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Public Clinics (public + clinic)

Distribution by Scientific Domains

Psychology	57%
Medical Sciences	42%

Selected Abstracts

Evaluation of a training program to improve clinicians' assessment of patient stability

DRUG AND ALCOHOL REVIEW, Issue 4 2009
ADAM R. WINSTOCK
Abstract Introduction and Aims. Public clinics in New South Wales (NSW), Australia play a central role in inducting and stabilising opioid dependent clients onto treatment before transfer to a community pharmacy. Clinical assessment of stability is a vital skill in ensuring that clients are appropriately and effectively transferred. A two-hour clinical training program was delivered to staff at 31 public clinics, that aimed to improve staff confidence in assessing client stability, and skills in negotiating the transfer of clients to community pharmacies. Design and Methods. Pre- and post-training evaluation was conducted examining self-ratings of confidence and ability in the assessment of client stability, and the perceived utility of a clinical algorithm to improve assessments. Follow-up was conducted 3 to 6 months post-training assessing individual and clinic level changes in clinical practice. Results. 205 staff completed pre- and post-training questionnaires. Staff demonstrated a moderate level of self-reported baseline knowledge and skills in assessing client stability (mean = 6.5; 1 = poor; 10 = excellent) that improved when re-assessed following the training (mean = 8.0). 76 staff responded to the follow-up questionnaire. , 75% reported some level of improvement in their approach to clinical practice regarding stability assessment, and 59% reported being more effective in identifying clients appropriate for community pharmacy transfer. Of 19 public clinics, 14 reported an increased focus on stability assessment. Nine clinics reported barriers to achieving changes in clinical practice. Discussion and Conclusions. This evaluation demonstrates that it is possible to implement a targeted clinical training package to staff that translates into positive changes in clinical practice.[Winstock AR, Lea T. Evaluation of a training program to improve clinicians' assessment of patient stability. Drug Alcohol Rev 2009;28:353,359] [source]

RURAL DOCTORS, SATISFACTION IN JAPAN: A NATIONWIDE SURVEY

AUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 2 2004
Masatoshi Matsumoto
Objectives: The purpose of this paper was to discover to what degree Japanese rural doctors are satisfied with various aspects of their jobs and lives, and to find out whether they intend to continue their rural careers. Design: Nationwide postal survey Setting: Public clinics or hospitals in municipalities that are authorised as ,rural' by the national government. Subjects: A total of 4896 doctors working for public clinics or hospitals. Interventions: Self-evaluation questionnaires were mailed. The rural doctors were asked to evaluate their satisfaction with 19 items related to their job conditions and 10 items concerning life conditions, using a four-point scale. They also were asked to evaluate their intent to stay in rural practice until retirement. Results: The response rate was 64%. Overall, rural doctors were satisfied with both their work and life conditions. However, only 27% of respondents hoped to continue rural practice beyond the usual age of retirement. Among job-related items, continuing medical education and interactions with municipal governments were rated as least satisfactory. Among lifestyle-related items, duration of holidays and workload were unsatisfactory. Subgroup analysis revealed male doctors showed greater intent to stay in rural practice. Doctors aged > 50 years were more satisfied with most aspects of their job and lifestyle than younger doctors. A strong correlation was found between the degree of intent to stay and several items such as interactions with municipal government, human interactions salary and job fulfilment. Conclusions: Strategies, based on the results of this survey, should be implemented. Particularly in Japan, positive interaction between doctors and municipal governments is crucial. [source]

"A brilliant and many-sided personality": Jessie Margaret Murray, founder of the Medico-Psychological Clinic

JOURNAL OF THE HISTORY OF THE BEHAVIORAL SCIENCES, Issue 2 2009
Elizabeth R. Valentine
This paper outlines the life and career of Jessie Margaret Murray, the moving spirit behind the foundation of the Medico-Psychological Clinic, the first public clinic in Britain to offer psychoanalytic therapy and training in psychoanalysis. Biographical details of Murray and her close friend and collaborator, Julia Turner, are presented, and possible routes by which the two women may have met are explored. Murray's role in the suffragist movement is described, as well as other networks and professional societies in which she was involved, in particular the British Society for the Study of Sex Psychology, and her relationship with Marie Stopes. An account is given of events leading up to the founding of the Clinic, its activities, Murray's death, and other factors contributing to its demise. Finally, the Clinic's heritage and implications of the personalities of Murray and Turner for understanding the subsequent development of psycho-analysis in Britain are considered. [source]

Chilean women's preferences regarding mode of delivery: which do they prefer and why?

BJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 11 2006
ACE Angeja
Objective, Caesarean section rates in Chile are reported to be as high as 60% in some populations. The purpose of this study was to determine pregnant Chilean women's preferences towards mode of delivery. Design, Interviewer-administered cross-sectional survey. Setting, Prenatal clinics in Santiago, Chile. Population, Pregnant women in Santiago, Chile. Methods, Of 180 women completing the questionnaire, 90 were interviewed at a private clinic (caesarean delivery rate 60%) and 90 were interviewed at a public clinic (cesarean delivery rate 22%). Data collected included demographics, preferred mode of delivery, and women's attitudes towards vaginal and caesarean deliveries. Main outcome measures, Mode of delivery preferences, perceptions of mode of delivery measured on a 1,7 Likert scale. Results, The majority of women (77.8%) preferred vaginal delivery, 9.4% preferred caesarean section, and 12.8% had no preference. There was no statistical difference in preference between the public clinic (11% preferred caesarean) and the private clinic (8% preferred caesarean, P= 0.74). Overall, women preferring caesarean birth were slightly older than other groups (31.6 years, versus 28.4 years for women who preferred vaginal and 27.3 years for women who had no preference, P= 0.05), but there were otherwise no differences in parity, income, or education. On a scale of 1,7, women preferring caesarean birth rated vaginal birth as more painful, while women preferring vaginal birth rated it as less painful (5.8 versus 3.7, P= 0.003). Whether vaginal or caesarean, each group felt that their preferred mode of delivery was safer for their baby (P < 0.001). Conclusions, Chilean women do not prefer caesarean section to vaginal delivery, even in a practice setting where caesarean delivery is more prevalent. Thus, women's preferences is unlikely to be the most significant factor driving the high caesarean rates in Chile. [source]