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PHOs include multiple primary health care providers including general practitioners (GPs), nurses, pharmacists, and physiotherapists [ 15].
Patients visited multiple primary health care providers and this lack of continuity in care (or "doctor shopping") likely contributed to the failure to investigate appropriately and provider delay in diagnosis.
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The aim of this project was to determine the benefits of applying the ACG® System on available Teleprimary Care® (TPC) data from multiple primary health-care providers in remote regions of Sarawak, Malaysia, to gain a better understanding of the differences in morbidity burden and resource need by various population sub-groups, as compared to those in less-remote settings.
Among those with multiple diseases, primary health care visits increased with advancing age, while specialist care dropped off.
If anything, our results are an underestimation of the overall burden of multiple chronic diseases on the primary health care system.
This combined approach could potentially allow for capacity building and a better understanding of team-based training and practice both within and among multiple health disciplines in the primary health care system.
A better understanding of the impact of multiple chronic diseases on the primary health care system has been identified as a priority by decision makers and researchers [ 3, 8, 9].
C: Concentration index; CSDH: WHO Commission on Social Determinants of Health DHSS: Demographic and Health Survey HDI Human Development Indexex (HDI); LPM: Linear probability model; MDGs: Millennium Development Goals; MMR: Maternal mortality ratio; MICS: Multiple Indicator Cluster Survey; PHC: Primary health care The authors declare that they have no competing interests.
Importantly, our study demonstrates that patients with multiple chronic diseases do not drive overall primary health care use in Ontario because prevalence of multiple chronic diseases in the population remains low.
However, multiple barriers undermine the efforts of primary health care workers to properly manage and deal with battered women.
A recent addition is New Zealand Health Tracker, which combines data from multiple national data collections, along with primary health organisation (PHO) enrolments, to provide denominator populations that can be analysed according to chronic disease status.
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