"This consultation was difficult, despite my conviction," she says.
GPs tended to comply when the patient's wish was strong, the clinical indication for radiography was uncertain, little else could be done, the consultation was difficult, or time was scarce: Saying 'OK, I'll send you for an X-ray' can bring any awkward consultation to an end.
Use of health services in the year after the cancer risk consultation are difficult to interpret in the absence of a control group which did not receive genetic counselling, but hospital attendance rates did appear to increase, probably reflecting the need for cancer screening; this could be audited in light of the new service guidelines.
Fifth, we excluded curbside consultations, since data on these consultations are difficult to capture.
While the process is open to public consultation, it is difficult to see more than minor changes being made to the current map before it becomes law.
These were skilled and experienced nurses but, without reproducing the entire transcript of their consultation, it is difficult to illustrate their expertise.
"Unless the effects of individual projects are aggregated to ensure that their cumulative effects are perceived and measured in future [endangered species] consultations, it is difficult to have any confidence in a wide, regional no-jeopardy opinion," the court said.
A possible explanation for the discrepancy is that a specialist consultation is relatively difficult to secure, whereas painkillers may be purchased over the counter any time of the day (or night) in close proximity to one's place of residence [ 30, 31].
While we found good reliability of GCRS in assessing the communication quality of individual consultations, comparison with existing instruments is difficult due to limited published psychometric data on assessing consultation (rather than doctor) quality.
The executive board is due to sign off on is 'Difficult Decisions' consultation document on Tuesday.
