scholarly journals The Danish sports chiropractic landscape: an exploration of practice characteristics and salient developmental issues

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Corrie Myburgh ◽  
Julie Andersen ◽  
Nicklas Bakkely ◽  
Jakob Hermannsen ◽  
Marcus Zuschlag ◽  
...  

Abstract Background As is the case around the globe, the Danish chiropractic community appears to be an active service provider for the athletic sub-population. However, a paucity of evidence elucidating the experiences, perceptions, and practices of individuals who identify as ‘sports chiropractors’ complicates strategic development efforts. Methods A sequential mixed-methods study was conceptualized in which interview responses from seven purposefully selected stakeholders provided context and informed a national descriptive survey exploring practice characteristics and opinions regarding sports chiropractic among Danish chiropractors. Results Thematic highlights included divided opinions on the criteria that define a sports chiropractor, the role of a chiropractor functioning beyond the clinic setting, and the need for a structured approach to developing sports chiropractic as a legitimate sub-specialty. The survey response rate was 34.9% (227 of 651), with 27% of responders identifying as a ‘sports chiropractor’. Compared to non-sports chiropractors, sports chiropractors engaged in a significantly higher level of interprofessional practice (3.8 versus 2.7 partners), in particular medical doctors (p = 0.016) and personal trainers (p <  0.001). Whether participants identified as a sports chiropractor or not, there was consensus that a high-quality post-graduate qualification and continued education was important. Generally speaking, the framing of sports chiropractic into a protected title was not a priority. Conclusion The Danish sports chiropractor tends to be male, has a specialist education and engages other chiropractors, medical practitioners and professional trainers more often as practice partners than generalist chiropractors. The position of the sports chiropractor as a ‘knowledgeable expert’ was seen as more important than establishing a protected title. Experiential training appears to be an untapped resource for developing real-world competency and gaining greater professional exposure. Given the potential for development across Europe, more focus is required on a strategic plan for embedding chiropractic professionals in inter-professional athletic health and performance practice settings.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 861-862
Author(s):  
Z. Izadi ◽  
T. Johansson ◽  
J. LI ◽  
G. Schmajuk ◽  
J. Yazdany

Background:The Rheumatology Informatics System for Effectiveness (RISE) Registry was developed by the ACR to help rheumatologists improve quality of care and meet federal reporting requirements. In the current quality program administered by the U.S. Centers for Medicare and Medicaid services, rheumatologists are scored on quality measures, and performance is tied to financial incentives or penalties. Rheumatoid arthritis (RA)-specific quality measures can only be submitted through RISE to federal programs.Objectives:This study used data from the RISE registry to investigate rheumatologists’ federal reporting patterns on five RA-specific quality measures in 2018 and investigated the effect of practice characteristics on federal reporting of these measures.Methods:We analyzed data on all rheumatologists who continuously participated in RISE between Jan 2017 to Dec 2018 and who had patients eligible for at least one RA-specific measure. Five measures were examined: tuberculosis screening before biologic use, disease activity assessment, functional status assessment, assessment and classification of disease prognosis, and glucocorticoid management. We assessed whether or not rheumatologists reported specific quality measures via RISE. We investigated the effect of practice characteristics (practice structure; number of providers; geographic region) on the likelihood of reporting using adjusted analyses that controlled for measure performance (performance in 2018; change in performance from 2017; and performance relative to national average performance). Analyses accounted for clustering by practice.Results:Data from 799 providers from 207 practices managing 213,757 RA patients was examined. The most common practice structure was a single-specialty group practice (53%), followed by solo (28%) and multi-specialty group practice (12%). Most providers (73%) had patients eligible for all five RA quality measures. Federal reporting of quality measures through RISE varied significantly by provider, ranging from no reporting (60%) to reporting all eligible RA measures (12.2%). Reporting through RISE also varied significantly by quality measure and was highest for functional status assessment (36%) and lowest for assessment and classification of disease prognosis (20%). Small practices (1-4 providers) were more likely to report all eligible RA quality measures compared to larger practices (21%, 6%; p<0.001). In adjusted analyses, solo practices were more likely than single-specialty group practices to report RA measures (42%, 31%; p<0.027) while multispecialty group practices were less likely (18%, 31%; p<0.001). Additionally, higher performance in 2018 and performance ≥ the national average performance was associated with federal reporting of the measures through RISE (p≤0.004).Conclusion:Forty percent of U.S. rheumatologists participating in RISE used the registry for federal quality reporting. Physicians using RISE for reporting were disproportionately in small and solo practices, suggesting that the registry is fulfilling an important role in helping these practices participate in national quality reporting programs. Supporting small practices is especially important given the workforce shortages in rheumatology. We observed that practices reporting through RISE had higher measure performance than other participating practices, which suggests that the registry is facilitating quality improvement. Studies are ongoing to further investigate the impact of federal quality reporting programs and RISE participation on the quality of rheumatologic care in the United States.Disclaimer: This data was supported by the ACR’s RISE Registry. However, the views expressed represent those of the authors, not necessarily those of the ACR.Disclosure of Interests:Zara Izadi: None declared, Tracy Johansson: None declared, Jing Li: None declared, Gabriela Schmajuk Grant/research support from: Pfizer, Jinoos Yazdany Grant/research support from: Pfizer


2021 ◽  
Vol 10 (1) ◽  
pp. 1-12
Author(s):  
Noviana Norrohmat ◽  
Umar Nimran ◽  
Kusdi Raharjo ◽  
Hamidah Nayati Utami ◽  
Endang Siti Astuti

The purpose of this research is to determine the organizational support for professionalism that has never been done before. The research approach is to conceptualize the structure of the relationship of variables from a study. Verification research is to test the hypothesis through data collection in the field using two methods, namely descriptive survey and explanatory survey. The use of both methods aims to analyze the causality relationship between research variables in accordance with the hypothesis quantitatively. There is significant influence between the variables of organizational support to professional variables. However, different results are found on the influence of organizational support variables on OCB and performance that have no significant effect. There is also an indirect influence between organizational support variables on OCB and performance through intermediary intervening professionalism variables. The difference between this research and the previous research are the use of constructs and the measurement in the unit of analysis being used.


2017 ◽  
Vol 03 ◽  
pp. 42
Author(s):  
Bernard Ndirangu Wachira ◽  
Humphrey Opiyo Omondi ◽  
Josphat K. Kinyanjui ◽  
◽  
◽  
...  

The part played by non-prime household loans in improving the lives of many people who cannot afford collateral globally cannot be ignored. Many Microfinance Banks in many economies worldwide have tried to maintain the Grameen Bank Model of granting microloans, mainly non-prime household loans. However, the credit risks associated with this initiative hamper the pace at which the granting of this credit facility is expected to grow. This study intends to explore the relationship between the post loan disbursement allocation and the performance of non-prime household loans in the Microfinance Banks in Kenya. The theory associated to this study is the Credit Risk Theory. This theory, which is regarded as credit structural theory, was developed by Merton in 1972. The descriptive survey research design method was applied, and the sample size was 150 respondents. The data-collection tool used was a questionnaire. A logistic regression analysis was conducted for the purpose of predicting non-prime household performance in the Microfinance Banks using training budget, recoveries budget, percentage of training budget, and percentage of recoveries budget as predictors. The Wald test shows that training budget, recoveries budget, and percentage of training budget were good predictors, making a significant contribution to prediction. The percentage of budget on recoveries was not a significant predictor. The Microfinance Banks should enhance the performance of non-prime household loans through capacity building to the borrowers and educate the borrowers on dangers of enforced loan recoveries. The government, through the Central Bank of Kenya, should have a training policy for the Microfinance Banks so that they can enlighten the borrowers on proper financial management to avoid conflicts with borrowers during loan recoveries.


Author(s):  
Arwa Hassan Baabbad

The present study aimed to find out the role of corporate governance in improving the quality of information in the Saudi Electricity Company. The researcher used the descriptive survey methodology. As to achieve the study objectives، the researcher utilized the questionnaire tool، in which the study sample (50) members of SEC distributed into employees، managers and decision makers. The study concluded to many results، among of which are: there is a statistically significant relationship between the availability of corporate governance system and performance improvement of the Saudi Electricity Company، there is a statistically significant relationship between corporate governance and appropriateness in improving the performance of the Saudi Electricity Company، it was also found that there is a statistically significant relationship between corporate governance and optimal disclosure in improving the performance of Saudi Electricity Company. The study also found that there is a statistically significant relationship between corporate governance and the right timing in improving the performance of the Saudi Electricity Company. The study suggested number of recommendations، among of which are: the importance of the shareholding companies to comply with the corporate governance regulations considering the interest of companies and their shareholders and all other parties benefiting from the financial statements، attempting to take advantage of the multiple benefits of corporate governance and expand its application in the various economic units in Saudi Arabia، conduct studies on companies that applies the requirement of the Corporate Governance Regulations، and the impact of the application of corporate governance on the shares of these units to find out the relationship between the quality of accounting information in light of the application of corporate governance and the stock market from another angle، imposing deterrent penalties concerning the Corporate Governance Regulations on companies that did not apply this regulation.


2021 ◽  
Vol 17 (37) ◽  
pp. 39
Author(s):  
John Gatimu ◽  
Christopher Gakuu ◽  
Anne Ndiritu

The study sought to establish the relationship between monitoring and evaluation practices and performance of County Maternal Health programmes in Kenya. The combined monitoring and evaluation practices included planning for M&E, stakeholder engagement, capacity building for M&E, and M&E data use. The study adopted a descriptive survey research design. To obtain 282 respondents, stratified random sampling was used. A self-administered structured questionnaire was the study's research instrument. Using descriptive narratives, qualitative data was analyzed within specific themes. Quantitative data was analyzed descriptively using measures of central tendencies and measures of dispersion. Regression was conducted for testing the study hypotheses. Data was presented using frequency tables. The study found that stakeholders’ engagement in M&E and capacity building for M&E influenced the performance of County Maternal Health Programmes in Kenya. The study also found that the respondents agreed that planning for M&E and the data management for M&E. This implied that the combined monitoring and evaluation practices influence performance of County Maternal Health Programmes in Kenya.The study found a strong correlation between the performance of county maternal health programmes and combined monitoring and evaluation practices. The study concluded that combined planning for M&E monitoring and evaluation practices influenced the performance of county maternal health programmes. The study suggests that management develop an effective methodology as well as raise awareness of M&E activities for the success of the project. The study also suggests that human resources issues such as workers charged with monitoring and evaluation ought to have technical capabilities, and roles and duties of monitoring and evaluation personnel should be outlined at the start of projects. To ensure M&E sustainability health sector reforms, investments in strong and vibrant technical harmonization platforms that can sustain the change agenda at all times and every required level.


Author(s):  
Edward F. Etzel ◽  
Leigh A. Skvarla

The field of sport, exercise, and performance psychology (SEPP) has evolved over the past 100 plus years. SEPP includes professional consultants, teachers, researchers, and students from diverse educational and training backgrounds. Persons primarily from the merging of sport science, kinesiology, and professional psychology have shaped SEPP into what it is today. Client populations typically served include athletes, coaches, and exercisers, and more recently, performing artists (musicians, singers, dancers), businesspersons, sports medicine professionals, and military personnel. These people and phenomena have fashioned an ethical climate that is generally similar to—but in various ways different from—mainstream psychology. While the ethical values and codes of organizations like the American Psychological Association (APA) and the Association of Applied Sport Psychology (AASP) are generally comparable, the perceptions and application of these values and codes in SEPP realms may not match; this is due to the different histories of its membership, as well as the sometimes unusual work demands and atypical settings and circumstances in which SEPP persons function. For both mainstream psychology and SEPP professionals, developments in technology and social media communications have presented ethical dilemmas for many who seek to maintain regular contact with their clientele. These issues, such as the use of technology in consulting, emphasize the importance of core ethical tenets such as privacy, confidentiality, and competence, among others, in the growing area of telehealth. In view of the rather unique ethical climate within SEPP, teaching applied ethics via classroom discussion, continued education, and sourcebooks is essential. To date, there appears to be a lack of continuity in the training and supervision of SEPP students and young professionals with respect to ethical decision making. This presents both a challenge and an opportunity to the current and next generation of scholars, researchers, and practitioners.


Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 135
Author(s):  
Toral C. Patel ◽  
Jodie V. Malhotra ◽  
Joseph J. Saseen

The Children’s Cancer Hospital of Egypt (CCHE) and the University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences (SSPPS) collaborate to offer a Doctor of Pharmacy (Pharm.D.) degree to international pharmacists holding a bachelor’s degree in pharmacy. The experiential training is provided by CCHE’s clinical pharmacist preceptors at CCHE. Clinical pharmacists at CCHE had prior experience precepting baccalaureate pharmacy students, but not Pharm.D. students when this program commenced. Therefore, the SSPPS faculty provided a live preceptor development program for select CCHE clinical pharmacists in 2017. Primary deliverables of the program included the preparation of individual preceptor development plans and experiential syllabi for program participants. Preceptor development plans and experiential syllabi were evaluated by the SSPPS faculty. Program participants were also evaluated on their assessment of learner case scenarios using introductory pharmacy practice experience (IPPE) and advanced pharmacy practice experience (APPE) assessment tools created for the CCHE program. Participant performance on submitted preceptor development plans and experiential syllabi, and performance on the learner cases were all utilized for participant selection as Pharm.D. preceptors in the CCHE Pharm.D. program. This paper describes this preceptor development program, the process utilized to determine selection of Pharm.D. preceptors, and plans for providing continuing preceptor development for preceptors at CCHE.


Medical Care ◽  
1996 ◽  
Vol 34 (Supplement) ◽  
pp. 67-76 ◽  
Author(s):  
J. LEE HARGRAVES ◽  
R. HEATHER PALMER ◽  
E. JOHN ORAV ◽  
ELIZABETH A. WRIGHT

1995 ◽  
Vol 34 (4III) ◽  
pp. 1151-1164
Author(s):  
Khaleda Manzoor

The Eighth Five-Year Plan has allocated Rs 9.1 billion to the Population Welfare Programme (PWP) which constitutes 0.5 percent of the total plan size of Rs 1700.5 biIlion (in 1992-93). During 1992-93, a total of Rs 828.9 miIlion was allocated to PWP, of which 85 percent was reported to be utilised, which amounts to Rs 702.87 million. Service delivery of family planning is a major focus and component of the PWP. The major service delivery sources include Family Welfare Centres (FWCs) in both the government and NGO sectors, Mobile Service Units (MSUs), Reproductive Health Services (RHS), Village-based Family Planning Workers (VBFPW), Hakeems, and Private Medical Practitioners, etc. All sources of delivery of family planning during the three decades of programme efforts have achieved the maximum extent of effective coverage, estimated to be between 15-20 percent in early 1990s but no more than 5 percent to rural population [Rukanuddin and Hardee Cleveland (1992)]. Besides limited coverage, the low level of accessibility and limited contraceptive availability, particularly to rural populace, have also seriously affected the performance of the PWP. These concerns have been addressed in the Eighth Five-Year Plan, which aims at increasing the urban coverage from 54 percent to 100 percent and the rural coverage from 5 percent to 70 percent. The major mode of service delivery to increase the rural coverage is the ViII age-based Family Planning Worker (VBFPW) scheme that would offer FP services to approximately 12000 villages. This scheme, however, focuses on non-clinical and temporary methods only.


Author(s):  
Esharenana E. Adomi ◽  
Ericson Egbaivwie ◽  
Jonathan C. Ogugua

This study explores the use of the Internet by medical practitioners in private hospitals in Warri Delta State, Nigeria. Descriptive survey design was adopted and questionnaire was the instrument used to collect data. The total population and sample for the study were 137 medical practitioners from 30 private hospitals in Warri. Findings revealed that most medical practitioners used the Internet on a regular basis; a majority of the medical practitioners started using the Internet between 1 – 5 years ago; most of the medical practitioners spend 2 – 5 hours using the Internet per visit; a majority of medical practitioners used the Internet without assistance. Medline, journals and PubMed were the Internet resources used by most of the medical practitioners. Internet use enables the respondents to improve patient care, keep up-to-date; high cost of Internet access and lack of access to the Internet were some of the problems facing most of medical practitioners. The study recommends that hospital management should provide their medical practitioners with Internet facilities to enable them access to the most recent and accurate information for effective service delivery. The findings will help health care authorities especially in developing countries to improve on Internet access facilities to medical practitioners.


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