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Results for “Professional Practice Location”

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.

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At least 19 recordsLinked to original sources
PubMed1993

[Graduates from Tromsø--do they stay in Northern Norway? Geographic origin determines selection of professional practice location in Northern Norway].

The impact of the Medical School, University of Tromsø on the distribution of physicians in rural areas in North Norway was evaluated by means of a mailed questionnaire. The survey covered eleven graduation classes (417 physicians), and the response rate was 84.2%. The establishment of a new medical school in North Norway has clearly had beneficial effects: A total of 56.1% of the graduates stay on as doctors in these areas. Among those who also grew up in the northern parts of Norway, the proportion is 82.0%, compared with graduates who grew up in the southern parts where the proportion is 37.7%. The results clearly demonstrate that one of the main objectives of the Medical School at the University of Tromsø, to educate physicians who prefer to work in these areas, has been achieved.

Arctic Regions↗
PubMed1987

Viewpoint: why a medical staff marketing committee is needed.

Physician practices can be expanded through the formation of a hospital marketing committee for the medical staff. Such a committee could assist in establishing referral services, identifying locations for practices, assessing community needs, and assessing alternative delivery systems, as well as fulfilling other functions to increase medical staff visibility and improve performance.

Health Services Needs and Demand↗
PubMed2005

Practitioner activities in patient education and drug therapy monitoring for community dwelling elderly patients.

We compared the frequency of performance of three patient education and three drug therapy monitoring activities across practitioner types and assessed the influence of practitioner characteristics, practice setting, and health care environment on performance of these activities. A mail survey was sent to a random sample of 1300 practitioners in a Midwestern state. Numbers of elderly patients for whom the practitioner performed each of the activities were the dependent variables. Independent variables for the multiple regressions were measures of practitioner characteristics, practice setting, and health care environment. Based on 320 usable responses, prescribers were more likely than pharmacists to perform three of the activities. Minutes per patient contact was positively associated with two of the monitoring activities. Other practitioners in a practice affected the number of patients for whom five activities were performed. Practitioners interested in improving the medication use process for ambulatory elderly patients need to consider multidisciplinary strategies.

Aged↗
PubMed2006

Governance and the pharmaceutical workforce in England.

A key component of a commitment to patient safety is ensuring the fitness to practice of health professionals. This article uses the changing landscape of the regulation of the pharmaceutical workforce and the extended roles and responsibilities of pharmacy practitioners in England to explore the challenges for governance within contemporary pharmacy practice, and consider the powers and structures necessary for effective regulation. In England, it is recognised that the approach of the national regulatory body for pharmacy should be consistent with that of the regulators of other health professions, and focus on assuring the competence and performance of practitioners. Pharmacy employers will have complementary adjunct responsibilities. Attention is being concentrated on ensuring the continuing fitness to practice of health professionals, with regular revalidation certain to become a requirement for all. Particular challenges arise in the effective regulation of advanced practitioners, and in ensuring the continuing competence of prescribing practitioners, who in England may come from a range of health disciplines, including pharmacy, and practice in a variety of settings and circumstances. A separate professional register is to be established for pharmacy technicians, whereupon they will also have to demonstrate continuing competence to practice, and be subject to regulation in the same way as pharmacists. Significant change is also planned in the professional control of community pharmacies. In future the law will require a "responsible pharmacist" to be identified for each community pharmacy, rather than insisting on a pharmacist always being present to supervise the dispensing and sale of medicines.

England↗
PubMedDate not supplied

Diabetes educators: assessment of evolving practice.

A survey evaluating the professional characteristics and practice patterns of diabetes educators was distributed across the United States. The specific survey aims were to assess whether (1) there continues to be a growing trend among US health professionals who consider themselves diabetes educators to obtain certification as certified diabetes educators (CDEs), (2) duties/services associated with diabetes self-management training (DSMT) and medical/medication management differ between diabetes educators who are CDEs versus those who are non-CDEs, and (3) educator practice patterns differ across the major geographic regions of the United States. Of the 507 diabetes educators completing the survey, 83% identified themselves as CDEs. Diabetes educators responding to similar surveys done in 1992 and 1999, 51% and 63%, respectively, identified themselves as CDEs. In this survey, a similar percentage of CDEs and non-CDEs employed DSMT practices of relatively low complexity (eg, general diabetes education) whereas a significantly higher percentage (P < .001) of CDEs employed DSMT practices of relatively high complexity (eg, insulin pump training). Significantly (P < .001) more CDEs provided medical/medication management services compared to non-CDEs. Finally, the practice patterns among CDEs were minimally influenced by region of the country. These results suggest that (1) the trend toward increased certification among diabetes educators has continued, (2) certification is associated with a greater likelihood of delivering complex DSMT services and medical/medication management, and (3) this pattern is consistent across the nation as a whole.

Certification↗
PubMed2002

Family member presence during cardiopulmonary resuscitation: a survey of US and international critical care professionals.

OBJECTIVE: Recent international emergency cardiovascular care (ECC) and cardiopulmonary resuscitation (CPR) guidelines have recommended that health-care professionals allow family members to be present during resuscitation attempts. To assess whether critical care professionals support these recommendations, we surveyed health-care professionals for their opinions regarding family-witnessed resuscitation (FWR). METHODS: We surveyed health-care professionals attending the International Meeting of the American College of Chest Physicians in San Francisco, CA, from October 23 to 26, 2000, about their CPR experience, their opinions on FWR, and demographic characteristics. The opinions of physicians, nurses, and other allied health professionals were compared, and differences in opinions based on demographics were examined. RESULTS: Five hundred ninety-two professionals were surveyed. Fewer physicians (20%) than nurses and allied health-care workers combined (39%) would allow family member presence during adult CPR (p = 0.0037 [chi(2) test]). Fourteen percent of physicians and 17% of nurses would allow a family presence during pediatric CPR. There was a significant difference among the opinions of US professionals, based on regional location. Professionals practicing in the northeastern states were less likely than other US professionals to allow FWR during adult or pediatric resuscitations (p = 0.016 and p < 0.001, respectively [chi(2) test]). Midwestern professionals were more likely than others to allow family members to be present during an adult resuscitation, when compared to professional in the rest of the nation (p = 0.002 [chi(2) test]). Health-care professionals disapproving of family member presence during CPR did so because of the fear of psychological trauma to family members, performance anxiety affecting the CPR team, medicolegal concerns, and a fear of distraction to the resuscitation team. CONCLUSIONS: Our evaluation indicated that the majority of critical care professionals surveyed do not support the current recommendations provided by the ECC and CPR guidelines of 2000.

Adult↗
PubMed1999

Development of the physical therapy outpatient satisfaction survey (PTOPS).

BACKGROUND AND PURPOSE: The purposes of this 3-phase study were (1) to identify the underlying components of outpatient satisfaction in physical therapy and (2) to develop a test that would yield reliable and valid measurements of these components. SUBJECTS: Three samples, consisting of 177, 257, and 173 outpatients from 21 facilities, were used in phases 1, 2, and 3, respectively. METHODS AND RESULTS: In phase 1, principal component analyses (PCAs), reliability checks, and correlations with social desirability scales were used to reduce a pool of 98 items to 32 items. These analyses identified a 5-component model of outpatient satisfaction in physical therapy. The phase 2 PCA, with a revised pool of 48 items, indicated that 4 components rather than 5 components represented the best model and resulted in the 34-item Physical Therapy Outpatient Satisfaction Survey (PTOPS). Factor analyses conducted with phase 2 and phase 3 data supported this conclusion and provided evidence for the internal validity of the PTOPS scores. The 4-component scales were labeled "Enhancers," "Detractors," "Location," and "Cost." Responses from subsamples of phase 3 subjects provided evidence for validity of scores in that the PTOPS components of "Enhancers," "Detractors," and "Cost" appeared to differentiate overtly satisfied patients from overtly dissatisfied patients. "Location" and "Enhancer" scores discriminated subjects with excellent attendance at scheduled physical therapy sessions from those with poor attendance. CONCLUSION AND DISCUSSION: In this study, we identified components of outpatient satisfaction in physical therapy and used them to develop a test that would yield valid and reliable measurements of these components.

Adult↗
PubMed1986

Dental hygienists in nontraditional settings: practice and patient characteristics.

The dental hygienist's role in the treatment of special populations in nontraditional settings is an important one. Little is known about the hygienist's practice characteristics in these settings, nor about the patients receiving care. To gain needed information, a representative sample of the entire population of licensed hygienists in the United States was screened (n = 38,380). This screening identified 1,205 hygienists practicing in nontraditional settings. These hygienists were sent comprehensive questionnaires examining practice and patient characteristics. Completed questionnaires were returned by 1,016 (84.3%) hygienists. This report describes reported hygiene practice characteristics; hygienist interactions with patients and providers; and patient characteristics, including age, medical/emotional/social conditions, and dental treatment needs. Major findings of respondents' reports reveal that: approximately 90 percent of patients were in need of dental/dental hygiene services with approximately one in four requiring only dental hygiene services; the dental hygienists perceived a high level of acceptance of their role by patients and providers; the majority of patients treated were categorized as generally medically healthy (65.7%); and the clinical practice of dental hygiene in nontraditional settings mirrors that of private practice.

Adolescent↗
PubMed1998

Advice provided in British community pharmacies: what people want and what they get.

OBJECTIVES: This study explored advice-giving behaviour in community pharmacies in order to understand the nature and process of pharmaceutical consultations and consumers' views of the advice-giving role. METHOD: An ethnographic research strategy was used, combining patient interviews with non-participant observation of interactions between consumers and pharmacy staff. One week was spent in each of 10 pharmacies. RESULTS: The study demonstrated that the advice given in a community pharmacy is almost wholly focused on product recommendation and use. Advice-giving varies according to whether consultations concern prescription or non-prescription medicines. When the latter are involved, advice-giving is mostly consumer-led. Consumers' major 'need' for pharmacy services appears to be for information about the effectiveness of products they buy, whilst pharmacists and pharmacy assistants concentrate on providing advice on the safety of medicines. CONCLUSION: The notion of pharmacists as general health advisors does not appear to be shared by the public and may be at odds with how the public view and use pharmacies. Protocols to guide staff may be improved by including the consumer perspective. Most consumers have previous experience of their ailments and use pharmacies as one of several resources available to them to treat their minor illness, having made their own diagnosis and assessment before entering the pharmacy. The scope for giving new advice is therefore limited. The broader role of community pharmacies merits further attention.

Counseling↗
PubMed2003

Access to health care professionals in rural Mississippi.

BACKGROUND: The location and identification of health professionals' practice sites is the first step in enhancing the availability of quality medical care to all regions of the state. Identification of specific areas of need is difficult, as provider data is often collected and housed separately through multiple organizations. This study provides a comparative review of the distribution of physicians, dentists, nurses, and psychologists and examines future provider needs of selected rural counties and regions within the state. METHODS: Data were compiled from multiple state and federal agencies. RESULTS: Twenty percent of Mississippi physicians are at or near retirement age. Several Mississippi counties could lose most or all of their physicians in the next few years. The distribution of health care workers is uneven across the state. CONCLUSION: Maldistribution of health care workers and the aging health care workforce impacts access to care, particularly in rural Mississippi counties.

Age Factors↗
PubMed2001

Native Hawaiian physician location and service to the underserved in Hawai'i.

This study examined the influence of demographic characteristics, training location, and "practice values" on geographic practice location and serving a medically underserved area/population (MUAP) among physicians of Native Hawaiian ancestry practicing within the State of Hawai'i. A survey assessing factors influencing practice location was mailed to 104 identified Native Hawaiian physicians in the State of Hawai'i with a response rate of 79% (n = 82). Factor analysis was used to identify underlying "practice value" variables important in physician practice location, resulting in three robust factors: (1) professional opportunity, (2) lifestyle, and (3) service. Data were analyzed using chi square, analyses of variance, and logistic regressions. Seventy-eight percent of the Native Hawaiian physicians sampled specialized in primary care, which is significantly more than in the general physician population in Hawai'i (57.3%) and in the continental United States (33.1%). Despite not being located in a MUAP, over half of the physicians felt that they provided important services to their medically underserved patients. Logistic regression models predicted 42% of the variance in practice location and 52% of the variance in serving a MUAP. In general, professional opportunity may be more important for non-MUAP physicians whereas service value may be more essential for MUAP physicians. Additional implications and further research are discussed.

Attitude of Health Personnel↗
PubMed2007

Exploring the effects of telehealth on medical human resources supply: a qualitative case study in remote regions.

BACKGROUND: The availability of medical human resource supply is a growing concern for rural and remote communities in many countries. In the last decade, various telehealth experiences in Canada have highlighted the potential impact of this technology on professional practice. The purpose of this study was to explore physicians' and managers' perceptions regarding the potential of telehealth to support recruitment and retention of physicians in remote and rural regions. METHODS: A case study in Eastern Quebec was performed to explore this complex phenomenon. The analytical framework was based on two literature reviews and a Delphi study. Data were collected from semi-structured interviews with 41 physicians and 22 managers. Transcripts were produced and interview content was coded independently by two judges and validated by an expert panel. RESULTS: Interviews have highlighted the potential impact of telehealth on several factors influencing the recruitment and retention of physicians in rural and remote regions. The potential effects of telehealth on physicians' choice of practice location could be seen at the professional, organizational, educational and individual levels. For instance, telehealth could improve work satisfaction by allowing a regional on-call duty system and a better follow-up of patients. However, there are also certain limits related to telehealth, such as the fear that it would eventually replace all continuing medical education activities and onsite specialists in remoteregions. CONCLUSION: Telehealth is likely to have an impact on several factors related to medical workforce supply in remote and rural regions. However, the expected benefits will materialize if and only if this technology is properly integrated into organizations as a support to professional practice.

Administrative Personnel↗
PubMed1995

U.S. radiologists' satisfaction in their profession.

PURPOSE: To determine characteristics associated with differences among radiologists in professional satisfaction and the effect of satisfaction on career plans. MATERIALS AND METHODS: The American College of Radiology surveyed 2,804 radiologists and nuclear medicine specialists in the United States. Single-variable and multivariate analyses were performed. RESULTS: Sixty-five percent of radiologists were currently satisfied with their profession; 31% were more satisfied than they were 5 years ago, 32% felt the same, and 37% were less satisfied. Current satisfaction was most likely for radiologists with a diagnostic radiology subspecialty, board certification, age over 45 years, an academic practice, a salaried position, a full-time practice, urban location, and location in the West. Professional satisfaction relative to that 5 years ago was particularly high for (among others) young radiologists. Poorly satisfied radiologists were more likely to plan a career change and eventual part-time work. Female radiologists were as satisfied as males. CONCLUSION: This study identifies sources of radiologists satisfaction and dissatisfaction and effects of satisfaction on career plans.

Adult↗
PubMed2001

Piercing issue.

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Beauty Culture↗