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These different subgroups were identified on the basis of multiple consultations to gain an understanding of social and cultural groupings in the district.
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Therefore in this study, we were unable to differentiate between multiple consultations pertaining to the same episode.
(Male GP, High SES) More importantly, both rural and low SES groups of GPs felt that patients were not willing to spend more time and money on attending multiple consultations dedicated to PCC. "There is also the cost as well, because they won't want to pay for that".
Fortunately, STEP has collected relevant information over 6 years of recruiting from the local catchment that has included more than 600 formal inquiries and multiple informal consultations to families, clinics and area non-healthcare settings (e.g. churches, schools, mosques).
Poor or inadequate initial health assessments and communications between the caregiver and patient may lead to unsatisfactory therapeutic encounters that in turn result in multiple consultations or failure to comply with treatment, thereby wasting time and resources for both patient and caregiver.
Multiple consultations are expected to be necessary for (more) complex sexual issues in step 3 and 4. If the GP suspects the patient to express depressive symptoms during the PLISSIT consultation, the GP will treat first what he/she deems necessary.
Unsatisfactory therapeutic encounters may result in multiple consultations or failure to comply with treatment, thereby wasting precious resources, such that the identification of cultural needs is crucial to subsequent interactions during diagnosis, treatment and management of a health event [ 10, 11].
Hence, frequency of the guideline-directed physical therapy for COPD in the Netherlands varies; patients visit their physical therapist generally one to three times a week, for one hour, ranging from one-time consultation to multiple consultations during 3 12 months, depending on disease severity (based on usual care given in participating physical therapy practices) (Table 1).
Around 22percentnt of neonates had multiple consultations during their illness prior to death.
Consequently, patients are likely to undergo multiple consultations before receiving a positive diagnosis and adequate care management [ 14].
Analysis included fitting a mixed-effects model to account for multiple consultations within pregnancies.
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