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Although the final intervention remained true to these principles it evolved considerably during the process of stakeholder and consumer consultation, as we came to better understand the needs and priorities of our target population and of the community organisations that served them.
The components of ACTO that are a result of consumer consultation are described.
Consumer consultation in health care has evolved since the 1990's and patient participation in the design and development of health care research is increasing [ 18].
Key search terms were developed and a search of the Cochrane Library (see http://www.thecochranelibrary.com) identified one study on consumer consultation [ 40] and confirmed the absence of registered Cochrane reviews.
Similarly, in the NHS exercise, a separate consumer consultation exercise, in the form of a focus group of informal carers, was convened as one attempt to sample the views of ordinary users as opposed to the "professional" consumers who responded to the formal consultation exercise [ 14, 15].
(40) In order to overcome existing shortcomings in terms of consumer consultation and appropriately address the interests of citizens, Member States should put in place ▌ appropriate consultation mechanisms.
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There is also a youth participation program which comprises consumer advocacy, consultation, public speaking, a drop in room and a peer support program.
Although specialist peer feedback would not be available, the referring physician, as the primary consumer of consultation letters, is likely the more valuable rater of performance assessment.
Further, to facilitate the goal of consumer engagement, consultation and improved maternity care services for Indigenous and other disadvantaged groups, these populations need to be specifically engaged to provide input [ 50].
Findings were discussed with a project advisory committee, which included consumers, for consultation purposes prior to manuscript submission.
The questionnaires for the four cancer groups were identified as having face and content validity by a panel of health and social care professionals prior to use, following review by consumers and consultation with cancer charities.
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