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Implementation of this guideline, which is still at the drafting stage, is the need of the hour.
will have to take their own responsibility in the implementation of this guideline and by doing so make a difference to the health of many people.
In Africa, the practice of mixed feeding, often from a very young age [ 13] has been observed to be a major obstacle to the implementation of this guideline [ 14- 16].
The aim of the current study is to evaluate the implementation of this guideline in the daily practice of GPs, PTs, and occupational physicians (OPs) in the Amsterdam region, the Netherlands.
Also the Dutch Obstetrics & Gynaecology Society has promoted ECV but up until now, the implementation of this guideline is rather poor and a recent study has been started to evaluate possible barriers [ 4].
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Barriers to the implementation of this new guideline were overcome by increasing reimbursement fees up to 75€ for each examination and changing the documentation system.
Generalised implementation of this clinical guideline in the UK has taken about 5 years but now the majority of ICUs are using therapeutic hypothermia as part of post-cardiac arrest management.
Barriers to implementation of the guideline were identified.
Training may also improve the implementation of the guideline.
The efficacy of the strategy for implementation of the guidelines, described in this article, will be compared to traditional implementation in a two-armed RCT.
In the four years since this study, the implementation of these guidelines has not changed and remains low.
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