Suchergebnisse

Physician motivation and related incentive compensations plans are central to the design and delivery of safe, high-quality, satisfying medical care as well as advancing physician satisfaction and engagement. The underlying premise of this article is that the interests of physicians and patients as well as the community ought to be better aligned to improve clinical and population health outcomes. The Triangle of Patient Centered Compensation is presented as a model to design or redesign compensation programs that seek to achieve better alignment between physicians, patients and the community. After reading this article, practitioners will be able to adopt and adapt the model to fit with the vision, mission and strategies of their organization and academics will be able to empirically test this model and revise this model.

Relationships that involve a physician and a non-physician professional spouse face many challenges that are similar to those experienced by dual career marriages. However, there are unique demands that are associated with physicians who are married to other professionals. One such challenge is the task of navigating their multiple familial and professional roles. This present study explores how physicians who are married to other professionals confront and navigate the complex environment that is often characteristic of work-family issues in this population. Employing an exploratory qualitative design, 34 heterosexual individuals (17 couples) completed in-depth qualitative interviews. These dyadic interviews included 10 male physicians and 7 female physicians. A multisystemic approach was employed to explore themes that emerged. One major theme, contextual appreciation of the physician's work demands, and three sub-themes: familial support, non-traditional parenting and domestic roles, and paid help, emerged. These data provide important information for the medical education of physicians with specific emphasis on navigating multiple familial and professional roles when part of dual career marriages. Findings provide implications for physician vitality/health, medical education, and continuing education with a focus on physician marriages.

There is only limited evidence on whether certified and uncertified health care providers in India support reforming the Medical Termination of Pregnancy (MTP) Act to expand the abortion provider base to allow trained nurses and AYUSH physicians (who are trained in Indian systems of medicine) to provide medical abortion. To explore their views, we conducted a survey of 1,200 physicians and other health care providers in Maharashtra and Bihar states and in-depth interviews with 34 of them who had used medical abortion in their practices. Findings indicate that obstetrician-gynaecologists and other allopathic physicians were less supportive than non-physicians of nurses and AYUSH physicians providing early medical abortion. The physicians did not think that these providers would be able to assess women's eligibility for medical abortion correctly. In contrast, the majority of non-physicians found task shifting of medical abortion provision to trained nurses and AYUSH physicians acceptable, and they were confident that these providers would be able to provide medical abortion as safely and effectively as trained physicians. Assuming the reforms are passed, efforts will need to be made by government and medical professional bodies to train these new providers to undertake this role, prepare the health infrastructure to include them, and create an environment, including among physicians, that is conducive to enabling non-physicians to provide medical abortion.

This article presents a first hand account of a pediatric physician working in an inner city clinic under a managed care environment. The frustrations, advantages, and disadvantages of the managed care implementation of services is described. The implications of managed care in this environment for the patient, the health care delivery system, and the physician are compared to a fee for service delivery system.

Medicine in the setting of the royal courts of Europe form Renaissance to the Enlightment has been recently discussed, but Italian court medicine has been so far very largely neglected. In this article central problems are the relations between court medicine and academic medicine and the social status of the court physician in fourteenth century. Both problems are investigated in two Italian courts: the Visconti court in Milan and Pavia and the Aragonese court in Sicily. The list of the Visconti physicians and astrologers attests that they had all been celebrated university professors and that their condition as personal physicians to Galezzo and Gian Galeazzo was far superior to the acdemic on in honour and salaries. Their role could also be representative and political. This was expecially the case of Ruggero de Camma, who was chosen as personal physician to the Aragonese king Martino II and appointed by him as first protomedico for political reasons. Key words: Court Medicine - Universities - Astrology - Royal doctors - Protomedicato

Maximizing nurse-physician collaboration holds promise for improving patient care and creating satisfying work roles. The purpose of this article is to describe strategies that will facilitate effective nurse-physician collaboration. First the nature and the benefits of collaborative communication will be reviewed. This review will be followed by a discussion of self-development, team-development, and communication-development strategies that can enhance nurse-physician collaboration.

Im Oktober beginnt an der Berliner Steinbeis-Hochschule ein neuer Studiengang: Staatlich geprüfte Gesundheits- und Krankenpfleger oder Operationstechnische Assistenten können sich dort zu Physician Assistants mit Schwerpunkt Orthopädie und Unfallchirurgie ausbilden lassen.

"Physician Assistants" (PA) versorgen Wunden, schreiben Entlassbriefe und assistieren im OP. Dadurch entlasten sie Ärzte im Alltag, die sich wieder auf ihre Kernkompetenzen konzentrieren können. Die Zahl der Absolventen steigt, ihre Jobaussichten sind gut – doch es gibt noch offene Fragen.

Sana hat sich kürzlich erst von der Physician-Assistant-Ausbildung verabschiedet. Trotzdem hat der PA eine Zukunft: Nach der Dualen Hochschule Baden-Württemberg steht jetzt auch die Fresenius Hochschule am Start. Ihr Vizepräsident ist überzeugt: Der PA ist wichtiger Ansprechpartner für Patienten, weil Ärzte und Pflegekräfte immer weniger Zeit haben.