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We need to be trusted so that people can sense our genuine anger that the post-war structure of health and education is delivering seriously substandard outcomes".
(Patient 7) Equally, reports of substandard outcomes could result in the formation of negative perceptions.
Treatment-resistant bipolar disorder (TRBD) is an increasingly prevalent, debilitating condition with substandard treatment outcomes.
Medicaid patients' lack of access to health care, in turn, leads to substandard health outcomes.
Patient cohort disparity may therefore be one of the causes that some report substandard total knee arthroplasty outcome after a high tibial osteotomy [ 4- 6] while others see no clinical or radiographic difference for TKA with or without an osteotomy [ 7, 8].
And of course substandard programs produce poor outcomes.
One of the most difficult legacies of segregation is concentrated poverty that exacerbates the challenges of income disparity: higher crime rates, under performing schools, poor health outcomes and substandard housing options.
Each of these factors can exhibit incidental or structural deficiencies (whether or not through insufficient use) that contribute to substandard care and adverse outcomes.
In addition to these clinical outcomes, being treated with substandard drugs is likely to result in a loss of confidence in medication by both the prescribing physician and the patient.
The profitable enterprises facilitating these unregulated services exploit the poor in underresourced countries and offer substandard medical care with unacceptable outcomes to the rich recipients.
Failure to recognise and comprehensively address the distinct needs of patients with the identified attributes is likely to lead to the delivery of substandard care and suboptimal clinical outcomes.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com