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One focus group was drawn from a small practice, two from medium sized practices and one from a large practice.
High attenders were also more likely to be from smaller and medium sized practices, practices that employed or rented rooms to allied health professionals and those with written preventive care protocols.
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Medium sized practice with high compliance (practice 3): GP: "the practical clinical point of view: the management of asthma as a chronic disease is done almost in it's entirety by the practice nurse who has her necessary diplomas but she is also a prescriber...and she is given the necessary support by myself or through myself by the practice from the point of view of administration".
Clinicians from practices with high compliance described guidelines positively and emphasised the importance of implementing recommendations: Medium sized practice with high compliance (practice 3): PN: " I have been introducing salmeterol in quite a lot of people obviously with the new guideline".
We conducted practice based focus groups with two medium size practices with moderate compliance.
In medium size practices of more than two doctors, the existence of teamwork is very important in incorporating the EHR in daily practice.
However, it is uncertain whether smaller practices with higher team climate in our sample actually provide better quality of care compare to medium size practices.
† These estimates suggest that the difference between the smallest practice and the medium size practices and the difference between the smallest practices and the largest practices are not statistically significant; however the difference between medium and large practices is 4.32 with 95% CI (1.37, 7.28).
The decision to adopt a web-based system or have an in-office server depends on your practice size and financial capabilities.Solo, small and medium size practices usually go for the web-based solution, as it suits their needs.
Chop one medium sized tomato and one medium sized onion.
The practice is located in a Lyme-endemic suburban community of a medium sized Mid-Atlantic city.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com