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"Medical treatments have changed considerably in the past 20 years or so and the new treatments require patients to be managed in specialist centres".
Studies have shown that high-risk paediatric patients have improved survival when managed in specialist centres and that volume of cases is a predictor of care quality.
Although women with more severe chronic hypertension, managed in specialist clinics, may be over-represented in some cohort studies, pregnancy outcomes did not differ by definition of inclusion criteria.
There are a number of potential social and economic national benefits to be gained from improving health service coordination for this population: firstly, it can be identified that clients with chronic leg ulcers who are managed in specialist wound clinics have faster healing rates, increased implementation of evidence based care and significantly less use of health services.
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We use this case to exemplify the condition and how it has been managed in our specialist clinic.
In spite of this, clinical data have documented that CH is largely under-diagnosed and under-treated and it is common opinion that CH should be managed in a specialist setting.
Mortality in patients managed in a specialist centre was low.
This paper suggests that most adult patients with severe malaria who are managed in a specialist centre survive.
In some situations, people at higher risk (history of psychiatric illness, poor engagement with services including urine testing) might be more appropriately managed in a specialist, rather than a generalist, environment.
These injuries require a multidisciplinary team approach and are best managed in facilities with specialist cover onsite.
ARV switches during pregnancy may also be associated with a greater risk of VF compared with continued unchanged therapy, supporting the recommendation that pregnant patients be managed in consultation with specialists experienced in treating HIV in pregnancy [ 48].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com