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It is important to explore barriers to implementation that might explain this discrepancy.
In particular, surgical capacity and availability of trained surgeons are potential barriers to implementation that would need to be addressed.
While the ACE model does not allow the primary measure of outcome to be adjusted to account for non-health dimensions of benefit, the use of second-stage filters allows for other issues, including barriers to implementation that might modify the list of priorities to be made explicit.
After independently rating the draft guideline, we met as a group to discuss the barriers to implementation that we identified.
Many of the barriers to implementation that were identified in the study could be addressed through training and interdisciplinary collaborations.
GLIA appraisal also identified extrinsic barriers to implementation that were reported to the Joint OME Implementation Committee of the professional societies.
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This is the first study to explore perspectives of shared care for neovascular age-related macular degeneration, and provides important insights into possible barriers and facilitators to implementation that would need to be incorporated into the planning of any pilot scheme.
Cultural change can subsequently occur because these steps break down the barriers to implementation when planners feel that the issue of climate change is too hard to tackle [28].
The barriers to implementation described above require that a health systems approach be taken in considering scale up of this model, interrogating how all elements of the health system would be affected by implementation.
Cultural change can subsequently occur because these steps break down the barriers to implementation when planners feel that the issue of climate change is too hard to tackle [ 28].
9– 12 It has been shown that barriers to implementation hinder outcomes.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com