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Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Physicians: Individuals licensed to practice medicine.Practice Management, Medical: The organization and operation of the business aspects of a physician's practice.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Group Practice: Any group of three or more full-time physicians organized in a legally recognized entity for the provision of health care services, sharing space, equipment, personnel and records for both patient care and business management, and who have a predetermined arrangement for the distribution of income.Physicians, Family: Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.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.United StatesPrivate Practice: Practice of a health profession by an individual, offering services on a person-to-person basis, as opposed to group or partnership practice.Physicians, Primary Care: Providers of initial care for patients. These PHYSICIANS refer patients when appropriate for secondary or specialist care.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.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.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.Hospital-Physician Joint Ventures: A formal financial agreement made between one or more physicians and a hospital to provide ambulatory alternative services to those patients who do not require hospitalization.Physician's Role: The expected function of a member of the medical profession.Dentist's Practice Patterns: Patterns of practice in dentistry related to diagnosis and treatment.Medicine: The art and science of studying, performing research on, preventing, diagnosing, and treating disease, as well as the maintenance of health.Specialization: An occupation limited in scope to a subsection of a broader field.Physicians' Offices: The room or rooms in which the physician and staff provide patient care. The offices include all rooms in the physician's office suite.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)Physician Incentive Plans: Compensatory plans designed to motivate physicians in relation to patient referral, physician recruitment, and efficient use of the health facility.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Professional Practice Location: Geographic area in which a professional person practices; includes primarily physicians and dentists.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.Office Visits: Visits made by patients to health service providers' offices for diagnosis, treatment, and follow-up.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.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.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.Independent Practice Associations: A partnership, corporation, association, or other legal entity that enters into an arrangement for the provision of services with persons who are licensed to practice medicine, osteopathy, and dentistry, and with other care personnel. Under an IPA arrangement, licensed professional persons provide services through the entity in accordance with a mutually accepted compensation arrangement, while retaining their private practices. Services under the IPA are marketed through a prepaid health plan. (From Facts on File Dictionary of Health Care Management, 1988)Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Fees, Medical: Amounts charged to the patient as payer for medical services.Physician-Patient Relations: The interactions between physician and patient.Physicians, Women: Women licensed to practice medicine.Education, Medical, Continuing: Educational programs designed to inform physicians of recent advances in their field.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).Hospital-Physician Relations: Includes relationships between hospitals, their governing boards, and administrators in regard to physicians, whether or not the physicians are members of the medical staff or have medical staff privileges.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Internal Medicine: A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Electronic Prescribing: The use of COMPUTER COMMUNICATION NETWORKS to store and transmit medical PRESCRIPTIONS.Investments: Use for articles on the investing of funds for income or profit.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.Personnel Staffing and Scheduling Information Systems: Computer-based systems for use in personnel management in a facility, e.g., distribution of caregivers with relation to patient needs.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.Programming, Linear: A technique of operations research for solving certain kinds of problems involving many variables where a best value or set of best values is to be found. It is most likely to be feasible when the quantity to be optimized, sometimes called the objective function, can be stated as a mathematical expression in terms of the various activities within the system, and when this expression is simply proportional to the measure of the activities, i.e., is linear, and when all the restrictions are also linear. It is different from computer programming, although problems using linear programming techniques may be programmed on a computer.Medical Records Systems, Computerized: Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.Prepaid Health Plans: Contracts between an insurer and a subscriber or a group of subscribers whereby a specified set of health benefits is provided in return for a periodic premium.Health Facility Size: The physical space or dimensions of a facility. Size may be indicated by bed capacity.

*  Drug prescription pattern for asthma among nigerian doctors in general practice: A cross-sectional survey

... Ademola E. Fawibe, ... resident doctors (trainees in general/family practice), and Fellows in general/family practice (doctors with postgraduate ... doctors, without any significant difference in the prescription pattern, according to the working status and practice setting ... and doctors in private practice (P,0.001) significantly prescribed IV methylxanthines, more than other categories of doctors. ...

*  Antimicrobial Use in Long-Term-Care Facilities | Infection Control & Hospital Epidemiology | Cambridge Core

Physician practice patterns. Arch Intern Med 1990;150:1465-1468.. 10.Kunin CM. The responsibility of the infectious disease ... The short- and long-term effects of a handbook on antimicrobial prescribing patterns of hospital physicians. Infect Control ... The use of an antibiotic order form for antibiotic utilization review: influence of physicians' prescribing patterns. J Infect ... 36.Peterson PK, Stein D, Guay DR, Logan G, Obaid S, Gruninger R, et al. Prospective study of lower respiratory tract infections ...

*  A Comparison of Two Ways to Manage Anti-HIV Treatment (The SMART Study) - Full Text View - ClinicalTrials.gov

Physician's Practice Patterns. Anti-HIV Agents. Additional relevant MeSH terms: HIV Infections. Lentivirus Infections. ... Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your ... To learn more about this study, you or your doctor may contact the study research staff using the contact information provided ... doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical ...

*  A Study of Two Methods of Determining When to Begin or Change Anti-HIV Treatment - Full Text View - ClinicalTrials.gov

Physician's Practice Patterns. Additional relevant MeSH terms: HIV Infections. Lentivirus Infections. Retroviridae Infections. ... Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your ... To learn more about this study, you or your doctor may contact the study research staff using the contact information provided ... The remaining patients in the CCP arm will have CD4 counts obtained according to their clinicians' current clinical practices. ...

*  Part B vs Part D: Navigating Medicare Drug Coverage | Piper Report

Physician Practice Patterns and Perspectives on Change: Insights from National Survey. December 10, 2016. ... Medicare Part B Drug Coverage in Physician Offices:. For Medicare Part B drug coverage in a physician's office, here are the ... 1. Must be furnished "incident to" a physician service. Normally, this means the drug is physician prescribed and dispensed or ... 1. Drugs billed by physicians and provided incident to physician service for that patient (e.g., chemotherapy drugs). ...

*  American Health & Drug Benefits: June 2010 Issue | Piper Report

Physician Practice Patterns and Perspectives on Change: Insights from National Survey. December 10, 2016. ... Medication Adherence: Effectiveness of Physician Alerts to Resolve Potential Gaps in Pharmacotherapy ...

*  How family physicians address diagnosis and management of depression in palliative care patients.

In clinical practice, there is concern about both insufficient and excessive diagnosis and treatment of depression. In the ... Netherlands, family physicians have a central role in delivering pa ... Physician's Practice Patterns*. Physician-Patient Relations. Physicians, Family*. Psychometrics. Terminal Care / methods, ... METHODS: We conducted a focus group study in a sample of family physicians with varied practice locations and varying expertise ...

*  Disease-modifying drug initiation patterns in commercially insured multiple sclerosis patients: a retrospective cohort study.

... clinical characteristics and treatment patterns for newly diagnosed multiple sclerosis (MS) patients in a commercial managed ... Physician's Practice Patterns / statistics & numerical data*. Retrospective Studies. Chemical. Reg. No./Substance: 0/ ... Dr. Dastani is an employee of Novartis Pharmaceuticals Corporation (Novartis); Dr. Patel was an employee of Novartis ... Treatment patterns The most common index DMD used in treating these incident patients was glatiramer (33.7% of treated incident ...

*  Hospital doctors and their schemas about appropriate prescribing.

Physician's Practice Patterns, Prescriptions; Drug/*standards, Quality of Health Care/standards, Research Support; Non-U.S. ... Hospital doctors and their schemas about appropriate prescribing.. Higgins, Mark P Tully, Mary P Uppsala University, Medicinska ...

*  Factors affecting willingness to provide buprenorphine treatment

Keywords: Buprenorphine, Opioid-related disorders, HIV, Physician's practice patterns, Willingness. 1. Introduction. The abuse ... Effect of physician and practice characteristics. In multivariate analysis, we examined personal characteristics as well as ... Based on their prescribing practices, physicians were classified as experienced, novice, or as a nonprescriber and asked to ... A second set of analyses were performed using physician and practice characteristics that were significantly associated with ...

*  An Opportunity for Office-Based Research | SUPPLEMENT ARTICLES | Pediatrics

Several factors may explain why physician practice patterns are not clearly informed by the enuresis literature. Treatment with ... the Pediatric Practice Research Group. Through this mechanism, ideas from practicing physicians are presented to a group of ... Dr Morris Wessel (New Haven, Connecticut) supported this point when he wrote, "All too often I found in my years of practice ... They appear to make sense, and they either suggest a need to change practice patterns or generate other ideas for study. For ...

*  Trends in Medication Choices for Hypertension in the Elderly | Hypertension

Physician utilization: the state of research about physicians' practice patterns. Med Care. 1985;23:461-483. ... Preferences and practices of Americans and their physicians in antihypertensive therapy. Am J Med. 1986;81(suppl 6C):20-24. ... Dr Monane is a recipient of a Clinical Investigator Award (K08 AG00642) from the National Institute on Aging, as is Dr Gurwitz ... prescribing reimbursement through Medicaid tends to reflect physicians' prescribing for patients in their practice as a whole. ...

*  Diagnostic Imaging for Low Back Pain: Advice for High-Value Health Care From the American College of Physicians | Annals of...

A survey of primary care physician practice patterns and adherence to acute low back problem guidelines. ... Low back pain and best practice care: A survey of general practice physicians. ... Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey. ... Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the ...

*  Cynosure-Physicians | On-Demand Webcasts

... from Cynosure products to the latest innovations in treatment technology and practices. , Page 2 ... A Survey of America's Physicians: Practice Patterns and Perspectives. The Physiciansmoo... More ... Concerned how the Affordable Care Act will impact your practice? You're not alone. In a recent survey, 77% of physicians ... Dr. David McDaniel McDaniel Institute of Anti-Aging Research, The Laser & Cosmetic Center, Virginia Beach, VA Dr. McDaniel is ...

*  The self-destructing private sector is no less a blot on our health system than the crumbling public health system

Part I. A review ofthe determinants of doctors' practice patterns. S Afr Med J 1990;78(3):130-132. [ Links ]. ... between doctors and their patients allows doctors to induce demand for their services. This leads to the potential for doctors ... extracted in the dentist's practice. The cost breakdown was as follows: ... 1. Angell M. http://www.pnhp.org/facts/statement_of_dr_marcia_angell_introducing_the_us_national_health_ insurance_act.php ( ...

*  The impact of measuring patient-reported outcomes in clinical practice: a systematic review of the literature | SpringerLink

... information to health care professionals in daily clinical practice. Syste ... Does it change primary care physicians' practice patterns? The Journal of the American Board of Family Practice, 9, 336-345. ... A survey of general practitioners and practice nurses. The British Journal of General Practice, 48, 1555-1559.PubMedGoogle ... A randomized trial of the use of patient self-assessment data to improve community practices. Effective Clinical Practice, 2(1 ...

*  Center for Studying Health System Change

Some have used data on physician practice patterns to limit their networks to those practitioners who practice more efficiently ... An HSC physician survey shows that 72 percent of primary care physicians are in practices that accept capitation and for those ... Some insurers have developed or disseminated practice guidelines to physicians to help them practice in a manner that research ... The physician fee schedule shifted physician incentives away from the provision of medical and surgical procedures towards the ...

*  CHIROPRACTIC PEDIATRICS

... and links to information of benefit to the doctor of chiropractic and their patients. UPDATED 9-23-2017 http://www.chiro.org/ ... Practice Patterns of Doctors of Chiropractic With a Pediatric Diplomate:. A Cross-sectional Survey. BMC Complement Altern Med. ... It was written by Dr. Ron Eisenberg and Dr. Virgil Williams, staff physicians at Highland General Hospital in Oakland, ... Dr. Miller wrote a follow-up study, a cost comparison of the medical and chiropractic care provided in her earlier RTC study, ...

*  Medicare Data on How Much Docs Are Paid | thirdAGE | healthy living for women + their families

... privacy-protected data on services and procedures provided to Medicare beneficiaries by physicians and other health care ... A historic release of data gives Medicare beneficiaries an unprecedented look at the medical services physicians provide and ... policymakers and the public a new window into health care spending and physician practice patterns." ... This data will help fill that gap by offering insight into the Medicare portion of a physician's practice. The data released ...

*  Calibration And Electrical Safety Status Of Therapeutic Ultrasound Utilized By Chiropractic Physicians

... of chiropractic physicians utilize ultrasonic therapy (UST), there has never been an investigation of the calibration or ... Key Indexing Terms: Chiropractic, ultrasonic therapy, standards, equipment safety, physicians practice patterns, risk ... This procedure was chosen for the ease in determining whether the doctor was in active practice. It was also used so the doctor ... Of the 89 doctors listed, 31 agreed to participate in the study. The balance of the doctors did not utilize UST (13.5%), ...

*  What the ACA Should Have Included-Physician Perspectives at the University of Pennsylvania, July 15 - AMA Journal of Ethics ...

Survey of faculty physicians at the University of Pennsylvania led to a list of proposals for health care reforms beyond those ... The Physicians Foundation. A Survey of America's Physicians: Practice Patterns and Perspectives. September 2012. http://www. ... First, how do academic physicians' opinions about health care reform differ from those of private practice physicians and ... Mitigate commercial and political influence over the practice of medicine.. Fundamentally change the way we treat physicians. ...

*  Family History in Pediatric Primary Care | SUPPLEMENT ARTICLES | Pediatrics

Family history and colorectal cancer screening: a survey of physician knowledge and practice patterns. Am J Gastroenterol. 2002 ... A recent case from Dr Trotter's pediatric practice illustrates the power of the family history to direct medical evaluations ... Pediatric clinicians (physicians, nurse practitioners, and physician's assistants) are particularly well positioned to use this ... Current Practices. Family history has always been important in health care.11 Families share genetic susceptibilities, ...

*  Repair Medication Error Cost Tutorial

The study suggests it doesn't take much to change certain physician practice patterns. Rates of consistent use were, however, ... Quality and patient safety expert Dr. Average Cost Of A Medication Error. Health care workers sometimes do not recognize that a ... 5] Levinson, DR, "Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries," Office of Med Care 2000;38(3): ... there is evidence that at least physicians are responsive when their personal compensation is tied to performance. this content ...

*  دانلود مقالات علمی اپیوئید: 535 مقاله isi انگلیسی + ترجمه فارسی

Attitude of health personnel; education; opioids; physician's practice patterns; practice guideline. دانلود متن کامل مقاله PDF ... The Effect of an Educational Program on Opioid Prescription Patterns in Hand Surgery: A Quality Improvement Program Keywords:. ... Original ArticleCross-Sectional Analysis of Per Capita Supply of Doctors of Chiropractic and Opioid Use in Younger Medicare ... State variation in opioid and benzodiazepine prescriptions between independent and nonindependent advanced practice registered ...

*  Charity care - Wikipedia

Potential reasons for the decline include changes in physician practice patterns and increasing financial pressures. In 2006, ... Peter J. Cunningham and Jessica H. May, "A Growing Hole in the Safety Net: Physician Charity Care Declines Again," Center for ... The percentage of doctors providing charity care dropped from 76% in 1996-97 to 68% in 2004-2005. ... The new standards were less generous than existing practice for four out of ten community hospitals, but is stronger than ...

Samuel Bard (physician): Samuel Bard (April 1, 1742 – May 24, 1821) was an American physician. He founded the first medical school in New York.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,National Clinical Guideline CentreCanadian Intermountain Joint Venture: The Canadian Intermountain Joint Venture (CIJV) is a partnership of "government agencies, Aboriginal groups, nongovernmental organizations, industry, universities and landowners" for the implementation of the North American Waterfowl Management Plan in the inter-mountain areas of south and central British Columbia in Canada, and the south-western mountain region of Alberta. Its region of operation includes "all the mountain national parks", with boundaries delineated by the border with the United States to the south, the eastern crest of the Rocky Mountains to the east, the crest of the Coast Mountains to the west, and the boreal forest to the north.Dentists Act 1984: The Dentists Act 1984 (c. 24) is an Act of the Parliament of the United Kingdom regulating dentistry.Halfdan T. MahlerClosed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Department of Urology, University of Virginia: {{Infobox universityCanadian Organ Replacement Registry: The Canadian Organ Replacement Registry CORR is a health organisation was started by Canadian nephrologists and kidney transplant surgeons in 1985 in order to develop the care of patients with renal failure. In the early 1990s data on liver and heart transplantation were added to the registry.Chronic disease in Northern OntarioMercuriade: Mercuriade was an Italian physician, surgeon and medical author in the 14th century. She is one of the few woman physicians known from the Middle Ages.Behavior change (public health): Behavior change is a central objective in public health interventions,WHO 2002: World Health Report 2002 - Reducing Risks, Promoting Healthy Life Accessed Feb 2015 http://www.who.American Osteopathic Board of Internal MedicineToyota NZ engine: The Toyota NZ engine family is a straight-4 piston engine series. The 1NZ series uses aluminum engine blocks and DOHC cylinder heads.List of companies listed on the Oslo Stock Exchange: The Oslo Stock Exchange (Norwegian: Oslo Børs) serves as the main market for trading in the shares of Norwegian companies. It opens at 9:00am and closes 4:30pm local time (CET).Referral (medicine): In medicine, referral is the transfer of care for a patient from one clinician to another.García Olmos L, Gervas Camacho J, Otero A, Pérez Fernández M.Ravi Iyengar: Ravi Iyengar, is a systems biologist and director of the Experimental Therapeutics Institute at the Icahn School of Medicine at Mount Sinai in New York City, as well as the Dorothy H. and Lewis Rosenstiel Professor and chairman of the Department of Pharmacology and Systems Therapeutics and director and principal investigator of the NIGMS-funded Systems Biology Center New York at The Mount Sinai Medical Center.Ideal number: In number theory an ideal number is an algebraic integer which represents an ideal in the ring of integers of a number field; the idea was developed by Ernst Kummer, and led to Richard Dedekind's definition of ideals for rings. An ideal in the ring of integers of an algebraic number field is principal if it consists of multiples of a single element of the ring, and nonprincipal otherwise.

(1/6616) Physician advice and individual behaviors about cardiovascular disease risk reduction--seven states and Puerto Rico, 1997.

Cardiovascular disease (CVD) (e.g., heart disease and stroke) is the leading cause of death in the United States and accounted for 959,227 deaths in 1996. Strategies to reduce the risk for heart disease and stroke include lifestyle changes (e.g., eating fewer high-fat and high-cholesterol foods) and increasing physical activity. The U.S. Preventive Services Task Force and the American Heart Association (AHA) recommend that, as part of a preventive health examination, all primary-care providers counsel their patients about a healthy diet and regular physical activity. AHA also recommends low-dose aspirin use as a secondary preventive measure among persons with existing CVD. To determine the prevalence of physician counseling about cardiovascular health and changes in individual behaviors, CDC analyzed data from the Behavioral Risk Factor Surveillance System (BRFSS) for seven states and Puerto Rico. This report summarizes the results of that analysis, which indicate a lower prevalence of counseling and behavior change among persons without than with a history of heart disease or stroke.  (+info)

(2/6616) Randomised controlled trial of effect of feedback on general practitioners' prescribing in Australia.

OBJECTIVE: To evaluate the effect on general practitioners' prescribing of feedback on their levels of prescribing. DESIGN: Randomised controlled trial. SETTING: General practice in rural Australia. PARTICIPANTS: 2440 full time recognised general practitioners practising in non-urban areas. INTERVENTION: Two sets of graphical displays (6 months apart) of their prescribing rates for 2 years, relative to those of their peers, were posted to participants. Data were provided for five main drug groups and were accompanied by educational newsletters. The control group received no information on their prescribing. MAIN OUTCOME MEASURES: Prescribing rates in the intervention and control groups for the five main drug groups, total prescribing and potential substitute prescribing and ordering before and after the interventions. RESULTS: The intervention and control groups had similar baseline characteristics (age, sex, patient mix, practices). Median prescribing rates for the two groups were almost identical before and after the interventions. Any changes in prescribing observed in the intervention group were also seen in the control group. There was no evidence that feedback reduced the variability in prescribing nor did it differentially affect the very high or very low prescribers. CONCLUSIONS: The form of feedback evaluated here-mailed, unsolicited, centralised, government sponsored, and based on aggregate data-had no impact on the prescribing levels of general practitioners.  (+info)

(3/6616) A comparison of three methods of setting prescribing budgets, using data derived from defined daily dose analyses of historic patterns of use.

BACKGROUND: Prescribing matters (particularly budget setting and research into prescribing variation between doctors) have been handicapped by the absence of credible measures of the volume of drugs prescribed. AIM: To use the defined daily dose (DDD) method to study variation in the volume and cost of drugs prescribed across the seven main British National Formulary (BNF) chapters with a view to comparing different methods of setting prescribing budgets. METHOD: Study of one year of prescribing statistics from all 129 general practices in Lothian, covering 808,059 patients: analyses of prescribing statistics for 1995 to define volume and cost/volume of prescribing for one year for 10 groups of practices defined by the age and deprivation status of their patients, for seven BNF chapters; creation of prescribing budgets for 1996 for each individual practice based on the use of target volume and cost statistics; comparison of 1996 DDD-based budgets with those set using the conventional historical approach; and comparison of DDD-based budgets with budgets set using a capitation-based formula derived from local cost/patient information. RESULTS: The volume of drugs prescribed was affected by the age structure of the practices in BNF Chapters 1 (gastrointestinal), 2 (cardiovascular), and 6 (endocrine), and by deprivation structure for BNF Chapters 3 (respiratory) and 4 (central nervous system). Costs per DDD in the major BNF chapters were largely independent of age, deprivation structure, or fundholding status. Capitation and DDD-based budgets were similar to each other, but both differed substantially from historic budgets. One practice in seven gained or lost more than 100,000 Pounds per annum using DDD or capitation budgets compared with historic budgets. The DDD-based budget, but not the capitation-based budget, can be used to set volume-specific prescribing targets. CONCLUSIONS: DDD-based and capitation-based prescribing budgets can be set using a simple explanatory model and generalizable methods. In this study, both differed substantially from historic budgets. DDD budgets could be created to accommodate new prescribing strategies and raised or lowered to reflect local intentions to alter overall prescribing volume or cost targets. We recommend that future work on setting budgets and researching prescribing variations should be based on DDD statistics.  (+info)

(4/6616) Out-of-hours service in Denmark: the effect of a structural change.

BACKGROUND: In Denmark, the provision of out-of-hours care by general practitioners (GPs) was reformed at the start of 1992. Rota systems were replaced locally by county-based services. The new out-of-hours service resulted in a considerable reduction in the total number of GPs on call. AIM: To describe how the patients experienced the change from a satisfaction point of view, and how the pattern of patient contact and the fee for GPs changed with the new system. METHOD: The county of Funen was chosen as the geographical area where data were collected. A questionnaire measuring patient satisfaction was posted before the change, immediately after the change, and three years later to a random selection of patients who had been in contact with the out-of-hours service within two weeks before the mailing date. All primary care services for the Danish population are stored in a database (National Health Service Registry). From this continuously updated database, the contact pattern and the fee for GPs were extracted for 1991, 1992, and 1995. RESULTS: The total number of patient contacts was reduced by 16% in the first year, but by only 6% three years later. Three years after the change, there were more than twice as many telephone consultations as before the change, and there were only a third as many home visits. After three years, the GPs' fees were reduced by 20%. There was a significant decrease in patient satisfaction, although the overall level remained high. This decrease was lower three years after the change than immediately after the new system was introduced. CONCLUSION: The new service had a major cost-effectiveness benefit, but there was a price to pay in patient satisfaction.  (+info)

(5/6616) Clinical experience and choice of drug therapy for human immunodeficiency virus disease.

To determine if providers experienced in the management of human immunodeficiency virus (HIV) disease preferred different treatment regimens than providers with less experience, we analyzed data from a national survey of primary care providers' preferred regimens for the management of 30 HIV-related medical conditions. We mailed questionnaires to 999 correct addresses of providers in > 20 cities in the United States in May 1996. We received 524 responses (response rate, 52%). We found a statistically significant association between the number of HIV-infected patients cared for by the provider and the likelihood that the provider would report prescribing highly active antiretroviral therapy and multidrug combinations for treatment of opportunistic infections. Providers with few HIV-infected patients were substantially less likely to report using new therapeutic regimens or new diagnostic tools. We concluded that the preferred regimens of experienced providers are more likely to be consistent with the latest information on treatment for HIV disease than are those of less experienced providers.  (+info)

(6/6616) Practice patterns, case mix, Medicare payment policy, and dialysis facility costs.

OBJECTIVE: To evaluate the effects of case mix, practice patterns, features of the payment system, and facility characteristics on the cost of dialysis. DATA SOURCES/STUDY SETTING: The nationally representative sample of dialysis units in the 1991 U.S. Renal Data System's Case Mix Adequacy (CMA) Study. The CMA data were merged with data from Medicare Cost Reports, HCFA facility surveys, and HCFA's end-stage renal disease patient registry. STUDY DESIGN: We estimated a statistical cost function to examine the determinants of costs at the dialysis unit level. PRINCIPAL FINDINGS: The relationship between case mix and costs was generally weak. However, dialysis practices (type of dialysis membrane, membrane reuse policy, and treatment duration) did have a significant effect on costs. Further, facilities whose payment was constrained by HCFA's ceiling on the adjustment for area wage rates incurred higher costs than unconstrained facilities. The costs of hospital-based units were considerably higher than those of freestanding units. Among chain units, only members of one of the largest national chains exhibited significant cost savings relative to independent facilities. CONCLUSIONS: Little evidence showed that adjusting dialysis payment to account for differences in case mix across facilities would be necessary to ensure access to care for high-cost patients or to reimburse facilities equitably for their costs. However, current efforts to increase dose of dialysis may require higher payments. Longer treatments appear to be the most economical method of increasing the dose of dialysis. Switching to more expensive types of dialysis membranes was a more costly means of increasing dose and hence must be justified by benefits beyond those of higher dose. Reusing membranes saved money, but the savings were insufficient to offset the costs associated with using more expensive membranes. Most, but not all, of the higher costs observed in hospital-based units appear to reflect overhead cost allocation rather than a difference in real resources devoted to treatment. The economies experienced by the largest chains may provide an explanation for their recent growth in market share. The heterogeneity of results by chain size implies that characterizing units using a simple chain status indicator variable is inadequate. Cost differences by facility type and the effects of the ongoing growth of large chains are worthy of continued monitoring to inform both payment policy and antitrust enforcement.  (+info)

(7/6616) Reactions to medical abortion among providers of surgical abortion: an early snapshot.

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(8/6616) Voluntary euthanasia under control? Further empirical evidence from The Netherlands.

Nineteen ninety-six saw the publication of a major Dutch survey into euthanasia in the Netherlands. This paper outlines the main statistical findings of this survey and considers whether it shows that voluntary euthanasia is under effective control in the Netherlands. The paper concludes that although there has been some improvement in compliance with procedural requirements, the practice of voluntary euthanasia remains beyond effective control.  (+info)


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certifies physicians

  • The American Board of Internal Medicine (ABIM) is a non-profit, self-appointed physician evaluation organization which certifies physicians who practice internal medicine and its subspecialties. (wikipedia.org)

pediatric

  • The youngest children constituted the largest pediatric group in Norwegian chiropractic practice. (chiro.org)
  • The study also noted that the number of concierge dental and pediatric practices increased markedly since February 2009. (wikipedia.org)
  • Both the pediatric and family physician associations encourage newborn screening and continued assessment at all visits because some diseases only develop later in life. (wikipedia.org)

clinical practice

  • PRIMARY: To compare the clinical efficacy of two decision making strategies for initiating or changing antiretroviral therapy: decision making based on current clinical practice alone (i.e., initiating or changing therapy based on CD4 count decline and/or clinical progression) versus decision making based on plasma HIV RNA quantitation in addition to current clinical practice. (clinicaltrials.gov)
  • In clinical practice, there is concern about both insufficient and excessive diagnosis and treatment of depression. (biomedsearch.com)
  • The purpose of this paper is to summarize the best evidence regarding the impact of providing patient-reported outcomes (PRO) information to health care professionals in daily clinical practice. (springer.com)
  • Journal of Evaluation in Clinical Practice, 5 , 401-416. (springer.com)
  • Applications of health status assessment measures in clinical practice. (springer.com)
  • The use of quality of life data in clinical practice. (springer.com)

Hospitals

  • By establishing networks of hospitals, physicians, and other providers that enrollees could access with less out-of-pocket expense, private plans have been able to negotiate payment rates with providers. (hschange.org)
  • The new standards were less generous than existing practice for four out of ten community hospitals, but is stronger than existing state law. (wikipedia.org)
  • A central theme in the advocacy of DRGs was that this reimbursement system would, by constraining the hospitals, oblige their administrators to alter the behavior of the physicians and surgeons comprising their medical staffs. (wikipedia.org)

specialty

  • The information also allows comparisons by physician, specialty, location, the types of medical service and procedures delivered, Medicare payment, and submitted charges. (thirdage.com)
  • Features of the ideal computerized physician order entry system (CPOE) include: Ordering Physician orders are standardized across the organization, yet may be individualized for each doctor or specialty by using order sets. (wikipedia.org)
  • Makary completed sub-specialty surgery training at Johns Hopkins in surgical oncology and gastrointestinal surgery under surgeon John Cameron, before joining Cameron's faculty practice as a partner. (wikipedia.org)
  • Makary is the founder of "Improving Wisely", a Robert Wood Johnson Foundation funded project to reduce health care costs and improve quality by applying physician practice pattern indicators that are developed by the physicians in each sub specialty of medicine. (wikipedia.org)
  • and the second most popular medical specialty in concierge medicine was family practice. (wikipedia.org)
  • The ABIM recently adopted a new governance structure that now consists of three entities: Board of Directors ABIM Council Specialty Boards ABIM, the largest of 24 member certifying boards of the American Board of Medical Specialties, was established in 1936 by the American Medical Association and the American College of Physicians to issue certification to physicians. (wikipedia.org)
  • The program now requires physicians to: Possess a valid medical license Earn MOC points (points count toward all certificates you are maintaining) Some MOC activity every two years 100 MOC points every five years Pass MOC exam in your specialty every 10 years Despite the ABIM's assertions, there has been much controversy regarding the Maintenance of Certification Program. (wikipedia.org)
  • Central to the campaign are lists of "Five Things Physicians and Patients Should Question" developed by more than forty-five Canadian specialty societies. (wikipedia.org)
  • In countries following the Anglo-American model, emergency medicine was originally the domain of surgeons, general practitioners, and other generalist physicians, but in recent decades it has become recognised as a speciality in its own right with its own training programmes and academic posts, and the specialty is now a popular choice among medical students and newly qualified medical practitioners. (wikipedia.org)
  • Emergency Medicine is a medical specialty-a field of practice based on the knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioral disorders. (wikipedia.org)

Variations

  • full citation needed] Wennberg and colleagues at the Dartmouth Center for Evaluative Clinical Sciences documented these wide variations in how healthcare is practiced around the United States. (wikipedia.org)

Perspectives

  • Source: A Survey of America's Physicians: Practice Patterns and Perspectives. (cynosure.com)

chiropractic

  • Background: Although over 70% of chiropractic physicians utilize ultrasonic therapy (UST), there has never been an investigation of the calibration or electrical safety of this commonly used therapeutic modality within the chiropractic profession. (experts.com)
  • Objective: This study sought to determine whether ultrasound machines utilized by chiropractic physicians met established calibration and electrical safety standards and to assess frequency of UST utilization. (experts.com)
  • Chiropractic physicians must become more aware of the requirement for yearly calibration and safety inspections and to understand that failure to maintain their equipment could result in loss in effectiveness of therapy as well as pose a threat to the safety of their patients and staff. (experts.com)
  • In 1998 70.3% of all chiropractic physicians utilized ultrasonic therapy (UST) as part of their therapeutic regime and 34.3% of patients seen by these doctors received UST as a component of their office visit (1). (experts.com)
  • This is a small increase from 1991 when 68.8% of all chiropractic physicians utilized UST in their practices (2). (experts.com)
  • Naturopathy was adopted by many chiropractors, and several schools offered both Doctor of Naturopathy (ND) and Doctor of Chiropractic (DC) degrees. (wikipedia.org)
  • In the 1940s and 1950s, a broadening in scope of practice laws led many chiropractic schools to drop their ND degrees, though many chiropractors continued to practice naturopathy. (wikipedia.org)

Medicare

  • Medicare developed hospital prospective payment and a physician fee schedule in order to pay less than under the passive payment systems and to provide some incentives for more cost conscious delivery of care. (hschange.org)
  • A historic release of data gives Medicare beneficiaries an unprecedented look at the medical services physicians provide and how much they are paid. (thirdage.com)
  • On Arpil 9th 2014, as part of the Obama administration's work to make our health care system more transparent, affordable, and accountable, Health and Human Services (HHS) Secretary Kathleen Sebelius announced the release of new, privacy-protected data on services and procedures provided to Medicare beneficiaries by physicians and other health care professionals. (thirdage.com)
  • This data will help fill that gap by offering insight into the Medicare portion of a physician's practice. (thirdage.com)
  • There is also a hybrid concierge model where physicians charge a monthly, quarterly, or annual retainer or membership fee for services that Medicare and insurers do not cover. (wikipedia.org)
  • DRGs are also standard practice for establishing reimbursements for other Medicare related reimbursements such as to home healthcare providers. (wikipedia.org)

American College of

  • Financial support for the development of this guideline comes exclusively from the American College of Physicians' operating budget. (annals.org)

variation

  • We explored variation in family physicians' opinions regarding the recognition, diagnosis, and management of depression in palliative care patients. (biomedsearch.com)
  • The project aims to address low-value care while embracing reasonable variation in physician practices. (wikipedia.org)
  • The model has specialist physicians endorse measures they believe is valid, and then those physicians set the boundaries of acceptable practice variation so that extreme outlier practice patterns can be identified for improvement. (wikipedia.org)
  • Unwarranted variation (or geographic variation) in health care service delivery refers to medical practice pattern variation that cannot be explained by illness, medical need, or the dictates of evidence-based medicine. (wikipedia.org)
  • This phenomenon, in which doctors practice medicine differently depending on where they're from, is called practice pattern variation. (wikipedia.org)
  • Unwarranted variation in medical practice is costly and deadly as noted by Martin Sipkoff in 9 Ways To Reduce Unwarranted Variation. (wikipedia.org)

outcomes

  • The effectiveness of the use of patient-based measures of health in routine practice in improving the process and outcomes of patient care: A literature review. (springer.com)
  • A major new role for the ABD lies in the rigorous maintenance of certification program that enrolls physicians in a lifelong certification process encompassing a variety of quality measures and outcomes. (wikipedia.org)
  • The MOC program structure tries to address these concerns with a sound theoretical rationale via the six ACGME competencies framework and a respectable body of scientific evidence, and to address its relationship to patient outcomes, physician performance, validity of the assessment or educational methods utilized and learning or improvement potential. (wikipedia.org)
  • In light of these concerns, Choosing Wisely Canada hopes to optimize value, reduce waste and improve patient outcomes by promoting patient-physician conversations about low-value care. (wikipedia.org)

Assessment

  • Through periodic self-assessment of medical knowledge, communication skills, patient safety and practice quality measures, physicians in MOC continue to document the high standards they have achieved. (wikipedia.org)
  • Lifelong learning and self-assessment - physicians participate in a minimum amount of continuing medical education and self-assessment programs. (wikipedia.org)
  • Gordon's functional health patterns is a method devised by Marjory Gordon to be used by nurses in the nursing process to provide a more comprehensive nursing assessment of the patient. (wikipedia.org)

general practice

  • This study was designed to evaluate a self-reported drug prescribing pattern for asthma among Nigerian doctors in general practice. (pubmedcentralcanada.ca)
  • Although many patients have benefited from the availability of buprenorphine in the United States, almost half of current prescribers are addiction specialists suggesting that buprenorphine treatment has not yet fully penetrated general practice settings. (pubmedcentralcanada.ca)
  • The British Journal of General Practice, 48 , 1555-1559. (springer.com)

Effectiveness

  • TRIPPD: a practice-based network effectiveness study of postpartum depression screening and manageme. (biomedsearch.com)
  • The professional uncertainty hypothesis suggests that due to autonomy and individual practice patterns, physicians differ in their opinions regarding the effectiveness, appropriateness, and success rates of various treatment options for a particular condition. (wikipedia.org)

patients

  • The remaining patients in the CCP arm will have CD4 counts obtained according to their clinicians' current clinical practices. (clinicaltrials.gov)
  • How family physicians address diagnosis and management of depression in palliative care patients. (biomedsearch.com)
  • RESULTS: In 4 focus group discussions with 22 family physicians, the physicians described the diagnostic and therapeutic process for depression in palliative care patients as a continuous and overlapping process. (biomedsearch.com)
  • The physicians did not strictly apply criteria of depressive disorder but rather relied on their clinical judgment and strongly considered patients' context and background factors. (biomedsearch.com)
  • The physicians described difficulties in diagnosing and treating depression in palliative care, and gave suggestions to improve management of depression in palliative care patients in primary care. (biomedsearch.com)
  • CONCLUSIONS: Family physicians perceive the diagnosis and management of depression in palliative care patients as challenging. (biomedsearch.com)
  • Disease-modifying drug initiation patterns in commercially insured multiple sclerosis patients: a retrospective cohort study. (biomedsearch.com)
  • BACKGROUND: The goal of this research was to compare the demographics, clinical characteristics and treatment patterns for newly diagnosed multiple sclerosis (MS) patients in a commercial managed care population who received disease-modifying drug (DMD) therapy versus those not receiving DMD therapy. (biomedsearch.com)
  • 1 Treatment of hypertension is the most common reason for patients to visit a physician and to receive medications. (ahajournals.org)
  • Increase your professional satisfaction Learn how physicians just like you have increased their revenue with fewer patients! (cynosure.com)
  • Doctors and patient don't agree: Cross sectional study of patients' and doctors' perceptions and assessments of disability in multiple sclerosis. (springer.com)
  • Attitudes to the use of health outcome questionnaires in the routine care of patients with diabetes: A survey of general practitioners and practice nurses. (springer.com)
  • Physicians and other health care professionals determine what they will charge for services and procedures provided to patients and these "charges" are the amount the physician or health care professional generally bills for the service or procedure. (thirdage.com)
  • Computerized physician order entry (CPOE), sometimes referred to as computerized provider order entry or computerized provider order management (CPOM), is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care. (wikipedia.org)
  • This practice pattern approach has been identified as a novel approach to address opioid overprescribing in narcotic naive patients after standardized procedures where opioid prescribing should be limited. (wikipedia.org)
  • This model allows the physician to continue to see their non-retainer patients while providing their "concierge" patients a fee for the increased or "special" services. (wikipedia.org)
  • In doing so, these practices can keep overhead and administrative costs low, thereby providing affordable healthcare to patients. (wikipedia.org)
  • Concierge physicians care for fewer patients than those in a conventional practice, ranging from 50 patients per doctor to 1,000, compared to 3,000 to 4,000 patients that the average traditional physician now sees every year. (wikipedia.org)
  • This is considered an urgent referral that needs a "hot hand-off" or direct communication between the physician that found an abnormality and the ophtalmologist receiving the referral to discuss the patients history and current exam. (wikipedia.org)
  • The campaign aims to help physicians and patients engage in conversations about unnecessary tests, treatments and procedures, and to assist physicians and patients in making informed and effective choices to ensure high quality care. (wikipedia.org)
  • These lists are intended to encourage physicians to adopt a "think twice" attitude to avoid unnecessary and potentially harmful tests and procedures, and to foster discussions between patients and physicians about inappropriate care. (wikipedia.org)
  • A systematic survey of patients in seven countries revealed that 10-20% of patients believed that their physicians had provided treatment of little or no value in the past two years. (wikipedia.org)
  • In their role as first-line providers, emergency physicians are responsible for initiating resuscitation and stabilization, starting investigations and interventions to diagnose and treat illnesses in the acute phase, coordinating care with specialists, and determining disposition regarding patients' need for hospital admission, observation, or discharge. (wikipedia.org)
  • In many modern emergency departments, Emergency physicians are tasked with seeing a large number of patients, treating their illnesses and arranging for disposition-either admitting them to the hospital or releasing them after treatment as necessary. (wikipedia.org)
  • Emergency physicians also provide episodic primary care to patients during off hours and for those who do not have primary care providers. (wikipedia.org)

treatments

  • A lively discussion ensued as the physicians realized that they employed a variety of treatments for enuresis. (aappublications.org)
  • Learn from a peer how to add treatments that will keep your practice on a solid financial foundation. (cynosure.com)
  • SID can occur because of a breakdown in this agency relationship and happens when a physician recommends or encourages a patient to consume more care than is required for their medical problem, for example, ordering tests that the physician knows are not needed to make a diagnosis or ordering treatments that the physician knows will have minimal benefit. (wikipedia.org)
  • Instead, naturopathic study and practice rely on unscientific notions, often leading naturopathic doctors to diagnoses and treatments that have no factual merit. (wikipedia.org)

widely

  • While all "concierge" medicine practices share similarities, they vary widely in their structure, payment requirements, and form of operation. (wikipedia.org)
  • The practice of Medical Ethics is widely accepted and practiced throughout the world. (wikipedia.org)

medicine

  • Buprenorphine, which reduces cravings, blocks the effects of opioids, and has limited overdose potential, can be prescribed in office-based settings for the treatment of opioid dependence by physicians who meet the requirements of the Drug Addiction Treatment Act (DATA 2000), including completion of an 8-hour training or certification in addiction medicine and registration with the Drug Enforcement Administration (DEA). (pubmedcentralcanada.ca)
  • A release from HHS quotes Sebelius as saying, "Currently, consumers have limited information about how physicians and other health care professionals practice medicine. (thirdage.com)
  • Makary is an advocate for innovation in medicine and physician-led initiatives such as The Surgical Checklist, which he developed at Johns Hopkins, and was later popularized in Atul Gawande's best-selling book Checklist Manifesto. (wikipedia.org)
  • Naturopathic medicine is considered by the medical profession to be ineffective and possibly harmful, raising ethical issues about its practice. (wikipedia.org)
  • He completed his Bachelor of Science Degree in Chemistry at Duke University, with Distinction and Phi Beta Kappa in 1965, and received his Doctor of Medicine Degree at Duke University Medical Center, in 1969, being elected to Alpha Omega Alpha. (wikipedia.org)
  • The ABMS and its affiliated boards strive for the highest standards to assure the public that a board certified physician is current in his/her medical knowledge and that he/she practices medicine ethically. (wikipedia.org)
  • Concierge medicine (also known as retainer medicine) is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. (wikipedia.org)
  • The practice has been referred to as concierge medicine, retainer medicine, membership medicine, cash-only practice, and direct care. (wikipedia.org)
  • Estimates of U.S. doctors practicing concierge medicine range from fewer than 800 to 5,000. (wikipedia.org)
  • There are typically three primary types of concierge medicine business models practiced today. (wikipedia.org)
  • From 2001 until 2013, ABIM certified 91,024 physicians in general internal medicine. (wikipedia.org)
  • Unlike licensure, board certification is not a requirement to practice medicine. (wikipedia.org)
  • According to a 2003 report from the National Committee for Quality Assurance 57,000 lives were lost annually because US physicians have not been using evidence-based medicine to guide their care. (wikipedia.org)
  • We're literally dying, waiting for the practice of medicine to catch up with medical knowledge," said Margaret O'Kane, president of NCQA. (wikipedia.org)
  • Medical ethics is a system of moral principles that apply values to the practice of clinical medicine and in scientific research. (wikipedia.org)
  • The home's owner was a Pennsylvania-trained physician who practiced medicine after relocating to Davidson County. (wikipedia.org)
  • The practice of emergency medicine is often quite different in rural areas where there are far fewer consultants and health care resources. (wikipedia.org)
  • In these areas, family physicians with additional skills in emergency medicine often staff emergency departments. (wikipedia.org)

prescribe

  • 2. Drug plans are not required to list off-label on formularies, but physicians may still prescribe off-label drugs for medically accepted indications. (piperreport.com)

Hospital

  • Hospital doctors and their schemas about appropriate prescribing. (diva-portal.org)
  • Ironically, the worst offending tooth - the prime reason for in-hospital treatment - was inadvertently left untouched, and was subsequently extracted in the dentist's practice. (scielo.org.za)
  • In 2014, his son Alex Charney became a practicing psychiatric resident at Mt Sinai hospital. (wikipedia.org)
  • He practices surgical oncology and advanced laparoscopic surgery at the Johns Hopkins Hospital and teaches public health policy at the Johns Hopkins Bloomberg School of Public Health. (wikipedia.org)
  • Emergency physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units, but may also work in primary care settings such as urgent care clinics. (wikipedia.org)

bladder control

  • It is particularly interesting in that it raises many of the fundamental issues in developmental-behavioral pediatrics, including maturation (of bladder control), genetic predisposition, sleep patterns and dysfunction, coexisting social or psychological issues, and the family's (and patient's) response to a symptom. (aappublications.org)
  • Urinary elimination pattern (describe) Frequency, problem with bladder control? (wikipedia.org)

behavior

  • The poor anti-asthma prescribing behavior among these doctors is associated with a low level of participation at update training on asthma management and poor awareness of asthma guidelines. (pubmedcentralcanada.ca)
  • The target income hypothesis suggests that a physician is motivated to maintain a certain level of desired income (the target) and if their actual income falls below this level, they will then modify their behavior to restore their income back up to the target. (wikipedia.org)
  • DRGs were designed to provide practice pattern information that administrators could use to influence individual physician behavior. (wikipedia.org)

patient

  • 1. Drugs billed by physicians and provided incident to physician service for that patient (e.g., chemotherapy drugs). (piperreport.com)
  • Normally, this means the drug is physician prescribed and dispensed or physician prescribed and administered during a patient office visit. (piperreport.com)
  • 3. To justify off-label coverage for a medically necessary, medically accepted drug, the physician must determine that all drugs on plan's formulary for the treatment of the same condition (a) would not be as effective and/or (b) have adverse effects for patient. (piperreport.com)
  • They rely on open communication and a long-standing physician-patient relationship in which the patient's context is of great importance. (biomedsearch.com)
  • In the past, physicians have traditionally hand-written or verbally communicated orders for patient care, which are then transcribed by various individuals (such as unit clerks, nurses, and ancillary staff) before being carried out. (wikipedia.org)
  • The doctor-patient relationship is key to the practice of healthcare and is central to the delivery of high quality efficient care while maintaining costs. (wikipedia.org)
  • In healthcare, a physician acts as an agent on behalf of the patient (the principal) guiding them to make the best possible treatment decisions. (wikipedia.org)
  • This agency relationship is influenced by information asymmetry between a physician and a patient, where it is assumed that the physician has more knowledge about diagnostic and treatment options than the patient. (wikipedia.org)
  • A physician who is a "perfect agent" is one who would make recommendations for a patient that the patient would make for themselves if they had the same information. (wikipedia.org)
  • this could induce the physician to offer a higher number of services than would be the optimal amount for the patient in order to increase revenue. (wikipedia.org)
  • Some of the proposed healthcare models in the Patient Protection and Affordable Care Act (PPACA) could modify how a physician is reimbursed for delivering care that would reward quality over quantity thereby reducing SID. (wikipedia.org)
  • In exchange for the retainer, doctors provide enhanced care, including principally a commitment to limit patient loads to ensure adequate time and availability for each patient. (wikipedia.org)
  • The Fee for Care ('FFC') is an annual retainer model, where the patient pays a monthly, quarterly, or annual retainer fee to the physician. (wikipedia.org)
  • In order to perform this test the patient and physician are normally approximately 2 to 3 feet away from each other. (wikipedia.org)
  • The second and third waves of physician recommendation lists and patient education materials were launched on October 29, 2014, and June 2, 2015, respectively. (wikipedia.org)
  • In total, 151 physician recommendations and 26 lay language patient educational materials have been released in the three waves from 2014-2015. (wikipedia.org)

examination

  • Cognitive expertise - physicians must take and pass a proctored and secure examination at least once every ten years. (wikipedia.org)
  • Following regulations established by the ABMS, in order to be certified, a physician must: Complete the requisite predoctoral medical education Meet the training requirements Meet the licensure requirements and procedural requirements Pass a secure board certification examination Physicians may become board certified when they have successfully completed residency or fellowship training and by passing a secure examination. (wikipedia.org)
  • Examination (examples of objective data): Observe sleep pattern and rest pattern. (wikipedia.org)
  • If appropriate - PQRST questions PQRST P - Palliative, Provocative Q - Quality or quantity R - Region or radiation S - Severity or scale T - Timing (Morton, 1977) COLDSPA C - Character O - Onset L - Location D - Duration S - Severity P - Pattern A - Associated factors (Weber, 2003)[full citation needed] Examination (examples of objective data): Orientation. (wikipedia.org)

aesthetic

  • John Burns, M.D., a leading plastic surgeon, describes how using a highly effective and versatile pulsed light platform adds value to his aesthetic practice. (cynosure.com)
  • In addition to the wide range of medical diseases, dermatologists have practices devoted to skin surgery (including aesthetic procedures), care of children with skin disease, immunologic diseases of the skin and pathology of the skin. (wikipedia.org)

treatment

  • As the only pharmacological treatment for opioid dependence readily available in office-based settings, buprenorphine may facilitate a historic shift in addiction treatment from treatment facilities to general medical practices. (pubmedcentralcanada.ca)
  • We examined factors affecting willingness to offer buprenorphine treatment among physicians with different levels of prescribing experience. (pubmedcentralcanada.ca)
  • Check out our on-demand webcasts, covering a range of topics, from Cynosure products to the latest innovations in treatment technology and practices. (cynosure.com)
  • Such tenets may allow doctors, care providers, and families to create a treatment plan and work towards the same common goal without any conflict. (wikipedia.org)

surgical

  • The physician fee schedule shifted physician incentives away from the provision of medical and surgical procedures towards the provision of evaluation and management services. (hschange.org)
  • Makary is the first author of the original scientific publications describing "The Surgery Checklist" For his original work on the checklist, Makary was asked to serve in roles at the World Health Organization where he worked closely with Dr. Gawande, and others, to develop the official World Health Organization Surgical Checklist. (wikipedia.org)
  • The emergency physician requires a broad field of knowledge and advanced procedural skills often including surgical procedures, trauma resuscitation, advanced cardiac life support and advanced airway management. (wikipedia.org)

Affordable Care Act

  • Concerned how the Affordable Care Act will impact your practice? (cynosure.com)

generally

  • Naturopathic practitioners generally recommend against modern medical practices, including but not limited to medical testing, drugs, vaccinations, and surgery. (wikipedia.org)

organization

  • One of these models, the Accountable care organization (ACO), reimburses a physician through a gain-sharing model that encourages them to collaborate with other providers to deliver care thus removing some of the individual incentives to induce demand. (wikipedia.org)
  • It is not a membership society, educational institution or licensing body, but an organization that attempts to assess physicians through proprietary testing and completion of required modules. (wikipedia.org)

Dermatology

  • Dr. David McDaniel McDaniel Institute of Anti-Aging Research, The Laser & Cosmetic Center, Virginia Beach, VA Dr. McDaniel is Board Certified in Dermatology and serves as an Assistant Professor of Clinical Dermatology at Eastern Virginia Medical School, Co-Director of the Hampton University Skin of Color Research Institute, Adjunct Professor in the School of Science at Hampton University, as well as an Adjunct Assistant Professor in the Department of Biologicalmoo. (cynosure.com)
  • The American Board of Dermatology and Syphilology was incorporated in 1932 in order to set standards in the field of dermatology and to assure the adequate training and experience of those physicians wishing to call themselves dermatologists. (wikipedia.org)

Care

  • In the Netherlands, family physicians have a central role in delivering palliative care. (biomedsearch.com)
  • METHODS: We conducted a focus group study in a sample of family physicians with varied practice locations and varying expertise in palliative care. (biomedsearch.com)
  • For example, primary care physicians are often paid on the basis of capitation for primary care services-that is, a fixed amount per enrollee per month. (hschange.org)
  • An HSC physician survey shows that 72 percent of primary care physicians are in practices that accept capitation and for those with some capitation, it accounts for 32 percent of practice revenue. (hschange.org)
  • The data released today afford researchers, policymakers and the public a new window into health care spending and physician practice patterns. (thirdage.com)
  • The percentage of doctors providing charity care dropped from 76% in 1996-97 to 68% in 2004-2005. (wikipedia.org)
  • This leads to a level of uncertainty which may result in a lack of uniformly acceptable standards of care that can be followed by all physicians. (wikipedia.org)
  • This standard of care in treating uveitis/OID was published in July 2015 as the preferred practice patterns in the Journal of Survey of Ophthalmology. (wikipedia.org)
  • Some concierge practices are cash-only or 'direct' primary care practices and do not accept insurance of any kind. (wikipedia.org)
  • Some of the other benefits of concierge healthcare are: in-home visits, worldwide access to doctors and expedited emergency room care. (wikipedia.org)
  • However, many emergency physicians work in urgent care settings, since there is obvious overlap. (wikipedia.org)
  • Rural emergency physicians may be the only health care providers in the community, and require skills that include primary care and obstetrics. (wikipedia.org)

1992

  • He has been named among the top 3 most highly cited authors of psychiatric research in the decade ending in 2000 by the Institute for Scientific Information, and listed in every edition of the "Best Doctors in America" since 1992. (wikipedia.org)

nurses

  • Physicians and nurses can review orders immediately for confirmation. (wikipedia.org)

incentives

  • Jonathan Gruber and Maria Owings looked at the relationship between physician financial incentives and cesarean section delivery by examining declining fertility rates in the United States. (wikipedia.org)

Evaluation

  • Performance in practice evaluation - physicians study their own practice patterns against national measures to assure high quality. (wikipedia.org)

Health

  • Compared with other physicians, experienced prescribers were less concerned about induction logistics and access to expert consultation, clinical guidelines, and mental health services. (pubmedcentralcanada.ca)
  • The following questions pertain to those asked by the nurse to provide an overview of the individual's health status and health practices that are used to reach the current level of health or wellness. (wikipedia.org)
  • Choosing Wisely Canada (CWC) is a Canadian-based health education campaign launched on April 2, 2014 under the leadership of Dr. Wendy Levinson, in partnership with the Canadian Medical Association, and based at the University of Toronto. (wikipedia.org)

evaluate

  • Choosing Wisely Canada aims to encourage and empower physicians to assimilate, evaluate, and implement the ever-increasing amount of evidence on current best practice. (wikipedia.org)

SECONDARY

  • Secondary objectives were to determine the relative value each physician applied to their training in the utilization of UST and determine correlations between physician�s education, years in practice, gender and proper maintenance of their equipment. (experts.com)
  • Lack regular maintenance of equipment, except for one doctor, rendered secondary correlations between education, years in practice, gender and maintenance of equipment meaningless. (experts.com)

therapeutic

  • Results: 72.1% of doctors contacted used therapeutic ultrasound in their offices. (experts.com)

Board Certified

  • Board certified physicians are known as diplomates. (wikipedia.org)

Survey

  • In a recent survey, 77% of physicians revealed they are pessimistic about the future of medicine1. (cynosure.com)
  • Additionally the doctor was asked to complete a short survey relating to education, usage and maintenance of their ultrasound equipment. (experts.com)

study

  • About 48% of the doctors had never attended any form of update training on asthma management, whereas, only 16.3% attended update training on asthma within the last year preceding this study. (pubmedcentralcanada.ca)
  • Talk with your doctor and family members or friends about deciding to join a study. (clinicaltrials.gov)
  • To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. (clinicaltrials.gov)

family

  • This is a recommended screening by the American Academy of Pediatrics and American Academy of Family Physicians for neonates and children at every office visit. (wikipedia.org)

Knowledge

  • The ABIM asserts that research shows that physician knowledge deteriorates and practice habits and patterns fail to change, over time, in response to medical advances[citation needed]. (wikipedia.org)

data

  • These data provide important insight into physician concerns about buprenorphine and have implications for practice, education, and policy change that may effectively support widespread adoption of buprenorphine. (pubmedcentralcanada.ca)
  • Physician specific data is shared confidentially with the physician. (wikipedia.org)
  • Fewer than 30% of physicians examine their own performance data and try to improve. (wikipedia.org)

Quality

  • Makary has advocated for the need for more transparency in healthcare and argued that professional physician associations are in the best position to define and endorse the validity of quality metrics in healthcare. (wikipedia.org)
  • The ABD originally had nine Directors but has expanded to 17, reflecting the increasing complexity of the field and in response to the public demand for physician accountability in matters of quality assurance. (wikipedia.org)
  • Through this pattern the nurse is able to determine regularity, quality, and quantity of stool and urine. (wikipedia.org)

reimbursement

  • As of 2009, fifteen U.S. states, Puerto Rico, the US Virgin Islands and the District of Columbia licensed naturopathic doctors, and the State of Washington requires insurance companies to offer reimbursement for services provided by naturopathic physicians. (wikipedia.org)

years

  • Robert's mom told the pediatrician that Robert had not been seen by a doctor for several years because "no one seems to be able to help him with his problem. (aappublications.org)
  • The pediatrician was surprised to learn that another physician had treated Robert with imipramine at age 5 years. (aappublications.org)

behalf

  • A grouping of orders used to standardize and automate a clinical process on behalf of a physician. (wikipedia.org)

advances

  • Introducing the newest advances in pulsed light technology, Dr. Burns discusses his successful integration of these procedures and how they reduce the need for single wavelength lasers. (cynosure.com)

characteristics

  • Subject characteristics (oldest subjects, women, and blacks) were important determinants of physicians' choice of antihypertensive therapy. (ahajournals.org)

Healthcare System

  • Dr. Owens: Veterans Affairs Palo Alto Healthcare System, 3801 Miranda Avenue, Palo Alto, CA 94304. (annals.org)
  • Dr. Shekelle: Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073. (annals.org)
  • He is also author of the New York Times Best Selling book Unaccountable (Bloomsbury Press, U.S.A.), in which he proposes that common sense, physician-led solutions can fix the healthcare system. (wikipedia.org)

recognition

  • Naturopathic doctors are campaigning for more recognition in the U.S. and Canada. (wikipedia.org)