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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.

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PubMed2003

Qualities of enduring cross-sector partnerships in public health.

The social, economic and political challenges accompanying our rapidly transforming global health environments have created unique social challenges that demand cross-sector solutions. Four cross-sector partnerships are reviewed with a special focus on sector roles, change management, phases of partnership development, and key factors for success.

Health Care Reform↗
PubMed2001

Partnerships identified within primary health care literature.

Primary health care promotes partnership in nursing. The purpose of this study was to delineate defining characteristics of partnerships within primary health care and to identify strategies to facilitate the development of these partnerships. Findings from this integrative review of the literature include the development of a partnership framework that emerged from the meanings inherent in the prefixes of words used to describe "multi", "inter", and "intra" partnerships. Also, the findings revealed characteristics of partner expectations, attributes of active and passive participation, and strategies to foster, and barriers to hinder, active participation. Using the developed partnership framework, implications for practice, education, and research have been discerned.

Attitude of Health Personnel↗
PubMed1976

Communication as a method of medical audit.

Advances in the practice of medicine over the past forty years have rendered informal communication ineffective in setting and maintaining standards of clinical care. In the past five years, four methods in communication have been introduced in the department of surgery at Guy's Hospital: problem-oriented medical records, death-and-complications meetings, unit review meetings, and a clinical information service. It is suggested that these can achieve quality control.

Communication↗
PubMedDate not supplied

Organization and function of academic psychiatric emergency services.

Psychiatric emergency services (PES) are evolving as freestanding, parallel components of emergency departments at many tertiary care medical centers in the U.S. While PES facilities provide an increasing percentage of first-line care for patients with psychiatric crises, the services they provide and their interactions with medical emergency services have not been systematically assessed. The purpose of this study was to examine PES structure, care processes, patient characteristics and relationship with medical emergency services by surveying PES directors with a 70-item questionnaire about PES facilities in 1998. This report presents information about staffing adequacy, medical evaluation and other procedures, length of stay, and aftercare. The response rate was 91% (n=51), and most sites (>90%) were academic training sites. A large percentage (92%) of PES sites were open 24 h a day, 7 days a week, and 94% had an attending psychiatrist present at least 8 h daily. PES psychiatrists performed initial medical evaluation at 55% of sites and were often responsible for medical clearance. Pharmacologic therapy was routinely initiated for patients being admitted in 92% of facilities and for patients being released in 70% of facilities. Mean (SD) length of stay in the PES was 9.0 (11.3) hours. The PES facilities were effective at referring patients to aftercare, and 51% of PES sites provided follow-up care. However, 69% of respondents reported inadequate referral options for patients with substance abuse. The mean recidivism rate was 18%, primarily attributed to substance abuse and medication noncompliance. The results of this survey show that PES facilities are organizationally complex units in which staff routinely perform medical clearance, initiate treatment, and coordinate aftercare. Our findings highlight the importance of adequate medical training for PES psychiatrists, the need for improved aftercare programming, and better access to substance abuse treatment for discharged patients.

Academic Medical Centers↗
PubMed1998

Moving on.

Explore the source record for details and available documents.

Emergency Medicine↗
PubMed2002

Male teacher female students: a novice teacher reflects.

This paper seeks to explore the gender dynamics of being a novice male teacher working with female nursing students. Using a reflective framework it examines the gender dynamics within the classroom setting. Educational, social, feminist and political theory are discussed to give some insight into teaching and learning strategies that can perpetuate or circumvent unhelpful gender dynamics. Implications for learning and teaching are evaluated, and further topics for investigation are acknowledged.

Adult↗
PubMed1998

Some thoughts on nurse-education/service partnerships.

This paper discusses some of the issues involved in the design of the processes for developing effective partnerships between faculties of nursing and nursing provider organizations. After defining the term 'partnership' it considers, first, the advantages which can be realized from effective nurse-education/service partnerships. Secondly, it briefly explores how effective partnerships can be formed while suggesting that these prescriptions do not guarantee success. Finally, it argues that effective partnerships between nurse-education and service are most likely to be realized when their development is stated explicitly in the developmental strategy of the organizations involved.

Education, Nursing, Baccalaureate↗
PubMed2002

Medical dominance in Italy: a partial decline.

In the last three decades, a number of changes in health systems has been challenging medical dominance in many countries. It has been widely debated whether the medical profession has been able to cope with these changes and maintain its power or, rather, has been deprofessionalised or proletarianised. In this paper, the effects of these changes in Italy are examined, by using a multi-dimensional concept of medical dominance. As a result of this analysis. medical dominance in Italy is depicted as declining on some dimensions while changing its nature on others. The final part of the paper discusses some current explanations of this trend and suggests that the transition to post-modern society and the "late modernity" argument (Giddens, 1990; The consequences of modernity, Polity Press, Cambridge; Beck, 1992; Risk society: towards a new modernity, Sage, London) may provide an entry into more adequate explanations.

Clinical Medicine↗
PubMed2003

Research relationships between the South and the North: Cinderella and the ugly sisters?

There has been an increase in the size and range of North-South health research partnerships since the 1990s. Current literature tends to stress the need for partnership and associated principles, but recognises the difficult context of structural inequality and historical legacies. Critics point to continuing neo-colonialist attitudes to research, which are unhelpful for the development of mutually beneficial collaborations. Such dynamics have parallels with the European folktale of Cinderella and the Ugly Sisters, the latter using their advantage of wealth and position to exploit their step-sister. Little literature is available on how to address this situation for the principles of partnership to be integrated into project design, implementation and dissemination. This article examines processes and dynamics within North-South collaborations in health research through two different case studies presented from Northern perspectives. Each case study focuses on distinct aspects of research collaborations. The first, a North-South partnership project in Bangladesh, highlights issues of capacity building, use of data and publications. The second case, a Doctoral study in Thailand, examines the reliance on contributions by Southern partners, responsibility to the local setting and the practice of reciprocity. The article then turns to Southern researchers' reflections, explored in semi-structured interviews, on themes identified by Northern researchers as important concerns in research collaborations. The authors conclude that advantage should be taken of the fact that Southern and Northern colleagues often share similar values regarding research collaborations, but difficulties exist in implementation partly due to historically rooted and current inequalities. Practical arrangements are suggested which may help to address the commonly assumed roles of the North as 'provider' of funding and ideas, and of the South as 'receiver' in an environment with little scope for action.

Authorship↗
PubMed1998

Physician administrators and the reorganization of federally sponsored treatment research for AIDS.

Scholars of modern medicine are concerned with the implications of the movement of physicians into "elite" administrative positions in medical practice settings. To date, empirical studies of physician administrators have focused on their response to disputes that arise between medical and non-medical groups. This paper uses the case of federally funded treatment research for AIDS in the United States to explore the actions of physician administrators and the implications of those actions, in resolving intra-professional conflict. The findings suggest that the actions of elite physician administrators sometimes serve to enhance the fortunes of medical professionals. The findings further suggest that the actions of elite physician administrators sometimes serve to reproduce and affirm professional status distinctions that exist within the broader context of health delivery.

Academies and Institutes↗
PubMed1998

Pharmacies, self-medication and pharmaceutical marketing in Bombay, India.

Studies of pharmaceutical practice have called attention to the role played by pharmacists and pharmacy attendants in fostering self-medication and medicine experimentation among the public. Left undocumented is the extent to which clients passively follow the advice of pharmacy personnel or question their motive or expertise. While research has focused on pharmacists and pharmacy attendants as agents encouraging self-medication and medicine experimentation, adequate attention has not been paid to pharmacist-client interactions that are sensitive to the social, cultural, and economic context in which medicine sales and advice occur. This paper highlights the context in which pharmacy attendants engage in "prescribing medicines" to the public in Bombay, India. An ethnographic description of pharmacies and pharmaceutical-related behavior in Bombay is provided to demonstrate how reciprocal relationships between pharmacy owners, medicine wholesalers and pharmaceutical sales representatives (medreps) influence the actions of pharmacy staff. Attention is focused on the role of the medicine marketing and distribution system in fostering prescription practice, pharmacy "counter-pushing" and self-medication. In documenting the profit motives of different players located on the drug sales continuum, it is argued that the economic rationale and the symbiotic relations that exist between doctors, medreps, medicine wholesalers and retailers, need to be more closely scrutinized by those advocating "rational drug use".

Drug Prescriptions↗