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In 1910 the first health centres, or multiple clinics, were established in Pittsburgh and Wilkes-Barre, Pa.
We adjusted clinic rates to avoid underestimation of the true burden that would result from basing calculations on only one clinic in sites where multiple clinics were available to the population.
11 13 Multiple clinics were chosen to achieve a diverse range of socioeconomic characteristics among participants.
Providers who practice at multiple clinics were assigned to the intervention of the clinic for which they spend at least 85% of their time.
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One provider who practiced at multiple clinics was assigned to his own cluster.
The recruitment of participants from multiple clinics is a strength of the study, however the small number of consenting practices is a limitation [ 24]. Biochemical assessment of smoking status such as salivary cotinine is the most accurate method for identifying people who smoke [ 25, 26].
In order to increase the ethnic diversity of the sample, multiple satellite clinics were later opened in areas of Calgary with a more diverse population, and closer to public transit.
Multiple HF clinics are currently operating in Ontario with a wide spectrum of care models.
Patients can be registered at multiple clinics and are able to consult with multiple doctors.
Therefore, much of the clinical work is nurse led, which allows multiple clinics to be held simultaneously and streamlines demand on senior clinician's time.
Because some BHPs worked at multiple sites, a total of 15 primary care clinics were represented.
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