But for those feeling a bit gloomy about the "killer cyclists" media headlines, here are a few elements of the consultation document I thought were interesting for central government to expound so openly.
However, the use of the computer detracts the doctor's attention away from the patient, compromising these essential elements of the consultation.
[ 18- 20] These conclude that longer consultation length includes more key elements of the consultation, particularly health promotion, health education, preventive measures, improved recognition and handling of psychosocial problems, fewer prescriptions, improved chronic disease management, and better patient enablement.
To our knowledge this study is original in its design and will contribute to understanding what goes on during a consultation between patients and GPs, and identify what elements of the consultation could contribute to generating health inequalities.
Such strategies include providing "scripts" for PNs to use when offering tests with examples demonstrated for the PNs via DVD [ 39], checklists to ensure essential elements of the consultation are covered and educational resources for patients to take away.
The 25 tasks provide detailed advice on how the following elements of the consultation should be addressed: i) assessment of chronic joint pain, ii) patient's ideas and concerns, iii) exclusion of red flags, iv) examination, v) provision of the diagnosis and written information, vi) promotion of exercise and weight loss, vii) initial pain management and viii) arranging a follow-up appointment.
The 25 tasks provide detailed advice on how the following elements of the consultation should be addressed: assessment of chronic joint pain, patient's ideas and concerns, exclusion of red flags, examination, provision of the diagnosis and written information, promotion of exercise and weight loss, initial pain management, and arranging a follow-up appointment.
A key element of that consultation and uptake was the establishment of a Steering Committee with management and industry stakeholders to oversee the project.
To observe quality and completeness of each consultation the researchers recorded on a check list which elements of the standard consultation protocol were covered, such as specific questions to be asked during history taking and elements to be covered in physical examination.
