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At least 19 recordsLinked to original sources

Comparisons of solo practices and group practices.

This report of The Manpower Survey of Oral Surgery in 1974 showed that the type of practice, namely solo practice or group practice, had many effects on the characteristics of the practice of oral surgery. It affected significantly the number of offices an oral surgeon had. More oral surgeons in solo practice tended to have a single office than those in group practice. Oral surgeons over 35 years of age and in group practice tended, in general, to have a higher income than those in solo practice. There was a slight tendency for group practices to increase with the size of trade area served. Oral surgeons in group practices reported that they employed more full-time equivalent staff, but there were proportionately fewer full-time equivalent staff members per oral surgeon. Group practices tended to be located in metropolitan areas. Oral surgeons in group practice seemed to perform a larger number of surgical procedures than those in solo practice. They also seemed to spend more time in travel between home and place of work. More oral surgeons under 40 years of age in solo practice indicated that they planned to add an associate or partner in the next five years than those over 40 years of age or those in group practice.

Adult

National dermatology manpower requirements: the experience of prepaid group practices.

Ten prepaid group health plans across the country were surveyed as part of an effort to estimate the need for dermatologists in the United States. Although generalizing the experiences of prepaid group practices to the general population is at best an imprecise approach, the dramatic shortage suggested by the data cannot be completely ascribed to the method used. Whereas the average ratio in the surveyed plans was 2.8 dermatologists per 100,00 subscribers, there are only about 1.9 dermatologists providing patient care per 100,000 persons in the general population. The difference between prepaid plan subscribers and the general population in annual visits to dermatologists is even more dramatic: 193 per 1,000 subscribers compared to 84 per 1,000 population.

Dermatology

A fourth-year orthodontic elective in an educational group practice.

An educational group practice is described in which a fourth-year dental student actively observes and participates in orthodontic decision making and treatment delivery. The student takes part in patient treatment under the direct supervision of a second-year orthodontic resident. The residents reinforce the skills which the students learn in class and laboratory. In this way an effective learning experience results for both the resident and the fourth-year student. Students also attend patient care conferences, where treatment points of view and sequences are discussed. In this way, students have a first-hand glimpse of what a career in orthodontics might be like.

Education, Dental

Patterns of dental practice in the United States: solo vs group practice.

This overview of selected characteristics of group and solo practices provides baseline information on the dimensions and structures of two general practice types in the United States. It appears that although a dentist spends no more hours or sees no more patients on the average in a group practice, the structure in terms of use of auxiliaries, appointment flexibility, and structured programs provides the dentist in a group practice more opportunity to participate in other professional activities and generate a higher income. Further analysis on the interrelation of these variables will provide a more conclusive comparison of group and solo practices. Also, more conclusive research on variations among different types of group arrangements is needed to appreciate differences in partnerships, groups, and incorporations.

Allied Health Personnel

Impact of membership in an enrolled, prepaid population on utilization of health services in a group practice.

Members of prepaid group-practice medical-care plans are believed to use more ambulatory, but fewer inpatient, services than populations served by fee-for-service practitioners. It is not known whether these differences are attributable to the prepayment aspects of the plan or to other circumstances. We studied the impact on use of services of only one factor-prepayment at the Marshfield Clinic, Wisconsin--with all other factors, including group practice, held constant. The findings were derived from the experience one year before, and two years after, the initiation of the prepaid program. Results showed that prepayment alone resulted in significant increases in both inpatient and ambulatory care (about 100 per cent in ambulatory-care visits, 75 per cent in hospital discharges, and 60 per cent in hospital days). These increases were far greater than comparable increases in the fee-for-service population served by the Clinic.

Ambulatory Care

Nursing group practices in hospital settings.

As hospitals continue to face problems with nursing shortages and difficulty in retaining experienced nurses, they are forced to examine the environment of nursing practice to determine how that environment can be improved. At Henry Ford Hospital, a planning process is underway to establish a more truly professional practice environment for nursing. This professional practice environment is based on a group practice model for inpatient nursing. The group practice model offers the potential for greater clinical and administrative autonomy and collaborative practice with physicians, but may require significant changes in internal budgeting and accounting systems. Several different inpatient group practice models and their implications are discussed.

Group Practice

New organizations out of old ones: teaching group practices out of private practice and outpatient departments.

A private group practice and a traditional hospital medical clinic are joined together as a teaching group practice for primary care (Internal Medical Associates). Responsible for revenues as well as costs, the practice is administered by a board of managers composed of physicians, nurses, and administrators in the practice. This decentralization of practice from the clinical department and hospital administration has resulted in (1) a reduction in the numbers of physicians needed for the practice, (2) a greater visit census with increased physician productivity, and (3) a reduced operating deficit and better understanding of transient and educational costs. The matrix organization of the board of managers has resulted in better communication and a commitment of the staff to common goals. Public demand for a single standard of care for patients of all backgrounds, professional aspirations to work in groups, and educators' interest in training outside the hospital converge to make such reorganizations of practical necessity.

Ambulatory Care

The relative emphasis upon physician practice and organizational affairs of a consumer council in a prepaid group practice health plan.

This paper examines the topics of interest to a consumer advisory council in the Health Insurance Plan of Greater New York, a prepaid group practice. Data are derived from observations of consumer council meetings. Topics considered by the council dealt with (a) health plan services, (b) health plan structure, and (c) consumer council structure, process, and organizational role. The council was primarily interested in retaining and expanding existing services, facilitating utilization of services by enrollees, and achieving broader enrollee representation on the board of directors. These interests are directed toward the organizational context within which care is provided and do not relate to physician-patient encounters. Individual enrollees in prepaid group practice may be concerned with the physician-client relationship but consumer representatives are concerned only with the organization-client relationship.

Community Participation

A faculty and house-staff group practice: report of an operational model.

The internal medicine group practice at Colorado General Hospital was formed in 1974 to improve patient care and educational experience for residents. Six residents, two faculty members, a nurse practitioner, a dietitian, and a group practice coordinator provide 24 hour-a-day, seven day-a-week care for 666 patients. The program features: a balanced degree of faculty and house staff involvement in direct patient care, a high level of accountability provided by the coordinator, and small group size. The first 19 months of operation are reviewed, and the program is contrasted with other group practices reported in the literature.

Adolescent