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A better understanding of this may have wide-ranging implications for consultation skills training, consultation length, continuity of health care provider, the skill-mix needed in primary care, and the design of information and record systems.
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Practical implications for evaluating consultation service delivery in school settings are also discussed.
This finding may be partly attributed to the presence of malignant illness in this group, indicating inverse causality, ie, that illness (and, by implication, need for consultation with a physician) preceded the underweight.
While the focus here is on palliative chemotherapy, this finding has implications for other consultations, particularly those involving difficult treatment decisions.
The imminent loss of so many GPs has potentially major implications for patients' access to consultations, as the NHS is already failing to persuade enough newly qualified medical graduates to opt for a career in general practice.
This generates serious policy implications for developing consistent communication and consultation strategies with scheme beneficiaries.
[ 2] Therefore any intervention that may impact on this consultation has implications for outcome for the patient.
These findings may have implications for practitioners in routine preventive consultations with their patients.
While there may be less concern regarding the immediate health implications for individuals in the low impact consultation group, this group is still important.
These have not so far been summarized in a single index, but pressures for consultation and antibiotic use do reflect these impacts, and so carry implications for the economic and other choices being modeled.
Clearly this is an area which requires further research, as the provision of longer consultations has substantial implications for workload and resources.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com