Physicians and staff described numerous benefits of the fax referral program for providers and patients but pointed out significant barriers to full implementation, including the time-consuming process of referring patients to the Quitline, substantial patient resistance, and limitations in information and care delivery systems for referring and tracking smokers.
A proof-of-concept implementation including the real-time control of three double integrator plants in the form of electronic circuits is presented, and a complete performance analysis is reported.
At the same time, headquarters left implementation, including the organization development program, in the hands of the Sigma plant management.
Multiple parties attempted to block its implementation, including the U.S. Department of Justice.
Features that supported implementation and sustainability more broadly included the time and effort required to implement a new CCM, as well as the need for sufficient resources, including information and communication systems and funding.
The choice of methods and strategies was also done by considering actual practical barriers and opportunities affecting implementation, including time and financial budgets and the availability of human resources.
Barriers to implementation included implementation cost; the time and effort needed to maintain this newer testing; challenges in interpreting genetic variants; establishing the bioinformatics infrastructure; and curating data from medical, ethical, and legal standpoints.
Barriers to MI implementation included time and space constraints, whilst facilitators were gaining knowledge during training and developing competencies through experience.
Frequently cited barriers to implementation included: budget restrictions, time constraints and perceived apathy of colleagues or students.
45 46 Barriers to CVD guideline implementation include time constraints; 45 47 patient compliance; 45 financial limitations, including lack of GP remuneration; 45 46 government health policy; 45 lack of perceived usefulness, including inadequate knowledge of the risk scoring systems; 47 and fear of over-use of medical therapies.
Facilitators keep a detailed record of ATC implementation including delivery medium, time/duration, and content of every contact initiated with adolescents.
