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Patient encounter data will help identify differences in learning opportunities across different practices in the training region, as well as those across different models of service delivery, for example, private practices and Aboriginal Medical Services.
Health Secretary Jeremy Hunt said the government was tackling the "unacceptable variation" across different practices.
With the advent of health care reform, it will be extremely important to ensure that the ensuing large demonstration projects that are designed to increase integrated care and better control costs can be rapidly brought to scale across different practices settings, and health plans and will be able to achieve effectiveness in diverse populations.
However, little if any attention has been given to the ways in which doctor-patient relationships may vary across different practices and different locales.
If the treatment of patients who attend the same practice is very consistent and there is a large variation across different practices, the ICC will be relatively large.
It was evident from our findings that nurses had to be successful at building good relationships with GPs in order to gain agreement to prescribe across different practices.
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One of the reasons for this was perceived differences in the medications that would be prescribed across different practice settings: M3: I wouldn't have thought buddy me up with somebody who was working in [speciality name] would particularly work well because the medications that we would prescribe and the contexts in which we would be prescribing would be completely different.
Comparison of patients and patient groups across different practice settings requires standards or benchmarks for disability outcomes, such as the HAQ-DI.
A review by van Laar et al. showed that medical staff across different practice settings from 17 countries were stressed and strained [ 26].
Attention was then focused on developing and testing KT strategies to address these gaps, with significant descriptive work across different practice and policy contexts e.g., [ 46, 47].
While collaboration across different practice settings and institutions will be challenging to operationalize, it must also be encouraged keeping in line with the national focus on reducing health care costs and overutilization [ 19, 69].
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