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At least 1,441 records · Page 80Linked to original sources
PubMed1996

Fluoridation and the private practice of dentistry.

Water fluoridation holds an important place in the history of Grand Rapids. This paper recounts the firsthand professional experiences of a dentist before and after he joined his father's established dental practice in Grand Rapids, only two years after fluoridation of the city's water supply began. The benefits of water fluoridation are documented through a review of office records. The prevalence of dental caries in patients who were born in Grand Rapids after water fluoridation began is low, and no case of a missing first permanent molar was found. Quadrant dentistry is no longer practiced. Children of parents born in Grand Rapids after the start of water fluoridation experience less decay than their parents, suggesting that factors in addition to water fluoridation have played a role in the downward trends in caries. The complete destruction of mouths of patients seen in this practice 50 years ago no longer happens, providing evidence of the benefits of water fluoridation, the most important advance ever in dentistry.

Adolescent↗
PubMed1990

Prescription of antibiotics to out-patients in hospital clinics, community health centres and private practice.

Prescription of antibiotics in Sweden varies between countries within a range of 13-20 DDD/1000 inhabitants/day. In Malmöhus county, which accounts for the highest prescription rate, the amounts and proportions of erythromycin and tetracyclin prescribed are particularly large. All prescriptions for antibiotics dispensed in half of the pharmacies in the county during a one-week period were examined with respect to type of antibiotic and category of physician responsible for the prescription. Among 5,165 antibiotic prescriptions examined, broad spectrum antibiotics were more frequent in urban than in rural areas, and were more often prescribed by hospital physicians and private practitioners than by district physicians. Erythromycin was particularly often prescribed by paediatricians, the frequency being comparable to that of phenoxymethylpenicillin. Retrospective analysis of consultations at the ENT and paediatric clinics for respiratory tract infections showed that phenoxymethylpenicillin was not always the drug of choice by hospital physicians, despite a recommendation to that effect by the Board of Health and Welfare. The findings suggest that the choice of antibiotics is determined not only by medically relevant factors and Board recommendations but also by the habits of the consulting physicians.

Anti-Bacterial Agents↗
PubMed1993

Management of elderly patients in the private practice system.

The distribution of the world's population has resulted in a significant increase in both the number and percentage of older adults in the industrially developed countries. The ageing populations in these countries are tending to maintain natural teeth longer and so require preventive and restorative dental services as they age. The majority of these populations live in the community and are functionally independent while a much smaller minority have become frail. An even smaller minority are institutionalised, hospitalised or home-bound. The majority of those who live in the community can utilise the services of dentists working in their own private offices or government clinics provided dentists are sensitive to their needs.

Aged↗
PubMed1999

Avoiding malpractice in private practice and the hospital setting.

An overview of very real considerations for the practicing plastic surgeon with regards to potential areas of risk and liability have been presented. As one can see, the hospital environment presents many potential sources of liability that can involve the attending or consulting plastic surgeon.

Health Personnel↗
PubMed1978

Financial awareness for the veterinarian in private practice.

The need for economic awareness is stressed, and some practical aspects which the author has found helpful are described in detail. Some such examples are: linking both professional and other salaries to gross fees as an aid to motivation, cash or credit for accounts receivable, financial analysis to guide money management, and the marketing of pet vaccines.

Economics, Medical↗
PubMed1997

Career changers: dentists who choose to leave private practice.

Some dentists have voluntarily chosen to leave the dental profession despite the considerable time, effort, and financial expenditures involved in their educations. The purpose of this study was to survey the entire population of dentists who had identified themselves as being principally employed in a career outside of clinical practice in the American Dental Association's 1991 Census. A four-page survey was mailed to 654 former dentists, with a total of 237 usable responses (36%). Analysis of major demographic variables showed no significant difference between the survey respondents and the 1992 ADA Survey of Dentists. Major reasons cited by respondents for entering dentistry included professional, financial, and independence factors. Respondents as a group rated their dental school experience as average in degree of difficulty. Clinical dental experience was varied, with a substantially smaller percentage (37%) choosing solo clinical positions than the 1992 ADA Survey of Dentists reported (69%). Reasons for leaving practice included financial, stress, and external regulation concerns. Current careers varied widely, with business, teaching, medicine, and investing being the most common. Respondents ranked their current careers as considerably more favorable on measures of perceived creativity, freedom, belonging, and whether they would choose the same career again. These findings indicate that there was a difference between the perception of a dental career and the reality of clinical practice for the study sample.

Adult↗
PubMedDate not supplied

Private practice: the time is now.

Nurses are creative professionals who have their own expertise in delivering personalized health care. Until we establish our own autonomy within the health care system, we will continue to be misjudged and undervalued. The development of an independent nursing practice is one method of demonstrating autonomy. What is needed is proper information, positive thinking and the courage to move forward. We need to support nurses in the pursuit of autonomy for the sake of ourselves, our clients, and the health care system.

Consultants↗
PubMed1995

Use of dreams in therapy: a survey of clinicians in private practice.

A literature review indicated a dearth of research on how dreams are used in therapeutic settings so a questionnaire was sent to a random sample of 500 members of the Florida Psychological Association to assess (a) the extent of dream use in therapy, (b) theoretical approaches applied to dream interpretation, and (c) basis for experience and expertise in dream work. Of the 500 potential clinicians, 228 returned survey forms for a response rate of 46%. Analysis indicated that 83% of the respondents used dream material at least occasionally in their practice and that Freudian and Gestalt approaches were most often used in dream interpretation. Interestingly, most respondents gained their 'experience' in dream work through self-study and continuing education workshops and seminars.

Adult↗
PubMed2003

Prevalence of advanced neoplasia at screening colonoscopy in men in private practice versus academic and Veterans Affairs medical centers.

OBJECTIVES: Several large population studies assessing the yield of average risk screening colonoscopy have evaluated Veterans Affairs (VA) populations. It remains uncertain how generalizable these findings are to men in the general population. The aim of this study was to define the prevalence of advanced neoplasia in male patients undergoing screening colonoscopy in diverse practice settings. METHODS: The Clinical Outcomes Research Initiative (CORI) national endoscopic database was analyzed to compare the findings in men undergoing average risk screening colonoscopy in community, academic, and VA endoscopy settings. RESULTS: Between January, 1998, and May, 2002, a total of 9109 men underwent screening colonoscopy in community (5625), academic (2269), and VA (1215) settings. Overall yield of colonic lesions (mass or polyp >9 mm) on average risk colonoscopy was 5.1%; 5.7% (community), 3.4% (academic), and 5.9% (VA) in each site, respectively. Among patients with lesions identified, multiple lesions >9 mm were less common in academic settings (6.4%) compared to community (12.0%) or VA (8.9%) sites. When adjusting for age and ethnicity on multivariate analysis, colonic lesion detection at VA sites was similar to community settings. However, lesion identification was more likely in both settings (VA: OR = 1.72; community: OR = 1.56) compared to academic centers. CONCLUSIONS: Age- and race-adjusted prevalence of polyps >9 mm in men who receive screening colonoscopy was significantly lower in academic sites compared to VA and community practice sites. One must be cautious in generalizing the findings of male patient studies from academic centers to the entire population.

Academic Medical Centers↗
PubMed1990

Influences affecting radiologists' choices of academic or private practice careers.

The authors surveyed 5,000 practicing radiologists and 3,000 individuals currently in radiology training to determine the aspects of their backgrounds, education, training, and attitudes that most affected their career decisions. The choice of academic radiology was associated with receiving medical school education or radiology training at an institution ranking among the 20 with the most federal grant funding, publishing research articles, and participating in a variety of interpersonal research experiences during radiology training. Academic radiologists were more likely to choose their careers because of their interests, aptitudes, and greater concern for the value of doing research. Private practitioners rated family obligations, leisure time, and level of personal income as more significant influences on their career choices. Programs interested in training more academic radiologists should reconsider how they select trainees and provide an appropriate research environment during training.

Adult↗
PubMed1989

The midwife in private practice in Indonesia.

Indonesia is an archipelago, the largest in the world, stretching 3,200 miles from east to west. It straddles the equator between the Asian and Australian continents. The climate is tropical and has two seasons, the dry season from June to October; and the wet season from November to March. The total population is currently estimated as only 165 million and Indonesian is the national language.

Family Planning Services↗
PubMed1975

Obstetricians and nurse-midwives: The team approach in private practice.

Much has been written about the need for help for the overworked obstetrician. Two obstetricians delivering over 500 babies annuallay had insufficient time for their gynecology practice. Two nurse-midwives were employed and in the first year they delivered 61 per cent of those patients who delivered vaginally. All normal patients had the privilege of choosing their accoucheur; patients, nurse-midwives, and obstetricians were very well pleased with the team approach.

California↗
PubMed2004

[Certification of pathology institutions--a new direction? The view of a pathologist in private practice].

Accreditation according to EN DIN 45004 is a new way of documenting quality assurance and competence in pathology institutes and practices. In addition to a quality-assurance program according to ISO 9002, the accreditation requires the demonstration of diagnostic competence to a panel of experts. Accreditation results in a marked improvement of diagnostic quality and appears suitable to document special competence in pathology according to a flexible internationally-recognized norm. The evaluation of both process- and outcome quality makes it superior to a formal quality management.

Academies and Institutes↗
PubMedDate not supplied

A sampler of marketing strategies for private practice.

When a practitioner sets out to develop a broad base of influence in order that referral sources are varied and active, marketing must address client, business and professional issues. When resources of money and time become scarce, a satisfied client must be and always will be the best recommendation. To maintain a long line of satisfied clients, credibility, reliability, and reputation must be fostered through personal drive, energy and eternal optimism. Other marketing alternatives must be evaluated for cost effectiveness and ultimate outcomes. All of this can be consumingly fun and rewarding.

Consumer Behavior↗
PubMed1978

Strabismus therapy in private practice: Cure rates after three months of therapy.

In this study, a random strabismus sample of 86 strabismus therapy patients meeting certain criteria was evaluated. The roles of retinal correspondence, amblyopia, eccentric fixation, prior surgeries, type and magnitude of deviation, number of therapy sessions undertaken, age at onset of therapy, and academic difficulties were scrutinized to see how they affect prognosis for functional cures(Flom's criteria), cosmetic cures (angle less than, or equal to 15 prism diopters) and total cures; the sum of functional cures and cosmetic cures.

Adolescent↗
PubMed1991

Management of uncomplicated acute myocardial infarction: are there differences in patterns of care between VAMC physicians and private practice physicians?

Uncomplicated acute myocardial infarction is a diagnostic category in which significant changes in patterns of care have occurred in the past 17 years. In this retrospective study, a comparison has been made between actual practice patterns of VA physicians and those reported in literature. Findings demonstrated differences in: length of stay in a monitored bed-5 days vs. 2.8 days; drug preferences--calcium antagonists and nitrates vs. nitrates and plasminogen activators; pre-discharge diagnostic studies--cholesterol/triglyceride levels and coronary angiography vs. lipid levels and exercise electrocardiograms; and patient education--follow-up appointments and diet vs. smoking cessation, diet, and exercise programs.

Adult↗