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without doctor intervention).
We conducted a prospective pre-post intervention cohort study with implementation of a revised guideline for pain management at our ED, in which nurses are allowed to administer analgesia (including low-dosage piritramid (opioid) intravenous) without doctor intervention.
A novel component is the "Video Doctor" intervention, an actor-portrayed physician who engages patients in a confidential, "face-to-face" discussion about risky behavior.
In the Video Doctor intervention, the computer performed both the risk assessment and the counseling, with durable risk reduction effects.
5 For the purpose of this study, minor ailments are "common or self-limiting or uncomplicated conditions which may be diagnosed and managed without medical (ie, doctor) intervention".
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Doctor interventions typically focus on communication skills training.
However, evidence from other studies of doctor interventions to improve quality suggests that doctors' behaviour is not necessarily different across health settings in industrialised countries.
Timely access to a patient's information may fundamentally improve patient care [ 9] in both pre- and in-hospital settings, due to earlier doctor interventions.
Interventions such as training of doctors in communication skills, transparency and financial disclosures, advertisement and display of technical qualifications of the doctor, interventions to improve universal access to healthcare, and interventions to increase the choice of affordable healthcare can all potentially increase the trust.
The lack of doctors' intervention in patients' tobacco habits in South Africa is contrary to what pertains in other countries such as Australia, the USA and China, where physicians are reported to be more engaged in activities targeting patients' tobacco use[ 20- 22].
In light of the results evidenced in our study it appears important and useful that mental health professionals learn about communication techniques and counseling skills that allow them to avoid the so-called communication barriers: doctors' interventions which can cause non-adherence and hostile attitudes in the patient towards changes [ 50].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com