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We studied Primary Care based rheumatology clinics in Norfolk because of the unique model of specialist nurse practitioners working in Secondary Care and general practice.
This study demonstrates that a model of specialist nephrology NP led clinics with primary care clinicians is feasible and may improve risk factors for progression of CKD and cardiovascular death.
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One solution is to move toward a model of specialists that regularly adapt to new work.
What our project adds to the literature is a model of specialists providing population-based care that identifies and risk stratifies the entire CKD population, directing nephrology resources to patients in need of them.
The specialist housing currently on offer doesn't reflect the choices that most older people make, so we need new models of specialist housing: flexible tenures in retirement housing and new public and private sector services.
General Practitioners with a Special Interest (GPwSIs), a key component of the UK National Health Service modernisation agenda [ 6], challenge traditional models of specialist care.
Salisbury 1999: Salisbury C, Bosanquet N, Wilkinson EK, Franks PJ, Kite S, Lorentzon M, et al. The impact of different models of specialist palliative care on patients' quality of life: a systematic literature review.
In this context, the German Medical Association's initiatives for a new, competence-based model statute of specialist training must be seen as an important step towards establishing such transparent and practice-oriented curricula [ 9].
Postal communication is a common approach for delivery of risk assessments and, more generally, the model of using specialist packages for behaviour change rather than retaining this activity within generalist or specialist practitioner consultations is now widely used in the United Kingdom for smoking 23 and increasingly for weight loss.
Based on the classical model of innovation, specialist prescribing could serve as a catalyst for GPs to try out the new drugs themselves.
Few studies have examined the impact of these models on specialist referrals.
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CEO of Professional Science Editing for Scientists @ prosciediting.com