PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “practice environment”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 649 records · Page 36Linked to original sources
PubMed2004

[Changes in the environment of medical practice].

Changes in medical practice have been very deep in the last 50 years. These changes have happened together with other external variations in the economy, demography, culture and information, generating a sense of uneasiness and unhappiness among the medical profession. This problem is visible when interviewing clinicians in a wide range of medical settings, independently of their contractual arrangement. The medical work model in Chile has changed from a situation in which there was a sole employer, the National Health Service, one single training school, the University of Chile, and a small minority of powerful and influential intellectual leaders. At the beginning of the XXI century, there are several modes of medical work, distant and unconnected among them. On the other side of the problem many factors add complexity, such as the demographic and epidemiological transition, technological advance, the dual rich-poor medical care, the emergence of malpractice procedures and the new, better informed and more demanding medical consumer. On top of this, different health care systems reform initiatives appear, providing more uncertainty to a nearly unbearable situation. This bibliographic review shows us that similar feelings are experienced in advanced countries and in developing societies such as Chile.

Career Choice↗
PubMed1997

The information age: influencing practice and academic environments.

Technologic forces are transforming both the nursing profession and nursing education. How will these changes affect nurses? What is at stake? As society moves to an information economy, one's value will be determined by the ability to access and use information (knowledge).

Education, Nursing↗
PubMed1999

Application of the Person-Environment-Occupation Model: a practical tool.

Occupational therapy focuses on complex dynamic relationships between people, occupations and environments. Therapists must clearly communicate their practices and how their practice influences outcomes. This paper explores applications of the Person-Environment-Occupation Model (Law et al., 1996) in occupational therapy practice, and delineates how this particular model helps therapists to conceptualize, plan, communicate and evaluate occupational performance interventions. Three case studies illustrate how the model can be used by occupational therapists to systematically approach analysis of occupational performance issues while considering the complexities of human functioning and experience. The ways in which the model facilitates communication within and outside occupational therapy are explained. The Person-Environment-Occupation Model is offered as a tool for therapists to use in client(s)-therapist alliances to enable clients to successfully engage in meaningful occupations in chosen environments.

Aged↗
PubMed1996

Preparing physicians for practice in managed care environments.

The author first describes the evolution and characteristics of managed care and its emphasis on the care of populations as well as individuals. She then reviews managed care's implications for medical education; for example, managed care physicians must know non-office-based approaches to keeping their patients healthy. She identifies and defines eight domains of knowledge in which physicians must be competent for practice in environments dominated by managed care. These are epidemiologic thinking, human behavior, organizational behavior, information systems, quality measurement and improvement, health system financing and delivery, ethics, and systems based care. Teaching students to practice in managed care environments is a challenge partly because there are few role models of the new breed of physician among medical school faculties. The author suggests strategies and attitudes to remedy this situation (for example, faculty must understand that managed care is not homogeneous and that it is not all bad; medical schools should develop "master teachers" for the rest of the faculty; and interactive CD-ROM-driven problem-based learning sets could be used). Focusing on training faculty for the new era and on emphasizing the eight knowledge better physicians, whether they practice inside or outside managed care.

Behavior↗