Consultation rates were calculated for both groups, across 3 types: face-to-face (primary outcome), telephone and other (not only consultations but including administrative tasks).
RVGE imposes a heavy economic burden by incurring not only direct (consultation, emergency, hospitalization, medication) costs, but also indirect costs (parent work days lost, childcare, etc....) [ 3, 9, 10].
To avoid the dangers of paternalism on the one hand and exploitation on the other hand, the appropriate role of the community extends not only to consultation with respect to study design and procedures for obtaining informed consent, but also participation in determining how research results will be used for its benefit (American Academy of Pediatrics 2004).
When they needed to refill their prescription, they had to cover not only the consultation and laboratory costs, but also the costs of transport, lodging, and food: "I need to have enough money for a return transport, accommodation, and food before I can think about going to the clinic and that doesn't include the money for laboratory tests and medicines… my financial resources are low….
The introduction of a nurse practitioner in a general practice might not only substitute consultations but also generate extra or longer consultations.
The diagnosis would emerge, often over many months, involving not only several consultations but also different combinations of patient and family members, and sometimes evaluations in different locations (eg, surgery and home).
It is therefore evident that this is an area requiring not only ongoing consultations with all stakeholders, but allocation of financial and technological capacity to mount effective regulatory approaches.
This reflects that the GP has not only the current consultation but also future consultations before his/her eyes when thinking of consultation outcomes.
Mr Delanoe's plan for a permanent extension of the idea has to go not only to public consultation but for approval by the national government, which has the final say on all roads of more than local importance.
Although stakes are high for the involved claimant, the general idea is that these patients are passive, not only during the consultation visit with the physician who assesses their disability, but also when searching for possibilities in order to return to work.
The diabetes and hypertension consultation provides not only laboratory testing, a clinical consultation, but also education, psychological counselling and community support.
