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On the other hand, a rigid design, tailored for a specific location, might act as a barrier to implementing the system elsewhere.
Despite awareness, lack of dedicated communication infrastructure was a barrier to implementing the referral protocol.
Ninety-three participants (31.9%) indicated that the guideline itself was a barrier to implementing the recommendations.
Participants focused on perceptions of the diagnosis and treatment of miscarriage as highly emotional and thus a barrier to implementing the service.
Similarly, the consultation discussants cited the community's potential non-acceptance of PrEP as a barrier to implementing the method among serodiscordant couples; a solution would be to work with community stakeholders and gatekeepers to conduct social marketing.
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Furthermore, there is a lack of epidemiological data regarding rheumatic diseases in general except from the work of the Global Burden of Diseases Working Group [ 16], and the absence of country-based data can also be a barrier to implementing treatment guidelines for the management of RA [ 9].
They concluded that without time invested in relationship building, ophthalmologists' reservations about the capabilities of optometrists could be a barrier to implementing shared care.
However, there is uncertainty about whether groundwater recharge constitutes a beneficial use of surface water, and this perception may form a barrier to implementing new recharge projects.
Hypercapnia and respiratory acidosis, although usually well tolerated, is a barrier to implementing ultra-protective ventilation [ 21].
Provision of care to children was perceived as a barrier to implement Standard Precautions.
Our preliminary work towards completing the proposed study has already identified a number of barriers to implementing the intervention into practice.
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