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The second model was based on the assumption that the relationship between patient number and volume of consultations may not be linear.
Nowadays reimbursement is partly based on the volume of consultations and procedures.
A large number of independent assessors, from 3 different countries, were required to assess the volume of consultations which introduced significant complexity to the analysis of the study.
Despite the high volume of consultations, wait times in Québec rural EDs are within or approximate national guidelines that were recently published by CAEP [ 24].
As stated above the volume of consultations is likely to be higher since the first 300 CHF (≈200 €) or more of treatment cost within a year has to be paid out of pocket.
Franchise members also provide monthly reports on the volume of consultations and commodities sold for the franchise supported services and also agree to adhere to service quality standards including periodic quality control visits.
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Using a large volume of telephone consultations over a one year period in the out-of-hours setting in primary care we were able to estimate that the mean call length was 7.78 minutes (SD 4.77).
This finding suggests that, in a universal health insurance system with high GP-accessibility, it is unlikely that a health policy focusing only on a higher volume of GP consultations will decrease pressure on SHC use among elderly people.
We believed that a greater number of patient health needs would be associated with a greater volume of GP consultation, but this was not the case.
A higher volume of SMD patient consultations would be expected to result in greater GP willingness to take them on.
When the volume of emails was 10,000 consultations per year the administrative officer reported spending 12.5 hours per week on email duties.
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