Private Practice: Practice of a health profession by an individual, offering services on a person-to-person basis, as opposed to group or partnership practice.Private Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.Remuneration: Payment for a service or for a commodity such as a body part.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Practice Management, Dental: The organization and operation of the business aspects of a dental practice.Hospitals, Private: A class of hospitals that includes profit or not-for-profit hospitals that are controlled by a legal entity other than a government agency. (Hospital Administration Terminology, AHA, 2d ed)Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Economics, Dental: Economic aspects of the dental profession and dental care.Public Health Dentistry: A dental specialty concerned with the prevention of disease and the maintenance of oral health through promoting organized dental health programs at a community, state, or federal level.Professional Practice: The use of one's knowledge in a particular profession. It includes, in the case of the field of biomedicine, professional activities related to health care and the actual performance of the duties related to the provision of health care.Salaries and Fringe Benefits: The remuneration paid or benefits granted to an employee.Practice Management, Medical: The organization and operation of the business aspects of a physician's practice.Dental Clinics: Facilities where dental care is provided to patients.Fees, Dental: Amounts charged to the patient as payer for dental services.Dental Auxiliaries: Personnel whose work is prescribed and supervised by the dentist.General Practice, Dental: Nonspecialized dental practice which is concerned with providing primary and continuing dental care.Dentists: Individuals licensed to practice DENTISTRY.Group Practice, Dental: Any group of three or more full-time dentists, organized in a legally recognized entity for the provision of dental care, sharing space, equipment, personnel and records for both patient care and business management, and who have a predetermined arrangement for the distribution of income.Specialties, Dental: Various branches of dental practice limited to specialized areas.Education, Dental, Graduate: Educational programs for dental graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic dental sciences, and may lead to board certification or an advanced dental degree.Physicians: Individuals licensed to practice medicine.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Dentist's Practice Patterns: Patterns of practice in dentistry related to diagnosis and treatment.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.United StatesPatient Credit and Collection: Accounting procedures for determining credit status and methods of obtaining payment.Education, Dental: Use for articles concerning dental education in general.Occlusal Adjustment: Selective grinding of occlusal surfaces of the teeth in an effort to eliminate premature contacts and occlusal interferences; to establish optimal masticatory effectiveness, stable occlusal relationships, direction of main occlusal forces, and efficient multidirectional patterns, to improve functional relations and to induce physiologic stimulation of the masticatory system; to eliminate occlusal trauma; to eliminate abnormal muscle tension; to aid in the stabilization of orthodontic results; to treat periodontal and temporomandibular joint problems; and in restorative procedures. (From Jablonski, Dictionary of Dentistry, 1992)Gift Giving: The bestowing of tangible or intangible benefits, voluntarily and usually without expectation of anything in return. However, gift giving may be motivated by feelings of ALTRUISM or gratitude, by a sense of obligation, or by the hope of receiving something in return.Schools, Dental: Educational institutions for individuals specializing in the field of dentistry.Refusal to Treat: Refusal of the health professional to initiate or continue treatment of a patient or group of patients. The refusal can be based on any reason. The concept is differentiated from PATIENT REFUSAL OF TREATMENT see TREATMENT REFUSAL which originates with the patient and not the health professional.Public Sector: The area of a nation's economy that is tax-supported and under government control.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Spiral Cone-Beam Computed Tomography: Modality of computed tomography in which the patient is irradiated in a spiral path around the body with a cone or pyramid-shaped beam.General Practice: Patient-based medical care provided across age and gender or specialty boundaries.Faculty, Dental: The teaching staff and members of the administrative staff having academic rank in a dental school.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Yukon Territory: A territory of northwest Canada, bounded on the north by the Arctic Ocean, on the south by British Columbia, and on the west by Alaska. Its capital is Whitehorse. It takes its name from the Yukon River, the Indian yu-kun-ah, meaning big river. (From Webster's New Geographical Dictionary, 1988, p1367 & Room, Brewer's Dictionary of Names, 1992, p608)Dental Research: The study of laws, theories, and hypotheses through a systematic examination of pertinent facts and their interpretation in the field of dentistry. (From Jablonski, Illustrated Dictionary of Dentistry, 1982, p674)Pediatric Dentistry: The practice of dentistry concerned with the dental problems of children, proper maintenance, and treatment. The dental care may include the services provided by dental specialists.Urology: A surgical specialty concerned with the study, diagnosis, and treatment of diseases of the urinary tract in both sexes, and the genital tract in the male. Common urological problems include urinary obstruction, URINARY INCONTINENCE, infections, and UROGENITAL NEOPLASMS.Fees and Charges: Amounts charged to the patient as payer for health care services.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Capitation Fee: A method of payment for health services in which an individual or institutional provider is paid a fixed, per capita amount without regard to the actual number or nature of services provided to each patient.Reimbursement Mechanisms: Processes or methods of reimbursement for services rendered or equipment.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Students, Dental: Individuals enrolled a school of dentistry or a formal educational program in leading to a degree in dentistry.Medicine: The art and science of studying, performing research on, preventing, diagnosing, and treating disease, as well as the maintenance of health.Fee-for-Service Plans: Method of charging whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used. (From Discursive Dictionary of Health Care, 1976)SwitzerlandDental Hygienists: Persons trained in an accredited school or dental college and licensed by the state in which they reside to provide dental prophylaxis under the direction of a licensed dentist.Fees, Medical: Amounts charged to the patient as payer for medical services.Personnel Selection: The process of choosing employees for specific types of employment. The concept includes recruitment.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Insurance, Dental: Insurance providing coverage for dental care.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).General Practitioners: Physicians whose practice is not restricted to a specific field of MEDICINE.Dental Care: The total of dental diagnostic, preventive, and restorative services provided to meet the needs of a patient (from Illustrated Dictionary of Dentistry, 1982).Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Gynecology: A medical-surgical specialty concerned with the physiology and disorders primarily of the female genital tract, as well as female endocrinology and reproductive physiology.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Spinal Injuries: Injuries involving the vertebral column.Specialization: An occupation limited in scope to a subsection of a broader field.Career Choice: Selection of a type of occupation or profession.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Injections, Epidural: The injection of drugs, most often analgesics, into the spinal canal without puncturing the dura mater.Physician-Patient Relations: The interactions between physician and patient.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Online Systems: Systems where the input data enter the computer directly from the point of origin (usually a terminal or workstation) and/or in which output data are transmitted directly to that terminal point of origin. (Sippl, Computer Dictionary, 4th ed)Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.GermanyInternal Medicine: A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Practice (Psychology): Performance of an act one or more times, with a view to its fixation or improvement; any performance of an act or behavior that leads to learning.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Teaching: The educational process of instructing.Job Satisfaction: Personal satisfaction relative to the work situation.Privatization: Process of shifting publicly controlled services and/or facilities to the private sector.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Evidence-Based Practice: A way of providing health care that is guided by a thoughtful integration of the best available scientific knowledge with clinical expertise. This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention, and re-evaluate the outcome for future improvement.Professional Practice Location: Geographic area in which a professional person practices; includes primarily physicians and dentists.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Physical Therapy Modalities: Therapeutic modalities frequently used in PHYSICAL THERAPY SPECIALTY by PHYSICAL THERAPISTS or physiotherapists to promote, maintain, or restore the physical and physiological well-being of an individual.Hospitals, Public: Hospitals controlled by various types of government, i.e., city, county, district, state or federal.Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Practice Management: Business management of medical, dental and veterinary practices that may include capital financing, utilization management, and arrangement of capitation agreements with other parties.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.EnglandGreat BritainPartnership Practice: A voluntary contract between two or more doctors who may or may not share responsibility for the care of patients, with proportional sharing of profits and losses.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Physicians, Family: Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.Public-Private Sector Partnerships: An organizational enterprise between a public sector agency, federal, state or local, and a private sector entity. Skills and assets of each sector are shared to deliver a service or facility for the benefit or use of the general public.Anesthetics, Local: Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.

Where do people go for treatment of sexually transmitted diseases? (1/402)

CONTEXT: Major public health resources are devoted to the prevention of sexually transmitted diseases (STDs) through public STD clinics. However, little is known about where people actually receive treatment for STDs. METHODS: As part of the National Health and Social Life Survey, household interviews were performed from February to September 1992 with 3,432 persons aged 18-59. Weighted population estimates and multinomial response methods were used to describe the prevalence of self-reported STDs and patterns of treatment utilization by persons who ever had a bacterial or viral STD. RESULTS: An estimated two million STDs were self-reported in the previous year, and 22 million 18-59-year-olds self-reported lifetime STDs. Bacterial STDs (gonorrhea, chlamydia, nongonococcal urethritis, pelvic inflammatory disease and syphilis) were more common than viral STDs (genital herpes, genital warts, hepatitis and HIV). Genital warts were the most commonly reported STD in the past year, while gonorrhea was the most common ever-reported STD. Almost half of all respondents who had ever had an STD had gone to a private practice for treatment (49%); in comparison, only 5% of respondents had sought treatment at an STD clinic. Respondents with a bacterial STD were seven times more likely to report going to an STD clinic than were respondents with a viral STD--except for chlamydia, which was more likely to be treated at family planning clinics. Men were significantly more likely than women to go to an STD clinic. Young, poor or black respondents were all more likely to use a family planning clinic for STD treatment than older, relatively wealthy or white respondents. Age, sexual history and geographic location did not predict particular types of treatment-seeking. CONCLUSIONS: The health care utilization patterns for STD treatment in the United States are complex. Specific disease diagnosis, gender, race and income status all affect where people will seek treatment. These factors need to be taken into account when STD prevention strategies are being developed.  (+info)

Potential savings from generic prescribing and generic substitution in South Africa. (2/402)

Generic prescribing and generic substitution are mechanisms for reducing the cost of drugs. The purpose of this study was to assess the extent to which generic prescribing by private medical practitioners and generic substitution by private pharmacists is practised in South Africa and to estimate the potential savings from these two practices. Prescriptions from 10 pharmacists were collected on four randomly selected days. Computer printouts of all the prescriptions dispensed on these four days together with the original doctor's prescription were priced using a commercially available pharmacy dispensing computer package. A total of 1570 prescriptions with a total number of 4086 items were reviewed. Of the total prescriptions, 45.7% had at least one item for which there was a generic equivalent. Of the 961 drugs which had generic equivalents, 202 (21 %) were prescribed using the generic name of the drug. Only 0.3% of prescribers prohibited generic substitution. The cost of the prescription as dispensed was 1.4% (mean cost: R116.19 vs R117.84) below that of the original doctor's prescriptions, indicating the marginal benefit from the current low substitution rate of 13.9% by pharmacists. About 6.8% of the cost of the original doctor's prescriptions (mean cost: R117.84) could have been saved if total generic substitution (mean cost: R109.65) was practised. The cost of the prescriptions with only brand name items (mean cost: R120.49) would have been 9.9% higher than if generic drugs were used. Current restrictive prescribing and dispensing practices result in marginal cost savings from generic prescribing and generic substitution. Both these practices have a potential to reduce drug costs, if actively encouraged and practised to maximum capacity. It is noteworthy, however, that the potential savings from generic prescribing and substitution are at most 9.9% in the absence of any changes in types of drugs prescribed.  (+info)

Regulating the private health care sector: the case of the Indian Consumer Protection Act. (3/402)

Private medical provision is an important constituent of health care delivery services in India. The quality of care provided by this sector is a critical issue. Professional organizations such as the Medical Council of India and local medical associations have remained ineffective in influencing the behaviour of private providers. The recent decision to bring private medical practice under the Consumer Protection Act (COPRA) 1986 is considered an important step towards regulating the private medical sector. This study surveyed the views of private providers on this legislation. They believe the COPRA will be effective in minimizing malpractice and negligent behaviour, but it does have adverse consequences such as an increase in fees charged by doctors, an increase in the prescription of medicines and diagnostics, an adverse impact on emergency care, etc. The medical associations have also argued that the introduction of COPRA is a step towards expensive, daunting and needless litigation. A number of other concerns have been raised by consumer forums which focus on the lack of standards for private practice, the uncertainty and risks of medicines, the effectiveness of the judiciary system, and the responsibility of proving negligence. How relevant are these concerns? Is the enactment of COPRA really appropriate to the medical sector? The paper argues that while this development is a welcome step, we need to comprehensively look into the various quality concerns. The effective implementation of COPRA presumes certain conditions, the most important being the availability of standards. Besides this, greater involvement of professional organizations is needed to ensure appropriate quality in private practice, since health and medical cases are very different from other goods and services. The paper discusses the results of a mailed survey and interview responses of 130 providers from the city of Ahmedabad, India. The questionnaire study was designed to assess the opinion of providers on various implications of the COPRA. We also analyze the data on cases filed with the Consumer Disputes and Redressal Commission in Gujarat since 1991. Four selected cases filed with the National Commission on Consumers Redressal are discussed in detail to illustrate various issues affecting the implementation of this Act.  (+info)

Private health care provision in developing countries: a preliminary analysis of levels and composition. (4/402)

While the importance of the private sector in providing health services in developing countries is now widely acknowledged, the paucity of data on numbers and types of providers has prevented systematic cross-country comparisons. Using available published and unpublished sources, we have assembled data on the number of public and private health care providers for approximately 40 countries. This paper presents some results of the analysis of this database, looking particularly at the determinants of the size and structure of the private health sector. We consider two different types of dependent variable: the absolute number of private providers (measured here as physicians and hospital beds), and the public-private composition of provision. We examine the relationship between these variables and income and other socioeconomic characteristics, at the national level. We find that while income level is related to the absolute size of the private sector, the public-private mix does not seem to be related to income. After controlling for income, certain socioeconomic characteristics, such as education, population density, and health status are associated with the size of the private sector, though no causal relationship is posited. Further analysis will require more complete data about the size of the private sector, including the extent of dual practice by government-employed physicians. A richer story of the determinants of private sector growth would incorporate more information about the institutional structure of health systems, including provider payment mechanisms, the level and quality of public services, the regulatory structure, and labour and capital market characteristics. Finally, a normative analysis of the size and growth of the private sector will require a better understanding of its impact on key social welfare outcomes.  (+info)

The quality of private and public primary health care management of children with diarrhoea and acute respiratory infections in Tlaxcala, Mexico. (5/402)

In Tlaxcala, Mexico, 80% of the children who died from diarrhoea or acute respiratory infections (ARI) in 1992-1993 received medical care; in more than 70% of cases it was provided by a private general practitioner (GP). The present study evaluated the quality of case management by private and public GPs to children under five years of age with diarrhoea and ARI. During the clinical observation, the treatment and counselling given to the mother were assessed with the WHO guidelines as reference standard. A total of 41 private and 40 public GPs were evaluated for the management of diarrhoea, and 59 private and 40 public GPs for the management of ARI. For diarrhoea, half of the private GPs gave inadequate rehydration therapy, 63% gave incorrect advice on diet, 66% and 49% made an incorrect correct decision in the prescription of antimicrobial and symptomatic drugs, respectively. Public GPs generally performed better in diarrhoea management: 7% gave inadequate rehydration therapy, 13% gave wrong advice on diet, 3% made a wrong decision in the prescription of symptomatic drugs and 28% gave a wrong decision in antimicrobial prescription. In the management of ARI, 66% and 58% of private GPs made a wrong decision in the prescription of antimicrobial and symptomatic drugs, respectively, compared to 30% and 20% of public GPs, respectively. Counselling to the mother given by both private and public GPs was considered inadequate in most cases of diarrhoea and ARI. These results clearly show that private doctors, as important providers of medical care, need to be included in the strategies to improve the quality of care of children with diarrhoea and ARI. Future research needs to address the determinants of the clinical practice of private doctors in countries like Mexico.  (+info)

How and why public sector doctors engage in private practice in Portuguese-speaking African countries. (6/402)

OBJECTIVE: To explore the type of private practice supplementary income-generating activities of public sector doctors in the Portuguese-speaking African countries, and also to discover the motivations and the reasons why doctors have not made a complete move out of public service. DESIGN: Cross-sectional qualitative survey. SUBJECTS: In 1996, 28 Angolan doctors, 26 from Guinea-Bissau, 11 from Mozambique and three from S Tome and Principe answered a self-administered questionnaire. RESULTS: All doctors, except one unemployed, were government employees. Forty-three of the 68 doctors that answered the questionnaire reported an income-generating activity other than the one reported as principal. Of all the activities mentioned, the ones of major economic importance were: public sector medical care, private medical care, commercial activities, agricultural activities and university teaching. The two outstanding reasons why they engage in their various side-activities are 'to meet the cost of living' and 'to support the extended family'. Public sector salaries are supplemented by private practice. Interviewees estimated the time a family could survive on their public sector salary at seven days (median value). The public sector salary still provides most of the interviewees income (median 55%) for the rural doctors, but has become marginal for those in the urban areas (median 10%). For the latter, private practice has become of paramount importance (median 65%). For 26 respondents, the median equivalent of one month's public sector salary could be generated by seven hours of private practice. Nevertheless, being a civil servant was important in terms of job security, and credibility as a doctor. The social contacts and public service gave access to power centres and resources, through which other coping strategies could be developed. The expectations regarding the professional future and regarding the health systems future were related mostly to health personnel issues. CONCLUSION: The variable response rate per question reflects some resistance to discuss some of the issues, particularly those related to income. Nevertheless, these studies may provide an indication of what is happening in professional medical circles in response to the inability of the public sector to sustain a credible system of health care delivery. There can be no doubt that for these doctors the notion of a doctor as a full-time civil-servant is a thing of the past. Switching between public and private is now a fact of life.  (+info)

Private patients in NHS hospitals: comparison of two sources of information. (7/402)

BACKGROUND: The use of National Health Service (NHS) hospitals to treat private patients is debatable on the grounds of equity of access. Hospital Episodes Statistics (HES) annual reports are the only routine source of information on the scale of this activity. The accuracy of the information is doubted. This enquiry tested the completeness of HES data against information obtained directly from private patient unit managers. METHOD: Managers of the 71 pay bed units in NHS hospitals in England were asked to supply from local registers and accounts the numbers of in-patients and day cases admitted in 1995-1996. Their reports were matched with the numbers of first consultant episodes for private in-patients and day cases shown for those hospitals in the HES data file for that year. RESULTS: Of the 71 units 62 responded; 53 of these gave usable data. The 53 included, and 18 excluded from the comparison, matched on median and range of bed numbers. Managers identified 16 per cent more total admissions than did HES, 62,572 against 54,131; 13 per cent more in-patient admissions, 39,776 against 35,319; and 21 per cent more day cases, 22,796 against 18,812. More total admissions were reported by managers of 38 pay bed units than were recorded in HES, fewer by 12, and equal numbers by three. Similar sized discrepancies were noted for in-patient admissions and day cases. Reasons for the under-reporting of private patients in HES included the use of separate patient administration systems for private patients with a failure to feed data to HES, and the omission of some provider units altogether by a minority of trusts from the returns made to the Department of Health. CONCLUSION: Overall, HES underestimates the amount of private patient activity reported directly by NHS hospitals. No method of validating private patient data is currently available. An amendment to an existing statistical return would provide a check on numbers. Central guidance on the inclusion of private patient activity in data transmitted by providers to the HES processing agency should be reinforced.  (+info)

Effectiveness of a prevention program for diabetic ketoacidosis in children. An 8-year study in schools and private practices. (8/402)

OBJECTIVE: To shorten the period of carbohydrate intolerance preceding the diagnosis of IDDM in children. RESEARCH DESIGN AND METHODS: The incidence of diabetic ketoacidosis (DKA) was studied in newly diagnosed diabetic children aged 6-14 years, in the area of Parma, Italy, 8 years after an information program on DKA was introduced to teachers, students, parents, and pediatricians. Information was provided by displaying a poster with a few practical messages in 177 primary and secondary public schools. The pediatricians working in the same area were given equipment for the measurement of both glycosuria and blood glucose levels, as well as cards listing guidelines for the early diagnosis of diabetes, to be given to patients. A toll-free number was also provided. Clinical and laboratory features of 24 young diabetic patients diagnosed in the Parma area (group 1) were compared with those of 30 patients coming from two nearby areas in which no campaign for the prevention of DKA had been carried out (group 2). RESULTS: From 1 January 1991 to 31 December 1997, DKA was diagnosed in 3 children from group 1 (12.5%) and in 25 children from group 2 (83.0%) (chi 2 = 26.8; P = 0.0001). The three cases of DKA in group 1 were observed in 1991 (n = 1) and in 1992 (n = 2). No patients from the Parma area who had DKA were admitted to our unit after 1992. The duration of symptoms before diagnosis was 5.0 +/- 6.0 and 28.0 +/- 10.0 days (P < 0.0001), in groups 1 and 2, respectively, Metabolic derangements were less severe in patients of group 1 than in those of group 2. Hospitalization for the treatment of overt diabetes and for the teaching of self-management of the disease lasted 5.4 +/- 1.2 days in group 1 and 13.3 +/- 2.4 days in group 2 (P = 0.002). The total cost of the 8-year campaign was $23,470. CONCLUSIONS: The prevention program for DKA in diabetic children aged 6-14 years, carried out in the Parma area during the last 8 years, was successful. Thanks to this program, cumulative frequency of DKA in new-onset IDDM decreased from 78% during 1987-1991 to 12.5% during 1991-1997. None of the newly diagnosed diabetic children aged 6-14 years and from the Parma area were ever admitted to the hospital for DKA after 1992.  (+info)

  • According to a recent American Gastroenterological Association (AGA) clinical practice update, clinicians should consider pancreatic cancer screening for first-degree relatives of patients with pancreatic cancer who have at least one affected genetically related relative. (
  • All these experiences have left Dr Kumar-Beurg with the knowledge of what excellent clinical practice looks like, and how to deliver it reliably every time. (
  • Few data are currently available on the prevalence and associated characteristics of anxiety disorders in psychiatric out-patients in France, in particular in the private health-care. (
  • In conclusion, this study showed the quantitative importance of anxiety disorders among psychiatric out-patients in the private practice sector in France, all the categories of anxiety being represented, and the high level of severity and burden of these disorders. (
  • The benefits of being an employed physician is that you don't have to worry as much about competition from some other small private practice group because the hospital is supposed to be generating your referral base and you don't have to deal with the business aspects of medicine. (
  • Observational Study of the Pharmaco-Economic and Medical Effects of Optimising Medication Using Pharmacokinetic Pharmacogenomics and Medication Interaction Analysis in Private Practice. (
  • Progressive optometric private practice seeking full- or part-time associate optometrists to practice full-scope medical eye care. (
  • How did medical educational debt factor in your decision to go into academia or private practice? (
  • The Build a Practice workshop has successfully been delivered to ACA members for over 10 years. (
  • During my 20 years of professional experience, I bounced from an HR generalist to a therapist in private practice later landing back into a high-stepping HR director role. (
  • I took my top 10 most frequently used codes for the past year in private practice, looked up their wRVU equivalent, and added up how many wRVU's I generated this past year based on the codes I used most often. (
  • The aim of our study was to describe the prevalence of anxiety disorders in a large sample of patients consulting in the private sector, and in addition to study the comorbidity, the severity of the disorders, their consequences on quality of life and health care consumption. (
  • In my private practice, the work with patients is much the same, but of course I am also responsible for running the business end of things. (
  • As a simple, non-expensive assay easily applicable in private practice is available, rapid measurement of BNP might be very helpful in establishing or excluding the diagnosis of heart failure in patients presenting with acute dyspnea in private practice. (
  • He is committed to maintaining a small practice, to ensure quality time with his patients. (
  • As a larger practice, we have the resources to support a quality coordinator who spends half their time focused on quality measures. (
  • Private practice may refer to: Medical practice Practice of law Private Practice (album), released in 1978 by Dr. Feelgood Private Practice (TV series), a U.S.-produced medical drama Private Sector Practice of real estate surveying, town and country planning, civil, municipal and structural engineering, building architecture, landscape architecture, etc. (
  • Private Practice was the sixth album by Dr. Feelgood, and was released in October 1978. (
  • His new book, The Private Practice Survival Guide: A Journey to Unlock Your Freedom to Success (Rebel Press, February 5, 2019) covers the essential how-to questions of opening a successful private practice. (
  • Day-to-day expenses The average net income for dentists in private practice in 2019 was $204,710 for general dentists and $343,410 for specialists. (
  • Richmond Practice Private Doctors service which offers same day, evening and weekend consultations for international visitors to London. (
  • In 1963, the space was labeled The Sheldon Medical Building, as if it were to house more doctors, but it remained the private practice of Dr. Pruett until Dr. Samuel G. Ramirez took over in 1975. (
  • Private practice doctors followed the population out to St. Louis County, and while their patients were buying bigger homes, the doctors were content with less than 2,000 s.f. (
  • But by 1964, the numbers of doctors going into general practice were dwindling , with the focus moving over to medical specialists. (
  • The service also offers integrated digital dictation or voice recognition from Speech Solutions , while another vendor, VConsult , has partnered with ISN to offer back-end functions to private practices and young doctors, such as managing appointments and calls through to promoting the practice to potential referrers. (
  • Start-up firm Coviu is planning to work with general and medical specialist software vendors to integrate its browser-based telehealth platform into practice management systems, and also plans to develop a payment gateway so doctors can charge for consults from within the Coviu system. (
  • Jammu and Kashmir High Court has called for "urgent halt" to the private practice by the doctors of government hospitals and directed the administration to seriously "examine" it. (
  • The applicant also contended that while facilities in the Dental Hospital are closed and no procedures are being performed, several doctors and practitioners employed in the hospital are carrying out all those procedures in their private clinics. (
  • This application seeks to highlights an unfortunate fall out and aspect of the practice prevalent in Jammu and Kashmir whereby Government Doctors are permitted to carry on with their private practice," the court said, and reordered in its order submissions by the counsel for applicant that this permission is used by medical practitioners to build large private practices by diverting patients from Government hospitals to their private clinics. (
  • Government doctors and professionals cannot be permitted to use their employment and public facilities for building private practices and commercial exploitation," the court said as per Global News service, adding, "Attending to lucrative private practices has to resultantly diminish and detract from the attention which a professional would pay to his salaried public position as a government doctor. (
  • 1 Most generalist doctors are in private practice, mostly fee-for-service, and function only with undergraduate training. (
  • Private Practice Doctors, LLC (PPD) is a unique organization created by physicians for physicians to maintain the sanctity of the doctor-patient relationship. (
  • SAS doctors and private practice Find out about the rights and responsibilities of SAS doctors considering or undertaking private practice, both in the NHS and in private settings. (
  • Private practice doctors hurt financially and emotionally during coronavirus shutdown. (
  • Cachola Medical Clinic and Hobbs Medical and Associates are two of the many privatedoctors will encourage the establishment of Private clinics and corporate hospitals in rural areas of the union territory and shall play a great role in providing medical facilities to the patients in these remote areas who otherwise have to run to cities for treatment. (
  • Millennial doctors prefer employment to private practice. (
  • First, let's look at those doctors who shun the path of going into private practice. (
  • A key part of personal identity is wrapped up in what we do for a living and this can be especially true for therapists, as we frequently have a strong sense of vocation and personal investment in practising, having often been drawn into training out of a need to heal ourselves. (
  • In years past, all our events have exceeded expectations, over-delivered, and provided physical therapists with a stockpile of simple, easy and practical ideas to grow their practice. (
  • Private practice can also be challenging as a career choice because it requires therapists to recruit their own clients and to cover expenses associated with the practice. (
  • The Private Practice Startup is owned by Kate Campbell, PhD, LMFT & Katie Lemieux, LMFT, two therapists who built their 6-figure private practices from the ground up. (
  • They provide free podcasts, webinars, online courses, private practice coaching, and customizable private practice paperwork for therapists across the globe. (
  • She is also an avid content marketer that lights up partnering with female therapists to build on-brand private practices through strategic, tailored online marketing. (
  • His connection to therapy and therapists runs deep: His mother-in-law owns a private practice in Jacksonville, FL, his father-in-law is in recovery and just received his 30 year chip, his Uncle (who he never met) died at a very young age due to drug use, and the heroin epidemic has hit his hometown very hard. (
  • Local Search Optimization Do you want to rank your local business in Google, Bing, Apple Maps, Analysis Of Paralysis Boutique Medical Practices And Concierge Medicine What Are Seo Best Practices How To Improve Website Seo 9 Ways To Improve the SEO of Every Website You Design. (
  • The capital expenditure involved with this purchase can vary from $10,000 to tens of thousands, depending on what is needed, the size of the practice and its requirements. (
  • Office supplies:$69,464 In addition to the rent or mortgage, food, transportation and utilities, … The expenses a clinic incurs are, of course, dependent upon the location of the practice, the cost of living in the city, the size of the practice, etc. (
  • Business Development Companies: A Private Equity or a Volcker Solution? (
  • With our focused team of Private Equity & Venture Capital attorneys, we can help you structure funds, analyze investment opportunities, and connect promising capital seekers with funding sources. (
  • We have worked with countless private equity and venture capital funds on every aspect of the fund life cycle, in booming and depressed market cycles, including: buyout funds, venture capital funds, fund-of-funds, pension funds, university endowments, or other public or private institutions. (
  • Software-focused private equity firm JMI Equity has struck its increased $1.7bn fundraising goal for its tenth flagship investment vehicle. (
  • UK private equity firm Inflexion has completed a buyout of global beauty business Pangaea Laboratories in a deal AltAssets understands values the business at between £150m and £200m. (
  • Private equity investor Partners Group has agreed a buyout of modular education building developer Parmaco from a consortium led by European private equity firms Terra Firma and Metric Capital. (
  • Iconic sandalmaker Birkenstock has sold a majority stake in itself to consumer-focused private equity firm L Catterton in a €4bn deal amid the company reporting a record year despite the Covid-19 crisis. (
  • Chicago private equity firm Core Industrial Partners has become the latest buyout house to hit fundraising success through an entirely virtual process, racing to a $465m one-and-done Fund II close in less than four months. (
  • Private equity firm Resolute Capital Partners has brought in energy, finance and tech industry veteran Casey Minshew for its newly-created role of president of energy. (
  • Physician practices are organized into corporations for the tax benefits as well as protecting the owners from liability judgments. (
  • The physician practices alone, without partners or other affiliations, usually with minimal administrative or clinical staff. (
  • There is a natural fit between Pivot Hearing and Robert Traynor, who in addition to being a thought leader and widely respected academic in the space, also owned a private practice for 45 years, providing diagnostic & rehabilitative treatment for hearing loss and tinnitus as well as intraoperative monitoring. (
  • He has widely lectured domestically and internationally in over 40 countries on most aspects of audiology and, more recently, in practice management. (
  • Widely recognized as one of the premier reproductive veterinarians in the Southeast, Dr. Harry will primarily run a mobile practice but he is finalizing plans with an existing farm to stable horses for all veterinary services including embryo transfers. (
  • Pivot Hearing is a private practice consulting company that applies creative thinking combined with best practices to unlock trapped value within a hearing care business, helping our clients to embrace industry disruption so that they can thrive in their markets, now and in the future. (
  • For some private practice owners, this new era of sweeping and dramatic reforms means new opportunities for them to grow their practices because they will learn and implement innovative strategies in response to these changes. (
  • Kate and Katie both built their 6-Figure private practices from the ground up and love inspiring ambitious mental health professionals to brand themselves and grow their dream private practices! (
  • Startup Nation, Perry Rosenbloom was a blast to have on our podcast and totally rocked the mic while discussing a topic he is most passionate about: 4 Tips to Grow Your Private Practice Using Marketing Automation. (
  • Since 2000, the Center's consulting arm has extended the its reach by providing expertise in sustainable, ecosystem-based landscape approaches to public and private projects. (
  • when I joined the graduate program in prosthodontics at Marquette University in 2000, my plan was to work in private practice in sunny California! (
  • Office Space- $2000-$2500 per month One basic financial formula for estimating your private practice income is this: (Avg fee collected) x (# of Sessions) = (Gross income) - (Expenses) = (Net income) (To see more detail on this formula and to use a calculator based on it see: How to calculate a psychotherapist's private practice pay: An income calculator. (
  • To describe the demographic and practice profile of GPs in group practice in South Africa, and evaluate their views on NHI, compared to solo GPs. (
  • In a guest article, Proskauer partners Robert G. Leonard, Jeffrey D. Neuburger and Joshua M. Newville provide an overview of big data and web scraping, outline potential sources of liability to hedge fund managers that collect big data and describe best practices for navigating several areas of potential liability. (
  • The RAC has long campaigned for such a code to be introduced so we are hopeful this will lead to a better experience for everyone who uses car parks run by private parking companies. (
  • These articles are intended to share tips and wisdom that members have picked up from their experience in practice -- with useful ideas for prosthodontists new in practice and those who are further into their careers. (
  • Pivot Hearing is a leading private practice consulting firm with deep roots and experience in the hearing care industry. (
  • The company offers private practice strategy and execution based on learnings and experience in the current management and growth of its own clinic locations. (
  • The plan was to stay two days at Big Kongs lair and experience his massive painting aura and in my baggage was a voucher for several hours of direct, private, helpful and wise painting hints and instructions. (
  • Disney's official description of the Season 4 DVD set is as follows: "Experience every complex romance, medical crisis and moral dilemma of ABC's Private Practice: The Complete Fourth Season . (
  • I can only speak from the personal experience I gathered from running my own practice. (
  • Enjoy the ultimate Private Practice experience and book one-on-one or semi-private appointments. (
  • Just 24 hours after we broke the story that Breaking Bad season 3 would receive its UK premiere on DVD rather than on television, I have learned that Disney is going the same route with the fourth season of their medical drama series Private Practice, which TVWise recently confirmed to be without a UK broadcaster following Sky Living's decision to drop the series. (
  • Multiple sources have confirmed that Walt Disney Studios Home Entertainment will be releasing Private Practice: The Complete Fourth Season on DVD in the UK on Monday April 2nd. (
  • The lovely Stef was kind enough to make HQ DVD screencaptures from Amy's guest appearance from the second season opener of Private Practice as the DVD isn't yet available on Region 2. (
  • Get cloud apps & services that extend the power of your AdvancedMD software suite & help you create a unified technology ecosystem that meets the unique needs of your practice. (
  • Today it has more than eight million members and is one of the UK's most progressive motoring organisations, providing services for both private and business motorists. (
  • and practice management tips related to coverage and reimbursement for MNT services. (
  • Private Practice is an appointment-only salon where owner Harley Merva provides expert cut & color services in an intimate setting overlooking Union Square. (
  • Thriveworks Counseling is helping private practice owners build their counseling practices via a series of unique services. (
  • All clinical services in independent or private practice must be provided by LISW-CPs (those social workers who have met the education, supervision and examination licensure requirements of the Board for the LISW-CP. (
  • including: fee splitting, charging for services, and private … Once you've assessed all expenses, you'll have a good idea of how much it costs you to keep your private practice running. (
  • Her private practice, Berger Counseling Services, seeks to support children, teens and adults dealing with difficult issues through "doing" instead of talking. (
  • It's the ONLY event of its kind where the presenters are actual in-the-trenches private practice owners who take the stage and give YOU the systems, secrets, strategies and tactics that have elevated their private practice to new heights. (
  • SimplePractice is a top-reviewed practice management platform, made specifically for small business owners in the health and wellness space. (
  • In conjunction with the radio gig, Cathy is now offering one-on-one sessions if you'd prefer some private TLC from Cathy via video chat, phone or email. (
  • By applying several basic tactics, you can start using powerful digital advertising platforms like Google and Facebook to target specific audiences and help ensure a steady flow of business for your practice. (
  • Learn how to automatically route faxes to individuals, groups and locations within a single practice, without spending extra time sifting. (
  • An overwhelming majority of motorists are supportive of the private member's bill to introduce better regulation of private parking companies which gets its second reading in the House of Commons on Friday. (
  • I practised the learned lessons and made some more progress but finally reached again a point where a little (or a little more. (