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Thereafter, diagnostic confirmation, treatment, and follow-up of people who had screened positive followed current national guidelines for normal care.
In our trial the workload for the doctors was probably less than it would have been for normal care.
Also, other trials incorporated regular specialist assessment of antireflux medication and adjustment, whereas in REFLUX, after initial review by a gastroenterologist, all subsequent prescription was decided by the clinician responsible for normal care, usually in primary care.
Care for patients receiving one of the seven combinations of interventions to treat back pain cost the NHS between £100 (for normal care plus exercise) and £607 (for 24 lessons in the Alexander technique plus exercise) over the 12 months after entry to the study.
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As this was an audit of normal care for quality improvement purposes, parental consent was not obtained and ethics committee approval was not required.
Usual care for the group of patients consists of normal care as provided by GPs.
Drug trials conventionally compare the outcomes in patients who get an experimental medicine with the outcomes for those given normal care – both groups chosen by random selection.
The requirements that the hospitals had to comply with included: establishing a system of coordination with the community care services, developing protocols for normal birth care, promoting the participation of women in decision-making and undertaking to adapt their infrastructure and provide space to care for women at low obstetric risk.
[RESP25, Academic/Clinician] …the GP providing the normal care for the person.
Actually change was not likely to occur because the published guidelines were representative for daily practice and normal care before 1996 in the Netherlands.
The cost of other health services was greatest for the patients prescribed normal care plus exercise (£124) and those receiving massage alone (£98).
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