It appears that the complexity of the programme – with the different eligibility criteria for different incentives – was itself a major barrier to implementation, exacerbated further by the confusing guidelines.
17 Evidence-based reasoning is often absent from the foundation of implementation programmes, exacerbating opposition to change.
But the implementation of Obamacare will exacerbate the divisions, with Republican governors and legislatures turning down Medicaid expansion that they will have to pay for anyway, driving up insurance rates for their residents.
These include measures of participation and representativeness at both patient and healthcare setting levels, consistency of outcomes across different subgroups, tendency of an eHealth program to ameliorate versus exacerbate health disparities, implementation and program adaptation, cost, and quality-of-life outcomes.
The problems of inappropriate or poorly designed policies are exacerbated by policy implementation challenges, which in turn may determine the impact of financial incentive policies (6, 7).
On the contrary, we argue that the implementation of PES could instead further exacerbate pre-existing inequalities as local elites monopolize direct income flows and state forest entities control the majority of national forestland.
This inequality is exacerbated by the lack of implementation of existing laws to protect the Dalits.
He warned that arguments over the so-called "fiscal cliff" – the year end expiration of tax cuts brought in by president George Bush and planned implementation of draconian spending cuts – could further exacerbate the situation.
Also, the implementation framework based on annual ex-post reviews exacerbates the regulatory problems mainly by increasing uncertainty and reducing the incentive for innovation.
Exacerbating this issue is the fact that implementation science is so new that many university faculty are not familiar with the terms commonly used in translational research.
