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The findings fly in the face of previous optimistic assumptions about shared decision-making that were based mostly on studies that examined physicians' intent, but not patient perceptions.
The main factor associated with a physicians intent to join by 2004 was related to method of payment – physicians who favour capitation were 5.5 times more likely to report that they expected to join the Network by 2004 (O.R. = 5.5, 95% C.I.s 3.5 8.7).
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As we used medical record data, the presence of the prescriptions was evidence of physician intent to prescribe the medication.
Our impact evaluation [ 13] showed a positive association with physician intent to practice MVA following a training intervention; this process evaluation sought to understand the implementation process—how MVA was or was not incorporated into routine practice more comprehensively at participating sites.
In Phase I, all eligible offices were invited to participate via facsimile; an office was designated as "recruited" when one of its physicians declared intent to participate.
In addition, while it is difficult to determine to what extent the reduction in length of stay was due to the profiling, it is noteworthy that physicians' reported intent that being profiled would not cause them to decrease patient length of stay differed from the results (i.e., a reduction in length of stay while being profiled).
But its narrow focus on the physician's intent illuminated how easily it may be manipulated, thus impairing transparency and a physician's capacity for honesty.
The most interesting observation is that patients don't make a rational choice according to the information given by the decision board, but mainly make an irrational choice based on the interpretation of the physician's intent.
The physician's intent when administering these drugs was seen as the distinguishing factor between palliative care and euthanasia.
With the exception of physician centrality, intent to leave current employment and level of conflict scales, a higher score represents a positive outcome.
This not only ensures that the physician's intent in ordering and administering analgesics and sedatives is clear, but improves the quality of end-of-life care within the ICU by detailing a clear and comprehensive treatment plan.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com