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University teachers are also much in demand for consultation and advice to industry, business, government, and school systems.
Instead, researchers are encouraged to travel to conferences to meet with peers and find out the latest developments in their fields, and to use technology to maintain contact with a web of associates around the globe who can be mustered on demand for consultation and support.
In addition prevalence as well as the demand for consultation and treatment increases [ 4, 5], thus causing high direct and indirect costs [ 1- 3, 6].
The service was experiencing, at the time of the study (2009), increasing numbers of referrals and an increased pressure to meet the demand for consultation and treatment.
In addition, the prevalence of these conditions and the demand for consultation and treatment have increased over recent years [ 5, 6], which results in high direct and indirect costs [ 1, 3, 7, 8].
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In consequence, due to increasing demand for consultations and investigations, health care systems are struggling to provide required services within reasonable time limits [ 7].
Unlike the social security institutions, the number of internists will have to increase more than 100% to cover the demand for consultations at SSA.
Apparently, the public sector has an unrecognised conflict between reinforcing the regulation, promoting high-quality care and proper use of medications versus allowing the growing supply of this type of ambulatory care providers to absorb the spillover of the demand for consultations and medicines, regardless of the quality and cost.
By expanding the service there is the potential for acute health care cost savings by decreasing the demand for outpatient consultation and further reducing acute care bed-days.
This demand for medical consultation in hospital emergency departments, despite the expansion of primary care services since 1990, reveals that hospitals remain important gateways for medical assistance, which could be related to restricted timely access to basic services, specialists and diagnostic support due to a lack of such services, as mentioned above [ 13].
Advanced physiotherapy-led clinics can assist in managing demand by directly assessing and managing many patients without the need for consultation with a medical specialist.
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