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Unbound Medicine.
(fee splitting)
71 results
  • Our intellectuals have failed us - System of a Down. [Editorial]
    Indian Heart J. 2017 Mar - Apr; 69(2):133-135.Mishra S
  • Medical profession is at cross-roads. On one hand are issues like medical mal-practice and negligence but on the other are loss of respect, low re-imbursement, lawsuits against medical professionals, violence against physicians all contributing to a lot of stress as also a high suicide rate among medical practitioners. While some of the problems seem related to changing societal norms, most of th…
  • Fee Splitting among General Practitioners: A Cross-Sectional Study in Iran. [Journal Article]
    Arch Iran Med. 2016 Dec; 19(12):861-865.Parsa M, Larijani B, … Kandi MJ
  • CONCLUSIONS: Fee splitting is an unethical act, contradicts the goals of the medical profession, and undermines patient's best interest. In Iran, there is no code of ethics on fee splitting, but in this study, it was found that the majority of GPs considered it unethical. However, among those who had negative attitudes toward fee splitting, there were physicians who did practice fee splitting. The results of the study showed that physicians who had a positive attitude toward fee splitting practiced it more than others. Therefore, if physicians consider fee splitting unethical, its rate will certainly decrease. The study claims that to decrease such practice, the healthcare system has to revise the tariffs.
  • Growth and splitting of neural sequences in songbird vocal development. [Journal Article]
    Nature. 2015 Dec 17; 528(7582):352-7.Okubo TS, Mackevicius EL, … Fee MS
  • Neural sequences are a fundamental feature of brain dynamics underlying diverse behaviours, but the mechanisms by which they develop during learning remain unknown. Songbirds learn vocalizations composed of syllables; in adult birds, each syllable is produced by a different sequence of action potential bursts in the premotor cortical area HVC. Here we carried out recordings of large populations o…
  • History and evolution of surgical ethics: John Gregory to the twenty-first century. [Historical Article]
    World J Surg. 2014 Jul; 38(7):1568-73.Namm JP, Siegler M, … Angelos P
  • As surgery grew to become a respected medical profession in the eighteenth century, medical ethics emerged as a response to the growing need to protect patients and maintain the public's trust in physicians. The early influences of John Gregory and Thomas Percival were instrumental in the formulation of patient-centered medical ethics. In the late nineteenth century, the modern surgical advances …
  • Fee splitting in ophthalmology. [Review]
    Can J Ophthalmol. 2011 Feb; 46(1):21-7.Levin AV, Ganesh A, Al-Busaidi A
  • Fee splitting and co-management are common practices in ophthalmology. These arrangements may conflict with the ethical principles governing the doctor-patient relationship, may constitute professional misconduct, and at times, may be illegal. Implications and perceptions of these practices may vary between different cultures. Full disclosure to the patient may minimize the adverse effects of con…
  • ESHRE task force on ethics and law 15: cross-border reproductive care. [Journal Article]
    Hum Reprod. 2008 Oct; 23(10):2182-4.Pennings G, de Wert G, … Devroey P
  • This paper analyses the ethical aspects of cross-border reproductive care. Ethical questions are raised by some of the main reasons of cross-border travelling, i.e. law evasion and unequal access to treatment. The phenomenon also generates possible conflicts linked to the responsibility of the professionals. Three points are discussed: the moral obligation of the physician to refer the patient, h…
  • Legal issues affecting ancillaries and orthopedic practice. [Journal Article]
    Orthop Clin North Am. 2008 Jan; 39(1):89-102, vii.Glaser DM
  • The federal and state governments have imposed significant regulations on health care generally and on ancillary services in particular. This article focuses on how state and federal laws shape the ability of an orthopedic physician to offer ancillary services, whether as an individual, through a group practice, or as part of a joint venture. It focuses on how the Stark law, the Medicare anti-kic…
  • Conflict of interest: legal and ethical aspects. [Journal Article]
    Int J Gynaecol Obstet. 2006 Feb; 92(2):192-7.Dickens BM, Cook RJ
  • Conflicts of interest arise when those who owe conscientious duties to others appear to have personal interests that might tempt them to subordinate those duties to their self-interest. Conflicts of interest are distinguishable from conflicts of commitment, which arise when individuals bear two or more mutually exclusive duties to others. If persons in conflicts of interest favor their self-inter…
  • The ethical aspects of gain sharing with physicians. [Journal Article]
    Physician Exec. 2004 May-Jun; 30(3):20-2.Thompson RE
  • Gain sharing arrangements involving physicians can be a model combination of ethical business practices and maximizing profits. Or, gain sharing can be as unethical as fee-splitting was at the turn of the century, and as corrupt as any conflict of interest. The devil is--or is not--in the details.
  • Fear and loathing in Florida--PPMC's, fee-splitting, and anti-kickback implications. [Journal Article]
    Health Care Law Mon. 1999 OctGassman AS
  • Many developments are occurring with respect to practice management agreements in Florida. These include the District Court of Appeal affirmance of the Bakarania decision, a bankruptcy court decision to the effect that the PhyMatrix Agreement evaluated in Bakarania constitutes illegal fee-splitting. There was also a new Board of Medicine decision permitting a percentage arrangement under a "manag…
  • Splitting fees or splitting hairs? Fee splitting and health care--the Florida experience. [Journal Article]
    Ann Health Law. 1999; 8:239-74.Jacobs RO, Goodman E
  • Attorneys Jacobs and Goodman review the prohibitions against fee-splitting under Florida law and argue that Florida and other states need a clear statutory definition of prohibited activities. In addition, the authors argue that the Florida Board of Medicine has applied the prohibition against fee-splitting arbitrarily and in contrast to legal precedent set by the Second District Court of Appeals…
  • Uptake of postnatal services for mothers of newborn babies up to eight weeks of age. [Multicenter Study]
    N Z Med J. 1999 Oct 22; 112(1098):395-8.Turner N, Hounsell D, … Whittle N
  • CONCLUSIONS: Removing the six- week check from a general practitioner check and splitting it from the immunisation, has a deleterious effect on immunisation uptake. Mothers, particularly under 20 years, but also 35 years plus, are less likely to have immunised infants. A significant number of unimmunised babies arose from concerns that the baby may be too immature. The rate of breast feeding in New Zealand is continuing to drop. Actual rates fall well below mothers' desires to breast feed. Reasons given for stopping breast feeding point to a general need for greater postnatal support. The high rate of failure to establish feeding raises concerns over lack of early postnatal support. In July 1996 significant changes in payment of the maternity services benefit were introduced in New Zealand. In particular, postnatal services previously paid on a 'fee-for-service' basis were altered to a set capped amount for the 'postnatal module'. This led to concerns that care in the postnatal period had become more limited. In particular, there were anecdotal reports of the six-week check not being given, or being given by a range of providers who did not necessarily offer the opportunity for immunisation at the time of the check. Recent concerns have also been expressed about the apparent dropping immunisation rates in New Zealand, and the dropping breast feeding rates. The present study, developed in response to these concerns investigated three aspects of postnatal care: (a) The incidence of the uptake of the six-week check and whether mothers perceived any barriers to access. (b) The incidence of the uptake of the six-week immunisation and whether mothers perceived any barriers to access. (c) The rate of breast feeding and what barriers mothers perceived to continuing to breast feed.
  • Mössbauer and electron paramagnetic resonance studies of the cytochrome bf complex. [Journal Article]
    Biochemistry. 1999 Jul 13; 38(28):8981-91.Schünemann V, Trautwein AX, … Haehnel W
  • The (57)Fe-enriched cytochrome bf complex has been isolated from hydrocultures of spinach. It has been studied at different redox states by optical, EPR, and Mössbauer spectroscopy. The Mössbauer spectrum of the native complex at 190 K with all iron centers in the oxidized state reveals the presence of four different iron sites: low-spin ferric iron in cytochrome b [with an isomer shift (delta) o…
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