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Only one patient had an optimal consultation, 20 (24%) consultations were at an intermediate level and 64 (75%) were sub-optimal.
Forty-three (48%) of the patients had an optimal consultation environment and received optimal care and information, while the consultations were of an intermediate standard for 26 (29%) and of sub-optimal standard for 21 (23%).
There is no standard on the optimal consultation rate for a population, which is dependent on the complex interaction between patients' perceived needs, availability and accessibility of doctors and payment methods [ 30, 31, 35].
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Rather, we believe that this approach will help the optimization of the processes like referring the patients to other specialists, the decision of optimal timing of consultation, compliance to their recommendations, and the adaptability of the IDCMSs into the changing status of the patient either due to concordant non-ID problems or owing to the ID-based organ injuries.
The interviews showed that nurses had different opinions on the optimal number of consultations per patient.
The way in which patients and their doctors interact is a potentially important factor in optimal communication during consultations as well as treatment, compliance and follow-up care.
The optimal timing of nephrology consultation in patients with hospital-acquired acute kidney injury (AKI) is unknown.
It should be noted that the way transfer has been assessed in these studies is not optimal - only one consultation with an actual patient assessed [9], and only one study assessing patients' outcomes such as patients' satisfaction [11].
GPs need to be aware of parents' knowledge and expectations to facilitate optimal communication during the consultation.
It is very important that GPs are aware of parents' knowledge and expectations to ensure optimal communication during the consultation [ 25].
Overall 52% of the doctors' consultations were not optimal.
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