Community-based Psychiatric Ambulatory Care: The Private Practice Model in the USA

Author(s):  
Elliott M. Stein ◽  
Gary S. Moak
2014 ◽  
Vol 38 (5) ◽  
pp. 230-235 ◽  
Author(s):  
L. Mark Russakoff

SummaryThe US healthcare system is in the midst of major changes driven by four forces: the growing consensus in the country that the current system is financially unsustainable; managed care and parity legislation; the Affordable Care Act 2010; and the ageing of the ‘baby boomer’ generation. How these forces will combine and interact is unclear. The current state of in-patient psychiatric care and trends affecting the private practice of in-patient psychiatry over the next few years will be described.


2012 ◽  
Vol 8 (2) ◽  
pp. 74-78 ◽  
Author(s):  
Michael L. Blau

Professional services agreements enable community-based oncology groups to affiliate with local hospitals in a win-win transaction that preserves a significant level of independence for the oncology group. This article describes the business and legal aspects of such agreements.


1991 ◽  
Vol 103 (1) ◽  
pp. 105-108
Author(s):  
Lawrence P. Levitt ◽  
Peter J. Barbour ◽  
John E. Castaldo ◽  
Alexander D. Rae-Grant

2019 ◽  
Vol 6 (1-2) ◽  
pp. 83-90
Author(s):  
Fatos Selita

Inaccessibility to justice is a major issue internationally, and in some countries access to justice has decreased in recent years. For example, the growth of inequality and decline of state support have left access to justice in the UK and the USA in a worst state in decades. There is therefore an urgent need to find solutions to protect peoples’ rights. This article outlines key issues of access to justice and identifies a number of solutions from grassroots efforts to organizational changes. The article highlights the importance of community-based solutions, such as mass pro bono contributions from individuals, law service providers and other organizations. It also proposes, as a key solution, making legal professions more representative of societies, and calls for law schools and legal regulators to take the required steps. Another important contributor to improved access to justice is promotion of pro bono work by all lawyers and law organizations at their own initiative. The article also discusses enhancing existing law degrees with additional topics on access to justice, to help students gain an objective picture of the realities of the legal system, and on individual differences, to benefit from latest interdisciplinary science. Community-based solutions provide stability even in times of difficult economic circumstances and political turbulence, and therefore are relevant to all societies.


2017 ◽  
Vol 4 ◽  
pp. 205566831770873 ◽  
Author(s):  
Michelle Jillian Johnson ◽  
Roshan Rai ◽  
Sarath Barathi ◽  
Rochelle Mendonca ◽  
Karla Bustamante-Valles

Affordable technology-assisted stroke rehabilitation approaches can improve access to rehabilitation for low-resource environments characterized by the limited availability of rehabilitation experts and poor rehabilitation infrastructure. This paper describes the evolution of an approach to the implementation of affordable, technology-assisted stroke rehabilitation which relies on low-cost mechatronic/robot devices integrated with off-the-shelf or custom games. Important lessons learned from the evolution and use of Theradrive in the USA and in Mexico are briefly described. We present how a stronger and more compact version of the Theradrive is leveraged in the development of a new low-cost, all-in-one robot gym with four exercise stations for upper and lower limb therapy called Rehab Community-based Affordable Robot Exercise System (Rehab C.A.R.E.S). Three of the exercise stations are designed to accommodate versions of the 1 DOF haptic Theradrive with different custom handles or off-the-shelf commercial motion machine. The fourth station leverages a unique configuration of Wii-boards. Overall, results from testing versions of Theradrive in USA and Mexico in a robot gym suggest that the resulting presentation of the Rehab C.A.R.E.S robot gym can be deployed as an affordable computer/robot-assisted solution for stroke rehabilitation in developed and developing countries.


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