The Journal of ambulatory care management
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J Ambul Care Manage · Apr 2002
Organizational and provider characteristics fostering smoking cessation practice guideline adherence: an empirical look.
We examined the relationship between physician adherence with a smoking cessation guideline and organizational structures, policies, leadership support, and physician knowledge and attitudes. A random sample of 844 physicians practicing in 127 VHA hospitals was surveyed. Survey results were aggregated to the hospital level and linked with data on organizational characteristics from the 1998 annual survey of hospitals by the American Hospital Association. Significant predictors of adherence included organizational policies related to nicotine replacement prescriptions, the timing and effectiveness of guideline implementation, physicians' knowledge of VHA clinical guidelines generally, and physicians' beliefs about the receptiveness of patients to smoking cessation.
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J Ambul Care Manage · Jul 2001
Stanford Health Partners: rationale and early experiences in establishing physician group visits and chronic disease self-management workshops.
Chronic disease is a major public health problem. The day-to-day management of a chronic illness requires accurate patient reporting and timely medical response. Patient group visits with the primary care physician and lay-led patient education workshops improve the provider-physician relationship, promote patient self-efficacy and self-management of chronic diseases, and facilitate positive health care outcomes. This article describes how group visits are being integrated into the clinical routine of a health care system.
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J Ambul Care Manage · Oct 2000
The American College of Medical Practice Executives' competency study.
This article is the first of two studies conducted by the American College of Medical Practice Executives (ACMPE) that examines the perceived roles of medical practice executives. (Founded in 1956, the American College of Medical Practice Executives is the professional development and credentialing arm of the Medical Group Management Association (MGMA)). This study asked groups of physicians and nonphysician administrators to identify the competencies and associated skills and knowledge for administering group practices in today's changing environment. Those surveyed included administrators who are Fellows in ACMPE and 795 physicians who comprise the Society of Physician Administrators of the Medical Group Management Association. ⋯ In this model, the focus is on the administrative and clinical processes required by different levels of managed care market penetration. The model progresses from a focus on relatively traditional practice management functions to those activities that are more complex with a greater focus on the integration of both clinical and business processes aimed at the health of populations. The analysis of the perceived competencies indicated that while both executive types perceived the importance of managing the health of populations, that task is not yet being incorporated into their professional roles.
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J Ambul Care Manage · Jan 1999
Urgent care and the emergency department: providing the right ambulatory care settings.
Emergency services are asked to treat a significant volume of patients that require nonemergent care. Alternative strategies have been proposed for managing this patient population, ranging from free-standing urgent care centers to the integration of urgent care patients with other patients treated in the ED. This article explores issues and physical options surrounding the provision of patient care of urgent care patients in the emergency services.