Creating shared decision support and review systems could provide a seamless transition from primary to specialist care, as dictated by changes in patients' disease states.
So, right from the start, my treatment was dictated by a specialist.
The resistance frustrates entomologists and mosquito-borne disease specialists, who repeatedly explained that federal law dictates how much insecticide they can spray — which the EPA has determined poses "minimal risk" — and where they can spray it.
"There is a little bit of ligament damage in his knee, so he will see the specialist and what comes back from that will dictate where we go from there," added Canning.
Many came with a dedicated controller, with a collections of levers and buttons for what is an unlikely subject to attract a specialist gaming peripheral: guiding a vehicle along rails that already dictate its route.
"The obvious message of all this to North Koreans is that Kim Jong-un is now dictating to the top elite," said Cheong Seong-chang, a North Korea specialist at the Sejong Institute in South Korea.
This was to exclude closing and merging practices, unconventional practices (such as boarding school practices and specialist clinics) and practices where motivations for disenrollment might have been dictated by special circumstances (e.g. practices moving address or using temporary accommodation).
"Adams went to the offices to inspect them and even wanted to dictate the colors for the walls," said Laura Paterson, a photography specialist at Christie's.
If necessity, natural selection and adaptation through competition and trade-offs, dictates the outcome, then adaptive radiations will be largely repeatable, yielding similar niche specialists and ecological relationships.
There is also an economic argument for regionalisation: geographical factors and population distribution may dictate that regionalisation is the only affordable ways for a health system to provide complex specialist care.
