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"And if families need more specialised services, such as speech therapy, there are often huge waiting lists – some are over a year long.
For more specialised services, people from Stafford will have to go to the University Hospital of North Staffordshire in Stoke or to the Royal Wolverhampton NHS trust.
"For more severe phobic cases we again need to develop the evidence base for how best to manage these patients in more specialised services for example through talking therapies," he said.
New and more specialised services integrated in complex logistics chains are expected.
Here, macro-level policy has led to the supplementing of longstanding community mental health teams by newer, more specialised, services.
The role of demand and supply-side factors should be explored not only in determining the decision to seek care, but also the choice of provider, the frequency of use and the effective use of more specialised services.
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*Names have been changed for confidenThisity.
The following example demonstrates this point and how, for some primary care physicians, hormone prescription might be viewed as a more specialised service not to be provided without specialist consultation.
In the Netherlands, virtually the entire population is registered with a GP who provides primary care services and who is the gatekeeper to other, more specialised medical services.
More specialised infrastructure services are restaurant meals, haircuts, and social networking sites.
In more serious cases, CHWs will act as gatekeepers to more specialised health services, whereby they refer patients to the district health authorities to seek assistance from more qualified health workers.
More suggestions(15)
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com