BMJ : British medical journal
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To determine the use and costs of the principal out of hours health services in Buckinghamshire. ⋯ New models such as multidisciplinary primary care centres with telephone advice lines and triaging are required to ensure high quality, cost effective care that is responsive to the needs of both consumers and professionals.
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Randomized Controlled Trial Clinical Trial
Evaluation of adjuvant psychological therapy in patients with testicular cancer: randomised controlled trial.
To determine the efficacy of adjuvant psychological therapy in patients with testicular cancer and to compare the characteristics and psychosocial outcomes of men who agreed to participate with those who declined to participate in a randomised trial of psychological intervention. ⋯ Patients with testicular cancer seem to have considerable coping abilities. Those who declined to participate in the trial differed from those who participated. Those who agreed to participate may comprise the clinical group who perceive a need for psychological support. No evidence was found to indicate a need for routinely offering adjuvant psychological therapy.