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Verbal consent was obtained from both the providers and clients prior to observing consultations.
However, observing consultations in situations in which the patient is near the end of life is ethically problematic.
Observing consultations in a chest pain clinic, Somerville and colleagues [ 12] found that doctors were engaged in practical interpretive work, actively restructuring patient narratives to meet an accepted diagnostic classification.
The need to prioritize indicators that could be measured without making subjective judgments, observing consultations or raising suspicion that our staff were inspectors limited the study's ability to capture a comprehensive picture of regulatory compliance.
Some medical educators and registrars were concerned that taking time away from observing consultations during the ECTV decreased the opportunity to assess communication and consultation skills, particularly if less than three patients were observed.
The most common barriers to care raised, particularly by clinicians, were the distance patients had to travel to reach secondary care and the waiting times at the local hospitals: "The doctor asked the patient, "if I send you to (Town X) for an eye check will you go? Patient said no, it was too far" (fieldnotes of observing consultations, centre 26).
Similar(53)
During the 1357 observed consultations, health workers asked about three general danger signs in 795 58.6% CI: 49.8%–66.9%), and the four main symptoms in 815 60.1% CI: 51.0%–68.5%) children.
The researcher observed consultations on a sample day.
These implications are postulated only, as we did not observe consultations directly nor assess their outcomes.
Most agreed that observed consultations were important, but difficult to do.
In San Francisco, we observed consultations with 42 men, 6 women and 1 transgender currently on HAART.
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