Background: The field of medicine is constantly changing. Notable changes occur in the patterns of clinical practice, business of medicine, shift in demographics/generation of the health care workforce, emergence of sub-specialization; and advances in research and technology. These changes can affect the way young physicians establish their practice and this is an area not addressed by the medical education and training. Purpose: There is little data in the literature regarding the experience of young physicians in establishing clinical practice. This study was undertaken to answer the central question: Among physicians in the field of Internal Medicine with or without subspecialty who graduated from training in 2013 to 2018, what were the issues and challenges that they faced as they established their clinical practice in the urban or mixed setting? Methodology: Qualitative research-case study; Key informant interview was conducted among junior Internal Medicine consultants who satisfied the inclusion criteria. Data analysis used thematic analysis consisting of reading, writing notes, describing, and classifying transcripts according to categories and themes. Results: After a comprehensive analysis of narratives, five emergent themes surfaced: “Tough Days” (Period of figuring out the system; Need for Self-introduction; Few patients and Feelings of frustration and depression); “Torn and Divided” (Unpredictable work schedule and workload; Lack of time for issues outside career); “Temporary Debt” (Large start-up cost; Expensive maintenance); “Difficult but Tolerable” (Family support; Call-a-colleague; Debt of gratitude to mentors) and lastly “Dreams and To-do’s”. Conclusions Our respondents have experienced substantial challenges in starting clinical practice. Learning the ways of the healthcare business, effectively promoting oneself to the community, dealing with the emotional turmoil of having few patients, coming up with a strategic schedule and area of practice, and looking for funds and paying it back, were the challenges and experiences of these young medical specialists as they establish their careers in the urban and/or rural setting.
Private Practice

OBJECTIVE: This study reviewed the current health research and development environment in the Philippines with respect to the engagement between the public and private sectors. The overall objective was to identify the role of the private sector in health research and identify barriers and opportunities for successful public-private health research partnerships.

METHODS:  Key informant interviews were conducted using a semi-structured interview tool. Secondary data such as annual reports and project funding documents from the Philippine Council for Health Research and Development were also analyzed.

RESULTS: The roles of the private sector when engaging with the public sector for research and development were identified as generators, funders, and adopters of research. Information gathered showed that there were several institutional and practice barriers to the successful collaboration of the public and private sectors, however there were also lessons learned from the successes of cases such as the Axis-Knee System, Sambong, and Lagundi technologies.

CONCLUSION: The collaboration and partnership of the public and private sectors can be mutually beneficial. Government initiative to increase the ease of collaboration with the private sector in health research was found to be a necessary step to stimulate a productive health research environment.

The survey was conducted on active private health centers and officials who were participating in management at 4 districts of Hµ Néi City (Hoµn KiÕm, §èng §a, Tõ Liªm, Gia L©m) from October 1998 to March 1999. It was found that legal principles were not implemented seriously. There was not any target was achieved in 100% of the centers. 11.72% of centers have broken professional principles in 1998. The number of inspections for private health centers remained to be low. Affected by market economy, it is difficult to manage and control some activities of private health centers. A complete approach is needed to improve the management for activities of these sectors
Private Practice ; Practice Management

The results of the study reveal that: The private health care network in Hoa Binh province has established and developed in line with Government's regulations and other documents of MOH on private health services. This private health care system has met partly the people health care's needs of all ethnic groups living in Hoa Binh province. Hoa Binh's private health service providers have located mostly in urban areas. Due to many different reasons; people living in geographically difficult areas of Hoa Binh could not access to private health services. Nowadays, the roles of private health service providers seem to be better; young qualified health workers joint this system in order to stimulate the dynamic aspects and creative mind of this generation
Private Practice ; Health Services

A study on 15 private hospitals has shown that total number of health staffs was 2057, average staff/bed was 2.18, and this figure in the public hospital was 0.9. Number of private hospital as time were in 1995 (1 hospital), 1997 (3 hospitals), 1999 (2 hospital), 2000 (6 hospitals) and 2001 (3 hospitals) 6/61 provinces and cities had private hospitals. Most of them located from §µ N½ng to Southern Vietnam. The deep professions were developed perfectly more and more
Hospitals, Private ; Growth & development

A descriptive cross-sectional study in combining with retrospective, interviewing and observative study was conducted concerning the private medico-pharmaceutical activities. The conclusions: recognised the good development of various forms of private services of medico-pharmaceutical that diversified the basis health service activities, contributed to the socialization of health care for people. But private health service network was still concentrated mainly in urban areas with the lack of inspection.
private pharmaco-medical practice

Private Practice ; Pediatrics

The study was conducted in 28 rural communes at 7 geographical regions, with the sample size 5579 households and population of 25243 involved. The time-serial sampling household survey was carried out with 8 cross-sectional studies during a two year period (2000-2001). The findings showed that: Self-medication was the most popular choice for sick persons, there was a progressive tendency that the more poor likely to use it than the rich (39.7% & 35.6%). The next choices were private clinics and commune health stations (CHS). Utilization of hospital care was quite low (5.2% - 11.3% for out-patients and 5.4% - 6.5% for in-patients). Inequity in health care utilization was seen in out-patients services at the hospital level, whereas it was not happened in in-patient care and at the CHS. The poor even those having health insurance used hospital care as 1/2 of the richest
Utilization ; Family Characteristics ; Self Medication ; Private Sector ; Private Practice

The private health contributed significantly to control the sexual transmitted diseases in Quang ninh. The private health network played an important role in the program of sexual transmitted disease prevention and control. This model should be expanded.
Sexually Transmitted Diseases ; Private Practice

No abstract available.
Humans ; Korea* ; Private Sector* ; Tuberculosis*