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The final chapter describes a philosophy called "adversarial design," in which systems force us to confront moral issues and "turn us into more reflective, caring and humane creatures".
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And while I hope that these particular people have evolved into the thinking, reflective, and caring adults that we, as a society, should demand of our teachers, I think I have a response to my own question.
There is no standard or national cost-to-charge ratio for hospital care that is reflective of care provided to the scope of patients included in this analysis – those of all ages and covered by different insurers.
Staff were reported to be increasingly reflective about care provision, recovery approaches and practice with some teams incorporating reflective practice into supervision and team meetings.
Patients had experienced many years of active disease prior to enrollment [mean (SD) = 12.5 (9.7) years], a result that is reflective of access to care in Canada and consistent with data from many European and American BDMARD registries [ 23].
Both caring and uncaring experiences can promote the learning about caring in a way of reflective practice.
This open-ended discussion was presented to the panel prior to the face-to-face meeting to provide opportunity for panelists to review and reflect on the measures presented and potential missing measures reflective of quality care transitions for complex-care patients across the care continuum.
First, the guideline-concordant care is only reflective of emergency care processes at two well-established teaching hospitals and may not be fully generalizable to community hospitals.
Her response was reflective of how little she cared about the protection of religious minorities' ability to practice their faith.
Concordance between clinician and audit responses was high for most care components, indicating that physician responses were reflective of actual care delivery.
For example, the recommendation to further develop measures that are reflective of complex-care patient and family members' satisfaction and experiences along the care continuum warrants further attention.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com