Combining treatment and professional training within a private practice model.

Background: Nonattendance at scheduled appointments is a major problem. Previous studies have shown rates between 17 and 31%. Most US studies found the type of payer to be the greatest determinant of attendance rates. Objectives: This study examines the no-show rate in a private dermatology practice under a single universal payer model, including the effects of old versus new patient, gender, day of the week, month, and weather. Results: The overall rate of nonattendance was lower than in all previous studies (7.79%), with the only statistically significant variable being established versus new patients. Limitations: Certain demographic data investigated in previous studies (eg, age, socioeconomic status) were not assessable. Data are from a single office. Conclusion: The no-show rate in a single universal payer, private practice model is low, especially for established patients.

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Transforming pediatric neuropsychology through video-based teleneuropsychology: an innovative private practice model pre-COVID-19

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acaa101 ◽

2020 ◽

Vol 35 (8) ◽

pp. 1189-1195

Author(s):

Christine M Salinas ◽

Veronica Bordes Edgar ◽

Gretchen Berrios Siervo ◽

Heidi A Bender

Keyword(s):

Private Practice ◽

Culturally Responsive ◽

Design Thinking ◽

Financial Burden ◽

Insurance Coverage ◽

Autism Spectrum ◽

Wait Times ◽

Pediatric Neuropsychology ◽

Practice Model ◽

Hyperactivity Disorder

Abstract Objective In pediatric neuropsychology multiple barriers such as long wait times until an appointment, insurance coverage, and limited providers who are bilingual/bicultural or who sub-specialize in pediatric neuropsychology, often slow families from receiving diagnoses and interventions in a timely and affordable manner. This paper focuses on increasing accessibility through the development of a video-based, pediatric teleneuropsychology (TeleNP) practice model that was developed in a private practice 2 years before the COVID-19 pandemic. Method ‘Design thinking’ methodology to problem-solving was utilized to innovate the traditional neuropsychology practice model in under-served areas who may have limited financial and healthcare resources. The practice model approach to include a virtual diagnostic clinic with increased patient and provider efficiency was created to enhance accessibility for patients and sustainability for providers. Results Video-based TeleNP screenings were conducted for 67 children with developmental (i.e., attention deficit hyperactivity disorder, autism spectrum disorder) and language disorders, as well as concussion and psychiatric diagnoses. Additional comorbidities were identified in 65.6% of children. Follow-up data approximately 2 months later revealed 98.5% of children were receiving new interventions as a result of the video-based TeleNP assessment. Conclusion Video-based TeleNP benefits the consumer as it can reduce wait times, decrease family financial burden (i.e., travel and parent time off work), expedite referrals for interventions, and provide geographically under-served populations access to providers who are linguistically and culturally responsive. For providers, this model revealed improvements with direct implications for cost-saving, thereby facilitating long-term economic sustainability within a private practice healthcare marketplace.

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The Emperor’s New Clothes: Head-to-Health Centres expand in the absence of evaluation of efficacy

Australasian Psychiatry ◽

10.1177/10398562211054660 ◽

2021 ◽

pp. 103985622110546

Author(s):

Jeffrey CL Looi ◽

Tarun Bastiampillai ◽

Stephen Allison ◽

Stephen R Kisely

Keyword(s):

Mental Health ◽

Federal Government ◽

Private Practice ◽

Mental Healthcare ◽

Health Needs ◽

Evidence Based ◽

Health Needs Assessment ◽

Practice Model ◽

Adult Mental Health ◽

Health Centres

Objective: To discuss concerns about the Australian federal government announcement of further funding expansion of the Adult Mental Health Centres (AMHCs), now known as Head-to-Health centres. Conclusions: The expansion of AMHCs prior to evaluation recapitulates the policy predicaments and perils of the headspace federal-infrastructure allied-health private-practice model. Comprehensive evidence-based mental healthcare planning and practice is needed, rather than stand-alone services of unclear efficacy. We describe the principles of such an approach based upon an evidence-based Health Needs Assessment.

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Guardians at the Gate: The Backgrounds, Career Paths, and Professional Development of Private US Immigration Lawyers

Law & Social Inquiry ◽

10.1111/j.1747-4469.2009.01151.x ◽

2009 ◽

Vol 34 (02) ◽

pp. 399-436 ◽

Cited By ~ 3

Author(s):

Leslie C. Levin

Keyword(s):

Professional Development ◽

New York ◽

Qualitative Study ◽

Communities Of Practice ◽

Sense Of Community ◽

Private Practice ◽

Career Paths ◽

Professional Training ◽

Strong Sense ◽

Immigration Law

This article presents findings from a qualitative study of seventy‐one New York immigration lawyers who are engaged in private practice. It focuses on the lawyers' backgrounds, career paths, and early professional training and describes, inter alia, the unusual diversity of this bar, the lawyers' reasons for practicing immigration law, the ways in which they learn to practice law, and the strong sense of community within the private immigration bar. It uses the idea of communities of practice to help understand how lawyers learn from their colleagues and are influenced by them. The article identifies several factors that may contribute to the supportiveness of the bar and the strong sense of community within that practice specialty, notwithstanding its great diversity. It concludes by making some preliminary comparisons between immigration lawyers and lawyers in other practice specialties and by identifying some questions for future study.

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