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Travel clinic consultation and risk assessment
Lorraine M Noble1, Adrienne Willcox, Ronald H Behrens
1UCL Medical School, University College London, London, UK. lorraine.noble@ucl.ac.uk
Abstract:
A significant number of travellers sustain travel-related injury or illness, despite receiving pretravel advice. This appears to be due to a combination of inconsistent guidance about risks and recommendations, and partial adherence. This article considers perceptions and attitudes to risk, factors affecting uptake of advice, and features of an effective consultation. A framework is proposed for a pretravel consultation, using a shared decision-making approach. Engaging the traveller as an active participant in maintaining their own health and providing balanced, evidence-based information about risks and benefits is predicted to enhance the effectiveness of the pretravel consultation.
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