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Written consent will be obtained at the time of the appointment with the practice pharmacist.
After completing the questionnaire, those at risk were asked to make an appointment with the practice nurse.
Smokers, GPs said, could simply make an appointment with the practice nurse when they were at the practice.
Whilst the doctor and nurse components largely reflected contiguous items within the questionnaire, it is of note that an item addressing the ease of getting an appointment with the practice nurse (question 23) was contiguous with other items reflecting doctor or nurse care, but actually loaded with other non-contiguous items in the access component.
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Further secondary analyses will investigate potential prognostic variables collected at the first and second appointments with the practice research nurse.
Accessibility of the midwifery practice: calling the practice (no problem or never tried, problem); visiting the practice (no problem, problem); booking appointments with the practice (no problem, problem).
Clinical information systems: The information on monitoring and appointments with the practice nurse will be collected in the CARAT-monitoring-tool and will be forwarded to the GP based on importance/urgency before the patient encounter to the GP.
Consenting study participants identified from GP records and meeting the eligibility criteria attended a 30 min appointment with a practice nurse for the testing procedure.
A total of 2185 children had full consent given and attended a practice appointment with the research nurse for otoscopy with tympanometric screening, to establish if bilateral otitis media with effusion was present (fig 1).
Controls were selected as the next patient with an acute non-respiratory condition, as determined by the chronological order of appointments in the practice.
In practice, getting an appointment with the PDS could have taken several days or weeks; in the private sector, it could have been possible sooner.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com