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Zambia also experienced a decrease in physician density but less extreme than Cameroon.
These reductions in exacerbations translate to economic savings from decreased hospitalizations, decreased emergency room visits, and a decrease in physician visits and use of rescue medications.
Once transferred out of pediatric care, published reports provide evidence of gaps in follow-up care with a decrease in physician visits after transfer (32, 33, 66).
For instance, referring to previous studies predicting significant surpluses, Cooper [ 78] notes that such large surpluses have not occurred so far, because of a decrease in physician work effort.
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Patient variables that were independently associated with a decrease in the physician's global estimates of disease severity included better physical role functioning or general health perceptions as well as those who were retired or who had asthma.
A Kaiser Permanente study indicated that patients who participated in psychotherapeutic interventions decreased their average length of hospital stay by 77.9%, had a 66.7% decrease in hospitalization frequency, a 47.1% decrease in physician office visits, a 45.3% decrease in emergency room visits, and a 4% decrease in the number of prescriptions received [ 66].
A specific self-management program for arthritis sufferers found that participants reported a 19% reduction in pain, and a 43% decrease in physician visits.
The report cites both a rise in Ph.D. degrees being granted in clinical disciplines and a decrease in the numbers of physicians engaging in research as reasons for this trend.
However, available data point to a decrease in the numbers of physician-scientists[ 5- 7].
Prenatal care is a publically funded health service available to all Canadian women; however, the provision of prenatal care in Canada is changing as a result of a decrease in the proportion of family physicians who provide prenatal and intra-partum care and the introduction of public funding of midwifery in some Canadian provinces [ 1- 4].
There was a statistically significant decrease in physician-rated cosmesis over time (p = 0.003).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com