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Interventions that aid the patient in communicating this information to the provider would expedite patient care delivery and allow the provider more time for individualization of the patient's treatment plan and patient support in self-management.
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The re-organization of health unit activities enabling MCH providers more time and resources to provide quality ANC services may be a pragmatic interim solution.
In this example of double-loop learning, the organization should rethink its priorities and adapt its strategies accordingly, such as offering providers more time to discuss PSA decisions with patients, providing patients more education on screening decisions or resetting their benchmark targets to reflect more realistically on their patients' preferences.
On the other hand, the new antenatal care model also recommends fewer routine antenatal visits with the expectation that this would give providers more time to spend communicating effectively with clients.
Task-shifting from health care providers to peer educators, social workers, and volunteers helped in the effort to track treatment defaulters, remind clients to keep appointments, counsel patients, and link patients to community health workers, while giving health care providers more time to implement the intervention [Unpublished data from qualitative part of the study].
The provider has more time to focus discussion on specific patient concerns instead of ordering routine tests.
The provider has more time during the PHE to be perceived as the coordinator of care, rather than merely reporting results by telephone at a later time.
Nearly three-fourths of women in the intervention arm said they would have preferred having the provider spend more time with them for counseling (data not shown).
In other areas, providers spend more time on scene evaluating and managing patients, and physicians are often part of the field team.
We hypothesize that health care providers spend more time focusing on rheumatologic issues rather than seemingly less-pressing primary prevention issues.
At its extreme, poor coordination and management of training can result in providers' spending more time in training than offering the services they are trained to deliver.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com