The French innovation funding programme (Article 51)

The “art 51” of the social security financing act was launched in 2018 and created an experimental framework to test a programme for healthcare delivery and payment innovation. Its aim is to fund projects that promote coordination, group practices, integration of care, through adequate payment mechanisms. Projects emerge from the field, identifying unmet needs and proposing innovative health care organisations and payment schemes. This presentation will provide insights into this new experience, into the obstacles and the lessons learned.

Materialización de los modelos de periodismo en los informativos de televisión del Grupo Atresmedia: Antena 3 y La sexta

The two main heritage news brands in Spain are the television networks Antena 3 and La sexta, belonging to Atresmedia, through which the group implements a double editorial line. The main objective of this work is to measure the presence of the watchdog, infotainment, and civic journalistic roles in the news programs of these two channels, in line with the strategies of differentiated audience acquisition for the two brands. A quantitative content analysis of news published in the midday editions of the programs La sexta noticias (N = 149) and Antena 3 noticias (N = 209) during the week of 3-9 February 2020 has been carried out. To measure the presence of the three roles in the news content, 42 indicators have been operationalized, following the proposal of Mellado (2015). La sexta showed a greater presence of the watchdog and civic roles than Antena 3. For both channels, there is a tendency to put in practice the vigilance, oriented by a certain political parallelism based on the ideological profile of their respective audience. La sexta has specialized in exercising the function of questioning power and in attending to citizen demands and social groups outside power. Antena 3 applies a flatter strategy, which stands out neither for its singular questioning of power nor for being a specific voice of social groups, which provides it with a more balanced position, although not uniform, in terms of penetration by ideological groups, in its necessary search for a massive audience because of commercial pressure. It has been concluded that each news brand of the Atresmedia group practices a differentiated journalism model. Resumen Las dos principales marcas tradicionales de noticias en España son las cadenas de televisión Antena 3 y La sexta, pertenecientes a Atresmedia, con las que el grupo mantiene una doble oferta informativa. Este trabajo tiene como objetivo principal medir la presencia de los roles periodísticos vigilante, info-entretenimiento y cívico en los informativos de estas dos cadenas, en consonancia con las estrategias de captación de audiencia diferenciadas para las dos marcas. Se ha realizado un análisis de contenido cuantitativo de noticias publicadas en las ediciones de mediodía de los programas La sexta noticias (N = 149) y Antena 3 noticias (N = 209) durante la semana del 3 al 9 de febrero de 2020. Para medir la presencia de los tres roles en el contenido noticioso de los dos programas informativos se han operacionalizado 42 indicadores, siguiendo la propuesta de Mellado (2015). Los informativos de La sexta han mostrado una mayor presencia del rol vigilante y del rol cívico que los de Antena 3. En ambos canales se comprueba una tendencia a ejercer la vigilancia orientada por un cierto paralelismo político en función del perfil ideológico de sus respectivas audiencias. La sexta se ha especializado en ejercer la función del cuestionamiento del poder y en la atención a las demandas ciudadanas y los grupos sociales fuera del poder. Antena 3 representa una estrategia más plana, que no destaca ni por su singular cuestionamiento al poder ni por ser voz específica de grupos sociales, lo que le permite una posición más nivelada, aunque no uniforme, en la penetración por grupos ideológicos, en su necesaria búsqueda de una audiencia masiva fruto de la presión comercial. Se ha podido concluir que cada marca informativa del grupo Atresmedia practica un modelo de periodismo diferenciado.

Dental Record Keeping by General Dental Practitioners in Lahore

Objective: of this study is to analyze the behavior/attitude of general dental practitioners towards record keeping and quality assessment of patient records found in different dental practices of Lahore. Study design: Cross sectional, Descriptive, Questionnaire based study (Copy of questionnaire attached). Place and Duration of Study: Data collection for this study was conducted in different private dental practices of Lahore from Oct-2017 to Dec-2017. Methods; A random sample of 60 dental practices were selected by means of stratified sampling from different towns of Lahore. Dentists were interviewed and patient records were checked for data collection which is analyzed using SPSS version 23. Results: Interview of 43 dentists and analysis of patient records from their practices revealed that 16 (37.2%) practices have no record at all and even none of the remaining 27 (62.8%) practices. Who claim to have patient records, has any properly completed record. Shows that dentists have got very casual behavior towards record keeping as most of them were not having any records and the remaining ones who claimed to have patient records, were maintaining them in a very poor form. Conclusion: Female dentists, postgraduates and dentists working in group practices and affluent areas were found to have relatively more tendency towards record keeping. Recommendation; Dentist training institutes and health implementing authorities are the main areas which need to be stressed upon for improvement of record keeping. Keywords: (MESH) Record keeping, Dental photography, Dentist, Post-graduate, Health authorities, Affluent areas.

Impact of Advanced Practice Provider Integration into Multispecialty Group Practices on Outcomes Following Major Surgery

Background. While advanced practice providers (APPs) are increasingly integrated into care delivery models, little is known about their impact in surgical settings. Given that many patients undergo surgery in multispecialty group practice settings, we examined the impact of APP integration into such practices on outcomes after major surgery. Methods. We used a 20% sample of national Medicare claims to identify 190 101 patients who underwent 1 of 4 major surgeries (coronary artery bypass graft [CABG], colectomy, major joint replacement, and cystectomy) at multispecialty group practices from 2010 through 2016. The level of APP integration was measured as the ratio of APPs to physicians within each practice. Rates of mortality, major complications, and readmission within 30 days of discharge after the index surgery were compared between patients treated in practices with low, medium, and high levels of APP integration using multivariable regression analysis. Results. Relative to patients treated in practices with low APP integration, those treated in practices with medium or high APP integration had significantly lower rates of mortality (2.4% [low integration] vs 1.9% [medium integration] vs 2.0% [high integration]; P < .01), major complications (34.1% [low] vs 31.2% [medium] vs 30.2% [high]; P < .01), and readmission (11.7% [low] vs 10.6% [medium] vs 10.1% [high]; P < .01). This relationship was consistent for virtually all outcomes when considering each surgery type individually. Conclusions. Integration of APPs into multispecialty group practices was associated with improved postoperative outcomes after major surgery. Future research should identify the mechanisms by which APPs improve outcomes to inform optimal utilization.

Culture, Status, and Hypocrisy: High-Status People Who Don’t Practice What They Preach Are Viewed as Worse in the United States Than China

Status holders across societies often take moral initiatives to navigate group practices toward collective goods; however, little is known about how different societies (e.g., the United States vs. China) evaluate high- (vs. low-) status holders’ transgressions of preached morals. Two preregistered studies (total N = 1,374) examined how status information (occupational rank in Study 1 and social prestige in Study 2) influences moral judgments of norm violations, as a function of word–deed contradiction and cultural independence/interdependence. Both studies revealed that high- (vs. low-) status targets’ word–deed contradictions (vs. noncontradictions) were condemned more harshly in the United States but not China. Mediation analyses suggested that Americans attributed more, but Chinese attributed less, selfish motives to higher status targets’ word–deed contradictions. Cultural in(ter)dependence influences not only whom to confer status as norm enforcers but also whom to (not) blame as norm violators.

‘Lines in the sand’: an Australian qualitative study of patient group practices to promote independence from pharmaceutical industry funders

ObjectivesTo study how patient groups that accept pharmaceutical industry money perceive and manage the risk of undue influence from their sponsors.DesignEmpirical ethics approach using a qualitative interview study.SettingThe Australian patient group sector.Participants27 participants from 23 patient groups, purposively recruited for diversity of group characteristics (degree of pharmaceutical industry funding, health focus, location) and participant role (staff, board members).AnalysisInterview data were transcribed and read repeatedly to identify concepts and patterns in the data. These were grouped into conceptual categories that described and explained the findings. We used an inductive analytical approach to identify important themes and concepts in the data.ResultsParticipants in this study described how the patient group sector receives pressure from pharmaceutical company funders to act in ways that prioritise company interests. Groups worked to try and protect their credibility and ability to act in ways of their own choosing using practical rules or ‘lines in the sand’ about industry funding activities. They were grouped around the dominant topics of: sponsor exclusivity, brand marketing, agenda setting, advocacy and content of group activities. Lines in the sand were largely experience-driven and ethically informed; they varied between groups. There was also variable transparency among groups about financial interactions with pharmaceutical companies.ConclusionsIt is important to know about patient group practices around pharmaceutical industry funders as this allows public scrutiny about the adequacy of such practices. Inadequate strategies may mean that funders can influence patient groups activities in ways that do not necessarily prioritise the interests of members. We found that groups differed in their approach, with little independent external guidance to inform responses to commonly encountered types of influence. Inadequate transparency limits the ability of the public to make informed assessments about the risk of bias over the activities of groups that accept industry funding.