Dayton Moore stood between two practice fields one morning last March in Surprise, Ariz., prospects fanned out to either side.
The relationship between two practice characteristics and doctors' depersonalisation scores was explored: practice size and the proportion of 'usual patients' the doctors' typically see.
There was a tendency for hospital admission dates to be close to removal dates (odds = 1.25, P = 0.008) but not to re-registration dates (odds = 1.16, P = 0.084) than could be expected by chance (a health service date was defined as close to a practice transfer date if fell in the first or last 25% of the period between two practice transfer dates; see statistical methods).
He felt the quality of service was comparable to his registered practice, but voiced concerns over data-sharing between the two practices, specifically "how are these GPs accessing my medical data to understand perhaps historic things that might aid in the resolution of a particular case diagnosis?" Male, age 33 years, in full-time employment, no chronic conditions.
Variations in the prevalence of chronic conditions between the two practices may relate to variations in disease prevalence in the catchment areas or to clinical variations in diagnosis between practitioners in the two centers.
Viewing their model with systems thinking in mind, their work suggests that innovations encouraging overlap between the two practices could nudge the overall system towards favourable emergent properties (Steven et al. 2014).
Another example of variation between the two practices related to coding for lipid disorders with some patients on lipid lowering medication not being coded as having a lipid disorder even though it is classified as a chronic disease.
Its very efficient to keep a balance between above two practices, depending upon the degree of awareness in you at that moment.
Given that the typical coverage for essential newborn care practices in our study areas is between 20-70%, policy is unlikely to be decided on the basis of knowing whether the difference in coverage between two birth practices or two areas is significant, but rather on the achieved coverage for each practice, and the potential for this to be improved within each type of delivery.
In between the two practice sessions for tomorrow's Italian grand prix the members of the formula one circus put down their spanners or switched off their laptops and stood in recognition of the enormity of this week's events in New York.
