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In one studyw5 the intervention produced a small non-statistically significant decrease in consultation length and no effect on patients' satisfaction (consultation length −0.49, −0.88 to −0.10, patient satisfaction 0.00, −0.39 to 0.39).
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The study also raises an important question: Does the decrease in consultations and jeopardy findings mean Section 7 is less effective than it used to be?
To determine whether the decrease in consultations is due to 7vCRM introduction, analysis must be made over a few years and according to when and to what extent the vaccine was introduced.
Some reported temporary decreases in consultations and increased prescriptions of antibiotics.
This suggests that long-term decreases in consultations before 7vCRM introduction, which are unlikely to have halted, have added to apparent postintroduction decreases.
The rate of calls resulting in a nurse telephone advice alone rose from 21.1% in the first period to 31.9% in the second period (p < 0.001), leading to a reciprocal decrease in telephone consultations by the GPs from 20.9% to 9.5%.
Nearly 50%percentt of ID physicians believe that participation in ASPs leads to a decrease in requests for consultation [ 5].
Meta-analyses showed that the interventions resulted in small but statistically significant increases in question asking and patients' satisfaction, a large but not statistically significant decrease in anxiety before consultations, and small but not statistically significant effects on anxiety after consultations and length of consultations.
A third limitation was absence of the Tier 0 designation prior to 2010, which resulted in underreporting of Tier 0-like consultations in the earlier years and may partly explain the decrease in Tier 3 consultations over time.
This is due to the large reduction in RVGE events, leading in turn to a substantial decrease in hospitalisations and consultations with office-based physicians, saving approximately €60 million and €6 million in direct medical costs, respectively, and approximately €64 million and €21 million, respectively, when indirect costs are also included (Table 4).
This is consistent with data from the Royal College of General Practitioners Weekly Returns Service indicating a threefold decrease in IID-related consultations to its GP network between 1996 and 2008.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com