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This study compared hospitals on the basis of the proportions of CS deliveries, with the implicit assumption that lower rates reflect a more appropriate practice.
Hospitals and health-care systems are often compared on the basis of this indicator with the implicit assumption that lower rates reflect more appropriate practice, although the rate that defines optimum quality of care is undefined and seems to depend on the characteristics of the populations under study [ 1].
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The assumption is that lower rates reflect in developed countries more appropriate clinical practice and general better performances.
Hospitals, and more generally healthcare systems, may be compared on the basis of this indicator, with the implicit assumption that higher proportions reflect more appropriate healthcare practice.
Consequently, using SLM to assess the distribution of SNs in gastric cancer may leave out some important information, thus it might be more appropriate to practice the SN concept based on more than one metastatic lymph node.
The study evaluated the difference in 1-year mortality after hip fracture between patients undergoing early surgery (within 2 days) and patients undergoing delayed surgery in Italy, with the implicit assumption that higher proportions reflect more appropriate healthcare practice.
Indeed, individual research studies suggest the provision of training to non-degreed teachers (i.e., who have not attained a college degree in any area) is related to improvements in structural quality (Kontos et al. 1996), more developmentally appropriate practice beliefs (Heisner and Lederberg 2011), and better child outcomes (Landry et al. 2009, 2011; Neuman and Cunningham 2009).
The occurrence of disease in pearl farming situations can be minimized through appropriate husbandry conditions and as a result of disease outbreaks, pearl industries have often developed more appropriate culture practices designed to minimize the chance of further disease outbreaks.
Based on this analysis, we suggest implementation of better health care planning and more appropriate prescription practices aimed at optimizing use of health care resources for the treatment of bronchial asthma.
Overall, we believe the alternative practice is more appropriate than the practice of the majority group of physicians when dealing with these patients in light of a number of previous studies that demonstrated that tube feeding provides no significant clinical benefit for these patients [ 3- 8].
A visual reasoning development focuses more on the decision process that would seem more appropriate for a practice on decision support.
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