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This is also true in the African setting characterised by high patient loads and limited resources.
High patient loads (doctors 56%%; nurses 50%%).
Contextual factors Time limitations (doctors 56%%; nurses 85%%) High patient loads (doctors 56%%; nurses 50%%) Staff shortages (doctors 11%%; nurses 35%%) .
Time-consuming duplicate record keeping with high patient loads.
The conditions are worse in developing countries where GPs are faced with high patient loads.
Hesitations concerning mobile health clinics included potentially long wait times due to high patient loads.
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The model is then simulated to predict transient high patient load periods experienced by the clinic.
The observed differences in the investigations and management practices were partially explained by the high patient load and availability of limited resources.
The main barriers to accessing health services, as reported by participants, were inadequate services and poor quality of existing facilities, shortage of medicine supplies, busyness of doctors due to high patient load, long travel distance to facilities, and long waiting times once facilities were reached.
Finally, it should be noted that this study was done in a peri-urban township setting with a high patient load, a high incidence of tuberculosis, and a high prevalence of HIV.
We found that lower decision latitude can be predicted by high patient load (table 3).
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