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Some specific barriers identified, including GPs' fear of losing consultation control and consultation time limitations, may require specific targeted responses.
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We searched both Medline and Scopus from 1996 to May, 2009, using MeSH terms and textwords for "malaria", and combined these with MeSH and textwords terms for "National Health Programs", "communicable disease control" and "referral and consultation".
No provider variables were significantly associated with assessment practices in the final model after controlling for patient and consultation factors.
After controlling for patient and consultation factors, a number of provider attitude variables were also significantly associated with providing optimal intervention.
Providers working in rural teams (teams two and three) were more likely to provide optimal intervention than those working in the urban area (team one) after controlling for patient and consultation characteristics and other provider attitudes.
We identified 15 components of the NCC intervention and grouped them into three strategies (figure 2): (1) risk factor management, for example, lifestyle counselling, blood pressure and lipid control; (2) multidisciplinary consultation, for example, consultation and referral and (3) shared decision making, for example, goal setting and family support.
In the last five years the NCDCP has convened national workshops on chronic diseases, advocated on radio, engaged in media training, advocated for tobacco control and participated in consultations towards alcohol policy development [ 41].
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.
Another possible explanation for switch of sector is that GPs have proved to be less committed to their organizations than other physicians, the main factors being work-related psychosocial elements such as high job demands, low job control and poor inter-colleague consultation [ 29].
It offers free birth control and low-cost medical consultations, including testing for sexually transmitted diseases, from its offices and via its mobile units.
By excluding non-emergency health care, we reduced the potential influence of control consultations and thereby limiting outcome misclassification.
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CEO of Professional Science Editing for Scientists @ prosciediting.com