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The unique Dutch system of obstetric care system has three risk-based levels of care: primary care (indicated for low risk pregnancies and deliveries, provided by independently practicing midwives), and secondary/tertiary care (indicated for high risk pregnancies, provided by obstetricians) [ 18].
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A majority of physicians in most types of clinics/practices, not only primary care, indicated the need for more knowledge and skills in handling sickness certification cases.
In all 19 082 opportunities existed for the care indicated by a quality indicator to be delivered.
In addition, some initial research with PHAs who use the Internet for health care indicated they experience improved knowledge about the illness, increased skills in coping, and support from others [ 2].
Other researchers have reported that people living with HIV who use the Internet for health care indicated that they experienced improved knowledge about the illness, increased skills in coping, and support from others [ 27].
Diabetes was not mentioned anywhere on the survey to reduce the chance that respondents would think the hypothetical patient had both the listed chronic condition and diabetes and therefore respond that care was "indicated" for the chronic condition when they meant that it was indicated for the condition in the presence of diabetes.
Overall, the proportion of PwMS satisfied with care was stable over time, however, the high proportion of PwMS not satisfied with the accessibility to and the availability of certain types of care as well as the high proportion of PwMS who had not participated in planning their care indicate room for improvement.
The enthusiasm for what was perceived to be a protocol for end-of-life care indicates a need for improved understanding of how to care for the dying.
Thus, they were suitable for treatment in primary health care, indicating that resources for psychosocial support should be allocated to primary health care.
A recent qualitative study among registered Swedish healthcare providers in surgical care indicates a need for policies on management, education and research in CAM in Sweden [ 16].
Only a few patients in both groups were referred to specialised mental health care, indicating that treatment for depression in late life is mainly carried out in primary care.
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