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Cost concerns from clinicians were related to implementation, disruption to current working practices as well as costs of additional staff and/or infrastructure [ 38].
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"They are not the first company in the apparel or footwear industry to experience disruption in implementation of these types of systems -- it just outlines how complex the whole process is," she added.
However, some participants described how creative problem-solving at the facility level eased NIMART integration, successfully addressing many implementation challenges while minimising disruption to other PHC services.
This would enable an improved understanding of coordination in disruption management before implementation in the real-life system.
Staffing arrangements and shift working have also been shown to be disruptive and with the implementation of the European Working Time Directive, this disruption is likely to continue and to impact on the training of tomorrow's doctors".
Friman [19] describes how passenger opinions of the PT system quality declined in the face of such improvements, due to the level of disruption caused during their implementation.
Users experienced disruption due to the implementation of telehealth as threatening.
"We appreciate the court's recognition of the enormous disruption that would have resulted if implementation of the Affordable Care Act was abruptly halted," said Tracy Schmaler, a spokeswoman for the Justice Department.
It helps manage the rollout and ensure that it occurs in a timely, but controlled, fashion that minimizes disruptions to the organization during the implementation phase.
Prior to implementation, successful organizations took a strategic approach to minimize disruption to the organization.
[10] Concern about clinical severity and community vulnerability during the initial phases of the H1N1 pandemic led to the implementation of a number of mitigation measures and significant social disruption.
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