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The fast track design gives all patients the opportunity to access the service.
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"Having only a week or two to sketch probably contributed to something fairly pure coming out of it," Mr. Torpey said of the fast-track design process.
Using the same fast-track design Higginson et al (2008) [ 10] had lower still attrition and missing data rates: they suggested that the disease trajectory of the target group, combined with the use of a fast-track design and highly skilled interviewers were the likely explanations for their success; the same reasons are likely to hold true for this study.
Possible reasons for this response rate include the relationship between the research and clinical team, the patient recruitment letter, the use of a fast-track design, the patient group, and patient altruism.
The use of a fast-track design meant that all patients had access to the intervention and, in addition, those in the fast-track group had access to it earlier than would normally be the case.
However, we believe we were also helped by the 'fast track' design, and the knowledge that all patients would be offered the service, with waits for it no longer than those for an outpatient appointment.
But according to Ms. Goodwin, fast track seems designed to generate so much frustration that the applicant gives up and goes away.
The intention is to have them adopted in good Stalinist style with "fast track" procedures designed to block discussion and allow only the choice of yes or no (hence yes).
A fast track is designed for patients with less serious illnesses and injuries to shorten both waiting and treatment times for these patients.
In the fast track (wait list) design all patients have the possibility to receive the service, some immediately, and others after a wait (equivalent to a normal wait for NHS services).
The new "fast track" is clearly designed to circumvent this longer process.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com