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canada goose uk shop Previous studies describe telecommunication tools that can be used synchronously or asynchronously, from oil rigs,4 polar regions,5 and developing countries.6 While little data describes asynchronous communication between doctors, evidence suggests that some telecommunications may not transmit the subtle non verbal cues that modify face to face conversations and provide emotional context7 11 between doctors and their patients.12 14Miscommunication between family doctors and specialists is common in urban contexts.15 It disrupts collaborative relationships, exacerbates a perceived hierarchical imbalance, and threatens trust.15 Most important, it has canada goose mens uk sale a serious negative impact on patient safety.16 The Canadian Patient Safety Institute identifies communication and teamwork failures as leading causes of adverse incidents,16 and the Joint Commission on Patient Safety identifies improving staff communication as a national patient safety https://www.cacanadagoooseoutlet.ca goal.17 Ineffective communication also worsens rural isolation. It is difficult to recruit and retain physicians to the canada goose trillium uk countryside where access to investigations is limited, there are few, if any, nearby specialists, and the family physician must constantly be available.18,19 These are the characteristics of canada goose outlet in usa a rural generalist culture. By contrast, the urban specialist culture is typically technology driven and disease focused.18 Urban specialists are better able than their rural family physicians to set their boundaries by deflecting or declining consultations.18 While 60% of communication failures within urban physician populations involve confusion or outright conflict,17 there has been little work comparing urban physicians with their country colleagues canada goose uk shop.

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