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In 2012, following the introduction of the Practice Nurse Incentive Program (PNIP), the incentive payments and six PN item numbers were replaced with a single funding stream for PNs.
An increasing financial burden with German patients can be attributed mainly to the introduction of the practice charge, increased surcharges to or respective self-payments of over-the-counter drugs as well as to the so-called individual health services.
A survey of the Bertelsmann foundation (Healthcare Monitor) in spring 2004 (i.e. shortly after the introduction of the practice charge) shows: 55% of the insured say that the new fee has influenced their health care behaviour in some way, and among these 27% report delayed physician visits, while 35% avoided them completely and tried to cure themselves.
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We aim to describe experienced pressure by general practitioners (GPs) in cases of continuous sedation after the introduction of the Dutch practice guideline, using a questionnaire survey.
A possible reduction in GP workload was expected because of the introduction of the general practice nurse if GPs could focus on their core tasks and the provision of care was shared with other health professionals.
Before the introduction of the programme the practice nurses received six days of training in standardised COPD management and the provision of medical and non-medical treatment.
That scandal prompted the government to launch a consultation on the introduction of the code of practice and the commissioner.
Prior to the introduction of the asthma clinical practice guidelines worksheet the use of the asthma guidelines was not documented.
The introduction of the sexual health practice nurse resulted in significant increases in episodes of complete STI testing among MSM.
The overall objective of the current study was to determine the effect the introduction of the sexual health practice nurse (i.e. the intervention) had on HIV and STI testing.
However, this is unlikely to account for the significant increases in episodes of complete testing which were observed following the introduction of the sexual health practice nurse at the intervention clinic.
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