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The £50m GP Access Fund will mean that patients at 1,147 GP practices across England will be able to see their family doctor outside normal working hours, including late-night and weekend appointments or use one of the modern consultation tools for convenience.
Then they get a referral to a provider in Quartet's network or its online cognitive behavioral therapy and consultation tools.
Open image in new window Fig. 1 E-consultation tools used by governments [26].
The process of decision making was understood as on-going and not necessarily a 'one off' event limited to a one-off consultation: patient decision aids could have some utility as between-consultation tools.
We therefore felt that none of these established consultation assessment tools would have provided a sound basis of assessment of the impact of the CAT in the primary care setting.
For instance, some physical examination work was included in most time-samples from guidelines consultations, some from implicit tool consultations and none from the explicit tool consultations.
GPs' verbal dominance across the trial arms was 60% (quartiles 55 64) in the guidelines consultations; 65% (quartiles 63 69) in the implicit tool consultations; and 64% (quartiles 60 66) in the explicit tool consultations.
The Medication-Related Consultation Framework (MRCF) tool assesses medication related consultations and focuses on the discussion content between a patient and pharmacist [ 16].
There is a need to explore the usefulness and acceptability of CATCH in scenarios in which childhood obesity is not self-referred, for example, in cases where a doctor or nurse identifies a weight problem and conducts a consultation using the tool.
There was a significant difference by trial arm in the frequency of information-seeking by GPs which occurred least in implicit tool consultations and in their conversational pauses which were shown most in the guidelines consultations.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com