However, trials of peer mentoring programmes have yielded inconsistent evidence of benefit: difficulties in implementation have contributed to uncertainty regarding their efficacy.
In addition, science denial by those responsible for setting policy leads to difficulties in implementation of sound science curricula in schools as well as poor potential outcomes regarding future funding for biological sciences.
Multipath TCP techniques have potential to fully utilize multiple paths, but, these methods have difficulties in implementation and deployment, because users need to modify their applications or operating system or both.
We are obviously going to see difficulties in implementation.
More insight into the difficulties in implementation of the antenatal care standard to detect anaemia early in pregnancy would support policy maker and nurse-midwives in achieving a clinical practice which is well tailored to the pregnant women's needs.
While these models are not mutually exclusive, and a variety of pharmaceutical care models will be necessary for scale up, it is useful to consider the impact of implementing these models on the provider, patient access to treatment and difficulties in implementation.
Nevertheless, healthcare systems in developed countries continue to encounter considerable difficulties in implementation, and experience major delays in diffusing novel initiatives, despite the perception that healthcare organisations are arguably among the most knowledge-rich and scientifically-based institutions [ 7].
Investigating facility-specific characteristics, such as human resources, infrastructure and staff motivation [ 34] and the impact of the intervention on the healthcare provider, patient access to treatment and difficulties in implementation could also be necessary [ 35].
We will therefore perform a phase 2 study to evaluate the feasibility of the implementation process and to identify potential problems and difficulties in implementation and use of the care programme in the acute geriatric hospital wards.
In many countries, due to lack of preparation and/or any genuine political will, the decision to provide free access to healthcare has soon come up against huge difficulties in implementation with the only final result being the further destabilisation of health systems that are already largely failing.
