Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

Physician Practice in Ontario Nursing Homes: Defining Physician Commitment.

Authors:
Rebecca H Correia Darly Dash Jeffrey W Poss Andrea Moser Paul R Katz Andrew P Costa

J Am Med Dir Assoc 2022 May 21. Epub 2022 May 21.

Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada. Electronic address:

Objectives: To characterize the practice profile of nursing home (NH) physicians in Ontario, Canada.

Design: Population-based cross-sectional study.

Setting And Participants: A total of 1527 most responsible physicians (MRPs) across 626 NHs in Ontario, Canada, for the calendar year, 2017.

Methods: We examined physician services within all publicly regulated and funded NH facilities. Descriptive summaries were generated to characterize MRPs and their practice patterns by the physician's primary practice location, the NH facility size, and the proportion of physician billings that occurred within NHs. Community sizes were classified into quintiles based on population size and assigned as urban or rural. The number of ministry-designated NH beds were assessed by quintiles to examine physician services by facility size. We also assessed the proportion of physician billings within NHs by quintiles.

Results: MRPs tended to be older, male, and practice family medicine. The majority of MRPs practiced in communities with populations exceeding 100,000 residents, although physicians with greater NH billings tended to practice in rural locations. The mean number of NH residents that a physician was MRP for was positively associated with the community size. Physicians provided care for more NH residents than they were assigned most responsible. Fifty-one percent of physicians were MRP for 90% of all NH residents.

Conclusions And Implications: Our work provides an exemplar for characterizing physician commitment in NHs, using 2 approaches, according to the NH specialist model. We demonstrated the medical practice characteristics, locations, and billing patterns of physicians within Ontario NHs. Future work can investigate the association between physician commitment and the quality of care provided to NH residents. A greater understanding of physician commitment may lead to the development of quality metrics based on physician practice patterns.

Download full-text PDF

 Source
http://dx.doi.org/10.1016/j.jamda.2022.04.011DOI Listing
May 2022

Publication Analysis

Top Keywords

physician commitment
16
physician
11
physician practice
8
physicians ontario
8
facility size
8
practice patterns
8
physician billings
8
proportion physician
8
physician services
8
practice
7
physicians
6
nhs
5
100000 residents
4
mrps practiced
4
practiced communities
4
communities populations
4
populations exceeding
4
exceeding 100000
4
physician mrp
4
residents
4

Keyword Occurance

Similar Publications

Factors involved in applicant interview selection and ranking for chronic pain medicine fellowship.

Authors:
Vinicius Tieppo Francio Benjamin Gill Jonathan M Hagedorn Robert Pagan Rosado Scott Pritzlaff Timothy Furnish Lynn Kohan Dawood Sayed

Reg Anesth Pain Med 2022 Jun 27. Epub 2022 Jun 27.

Department of Anesthesiology, The University of Kansas Medical Center, Kansas City, Kansas, USA.

Introduction: Applicants to chronic pain medicine fellowship programs often express confusion regarding the importance of various selection criteria. This study sought to elucidate program directors' considerations in applicant selection for fellowship interviews and ranking and to correlate these criteria with match statistics to provide a guide for prospective candidates.

Methods: An electronic survey was sent to all Accreditation Council for Graduate Medical Education-accredited chronic pain fellowship directors. Read More

View Article and Full-Text PDF
June 2022
Similar Publications

Detecting, preventing and treating non-adherence to immunosuppression after kidney transplantation.

Authors:
Ilaria Gandolfini Alessandra Palmisano Enrico Fiaccadori Paolo Cravedi Umberto Maggiore

Clin Kidney J 2022 Jul 14;15(7):1253-1274. Epub 2022 Jan 14.

Department of Medicine and Surgery, University of Parma, Parma, Italy.

Medication non-adherence (MNA) is a major issue in kidney transplantation and it is associated with increased risk of rejection, allograft loss, patients' death and higher healthcare costs. Despite its crucial importance, it is still unclear what are the best strategies to diagnose, prevent and treat MNA. MNA can be intentional (deliberate refusal to take the medication as prescribed) or unintentional (non-deliberate missing the prescribed medication). Read More

View Article and Full-Text PDF
July 2022
Similar Publications

Connecting the Dots in Emerging Mast Cell Research: Do Factors Affecting Mast Cell Activation Provide a Missing Link between Adverse COVID-19 Outcomes and the Social Determinants of Health?

Authors:
Rachel da Silveira Gorman Iffath Unissa Syed

Med Sci (Basel) 2022 May 28;10(2). Epub 2022 May 28.

Health Policy and Administration, The Pennsylvania State University, 47 Shenango Ave, Sharon, PA 16146, USA.

Evidence continues to emerge that the social determinants of health play a role in adverse outcomes related to COVID-19, including increased morbidity and mortality, increased risk of long COVID, and vaccine adverse effects. Therefore, a more nuanced understanding of the biochemical and cellular pathways of illnesses commonly associated with adverse social determinants of health is urgently needed. We contend that a commitment to understanding adverse outcomes in historically marginalized communities will increase community-level confidence in public health measures. Read More

View Article and Full-Text PDF
May 2022
Similar Publications

The protocol of improving safe antibiotic prescribing in telehealth: A randomized trial.

Authors:
Bridget McCabe Jeffrey A Linder Jason N Doctor Mark Friedberg Craig R Fox Noah J Goldstein Tara K Knight Katrina Kaiser Jason Tibbels Steve Haenchen Stephen D Persell Rebecca Warberg Daniella Meeker

Contemp Clin Trials 2022 Jun 17:106834. Epub 2022 Jun 17.

Schaeffer Center for Health Policy & Economics, University of Southern California, Los Angeles, CA, United States of America; Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America. Electronic address:

Background: The CDC estimates that over 40% of Urgent Care visits are for acute respiratory infections (ARI), more than half involving inappropriate antibiotic prescriptions. Previous randomized trials in primary care clinics resulted in reductions in inappropriate antibiotic prescribing, but antibiotic stewardship interventions in telehealth have not been systematically assessed. To better understand how best to decrease inappropriate antibiotic prescribing for ARIs in telehealth, we are conducting a large randomized quality improvement trial testing both patient- and physician-facing feedback and behavioral nudges embedded in the electronic health record. Read More

View Article and Full-Text PDF
June 2022
Similar Publications

Interviewing Amidst a Pandemic: Perspectives of US Residency Program Directors on the Virtual Format.

Authors:
Malke Asaad Rami Elmorsi Andrew M Ferry Aashish Rajesh Renata S Maricevich

J Eur CME 2022 12;11(1):2087397. Epub 2022 Jun 12.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, United States.

COVID-19 imposed significant limitations upon the 2021 U.S. National Resident Matching Program (NRMP), most important of which is the replacement of traditional in-person interviews with a virtual format. Read More

View Article and Full-Text PDF
June 2022
Similar Publications
}