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Asqa's FoI officer, Terence Bowden, wrote that "a significant number of third party consultations" would be required, and that this would "significantly and unreasonably divert the resources of Asqa from its other operations".
This includes mail/email contact, third party consultations (including referrals), secondary care episodes, other administrative tasks and consultations of unknown content.
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The overall mean number of third-party consultations was significantly higher in the AD cohort than for GOA patients (17.0 vs. 9.7 overall third-party consultations; p < .0001).0001
In the initial 6-month period, the mean number of third-party consultations for the AD cohort was significantly higher compared with the GOA cohort (0.6 vs. 0.5 third-party consultations; p = .0016).0016
Over the 4-year study period, third-party consultations increased steadily for GOA patients, whereas the AD cohort showed an increase (to 3.4 third-party consultations) in the 6-month period prior to diagnosis that further increased for a peak (4.3 third-party consultations) in the first post-diagnosis period.
It is notable that third-party consultations (by guardians/family/friends on behalf of the patient) as well as hospitalisations both increased, suggesting that both the diagnostic pathway and general medical decline may actively contribute to the observed increase in primary care utilisation.
The attorney general's chief of staff, Paul O'Sullivan, has in turn rejected this analysis, arguing the request would occupy at least 40 hours of the attorney general's time and would require third-party consultation with security agencies about whether "the possible release of documents may constitute a security risk to the attorney general or others".
Professionals and patients are often used to the presence of a third party during consultations for training purposes, although some of the nurses observed did comment on feeling under pressure to demonstrate that they were following procedures correctly.
The impact of information and communication technology (ICT) on doctor-patient communications during the consultation, often taking the place of a "third party in the consultation", has also been highlighted in several recent studies [ 12, 13].
Researchers of electronic patient records have coined the term 'triadic' consultation to highlight the computer as an influential third party in the consultation.
Acknowledge the right of indigenous people to informed consent; engage third party experts, chosen in consultation with affected communities, to assess and verify local conditions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com