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Barriers imposed by healthcare systems such as unclear referral criteria, limited onward referral to other healthcare professionals and limited consultation time may prevent GPs from providing their desired management.
This was in direct contrast with the consultant, who was seen as having a limited consultation time.
Mr. Schrempp's statement came after limited consultation with the Chrysler unit of DaimlerChrysler, where executives were surprised and dismayed when told of it.
The process has been severely criticised, with anger about the limited consultation conducted by the state government, and strong opposition to larger councils in some communities.
The process was doomed from the beginning, when it was decided it should be carried out by a group of the world's richest countries with only limited consultation.
In a scathing submission the NSW Bar Association criticised the government's limited consultation with legal groups and its attempt to rush the bill through NSW parliament.
Similar(18)
Faced with a $43 million deficit, she cut services and fired staff members with only limited consultations with the faculty.
The consultation will be underpinned by the principles of the Trans-Theoretical Model (TTM) of behaviour change and replicate a brief version of motivational interviewing based on a method designed for time limited consultations in medical settings [ 11, 12].
We sought to sensitise our intervention to the particular nature of primary care, providing a structure and tools to allow practitioners to introduce self management support into time limited consultations, to enhance partnerships with patients, and to encourage behaviour change.
Whilst screening tools and checklists can confer advantages in time limited consultations, fee-for-service approaches such as the QOF can create barriers to negotiated strategies for managing depression in LTCs [ 28].
Time limited consultations (a barrier to alternative interventions), or the prospect of unhappy patients leaving for other practices, influenced whether or not GPs initiated withdrawal: "She's been on it for years, I'll just give her what she asks for and I won't have to sit here and explain things for twenty minutes about why I want to get her off.
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CEO of Professional Science Editing for Scientists @ prosciediting.com