Strategies and processes to enable staff and external stakeholders to recognise and address these challenges must be key features of the planning phase to avoid conflict, poor communication, frustration, and difficulty achieving community outcomes as the practice develops.
Whilst this close association may explain the apparent lack of palliative care involvement it could also result in patients having difficulty accessing community palliative care services or hospice facilities - a situation which may lead to an inappropriate acute hospital admission for terminal care and ultimately death [ 41].
Australian stroke guidelines recommend that people who have difficulty with community mobility and transport should receive interventions such as practice crossing roads, visiting local shops, travelling on buses and trains, help to resume driving, aids and equipment, and written information about transport options [ 7].
A more recent study of SBHCs serving predominantly African American students found that those who used the services were no more likely than nonusers to lack health insurance, and between 10 and 20% of the parents of the users reported they had difficulty obtaining community care for their child [ 102].
► The misalignment of professional incentives and the communication difficulties among communities with different objectives is a common theme in science these days.
However, participants also explained that the difficulties of community re-entry challenged their resolve and ability to follow through with safe sex in the community.
People with advanced cancer may present with new symptoms, exacerbation of existing illnesses or comorbidities, complications of treatment, consequences of disease progression or difficulties with community care and support systems [12].
Low perceived social support, referring to support from both inside and outside the prison ("everyone you know"), is associated with more suicide attempts in prison (Meltzer et al. 2003), difficulties in community re-entry, substance use relapse and recidivism (Parsons and Warner-Robbins 2002; Liau et al. 2004; Benda 2005).
In this article, we will set out the general environment within which the transition to digital is occurring, illustrate the current state of the digital migration debate, identify potential difficulties for community radios, but also highlight opportunities that digital technologies may provide.
A recent Washington Post article cited difficulties that community colleges are having nationwide.
