Tracking the changes in physician practice settings

Hughes, Rachael; Baker, Laurence C.

doi:10.1001/archfami.4.9.759

Cited by 7 publications

(3 citation statements)

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“…1 Healthcare practices have become larger and more complex. 2 In addition, greater numbers of allied health professionals (e.g., nurses, nurse practitioners, medical assistants, physician assistants, etc.) have become involved in primary care asthma education.…”

Section: Introductionmentioning

confidence: 99%

Pediatrician Attitudes and Practices Regarding Collaborative Asthma Education

Cabana

Slish

Brown

et al. 2004

Clin Pediatr (Phila)

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Pediatric practices were surveyed in 10 regions of the country to determine physician attitudes and practices regarding approaches to asthma education. Many physician respondents thought that nurses were just as effective as physicians in providing asthma education. In almost all practices a physician was involved; in two thirds of practices, an allied health professional; and in almost half of practices (48%), a registered nurse was involved. The type of healthcare professional involved in education was not associated with percentage of patients with Medicaid insurance, practice ownership, or setting. Given the multidisciplinary approach to education in many pediatric practices, quality improvement efforts to enhance asthma education by pediatric practices could be further enhanced by directly involving allied health professionals who practice in primary care settings.

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Section: Introductionmentioning

confidence: 99%

Pediatrician Attitudes and Practices Regarding Collaborative Asthma Education

Cabana

Slish

Brown

et al. 2004

Clin Pediatr (Phila)

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“…Providers now could be labeled as “nonadherent” relative to a specific guideline recommendation 3 . This construct works well for simple practice guideline recommendations (eg, individual provider counseling to patients about proper nutrition) and limited practice systems (eg, a solo primary care practice); however, medical care is much more complex 4 …”

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confidence: 99%

The Broader Picture on Guideline Adherence

Cabana

Kiyoshi‐Teo

2010

J Parenter Enteral Nutr

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“…P rivate, fee-for-service practice has dominated American medical practice for most of the 20th century, but other forms of organized practice have grown in recent years. [1][2][3] Many factors lie at the root of these complex changes, including the way health care is delivered, shifts in health insurance coverage, and broader changes in society. In addition, the advent of government-driven health system reform has accelerated changes in practice settings as insurers, hospitals, managed care organizations, and physicians attempt to anticipate which organizational arrangements will be most advantageous in the future.…”

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confidence: 99%

Profiles About Practice Settings of American College of Obstetricians and Gynecologists Fellows

Rayburn

Strunk

2013

Obstetrics & Gynecology

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Selection of a practice setting affects duty hours, practice autonomy, institutional relationships, administrative responsibilities, personal finances, and professional satisfaction. To identify national trends in practice settings reported by the College, we evaluated responses by Fellows (and Junior Fellows) in active practice from six College surveys on professional liability issues between 1992 and 2012. Although half of Fellows remained in an independent private practice, a decline was observed among solo health care practitioners (from 32% in 1992 to 19% in 2012). Direct employment increased either in hospital systems (from 5% to 15%) or as academic faculty (from 9% to 12%). The proportion of Fellows employed by either health maintenance organizations (from 4% to 2%) or the government (2%) remained low. We anticipate that practice settings will be increasingly influenced by health care reform, team-based care with use of nonphysician clinicians, physician age, and increasing subspecialization. Future surveys of Fellows about their practice settings, preferably required at the time of Maintenance of Certification, will aid in evaluating practice settings and their influence on quality of care, cost containment, and health care provider satisfaction.

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Tracking the changes in physician practice settings

Cited by 7 publications

References 0 publications

Pediatrician Attitudes and Practices Regarding Collaborative Asthma Education

Pediatrician Attitudes and Practices Regarding Collaborative Asthma Education

The Broader Picture on Guideline Adherence

Profiles About Practice Settings of American College of Obstetricians and Gynecologists Fellows

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