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Although other brief CBT-I interventions have been developed for primary care, none of them were actually delivered to depressed patients or implemented in primary care.
Amongst such initiatives, printed evidence-based clinical guidelines have been developed for primary care and occupational settings, in several countries [ 16- 19].
World Health Organization algorithms for the management of infants and children with a range of clinical syndromes have been developed for primary healthcare providers and district hospital clinicians in low income countries.
For this purpose, several referral strategies including different manifestations at the beginning of the disease have been developed for primary physicians, but [ 4– 6] in clinical practice most patients are referred from primary care to rheumatologists because of inflammatory back pain (IBP) [ 4].
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The first mentioned instrument was developed for primary care.
Quality measures are now increasingly being developed for primary care quality assessments and research [ 30].
This article presents a rapid assessment tool which was developed for primary health care facilities in Tanzania.
Intercultural mediators, funded by the Belgian federal state, are restricted to general and psychiatric hospitals, although some Internet-based mediation initiatives are currently being developed for primary care services [ 57].
It is entirely feasible therefore that equivalent measures could be developed for primary, community and mental healthcare organisations albeit with some modification to the domains and the questions used to assess them within the questionnaire.
One integrated disease-management program (consisting of optimal medication, reactivation, education, and exacerbation management) was developed for primary care patients with COPD in the Netherlands resulting in improved QoL and decreased dyspnea one year after program completion [ 16].
He said: "We have got a schools pack we are developing for primary schools this spring which will contain a range of activities the children can do.
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