This probably reflects of therapeutic progress related to this disease where more effective interventions can be provided in practices, especially to prevent complications due to myocardial infarctions [ 34].
So, there is pressure on politicians, policy makers and NHS commissioners in the UK to ensure that effective caries prevention is provided in practice.
It is important to recognise, however, that global standards are rarely promulgated with an eye to the specific context of informal health markets that predominate in many LMICs, and they may have little or no influence over the ways that health products and services are provided in practice.
Because approximately 75% of primary care is provided in practices consisting of 10 or fewer physicians, optimizing the adoption of quality improvement and measurement approaches in these practices is critical to initiatives to enhance the quality of care in the U.S.[ 25].
Eighteen items assessing what types of cessation interventions nurses were providing in practice were measured on a 4-point scale (1 = never, 2 = seldom, 3 = occasionally, and 4 = frequently) with results presented as a mean score for each item.
In this way, not only mean ICP but also single ICP wave amplitude and latency could be computed accurately; therefore, more information about ICP change could be provided in clinical practice.
Both the diabetes management program (as part of the usual care in the control group) and the case management intervention will be provided in the practice in which the patient is listed.
Coaching will be provided in the general practice office by trained psychologists and will take place once a week for half an hour.
Similarly, non-OHA antidiabetic therapies as well as treatment for concurrent medical conditions will be provided in daily clinical practice, as needed.
34 35 The implication of this may be that more direct services to patients need to be provided in addition to practice improvement strategies to achieve change in health outcomes.
