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The local newspaper prominently reports soil temperatures, and businesses are practical, like Boltholder Limited, "specialists in bolts and nuts".
In regard to the New England Journal of Medicine study mentioned in the editorial, it is possible that there was no significant increase in the number of patients going directly to limited specialists even after they no longer needed to get a referral because they had become so comfortable with seeing their family doctor first.
Considering that 1 in 150 babies is born with a heart defect, a soon-to-skyrocket new population of adult patients will compete for limited specialists.
Innovations such as telemedicine may aid in addressing the problem of limited specialists.
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Rodman was a valuable, but limited, specialist.
Potential barriers that contribute to these inefficiencies include concerns about misdiagnosis, limited specialist availability, uncertainty about disclosing diagnosis and low reimbursement rates13.
The regional town of Toowoomba, located 84 km from Dalby, also provides limited specialist services.
Clinics commonly provide time limited, specialist intervention to the client and advice and referral to mainstream services for ongoing management.
Where services are available in urban centres at limited specialist clinics, they are operating at overcapacity, undermining the provision of effective care to those patients attending for consultation.
Contributing to this work and improving periodontal care management in primary care will maximise the effectiveness and efficiency of the limited specialist resource available.
Understanding the concerns of family physicians related to discharge of diabetes care from specialist centers can support the development of strategies that facilitate this transition and result in broader access to limited specialist services.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com