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However, again this was generally seen as a positive trade-off to reduce or prevent future consultations: I think it probably does make the consultations a bit longer but not drastically so you know and I would think I feel reasonably confident that we will you know recoup that extra time in the future by people hopefully not re-presenting for antibiotics quite as often.
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PRISMS could also make the consultation more patient-centred and focussed on the needs of the Individual patient.
This might make the consultation more efficient, but reducing the need for routine questions to focus on patients' particular needs.
Rules of thumb with two different purposes have been identified: to simplify categorisation of the problem to a disease and to make the consultation patient-centred [ 16, 17].
More patients in the WR group than in the AC group estimated that the presence of a student would make the consultation last longer (Table 3, items 6 and 7).
It is a possible source of bias that the observation itself may have made physicians focus more than usual on adherence, despite their explicit statements to the contrary [ 32], and may have made the consultations more awkward.
As a brief model aimed at opportunistic intervention, MI was judged applicable in usual practice by GPs [ 12] even though, being a "brief " intervention it made the consultations longer [ 6]!
On two other occasions, the question had made the consultation slightly longer.
Others have discussed the necessity of making the consultation and outcome 'tolerable' [ 18].
Time constraints made the consultation stressful to some participants, both completers and non-completers alike.
Third, the initiation of bioethics consultation summaries and reports has made the consultation experience more user-friendly.
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