Twelve years and counting, Gordon added, is simply too long for any project to sit on the drawing board while regulators and on-the-ground stakeholders squabble over details. "Most projects and most developers that would get involved in a process like that would probably throw up their arms and walk away," he said.
However in order to be effective, the deep involvement of physicians, decentralized decision-making and common ground with stakeholders embedded in the medical logic is needed, allowing for a hybrid logic to develop.
These are encouraging findings that suggest there is an opportunity to find common ground among stakeholders with regards to the role and benefits of decision and communication aids in orthopedics.
A qualitative approach was employed which provided rich data grounded in stakeholders views and ideas [ 30].
The process of the bottleneck analysis allowed for consensus-based data capture of context-specific challenges, barriers and possible solutions, from a diverse group of ground-level stakeholders and experts in twelve high burden countries.
This figure is further grounded in stakeholder theory as it reflects Freeman's original 'hub and spoke' diagram [ 19].
This research could prove crucial for ensuring efficient movement of aircraft on the ground, as airport stakeholders seek out ways of saving time, reducing costs and improving carbon emissions amid huge growth in air traffic and passenger numbers.
Additionally, on the ground of the stakeholder's behavior, irrational optimistic or pessimistic vision (Akerlof and Shiller 2010), market imperfections because of asymmetries in information (Stiglitz 2010) and rent seeking (Johnson and Kwak 2011) cause financial distortion and pave the way to global current account imbalance.
"We're doubling down on efforts to make sure that our partners on the ground -- the stakeholder community, provider community, our partners across U.S. government -- are actually helping in this effort to do outreach and enrollment.
Our contribution is also important to a wider audience as it demonstrates a transparent and theoretically grounded approach to involving stakeholders in priority setting [ 19].
He finds that district-level decision-makers generally approve of the idea of a more transparent, deliberative, district-level process that includes a range of stakeholders seeking grounds for the priorities they set.
