scholarly journals Oncology Professional Services Agreements: A Model for Hospital Affiliation That Preserves Private Practice

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.

PEDIATRICS ◽  
1959 ◽  
Vol 24 (1) ◽  
pp. 160-163

Children's Bureau Publication The Attorney's Part in Adoption, Children's Bureau Folder No. 47, is the third in the series of folders on adoption recently issued by the Children's Bureau. It deals with the part the attorney plays in the adoptive process. Fourteen attorneys, some engaged in the private practice of law, others faculty members in law schools and still others representatives of public or voluntary social agencies, met in Washington in May, 1958 to discuss the role of the attorney in adoption. Particular consideration was given to the legal aspects of adoption in relation to the natural parents, the child and to the adoptive parents. This leaflet is based on the principles discussed in this meeting. Copies are available from the Superintendent of Documents for 10 cents each with the usual discount of 25% on lots of 100 or more sent to one address.


Author(s):  
Rossano Pazzagli ◽  
Maria Giagnacovo ◽  
Antonella Balante

The present contribution is divided into three sections. The first deals with the features of Italian inner areas and their criticalities; it infers that Community-based cooperatives may well represent a regeneration tool for marginal areas. The second highlights Community-based cooperatives historic development dynamic, starting from the end of 19th century to modern times. The last section discusses the legal aspects of these cooperatives, both in internal relationships among members, and in the relations with external institutions.


2017 ◽  
Vol 3 (2) ◽  
pp. 101
Author(s):  
Suherman Banon Atmaja ◽  
Duto Nugroho

Pengertian dasar untuk pengelolaan perikanan terkait dengan fungsi fungsi biologi, sosial, teknologi, ekonomi serta lingkungan sumber daya sebagai komponen yang saling berhubungan untuk terjaminnya pengelolaan secara berkelanjutan. Stok ikan, ekosistem dan masyarakat nelayan merupakan salah satu kesatuan yang tidak dapat dipisahkan dalam sistem yang dinamis, dimana perubahan taktik dan strategi pemanfaatan masih merupakan suatu hal yang banyak dilakukan dalam rangka penyesuaian antara faktor teknis dan ekonomis yang sering kali mengabaikan pertimbangan bio-ekologi sumberdaya ikan. Sasaran pendekatan dan kebijakan pengelolaan perikanan di berbagai negara sudah mulai berubah, diawali dengan pendekatan memaksimalkan tangkapan tahunan dan ketenaga-kerjaan menuju ke konservasi dan pengelolaan berbasis pelayanan ekosistem. Konsep pengelolaan berbasis masyarakat dan ko-manajemen masih terbatas pada pengelolaan kawasan konservasi dan habitat terumbu karang. Adanya kesenjangan dan perbedaan antara kepentingan kawasan konservasi sebagai akibat kurangnya pemahaman kolektif terhadap tujuan pengelolaan, dan kerapkali menyebabkan aktifitas perikanan tangkap sebagai bagian dari kebutuhan ekonomis berbenturan dengan fungsi kawasan konservasi dalam jangka panjang. Pengendalian upaya penangkapan dan memahami dinamika perikanan, serta mengelola nelayan menjadi prioritas untuk pengelolaan sumber daya ikan, sedangkan konsep pengelolaan berbasis masyarakat dan ko-manajemen ditempatkan sebagai pelengkap untuk menutupi kelemahan aspek legal wilayah pengelolaan perikanan atau sumber daya ikan.Basic understanding of fisheries management related to biology, social, technology and economic function of fish resources. Fish stocks, ecosystem and fishers community are the integrated component under the dynamic of fisheries system, where as changing and on fishing tactic and strategy still exist to adjust between biology, technics and economics aspects. It is obvious that all technological creeps oftenly ignored the bio-ecological consideration of fish resources. The fisheries management and its policy were gradually shifting from maximize the catch, job opportunity become conservation and ecosystem based fisheries management. The concept of community-based management and co management is still limited to the management of conservation areas and coral reef habitats. The existence of gaps and differences between the interests of the conservation area as a result of a lack of understanding collective to the management objectives and often causing fishing activities as part of the economic needs clash with the function of conservation areas in the long term. Control efforts to capture and understand the dynamics of fisheries, as well as managing fishing is a priority for the management of fish resources, while the concept of community-based management and co management issued as a supplement to cover the weakness of legal aspects of the fishery management area or fishery resource.


Author(s):  
Scott Hammer ◽  
Kenneth H. Kessler

PEDIATRICS ◽  
1985 ◽  
Vol 76 (2) ◽  
pp. 307-308
Author(s):  
ROBERT ADLER ◽  
BARBARA M. KORSCH

A generation ago, the general pediatric practitioners participating in patient care, education, and research in academic centers, usually were members of a part-time faculty based in private practice outside of the center. They were respected consultants and teachers who constituted attractive role models for students and trainees. They modeled the practice of pediatrics not only from a technical perspective, but also exemplified the humane role of pediatricians with their young patients and their families, as well as within the community. As technology became more complex and constituted a larger proportion of care provided in the hospital, community-based physicians found it increasingly difficult to keep up with technical progress and found themselves less effective and less respected in the academic world.


Blood ◽  
2016 ◽  
Vol 128 (22) ◽  
pp. 2376-2376
Author(s):  
Rudolf Weide ◽  
Bernhard Rendenbach ◽  
Monika Grundheber ◽  
Oswald Burkhard ◽  
Joachim Behringer ◽  
...  

Abstract Introduction: Significant progress has been made in CML-therapy since the introduction of imatinib and other tyrosine kinase inhibitors (TKI) into clinical care. The aim of this study was to assess diagnosis, treatment and outcome of CML-patients who received their treatment in community based oncology practices in Rhineland-Palatinate and whether European LeukemiaNET-guidelines were followed. Methods: All Ph-/BCR-ABL-positive CML-patients who were treated between 12/2001-12/2015 in 9 oncology group practices were analyzed retrospectively concerning diagnosis, treatment and outcome according to European LeukemiaNET-guidelines. Data were collected from patient files into a central data base and analyzed statistically with SPSS. Results: 264 patients (pts) with a median age of 60 (18-90) were analyzed. 126 (48%) were female, 138 (52%) were male. At initial diagnosis bone marrow biopsy was performed in 213 pts (81%). Cytogenetics was applied in 204 pts (77%) (38% in blood, 56% in bone marrow). FISH-analysis was used in 155 pts (59%) (33% in blood, 36% in bone marrow). PCR-testing to detect a BCR-ABL1-rearrangement was applied in 200 pts (76%) (52% blood, 37% bone marrow). 258 pts (98%) were in chronic phase, 5 (2%) in accelerated phase and 1 (0.4%) in blast crisis at diagnosis. EUTOS score could be calculated in 131 pts (50%). 20% were high risk, 80% low risk. 252 pts (95%) received some form of TKI-therapy. Out of 416 TKI-therapies 308 (74%) were PCR-based monitored, 148 (36%) were monitored by cytogenetics. First line treatment was imatinib in 201 pts (80%), 51 pts (20%) received a second generation TKI. Second line treatment consisted of dasatinib in 59%, nilotinib in 32%, imatinib in 6% and bosutinib in 3%. Third line treatment was nilotinib in 56%, dasatinib in 35%, ponatinib in 6% and imatinib in 3%. 62 pts (23%) were treated within a study protocol. 13 pts (5%) received an allogeneic transplantation. Overall survival probability was 88% after 5 years and 72% after 10 years. Disease specific survival was 95% after 5 years and 86% after 10 years. Conclusion: The overwhelming majority of CML-patients treated in oncology group practices receive standard of care as suggested by European LeukemiaNET-guidelines. Overall survival in routine care is comparable to international studies. Disclosures No relevant conflicts of interest to declare.


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