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"The availability of services is the most frequent barrier to providing the child with the best possible chance of being cared for by their birth parents in the long-term," says Gardner.
Comorbidities interfering with diabetes management were another frequent barrier.
The second most frequent barrier (32.9%) was "lack of facilities for education", particularly in Spain (50.4%).
For recommendations 1 and 2, the most frequent barrier (26.1% and 42.4% of doctors, respectively) was "lack of time".
For example, 'up front cost of hardware/software' was the single most frequent barrier among each of the CHP groups.
Lack of medicines, supplies and equipment was a frequent barrier to the hospitals' provision of obstetric services.
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The most frequent barriers are "time constraints," "instructional challenges," "loss of autonomy," and "resistance to change".
The most frequent barriers underline three main issues: regulation, resources, and information.
The three most frequent barriers cramping further agile adoption were the Ability to change organizational culture (50.7 %), Availability of personnel with necessary skills (43.3 %), and General resistance to change (41.4 %).
The most frequent barriers to accessibility found on state government websites are also listed here for web designers and developers to enable them to improve their quality of service in the future.
The proposed policies include financial incentives to adopt HIE (policy 1), awareness and education to integrate HIE into the workflow (policy 2), and a combination of policies 1 and 2 to address the most frequent barriers identified in the literature.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com