SHIFTS IN ART CLINICAL PRACTICE – NAVIGATING CYCLE DEFINITIONS AND POTENTIAL IMPLICATION ON FERTILITY TREATMENT COVERAGE IN THE UNITED STATES

Abstract Background Professional subgroups are common and may play a role in aiding professional maturity or impeding professional legitimization. The chiropractic profession in the United States has a long history of diverse intra-professional subgroups with varying ideologies and practice styles. To our knowledge, large-scale quantification of chiropractic professional subgroups in the United States has not been conducted. The purpose of this study was to quantify and describe the clinical practice beliefs and behaviors associated with United States chiropractic subgroups. Methods A 10% random sample of United States licensed chiropractors (n = 8975) was selected from all 50 state regulatory board lists and invited to participate in a survey. The survey consisted of a 7-item questionnaire; 6 items were associated with chiropractic ideological and practice characteristics and 1 item was related to the self-identified role of chiropractic in the healthcare system which was utilized as the dependent variable to identify chiropractic subgroups. Multinomial logistic regression with predictive margins was used to analyze which responses to the 6 ideology and practice characteristic items were predictive of chiropractic subgroups. Results A total of 3538 responses were collected (39.4% response rate). Respondents self-identified into three distinct subgroups based on the perceived role of the chiropractic profession in the greater healthcare system: 56.8% were spine/neuromusculoskeletal focused; 22.0% were primary care focused; and 21.2% were vertebral subluxation focused. Patterns of responses to the 6 ideologies and practice characteristic items were substantially different across the three professional subgroups. Conclusions Respondents self-identified into one of three distinct intra-professional subgroups. These subgroups can be differentiated along themes related to clinical practice beliefs and behaviors.

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Tele-Audiology in the United States

Clinical Technologies ◽

10.4018/978-1-60960-561-2.ch305 ◽

2011 ◽

pp. 693-702

Author(s):

John Ribera

Keyword(s):

United States ◽

Clinical Practice ◽

The United States ◽

Daily Clinical Practice ◽

Stages Of Development ◽

Early Stages ◽

Initial Research ◽

Management Services

The incorporation of telehealth into the daily clinical practice of audiologists in the United States is in its early stages of development. Some initial research has been conducted in order to validate the use of telehealth technologies in providing hearing and balance evaluation and management services (Krumm, Huffman, Dick, & Klich, 2008; Krumm, Ribera, & Klich, 2007;Krumm, Ribera, & Schmiedge, 2005; Lancaster, Krumm, & Ribera, 2008). More research is needed. This chapter suggests possible applications using existing technology and explores the possibility of virtual audiology clinics nation-wide and internationally.

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Establishing and Maintaining a Clinical Practice in the United States

Comprehensive Clinical Psychology ◽

10.1016/b0080-4270(73)00055-9 ◽

1998 ◽

pp. 353-362

Author(s):

Donald J. Weinstein

Keyword(s):

United States ◽

Clinical Practice ◽

The United States

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Clinical Practice Guidelines in Heart Failure: State of the Art in the United States

Heart Failure ◽

10.1007/978-4-431-68331-5_12 ◽

2000 ◽

pp. 129-137

Author(s):

Marvin A. Konstam ◽

David W. Baker

Keyword(s):

United States ◽

Heart Failure ◽

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

State Of The Art ◽

The United States ◽

Failure State

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Industry Payment to Vascular Neurologists

Stroke ◽

10.1161/strokeaha.119.027967 ◽

2020 ◽

Vol 51 (4) ◽

pp. 1339-1343 ◽

Cited By ~ 3

Author(s):

Krishna Nalleballe ◽

Sen Sheng ◽

Chenghui Li ◽

Ruchira Mahashabde ◽

Amarnath R. Annapureddy ◽

...

Keyword(s):

United States ◽

Clinical Practice ◽

American Heart Association ◽

American Heart ◽

Conflicts Of Interest ◽

Heart Association ◽

The United States ◽

Regional Trends ◽

Impact Patient Care ◽

And Behavior

Background and Purpose— Industry payments to physicians raise concerns regarding conflicts of interest that could impact patient care. We explored nonresearch and nonownership payments from industry to vascular neurologists to identify trends in compensation. Methods— Using Centers for Medicare and Medicaid Services and American Board of Psychiatry and Neurology data, we explored financial relationships between industry and US vascular neurologists from 2013 to 2018. We analyzed payment characteristics, including payment categories, payment distribution among physicians, regional trends, and biomedical manufacturers. Furthermore, we analyzed the top 1% (by compensation) of vascular neurologists with detailed payment categories, their position, and their contribution to stroke guidelines. Results— The number of board certified vascular neurologist increased from 1169 in 2013 to 1746 in 2018. The total payments to vascular neurologist increased from $99 749 in 2013 to $1 032 302 in 2018. During the study period, 16% to 17% of vascular neurologists received industry payments. Total payments from industry and mean physician payments increased yearly over this period, with consulting fee (31.1%) and compensation for services other than consulting (30.7%) being the highest paid categories. The top 10 manufacturers made the majority of the payments, and the top 10 products changed from drug or biological products to devices. Physicians from south region of the United States received the highest total payment (38.72%), which steadily increased. Payments to top 1% vascular neurologists increased from 64% to 79% over the period as payments became less evenly distributed. Among the top 1%, 42% specialized in neuro intervention, 11% contributed to American Heart Association/American Stroke Association guidelines, and around 75% were key leaders in the field. Conclusions— A small proportion of US vascular neurologists consistently received the majority of industry payments, the value of which grew over the study period. Only 11% of the top 1% receiving industry payments have authored American Heart Association/American Stroke Association guidelines, but ≈75% seem to be key leaders in the field. Whether this influences clinical practice and behavior requires further investigation.

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AIDS-Related Kaposi Sarcoma, Version 2.2019

Journal of the National Comprehensive Cancer Network ◽

10.6004/jnccn.2019.0008 ◽

2019 ◽

Vol 17 (2) ◽

pp. 171-189 ◽

Cited By ~ 3

Author(s):

Erin Reid ◽

Gita Suneja ◽

Richard F. Ambinder ◽

Kevin Ard ◽

Robert Baiocchi ◽

...

Keyword(s):

United States ◽

Cervical Cancer ◽

Clinical Practice ◽

General Population ◽

Kaposi Sarcoma ◽

The United States ◽

People Living With Hiv ◽

Nodal Disease ◽

Nccn Guidelines ◽

Living With Hiv

As treatment of HIV has improved, people living with HIV (PLWH) have experienced a decreased risk of AIDS and AIDS-defining cancers (non-Hodgkin’s lymphoma, Kaposi sarcoma, and cervical cancer), but the risk of Kaposi sarcoma in PLWH is still elevated about 500-fold compared with the general population in the United States. The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for AIDS-Related Kaposi Sarcoma provide diagnosis, treatment, and surveillance recommendations for PLWH who develop limited cutaneous Kaposi sarcoma and for those with advanced cutaneous, oral, visceral, or nodal disease.

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Is Information Power? Comparing Anonymous and Open Egg Donation

Sociological Research Online ◽

10.5153/sro.4294 ◽

2017 ◽

Vol 22 (2) ◽

pp. 130-141 ◽

Cited By ~ 2

Author(s):

Amy Speier

Keyword(s):

United States ◽

Czech Republic ◽

Assisted Reproductive Technologies ◽

The United States ◽

Reproductive Technologies ◽

Fertility Treatment ◽

Egg Donation ◽

Gamete Donation ◽

The Czech Republic ◽

Egg Donor

Both the Czech Republic and the United States are destinations for cross-border reproductive travellers. For North Americans, including Canadians, who opt to travel to the Czech Republic for IVF using an egg donor, they are entering a fertility industry that is anonymous. This makes the Czech Republic different from other European countries that necessitate open gamete donation, as in Austria, Germany and the United Kingdom. For reproductive travellers coming to the United States for fertility treatment, there is a wider menu of choices regarding egg donation given the vastly unregulated nature of the industry. More recently, professionals in the industry are pushing for ‘open’ egg donation. For intended parents traveling to either location seeking in vitro fertilization using an egg donor, they must choose whether or not to pursue open or closed donation. As pre-conception parents, they navigate competing discourses of healthy parenting of donor-conceived offspring. They must be reflexive about their choices, and protective when weighing their options, always keeping their future child's mental, physical and genetic health in mind. Drawing from ethnographic data collected over the course of six years in the United States and the Czech Republic, this paper will explore both programs, paying special attention to the question of how gamete donation and global assisted reproductive technologies intersect with different notions about healthy pre-conception parenting.

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