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With poorer patients, many private practitioners in small clinics prefer clinical diagnosis over investigations that patients cannot afford.
Multi-morbidity is common and patients presenting with chronic diseases are managed by clinical nurse practitioners in either small clinics or larger health centres, and only referred to a primary care doctor occasionally [ 14].
"What I saw in the small clinics is inhumane, a tragedy," he said.
In poor countries, women tend to give birth at home or in small clinics.
They'd walk great distances to take their children to these very small clinics to receive vaccines.
These therapists now travel to small clinics and schools, often carrying their equipment with them.
The facilities include an array of small clinics and surgery centers, but also some major hospitals.
One reason for a shortage of emergency care is an abundance of small clinics instead of big hospitals.
The goal is to produce robotic devices that cost less than $15,000, affordable for small clinics and some individuals.
Some small clinics and stand-alone hospitals will undoubtedly remain successful, perhaps catering to the luxury end of health care the way gourmet restaurants do for food.
Mr. McMullen said the reports understated the problem because the committee was unable to visit every hospital, and many victims went to small clinics.
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