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(2) Clinicians should ask patients about medication adherence during every consultation.
In Ghana, doctors routinely examine the patient such as checking their pulse, temperature and blood pressure during every consultation.
In a similar vein, bringing up the issue of smoking cessation persistently during every consultation, especially when it's not connected with the purpose of the visit, may not only irritate the patient, but can also impede doctor-patient relationship.
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31/77(40%) health workers referred to the IMCI chart booklet during every observed consultation, 35(45%) did so during some observed consultations, and only one health worker never referred to the chart booklet during the period of observation.
The first problem has already appeared in a study of Australian GPs, only a third of whom reported providing cessation advice during every routine consultation with a smoker [ 33].
Their study revealed that smoking cessation advice shouldn't be given during every routine consultation with a smoker especially when the purpose of the visit is not a smoking-related problem.
Since patients are the only individuals physically present during every treatment and consultation, they carry with them important contextualized information as they move through a complex and distributed process of care and are thus a valuable resource for safe and effective treatment systems [ 5].
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