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Finally, the paper highlights the need for packaging road pricing with measures promoting its pro-social potential and the importance of peer-to-peer communication and accepting citizens as "social influencers", tailored consultation, pro-social branding, pre-implementation trials, clear administrative roles, transparency, and "political patience".
Of the 164, 114 (69.5%) patients attended the tailored consultation.
Data from the tailored consultation were recorded from each patient's medical record.
In October 2006, all identified ICS users were sent a letter informing them about the new reimbursement regulations and an invitation to a tailored consultation with their GP to assess their respiratory illness.
In line with other recent research in this field, we suggest that illness perceptions should be taken into account when drafting a protocol such as the RM protocol, and that a tailored consultation scheme should be included.
From the shared electronic patient record system in one group practice, patients ≥ 50 years prescribed ICS (including in combination with long-acting beta2-agonists) during the previous year were identified and invited to a tailored consultation including spirometry to assure the quality of diagnosis and treatment.
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'that particular group thing...... was very good.' (Practice 2, practice nurse) The intervention was designed to tailor consultations to patients' socio-economic circumstances and health beliefs.
Exercises are built up in levels and are individually tailored in consultation with a coach through weekly telephone contact.
Research has also shown that tailoring consultation according to patients' needs and sending motivational reminders are successful ways of motivating patients to be physically active.
It is likely that these features are not easy to assess in the consultation, and strategies to more directly assess these features, such as through questionnaire or clinical questioning, will be required if consultants wish to tailor their consultation accordingly.
Within these stages, core components will be delivered to all participants and additional components will be used to tailor the consultation to individuals' needs as required.
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