous-led conferences introduced the concept of exploring compatibility between blockchain and IDS principles, followed by iterative prototyping and co-design of a blockchain platform with NativeBio, using Ethereum as the underlying protocol. RESULTS: Direct engagement with NativeBio and the CAB informed the initial design and development of a "b-IDS" proof-of-concept (POC) blockchain platform. The POC consists of three main components: (1) the web front-end layer, (2) the Ethereum network that executes the smart contract and blockchain storage aspects of the framework, and (3) the back-end database that stores off-chain interactions and data for future use with external genomic data repositories. After refinement of the POC, a community-based participatory research (CBPR) use case aligned with IDS principles was identified as a practical workflow and incorporated into the design of the POC for implementation. CONCLUSIONS: The findings from this project demonstrated the potential use of operationalizing IDS through blockchain technology with proactive and sustained engagement with Indigenous partners. Blockchain technology may have certain advantages over other data governance approaches and systems, facilitating timely oversight, shared decision-making and consent structures, and direct involvement of Indigenous communities in technology design, respecting the core principles of IDS and CBPR. Future development of the blockchain-IDS POC will need to incorporate other research practices and ethics frameworks to expand its use to other public health and biomedical research use cases.

Blockchain↗
PubMed2006

Collaborating to conserve large mammals in Southeast Asia.

Depressed mammal densities characterize the interior of many Southeast Asian protected areas, and are the result of commercial and subsistence hunting. Local people are part of this problem but can participate in solutions through improved partnerships that incorporate local knowledge into problem diagnosis. The process of involving local people helps build a constituency that is more aware of its role (positive and negative) in a protected area and generates site-specific conservation assessments for management planning. We illustrate the practical details of initiating such a partnership through our work in a Thai wildlife sanctuary. Many protected areas in Southeast Asia present similar opportunities. In local workshops, village woodsmen were led through ranking exercises to develop a spatially explicit picture of 20-year trends in the abundance of 31 mammal species and to compare species-specific causes for declines. Within five taxonomic groups, leaf monkeys (primates), porcupines (rodents), tigers (large carnivores), civets (small carnivores), and elephants (ungulates) had declined most severely (37-74%). Commercial hunting contributed heavily to extensive population declines for most species, and subsistence hunting was locally significant for some small carnivores, leaf monkeys, and deer. Workshops thus clarified which species were at highest risk of local extinction, where the most threatened populations were, and causes for these patterns. Most important, they advanced a shared problem definition, thereby unlocking opportunities for collaboration. As a result, local people and sanctuary managers have increased communication, initiated joint monitoring and patrolling, and established wildlife recovery zones. Using local knowledge has limitations, but the process of engaging local people promotes collaborative action that large mammals in Southeast Asia need.

Animals↗
PubMedDate not supplied

Andhra Pradesh builds a model immunization system Indian state protects millions and shows what new vaccines and technologies can do.

Andhra Pradesh has built a model immunization program over the last few years. Main accomplishments include the state's adoption of hepatitis B for all its newborns and now, for the first time, the Indian government is offering universal coverage of all Indian infants with Hepatitis B vaccine. The AP government, working in partnership with PATH, an international, nonprofit organization based out of Seattle, Washington, USA, has made a series of improvements to the health system. The partnership fostered widespread adoption of safe injection practices and technologies, and improved immunization systems through responsive, supportive management. Japanese encephalitis (JE) control was greatly enhanced through the AP government partnership with PATH, resulting in a 90 percent reduction in cases of JE within the first year of joint efforts.

Biomedical Technology↗
PubMed2003

Mutual influences of general practitioners in partnerships.

The aim of this study was to find out whether or not general practitioners (GPs) within the same partnership show more similarities in attitudes and behaviour than GPs in different partnerships, and what the causes of these similarities might be. Knowledge of the causes of patterns of similarities within medical teams contributes to understanding medical practice variation, which is crucial in developing effective health care policies. Data were used from the Dutch National Survey of General Practice ('87/'88), consisting of a stratified sample of 161 Dutch GPs, who served 335,000 patients in total. To find out whether GPs in the same partnership are indeed more similar than GPs randomly chosen from different partnerships, we constructed two kinds of pairs: all possible pairs of GPs working in the same partnership (actual pairs), and randomly constructed pairs of GPs who are not working in the same partnership (random pairs). For each pair difference scores were computed for a variety of attitudes and behaviour. Difference scores for actual and random pairs were analysed using multi-level analysis. Most differences in attitudes and behaviour were smaller for actual pairs than for random pairs. Furthermore, in the majority of the cases differences were no longer statistically significant after explanatory variables indicating selection, gradual adaptation and rapid adaptation through shared circumstances were taken into account. It was found that Dutch GPs working in the same partnership showed more resemblance in attitudes and behaviour than GPs not working in the same partnership. Most indications point towards circumstances, and to a lesser extent towards adaptation, as an explanation of similarities within partnerships. The implication of this study is that medical practice variations are not merely individual differences in preferred practice style, but are patterned by social processes in partnerships and local circumstances.

Attitude of Health Personnel↗
PubMed2001

Professional and community efforts to prevent morbidity and mortality from oral cancer.

BACKGROUND: Oral and pharyngeal cancers cause significant morbidity and mortality, yet there has been little improvement in survival rates in the past 30 years. Because early diagnoses significantly increase survival rates, the authors summarize several approaches to educating and mobilizing the dental profession and the public about this problem. Clinicians are invited to initiate similar programs to catalyze change in their own communities. METHODS: The authors found that many approaches have been used to define the problem and initiate change. These include surveys, focus groups, development of consortia, media programs, flyers, leaflets, prescription pads, legislation and professional endorsements. RESULTS: In Maryland in 1996, only 20 percent of adults reported receiving an oral cancer examination, and most oral cancers were diagnosed at late stages by physicians, not dentists. Results of the public educational campaigns in the regions of New York/New Jersey and Maryland have not been formally evaluated, but there is a developing consensus that oral cancer diagnostic practices in the regions with active educational programs are increasing. CONCLUSIONS: Coalitions or partnerships among individuals and organizations from government, academia, private practice, industry, the general community and the media can affect awareness about oral cancer prevention and early detection on a regional basis. CLINICAL IMPLICATIONS: By increasing awareness of oral cancer among the dental profession and the public, earlier diagnosis of these cancers with consequent improved cure rates is likely. Providing oral cancer diagnostic services as a routine part of an oral examination also may motivate patients to visit the dentist at least once a year.

Adult↗
PubMedDate not supplied

Promising practices: how leading safety-net plans are managing the care of Medicaid clients.

Health plans formed by safety-net providers serve large numbers of Medicaid beneficiaries. Through a series of case studies, we examined the care management tools used by leading safety-net plans. These plans do not rely on the coercive, command-style tools of managed care. They rely instead on tools that emphasize partnership with providers: sharing data about practice patterns, using provider profiles and financial bonuses to encourage particular practice patterns, and developing disease management programs that encourage patient compliance with treatment decisions that the plans make little effort to shape. The evidence suggests that these are promising practices but that even these leaders still have a long way to go.

Disease Management↗
PubMed1999

An academic-community partnership: a model of service and education.

To meet the challenge of preparing nurses for delivery of health care that is directed toward health promotion and focused on populations at the community level, it is critical that academicians develop new methods to educate their students. In this article, I describe an innovative clinical practice model in which an academic-community partnership was created between a college of nursing and a neighborhood grade school and parish. The purpose of the partnership is to provide needed health services to clients, at the same time giving students the opportunity to practice population-focused care in the community. The benefits of the partnership are numerous, including improved client health status, increased access to health promotion services, and enhanced student learning.

Adolescent↗
PubMed1988

Psychological aspects of NFP practice.

A psychological investigation was implemented to find out if NFP users are characterized by special personality traits and if there are any correlations between NFP practice and changes within the marriage partnership. A total of 258 NFP users, both women and men, were investigated with questionnaires of the type generally used in the field of personality research in the Federal Republic of Germany, and also with questionnaires concerning the partnership and attitudes toward pregnancy, sexuality, and childbirth. It was found that with respect to personality traits, the NFP user does not differ considerably from people designated as "normal population." Only their attitudes toward sexuality are more positive and uninhibited, and the women feel less subjectively helpless than the standard sample. Furthermore, there is a connection between increased NFP experience and changes within the partnership, in that there is a reduction of "dominant" attitude (in both men and women) with growing NFP experience. Couples with long NFP experience and NFP beginners have nearly the same degree of well-being between the partners, whereas couples who have just passed the learning phase show more ill-feeling between husband and wife. Factors concerning the partnership account much more for the differences in marital satisfaction than do sociodemographic variables or personality traits.

Adult↗
PubMed1995

Education and practice collaboration: a strategy for curriculum development.

Five schools of nursing in British Columbia formed a collaborative partnership in 1989; four represented diploma programs, and one a post-RN program. Their partnership benefited each in the development of a baccalaureate nursing curriculum. Committed to the principle of a curriculum being driven by practice, rather than the reverse, the collaborative partners employed a variety of strategies to include nurses from practice in the development of the curriculum. One strategy used by the partnership was a Delphi survey of nurses in practice. This article describes the results of this survey and their implications for nursing curricula.

British Columbia↗