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Therefore, this stratification could not have been used to select patients for a more intensive diagnostic strategy.
Clinicians at the local hospital in Rapid City had adopted a policy in November 2004 of more intensive diagnostic testing for patients with CAP so that antibiotic therapy could be targeted.
We plan a more intensive diagnostic evaluation of the HTLV-II participants in this study with recurrent pneumonia or asthma to explore the possible contribution of undiagnosed lymphocytic pneumonitis to the observed clinical signs and symptoms.
They remain in the ED longer, require more intensive diagnostic work-ups, consume more treatment resources, and are more likely to be admitted to the hospital [ 1, 4, 5].
However, we assume that such an approach will lead to under- rather than overdiagnosis and more cases of e.g., COPD, CAD or (paroxysmal) atrial fibrillation would have been revealed by more intensive diagnostic testing, increasing the relative impact of comorbidities on physical function.
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People with severe anxiety and/or depression (cut-off score ≥ 15 on HADS-A and/or ≥ 15 HADS-D) [ 26] are excluded, because severe distress would require more intensive individual diagnostics and treatment.
We hypothesised that IBS management in secondary care is more costly than that in primary care because of increased co-morbidity, more intensive use of diagnostic tests and frequent cross-referral to other specialists.
Although a few practices also recruited patients for more intensive substudies (two diagnostic studies and a randomised trial), patients could be recruited to the current study if they declined those studies, so there were minimal barriers to recruitment.
The detection of an increased frequency of events would typically trigger more intensive assessment, including more diagnostic testing than would ordinarily be indicated.
The questions or instruments are a starting point for further diagnostics or treatment; if necessary a more intensive screening will be conducted by the multidisciplinary team Empowerment of patients and primary care givers is an important topic in this study.
Compared to patients with a similar demographic and diagnostic profile, patients who had the risk test received more intensive primary care and had better clinical outcome than comparison patients.
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