This "effectiveness gap" may partially explain the appeal of CAM to primary care physicians [ 31].
This might represent what is called as the effectiveness gap [ 56], although in a reversed way.
A survey of GPs found that there is an "effectiveness gap" in currently available treatments in primary care for IBS [ 11].
The effectiveness gap is said to exist when a treatment is shown to have an effect based on its pharmacological action but shows a smaller effectiveness in clinical practice.
A fourth difficulty in a 'NHS friendly' service model is that the conditions treated should fill an effectiveness gap, defined as an area where current interventions are inadequate or non-existent (definitions 3 and 4).
The concept of the "efficacy-effectiveness gap" (EEG) has started to challenge confidence in decisions made for drugs when based on randomized controlled trials alone.
However, there is a significant efficacy-effectiveness gap and response is often associated with persistent neurocognitive impairment [ 4] and psychosocial dysfunction.
This suggests a limited effectiveness of gaps, especially smaller gaps, as a tool for management of understory plant diversity, and perhaps biodiversity in general, on a larger scale.
Thus, in a trial of effectiveness, the gap between usual care and weaning with a protocol might be too small to show a significant difference between groups.
The first aim is to evaluate the clinical and cost effectiveness of GAP compared to PT. Clinical effectiveness will be examined with a Student's t-test (continuous), a Chi-square test (dichotomised) or a Wilcoxon test (not normally distributed) according to the intention-to-treat principle.
Furthermore, this study pioneered the application of single- and double-loop KM learning to analyze business operation processes, allowing process effectiveness and service gaps to be identified via the knowledge/activity/process-target Achievement Matrix and Knowledge-Life-Cycle consheetting sheet.
