Finally, care coordination requires a higher level of organization and new personnel, both of which can be difficult for small practices to afford.
In addition, London has a highly mobile population making it difficult for general practices to maintain the accuracy of their lists[ 4], which are used to invite women for breast screening.
However, the increase in the number of students and the restricted number of academic staff makes it particularly difficult for practice homework to be given or to be followed, if any.
Nevertheless, because we seldom know a priori stability issues hidden behind millions of degrees of freedoms from the discretizations of both fluid and solid domains, it is very difficult for practicing engineers to find a convergent solution for FSI problems with trial and error methods, especially for nonlinear dynamical coupling between structures and flows.
It is understandably difficult for practicing physicians to deal with this attitudinal conflict.
The relative rarity of CFS/ME in any one practice population (especially compared with, say, asthma or diabetes), would make it inefficient and difficult for practice nurses to develop and sustain expertise, and this is recognized by the practice nurses in this study.
The high safety measures at the prison made it difficult for those practicing to move smoothly inside the prison area.
Thresholds of payments for some indicators increased between 2005 and 2006 so that it was more difficult for a practice to be rewarded the same amount in 2006 as in 2005 if their performance did not change.
However, past studies in general practices have shown that a rigid study protocol is very difficult for busy general practices to fulfil [ 22].
As such, it can be difficult for reviewers to critically evaluate papers pertaining to RAD that are submitted to academic journals and even more difficult for practicing clinicians operating under the time constraints of community-based practice.
