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Results for “Partnership Practice”

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At least 127 records · Page 7Linked to original sources

PubMed1999

An ethnographic study of women's experience of partnership caseload midwifery practice: the professional as a friend.

OBJECTIVES: To explore the experience of a known midwife for labour and birth as provided through the partnership caseload model of care in women who had a previous baby under an alternative system of care. DESIGN: A qualitative study using an ethnographic approach. Data were collected by tape-recorded interviews. SETTING: The maternity unit at Leicester Royal Infirmary NHS Trust, Leicester, UK in 1998. PARTICIPANTS: 10 multiparous women cared for by Birth Under Midwifery Practice Scheme (BUMPS) midwives were interviewed between eight- and 12 weeks' postpartum. KEY FINDINGS: Women's perceptions and experiences were predominantly influenced by the relationships they had with their midwives who they described as 'friends'. All other themes were filtered through these relationships, including previous negative experiences of maternity care, the valuing of a known midwife for labour and birth, their positive birth experiences, expressions of delight at their care, their liking of home antenatal care, and the appreciation of their existing children and partners meeting their midwives. IMPLICATIONS FOR PRACTICE: Partnership caseload midwifery practice has significant positive impact on women's experience of childbirth. The midwife/woman relationship that has evolved in this context is highly valued by women and challenges traditional professional roles. The model should be explored in other settings to see if its benefits to women are transferable.

Anthropology, Cultural↗

PubMedDate not supplied

The first year of an urban family practice.

The first year of an urban based family practice partnership, composed of one male and one female physician, was followed to determine disease diagnosis distribution and frequency, patient residence, and types and numbers of office procedures and laboratory tests. The diagnosis distribution and frequency were compared to studies conducted in other regions of the nation. Each partner's practice was analyzed separately to assess whether there were differences in their practices dependent on the sex of the provider. During the year, the physicians had 3,059 patient visits and recorded 4,711 problems. In all, 773 office procedures were performed; the most common were related to health maintenance. The 1,554 laboratory tests performed also showed a concentration for the purpose of health screening. This practice was less active in the areas of acute trauma and obstetrics than other reported studies. Few differences in the individual practices of the male and female physicians were noted. Categorizing the problems according to the revised diagnostic clusters demonstrates the usefulness of that system. In spite of the urban nature of the practice, a high percentage of patients using the family practice office lived in the surrounding neighborhood.

Connecticut↗

PubMed1988

Variation in use of penicillin for treatment of sinusitis in general practice.

The present study describes the use of phenoxymethylpenicillin and broad-spectrum penicillin for the treatment of sinusitis in general practice, in relation to some variables related to the prescribing doctors: region (county), practice form (single-handed or partnership), and the doctors' seniority (year of graduation). Log-linear analysis was used to make it possible to evaluate the influence of single factors. There was considerable variation between the counties included in the study. Practitioners in partnership practices used phenoxymethylpenicillin more frequently and broad-spectrum penicillin less frequently in the treatment of patients with sinusitis, compared with their colleagues in single-handed practices. Younger practitioners chose broad-spectrum penicillin more frequently and phenoxymethylpenicillin less frequently than their older colleagues. The individual practitioner was rather stable in his choice of drug for the treatment of consecutive patients with the same diagnosis.

Age Factors↗

PubMed1966