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The proficiency of health professionals in delivering consultations consistent with MI practices will be evaluated through the Motivational Interviewing Treatment Integrity (MITI) 3.0 scale [ 42] by a qualified psychologist trained in MI who is independent of the study.
When the costs of providing a consultation including those that were assumed to have required air travel are calculated, the cost savings are substantially greater: compared to delivering consultations via the OPD, the HTP saves the health service $23,758 and compared to delivering the same service via home visits, the HTP save the health service $45,925 per annum.
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Nurses may receive specific or competency-based training to perform such tasks/functions and would deliver consultations with autonomous or delegated responsibility.
Furthermore, the project leader delivered consultation on a project level to the teams in-person.
Furthermore, we wanted to examine if there was a difference between 'private' and 'contracted' GPs in three quality aspects of care delivered: consultation and waiting time and guideline adherence.
Efficiency was further decomposed into productivity indicators - on the production per unit of input (for example, consultations per GP) -, and on the costs incurred to produce that amount (for example, total costs for delivering those consultations).
Communication with senior midwives and observation of community midwives delivering antenatal consultations.
There was a cancelling out effect of the two components of the intervention with lower costs for nurses in the training part and lower costs for lay educators in delivering the consultations, however there was no overall difference in effect (frequency of healthcare utilisation events).
The unit cost of practice nurse time for delivering the consultation was calculated using PSSRU reported unit costs [ 26], and adjusted for higher London costs.
The lead trainer for these courses conducted a one-to-one training session with the study practice nurse over 1 day and was available for clarification and guidance as the nurse practiced these skills before delivering a consultation with participants.
As described above, the participants described a need for different types of safety netting resources including those delivered during consultations and those accessed prior to consultation.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com