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We did not mention age as a risk factor in the invitations, so the distribution of attendance rates in relation to birthdays suggests that appointments allocated shortly after birthdays or invitations timed for receipt in the week of a birthday have the potential to improve compliance with screening.
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Each individual telephone appointment was allocated 30 minutes; 20 minutes for conducting the consultation and 10 minutes to dictate the outcome of consultations.
These will be sent on behalf of the Birmingham East and North and Heart of Birmingham Primary Care Trusts, and will include the date, time and location of the allocated appointments.
Clinic lists will be adjusted to ensure participants have appointments with the allocated therapists: control or intervention.
Centrally allocated appointments counteracted their attempts to bring patients in, especially if IT systems or administrators were perceived as inflexible.
Students invited to participate in the videoed interviews were allocated appointments at the communication skills suite during the first week of term and paid £3 travel expenses.
These documents were sent weekly to the coordinating centre, where the trial management system automatically confirmed eligibility, did randomisation, scheduled appropriate appointments to women allocated to screening, and printed letters to the patient and her general practitioner (fig 2).
In a large study of screening for colorectal cancer using flexible sigmoidoscopy carried out in Norway during 1999-2001, 6 appointments were randomly allocated to 20 780 adults throughout the three year screening period.
Instead of the lengthy paper route of referrals from optometry to general GP to hospital, from 2008 direct electronic referral into the ophthalmology department with on the day vetting (the referral being seen and allocated appointment on the same day) led to faster appointment processes.
The proposed dates for appointment were randomly allocated on an individual basis by a computerised procedure developed for the study.
Being seen by the GP or practice nurse close to the time of the allocated appointment time, and not being kept waiting, was also viewed as important.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com