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Our findings are largely in line with expectations from community based, primary care and other clinical samples of older persons [ 6, 10, 13, 15, 32].
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These patients were referred to our research unit from a wide range of sources (including the OCD Association of South Africa, community based primary care practitioners, and psychiatrists).
24 Eight provinces chose to begin by providing ART through hospital based physicians, delaying task shifting and decentralisation, but one, the Free State province, chose to begin by decentralising all ART care after the initial prescription of ART to existing community based primary care clinics, and to deliver that ART care largely through task shifting to nurses.
We based primary care costs on Curtis and Netten, 10 secondary care costs on the Department of Health national tariff, 11 and drug costs on the British National Formulary.
The Swedish primary care system is based on organisational and administrative conditions with a publicly financed health care and a team based primary care, where district nurses have patients of their own and are independent co-workers to the GPs.
An expanded study to include the patterns of emergency department and community based primary care, particularly general practitioner services, is needed to develop population-based solutions to emergency department overcrowding.
Setting Population based primary care setting, United Kingdom.
Hospital based primary care or something.
That's a real problem if you're paying by results.The second concern is about the financial risk to the locally based primary-care trusts which commission and pay for hospital work.
Most health care is now bought by locally based primary-care organisations.
There are similar initiatives under way connecting home-based primary care and palliative care for older adults in an "Advanced Care Institute".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com