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https://www.readbyqxmd.com/read/27651164/african-american-solo-grandparents-raising-grandchildren-a-representative-profile-of-their-health-status
#1
Deborah M Whitley, Esme Fuller-Thomson
The objective of this study is to document the health profile of 252 African-American grandparents raising their grandchildren solo, compared with 1552 African-American single parents. The 2012 Behavior Risk Factor Surveillance System is used to compare the specific physical and mental health profiles of these two family groups. The findings suggest solo grandparents have prevalence of many health conditions, including arthritis (50.3 %), diabetes (20.1 %), heart attack (16.6 %) and coronary heart disease (16...
September 20, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27496153/the-2014-primary-health-care-reform-in-poland-short-term-fixes-instead-of-a-long-term-strategy
#2
Anna Mokrzycka, Iwona Kowalska-Bobko, Anna Sagan, Włodzimierz Cezary Włodarczyk
At the end of 2013, the Minister of Health started legislative changes directly and indirectly affecting primary health care (PHC). The reforms were widely criticised among certain groups of medical professionals, including family medicine physicians. The latter mainly criticised the formal inclusion of specialists in internal diseases and paediatrics into PHC within the statutory health care system, which in practice meant that these two groups of specialists were no longer required to specialize in family medicine from 2017 in order to enter into contracts with the public payer and would be able to set up solo PHC practices-something over which family medicine physicians used to have a monopoly...
July 25, 2016: Health Policy
https://www.readbyqxmd.com/read/27422391/gender-differences-in-pediatric-orthopaedics-what-are-the-implications-for-the-future-workforce
#3
Marielle A Amoli, John M Flynn, Eric W Edmonds, Michael P Glotzbecker, Derek M Kelly, Jeffrey R Sawyer
BACKGROUND: Although the number of women in surgical specialties has increased dramatically over the past two decades, little research exists regarding how a surgeon's gender impacts job selection and practice models. Because the number of women specializing in pediatric orthopaedics continues to increase, it is important to understand how one's gender affects practice choices and how this may affect the future workforce. QUESTIONS/PURPOSES: (1) Among pediatric orthopaedic surgeons, is gender associated with choice of practice type (academic, private practice, hospital-based, solo)? (2) For men and women, what are the most common reasons for choosing a job? (3) For new graduates, do men and women have equal starting salaries? (4) Do men have a higher chance of getting job offers? (5) Is there a difference in workload (call frequency and surgical case volume) for men and women? (6) Finally, is there a difference in imminent retirement plans for men and women? METHODS: The 2015 Pediatric Orthopaedic Society of North American (POSNA) Needs Assessment Survey was sent to POSNA members and a special 36-question survey was sent to recent pediatric orthopaedic fellowship graduates...
September 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27396507/use-of-electronic-health-records-by-child-primary-healthcare-providers-in-europe
#4
Z Grossman, S Del Torso, D van Esso, J H H Ehrich, P Altorjai, A Mazur, C Wyder, A M Neves, H J Dornbusch, E Jaeger Roman, A Santucci, A Hadjipanayis
BACKGROUND: There is limited data on the use and functionality level of electronic health records (EHRs) supporting primary child health care in Europe. Our objective was to determine European primary child healthcare providers' use of EHRs, and functionality level of the systems used. METHODS: European primary care paediatricians, paediatric subspecialists and family doctors were invited by European Academy of Paediatrics Research in Ambulatory Setting Network (EAPRASnet) country coordinators to complete a web-based survey on the use of EHRs and the systems' functionalities...
July 10, 2016: Child: Care, Health and Development
https://www.readbyqxmd.com/read/27380785/insights-of-private-general-practitioners-in-group-practice-on-the-introduction-of-national-health-insurance-in-south-africa
#5
Shabir Moosa, John Luiz, Teresa Carmichael, Wim Peersman, Anselme Derese
BACKGROUND: The South African government intends to contract with 'accredited provider groups' for capitated primary care under National Health Insurance (NHI). South African solo general practitioners (GPs) are unhappy with group practice. There is no clarity on the views of GPs in group practice on contracting to the NHI. OBJECTIVES: 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...
2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/27076496/the-effectiveness-of-parent-training-as-a-treatment-for-preschool-attention-deficit-hyperactivity-disorder-study-protocol-for-a-randomized-controlled-multicenter-trial-of-the-new-forest-parenting-program-in-everyday-clinical-practice
#6
Anne-Mette Lange, David Daley, Morten Frydenberg, Charlotte U Rask, Edmund Sonuga-Barke, Per H Thomsen
BACKGROUND: Parent training is recommended as the first-line treatment for attention-deficit/hyperactivity disorder (ADHD) in preschool children. The New Forest Parenting Programme (NFPP) is an evidence-based parenting program developed specifically to target preschool ADHD. OBJECTIVE: The objective of this trial is to investigate whether the NFPP can be effectively delivered for children referred through official community pathways in everyday clinical practice...
2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/26633255/physician-response-to-patient-request-for-unnecessary-care
#7
Sapna Kaul, Anne C Kirchhoff, Nancy E Morden, Christine S Vogeli, Eric G Campbell
OBJECTIVES: Evaluating unnecessary US medical practices, and the strategies that reduce them, are increasingly recognized as crucial to healthcare financing sustainability. Provider factors are known to affect unnecessary medical practices, yet little is known about how physician responses to patient requests for unnecessary care affect these practices. Among primary care physicians (PCPs), we investigated 2 types of unnecessary medical practices triggered by patient requests: a) unnecessary specialty referrals and b) prescriptions for brand-name drugs when generic alternatives are available...
November 2015: American Journal of Managed Care
https://www.readbyqxmd.com/read/26035025/feasibility-of-energy-medicine-in-a-community-teaching-hospital-an-exploratory-case-series
#8
Francois Dufresne, Bonnie Simmons, Panagiotis J Vlachostergios, Zachary Fleischner, Ramsey Joudeh, Jill Blakeway, Kell Julliard
BACKGROUND: Energy medicine (EM) derives from the theory that a subtle biologic energy can be influenced for therapeutic effect. EM practitioners may be trained within a specific tradition or work solo. Few studies have investigated the feasibility of solo-practitioner EM in hospitals. OBJECTIVE: This study investigated the feasibility of EM as provided by a solo practitioner in inpatient and emergent settings. DESIGN: Feasibility study, including a prospective case series...
June 2015: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/25747338/parents-and-peers-contribution-to-risky-driving-of-male-teen-drivers
#9
Orit Taubman - Ben-Ari, Sigal Kaplan, Tsippy Lotan, Carlo Giacomo Prato
The current study joins efforts devoted to understanding the associations of parents' personality, attitude, and behavior, and to evaluating the added contribution of peers to the driving behavior of young drivers during their solo driving. The study combines data gathered using in-vehicle data recorders from actual driving of parents and their male teen driver with data collected from self-report questionnaires completed by the young drivers. The sample consists of 121 families, who participated in the study for 12 months, beginning with the licensure of the teen driver...
May 2015: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/25616724/who-provides-gp-after-hours-care
#10
Mai Pham, Ian McRae
Understanding the demographic and financial factors likely to influence the supply side of after-hours GP care is crucial in meeting the increasing demand for these services. This study answers two questions: which GPs are more likely to provide after-hours GP care, and of those who do, which are more likely to take a heavier load. Data from the first wave of the Medicine in Australia: Balancing Employment and Life (MABEL) survey is used, with logistic regression applied to address the decision to undertake after-hours work and linear regression to address the question of the quantum of work...
April 2015: Health Policy
https://www.readbyqxmd.com/read/25567817/fewer-family-physicians-are-in-solo-practices
#11
Lars E Peterson, Elizabeth Baxley, Carlos Roberto Jaén, Robert L Phillips
Over the past 20 years there has been a statistically significant trend toward fewer family physicians identifying as being in solo practice. Further study to determine the reasons for this decline and its impact on access to care will be critical because rural areas are more dependent on solo practitioners.
January 2015: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/25093539/the-contribution-of-parents-driving-behavior-family-climate-for-road-safety-and-parent-targeted-intervention-to-young-male-driving-behavior
#12
RANDOMIZED CONTROLLED TRIAL
Orit Taubman-Ben-Ari, Oren Musicant, Tsippy Lotan, Haneen Farah
One of the prominent issues in contemporary research on young drivers deals with the mechanisms underlying parents' influences on their offspring's driving behavior. The present study combines two sets of data: the first gathered from in-vehicle data recorders tracking the driving of parents and their teenage sons, and the second derived from self-report questionnaires completed by the young drivers. The aim was to evaluate the contribution of parents' driving behavior, participation in a parent-targeted intervention, and the teen drivers' perception of the family climate for road safety, to the driving behavior of young drivers during solo driving...
November 2014: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/24960043/-rural-doesn-t-mean-uniform-northern-vs-southern-rural-family-physicians-workload-and-practice-structures-in-ontario
#13
E F Wenghofer, P E Timony, N J Gauthier
INTRODUCTION: There is a tendency in health policy in Ontario, Canada, to conflate 'northern' with 'rural' and to equate northern rural settings with southern ones. Although previous research has identified some differences between rural and urban practitioners, these studies have not acknowledged the subtle nuances that make rural practice different in the north than in the south. This study looks more closely at practice patterns and compares number of hours worked per week, patient volume and practice type for rural northern, rural southern, urban northern and urban southern physicians...
2014: Rural and Remote Health
https://www.readbyqxmd.com/read/24808117/community-size-and-organization-of-practice-predict-family-physician-recertification-success
#14
Bradley M Schulte, David M Mannino, Kenneth D Royal, Sabrina L Brown, Lars E Peterson, James C Puffer
OBJECTIVE: Health disparities exist between rural and urban areas. Rural physicians may lack sufficient medical knowledge, which may lead to poor quality of care. Therefore, we sought to determine whether medical knowledge differed between family physicians (FPs) practicing in rural areas compared with those practicing in metropolitan areas. METHODS: We studied 8361 FPs who took the American Board of Family Medicine maintenance of certification (MOC) examination in 2009...
May 2014: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/24720335/planning-for-life-after-orthopaedics
#15
Joseph S Barr, Michael J McCaslin, Cynthia K Hinds
The word retirement is going out of fashion. Many orthopaedic surgeons want to work in some capacity when they stop performing surgery. Making a smooth transition from a busy orthopaedic practice to alternative work demands advanced planning. The surgeon must consider personal issues that involve how to use human capital (his or her accumulated knowledge and experience). New ventures, hobbies, travel, and spending time with family and friends are some possibilities. Plans for slowing down or leaving the practice should be discussed and agreed on well ahead of time...
2014: Instructional Course Lectures
https://www.readbyqxmd.com/read/24479065/historical-evolution-and-present-status-of-family-medicine-in-sri-lanka
#16
R P J C Ramanayake
Sri Lankan health system consists of Allopathic, Ayurvedic, Unani, and several other systems of medicine and allopathic medicine is catering to the majority of the health needs of the people. As in many other countries, Sri Lankan health system consists of both the state and the private sector General practitioners, MOs in OPDs of hospitals and MOs of central dispensaries, provide primary medical care in Sri Lanka. Most of the general practices are solo practices. One does not need postgraduate qualification or training in general practice to start a general practice...
April 2013: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/24445106/a-view-from-cheyenne-mountain-generation-iii-s-perspective-of-keystone-iii
#17
Erika Bliss, Kara Cadwallader, Terrence E Steyer, Deborah S Clements, Jennifer E Devoe, Kenneth Fink, Marina Khubesrian, Paul Lyons, Elizabeth Steiner, David Weismiller
In October 2000 the family of family medicine convened the Keystone III conference at Cheyenne Mountain Resort. Keystone III participants included members of Generation I (entered practice before 1970), Generation II (entered 1970-1990), and Generation III (entered after 1990). They represented a wide range of family physicians, from medical students to founders of the discipline, and from small-town solo practice to academic medicine. During the conference, the three generations worked together and separately thinking about the past, present, and future of family medicine, our roles in it, and how the understanding of a family physician and our discipline had and would continue to evolve...
January 2014: Annals of Family Medicine
https://www.readbyqxmd.com/read/24268091/the-national-improvement-partnership-network-state-based-partnerships-that-improve-primary-care-quality
#18
REVIEW
Judith S Shaw, Chuck Norlin, R J Gillespie, Mark Weissman, Jane McGrath
Improvement partnerships (IPs) are a model for collaboration among public and private organizations that share interests in improving child health and the quality of health care delivered to children. Their partners typically include state public health and Medicaid agencies, the local chapter of the American Academy of Pediatrics, and an academic health care organization or children's hospital. Most IPs also engage other partners, including a variety of public, private, and professional organizations and individuals...
November 2013: Academic Pediatrics
https://www.readbyqxmd.com/read/24261436/practice-improvement-part-ii-trends-in-employment-versus-private-practice
#19
REVIEW
Mary Thoesen Coleman, Michelle A Roett
A growing percentage of physicians are selecting employment over solo practice, and fewer family physicians have hospital admission privileges. Results from surveys of recent medical school graduates indicate a high value placed on free time. Factors to consider when choosing a practice opportunity include desire for independence, decision-making authority, work-life balance, administrative responsibilities, financial risk, and access to resources. Compensation models are evolving from the simple fee-for-service model to include metrics that reward panel size, patient access, coordination of care, chronic disease management, achievement of patient-centered medical home status, and supervision of midlevel clinicians...
November 2013: FP Essentials
https://www.readbyqxmd.com/read/24130300/family-practice-versus-specialist-care-for-low-risk-obstetrics-examining-patient-satisfaction-in-newfoundland-and-labrador
#20
COMPARATIVE STUDY
Monica Kidd, Susan Avery, Norah Duggan, Jennifer McPhail
OBJECTIVE: To investigate patient satisfaction with 3 models of low-risk obstetrics care: solo care by a GP, group care by GPs, and specialist care. DESIGN: Three-arm study comparing results of a self-administered, anonymous questionnaire. SETTING: Two academic family practices and the labour and delivery ward in St John's, Nfld. PARTICIPANTS: A total of 220 women deemed to have low-risk pregnancies; 82 women completed the questionnaire (37% response rate)...
October 2013: Canadian Family Physician Médecin de Famille Canadien
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