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More than four fifths of callers rated the advice given - concerning any further care needed and when to seek it - as appropriate (further care needed: survey 1: 673/729, 82.3%; survey 2: 3892.41, 92.4%; when to seek further care - survey 1: 462/555, 83.2%; survey 2: n = 295/346, 85.3%).
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In addition to these recommendations, the PCCS explored further care needs (62%) and initiated different modes of support options for 26% of the patients.
The study results also reveal considerably high patient costs, indicating that the distributive and equity implications of access to care need further consideration.
The prognostic value of the PPI, GPS, and CCI in terminally ill patients with hematologic malignancies under or not under palliative care needs further prospective exploration and validation.
The ALARM intervention appears to improve certain aspects of the care process (clinical examination and post-partum monitoring), but other aspects (laboratory tests, delivery care) need further programmatic targeting.
Furthermore, as suggested in a number of staff interviews, the recognition of special situations such as dengue in pregnancy, dengue and co-morbidities, dengue in paediatric and adult care need further consideration.
Upon such addition further care would be needed when considering the nature of Wright's transfinite cardinals begotten by Hume's Principle.
This calls for further research into assessing PMV care need among patients at different prognosis stages of diseases listed above.
The efficacy and safety of AL when given in the context of routine care need to be further studied in Ghana and elsewhere in West Africa.
Reasons for less than optimal care need to be further explored.
Given that simulation based education is both time-consuming and resource intensive, its long-term merits with regard to retaining knowledge and translating into improved patient care need to be further studied and confirmed.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com