Exact(4)
This suggests that interventions should include strategies to limit the costs incurred during the first inappropriate consultation.
In a previous study in Nigeria, 67% of patients receiving treatment for tuberculosis had earlier consulted chemists and traditional healers, transaction costs accounted for 24% of the costs of care, and 62% of transaction costs were incurred during the first inappropriate consultation [7].
In addition, frequent attendance may be a sign of inappropriate consultation behaviour [ 8- 11].
General practitioners mentioned their lack of familiarity with this type of service as a cause of inappropriate consultation strategies, which could result in untimely referrals.
Similar(56)
There was no significant difference in the number of inappropriate consultations between the two genders.
PR: prevalence ratio, ER: Emergency Room, CI: confidence interval, * Test for linear trend The prevalence of inappropriate consultations was inversely associated with age (P = 0.001).
In Nepal, over-the-counter availability, dispensing of antimicrobials without professional consultation, inappropriate usage and the use of antimicrobials with low potency as a result of poor manufacturing and storage conditions or counterfeiting are common, and encourage AMR development [ 3, 4].
As a result it may have been inappropriate to consider consultations with the wider primary care team for low impact symptoms as incongruous consultation behaviour.
Some of the limitations included lack of space for private consultations, and inappropriate facilities for bare weighing babies.
(ID5, female, 36 years experience) An 'indirect' strategy was used when the GP was aware that CVD risk was an issue for the patient, but felt that a strong focus on discussing CVD risk in the consultation would be inappropriate or unhelpful.
More than 50% of the consultations were deemed inappropriate.
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