Often referred to as the Great Drought, this climatic event probably occasioned crop failures and shortages of drinking water, creating difficulties in provisioning the concentrated population living in the cliff dwellings.
This influence contributed to difficulties in service provision.
Health care providers have also described difficulties in service provision for women with disabilities during pregnancy and childbirth from their perspectives [ 12– 16].
Multimorbidity is present in around 70% of the adult patients attending primary care in Portugal [ 9], and this high prevalence will produce significant difficulties in the provision of medical care.
The devastating effects on the houses of Armenia induced the organization of transitory housing facilities in tents and "alojamientos" (multi-family spaces), which caused difficulties in the provision of basic sanitary services, water supplies and food.
Nevertheless, the steering group-responsible for the coordination of implementation and consisting of at least one physician, two nurses, and a member of the Palliative Support Team (PST -is recommended to identify and tackle PST -iss orecommendedies in toe providentify good end-of-life cand during tackleole improblemstior process andifficultiesze addinional theining if deemed necessary.
The state of Western Australia, which occupies a land mass that constitutes approximately a third of the area of Australia and with approximately one tenth of Australia's population, is encountering increasing difficulties in the provision of adequate health and medical services to what are widely dispersed rural communities.
There are concerns about diagnosing dementia because of potential negative impacts on the patient (e.g. stigma, missing a different and treatable diagnosis like depression), the caregiver (longer time in a stressful role), and service provision (overloading of specialist services, diagnostic uncertainty, difficulty in changing provision) [ 10].
The dispersal of population growth to these smaller areas holds significant implications for environmental, economic, and social health, and threatens local food security, increases congestions, and induces difficulty in service provision.
The study limitations reflect the challenges of embedding rigorous research into existing and diverse facilities (ie, 'real-world' evaluations) and difficulties in recording the provision of integrated services.
