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Some specific barriers identified, including GPs' fear of losing consultation control and consultation time limitations, may require specific targeted responses.
Fear of using this approach, related to perceived loss of consultation control and potential adverse outcome for patients emerged in this research as a reason for not wanting to use PST in the management of depression.
By contrast those with previous experience of PST, far from being fearful of loss of control, felt PST has the potential to enhance consultation control due to the focus it may provide for both GP and patient in distressing circumstances.
Patients who actively participate in consultations by asking questions, are able to change the focus of the consultation, control the duration and the amount of information provided [ 42] and receive higher levels of information recall [ 40].
GPs 05,03,06 GPs who view the use of PST in consultations with fear, appeared to do so because they perceive the potential loss of consultation control, extra time required and additional patient choices as potentially resulting in an adverse patient outcome.
Stratified sampling within the same GP practices from where patients with a cancer diagnosis were identified was used to ensure control patients had similar characteristics to those with a cancer diagnosis in terms of age, sex, practice and equivalent year of consultation (control group) to year of diagnosis (cancer group).
Similar(54)
Data were obtained on bus or tram usage in the five days preceding illness onset (cases) or the five days before consultation (controls) alongside demographic details.
Multivariable analysis using a multiple logistic regression model was used to assess the strength of association between bus or tram use in the five days prior to symptom onset (cases) or consultation (controls) [binary categorical variable (yes/no)].
We used binary logistic regression analysis to investigate patients' reported confidence and trust in the GP, analysing ratings of 7 interpersonal aspects of the consultation, controlling for patients' sociodemographic characteristics.
In a recent consultation to control parking in our area, one concerned local complained that having to walk their children to the neighbourhood park and sports centre would reduce access and "make the obesity crisis worse".
We performed surgical cleaning and manual removal of worms and referred the patient for external consultation to control vascular, metabolic, and parasitologic evolution and for instruction in proper hygiene.
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