Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Privatization”

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 1,747 records · Page 97Linked to original sources
PubMed1984

Loss of the H-2.33 private specificity by 3LL tumor cells correlates with the tumor potential to metastasize across the H-2K region genetic barriers.

Grafts of the metastatic 3LL Lewis lung carcinoma result in pulmonary metastases in mouse strains which share with the tumor strain of origin (C57BL/6, H-2b) the non-H-2 background genes and the H-2D/H-2L region of the major histocompatibility complex. Lung metastases across H-2K region disparities correlated with low expression of H-2Kb-encoded molecule on the tumor cell surface. We tested whether the 3LL tumor cells lack H-2Kb private and/or public specificities by staining 3LL tumor cells and spleen cells of different recombinant mouse strains with H-2d anti-H-2b and anti-3LL antisera, respectively, following absorption of the antisera on spleen cells from various recombinant mouse strains. The data demonstrated weak expression of H-2Kb public specificities (which could represent H-2Db/H-2Kb biregional encoded molecules) and a complete lack of expression of the H-2.33 H-2Kb private specificity by 3LL tumor cells. The findings provide a possible explanation for the 3LL metastatic potential across H-2Kb region disparities.

Animals↗
PubMed1984

Attitudes of private medical practitioners towards package inserts and other drug information sources.

One thousand questionnaires were distributed to private medical practitioners by representatives of a pharmaceutical company. The 221 respondents were predominantly male (91%) and most were trained at the Universities of Pretoria (37%), the Witwatersrand (22%) and Cape Town (19%) during 1960 - 1969 (24%) and 1970 - 1979 (45%). The majority (72%) found package inserts useful or extremely useful and 70% had consulted one during the previous week or on the day that they completed the questionnaire. Reasons for consulting the package insert, in order of frequency, were for information on untoward effects (64%), indications (33%) and mechanism of action (33%). Most respondents (71%) used the Monthly Index of Specialities (MIMS) more often than package inserts and 53% used the MIMS desk reference more often than package inserts. As regards additional regular information on drugs, 67% preferred a regular book to a loose-leaf system and 69% were prepared to pay for it. We are of the opinion that there is a need for information on drugs that would be complementary to current information systems, and that this should be a joint venture between Government and private enterprise, with the consumer being prepared to share the cost.

Adult↗
PubMed1984

The pediatric walk-in clinic: competition for the private practitioner.

In an affluent city with many pediatricians a 20% increase in patients seen in a hospital-based walk-in clinic in 1982 prompted a study to determine the characteristics of clinic users and their reasons for using the clinic. It was found that users of the clinic were middle-class, that they had a higher employment rate than the average for the region, and that in 54% of the families both parents worked outside the home. The children of 85% of the families were patients of pediatricians in private practice; most of the others were patients of a family physician in private practice. Most of the children seen at the clinic had had symptoms for more than 24 hours, but few parents had attempted to contact their own physicians. In the previous 12 months 95% of the children had been seen at the clinic, 43% in the month preceding the study. They came to the clinic for two main reasons: the broad range of services offered --laboratory, radiology and pharmacy as well as medical--and the convenient hours, with 71% coming outside of their physicians' office hours. Given the reality of social trends pediatricians will either have to share their patients with facilities that offer services outside of regular office hours or devise another system for the treatment of their patients.

Child, Preschool↗
PubMedDate not supplied

Private physicians and the provision of contraceptives to adolescents.

Data from a national sample of private physicians show that 86 percent of obstetrician-gynecologists, general practitioners and pediatricians are willing to prescribe contraceptive methods to adolescent women. However, only 59 percent are willing to serve unmarried minors without parental consent. The obstetrician-gynecologists are more likely to provide contraceptives than the other two specialists, and are likely to have fewer policy restrictions. Although pediatricians are the least willing to prescribe contraceptives (only 32 percent say they would do so for a 15-year-old patient), they are the most likely to refer such patients to other sources of care (61 percent of those who will not provide primary contraceptive care do so). The parental consent requirements that physicians set for contraceptive services are somewhat related to state policies. Seventy-five percent of physicians who provide contraceptive care for adolescents and who practice in states that clearly authorize minors to give their own consent for family planning services will serve unmarried minors on their own consent, compared with 62 percent in states without explicit minor consent laws. Physicians practicing in the Southwest are the most likely to provide contraceptive services to unmarried patients younger than 18, while those in the North are least likely to do so (88 and 67 percent, respectively). Ninety percent of private physicians who prescribe contraceptives for adolescent women will prescribe the pill, but smaller proportions will make the diaphragm or IUD available (61 and 23 percent, respectively). Among the physicians surveyed, the average fee that an adolescent would have to pay for an initial contraceptive visit, including laboratory tests, is $37. Of those who accept teenage contraceptive patients, only 53 percent will accept Medicaid reimbursement and only one percent indicate that they will instead provide free services to adolescents who cannot afford to pay the fee.

Adolescent↗
PubMed1984

The private hospital industry in the greater Cape Town area.

Increasing emphasis is being placed on the role of the private sector in health in South Africa. This article uses the private hospital (PH) industry in the greater Cape Town area as a case study. The development and structure of the industry is described. Access to PHs is found to depend largely on membership of a medical aid fund. The PHs offer a relatively limited service, concentrating mainly on surgical cases. Problems between the PH industry and the medical aid schemes relating to the fixing of tariffs are outlined. Controversy exists over the future of PHs. It is concluded that PHs do not form an alternative to public sector services and may in fact weaken them.

Hospital Bed Capacity, 100 to 299↗
PubMed1980

Containing health care costs--a critical test of the public-private joint venture in health.

As the federal government shifted from its traditional roles in health to the payment for personal health care, the relationship between public and private sectors has deteriorated. Today federal and state revenue funds and trusts are the largest purchasers of services from a predominantly private health system. This financing or "gap-filling" role is essential; so too is the purchaser's concern for the costs and prices it must meet. The cost per person for personal health care in 1980 is expected to average $950, triple for the aged. Hospital costs vary considerably and inexplicably among states; California residents, for example, spend 50 percent more per year for hospital care than do state of Washington residents. The failure of each sector to understand the other is potentially damaging to the parties and to patients. First, and most important, differences can and must be moderated through definite changes in the attitudes of the protagonists.

Cost Control↗
PubMed1981

Vesting of private pension benefits in 1979 and change from 1972.

This article examines the prevalence of vested private pension benefits in 1979 as reported by full-time private wage and salary workers actively participating in pension plans. It also analyzes the effect of selected demographic, economic, labor-force, and plan characteristics on vested status. Years of participation in a plan was by far the most important predictor of vested status. Age was positively related to vested status even after accounting for the longer plan participation of older workers. Evidence pertaining to occupation, size of firm, and type of employer plan suggests that multi-employer plans and those covering professional and managerial workers and the employees of the smallest firms have more rapid vesting schedules than plans covering other workers. Sex, race, union representation, and earnings had little meaningful effect on vested status. This article also examines change in the prevalence of vesting after passage of the Employee Retirement Income Security Act (ERISA) by comparing reported vested rates for 1972 and 1979. The proportion of plan participants reporting vested benefits rose substantially during this period, a finding suggestive of ERISA's substantial impact. The magnitude of the change is examined by years of service with employer, age, sex, earnings, occupation, and industry.

Adult↗
PubMed1981

Coverage patterns of full-time employees under private retirement plans.

This article reports on the pension plan participation rate of full-time private wage and salary workers. Data are from a May 1979 Bureau of the Census survey on the pension plan coverage and vesting status of employed workers. The survey results indicate that about half of all full-time private sector workers were covered by a pension plan, with male employees having a 55-percent coverage rate compared with 40 percent for female employees. The survey also found significant variations in coverage by such factors as age, tenure, industry, size of establishment, occupation, income, and membership in a collective bargaining unit. The relationships between coverage and these variables are examined and comparisons are made between the May 1979 survey findings and the findings from a similar survey on coverage status conducted in April 1972.

Adult↗
PubMed1978

Impact of inflation on private pensions of retirees, 1970-74: findings from the retirement history study.

Many private pension plans have provided benefit increases or other forms of protection against inflation to their retired workers in recent years. This article, based on panel data from the Retirement History Study, examines the extent to which completely retired persons in their sixties benefited from these increases from 1970 to 1974. The private pension benefits of retirees rose slightly during the period, but their purchasing power declined sharply on account of the considerable growth in the inflation rate. Social security benefits, on the other hand, rose substantially more than the consumer price index. As a result, total retirement benefits largely maintained or nearly maintained their purchasing power.

Aged↗
PubMed1979

Technology evaluation roundtable discusses role of private sector.

Working from the premise that health care technology should be studied from a multiperspective approach rather than a unidirectional approach, a group of health care opinion leaders gathered to discuss how private or public-private sector efforts could lead to this broad-based approach and to more effective and efficient utilization of health technology.

Capital Expenditures↗
PubMed1995

Private health care dominates meeting as general council calls for national debate on issue.

The CMA's General Council has decided to withhold its stamp of approval for a "private parallel" health care system by voting against a motion to remove legislative barriers to private insurance. However, General Council did call on the CMA to take the issue directly to Canadians and conduct a national debate. General Council did pass a "Blueprint for Action"--16 resolutions spelling out the CMA's views on ways to protect Canada's medicare system.

Canada↗
PubMedDate not supplied

Pain management in school-aged children by private and public clinic practice dentists.

A mail survey of 198 Seattle dentists who treat children assessed their beliefs about pain control in school-aged children and examined the relationship of those beliefs to pain management behaviors. The survey population of general dentists and pediatric dentists in clinics and private practice had a response rate of 89.6%. Two of three dentists always use local anesthetic when doing restorations or extractions and also provide more anesthetic at the child's request. One in three dentists never provides postoperative medication following tooth extractions. Ten percent regularly deny child pain and many do not believe child pain reports are valid. Dentists who work in private practice are more likely to provide local anesthetic than are dentists who work in clinics. Dentists who desire more control over a child are less likely to provide local anesthetic. Dentists who question children about comfort are more likely to provide additional anesthetic based on a child's report of discomfort and to provide postoperative medication if the dentist perceives a dental procedure to be painful.

Adolescent↗
PubMed1994

[An empirical report on fissure sealing in private practice with a duration of up to 10 years].

This study reports a follow-up on 2415 occlusal sealings performed in a dental office. After nine to ten years service time, the survival rate of all sealed surfaces dropped to 69.5% because of either occlusal or interproximal carious activities. Retention of the sealings was intact in 91.5% after one year, but dropped to 58.2% after nine years. In the control group 49.3% of the grooves showed either caries or fillings during the last check-up whereas this occurred in only 7.3% of the sealed teeth (ratio 7:1). The difference among those two groups was even bigger (45.7% vs. 5%, ratio 9:1) when excluding all two-sided fillings. The costs of restoring one tooth surface in the control group was on average two to three times higher than for the sealings group. There is no doubt about the beneficial prophylactic effect of the use of sealants, even in the context of the private dental office, and no inconvenient side-effects have been found. The results concerning the retention rate of sealing in this study from a private dental office are comparable with the average of those reported in many papers from U.S. Dental Schools, they are even slightly better for the caries incidence.

Adolescent↗
PubMed1993

[Computerization in private urologic practice with multiple practice locations: the use of medical software and a portable microcomputer].

The authors have used a medical programme, Medistory, since June 1990 to computerize a private urological practice. This programme allows personalization of data collection adapted to urology: interview sheets related to the disease, standard report forms, edition of letters, creation of a multi-entry file and entering of accounts. The consultation was always held without a paper support with real-time data acquisition and the accounting was performed at the end of the visit. Letters were printed separately at home, at the end of the day, so as not to delay the patient. A back-up was performed every second day on hard disk. We used a portable Macintosh with 20 mega octets of REM and a 40 mega octet internal hard disk as our practice is based at several sites. This computerisation benefited from the Macintosh interface which facilitated learning and use of the programme. No time loss and no patient discomfort were recorded in comparison with a conventional consultation. The possibility of opening several files at the same time allowed a simple reply to any demands for other information. Two files out of 700 were lost (0.3%) due to an error when saving data. No accounting errors were detected. The use of a medical programme is particularly well adapted to private urological practice with multiple offices. The advantages of a personal computer include the gain of place, rapidity, unlimited storage capacity and the possibility of recovering data with other standard programmes. Medistory, a programme created for general practitioners, is perfectly adapted to this use due to the ease of personalization allowing the creation of interview sheets related to the disease and the edition of reports and various letters.

Computer Security↗
PubMed1977

Psychiatric hospitalization. I. Comparison of public and private delivery systems.

The effect of financial requirements for admission on the delivery of psychiatric treatment services was studied by comparing all patients admitted to the psychiatric services of a public and a private general hospital, serving geographically similar areas. Patients admitted to these two services (both staffed by the same Department of Psychiatry) were compared in a variety of factors relating to admission determinants, diagnosis, length of hospitalization, and type of treatment. The two patient groups differed in a number offactors, including presenting problems, diagnoses, and.psychological concept of their illnesses. The public hospital patients were less likely to receive somatic treatments (especially psychotropic drugs) and more likely to be hospitalized for longer periods than were the private hospital patients. These findings, although inconclusive because of social class, age, and sex variables, suggest that financial requirements for admission affect the intensity and expeditiousness of the treatment.

Adult↗
PubMed1996

Private medical clinic for travellers fills a niche in Vancouver.

While controversy about the role of private clinics in Canada's health care system continues, a Vancouver physician has been running a private medicine centre for overseas travellers since 1991, and its popularity has been growing. For a $25 fee, the clinic provides vaccinations and disease-prevention information. More than 8000 patients used the service in 1994.

Adult↗
PubMed1996

Reassessment of the interaction between a worksite hypertension program and private physicians.

We investigated how nurse practitioners attending at worksite hypertension clinics were perceived as care providers by both patients enrolled in the clinics and their private physicians. This study indicates a very favorable attitude towards nurse practitioners from both patients and private practitioners and gives additional support for the utilization of nurse practitioners as effective health care providers in the management of common and chronic illness.

Attitude of Health Personnel↗
PubMed1977

Two more "private" polymorphisms of Amerindian tribes: LDHb GUA-1 and ACP1 B GUA-1 in the Guaymi in Panama.

A survey of Guaymi Indians of Panama for the occurrence of genetic variants of 25 proteins of the erythrocytes and sera have revealed, in addition to seven well-known genetic polymorphisms, four rare variants and two "private polymorphisms," the latter involving erythrocyte acid phosphatase and lactate dehydrogenase. The significance of such private polymorphisms in tribal populations to the interpretation of rare variants in civilized populations is emphasized.

ABO Blood-Group System↗