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Costs of TB diagnosis were estimated for patients who were screened for TB at the first consulted diagnostic centers and those who were not (mis-diagnosed) in at least the first or more diagnostic centers prior to TB diagnosis.
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Current practice of information giving by physicians was investigated by studies in Australia [ 14, 15] and the Netherlands [ 16], by audio taping the first consult of incurable cancer patients with their oncologists.
The time elapsed between the beginning of symptoms and the first consult either at our Institute or another Hospital was recorded.
In the multivariate Cox model, time elapsed between the beginning of symptoms and the first consult, smoking, masculine gender, and FVC%, remained significant.
It is tempting to consider the time of symptoms before the first consult (if extreme, i.e., less of 6 months) as indication of early disease.
The participants in the intervention group receive a home assignment from the insurance physician in the first consult.
For practical reasons, and to minimize the inconvenience for the sick-listed worker, this consult directly follows the first consult with the insurance physician.
Why the two cohorts of patients differed on 'upper respiratory tract infection' and 'uncomplicated hypertension' during the first consult is not clear.
In the meeting with the sick-listed worker the RTW-coordinator uses the inventory of obstacles for RTW (given to the worker in the first consult with the insurance physician) as a starting point.
In some cases the clinic posted out the intake forms prior to the first appointment to ensure there was plenty of time to complete the form prior to the first consult.
At the first consult, PTs will inform all eligible patients who attend their primary care clinic about the study and will assess patients for the in- and exclusion criteria.
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