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terials, agreements on accountability within GP practices, and extra training for the GPs and GPNs could improve the discussion of SD. This study indicates that Dutch GPs do not discuss SD with chronically ill patients routinely, mainly due to lack of time. An efficient tool is needed to enable GPs to address SD in a time-saving manner. Increased availability of informational materials, agreements on accountability within GP practices, and extra training for the GPs and GPNs could improve the discussion of SD. Environmental exposures in
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