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Of these 189, the email was undeliverable in 12 participants, nine declined, (five being too busy and four considering their expertise insufficient); there were 146 non-responders.
42 43 Unwarranted variation is defined as that which results from care being less evidence based such as inequalities in resources or expertise, insufficient research, clinician bias, poor communication and confusion in the roles of health professional and patient.
21 Barriers to incorporating fall prevention into practice include lack of knowledge on the part of the clinician about falling as a preventable condition, perceived lack of expertise, insufficient reimbursement for fall prevention services, and inadequate referral patterns among clinicians.
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Decision quality therefore substantially depends upon the decision-makers level of expertise: an insufficient level, by implication, results in value destruction.
Key issues encountered during research and development include unforeseen technical challenges for manufacturing, limited commercialization expertise, and insufficient preclinical safety/risk assessment.
This focus on quality also led Shantha to recognize that for certain types of clinical trials, India's regulatory expertise was insufficient to conduct them at home [ 49].
2 3 While intense behavioural interventions have been delivered successfully by several clinical trials, 4 5 these interventions have not translated into usual care due to a variety of reasons including lack of suitable expertise and insufficient resources.
For example, if physical examination tests cannot differentiate between a significant SLAP lesion and a rotator cuff tear, the surgeon whose expertise is insufficient to perform an arthroscopic SLAP repair has essentially just performed a risky, invasive and expensive diagnostic test by performing the arthroscopic examination without being able to offer treatment.
(We were permitted to claim insufficient expertise in any category, but what would be the fun in that?) I finished the survey as hastily as I had my son's — plugging in more 4s, 5s and 6s than the historical record surely warranted.
"Member agencies and programs have insufficient expertise" to integrate the social and ecological sciences into the program or to develop the capacity to support decision makers.
However, the selection of the optimal techniques is difficult and insufficient expertise in the process may result in large inflation of expenses.
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