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Patients at highest risk from CKD are managed in secondary care renal clinics; however, the management changes that clinicians recommend in this setting are often based on a single clinic BP reading.
For example, insulin users who are frequently managed in secondary care may be under-represented in our study.
All three had reported bleeding during their pregnancy, presented straight away, and were managed in secondary care.
Musculoskeletal conditions which might previously have been managed in secondary care will be increasingly managed at the primary-secondary interface.
Acute idiopathic facial palsy in children is more likely to be managed in secondary care, from which no prescribing data are available.
However, not all patients with diabetes can be managed in secondary care and there is a need to consider the optimal timing of referral from primary to secondary care.
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Traditionally, those who are managed in the secondary care setting (some conditions are managed in primary care) attend hospital appointments initiated by a physician at regular intervals e.g. every six, nine or 12 months.
In contrast, primary care data records a longitudinal picture of a patient's clinical journey, but some events managed directly in secondary care might be missed.
We used linked health records to identify infections managed in primary or secondary care.
Based on their results, the authors concluded that insulin initiation can be successfully managed in both primary and secondary care, with most physicians maintaining some use of OHAs alongside the basal insulin analog (61).
Six themes in performance related HRM were identified across the external organisations representing best practice and considered transferrable to managing clinicians in secondary care organisations.
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