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Despite use of the OMA CDSS in 86 % of consultations for which it was available, there was little evidence of impact on medication prescribing or on investigation choice.
We accordingly calculated the% of consultations for which the researchers reported the same number of problems, and the% for which they agreed within plus/minus one problem (e.g. where one researcher coded 3 problems and the other 2 problems).
Medicine does not have to be 2 × 2 = 4. Medicine is something else, isn't it?... (W2) - But then there are many small consultations for which we don't have guidelines!
In Mali, on the other hand, the data revealed that complaints made by community health centres leaders were not borne out by the facts, and that community health centres' finances did not suffer as a result of the loss of profits from the sale of anti-malarial medicines because an increase in the number of consultations (for which there was still a fee) made up for the deficit.
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A consultation, for which he charges $300 an hour, will typically stretch over a period of days, even weeks.
For pharmacists to achieve all points required an extended consultation for which the pharmacist could not expect to be remunerated, and this may have affected willingness to engage in discussion.
In order to explore this further we examined the proportion of symptoms resulting in a high impact non-consultation for which prescription medicine had been taken in the last two weeks.
They were then asked if the physician whom they had consulted was in the public health system, was from a private health insurance company, or was a consultation for which the patient paid directly.
In line with the index consultation for which they were included in this trial, we will ask patients a simple question: "In the past two weeks, have you consulted a primary care provider for the same reason or for the same clinical problem?" (yes or no).
This typically involves consultation with the target audience for which a product is targeted.
Military psychologists sent to Guantanamo who thought they would be providing support to soldiers dealing with the effects of PTSD instead found themselves ordered into interrogation consultation positions for which they weren't prepared — and, Banks says, that they weren't eager to take on.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com