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If the principles derived from these generalists are compared with the core dimensions of effective primary care [ 23] one can see that generalists are particularly focused on issues to do with the comprehensiveness of care and the range of diagnoses, procedures and services that are required for such a comprehensive scope of practice.
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Our model does not encompass the comprehensive scope of all of the reactions listed above.
The sensitivity of our clinical assessment for a comprehensive scope of mental disorders in childhood and adolescence was limited.
Nevertheless, although the primary care physician is highly regarded as "a trusted physician who provides comprehensive, continuous care," contracting scope of practice and salary differentials with other specialty physicians are cited as reasons for avoiding this career path [ 11].
GPs in this study thought that their scope of practice encompassed comprehensive and ongoing care for the mother and infant.
Despite their advantage as validated, comprehensive and feasible questionnaires, the limited number of scope of practice items has weakened their discrimination capacity for quantification of the scope.
To provide comprehensive and integrated care that incorporates the core TB/HIV/PMTCT activities, the scope of practice for CCWs needs to be expanded to include activities such as home based HCT [ 25- 27].
A comprehensive, pro-active, and holistic approach to CDPS that broadened the PP's scope of practice.
Most importantly, task shifting requires sustained medium and long-term investment necessary to enable comprehensive and integrated restructuring of healthcare teams, necessary adjustments to regulatory systems and HCW scope of practice, and development of training infrastructure and national government support of implementation of these programs (25, 26).
Perhaps this is related to the relative newness of this field, or perceptions that practice nurses have a limited scope of practice which does not encompass complexity and therefore does not require a comprehensive competency, education and career framework[ 12].
It also highlights the differing points of view about the scope of practice of medical care – is it illness focused or does it encompass comprehensive care of the patient and their family?
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