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The most frequent suggestions however pertained to the position of the radiologist as a well-informed clinical specialist, and this implies an engagement from both sides.
The most frequent suggestions were to provide direct access to a board-certified ID specialist and to improve the traceability of specialists' recommendations.
The most frequent suggestions by fellows for improvement of the fellowship were more structured didactic lectures or review courses and more exposure to specific clinical areas.
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The most frequent suggestion was to establish more community-based PNC services.
22– 24 Patient education was the most frequent suggestion for improving early presentation.
The most frequent suggestion was to provide the service more often (3 interviews, 8 questionnaire respondents) followed by having group sessions (2 interviews, 6 questionnaire respondents).
Better compensation was the most frequent suggestion made by both former and current DTTBs to encourage remaining in their rural posts.
The most frequent suggestion made by respondents to both questionnaires was to develop a nationally coordinated approach and set up a database, clearinghouse or website easily accessible to both health professionals and consumers, which identifies high quality consumer resources and/or provides free access to them.
The most frequent suggestion to improve short-term medical volunteer work was coordination with and respect for local Guatemalan healthcare providers and their communities, as insufficient understanding of the country's existing healthcare resources and needs may result in perceived harm to the recipient community.
Overall, the most frequent suggestion was that health care workers should provide patients with (more) information, education and communication (IEC) about (the link between) TB and HIV (46.1%), e.g. ' They should give health talks', '... inform us about the TB-HIV relationship' and '... show us pictures of people who are sick [with AIDS]'.
The most frequent suggestion for improving the dissemination of consumer resources was to develop a nationally coordinated approach and to set up a clearinghouse or website, easily accessible to both health professionals and consumers, which would identify high quality consumer materials and/or provide free access to them.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com