Abstract:
OBJECTIVES:Physician productivity, practice expense, resource allocation, facilities, staff, and malpractice are variables in medical practice profitability. The ongoing challenge of collecting reliable and consistent data created an opportunity in 2001 for the American College of Chest Physicians (ACCP) Practice Administration Network (PAN) to develop a practice-based survey that measured the variables most related to the bottom line. METHODS:The PAN designed a comprehensive practice survey in 2001 that has been distributed to > 2,000 ACCP members each year. The specialty-specific survey differed from those offered in the market, as its aim was to capture information about pulmonary, critical care, and sleep practices. The single-answer survey included practice expense categories and those related to accounts receivable management. An on-line survey vendor (www.surveymonkey.com) was selected as the platform based on broad functionality and a flexible architecture. RESULTS:The survey was conducted each June for 5 consecutive years. In 2001, survey respondents represented 68 pulmonary physicians. By 2005, 229 practices responded representing 774 individual physicians. Participants included members of ACCP Leadership, ACCP Committees, and related networks, and past survey participants. The data are presented in graphic format as a percentage of total respondents. CONCLUSION:The survey offered participants a mechanism to contrast and compare specialty-based trends in practice expense, staffing levels, clinical services, malpractice cost, facilities utilization, and financial management strategies of "better performing" practices. It has served as the groundwork for related Practice Management Committee and Practice Management Department initiatives. The ACCP anticipates future survey collaboration with the Medical Group Management Association.
journal_name
Chestjournal_title
Chestauthors
Bauer JS,French KDdoi
10.1378/chest.130.3.885subject
Has Abstractpub_date
2006-09-01 00:00:00pages
885-9issue
3eissn
0012-3692issn
1931-3543pii
S0012-3692(15)52806-7journal_volume
130pub_type
杂志文章相关文献
CHEST文献大全abstract::We studied the incidence and mechanisms of cardiovascular complications and postoperative respiratory insufficiency associated with GA and Nd:YAG laser endobronchial tumor resection. The records of 73 patients undergoing 87 procedures were reviewed. Preoperative status, anesthetic methods and perioperative complicatio...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.99.1.72
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to compare the safety, use, and cost profiles of open thoracotomy vs video-assisted thoracoscopic surgery (VATS) for wedge resection in lung cancer performed by thoracic surgeons in the United States. METHODS:The Premier database, which contains complete patient billing, hospi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-3013
更新日期:2012-02-01 00:00:00
abstract:STUDY OBJECTIVE:To determine whether patients with congestive heart failure who develop Cheyne-Stokes respiration (CSR) during sleep experience excessive daytime sleepiness. This was addressed by comparing sleep quality and daytime sleepiness in three groups: patients with CHF and CSR during sleep (CSR group), patients...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.4.952
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND:In a rodent model of cardiac arrest and resuscitation in which the inspired gas mixture was enriched with oxygen, resuscitability and survival were unaffected by positive pressure ventilation. In the present study, in a larger animal model, tidal volumes generated during precordial compression and with spont...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.3.821
更新日期:1995-09-01 00:00:00
abstract::We are probably observing a recrudescent epidemic of RLF which has elicited surprisingly little attention from the medical community. Given present data, it is not unreasonable to conclude that there is a true epidemic and that its etiologic basis involves a population of infants with high susceptibility to oxygen tox...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.4.576
更新日期:1986-04-01 00:00:00
abstract::Mucosa-associated lymphoid tissue lymphoma (MALT-oma) of the lung is a rare low-grade B cell lymphoma arising from bronchus-associated lymphoid tissue. This report concerns a 39-year-old woman with bilateral diffuse alveolar consolidations and cold-reacting autoantibody-mediated hemolytic anemia. Open-lung biopsy show...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.105.1.288
更新日期:1994-01-01 00:00:00
abstract::Metastatic disease involving the heart may present in a variety of fashions. A patient with melanoma metastatic to the right ventricle which was diagnosed clinically by evidence of recent onset of right ventricular inflow and outflow tract obstruction is described. Important information regarding the extent of the met...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.92.2.362
更新日期:1987-08-01 00:00:00
abstract:BACKGROUND:Acute respiratory tract infections (ARTIs) are among the main causes of morbidity and mortality in children. The bacterial extract OM-85 BV (bronchovaxom) has shown protective effect for ARTIs on children. We report a double-blind, placebo-controlled, parallel, prospective clinical trial to assess the safety...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.119.6.1742
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:Patients with COPD are at risk for cardiovascular events. This is attributed to increased systemic inflammation. The course of COPD is punctuated by exacerbations, which further increase systemic inflammation, but the risk of vascular events in the postexacerbation period has never been defined. METHODS:We a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-2029
更新日期:2010-05-01 00:00:00
abstract::Pulmonary artery rupture by a flow-directed balloon-tipped catheter is a rare complication if guidelines for insertion of catheters are strictly applied. It should be stressed that the need for a "confirmed" wedge pressure should be weighed against the very real risk of this potentially fatal complication. Users of th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.85.1.128
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:Some of the challenges in the delivery of high-quality end-of-life care in the ICU include the variability in the characteristics of patients with certain illnesses and the practice of critical care by different specialties. METHODS:We examined whether ICU attending specialty was associated with quality of ...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.13-1351
更新日期:2014-02-01 00:00:00
abstract::A renewed interest in the clinical and pathogenic aspects of COPD exacerbation is timely in view of national and global COPD initiatives. The three big problems regarding COPD continue to be the following: prevention of the disease; slowing progression of the disease once diagnosis has been established; and prevention...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.117.5_suppl_2.376s
更新日期:2000-05-01 00:00:00
abstract::Treatment failure (TF) is defined as a clinical condition with inadequate response to antimicrobial therapy. Clinical response should be evaluated within the first 72 h of treatment, whereas infiltrate images may take up to 6 weeks to resolve. Early failure is considered when ventilatory support and/or septic shock ap...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.06-1995
更新日期:2007-10-01 00:00:00
abstract::We reviewed our experience with 41 children hospitalized from 1974 to 1978 for adenovirus (ADV) bronchiolitis. Thirty-two patients (78 percent) were native Indians between four and 12 months old. In 18 of the 41 patients (43.9 percent) acute complications developed. The five fatal cases (12.2 percent) were confined to...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.81.5.605
更新日期:1982-05-01 00:00:00
abstract:STUDY OBJECTIVE:To use an existing database from a large cohort study with follow-up as long as 5.5 years to assess the extended prognosis of patients who survived their hospitalizations for severe acute respiratory failure (ARF). DESIGN, SETTING, AND PATIENTS:Secondary analysis of an inception cohort of 1,722 patient...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.126.6.1897
更新日期:2004-12-01 00:00:00
abstract::Subjective assessment of the respiratory rate and the adequacy of tidal ventilation are the oldest and most widely practiced forms of respiratory monitoring in critically ill patients. Surprisingly, this method of assessment has itself never been evaluated in patients. The estimation of tidal volume in nine patients w...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.87.5.577
更新日期:1985-05-01 00:00:00
abstract:STUDY OBJECTIVES:To determine attitudes and knowledge about sleep medicine among chest physicians. DESIGN:: Interactive survey of self-selected respondents. SETTING:Interactive session at the 1998 American College of Chest Physicians (ACCP) annual meeting. PARTICIPANTS:Approximately 60 chest physicians. INTERVENTIO...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.6.1603
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:To study the incidence and severity of organ dysfunction associated with sepsis. DESIGN:Comprehensive review of prospectively collected data from intensive care patients hospitalized between 1997 and 2001. SETTING:Thirty-five ICUs in nonuniversity and university hospitals located in the Paris area. PATIENT...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.127.3.942
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Platelet activation reduces pulmonary microvascular blood flow and contributes to inflammation; these factors have been implicated in the pathogenesis of COPD and emphysema. We hypothesized that regular use of aspirin, a platelet inhibitor, would be associated with a slower progression of emphysema-like lung...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1016/j.chest.2017.11.031
更新日期:2018-07-01 00:00:00
abstract::There is renewed interest in the classification and methods of recording adventitious pulmonary sounds. This is a study of the importance of fine crackles (rales) in the diagnosis and estimation of the severity of diffuse infiltrative pulmonary disease. Among 272 cases documented by lung biopsy, bilateral fine crackle...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.3.333
更新日期:1978-03-01 00:00:00
abstract::To determine if respiratory maneuvers may enhance the response to inhaled bronchodilator drugs, we evaluated the bronchodilator responses when isoproterenol was: inhaled as a bolus high (80 percent VC) compared to low (20 percent VC) lung volumes, and inhaled as a single 800 microgram dose compared to four 200 microgr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.5.501
更新日期:1979-11-01 00:00:00
abstract:BACKGROUND:Altitude-induced pulmonary hypertension has been suggested to cause left ventricular (LV) diastolic dysfunction due to ventricular interaction. In this study, we evaluate the effects of exercise- and altitude-induced increase in pulmonary artery pressures on LV diastolic function in an interventional setting...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.07-0297
更新日期:2007-08-01 00:00:00
abstract::Hyperlipemia in an acyanotic patient with diabetic ketoacidosis, alcoholism, and pancreatitis produced a falsely elevated concentration of methemoglobin (19 percent) and a lower-than-expected oxygen saturation measured with an automated spectrophotometer (IL-282 CO-Oximeter). In addition, there was a "normal" hemoglob...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.86.1.84
更新日期:1984-07-01 00:00:00
abstract::Serum levels of a high molecular weight circulating antigen KL-6, detected by means of a sandwich assay using a monoclonal antibody KL-6 against a sialylated carbohydrate antigen, were evaluated for usefulness in monitoring the activity of interstitial pneumonitis. Abnormally high levels of KL-6 antigen were observed ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.96.1.68
更新日期:1989-07-01 00:00:00
abstract::Tracheal aspirates from four previously healthy infants with acute pulmonary hemorrhage, and small volume bronchial lavages from children undergoing flexible fiberoptic bronchoscopy were examined for pulmonary alveolar macrophages (PAM) containing hemosiderin. Hemosiderin formation was also studied in vitro. Macrophag...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.86.3.409
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND:Studies evaluating the dose of epinephrine required to optimize return of spontaneous circulation and survival after CPR have shown that doses greater than recommended by advanced cardiac life support (ACLS) improve coronary perfusion pressure and short-term resuscitation rates. Since survival has not improv...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.106.5.1499
更新日期:1994-11-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate in patients submitted to minute ventilation > 10 L/min the ability to preserve patients' heat and humidity of two heat and moisture exchangers (HMEs) and one vaporizing humidifier (VH). DESIGN:Prospective, randomized, comparative, non-blinded study. SETTING:Intensive care unit of a univers...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.107.5.1411
更新日期:1995-05-01 00:00:00
abstract:STUDY AIMS:To examine the influence of atmospheric pressure (AP) and temperature changes on the incidence of idiopathic spontaneous pneumothorax (SP). METHODS:From December 1991 through November 1993, 115 consecutive SP cases were selected. Patients were included after being in Amsterdam at least 1 full day before con...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.3.676
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Hypertrophic cardiomyopathy (HCM) is a common genetic disease that may cause left ventricular outflow tract (LVOT) obstruction, heart failure, and sudden death. Recent studies have shown a high prevalence of OSA among patients with HCM. Because the hemodynamics in patients with LVOT obstruction are unstable ...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.chest.2016.05.004
更新日期:2016-11-01 00:00:00
abstract::In a double-blind study the fiberoptic bronchoscope was contaminated with five pathogenic organisms, each at a concentration of 10(9) organisms per milliliter. The shaft and inner channel of the bronchoscope were cleansed with five antiseptic regimens. Each regimen included equal 120-ml aliquots of one, two, or three ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.1.10
更新日期:1977-07-01 00:00:00