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The structure of voucher programmes means that they are able to leverage and increase capacity through contracting service providers from public, private for profit and non-profit providers, in the absence of a policy framework for public-private partnership arrangements.
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[Manager ID 122] A second reason, repeated by several CCGs, was the importance of detailed knowledge about unique local problems and the difficulty of interpreting generic data produced by a distant CS provider in the absence of local knowledge.
In this final category, in terms of which alternative drugs providers reported they would use, providers reported, in the absence of ketamine, they would use benzodiazepines (diazepam) plus pain medications (paracetamol, diclofenac, or ibuprofen) in 16 (62 %) of the cases, benzodiazepines alone in four (15 %), pain medicine alone in four (15 %), and local anesthesia in two (8 %).
The recently-announced UK policy of allowing 'any qualified provider' to treat NHS patients appears similar, although it remains to be seen whether NHS commissioners will have to pay such providers even in the absence of any prior contract with them.
Given the range of RMP and PV plan requirements across countries and pharmaceutical companies, the variability in reporting by healthcare providers, and the absence of any "centralized" worldwide reporting registry, establishing any long-term trends or findings of safety or immunogenicity signals may be a challenge.
Previously, the major providers in rural areas in the absence of government health facilities were the drugs shops and clinics.
Service providers and public health authorities are challenged to provide appropriate interventions in the absence of basic knowledge about the size and characteristics of this population.
More rigorous and detailed qualitative work would be helpful in this, particularly in explaining how provider characteristics—or the absence of a provider in person influence interventions.
Our study demonstrates a high level of patient support for breast cancer nurses as providers of follow-up care in the absence of follow-up provided by a medically qualified cancer specialist.
Wide practice variation was observed in the surveillance frequency for small and moderate sized mVSD within a 14-provider pediatric cardiology group, in the absence of active medical or surgical management.
Healthcare providers should be reminded that in the absence of pathology or health risk to mother and/or foetus, pregnancy is a physiological state with benefits to be gained from exercise.
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