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BECCI focuses on the practitioner consulting behaviour, rather than patient response, in a single-phase analysis using Likert-type scales to indicate either frequency or strength of practitioner behaviour over 11 items to produce an overall mean score [ 33].
It was made clear, in both the information sheet and verbally, that this was an intervention study looking at the effect of practitioner consulting style on their behaviour and lifestyle change.
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Previous healthcare use has been associated with increased consulting, but could also result in fewer subsequent consultations if the patient perceived a negative response from the healthcare practitioner consulted.
According to Linet et al. [ 12] an ophthalmologist is the third most common practitioner consulted for headache.
In contrast, the majority of women consulting a CAM practitioner consulted with only one or, less frequently, two practitioner types during pregnancy.
The general practitioner consulted by the patient before coming to our outpatient clinic for inborn errors of metabolism was worried that isolated AST-elevation indicated cell damage in MCAD-deficiency.
The recruitment of eligible subjects was carried out by means of notices on the Internet and on information boards located in some general practitioners consulting rooms in the area of the clinic.
As less than 20percentnt of the patients were referred from general practitioners' consulting rooms most of the referral letters were written in out of office situations where the patient's medical records were not available to the referring physicians.
The three most popular practitioners consulted were the herbalist, nutritionist and homeopath.
The most common CAM practitioners consulted were massage therapists (n = 912; 63.9%), chiropractors (n = 614; 43.0%), herbalists/naturopaths (n = 327; 22.9%), meditation/yoga therapists (n = 240; 16.8%), and acupuncturists (n = 215; 15.1%).
Whilst there is partial alignment between some of the CAM practitioners consulted and the limited existing clinical evidence there are also a number of women consulting CAM practitioners for specific conditions despite an absence of clinical evidence.
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