Thus, it cannot be assumed that results from secondary care can be extrapolated to primary care. |
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We need a little more of this primary care and a little less of the gee whiz. |
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We used the records to identify the patient referral pathway from primary care to hospital treatment. |
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Stimulants should be prescribed judiciously and monitored carefully by specialists in close liaison with primary care physicians. |
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Advanced nursing roles are an important development in primary care, but the implications have yet to be fully appreciated. |
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The electric otoscope is the instrument most commonly used in primary care. |
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On the other hand, some managed care organisations are taking these services and patients out of primary care. |
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Forty-six primary care clinics in six managed care organizations participated in the study. |
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With the advent of primary care groups in 1999 a new incentive scheme was devised to influence prescribing. |
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Prison healthcare centres, although commonly called hospitals, are not like NHS hospitals but more like sickbays with primary care cover. |
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Screening for haemoglobin disorders shows what might be feasible using a multidisciplinary approach in primary care. |
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The majority of injuries in a primary care setting are soft tissue injuries. |
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We studied the referral rates for dermatology across the 16 practices in a primary care group with a comparatively uniform population mix. |
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For men with mild to moderate urinary symptoms or bother, management by primary care physicians is appropriate. |
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As many as one in five new consultations in primary care are for somatic symptoms for which no specific cause can be found. |
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Most cases of vertigo can be diagnosed clinically and managed in the primary care setting. |
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It is the non-clinical stuff that is extra and should take second place to committing enough resources to provide proper immediate primary care. |
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This has important clinical ramifications as there has been increasing emphasis on performing spirometry in primary care settings. |
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In addition to your child's primary care doctor, your child should receive regular care from a hematologist or a sickle cell clinic. |
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This will mean more family friendly policies and an occupational health service for primary care professionals. |
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Oregon also increased capitation payments to encourage primary care providers to screen their patients for substance abuse disorders. |
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No research assesses the effectiveness of a primary care physician-supplied parental counseling intervention in preventing dental caries. |
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Many of the primary care trusts that commission health care are also in crisis. |
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Increasing attendance in primary care is an important problem for the health service. |
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Knee osteoarthritis is a common but often difficult problem to manage in primary care. |
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The development of primary care depends on high quality managers who are able to draw on a range of different management skills and styles. |
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For example, moving services from secondary to primary care challenges many deeply held assumptions about the role of specialists. |
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This creates difficulties for health authorities and primary care groups in tracking financial out-turns. |
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I believe that we women primary care docs attract a higher percentage of emotionally high-maintenance patients than do our male colleagues. |
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In some cases, accommodation is also provided to dentists, chemists, opticians and social workers to create one-stop primary care centres. |
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We report the findings of a national survey of the views of Scotland's general practitioners on holism in primary care. |
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Many suspected cases of heart failure will be seen in primary care that require the diagnosis to be excluded. |
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However, trying to get this information from primary care trusts or hospitals is very difficult. |
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These are really issues of practical and systematic approaches to primary care. |
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We believe this is the first systematic review to investigate the measurement of quality of data in primary care. |
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Because cluster headache is uncommon in primary care, it may go misdiagnosed for years. |
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To be maximally effective, early detection in primary care and facilitation of help seeking in the wider community must also be addressed. |
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Instead, these findings need to be replicated independently in primary care patients. |
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If our society is committed to giving patients with rare diseases a fair deal, primary care trusts must make funds available for treatment. |
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We are also working closely with our colleagues in primary care and public health. |
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Currently, the licensing of pharmacies is regulated by the local health authority, or primary care trust as it is at the moment. |
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An audit that involved a systematic search of all individual primary care records was performed at the end of the study period. |
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What are the best inhalers and can a primary care physician prescribe them or does it need to be done by a specialist? |
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Occult lead poisoning is a difficult diagnosis to make in a primary care setting because the symptoms of plumbism are nonspecific. |
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Two primary care trusts announced there would be an overhaul in arrangements for cover at community hospitals. |
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The primary care physician's emotional response to a patient can serve as an early cue to pursue a somatization diagnosis. |
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In the United Kingdom primary care does not currently have a formal role in monitoring for disease recurrence after curative treatments. |
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Similarly, general practitioners functioning through primary care groups would charge insurers or offer prepaid services. |
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There is always the talk of the importance and needed primacy of primary care in our health care system. |
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It may be possible to manage some of the demand for PSA testing in primary care. |
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The aim of this study was to identify referral pathways from primary care for women with ovarian cancer. |
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Our review lends support to an increased involvement of nurse practitioners in primary care. |
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Explanation of risk factors and preventive options must be provided by primary care. |
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Our study shows that cisapride has no place in the treatment of heartburn in primary care. |
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Most patients viewed primary care as the cornerstone of their physical and mental health care. |
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A variety of mental health professionals such as counsellors work in primary care. |
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Nurse practitioners are increasingly used as points of first contact in primary care. |
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It said hospitals, primary care organisations and local health boards should immediately review procedures. |
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Lets try to remove barriers to care, focus on cost effective primary care delivery, and cut down on administrative overhead costs. |
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Half the depressed patients will be treated at six primary care practices providing the intervention services of the health specialist. |
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All primary care practitioners will have to develop systems for clinical governance. |
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Since July 2000 we've seen the devolvement of health trusts and their staff into primary care trusts. |
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Hypercalcemia is a disorder commonly encountered by primary care physicians. |
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Most patients are seen and treated by primary care doctors, who may be unfamiliar with the condition. |
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We recorded consultations with the general practitioner for dyspepsia after scrutiny of the participants' primary care notes. |
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The study aimed to evaluate the effectiveness of two management strategies for patients presenting in primary care with symptoms of dyspepsia. |
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Prior to starting any exercise program, consult your primary care manager or specialist. |
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Taking examples from actual primary care practice, Launer presents the techniques in a clear, explicit fashion. |
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Costs were figured from a health service perspective by abstracting data from primary care case records. |
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This model retains the expertise and quality assurance of the laboratory process while decentralising at minimal cost to primary care. |
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And health provision is controlled by Swindon's primary care trust an unelected quango with councillors confined to an advisory role. |
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It said primary care trusts must pay much more attention to men's health, particularly by making local services more easily accessible to them. |
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Before then there was no acknowledgement in government of the need to address the low research capacity of primary care. |
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Managed clinical networks are in keeping with the increasingly important role primary care has in acute health care. |
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By adding capacity to primary care practices, these group sessions can become an adjunct to open access scheduling. |
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The primary care organisations are required to deliver a 15 percent cut in administration costs almost immediately. |
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The new commissioners will not be legally autonomous and will remain under the aegis of primary care trusts. |
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Assuming that this will never come from government, a way forward might be for primary care trusts to take alcohol agencies under their wing. |
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He revealed that an email had been circulated amongst GPs by the primary care trust, informing them that a red alert had been posted. |
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Reduction of acute nasal fractures in the primary care setting is confined largely to the closed reduction of mild unilateral fractures. |
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She was evaluated by her primary care physician and was referred for further evaluation. |
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The authority is now receiving about 80 referrals a quarter, including doctors working in primary care. |
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Clearly, better evidence relevant to primary care is needed before we firmly advocate treatment regimes for obesity. |
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The lab has been compiling data from primary care workers and hospital labs in Scotland. |
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The majority of ambulatory older patients who visit primary care physicians are without severe disability. |
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Level three patients are assigned a case manager who is usually a registered nurse, often assisted by a social worker, working in the primary care team. |
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Patients also felt they had been injured as a result of inequity of access to healthcare due to the high cost of primary care and social deprivation. |
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Because research evidence for the management of such medical emergencies in primary care is scarce, there is a need for such initiatives to be evaluated. |
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Furthermore, because these patients are not registered, capitation payments to primary care trusts may be reduced leading to a loss of health care for local people. |
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So then why end up here versus the primary care equivalent of a Midas for a simple checkup? |
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General medical professionals such as internists, primary care doctors, and nurse practitioners as well as psychiatrists, of course, evaluate, diagnose, and treat depression. |
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We reviewed these evaluations in 60 patients referred after a diagnosis of anaphylaxis in primary care and seen in the allergy clinics at three hospitals in south west London. |
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His programme in integrative medicine at the University of Arizona offers two year fellowships to doctors who have completed residencies in primary care specialties. |
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Poppy Morgan went to her primary care doctor in 2010 because she desperately wanted to take a risk. |
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The relevance of research undertaken in secondary or tertiary care to general practice is questionable, and more research based in primary care is needed. |
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Using an organized approach to the varied aspects of geriatric health, primary care physicians can improve the care that they provide for their older patients. |
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This preliminary experience suggests that, despite close liaison with the primary care group, the referral process will take time to be adopted and implemented. |
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With the population distribution in the United States, perimenopause and menopause are by far the most common cause of night sweats in a primary care population. |
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For both studies, participants were recruited from 3 primary care practices in geographically and socio-economically distinct regions of suburban Melbourne. |
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However, changes may be subtle and primary care physicians' lack of skill in interpreting electrocardiograms may mean that referral for specialist opinion is still required. |
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Damania realized that traditional models of health insurance simply have no place in primary care. |
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The subcommittee included experts in the fields of primary care, otolaryngology, epidemiology, infectious diseases, hearing, speech and language, and advance practice nursing. |
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Labour's privatisers are now turning their attention to primary care. |
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For instance, could we review the philosophy and content of preregistration education so that it privileges primary care and listens to patients' concerns? |
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Commissioning by primary care groups or trusts is an internal market-like idea that could be seen as generalisation of general practitioner fundholding. |
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Without identifying them, paint me some pictures of some of the issues which have come up for you in terms of who ends up with primary care for the child. |
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In the United States, the professional constituency for primary care is fragmented into family medicine, general internal medicine, and general paediatrics. |
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During the last procedure of the day, the surgeon receives a consult from a primary care physician who has referred a patient in the ER experiencing right lower quadrant pain. |
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Thailand combined the introduction of universal access to subsidised health care with a radical shift in funding away from urban hospitals to primary care. |
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This is especially so because previous reforms of primary care, such as fundholding, were driven by ideologies of competition rather than evidence. |
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Around 20 percent of primary care patients report having persistent pain. |
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There is growing concern about resistance and overutilisation of antibiotics for sinusitis-like symptoms in primary care. |
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Its advice to primary care on prescribing drugs such as proton pump inhibitors has been criticised as wasteful. |
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The Arran Medical Group provides primary care services and supports the hospital. |
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This may be because primary care patients are less severely ill and delirium is generally infrequent in nonacute care settings. |
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In practice, however, the autonomy of regional health administrations over budget setting and spending has been limited to primary care. |
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Generally, infections are initially diagnosed by primary care physicians or internal medicine specialists. |
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Vincent Hospital at Worcester Medical Center in the downtown area rounds out Worcester's primary care facilities. |
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The majority of the grants went to integrated mental health services in primary care settings and school-based mental health services. |
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Virginia has a ratio of 127 primary care physicians per 10,000 residents, which is the 16th highest nationally. |
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No wonder young doctors want nothing to do with primary care. |
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A 30-year-old man referred by his primary care doctor presented with rapid onset radicular left leg pain and weakness. |
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She chose family medicine, one of 65 UMass students graduating this year who selected a primary care specialty. |
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High frequency of primary hyperaldosteronism among hypertensive patients from a primary care area in Sweden. |
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The patients are massively returning to the specialists as the primary care doctors are not allowed to proscribe certain medications. |
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Psychiatrists and primary care physicians need to work together to meet the needs of psychiatric patients. |
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She provides holistic primary care with a focus on rheumatological diseases such as rheumatoid arthritis and lupus. |
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Recognition and evaluation of red blood cell macrocytosis in the primary care setting. |
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For endocrinologists, urologists, andrologists and sexologists, primary care physicians, gerontologists, diabetologists, and cardiologists. |
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Previous studies have helped us understand the values patients place on technical and interpersonal quality in a primary care setting. |
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The study included 6,880 unselect ed patients, who underwent ABI testing by their primary care physician. |
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The physician groups of OIC now offer care in more than 35 specialties, in addition to an extensive network of primary care locations. |
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The spending linked to high utilizers can't be chalked up simply to uninsured patients without access to primary care. |
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Viner is a general veterinarian with five primary care practices in London. |
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A 60-year-old woman initially underwent an ultrasound examination of the lower neck after her primary care physician palpated a neck mass. |
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From this April, the new primary care groups will take over the old fundholders, we will have a one-tier system again. |
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But reimbursement rates go only so far toward explaining why an estimated 13,000 of Lane County's 96,000 OHP patients lack access to a primary care physician. |
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Paronychia and felons are likewise surgical problems easily solved in a primary care office with a finger block, glove tourniquet and strict attention to delicate surgery. |
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These are in addition to the multi-million pound developments planned under the city's LIFT scheme and the PCT's strategic services and primary care development plans. |
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A 16-year-old male was admitted awake, eupnoeic and with shaft fractures of the long bones, to a primary care hospital after a road traffic accident. |
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Middlesbrough and Eston residents will receive winter health advice through their letter boxes in a campaign organised by the town's primary care trust. |
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Mental health providers may also benefit from working as a team with other providers such as audiologists, otologists, and primary care providers. |
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Notable findings from surveyed primary care practices include several statistics, which may shed light on the disparity in physician satisfaction. |
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Free access to a general practitioner is a core right in the NHS, but private insurers in the UK will not pay for payments to a private primary care physician. |
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Vacuum aspiration in the first trimester is the safest method of surgical abortion, and can be performed in a primary care office, abortion clinic, or hospital. |
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Meanwhile lo s cal primary care trusts NHS Coventry and NHS Warwickshire are still waiting for stocks of the vaccine to arrive in order to begin immunising their staff. |
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The authors have used this instrument in a tertiary care hospital where one would expect to find higher rates of morbidity, rather than using it in primary care. |
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Requests for primary care doctors, defined as family physicians, internists and pediatricians, increased 23 percent over the previous 12-month period examined in the survey. |
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Sara Beste, primary care pediatrician at the UMass Memorial Children's Medical Center, is a graduate of Creighton University School of Medicine in Omaha, Neb. |
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The approach used by CHP called for creating a list of specialists who CHP's primary care physicians referred to more than 50 percent of the time. |
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Having examined data from Massachusetts, the trend lines for primary care physicians who are older than 55 and those who are newly minted is very telling. |
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The study also indicated that guideline-concordant treatment was more likely to be provided when patients were comanaged by a pulmonologist and a primary care physician. |
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