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But, despite practitioners' espousal of patient centredness, we found that in the context of consultations for LTCs, the QOF fostered reductionist strategies through the use of depression screening questionnaires.
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Despite being practitioners and students of development, we all struggled to answer basic questions.
Despite medical practitioners in Western Australia having a statutory obligation to provide data on a patient's Aboriginality to the Department of Health when a patient is diagnosed with a notifiable infectious disease, notifiable disease data for Western Australia have a limited capacity to identify Aboriginality.
Sometimes, despite the practitioner's best efforts and full cooperation from the patient, it remains impossible to meet their expectations.
Fragmentation is observable in other aspects of the patient's care beyond the review, despite the practitioner arguing for the review's essential role in providing "holistic" care (Additional file 4).
Cost estimation of software projects is an important activity that continues to be a source of problems for practitioners despite improvement efforts.
But registration is voluntary, and many alternative practitioners, despite the lure of official recognition, fear a state invasion of their turf.Scientists and medics are uneasy too.
The problem of multiple-substance use has remained absent from much of this conversation – and from the education of users and health practitioners – despite the fact that drug mixing is both dangerous and pervasive.
The omission possibly reflects a well-known bias of scientists in research centers to overlook contributions from practitioners, despite the dogma that advances often come from observations at the bedside.
There has been some resistance from medical staff in Australia to the introduction of such practitioners, despite the theoretical advantages.
The SERVQUAL instrument is widely used by both academics and practitioners despite numerous criticisms directed at the scale (Caruana et al. 2000).
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com