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Levin et al. [ 51] and Wallen et al. [ 52] report that training programs increased providers' use of evidence-based practice.
This has led to frequent shortages of medicines and increased providers' workload, and hence probably less attention spent on clients.
It is possible that increased national awareness of VTE may have increased providers' clinical suspicion for PE out of proportion to their clinical suspicion for DVT, and this may have resulted in increased testing for and diagnosis of PE.
Mentoring was perceived by both mentors and mentees as a sustainable method for capacity building, which increased providers' ability to offer a wide range of and improved access to integrated SRH and HIV services.
One pre-post evaluation of an EBM program, designed to provide evidence on Combined Oral Contraception (COC) pills to Jordanian doctors, found that the program increased providers' knowledge about COC pills, their willingness to prescribe COC pills to appropriate patients, and the reported number of times they discussed family planning with their patients [ 9].
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Increased provider participation was associated with increased average costs up to a point, after which costs declined.
"The question is not whether there will be increased provider payments, but the amount of money and how we divide it up among various types of providers," Mr. Grassley said.
Increased provider understanding and awareness may improve not only provider-patient communication but also effectiveness of treatments.
Centers will also need to focus on delivering an excellent patient experience; having shorter wait times and extended hours will be important in a world of increased provider competition (and it will also be good for patients!).
Specifically, the study reported improved measures of information transfer and increased provider satisfaction.
These include risks that patients cannot cope with information online, depersonalization of care, and increased provider workload.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com