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For PA, overall Synergy practices were collectively the highest performers, with LV and Practice Manager practices achieving similar levels of performance on the treatment and outcome domains, respectively.
Moreover, the content of many of the articles was dominated by the contextual issues surrounding managers' roles, rather than actual manager practices.
In 2010 2011 Practice Manager, Vision 3 and ProdSysOneX practices had the highest RA scores, with Vision 3 practices scoring higher for measurement indicators, ProdSysOneX and Practice Manager practices for treatment indicators and Vision 3 and Practice Manager practices for outcome indicators.
Synergy practices also returned the highest percentage of points per practice, on average, for measurement and treatment indicators, closely followed in these domains by Premiere practices, which, along with Practice Manager practices, scored the highest for outcomes.
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It's my girls from [the practice] having to do this" (manager, practice 1).
(Phase I: Practice Manager, Practice 4) The majority of these [results] are normal, they're fine.
(Phase I: Practice Manager, Practice 4) Current systems required patients to call the practice for the majority of results.
(Phase I: Practice Manager, Practice 4) Despite practice staff questioning the value of relaying normal results, patients repeatedly expressed a preference for receiving all results.
(Practice manager, Practice 6) 'What I try to do is get the [receptionists] to ring the patients the day before to speak to them in Punjabi.
However, we also found that many practices were happy for the primary care trust to take over the change process and seemed to welcome the lack of autonomy: "[We have] hardly any personal responsibility" (manager, practice 22); "[We are] waiting for instructions" (manager, practice 17).
(Phase I: Practice Manager; Practice 4) Patients were aware of the general instruction to phone the practice for results, but appeared unaware of what happens in the eventuality of an abnormal test.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com