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[ 6] This work highlights the multi-dimensional nature of the concept of integrative medicine, provides a conceptual model that links provider characteristics with provider behaviours and shows how they appear to be mediated by provider attitudes and knowledge [ 6].
In addition, the evaluation was not designed to assess provider behaviours.
A recent review showed that parents perceived many healthcare provider behaviours to be thoughtless or insensitive [ 21].
This research raised some questions about current provider behaviours but this was not the focus of the interviews.
Fifty-eight studies covered only negative attitudes or behaviours, with a minority describing positive provider behaviours, such as being caring, respectful, sympathetic and helpful.
Also potentially useful are international and national policies and advocacy around unacceptable provider behaviours, with a focus on human-rights based maternal health care [ 20, 126, 127].
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Grimshaw et al. provided the first comprehensive review on the effect of interventions to change provider behaviour [ 3].
The concept of secondary complexity resulting from organisational simplification may partly explain seemingly irrational health service provider behaviour.
For all these issues, information about consumer and provider preferences and insight into the potential impact of any change to program design on consumer and provider behaviour are essential inputs into evidence-based health policy decision making.
Furthermore, the few studies on provider behaviour were all methodologically weak and therefore very little confidence could be attached to their results [5].
The importance of health care provider behaviour in relation to test results was also found to greatly influence cost savings in Zambia [18] and Southern Mozambique.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com