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Grandma or grandpa might be able to hold their own in a game of "Wii Bowling," a 9-year-old might destroy dad in "Skylanders," and mom might settle in for a routine hour of "Fashion Story" on the iPad, but for some people properly experiencing "Spacewar!
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For rural participants without a nearby hospital, the only remaining way to avoid calling the out-of-hours service was to wait and call their own doctor during routine hours.
Instead of the routine hour-long event, he found people queuing round the block asking him for prescriptions to cure everything from a blue day to a broken heart.
Do you keep routine hours?
There were 16 readmissions into the ICU within 48 hrs of shift out among patients transferred in after hours as against 3 in patients transferred during routine hours.
There were clear differences during and out of routine hours.
During routine hours, the main "health service" barrier for patients seeking or obtaining an appointment was the perceived waiting time.
Improving access to routine services, improving the ability to consult specialist services during routine hours and improving the communication between these services could reduce use of out of hours services.
In practice this has not been possible outside the larger teaching hospitals, and normal practice in other hospitals has been for the consultant anaesthetist to provide cover for the ICU out of routine hours.
In our study, all practices operated appointment systems during routine hours, with some slots kept available for emergencies, home visits for patients deemed unable to travel, and appointments with practice nurses as well as doctors.
Access barriers on the part of service users and carers have also been acknowledged and include geographical distance, competing caring responsibilities and economic constraints that prohibit attendance at care planning consultations within routine hours.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com