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We need to have a dynamic diagnostic, referral and treatment system in place to support this wave of new patients.
Every reason for a diagnostic referral was documented in a free text.
Finally, the guideline provides criteria for diagnostic referral based on the dementia guideline of the DCGP. Figure 2 provides an overview of the intervention.
36 It has also been suggested that these roles could be extended to support patients during the diagnostic, referral and assessment processes and ensure appropriate follow-up of investigations.
A limitation of our study was that we investigated a subjective estimation of the physicians for the usefulness of the diagnostic referral but not the appropriateness judged by an external observer.
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Finally, the third type of barriers included patient related-barriers to follow through with diagnostic referrals.
The PCP probably expects the NP to decide on further diagnostic referrals.
An explanation for this result could be that the aim of diagnostic referrals is to exclude serious diseases or to confirm suspected diseases.
In cases of abdominal complaints, where also cancer was suspected as a reason, 67% of the diagnostic referrals were perceived as useful.
In sum 80%% of the diagnostic referrals of the women were assessed as useful, while 75%% were assessed as useful for the male patients.
Lack of tools to address challenging types of diagnostic problems, ii) health system-related barriers to the diagnostic process, iii) patients' barriers in following through with diagnostic referrals, and iv) ideas for technological innovation to enhance the diagnostic process.
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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